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Genioplastica in asimmetrie del mento e modificazioni posturali e altiche cranio-cervioco-brachiali
No full textGli Autori sottolineano in questa nota quanto rilevato sulle modificazioni posturali e sul dolore cranio-cervico-brachiale in soggetti con asimmetrie del contorno mentoniero sottoposti esclusivamente a genioplastica, descrivendone i complessi meccanismi fisiopatologici. Lo studio fa seguito ad analisi, di cui è stato dato conto in precedenti relazioni e pubblicazioni, sul riequilibrio posturale e sulla scomparsa delle sindromi algiche rilevati dopo la correzione chirurgica di asimmetrie mascellari, mandibolari o maxillo-mandibolari, attribuibili al riequilibrio muscoloscheletrico ottenuto dall’intervento. Anche in soggetti candidati alla sola genioplastica di centraggio le alterazioni posturali ed i quadri di sofferenza funzionale e algica cranio-cervico-dorsale si sono significativamente attenuati ed in molti casi risolti dopo la sola chirurgia del mento
RISULTATI A LUNGO TERMINE DEL TRATTAMENTO CHIRURGICO RADICALE NON DEMOLITIVO DI TUMORI AD AGGRESSIVITÀ LOCOREGIONALE DEI MASCELLARI
No full textAlgie incoercibili del nervo alveolare inferiore, valutazioni cliniche ed indirizzi chirurgici
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Valutazione degli effetti della correzione chirurgica delle asimmetrie maxillo-mandibolari sul dolore cranio-cervico-dorsale e brachiale associato
No full textI traumi del complesso orbito-maxillo-malare da sport
No full textOrbitomaxillomandibular Complex Injuries Sport-related
INTRODUCTION - Zigomatic region is the lateral highest part of the face, and it is mainly involved in sports-related injuries. There is a disjunction between malar bone and the other osseous segments (frontal bone, maxilla, temporal bone, sphenoid bone), and malar bone rotates on the longitudinal and sagittal axis with orbital deformation. Frequent clinical aspects are conjunctival hemorrhage, and reduction or lose of infraorbital sensibility. Sometimes we can have double vision; only in few cases there is eyeball retraction.
MATERIALS AND METHODS - 35 cases: 27 males and 8 females, aged between 16 and 34 years old. Injuries occur during football (21), rugby (9), skiing (5). 14 were simple fractures and the surgical treatment performed by eyebrow approach ( in 5 cases we used a miniplate in frontomalar region).
21 were dislocated fractures; in 15 cases of these we used eyebrow and oral approaches and in the other 6 cases eyebrow, oral and subeyelid approaches. In all 21 cases we used titanium miniplates.
RESULTS AND CONCLUSION - Results of surgical treatment were satisfactory. Sensibility’s disorders disappeared in different times from 5-20 days to 6-8 months. The quick rehabilitation was possible for simple sporting activities (8-10 days). Otherwise for professional sporting activities it taked longer (the average was 30-40 days).
REFERENCES
1. Kaufman BR, Heckler FR: Sports-related facial injuries. Clin Sports Med 1997;16(3):543-62.
2. Maladiere E,Bado F,Meningaud JP,Guilbert F,Bertrabd JC: Aetiology and incidence of facial fractures sustained during sports: prospective study of 140 patients. Int J Oral Maxillofac Surg 2001; 30(4):291-5
3.Cutilli T, Di Emidio P, Berto R, Ascani G, Corbacelli A: La via orbitaria esterna nel trattamento delle fratture orbito-maxillo-malari in anestesia loco-regionale in regime di Day-Hospital. Atti V Congr Naz Soc It Chir Amb e di Day Surgery - Chieti 26-28 ottobre 2000,Minerva Medica Ed Torino (2000):313-315
Efficiency of the electroacupuncture treatment in temporomandibular joint pain and dysfunction sindrome
No full textCervical pain and headache in patients with facial asymmetries: the effect of surgical-orthodontic correction
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