No abstract

Oronasal fistulas are frequent complications after cleft lip and palate surgery, with difficult treatment because of the presence of fibrotic and scarred tissue as well as the absence of local virgin tissue, representing a challenge in oral and maxillofacial surgery. The size of the fistula, its location, and the cause of the defect are important factors to determine the type of treatment and surgical technique. The use of pedicled buccal fat pad (BFP) for the repair of cleft palate has shown promising results, becoming a safe and effective method. On the other hand, the use of BFP as a free graft for oral defects has been rarely described in the literature. The current study is the first case report that shows the use of free graft of BFP in oronasal fistula after cleft lip and palate surgery and aimed to discuss the promising results of this surgical technique, suggesting it as a treatment option for anterior maxillary defects, when properly indicated.

Maintenance of water resources through collection of water followed by laboratory analysis, is a key factor in the measurement of water quality. The main difficulty for water collection and analysis is the logistics of the process, since the collections are often made by mall boats in very distant aquifers, applying manual processes, and are sometimes based on few samples. In this paper, the development, construction, and implementation of a robotic airboat to measure water quality in lakes has been described. The airboat was developed in the form of a mini-boat, in a fiberglass structure, whose interior housed a battery, a Raspberry Pi mini-computer, a Wi-Fi router for connection to a notebook, tablet or cell phone, and sensors connected to the Arduino platform. The airboat was validated in two lagoons in Fortaleza, and in a reservoir in the city of Pacatuba. The results were collected with the purpose of analyzing the parameters of each lagoon. The main contribution of this work was the development of an autonomous system of acquiring water parameters from several points of the lagoon.

Temporomandibular joint (TMJ) dislocation, or luxation, occurs when the condyle crosses the articular eminence in such a way that it does not return to its correct anatomical position, unless aided by a reduction in external forces for TMJ. The diagnosis of condylar luxation is clinical; however, image exams are important in classifying the types of condylar luxation and associated fractures. Displacement of the TMJ can occur due to either an exaggerated mouth opening or a forced opening and occasionally is associated with a high-impact trauma to the jaw, the latter being an extremely rare condition. Few cases of anterosuperior dislocation of the intact mandibular condyles into the temporal fossa (ADIMC) have been documented in medical literature, many of which are associated with craniofacial trauma. This study describes the case of an ADIMC of the left side combined with facial fractures, as well as the treatment performed. A review of cases found in the literature from 1969 to 2017 was conducted through a detailed bibliographical study.

HighlightsThis case report is the first in literature to use Bio-oss in segmental maxillary.3D planning showed us a favorable bone structure to use a granular biomaterial graft.Follow-up with CT images showed that the decision was correct.