946 resultados para Anatomia quirúrgica


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Renal nephroblastoma is a malignant tumor composed by embryonic tissue that affects mainly puppies. This works reports the occurrence of unilateral renal nephroblastoma in a puppy with four months. The diagnosis was obtained by histopathological examination of mass obtained by exploratory laparotomy, with realization of nephrectomy. The animal died at 15 days post-operatively by the presence of pulmonary metastases. The survival rate with surgical excision of the mass, with or without complementary therapies, can vary with the stage of disease.

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The zygomaticomaxillary complex (ZMC) is the second highly incidental of facial fractures. According to the anatomical complexity, there are many reports in the literature about this trauma, mainly related to treatment for these fractures. With the purpose of evaluating clinically and radiographically the stability of unilateral zygomatic fractures treated by surgical reduction and fixed in two points by stable internal fixation, this research was proposed. Twenty patients with zygomatic fractures were evaluated and compared with twenty nonfractured patients. The results showed that there were no statistically significant differences among the obtained data, perimeter and area, of the treated and contra-lateral sides of the experimental group. When compared to the control group the differences were not statistically significant. We also performed a comparison of the distance between the nasal bone and zygomatic prominence in all groups the results were also satisfactory.

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The Oro-antral Fistula is a common pathologic event, which occurs an opening or communication of the maxillary sinus with the oral cavity through dental extractions of upper posterior elements whose roots have close relationship with the maxillary sinus. This study aims to clarify the Surgeon Dentist about the possible etiological factors responsible for Oro-antral Communication, to identify its clinical and radiographic signs, to explain the Buccal Fat Pad’s anatomy and functioning and to describe the surgical technique adopted front of these cases. For this, the authors present a case of a patient who had a fistula in the region where there was a dental extraction of the upper posterior element. The treatment of Oro-antral Fistula using the buccal fat pad provides to be a safe and effective surgical method, because this element presents a rich blood supply and easy access. Many authors have found that this method have a broad application, large index of success, lower risk of infection, provides a comfortable post-operative for the patient. However, it needs to be done properly so that you have minimum incidence of failures, and this requires some caution on the part of professional.

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The bone repair process is controlled by complex molecular mechanisms that involve systemic and local factors. Fibrin glue is derived from human plasma and mimics the final pathway of coagulation network. Tranexamic acid inhibits fibrinolysis and prevents or decreases the formation of degradation products of fibrin and fibrinogen. The purpose of this study was to evaluate histologically in rats the effect of tranexamic acid associated with the fibrin glue on bone healing. The experiment used 60 (n = 5) male rats in: GI: Control, GII: fibrin glue, GIII tranexamic acid and GIV /fibrin glue/tranexamic acid. Bone defect (2.5mm diameter) was created in right tibia. The animals were euthanized at 7,14 and 30 days postoperatively, and the pieces were processed with hematoxylin and eosin. The results showed at 7 days post-operative surgical cavity filled with dense connective tissue rich in fibroblasts, permeated by delicate neoformed bone trabeculae in percentage of 70-80% for GI, GII and GIII and GIV to 94.8%. At 14 days post-operative newly formed bone was found between 75-85% for GI, GII and GIII and percentage above 95% for GIV. At 30 days postoperative GI and GIV showed 95-100% of mature bone tissue; GII and GIII in percentage close to 80-90%. Based on the results and methodology is concluded that fibrin / tranexamic acid glue association has positive action on bone repair.

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Class III malocclusion is less common occlusal relationship, covering less than 5% of the population. There are various forms of treatment in Class III malocclusion. Depending on how the form is expressed Class III and age of the patient, the therapy may be orthopedic and orthodontic surgical orthodontics. The objective was to review the literature of the last 10 years about ways to compensatory treatment of Class III malocclusion. Several articles were published between 04/2003 and 04/2013 in the Pubmed database from the keyword "Class III malocclusion". However, only 19 articles that addressed the compensatory treatment of Class III were selected. Based on the selected items it was concluded that the treatment of Class III malocclusions in children before the peak of pubertal growth has better prognosis with greater effects orthopedic and orthodontic minor effects. The ideal treatment option for this condition is the Rapid maxillary expansion associated with maxillary protraction of the same. The treatment of Class III malocclusion in young people after the peak of pubertal growth is doubtful prognosis. You can opt to treat rapid maxillary expansion and maxillary protraction of the same or fixed appliance, however, orthopedic effects can be the same or smaller than the orthodontic effects, depending on the age of the patient. Depending on the degree of Class III malocclusion in adults, the treatment will consist of dental compensations or orthognathic surgery.

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A Ortodontia é uma especialidade da Odontologia que visa, entre seus diversos objetivos, proporcionar uma arcada dentária alinhada, estável e funcional. A discrepância dentoalveolar negativa em indivíduos na fase de dentição mista apresenta alta prevalência e requer a utilização de métodos de tratamento que proporcionem a obtenção de espaço. As extrações seriadas constituem uma solução adequada, mas frequentemente questionada quanto às indicações, contraindicações e sequência apropriada. Assim, o propósito deste artigo é apresentar uma discussão, embasada na literatura pertinente, dos principais fatores envolvidos com esse procedimento e ilustrar esta terapia por meio de um caso clínico.

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Ectopic third molar teeth are those that are impacted in unusual positions, or that have been displaced and are at a distance from their normal anatomic location. Ectopic eruption of a tooth within the oral cavity is common, but rare in other sites. Ectopic eruption can be associated with developmental disturbances, pathologic processes or iatrogenic activity. Male, 19- years old, with an upper left ectopic third molar located in the maxillary sinus-infraorbital region. The patient reported a bad taste and recurrent sinusitis that had been resistant to treatment. Surgical excision was carried out of the third molar tooth using the Caldwell-Luc approach.

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Calvaria grafts provide good bone quantity for the reconstruction of the atrophic maxilla, and have lower morbidity and resorption rates when compared to iliac crest. The aim of this paper is to present the technique for obtaining a graft of the skull. Initially, the depth of the osteotomy is determined by a manually conducted bur, which establishes the limits of the structures of the skull (outer table, diploe and inner table), making the removal of bone blocks easier and safer. Thus, osteotomies of the blocks are made with greater security, avoiding the complications inherent to surgical technique. The case that will be presented it is from a male patient of 65 years who refused to submit to the iliac crest graft, opting for the calvaria, despite being bald, that is a contraindication for this treatment modality. A delicate suture associated with placement of titanium mesh to maintain the conformation of the patient's skull in the region of the bone defect, created after removal of the graft, provided a good cosmetic result at the donor site. The use of titanium mesh for re-anatomization of bone defects created in the grafts is well indicated for bald patients.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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The genus Mycteria (Ciconiidae) is composed of species with controversial phylogenetic hypotheses of relationships. This study sought to describe the cranial osteology of the four species included in the genus Mycteria, comparing with representative species from other genera of the family. The monophyly of Mycteria coud be hypothesized based on the following cranial characters: 1) medial process of the mandible medially oriented and 2) pseudo temporal tubercle developed when compared to other species Ciconiidae. Mycteria ibis and M. leucocephala are sister groups supported by: 1) deep temporal fossa, 2) reduced “T” tubercle and 3) expansion of the caudal fossa coanalis relative to other species of Ciconiidae. Among the species studied, the most basal was M. cinerea and the taxon formed by M. ibis and M. leucocephala is sister group of M. americana, sustained by the presence of total fusion of lacrimal and frontal bones, whereas in remaining species of Ciconiidae the suture between these bones is visible.

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The cranial osteology of Micrastur gilvicollis (Vieillot, 1817), Micrastur ruficollis (Vieillot, 1817) and Micrastur semitorquatus (Vieillot, 1817) is comparatively and meticulously described to characterize each of the species and to determine which traits the species have in common and which are distinct. These traits will be used a posteriori for phylogenetic analysis. Our results indicate that M. gilvicollis and M. ruficollis are closely related, as they share a large number of traits, including a lacrimal bone with a distal portion that is approximately half as long as the proximal portion and a parasphenoid rostrum that covers 50% of the distance between the occipital condyle and pterygoid. Similarly, M. gilvicollis and M. semitorquatus both have a partially fused craniofacial flexion zone. In both M. ruficollis and M. semitorquatus, the symphyseal region of the mandible is 1/5 the total length of the mandible. The diagnostic traits for each of these species are as follows: a) in M. gilvicollis, the interorbital distance is 1/3 the length of the parietal, and the zygomatic process stretches 1/5 of the distance from the orbital arch to the jugal arch; b) in M. ruficollis, the interorbital distance is 2/5 of the length of the parietal and the zygomatic process extends 1/4 of the distance from the orbital arch to the jugal arch; and c) in M. semitorquatus, the interorbital distance is 3/7 the length of the parietal and the distal portion of the lacrimal is 1/3 the length of the proximal portion. Among the three species, M. gilvicolis and M. ruficollis share the most traits, which leads us to infer that these species are more closely related to one another than they are to M. semitorquatus. Phylogenetic analysis performed a posteriori may confirm the relationship between these three species.

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The Caracara genus (Aves: Falconidae) is composed by species C. cheriway, ("Crested Caracara"), and C. plancus (Southern Caracara). This study aimed to describe in detail and compared the cranial osteology of C. cheriway and C. plancus, identifying osteological cranial characters for a future systematic work. The two common characters of Caracara species are: the projection of rostro parasphenoid reaches 50% of the distance from the occipital condyle to the pterygoid; the upper maxilla has about 4/9 of the total length of theskull, the symphysial portion of mandible occupies about 1/7 of its total length, the proximal portion of lacrimal bone ends in a rounded shape and has about 1/4 of the width of the distal portion. The unique characters of C. cheriway are: the interorbital width is about 1/2 of the parietal region, shows a frontal bone prominence; presence of lacrimal process of frontal bone; the proximal portion of the lacrimal bone reaches 1/5 of the distance from the orbital arc to the jugal bone; the distance between the distal portions of two lacrimal bones reach 5/6 of the parietal width, the ratio between the interorbital diameter and parietal region ranges from 2 times; the zygomatic process occupies about 40% of the distance between its origin in the skull and jugal bone. The unique characters of C. plancus are: the interorbital width is approximately 4/7 of the parietal width; show a rostral medial concavity; the proximal portion of the lacrimal bone is about 1/4 of the width of the distal; the proximal portion of the lacrimal bone reaches 1/7 of the distance from the orbital arc to the jugal bone; the distance between the distal portions of two lacrimal bones reaches 6/7 of the width parietal one; the ratio between the interorbital diameter and parietal region varies 1, 75 times, the zygomatic process occupies about 35% of the distance between its origin in the skull and jugal bone.

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Sonohysterography was firstly described three decades ago. The saline solution infusion into the uterine cavity favors its use and provides excellent visualization of the anatomy and the inner cavity of the uterus better than the conventional transvaginal sonography To check the current role of sonohysterography in the uterine cavity assessment in women with abnormal uterine bleeding and asymptomatic, a literature review comparing sonohysterograph with conventional transvaginal sonography and/or ambulatory diagnostic hysteroscopy was carried out. To this end, relevant studies were researched in electronic databases Medline/PubMed, SciELO/LILACS. The sonohysterography is an ambulatory procedure, non-invasive, better cost-benefit, better sensitivity and specificity to identify uterine abnormalities, causing minimal discomfort and low complications rate. It was subject to revision which there is no more doubt about its accuracy. It can be concluded that the sonohysterography is a useful tool in the propedeutics to assess uterine cavity of symptomatic patients with abnormal uterine bleeding, infertility, recurrent miscarriages, and embryonic implantation failures in assisted reproduction treatment / in vitro fertilization and in any other intra and extra uterine cavity alteration. Hence, conventional transvaginal sonography is indicated as an initial method of assessment of the uterine cavity previously to ambulatory diagnostic hysteroscopy.