Interno do 5º ano do curso de medicina da PUC-GO Endereço: R. 235, 15 -

No abstract

Objective: Evaluate the classification variability of ankle fractures among physicians with and without the title of specialist in orthopedics and traumatology (TEOT) from a reference service. Method: The study included 40 physicians who informed the year of training, the period they obtained TEOT, and which ankle fracture classification system(s) they use in their clinical practice. The physicians evaluated ten radiographs of five patients with ankle fractures and classified them based on the three classification systems; Lauge-Hansen, AO/OTA, and Danis-Weber. Result: Most physicians with TEOT between one and five years (n=19, 47.5%), and 15 (48.4%) physicians used the Lauge Hansen and Danis-Weber classifications. Regarding the radiographs evaluated, most (27.5%) physicians obtained correct answers using the Danis-Weber classification. It was also observed that the physicians with the lowest rates of correct answers in the classifications were those without TEOT (44.4%). Conclusion: Most physicians adequately classified the five cases of ankle fracture using the Danis-Weber classification. The highest frequency of correct answers was from the physicians with TEOT. Level of Evidence VI; Observational Descriptive Study.

Introduction and objective: Facial lesions assume an outstanding role in the attendance of polytraumatized patients in hospital emergency services. The aim of this study was to conduct and epidemiologic study of patients attended at the Buccomaxillofacial Surgery and Traumatology Service of a regional hospital in Goiania/GO, Brazil, between 2008 and 2010. Material and methods: 521 files of patients, who had suffered maxillofacial traumatisms that resulted in a total of 615 fractures, were evaluated. The files were used to analyze gender, age, etiologic agents and distribution of fractured bones. Results: About 80% of patients were male, whereas 20% of the affected individuals were women. The most frequently etiologic factor found in the two groups was automobile accidents, followed by physical aggressions and falls. Concerning to fractured bones, the zygomatic complex, followed by fractures of the mandible, the nasal bones themselves, condyle and Le Fort type fractures were the most prevalent ones, in both groups. Conclusion: Knowledge of the incidence and etiology of maxillofacial fractures is of great importance to the professionals involved in the treatment of these patients. Within this context, Buccomaxillofacial Surgery and Traumatology is increasingly being affirmed as one of the most important specialties at the emergency centers of regional hospitals concerning to the treatment of patients who are victims of traumatisms.

The Keratocystic Odontogenic Tumor (KOT) is a pathology classified as an odontogenic cyst and began to be considered an odontogenic tumor in 2005, because of the presence of intrinsic characteristics compatible with neoplasm, such as its high rate of recurrence and differentiated mechanism of growth. Although its etiology is still unknown, its origin is believed to be related to the remnants of the dental lamina. Clinically it presents aggressive behavior and high rates of recurrence. Various types of treatment have been related, ranging from more conservative methods to radical surgery. With the goal of diminishing the potential for recurrence of these lesions, some authors have recommended the use of adjunct therapies such as peripheral osteotomy with burs, treatment of the surgical site with Carnoy’s solution, electrocauterization, cryotherapy and resection. Objective: The aim of the present study is to report the case of a patient with a KOT of large proportions in the mandible.Case report: Treatment was taken to perform decompression of the lesion for 12 months, and after this treatment comprised curettage and cryotherapy. Conclusion: This procedure is considered useful and conservative, as it avoids traumatisms to the noble structures close to the lesion.