Uncontrolled donation after cardiac death is an appealing source of organs for lung transplantation. We compare early and long-term outcomes of lung transplantation with these donors with a cohort of transplants from brain death donors at our institution. Retrospective analysis of all lung transplantations was performed from 2002 to 2012. We collected variables regarding recipients, donors, recover and transplant procedures, early and late complications, and survival. We included 292 lung transplants from brain death donors and 38 from uncontrolled donors after cardiac death.Both groups were comparable except for sex mismatch (male recipient-female donor was more frequent in the brain death cohort, 17.8% vs 0%, P 0.002), total ischemic time (longer for donors after cardiac death, 657 minutes for the first lung and 822 minutes for the second vs 309 and 425 minutes, P < 0.001), and ex vivo evalua-
Enucleación de odontoma compuesto maxilar con regeneración ósea guiada
RESUMENLos odontomas son tumores odontogénicos benignos de los maxilares, asociados con frecuencia a retención dentaria, suelen tener un comportamiento indolente, diagnosticándose en radiografías de rutina. El defecto óseo como consecuencia de la osteotomía durante la enucleación del tumor, es una de las principales secuelas que el clínico debe tener presente por la afección no sólo al tejido duro sino también al tejido suave circundante, por esta razón, se han sugerido diferentes materiales para regenerar el tejido óseo perdido. Se reporta caso de paciente masculino de 33 años de edad que asistió a consulta manifestando insatisfacción estética por persistencia de órgano temporal 51 causado por la presencia de un odontoma compuesto, cuyo diagnóstico se corroboró clínica e histológicamente. El defecto óseo residual a la enucleación de dicho tumor se rellenó con hidroxiapatita no reabsorbible, para su posterior restauración definitiva. En el control postoperatorio, se observó resultados estéticos y funcionales satisfactorios.Palabras clave: Odontoma compuesto, hidroxiapatita, injerto óseo, regeneración ósea (Decs Bireme).
SUMMARYOdontomas are the most common maxillary beningn odontogenic tumours, who often causing dental retention, most odontomas are asymptomatic and are discovered during routine radiographic investigations. Furthermore, one of the most severe effect that the clinician must take into account is the large bone loss after enucleation of the tumor, affecting not only bone tissue, but also the surrounding soft tissue, however, many materials have been suggested for filled these types of defects bone. We report a case of a 33-year-old men who express aesthetic disagreement due to persistence of temporary tooth 51 caused by the presence of a compound odontoma, whose diagnosis was confirmed clinical and histologically. The residual bone defect after enucleation of the tumor was filled with non-resorbable hydroxyapatite, for subsequent final restoration. In the postoperative control was observed satisfactory aesthetic and functional results.Key words: Odontoma, hydroxyapatite, bone graft, bone regeneration (MeSH). Enucleación de odontoma compuesto maxilar con regeneración ósea guiada
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