temas-livres-monte belo-070911-1120hrs-danielle sales-
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Apresentações COBRAC 2011TRANSCRIPT
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Danielle Sales Marques da Cruz
José Nazareno GilLuiz Fernando Gil
Victor Lousan do Nascimento Poubel
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� Pseudo anquilose
� Hiperplasia
� Tumores
Condilectomia
Remodelamento
Reconstrução
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N. ROBERT MARKOWITZ, DMD,* PETER G. ALLAN, MDS (MELB), FRACDSJ AND MICHAEL T. DUFFY, DDS
J Oral Maxillofac Surg471367-377. 1989
� O material é autógeno, evitando o uso de materiais aloplásticos ou homogenoscom potencial para rejeição e/ou falha. � Evita a sensibilidade térmica. � Não há gasto com sistema de prótese articular.� O risco de vascularização pobre, reabsorção, infecção e perda do enxerto é diminuído.�Evita as complicações de um sítio doador e a necessidade de dois sítioscirúrgicos.
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Juan L. Martinez-Lage, Joaqu!ın Gonzalez, Alberto Pineda, Inmaculada Alvarez
Journal of Cranio-Maxillofacial Surgery (2004) 32, 155–160
� Evita as complicações de um novo sítio cirúrgico.
� Proporciona um osso com tamanho e forma adequadospara o novo côndilo e com características histológicassimilares.
�A osteotomia vertical pode ser feita com acesso intra-oral, porém com maior dificuldade em obter precisão na linha daosteotomia assim como na fixação .
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V. C. Vatanathamrong, J. Jirkijja,A. Sinsawat
�Evita outro sítio cirúrgico e/ou uso de material protético.
�A reconstrução condilar é feita juntamente com a condilectomia.
Int J Oral Maxillofac Surg (2007)doi:10.1016/j.ijom.2007.08.354
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Donghui Song, DDS, Songsong Zhu, DDS, PhD, Jing Hu, DDS, PhD, Jihua Li, DDS, and En Luo, DDS
J Oral Maxillofac Surg67:676-680, 2009
� Menor morbidade com o uso de apenas um sítio cirúrgico.
� Comparado com o enxerto costocondral, a borda posterior da
mandíbula é mais rígida o que facilita o uso de fixação interna
rígida e permite o movimento mandibular imediatamente após a
cirurgia.
�O risco de necrose e reabsorção óssea diminui
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�O uso da borda porterior da mandíbula como enxerto podeser feito com segurança e facilidade e evita as complicaçõesassociadas com um sítio dodor. �Proporciona um osso com tamanho e forma adequadospara o novo côndilo e com características histológicassimilares.� A osteotomia vertical pode resolver problemas secundárioscomo assimetria mandibular.
Int J Oral Maxillofac Surg (2011)doi:10.1016/j.ijom.2011.04.016
Y. Liu, A. Khadka, J. Li, J. Hu, S. Zhu, Y. Hsu, Q. Wang, D. Wang
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� Uso do segmento proximal comoenxerto livre após sua remodelagem ereposicionamento
Vantagens:•Menor morbidade com apenas um sítio cirúrgico•Anatomia favorável•Menor risco de reabsorção•Possibilidade de correção de assimetrias
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Pseudo anquilose
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Hiperplasia condilar
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Tumor condilar
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