Treatment by anatomical area

Author(s):  
Jean-Marie Denoix ◽  
Jean-Pierre Pailloux ◽  
Jonathan Lewis
Keyword(s):  
2019 ◽  
Vol 35 (02) ◽  
pp. 121-128 ◽  
Author(s):  
Fred Fedok

AbstractAging of the central face is typified by several common characteristics such as generalized volume loss, the appearance of a mental crease and marionette lines, thinning of the lips, and fixed and dynamic rhytids. These result from several processes such as atrophy of adipose and bone, changes in the support of the mandibular septum, and a loss of skin elasticity. There are many methods available for the improvement and rejuvenation of this facial anatomical area. Options include traditional surgical techniques, the application of volume and the use of laser, light, and energy-based devices. The recent application of biological interventions offers the possibility of cellular-based therapies to usher in a new era of true tissue regeneration. Optimal correction of the abnormalities may be accomplished through an understanding and identification of the causes of the observed abnormalities and targeting with the best available intervention. There are a growing number of techniques and technologies to accomplish this.


2016 ◽  
Vol 3 (3) ◽  
pp. 124-129
Author(s):  
Prakash B Billakanti

La fosa infratemporal es un área anatómica clínicamente importante para la administración de agentes anestésicos locales en odontología y cirugía maxilofacial. Fueron estudiadas variaciones en la anatomía del nervio alveolar inferior y la arteria maxilar en la disección infratemporal. Durante la disección rutinaria de la cabeza en el cadáver de un varón adulto, fue observada una variación excepcional en el origen del nervio alveolar inferior y su relación con las estructuras circundantes. El nervio alveolar inferior se originaba en el nervio mandibular por dos raíces y la primera parte de la arteria maxilar estaba incorporada entre ambas. El origen embriológico de esta variación y sus implicaciones clínicas es debatido. Dado que la arteria maxilar transcurría entre las dos raíces del nervio alveolar inferior, y el nervio estaba fijado entre el foramen oval y el foramen mandibular, el atrapamiento vásculo-nervioso pudo causar entume-cimiento o dolor de cabeza e interferir con la inyección de anestésicos locales en la fosa infratemporal.  Variaciones anatómicas en esta región deben ser tenidas en cuenta, especialmente en casos de tratamiento fallido de neuralgia del trigémino. Infratemporal fossa is clinically important anatomical area for the delivery of local anesthetic agents in dentistry and maxillofacial surgery. Variations in the anatomy of the inferior alveolar nerve and maxillary artery were studied in infratemporal dissection. During routine dissection of the head in an adult male cadaver an unusual variation in the origin of the inferior alveolar nerve and its relationship with the surrounding structures was observed. The inferior alveolar nerve originated from the mandibular nerve by two roots and the first part of the maxillary artery was incorporated between them. An embryologic origin of this variation and its clinical implications is discussed. Because the maxillary artery runs between the two roots of the inferior alveolar nerve, and the nerve was fixed between the foramen ovale and mandibular foramen, neurovascular entrapment may cause pain numbness or headache and may interfere with the injection of local anesthetics into the infratemporal fossa. Anatomical variations in this region should be kept in mind, particularly in cases of failed treatment of trigeminal neuralgia.


Author(s):  
Eliane Dos Santos Porto Barboza

RESUMOObjetivo: A lesão de furca é definida como a reabsorção óssea patológica na área anatômica onde as raízes de dentes multirradiculares divergem. Os molares são os dentes mais afetados pela doença periodontal e a maior taxa de mortalidade desses dentes pode ser explicada pela  morfologia que favorece o envolvimento de furca. Portanto, o dentista deve conhecer a anatomia da furca para diagnosticar precocemente seu envolvimento e tratar com precisão. O objetivo deste estudo é discutir, embasado em evidências científicas, a importância do tronco radicular no estabelecimento e progressão da doença periodontal. Materiais e métodos: uma revisão da literatura foi realizada na base de dados PubMed utilizando os termos tronco radicular, área de pré-furca, doença periodontal, envolvimento de furca em inglês. Resultados: Quarenta e três estudos foram selecionados e sete estudos foram incluídos nesta revisão.  O  tronco radicular na superfície lingual é maior do que na vestibular em molares inferiores. A área de pré-furca foi encontrada em todos os molares estudados. Os pré-molares superiores também apresentam área de pré-furca e 37% são bifurcados. A altura do tronco radicular e a concavidade da pré-furca interferem no tratamento. Conclusão: As características morfológicas do tronco radicular e a profundidade e largura da área de pré-furca podem favorecer o estabelecimento e progressão da doença periodontal.Palavras-chave: tronco radicular, área de pré-furca, doença periodontal, envolvimento de furca. ABSTRACTObjective: The furcation lesion is defined as pathological bone resorption in the anatomical area where the roots of multiradicular teeth differ. Molars are the teeth most affected by periodontal disease and the higher mortality rate of these teeth can be explained by the morphology that favors the furcation involvement. In this way, the dentist must know the anatomy of the furca to diagnose its involvement early and to treat with precision. The aim of this study is to discuss, based cientific evidences, the importance of the root trunk for the establishment and development of the periodontal disease. Material and Methods: A literature review was carried out in the PubMed database using the terms root trunk, pre furcation área, periodontal disease, furcation involvement in english. Results: Forty-three studies were selected and sextuplets were found at the time of the review. The root trunk at the lingual surface is larger than the buccal surface in lower molars. A pre-furcation area was found in all molars studied. Upper premolars also have a pre-furcation area and 37% are bifurcated. The height of the root trunk and the concavity of the pre-furcation area interfere in the treatment. Conclusion: Root trunks and concavity of the pre furcation area may favor the stablishment and progression of periodontal disease.Keywords: root trunk, pre furcation área, periodontal disease, furcation involvement.


2018 ◽  
Vol 79 (06) ◽  
pp. 524-527
Author(s):  
Steffen Rosahl ◽  
Geralf Kellner ◽  
Rüdiger Gerlach

Objective Over the past few years bipolar electrocoagulation techniques in neurosurgery have been continually improving. However, limited access during endoscopic endonasal transsphenoidal surgery (EETS) for central skull base pathologies and the requirement of very precise coagulation in that dedicated anatomical area requires further refinement of bipolar coagulation instruments. We describe our experience (effectiveness of coagulation, intraoperative handling, and the use as a dissecting tool) with a new type of coagulation forceps, the Calvian endo-pen (Sutter Medizintechnik, Freiburg, Germany) during EETS. Method From June to August 2015, 12 patients with central skull base lesions (9 with a pituitary adenoma and 1 each with epidermoid, hemangioma, and juvenile angiofibroma) were operated on with the Calvian endo-pen. Results The application of the Calvian endo-pen was feasible in all cases. The angled thin tips proved to be very effective and precise for soft tissue coagulation to achieve hemostasis. Even very small vessels could be occluded selectively. It was also helpful for outward dissection in separating normal from tumor tissue. Conclusion The use of the Calvian endo-pen is safe and effective during EETS for central skull base pathologies. Its ease in intraoperative handling (maneuverability, cleaning) and precise coagulation makes it a promising instrument for EETS.


2011 ◽  
Vol 2 (4) ◽  
pp. 172-182 ◽  
Author(s):  
Jimmy Makdissi de C Williams

The temporomandibular joint (TMJ) is a complex anatomical area consisting of the mandibular condyle and the temporal bone of the skull base. It comes under the influence of a number of factors including the muscles of mastication, teeth, occlusion and the contralateral joint and thus there exists a spectrum of conditions. Internal derangement and degenerative joint disease remain the most common although there are a range of other less frequently occurring conditions such as rheumatoid arthritis, trauma and ankylosis.


2003 ◽  
Vol 7 (4) ◽  
pp. 339-343 ◽  
Author(s):  
Pedro Redondo ◽  
Pedro Lloret ◽  
Alejandro Sierra ◽  
Pilar Gil

Background: The concha is a partially hidden anatomical area characterized by difficult access and reconstruction. Objective: We describe the use of the postauricular (revolving door) island pedicle flap in the treatment of aggressive tumors of the concha. Methods: We present two patients with aggressive cutaneous tumors localized in auricular concha. One of the patients presented with a large ulcerated basal cell carcinoma. The second patient had received a heart transplant, was receiving immunosuppressive therapy, and was affected by a squamous cell carcinoma. Results: Both defects were closed using a posterior auricular island flap that was advanced through cartilage with excellent cosmetic results. Conclusion: The postauricular island pedicle flap is well suited for conchal reconstruction because of its proximity to the defect. The flap was transferred from posterior to anterior toward the concha, followed by primary closure of the retroauricular donor site.


2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Michalis Peroulis ◽  
Georgios D. Lianos ◽  
Vasilios Nousias ◽  
Zoi Anastasiadi ◽  
Aikaterini Lianou ◽  
...  

It is well known that blunt neck trauma, when compared to a penetrating injury in the same anatomical area, is very rare. We report a case of an 81-year-old Caucasian woman with a blunt life-threatening neck trauma due to a bully goat. Although rare, direct evaluation should always be done in these cases because any misinterpretation may result in unfavorable outcomes. We have to highlight that close medical attention and prompt surgical treatment should be always considered in order to avoid dramatic consequences.


2019 ◽  
Vol 9 (34) ◽  
pp. 101-104
Author(s):  
Lucian Lapusneanu ◽  
Alina Neacsu

Abstract Lacrimal stents were used in the past to preserve the caliber of the lacrimal pathways after surgery, trauma, reconstruction, etc. Recently, their role in preventing functional epiphora has also been highlighted. Over the years, the stents have evolved and different models, materials and surgical techniques for positioning have appeared. Extensive and accurate knowledge of the type and design of the stent, the correct insertion technique offer optimal results depending on the anatomical area and the type of disorder of the lacrimal pathways. We will present the advantages of a simple catheterization technique for the lacrimal sac, endoscopic post-dacryocystorhinostomy.


2021 ◽  
Vol 3 (4) ◽  
pp. 01-03
Author(s):  
Claribel Pazos

Hindfoot pain is a common clinical problem that can be due to multiple alterations, it can appear due to bone or soft tissue causes, it is established in a small anatomical area. There are different methods of treatment for these conditions, ranging from simple guidelines in lifestyle to surgery. In this work, patients are divided into four groups with different treatment methods, each group was assigned a different therapeutic option, which will increase its degree of invasion as the number of the group increases. Infiltration with platelet-rich plasma (PRP) is a new technique of cell regenerative therapy and was applied in one of the groups, taking advantage of the regenerative, healing and anti-inflammatory properties of the mentioned therapy.


2021 ◽  
Vol 12 ◽  
Author(s):  
Christoff Zalpour ◽  
Nikolaus Ballenberger ◽  
Florian Avermann

Currently, the treatment of musicians is an interprofessional approach. Playing-related health complaints may impact the performance of a musician. In Germany, a medical consulting hour for musicians exists, but those for athletes in sports medicine are not so common. The diagnosing and treatment procedure within the physiotherapy consultation for musicians follows a specific concept-b and requires knowledge of instruments and musician-specific complaints. Based on the consulting hour in a clinic in Osnabrueck, 614 case reports were part of this sample, of which 558 data sets were complete. The focus of the analysis is the instrument and the primary complaint. Also, the type of therapy is characterized, and the amount is calculated. Primary complaints of musicians, in general, are found most frequently in the spine and upper extremity. Musician complaints are different between instruments. Instrumentalists have a significantly higher chance to suffer from a primary complaint in the area of the upper extremity. Furthermore, the groups without an instrument (e.g., singing or dancing) are developing complaints in the anatomical area which they primarily use. Therefore, these types of therapy were used: physiotherapy, manual therapy, and osteopathy with an average of 5.9 treatment units. This study underpinned the importance of musician-specific physiotherapy as a profession to treat musicians. Also, an interdisciplinary approach is necessary to treat all aspects of complaints.


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