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.
Objective: To diagnose odontogenic infections early and to approach, according to the severity of the infection, a correct treatment plan, in a way that correlates a possible link between the patient's systemic condition and the infection, indicating the use of antibiotic therapy and / or surgical techniques. Method: Literature review resulting from research conducted through Medline platforms via Pubmed, SCIELO and LILACS. Literature review: Factors that could be avoided according to early diagnosis and pre-existing factors that have the percentage of accentuating these infections are reported. As well as, it has been presenting its possible clinical manifestations and forms of diagnosis. Discussion: According to the signs and symptoms related to the case, what treatment measures should be taken in order to prevent or minimize the development of more severe complications. Conclusion: The best resolution is that attention and investment are focused on preventing the infection that occurs in primary care, because the sooner the treatment is performed, the fewer the complications of the clinical case.
Osteoma is an uncommon benign osteogenic tumor characterized by the proliferation of compact and cancellous bone. The objective of this study was to report a case of osteoma in the basilar region of the mandible. The patient reported no pain, but the affected area was tender to touch and there was esthetic concern because of the apparent swelling. The mass measured approximately 5 cm in diameter and extended to the lingual area of the mandible. A vestibular approach was used for surgical treatment. After infiltration of a local anesthetic and vasoconstrictor, to expose the mandibular ramus, an incision was made with an electric scalpel along the external oblique ridge through the mucosa, submucosa and muscle, fascia and periosteum until the lower second molar, 3 to 5 mm inferior to the mucogingival junction. A mucoperiosteal flap was raised until the base of the mandible to access the tumor. Osteotomy was performed and the tumor was removed. The patient shows no recurrence of the tumor after 1 year and 6 months of follow-up. Periodical clinical and radiographic follow-up are satisfactory since recurrence is rare.
Objetivo: analisar o panorama da Doença de Chagas Aguda, um fim de elucidar questões públicas relacionadas à incidência nas regiões brasileiras ao longo dos anos, além de trazer informações sobre a temática, inter-relacionando os determinantes sociais aos aspectos relevantes à saúde. Metodologia: Trata-se de um estudo epidemiológico descritivo, baseado em dados do Sistema de Informação de Agravos Notificáveis, dos casos notificados desta doença no período de 2007 a 2018. As taxas foram calculadas no programa estatístico R, versão 3.6.3. Resultados: No período estudado, foram registrados, no país, 2.708 casos confirmados de Doença de Chagas Aguda, com média anual de 225,33 casos, influências maiores nos anos de 2016 e 2018 (1,71 e 1,73 casos por 100.000 habitantes, respectivamente). As maiores taxas de incidência ao longo dos anos ocorreram na Região Norte, onde apresenta 94,87% do total de casos. Os mais acometidos foram os do sexo masculino (53,6%), na faixa etária de 20 a 39 anos (33,4%), e de cor parda (n = 2059, 76%). Conclusão: Diante disso, uma análise dos dados epidemiológicos de extrema importância, pois possibilitam a constatação de que apesar das iniciativas governamentais em vistas de prevenir esta doença nas diversas regiões do Brasil, sobretudo na região Norte, onde um contato ainda prevalece alta
The relationship between the use of alcohol and non-adhesion to treatment in hypertensive patients ABSTRACT Systemic arterial hypertension (SAH) is a chronic, non-transmissible, multifactorial pathology that is accentuated by risk factors such as dyslipidemia, excess weight and obesity, sedentary lifestyle, glucose intolerance, and alcohol intake. In this context, the ingestion of alcoholic beverages has been frequently debated due to negative aspects such as abuse, dependence, comorbidities, with different consequences and a positive association with all causes of mortality, becoming a public health issue. Thus, this study aimed to approach the relationship between alcohol use and nonadherence to treatment in hypertensive patients.
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