ABSTRACT
La oxigenoterapia hiperbárica (OHB) es una modalidad de terapéutica física que se fundamenta en la obtención de presiones parciales de oxígeno elevadas, al respirar oxígeno puro en el interior de una cámara a una presión superior a la atmosférica. El objetivo de esta revisión es clarificar los mecanismos de acción y los efectosde esta terapéutica física, los problemas que puede plantear y sobre todo las indicaciones actuales.En cirugía oral y maxilofacial, la OHB se utiliza como tratamiento complementario en procesos de osteítis y osteomielitis maxilo-mandibular, en infecciones necrotizantes de partes blandas (a nivel cervical, periodontal, gingival, ), en la prevención (muy importante) y el tratamiento de la osteradionecrosis, en los retrasos de cicatrización (de fracturas, deimplantes dentales, de injertos/colgajos de difícil viabilidad), en la rehabilitación implantológica de pacientes oncológicos irradiados.Es preciso utilizar los protocolos establecidos y generar estudios que sostengan científicamente su utilización; de este modo se podría paliar la pocaconsistencia de los estudios publicados que hemos encontrado
Hyperbaric oxygen therapy (HBO) is a physical therapeuticmodality based on obtaining high partial pressures of oxygen, on breathing pure oxygen inside a chamber at a pressure that is greater than that of the atmosphere.The object of this revision is to clarify the action mechanisms and the effects of the physical therapy, the problems that may arise and more especially the current indications for its use.In oral and maxillofacial surgery, HBO is used as complementary treatment for maxillo-mandibular osteitis and osteomyelitis, for necrotizing infections of soft tissue (on a cervical, periodontal, gingival...level), for the prevention (very important) and treatment of osteoradionecrosis, for healing delays (fractures, dental implants, grafts/flaps with difficult viability), for implantological rehabilitationof irradiated oncological patients.It is necessary to use the protocols that have been established and to generate studies that scientifically support its use; in this sense the lack of consistency that we have found is the studies that have been published could be reduced
Subject(s)
Humans , Hyperbaric Oxygenation/methods , Osteitis/therapy , Osteomyelitis/therapy , Oral Surgical Procedures/methods , Clinical Protocols , Osteonecrosis/therapy , Cicatrix/therapy , Hyperbaric Oxygenation/adverse effectsABSTRACT
Having on base a wide and selective review of the literature, it has seemed to us interesting to detail the infective pathology on this location or sometimes occurring. This region is, as well will see, the seat of a rich pathology. We pretend on the other hand to reassess the importance of the meticulous examination of the oral cavity in "systemic problems". We describe the palatal infections divided in four groups: bacterial, viral, fungal and parasitory, according to the causal agent. We review the palatine manifestations of other fewer current syndromes as well.
Subject(s)
Palate , Stomatitis , Abscess/microbiology , Abscess/parasitology , Abscess/virology , Humans , Palate/microbiology , Palate/parasitology , Palate/virology , Stomatitis/microbiology , Stomatitis/parasitology , Stomatitis/virologyABSTRACT
The following presentation of 2 cases give us the chance of making a review of the current situation and the correct handling of the congenital preauricular sinuses. Although some authors consider this pathology within the group of latero-cervical fistulae, we think that they should be individualized. The most frequent sitting is before the helix. They are generally asymptomatic, and it is not strange that the motive of consultation are recurrent infections or following surgery. The treatment consists in complete operative resection.
Subject(s)
Ear, External , Fistula/congenital , Adult , Ear Diseases/congenital , Ear Diseases/surgery , Female , Fistula/surgery , HumansABSTRACT
Blunt injury of the internal carotid artery (ICA) is a rare entity that should be considered by Maxillofacial surgeons in patients with facial fractures. Its recognition is often delayed because of the common association with other severe multi-system injuries. Early diagnosis is the key to successful management; the arteriography plays a confirmatory role on the diagnosis and determines whether surgical management of the injury is feasible. Therapeutic alternatives vary from one center to another; they include observation, conservative treatment, anticoagulation, ligation of the carotid artery with or without extracranial-intracranial bypass, and arterial reconstruction.
