X Congresso Brasileiro de Queimaduras - Novembro 2016

Publicação Recente: Malformações Congênitas --> Sequência de Pierre-Robin

J Craniofac Surg. 2016 Jul;27(5):1267-72. doi: 10.1097/SCS.0000000000002752.

Neonatal Mandibular Distraction Osteogenesis Reduces Cleft Palate Width and Lengthens Soft Palate, Influencing Palatoplasty in Patients With Pierre Robin Sequence.

Collares MV1, Duarte DW, Sobral DS, Portinho CP, Faller GJ, Fraga MM.

Author information

• 1*Division of Plastic Surgery and Craniomaxillofacial Surgery, Hospital de Clínicas de Porto Alegre †Division of Ear, Nose and Throat Surgery, Hospital Santo Antônio das Obras Sociais Irmã Dulce, Salvador, Brazil.

Abstract

The aim of this study was to evaluate the influence of neonatal mandibular distraction osteogenesis (MDO) on cleft dimensions and on early palatoplasty outcomes in patients with Pierre Robin Sequence (PRS). In a prospective cohort study that enrolled 24 nonsyndromic patients with PRS, 12 submitted to the MDO group and 12 patients not treated (non-MDO group), the authors compared patients for cleft palate dimensions through 7 morphometric measurements at the moment of palatoplasty and for early palatoplasty outcomes. At palatoplasty, the MDO group presented a significant shorter distance between the posterior nasal spines (PNS-PNS, P < 0.001) and between uvular bases (UB-UB, P < 0.001), representing a reduction in cleft palate width. They also had significant soft palate lengthening represented by a larger distance between UB and retromolar space (UB-RM, P < 0.001) and UB and PNS (UB-PNS, P = 0.014). Their UB moved away from the posterior wall of the nasopharynx (UB-NPH, P < 0.001). The MDO group had a length of operative time significantly shorter (P < 0.001) and no early palatoplasty complications compared with the non-MDO group. In conclusion, MDO acted as an orthopedic procedure that reduced cleft palate width and elongated the soft palate in patients with PRS. These modifications enabled a reduction of around 11% in the length of operative time of palatoplasty (P < 0.001). 

PMID:

 

27315309

 

DOI:

 

10.1097/SCS.0000000000002752

[PubMed - in process]

Publicação Recente:

Publicação Recente:

http://seer.ufrgs.br/index.php/hcpa/article/view/53886

Arteriovenous malformation associated with trauma: A case report

Adriana Girardi, Amanda Prestes Valente, Joel Alex Longhi, Ciro Paz Portinho, Clara Belle Manfroi Galinatti, Sérgio Ventura Gomes Júnior, Arthur Helson Russowsky Herter, Emerson Morello

Abstract

A 28-year-old male patient presented to our vascular surgery service with a large, pulsating, slowly progressive mass located in the left buttock. He had a history of a blunt trauma in the same region 6 years ago. Physical examination revealed a firm mass with about 10 cm in major diameter.

Keywords

Arteriovenous malformations; trauma; vascular surgery

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