Publications by authors named "Ricardo Cienfuegos"

Background: Fractures of the atrophic mandible have been historically treated in various ways, from intermaxillary fixation to internal fixation, some cases require bone grafts. Besides, the Luhr classification serves as a guide to select the type of treatment.

Objective: To show the treatment of fractures in atrophic mandible with plates and screws, and the potential indications of bone graft in this type of fractures.

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Background: Over the years, the treatment to be chosen for the resolution of condylar fractures has been discussed with great concern. Treatment depends on the type and location of the fracture, as well as other associated factors such as facial injuries and concurrent diseases.

Aim Of The Study: The aim of the study was to make a review of the different criteria to establish a diagnosis and treatment to resolve mandibular condyle fractures, according to the evolution of the years and what this entails.

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IntroducciÓn: Los defectos craneales secundarios a traumatismos son frecuentes. Por lo común se reparan de forma secundaria por sintomatología como el síndrome del paciente trepanado, por protección cerebral y por el aspecto cosmético. Históricamente se han utilizado diversos materiales para la reconstrucción.

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Treatment options for palatal fractures range from orthodontic braces, acrylic bars, and arch bars for maxillomandibular fixation to internal fixation, with plates and screws placed under the palate mucosa and periosteum, together with pyriform aperture or alveolar plating plus buttress reconstruction. Forty-five patients, ages 4 to 56, were treated using medium- or high-profile locking plates placed over the palatal mucosa as an external fixator for palatal fractures, together with treatment for other associated facial fractures. In open fractures, plates were placed after approximating the edges of the mucosal wounds.

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The endoscope-assisted technique for the repair of subcondylar fractures of the mandible has been in use for approximately a decade, and its acceptance continues to grow as more surgeons gain experience. It provides for transoral access to the condylar neck region of the mandible, allowing for repair of fractures in this region with minimal if any facial scarring, while also minimizing the risk of facial nerve injury. The authors describe their technique for performing the transoral, endoscopic-assisted approach for repair of subcondylar fractures and report their experience with 48 endoscopic explorations.

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