1,721,002 research outputs found
Pathological Fractures Of The Jaws Due To Cystic Lesions: A Three Case Series With A Brief Review Of The Literature
Full text linkThis study aims to describe pathologic fractures of the jaws due to cystic bone lesions. Their daily clinical practice findings are not very common, so their treatment can be challenging. In addition, endosseous benign lesions like a radicular, residual, solitary, aneurysmal cyst, and odontogenic keratocyst, might weaken the bone so that trauma, or usual chewing, could break it. We follow from the first clinical examination to the X-ray or CBCT examination and surgical management of our patients, reporting all procedures and results to explain our approach to these cases. We also reviewed the literature briefly to determine if our operative management is in line with the scientific community. Mandibular angle and body are common locations, while symphysis and condyle are less so. Young men are the most affected, and trauma is the most triggering event. Cyst enucleation, followed by fracture reduction and fixation, is the treatment of choice for our clinical team and the scientific community. We observe how impactful it is to approach the cavity of the cystic lesion from the fracture line as the surgical gold standar
VALUTAZIONE DELL’APERTURA BUCCALE IN SEGUITO ALL’UTILIZZO DEL COLLARE CERVICALE
No full textMovimenti mandibolari, elettrognatografia, collare cervical
Success and failure rates of TADS (temporary anchorage devices): proposal of a literature review based standardized study protocol
No full textActivation and platelets degranulation in the PRP (platelet-rich plasma): cytofluorimetric evaluation and kinetic analysis of TGF-β1 release through immunotest (ELISA)
No full textAim: The Platelet-Rich Plasma is a blood compound with high platelets density. By using immunotest ELISA. this study evaluates the activation and degranulation of the platelets during stocking procedure of the PRP, considering the role of the TGF-β1, a growth factor of the tissues, that is found in the α-platelet granules. Finally, to gain a better understanding of the quality and the quantity activationes state these datas are compared to the ones obtained with the cytofluorimetric analysis of the activation state of the
platelets in the PRP.
Methods: This study focuses on a sample of 19 patients (21-71 years-old), with no major deseases and waiting for an invasive oral-surgery. 24h before surgery each patient was sampled for 400ml of venous blood (+sodium citrate). Subsequently, the obtained blood sack was centrifugated to divided the erythrocytes from the plasma (900RPM, 13min, at 20°C). The plasma was then centrifugated (3300RPM, 15min) to respectively obtain the P.R.P. and the P.P.P. (Platelet- Poor Plasma). Thus, P.R.P. was then shaked to prevent platelet aggregation. Instead, from the P.P.P. were took the autologous-thrombin and cryoprecipitate. Finally, P.R.P. (5ml), cryoprecipitate (2ml), calcium-gluconate (1ml) and autologous-thrombin (2ml) were mixed in 10ml syringe; after gelification the compound was placed in the chirurgic site. Through test-ELISA were calculated the pg of TGF-β1 into P.R.P. and into compound after the gelification.
Results: The results for the TGF-β1 obtained through test-ELISA are the following. 1) For the diluited solution SN (1:300) is has been extimated a release after 1 hour (h) of 22366.50 pgTGFβ/ml, after 6h of 30527.50 pgTGFβ/ml, after 24h of 19138.88 pgTGFβ/ ml and in post gel of 11791.63 pgTGFβ/ml. 2) For the diluited solution (1:150) is has been extimated a release after 1h of 15712.33 pgTGFβ/ml, after 6h of 26850.00 pgTGFβ/ml, after 24h of 29450.00 pgTGFβ/ ml and in post gel of 15321,43 pgTGFβ/ml. The TGF-β1 percentage released has been calculated using two formulas: (SN/SN+TOT) e (SN/TOT). The results using first formula were respectively after 1h of 7.6%, after 6h of 8.6% and after 24h of 20.5%. The results using second formula were after 1h of 8.4%, after 6h of 14.8% and after 24h of 19.9%. These results have been matched with the ones obtained through cytofluorimetric analysis of the samples marked with monoclonal antibodies. They reveal the following datas: for CD 42 the percentage of exposure are after 1h of 79.1%, after 6h of 90.2% after 24h of 87.6% and in post gel of 11.9%; for CD 62p is after 1h of 29.1%, after 6h of 32.4%, after 24h of 52.7%; for CD 63 is after 1h of 64.5%, after 6h of 67.1%, after 24h of 80.3%.
Conclusion: From the cytofluorimetric analysis of the datas we state the procedure to produce P.R.P. it is satisfying since the gel has demostrated a high platelets density. When the activation and degranulation of the platelets rise (cytofluorimetric), the release of the TGF-β1 increases (ELISA), but only 20% of the total present in the platelets has been effectivly released in the first 24h. This implies that a great quantity of growth factors remains in the paltelets and is available in the chirurgic-site. Untill the 24h it has been observed an increasing of release of the TGF-β1, with a drop in the quantity once the gel was formed, bringing the levels close to the first hour
Dismemberment: A review of the literature and description of 3 cases
No full textThe authors describe 3 cases of dismemberment. Numerous methods of hiding a body and thus erasing proof of murder have been devised. Those most frequently described in the literature include: burial of the body in an unusual or impervious place such as a wood, grotto or mountain; charring the body by wrapping it in a tire, for example, to fuel the fire until all traces of the crime have been erased and identification of the victim is difficult; and dropping the weighted-down body in the open sea or in a well in the hope that it will never be found. Dismemberment is in reality a relatively rare method whereby, after killing the victim, the murderer uses a very sharp cutting weapon (a saw, axe, etc.) to sever the limbs and cut the body into small pieces. The operation is generally carried out immediately after the crime, although more rarely a long time may pass between the 2 events. © 2006 Lippincott Williams & Wilkins, Inc
Fatal impalement with transfixion of the neck in a road traffic accident
No full textThe authors describe a singular case of fatal impalement due to penetration of a metal tube at the level of the neck in a victim of a road traffic accident. The man was traveling in the passenger seat ("death seat") of a car that hit the parapet of a bridge head on; death was attributed to hemorrhagic shock, which was brought on virtually instantly at the moment of impact
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