Josuel Raimundo Cavalcante

Traumatismos maxilofaciais em crianças e adolescentes em Campina Grande, Paraíba, Brasil

Objective: To evaluate the maxillofacial traumatisms in children and adolescents in the city of Campina Grande, PB, Brazil. Method: This investigation was a ...

Additive Manufacturing for Surgical Planning of Mandibular Fracture

Currently, imaging techniques such as Computed Tomography with three-dimensional reconstruction (3D) and Magnetic Resonances are being routinely used in pre-surgical planning in all fields of medicine. Nowadays, virtual three-dimensional images, commonly displayed on two-dimensional surfaces, such as the computer screen, can be used to produce rapidly prototyped models, with excellent dimensional accuracy and fine reproduction of anatomical structures, providing professionals with the ability to use the biomodel in planning and simulating medical and dental procedures (oral and maxillofacial surgery, making individualized facial implants and prostheses, measurements and previous adaptations of prefabricated fixation plates), thus contributing to considerable reductions in surgical time and consequently the duration of anesthesia, minimizing infection risks and reducing hospital costs. In this report, we describe a case of surgical planning and treatment of bilateral atrophic mandibular fracture, in which, for surgical planning, authors used Rapid Prototyping as an adjunct tool, considering the advantages already outlined.

Reduction and fixation of unstable fractures of the zygomatic arch: Report of a series of cases

Background: This study evaluated a series of cases of fracture in the zygomatic arch with displacement of the fractured segment. Materials and Methods: This prospective cohort study was conducted between May 2008 and February 2009. The study sample which consist of 10 patients of both genders with fractures in the zygomatic arch. The collection instrument included a specific sheet with data concerning the patient′s age, cause, side of the fracture, type of treatment performed, recurrence and presence of lesions in the facial nerve. The radiographic indices of Waters and Hirtz were used. The data were presented by means of descriptive statistics (absolute and percentage distributions). Results: Most of the patients were male (90.0%), the most frequent etiology was a motorcycle accident (70.0%) and the left side was more affected (60.0%). There was no recurrence in any of the patients examined; however, 1 patient had a lesion in the facial nerve. The treatment performed for all patients was reduction and fixation with titanium miniplates. Conclusion: Fractures in the zygomatic arch are more frequent in young male individuals and the most common cause is a motorcycle accident, with the use of miniplates constituting an effective treatment without recurrence.

TRATAMENTO INTEGRAL DO PACIENTE FISSURADO: NECESSIDADE DE INTERIORIZAÇÃO E RELATO DE DOIS CASOS / COMPREHENSIVE TREATMENT OF PATIENTS WITH ORAL CLEFTS: NEED FOR INTERNALIZATION AND REPORT OF TWO CASES

As fissuras labio-palatinas sao patologias biopsicossociais graves que se situam entre o 3o ou 4o defeito congenito mais frequente. Um bebe em cada 650 nascidos vivos apresenta o problema em algum estadiamento, de modo que, no Brasil, existem, aproximadamente, 180.000 fissurados. As fissuras podem ser labiais, palatinas e labio-palatinas completas ou incompletas. O tratamento de fissuras deve ser multidisciplinar e propoe-se a correcao do defeito e dos problemas associados, devendo ser iniciado precocemente, a fim de melhorar o prognostico. O presente trabalho apresenta dois casos de fissura labio-palatina em pacientes infantis, ambas unilaterais, completas, congenitas e com fortes prejuizos esteticos e funcionais. Os dois pacientes receberam atendimento interiorizado e integral, com grande sucesso no tratamento, desafiando a vigente necessidade de deslocamento a grandes centros para obtencao de atendimento diferenciado e integral.