Central Giant Cell Granuloma in Pediatric Maxilla: Surgical Management

Central giant cell granuloma (CGCG) is an intraosseous lesion consisting of fibrous cellular tissue that contains multiple foci of hemorrhage, multinucleated giant cells, and occasional trabeculae of woven bone. An 8-year-old boy presented himself complaining of a painless swelling in the left maxilla that had started 1 year. Computed tomography (CT) scan confirmed a poorly defined multilocular radiolucent lesion in the left maxilla crossing the midline. The patient underwent enucleation through an intraoral approach of the lesion. The biopsy revealed multinucleated giant cells in a fibrous stroma. A CT was taken approximately 1 year postoperatively. There was no clinical or radiographic evidence of recurrence. Therefore, surgical treatment of CGCG can be performed, trying to preserve the surrounding anatomic structures, which can be maintained in case the lesion does not show an aggressive clinical behavior, avoiding large surgical defects which are undesirable in children.

Isolated Bilateral Blowout Fracture With Extensive Pneumatization of the Maxillary Sinuses

The blowout fracture injuries are often associated with fractures of the zygomatic complex and other facial structures but can also occur in an isolated fashion. Isolated bilateral blowout fractures are uncommon and constitute a challenge with regard to both assessment and reconstruction. This article describes an uncommon case of isolated bilateral blowout fracture in a patient with extensive pneumatization of the maxillary sinuses.

Influence Analysis of Cleft Type and Supernumerary Teeth Eruption in the Prognosis of Bone Graft in Patients With Cleft Palate

Objective: The aim of this study was to investigate the influence of cleft type and supernumerary tooth eruption on the treatment of palatal clefts with alveolar bone grafts.Materials and Methods: In this article, medical records of 40 patients with palatal clefts and associated supernumerary teeth who were treated with alveolar bone grafting in the Hospital for Craniofacial Anomalies Rehabilitation were assessed. The patients were studied to assess the influence of supernumerary teeth and the cleft severity on the prognosis of the alveolar bone graft.Results: Forty medical records were included in the assessment. When the teeth in the cleft had an anatomic shape close to canine, we called them precanine. When they were very small or malformed, we called them anomalous lateral incisors. The teeth studied showed good prognoses and were more expressive in the preforaminal clefts (87.5%) than in the transforaminal ones (62.5%). Moreover, the transforaminal clefts presented a higher percentage in satisfactory and poor prognoses (37.5%). The authors found that supernumerary teeth influenced the maintenance of alveolar bone graft height and that transforaminal clefts presented a worse prognosis than preforaminal clefts.

Biomechanical Study in Polyurethane Mandibles of Different Metal Plates and Internal Fixation Techniques, Employed in Mandibular Angle Fractures

The aim of this study was to perform a physicochemical and morphological characterization and compare the mechanical behavior of an experimental Ti-Mo alloy to the analogous metallic Ti-based fixation system, for mandibular angle fractures. Twenty-eight polyurethane mandibles were uniformly sectioned on the left angle. These were divided into 4 groups: group Eng 1P, one 2.0-mm plate and 4 screws 6 mm long; group Eng 2P, two 2.0-mm plates, the first fixed with 4 screws 6 mm long and the second with 4 screws 12 mm long. The same groups were created for the Ti-15Mo alloy. Each group was subjected to linear vertical loading at the first molar on the plated side in a mechanical testing unit. Means and standard deviations were compared with respect to statistical significance using ANOVA. The chemical composition of the Ti-15Mo alloy was close to the nominal value. The mapping of Mo and Ti showed a homogeneous distribution. SEM of the screw revealed machining debris. For the plates, only the cpTi plate undergoes a surface treatment. The metallographic analysis reveals granular microstructure, from the thermomechanical trials. A statistically significant difference was found (P < 0.05) when the comparison between both internal fixation techniques was performed. The 2P technique showed better mechanical behavior than 1P.

Subtropical Cyclones over the Southwestern South Atlantic: Climatological Aspects and Case Study

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Nephila clavipes e Nephila sexpunctata (Araneae, Araneomorphae, Nephilidae): cariótipo, heterocromatina constitutiva e região organizadora de nucléolo

As espécies de Nephila estão incluídas na família Nephilidae que pertence ao grupo das aranhas Entelegynae, o qual é considerado filogeneticamente derivado em relação aos outros grupos da ordem Araneae. Análises citogenéticas realizadas nas aranhas Entelegynae com técnicas de coloração convencional, têm mostrado que a maioria das espécies possui uniformidade cariotípica principalmente em relação a morfologia telo-acrocêntrica dos cromossomos e sistema cromossômico sexual (SCS) do tipo X1X20/X1X1X2X2. Além disso, estas análises têm demonstrado que algumas famílias de Entelegynae também possuem uniformidade cariotípica concernente ao número diplóide de cromossomos na maioria das suas espécies. Por outro lado, o emprego adicional de técnicas de coloração diferencial de regiões cromossômicas específicas em alguns representantes de Entelegynae têm revelado características que podem ser usadas para determinar os mecanismos envolvidos na evolução cromossômica e na diferenciação cariotípica de espécies relacionadas. Contudo, poucas espécies de Entelegynae tiveram seus cariótipos analisados com técnicas de coloração diferencial. O Brasil possui aproximadamente 4.000 espécies de Araneae descritas taxonomicamente; entretanto apenas cerca de 20 destas foram analisadas do ponto de vista citogenético. Considerando estas informações, o objetivo deste trabalho foi investigar o cariótipo de duas espécies de Nephila, Nephila clavipes e Nephila sexpunctata, com técnicas de coloração convencional e diferencial para determinar o número diplóide, a morfologia cromossômica, o tipo de SCS, e o padrão de distribuição da heterocromatina constitutiva (bandas C) e das regiões organizadoras de nucléolo (RONs) ativas, e comparar os dados obtidos com aqueles de espécies relacionadas, para estabelecer os mecanismos de evolução cromossômica...(Resumo completo, clicar acesso eletrônico abaixo)

Análise da dinâmica do uso da terra e sua interferência em enchentes na área urbana do município de Americana (SP)

Due to an intense process of population growth and urban density in Americana (SP), mainly due to the development of the local textile industry after 1970, there was, concomitant to the occupation of the margin of rivers and streams, soil sealing that increased the level of superficial runoff, triggering frequent floods. Based on the analysis of these processes we investigate the conditions of one densely urbanized area of the county, the Córrego do Parque, in three time series, 1977, 1996 and 2008. Taking as the starting the characterization and spatial distribution of landscape physiography, we prepared thematic letters and synthetic maps digital scale 1:10,000 from photointerpretation of aeroframes. The thematic maps were produced by scanning with subsequent edition using the software Auto-Cad Map. Checking the data and of geographic coordinates with GPS (Global Positioning System). Regarding land use classes, we used the description of the Soil Conservation Service (1975) which allowed us to get the Curve Number parameter, which will be used in hydrologic modeling for verification of flooding (Tucci, 1989). For the process of hydrologic modeling, we used models based on Methodology Object Oriented Modeling Applied to Water Resource Systems, Viegas Filho (1999), using the computer program called IPHS1, which uses models of the Soil Conservation Service (SCS , 2004), for conversion of rainfall-runoff and the spread of excessive rain. The results indicate that increased waterproofing generated by the change in use and occupation over the past decades promoted the increased surface runoff and drainage system overload, increasing the intensity of floods

Atributos físicos de latossolos cultivados com cana-de-açúcar sob sistemas de usos do solo

Pós-graduação em Agronomia (Ciência do Solo) - FCAV

Orthognathic Surgery in Patients With Cleidocranial Dysplasia

The aim of this study was to report the orthodontic-surgical approach of a 21-year-old female patient diagnosed with cleidocranial dysplasia. An orthognathic surgery was performed in the maxilla and mandible during the same procedure to correct an existing dentofacial deformity (class III malocclusion). In addition, malar prostheses were used to correct midface deficiency. After surgical intervention, orthodontic treatment continued in order to promote stability, function, and aesthetics. Cases of cleidocranial dysplasia treated with the defined criteria can bring aesthetic and functional benefits to the patient.