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1.
Braz. j. biol ; 82: 1-13, 2022. map, tab, graf
Artigo em Inglês | LILACS, VETINDEX | ID: biblio-1468520

RESUMO

Amazonian livelihoods are largely dependent on rivers, with local protein consumption mainly relying on several species of fish. The UJER (Upper Juruá Extractive Reserve - Reserva Extrativista do Alto Juruá) is located in the state of Acre, bordering Peru and several indigenous areas. Here we summarize the data we collected in 1993/1994 on the population living along the banks of the Juruá, Tejo, Bagé, Igarapé São João and Breu rivers on crop cultivation, animal husbandry, and use of game and fish resources. We interviewed 133 individuals (94 on the Juruá and Tejo, 16 on Bagé, 16 on Igarapé São João and 7 on Breu rivers). Our results include a comprehensive description on local livelihoods, including the most important fish species for local subsistence considering gender and seasonality, the main husbandry and game species, and the items cultivated on the local agriculture. Whenever more recent information was available in the literature, we compared changes in livelihoods over time in the same region and also with the recent patterns observed in the Lower and in the Middle Juruá River. We hope to provide useful information to understand temporal changes in local livelihoods, which can help adapt and shape the ecological management in the region.


Comunidades da Amazônia são amplamente dependentes dos rios, com o consumo local de alimentos baseado em várias espécies de peixes. A UJER (Reserva Extrativista do Alto Juruá - Reserva Extrativista do Alto Juruá) está localizada no estado do Acre, na fronteira com o Peru e com várias áreas indígenas. Aqui resumimos os dados que coletamos em 1993/1994 da população que vive às margens dos rios Juruá, Tejo, Bagé, Igarapé São João e Breu sobre cultivo, criação de animais e uso de recursos de caça e peixes. Foram entrevistados 133 indivíduos (94 nos rios Juruá e Tejo, 16 em Bagé, 16 em Igarapé São João e 7 no rio Breu). Nossos resultados incluem uma descrição abrangente dos meios de subsistência locais, incluindo as espécies de peixes mais importantes para a subsistência local, considerando gênero e sazonalidade, bem como as principais espécies de criação, de caça e os itens cultivados na agricultura local., Quando foi possível obter informações da literatura, comparamos as mudanças nos meios de subsistência ao longo do tempo na mesma região e também com os padrões recentes observados no Baixo e no Médio Rio Juruá. Esperamos fornecer informações úteis para o entendimento das mudanças temporais nos meios de subsistência locais, o que pode ser útil ao manejo ecológico da região.


Assuntos
Abastecimento de Alimentos/economia , Biodiversidade , Caça/estatística & dados numéricos , Pesqueiros/estatística & dados numéricos
2.
Braz. j. biol ; 822022.
Artigo em Inglês | LILACS-Express | LILACS, VETINDEX | ID: biblio-1468707

RESUMO

Abstract Amazonian livelihoods are largely dependent on rivers, with local protein consumption mainly relying on several species of fish. The UJER (Upper Juruá Extractive Reserve - Reserva Extrativista do Alto Juruá) is located in the state of Acre, bordering Peru and several indigenous areas. Here we summarize the data we collected in 1993/1994 on the population living along the banks of the Juruá, Tejo, Bagé, Igarapé São João and Breu rivers on crop cultivation, animal husbandry, and use of game and fish resources. We interviewed 133 individuals (94 on the Juruá and Tejo, 16 on Bagé, 16 on Igarapé São João and 7 on Breu rivers). Our results include a comprehensive description on local livelihoods, including the most important fish species for local subsistence considering gender and seasonality, the main husbandry and game species, and the items cultivated on the local agriculture. Whenever more recent information was available in the literature, we compared changes in livelihoods over time in the same region and also with the recent patterns observed in the Lower and in the Middle Juruá River. We hope to provide useful information to understand temporal changes in local livelihoods, which can help adapt and shape the ecological management in the region.


Resumo Comunidades da Amazônia são amplamente dependentes dos rios, com o consumo local de alimentos baseado em várias espécies de peixes. A UJER (Reserva Extrativista do Alto Juruá - Reserva Extrativista do Alto Juruá) está localizada no estado do Acre, na fronteira com o Peru e com várias áreas indígenas. Aqui resumimos os dados que coletamos em 1993/1994 da população que vive às margens dos rios Juruá, Tejo, Bagé, Igarapé São João e Breu sobre cultivo, criação de animais e uso de recursos de caça e peixes. Foram entrevistados 133 indivíduos (94 nos rios Juruá e Tejo, 16 em Bagé, 16 em Igarapé São João e 7 no rio Breu). Nossos resultados incluem uma descrição abrangente dos meios de subsistência locais, incluindo as espécies de peixes mais importantes para a subsistência local, considerando gênero e sazonalidade, bem como as principais espécies de criação, de caça e os itens cultivados na agricultura local., Quando foi possível obter informações da literatura, comparamos as mudanças nos meios de subsistência ao longo do tempo na mesma região e também com os padrões recentes observados no Baixo e no Médio Rio Juruá. Esperamos fornecer informações úteis para o entendimento das mudanças temporais nos meios de subsistência locais, o que pode ser útil ao manejo ecológico da região.

3.
Braz. j. biol ; 82: e239188, 2022. tab, graf
Artigo em Inglês | LILACS, VETINDEX | ID: biblio-1278479

RESUMO

Amazonian livelihoods are largely dependent on rivers, with local protein consumption mainly relying on several species of fish. The UJER (Upper Juruá Extractive Reserve - Reserva Extrativista do Alto Juruá) is located in the state of Acre, bordering Peru and several indigenous areas. Here we summarize the data we collected in 1993/1994 on the population living along the banks of the Juruá, Tejo, Bagé, Igarapé São João and Breu rivers on crop cultivation, animal husbandry, and use of game and fish resources. We interviewed 133 individuals (94 on the Juruá and Tejo, 16 on Bagé, 16 on Igarapé São João and 7 on Breu rivers). Our results include a comprehensive description on local livelihoods, including the most important fish species for local subsistence considering gender and seasonality, the main husbandry and game species, and the items cultivated on the local agriculture. Whenever more recent information was available in the literature, we compared changes in livelihoods over time in the same region and also with the recent patterns observed in the Lower and in the Middle Juruá River. We hope to provide useful information to understand temporal changes in local livelihoods, which can help adapt and shape the ecological management in the region.


Comunidades da Amazônia são amplamente dependentes dos rios, com o consumo local de alimentos baseado em várias espécies de peixes. A UJER (Reserva Extrativista do Alto Juruá - Reserva Extrativista do Alto Juruá) está localizada no estado do Acre, na fronteira com o Peru e com várias áreas indígenas. Aqui resumimos os dados que coletamos em 1993/1994 da população que vive às margens dos rios Juruá, Tejo, Bagé, Igarapé São João e Breu sobre cultivo, criação de animais e uso de recursos de caça e peixes. Foram entrevistados 133 indivíduos (94 nos rios Juruá e Tejo, 16 em Bagé, 16 em Igarapé São João e 7 no rio Breu). Nossos resultados incluem uma descrição abrangente dos meios de subsistência locais, incluindo as espécies de peixes mais importantes para a subsistência local, considerando gênero e sazonalidade, bem como as principais espécies de criação, de caça e os itens cultivados na agricultura local. Quando foi possível obter informações da literatura, comparamos as mudanças nos meios de subsistência ao longo do tempo na mesma região e também com os padrões recentes observados no Baixo e no Médio Rio Juruá. Esperamos fornecer informações úteis para o entendimento das mudanças temporais nos meios de subsistência locais, o que pode ser útil ao manejo ecológico da região.


Assuntos
Animais , Rios , Agricultura , Brasil , Peixes
4.
Braz J Biol ; 82: e239188, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34133557

RESUMO

Amazonian livelihoods are largely dependent on rivers, with local protein consumption mainly relying on several species of fish. The UJER (Upper Juruá Extractive Reserve - Reserva Extrativista do Alto Juruá) is located in the state of Acre, bordering Peru and several indigenous areas. Here we summarize the data we collected in 1993/1994 on the population living along the banks of the Juruá, Tejo, Bagé, Igarapé São João and Breu rivers on crop cultivation, animal husbandry, and use of game and fish resources. We interviewed 133 individuals (94 on the Juruá and Tejo, 16 on Bagé, 16 on Igarapé São João and 7 on Breu rivers). Our results include a comprehensive description on local livelihoods, including the most important fish species for local subsistence considering gender and seasonality, the main husbandry and game species, and the items cultivated on the local agriculture. Whenever more recent information was available in the literature, we compared changes in livelihoods over time in the same region and also with the recent patterns observed in the Lower and in the Middle Juruá River. We hope to provide useful information to understand temporal changes in local livelihoods, which can help adapt and shape the ecological management in the region.


Assuntos
Agricultura , Rios , Animais , Brasil , Peixes
5.
J Environ Manage ; 288: 112372, 2021 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-33756387

RESUMO

Many global management and conservation initiatives fail to prevent overfishing either because they do not plan for local engagement, surveillance, and enforcement, and/or because they fail to include alternatives for short-term losses. Thus, these initiatives do not gain support among fishers. In this study, we interviewed fishers to investigate their stated behavior toward fisheries regulations. We assessed possible (non)compliant behavior under scenarios where fishers would face a moratorium on some of their target species. Additionally, we investigated the consequences of such a moratorium on the food web if it were to lead to fishing alternative species. Using data from two Brazilian coastal sites, we found that younger fishers and those who demonstrated a trustworthy relationship with stakeholders were inclined to comply with the rules. The level of potential compliance also varied between the studied places, probably due to unidentified local idiosyncrasies. Fishers tended to trust community actors (e.g., the leader or head of the fishing community) more than institutional actors (e.g., environmental agencies). When fishers were asked why they would choose specific replacement species in the event of a moratorium, they most often cited expected profitability and ease of capture as reasons. Fishers also tended to say that they would replace endangered species with species in the same and/or lower trophic categories. We suggest working toward stronger stakeholder engagement, given that an overall sense of trust in a community appears to be an important asset toward successful management. Higher levels of trust could promote more transparency in the decision-making process, which could facilitate information dissemination, awareness, and the need for compliance. The mixed methods approach used here could help predict responses to new and existing management policies and support adaptive fisheries management.


Assuntos
Conservação dos Recursos Naturais , Pesqueiros , Animais , Brasil , Peixes , Objetivos , Confiança
6.
Braz. j. biol ; 79(2): 345-357, Apr.-June 2019. tab, graf
Artigo em Inglês | LILACS | ID: biblio-989441

RESUMO

Abstract The lack of knowledge about the majority of fish species harvested in Amazonian small-scale fisheries, in association with impacts from hydroelectric power plants, may lead to biodiversity loss and a decrease in the protein food supply for riverine Amazonians. This study uses existing datasets on fisheries and riverine developmental projects to infer effects associated with fish losses where actual data and outcomes are not available. The targeted fish species' status may be regarded as either threatened or there being no knowledge of their conservation requirements, biology or ecology. Among the 90 Amazonian fish species that are the most important for the diet of the riverine fishers, 78% are not assessed or their biological information is unknown, according to the IUCN Red List. Consequently, the effects created by the thoroughly disregarded trade-off between energy generation and food security in the planning of Amazonian land use have been worsened by the lack of biological and ecological information on fish species.


Resumo A falta de conhecimento sobre a maioria das espécies alvo de comunidades pesqueiras da Amazonia, associada ao impacto das hidrelétricas pode levar ao descréscimo da biodiversidade e na disponibilidade de proteína para os ribeirinhos da Amazônia. As espécies alvo são vulneráveis ou pouco conhecidas em sua biologia ou ecologia. Dentre 90 espécies de peixes importantes na dieta dos ribeirinhos, 78% não são estudadas ou sua biologia é desconhecida, de acordo com a lista da UICN. Dessa forma, os efeitos criados pela negligenciada relação de custo e benefício entre a produção de energia e a segurança alimentar no planejamento da Amazônia tem ainda piorado a situação de desconhecimento sobre as espécies de peixes.


Assuntos
Humanos , Animais , Rios , Dieta , Pesqueiros , Abastecimento de Alimentos , Centrais Elétricas , Brasil , Alimentos Marinhos , Biodiversidade , Peixes
7.
Braz J Biol ; 79(2): 345-357, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30379202

RESUMO

The lack of knowledge about the majority of fish species harvested in Amazonian small-scale fisheries, in association with impacts from hydroelectric power plants, may lead to biodiversity loss and a decrease in the protein food supply for riverine Amazonians. This study uses existing datasets on fisheries and riverine developmental projects to infer effects associated with fish losses where actual data and outcomes are not available. The targeted fish species' status may be regarded as either threatened or there being no knowledge of their conservation requirements, biology or ecology. Among the 90 Amazonian fish species that are the most important for the diet of the riverine fishers, 78% are not assessed or their biological information is unknown, according to the IUCN Red List. Consequently, the effects created by the thoroughly disregarded trade-off between energy generation and food security in the planning of Amazonian land use have been worsened by the lack of biological and ecological information on fish species.


Assuntos
Dieta , Pesqueiros , Abastecimento de Alimentos , Rios , Animais , Biodiversidade , Brasil , Peixes , Humanos , Centrais Elétricas , Alimentos Marinhos
8.
J Environ Manage ; 200: 123-134, 2017 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-28575780

RESUMO

Although critical tools for protecting ocean habitats, Marine Protected Areas (MPAs) are sometimes challenged for social impacts and conflicts they may generate. Some conflicts have an economic base, which, once understood, can be used to resolve associated socioenvironmental problems. We addressed how the fish trade in an MPA that combines no-take zones and tourist or resident zones creates incentives for increased fisheries. We performed a value chain analysis following the fish supply and trade through interviews that assessed consumer demand and preference. The results showed a simple and closed value chain driven by tourism (70% of the consumption). Both tourists and local consumers preferred high trophic level species (predators), but the former preferred large pelagics (tuna and dolphinfish) and the latter preferred reef species (barracuda and snapper). Pelagic predators are caught with fresh sardines, which are sometimes located only in the no-take zone. Pelagic species are mainly served as fillet, and the leftover fish parts end up as waste, an issue that, if properly addressed, can help reduce fishing pressure. Whereas some of the target species may be sustainable (e.g., dolphinfish), others are more vulnerable (e.g., wahoo) and should not be intensively fished. We advise setting stricter limits to the number of tourists visiting MPAs, according to their own capacity and peculiarities, in order to avoid conflicts with conservations goals through incentives for increased resource use.


Assuntos
Conservação dos Recursos Naturais , Pesqueiros , Peixes , Animais , Ecossistema , Cadeia Alimentar , Alimentos Marinhos , Viagem
9.
Artigo em Inglês | LILACS-Express | LILACS, VETINDEX | ID: biblio-1467230

RESUMO

Abstract The lack of knowledge about the majority of fish species harvested in Amazonian small-scale fisheries, in association with impacts from hydroelectric power plants, may lead to biodiversity loss and a decrease in the protein food supply for riverine Amazonians. This study uses existing datasets on fisheries and riverine developmental projects to infer effects associated with fish losses where actual data and outcomes are not available. The targeted fish species status may be regarded as either threatened or there being no knowledge of their conservation requirements, biology or ecology. Among the 90 Amazonian fish species that are the most important for the diet of the riverine fishers, 78% are not assessed or their biological information is unknown, according to the IUCN Red List. Consequently, the effects created by the thoroughly disregarded trade-off between energy generation and food security in the planning of Amazonian land use have been worsened by the lack of biological and ecological information on fish species.


Resumo A falta de conhecimento sobre a maioria das espécies alvo de comunidades pesqueiras da Amazonia, associada ao impacto das hidrelétricas pode levar ao descréscimo da biodiversidade e na disponibilidade de proteína para os ribeirinhos da Amazônia. As espécies alvo são vulneráveis ou pouco conhecidas em sua biologia ou ecologia. Dentre 90 espécies de peixes importantes na dieta dos ribeirinhos, 78% não são estudadas ou sua biologia é desconhecida, de acordo com a lista da UICN. Dessa forma, os efeitos criados pela negligenciada relação de custo e benefício entre a produção de energia e a segurança alimentar no planejamento da Amazônia tem ainda piorado a situação de desconhecimento sobre as espécies de peixes.

10.
Transplant Proc ; 48(7): 2310-2314, 2016 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-27742286

RESUMO

BACKGROUND: Urine monitoring programs represent an important strategy for early diagnosis of reactivation of BK polyomavirus (BKV) in kidney transplant recipients. This study analyzes a BKV urine screening model in kidney transplant patients. METHODS: Urinary screening for BKV reactivation was performed by urinary decoy cell and polymerase chain reaction (PCR) tests in samples from 32 consecutive kidney transplant patients, collected in a 6-month follow-up period. PCR in plasma samples and BKV immunohistochemical studies to assess BKV renal disease, if a kidney biopsy was indicated, were performed. RESULTS: The urinary screening for BKV among 32 renal receptors was positive in 18 patients (56%) by the concomitant use of the decoy cells and/or qualitative PCR at some time during the study period. Transfusion before transplantation was significantly associated with urinary decoy cell positive screening (odds ratio = 11; 95% confidence interval = 1.47 to 82.4; P < .05); and so was male sex (odds ratio = 2.02; 95% confidence interval = 1.07 to 3.83; P < .05). The clinical management of screening positive cases consisted of decreasing or changing the immunosuppression regimen. Sixteen renal biopsies were performed. Immunohistochemistry for SV40 T antigen was negative in all biopsies. After 1 year of follow-up, no patient developed BKV-associated nephropathy, and there was no difference in renal function between patients positive and negative for BKV urinary screening. CONCLUSIONS: Early urinary monitoring is effective in detection of BKV replication and represents a good strategy to minimize the deleterious effects caused by the presence of the virus on preservation of graft function.


Assuntos
DNA Viral/urina , Nefropatias/urina , Transplante de Rim , Infecções por Polyomavirus/urina , Infecções Tumorais por Vírus/urina , Adulto , Vírus BK/genética , Biópsia , Feminino , Rejeição de Enxerto/prevenção & controle , Humanos , Imuno-Histoquímica , Imunossupressores/efeitos adversos , Nefropatias/diagnóstico , Nefropatias/etiologia , Nefropatias/patologia , Masculino , Programas de Rastreamento , Pessoa de Meia-Idade , Razão de Chances , Projetos Piloto , Reação em Cadeia da Polimerase , Infecções por Polyomavirus/diagnóstico , Infecções por Polyomavirus/etiologia , Fatores Sexuais , Transplantados , Infecções Tumorais por Vírus/diagnóstico , Infecções Tumorais por Vírus/etiologia , Urinálise
11.
Rev. bras. plantas med ; 17(4,supl.1): 827-835, 2015. tab
Artigo em Português | LILACS | ID: lil-770370

RESUMO

RESUMO Artigo de revisão que trata da importância do tratamento da xerose e de fissuras nos pés de pacientes com diabetes mellitus. Essas fissuras se não tratadas, constituem porta de entrada para infecções e podem resultar na formação de úlceras, que são a causa mais comum das amputações de extremidades de causa não traumática. Por isso a prevenção de fissuras nos pés de diabéticos é fundamental, já que a cicatrização é um processo complicado nesses pacientes, devido à hiperglicemia. Aborda sobre produtos usados no tratamento de xerose e fissuras e o crescente interesse de pesquisadores e do mercado no uso de fitoterápicos com esse objetivo.


ABSTRACT A review article that deals with the importance of treating xerosis and fissures in the feet of patients with diabetes mellitus. These wounds can be a gateway to infections and may result in the formation of ulcers, if untreated. The ulcers are the most common cause for the amputations of extremities at non-traumatic cases. For this reason, the prevention of fissures in the feet of diabetic patientsis basal, since healing is a complicated process in this patients because of their hyperglycemia symptom. This article addresses the products employed in the therapy of xerosis and fissures, and also investigates the increasing interest of researchers and market in the application of phytotherapic medicines for this purpose.


Assuntos
Plantas Medicinais/metabolismo , Cicatrização , Xerostomia/diagnóstico por imagem , Diabetes Mellitus/patologia , Fissura , Ictiose/fisiopatologia , Terapêutica
12.
Braz. j. med. biol. res ; 44(9): 958-965, Sept. 2011. ilus
Artigo em Inglês | LILACS | ID: lil-599669

RESUMO

Organotin compounds are typical environmental contaminants and suspected endocrine-disrupting substances, which cause irreversible sexual abnormality in female mollusks, called "imposex". However, little is known about the capability of triorganotin compounds, such as tributyltin and triphenyltin, to cause disorders in the sexual development and reproductive functions of mammals, including humans and rodents. Moreover, these compounds can act as potential competitive inhibitors of aromatase enzyme and other steroidogenic enzymes, affecting the reproductive capacity of male and female mammals. In this review, we discuss the cellular, biochemical, and molecular mechanisms by which triorganotin compounds induce adverse effects in the mammalian reproductive function.


Assuntos
Animais , Feminino , Humanos , Masculino , Genitália/efeitos dos fármacos , Mamíferos/fisiologia , Compostos Orgânicos de Estanho/toxicidade , Compostos de Trialquitina/toxicidade , Aromatase/efeitos dos fármacos , Sistema Endócrino/efeitos dos fármacos , Reprodução/efeitos dos fármacos
13.
Braz J Med Biol Res ; 44(9): 958-65, 2011 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-21876874

RESUMO

Organotin compounds are typical environmental contaminants and suspected endocrine-disrupting substances, which cause irreversible sexual abnormality in female mollusks, called "imposex". However, little is known about the capability of triorganotin compounds, such as tributyltin and triphenyltin, to cause disorders in the sexual development and reproductive functions of mammals, including humans and rodents. Moreover, these compounds can act as potential competitive inhibitors of aromatase enzyme and other steroidogenic enzymes, affecting the reproductive capacity of male and female mammals. In this review, we discuss the cellular, biochemical, and molecular mechanisms by which triorganotin compounds induce adverse effects in the mammalian reproductive function.


Assuntos
Genitália/efeitos dos fármacos , Mamíferos/fisiologia , Compostos Orgânicos de Estanho/toxicidade , Compostos de Trialquitina/toxicidade , Animais , Aromatase/efeitos dos fármacos , Sistema Endócrino/efeitos dos fármacos , Feminino , Humanos , Masculino , Reprodução/efeitos dos fármacos
14.
Arq. bras. med. vet. zootec ; 62(5): 1048-1053, out. 2010. ilus
Artigo em Português | LILACS | ID: lil-570461

RESUMO

Relata-se o caso de uma égua de atividade de polo, que apresentou inicialmente claudicação leve no membro posterior esquerdo, a qual evoluiu para ataxia e atrofia da musculatura glútea do lado esquerdo, com diagnóstico de trombose aortoilíaca (TAI). A paciente foi tratada com suspeita de mieloencefalite protozoária equina, devido à semelhança dos sinais clínicos com essa doença, porém o líquido cefalorraquidiano apresentou-se negativo para anticorpos anti-Sarcocystis neurona. A palpação transretal indicou uma massa na bifurcação aortoilíaca esquerda. Na avaliação ultrassonográfica, visualizou-se imagem hiperecoica aderida ao endotélio vascular, sugerindo TAI atingindo a estenose de 70 por cento da luz arterial.


The case of a mare used for polo is reported. The animal showed clinical signs of soft lameness of the hindlimb, evolving to ataxia and gluteal muscle atrophy, with aorto-iliac thrombosis (AIT). The patient was treated with the suspect of equine protozoal myeloencephalitis (EPM), due to the resemblance of clinical signs. Cerebrospinal fluid analysis was negative for antibodies against Sarcocystis neurona. The transrectal examination indicated a mass in the left aorto-iliac bifurcation. In the ultrasonographic evaluation, a hyperechoic image adhered to the vascular endothelium was observed, suggesting (AIT), occupying 70 percent of arterial lumen. The present article has the objective of pointing out the importance of the differential diagnosis between AIT and EPM in horses with ataxia in hindlimbs and muscular atrophy.


Assuntos
Animais , Feminino , Cavalos , Palpação/veterinária , Trombose/diagnóstico , Diagnóstico Diferencial , Encefalomielite/diagnóstico
15.
Scand J Plast Reconstr Surg Hand Surg ; 31(1): 25-37, 1997 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-9075285

RESUMO

Seven patients with craniosynostosis (mean age 8 years, Apert syndrome, n = 4, Crouzon's disease, n = 3) underwent lengthening of the skull by gradual bone distraction. Three patients (group A) were treated by coronal craniectomy reaching the orbital fissure and gradual bone distraction. The other four (group B) underwent monobloc craniofacial disjunction and gradual bone distraction. The patients' progress was monitored clinically as well as by radiographs and photographs. The results showed that craniofacial disjunction followed by gradual bone distraction produced complete correction of exophthalmus and an improvement in the functional and aesthetic aspects of the middle third of the face without the need for bone grafts.


Assuntos
Alongamento Ósseo , Craniossinostoses/cirurgia , Acrocefalossindactilia/cirurgia , Cefalometria , Criança , Craniossinostoses/complicações , Exoftalmia/etiologia , Exoftalmia/cirurgia , Feminino , Humanos , Masculino , Resultado do Tratamento
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