ABSTRACT
The mandibular fracture is one of the most commonly fractures of the facial bones. In high-energy traumas, a comminuted mandible fracture may occur. The closed reduction with external fixator is an interesting alternative for these types of fractures. The aim of this article is to report the case of a patient with comminuted fracture in the right mandibular body, whose surgical treatment was the noninvasive reduction of fracture and stabilization using a Colles' wrist external fixator. After 1 year of follow-up, the patient is without complaints, with satisfactory dental occlusion, adequate contour, and mandibular alignment. External fixation with wrist orthopedic fixators adapted to the mandible provides many advantages owing to its versatility and simplicity of use. Therefore, this method should be remembered as a valid and affordable option for the treatment of complex lesions when indicated correctly.
Subject(s)
External Fixators , Fracture Fixation/instrumentation , Mandibular Fractures/surgery , Adult , Dental Occlusion , Fracture Fixation/methods , Fractures, Comminuted/surgery , Humans , Male , Treatment Outcome , WristABSTRACT
Os ferimentos ocasionados por mordeduras animais são comuns e de importância na saúde pública, tendo consequências, como desfiguração, infecção e, até mesmo, a morte em casos mais graves. A conduta frente a essas lesões é controversa, principalmente do ponto de vista do fechamento primário da ferida da profilaxia de doenças infecto-contagiosas, originadas a partir do contato da saliva do animal com a ferida. O atendimento desses doentes na urgência consiste no controle da infecção, reabilitação funcional e, consequentemente, estética, a fim de minimizar danos psíquicos e possibilitar retorno ao convívio social. O presente trabalho relata o caso de ferimento em lábio superior de uma criança decorrente de agressão por mordida canina. A reconstrução foi realizada através da rotação de retalho rombóide da mucosa oral bem como do avanço retilíneo do retalho cutâneo associado aos triângulos de Descarga. Além disso, foi instituída uma antibioticoterapia específica. Dessa maneira, foi obtido um resultado estético e funcional satisfatório, sem complicações infecciosas pós-operatórias ou deiscências de suturas... (AU)
Injuries caused by dog bites are common and have importance in public health, with consequences such as disfigurement, infection and even death in severe cases. The correct approach to these lesions is controversial, especially in primary closure of the point of view of the wound and prophylaxis of infectious diseases originating from the animal's saliva contact with the wound. The care of these patients in the emergency consists in controlling infection, functional rehabilitation and consequently aesthetics in order to minimize possible psychological damage and return to social life. This paper reports the injury case in upper lip of a child resulting from aggression by canine bite. The reconstruction was carried out by retail rhomboid oral mucosa rotation and straight forward skin flap associated with the discharge of triangles. Moreover, a particular antibiotic was introduced. Thus it was obtained a satisfactory aesthetic and functional results without infectious postoperative complications or dehiscence of sutures... (AU)
Subject(s)
Humans , Male , Child , Bites and Stings , Lip/injuries , Mouth Mucosa/surgery , Mouth Mucosa/injuries , Postoperative Complications , Communicable Diseases , Emergencies , Disease Prevention , Esthetics , Anti-Bacterial AgentsABSTRACT
A Síndrome de Sjögren(SS) primária é uma desordem autoimune crônica dos tecidos exócrinos, com comprometimento funcional importante das glândulas lacrimais e salivares. Essa doença poliglandular é frequentemente associada a manifestações sistêmicas extraglandulares, como secura ocular e bucal, propiciando alterações fisiológicas locais. O entendimento da fisiopatologia e a evolução da SS primária favorecem o correto diagnóstico e a terapêutica apropriada. Este artigo tem por objetivo descrever os principais sinais e sintomas clínicos da SS primária, os critérios para correto diagnóstico e relatar um caso clínico clássico da doença.
Sjögren's syndrome (SS) is a primary chronic autoimmune disorder of exocrine tissue with significant functional impairment of the salivary and lacrimal glands. This polyglandular disease is often associated with extraglandular systemic manifestations such as dryeyes and mouth providing physiological sites. The understanding of the pathophysiologyand progression of primary SS favor the correct diagnosis and appropriate therapy. This article aim to describe the main clinical signs and symptoms of primary SS, the criteria for correct diagnosis and a case report of classic disease.
