EFECTIVIDAD DE LA TOXINA BOTULÍNICA TIPO A EN EL MANEJO DE LA CADERA ESPÁSTICA DE NIÑOS CON PARÁLISIS CEREBRAL / EFFECTIVENESS OF THE TOXIN BOTULINUM TYPE A IN THE DRIVING OF THE HIP CHILDREN'S SPASTICS WITH CEREBRAL PALSY

La espasticidad es uno de los principales factores de riesgo que predispone a la luxación de cadera en los niños con parálisis cerebral (PC). La aplicación de toxina botulínica (BTX A) en los músculos aductores de caderas reduce este riesgo

Spasticity is one of the main risk factors predisposing to hip dislocation in children with cerebral palsy (CP), Botulinum toxin A (BTX A) injection in hip adductor muscles reduces this risk

Rehabilitation of patients with thin ridges by conical expanders and immediate cone morse dental implant: a case report.

BACKGROUND: Horizontal atrophic ridges need a regenerative procedure for implant positioning and fixed rehabilitation. Cone Morse taper implants are characterized by the intimate fitting of the prosthetic interface with the absence of microgaps and micromovements of the interfaces. The aim of this case report was to evaluate the clinical outcome of Cone Morse implant design in split crest augmentation treatment. CASE REPORT: A female patient with partial edentulism of atrophic posterior maxilla was treated for split crest procedure and implant-supported rehabilitation. A full-thickness flap was elevated, and horizontal and vertical osteotomic lines were produced with piezoelectric device. A total of 4 Cone Morse Taper implants (Universal III, Implacil de Bortoli, Brasil) were positioned and the site was grafted with bone substitute and covered by a heterologous membrane. CONCLUSIONS: A complete healing of the surgical site was evident at the follow-up with no evidence of bone resorption. No radiolucency or inflammatory aspects of the treated site were evident in the radiographic control. Simultaneous Cone Morse implants positioning with split crest technique seems to be a promising treatment for posterior maxillary rehabilitation of atrophic edentulous ridges.

The tympanic region of Otaria byronia (Otariidae, Carnivora) - morphology, ontogeny, age classes and dimorphism.

Here we describe and explore for the first time the ontogeny and sexual dimorphism of the auditory region of Otaria byronia. We studied the tympanic region of skulls of 237 specimens of different ages and sexes. Geometric morphometric methods were used to analyze the tympanic bulla. In addition, 3D reconstructions of the tympanic bulla were performed using computed tomography analysis scans and a serial wearing technique. We provide a description of the external and internal morphology of the tympanic bulla in both sexes and across different stages (bioclasses). The average shape of the bulla in O. byronia has a subtriangular contour, with variations between sexes and ages. Each stage (bioclasses I, II, and III) is characterized by the respective mean shape of the tympanic bulla and designated as a morphoclass (1, 2, and 3). In all cases, the ectotympanic shows greater surface area than the endotympanic, as in other otariids, in contrast to Phocidae. During ontogeny, the relative size of the ectotympanic increases, growing in all directions and covering the endotympanic. This pattern is seen to the greatest extent in adult males, in which the ectotympanic forms an extremely well-developed apophysis jugulare. No differences in internal morphology of the tympanic cavity were recorded between ages and sexes. The bulla does not increase in thickness in successive age classes; in fact, the walls are extremely thin in the adult stages, despite the extensive development of its processes. This pattern is opposite that observed in Phocidae. In morphoclass 3, adult males older than 7 years undergo hypermorphic change that results in a peramorphic condition when compared to adult females. These changes probably follow the same pattern shown by the rest of the skull and contribute to the marked sexual dimorphism of the species.

Morphology of the tympanic-basicranial region in Mirounga leonina (Phocidae, Carnivora), postnatal ontogeny and sexual dimorphism.

The auditory region of pinnipeds has seldom been described. Here we describe and analyze the ontogenetic trajectory of the tympanic bulla of the southern elephant seal, Mirounga leonina (Phocidae, Mammalia). This species is extremely sexually dimorphic and highly polygynous (organized in harems). We examined 118 specimens, arranged in three age classes (CI, CII, and CIII), ranging from newborn to adults (males and females). To analyze the overall size and shape of the tympanic bulla we performed a geometric morphometric analysis including 87 skulls. Females reach definitive shape and size of the bulla at earlier ontogenetic stages than males, in agreement with their earlier involvement in reproductive activities. The internal anatomy of the tympanic region (e.g. form and extension of the paries) does not show remarkable differences between sexes or age classes. The greatest differences between age classes are related to bone thickness, resulting from the apposition of new annual layers. An examination of possible sex-related external differences among age classes shows significant shape differences between males and females in CIII. The morphology observed in neonates is conserved across all individuals from CI, which included specimens up to 1 year old. Clear morphological differences were observed between CI individuals, on one hand, and CII individuals plus CIII females on the other. During cranial development of both male and females, the glenoid cavity expands and compresses the bulla; this condition reaches its maximum expression in CIII males. CIII males showed the greatest morphological differences, with respect to both CI and CII individuals, and CIII females.