Resección del Torus palatino y colocación post-quirúrgica de placa contensora de colgajo.
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2018-09
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Universidad de Guayaquil. Facultad Piloto de Odontología
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Los torus palatinos son excrecencias óseas de desarrollo lento, constituidos por hueso compacto denso y escaso esponjoso, cubierto por capa delgada de fibromucosa casi avascular, que pueden comprometer bilateralmente márgenes de la apófisis palatina a nivel de la sutura media del paladar. Este trabajo establece el diagnóstico del torus palatinos a través de la tomografía computarizada, evidenciando un caso clínico, de un paciente masculino de 73 años, que acude a la consulta por abultamiento en el paladar, con molestias en el cepillado dental, alimentación y dicción; por ello se realiza la “resección de torus palatino y la colocación post-quirúrgica de placa contensora de colgajo” en la clínica de la Facultad Piloto de Odontología de la Universidad de Guayaquil en el año 2018, cuyo propósito es aplicar la técnica quirúrgica de Dorrance a través de la incisión en forma de doble Y, para la exéresis se hizo la osteotomía utilizando cincel, martillo, sistema rotatorio a baja velocidad, efectuando la eliminación por sectantes y se colocó inmediatamente una placa provisional de acrílico, fijada con alambres y cemento quirúrgico. Por lo tanto, los resultados del post-operatorio a los 8 días, son satisfactorios, la placa provisional mantuvo el acondicionamiento de la fibromucosa al paladar manteniendo el colgajo en su posición, no se evidencia la presencia de hematomas por gravedad, ni necrosis de la parte osteotomizada del torus, siendo la recuperación exitosa, debido a la cicatrización por primera intención
The palatine torus are slow-growing osseous excrescences, composed of dense and sparsely spongy compact bone, covered by a thin layer of almost avascular fibro mucose, which can bilaterally engage margins of the palatine process at the level of the middle suture of the palate. This work establishes the diagnosis of the palatine torus through computed tomography, evidencing a clinical case of a 73-year-old male patient who comes to the consultation due to bulging of the palate, with discomfort in tooth brushing, eating and diction. For this reason, the "palatine torus resection and post-surgical placement of flap-containing plaque" was performed at the Clinic of the Odontology Pilot School in the University of Guayaquil in 2018, whose purpose is to apply the Dorrance surgical technique. through the incision in the form of double Y, for the exeresis of the osteotomy that was made using a chisel, hammer, rotating system at low speed, carrying out the elimination by sectants and a temporary acrylic plate was immediately placed, fixed with wires, surgical cement . Therefore, the results of the post-operative at 8 days are satisfactory, the provisional plate kept the conditioning of the fibromucosa to the palate keeping the flap in its position. It does not show the presence of hematomas by gravity, nor necrosis of the osteotomized part of the torus, being the successful recovery, due to the cicatrization by first intention.
The palatine torus are slow-growing osseous excrescences, composed of dense and sparsely spongy compact bone, covered by a thin layer of almost avascular fibro mucose, which can bilaterally engage margins of the palatine process at the level of the middle suture of the palate. This work establishes the diagnosis of the palatine torus through computed tomography, evidencing a clinical case of a 73-year-old male patient who comes to the consultation due to bulging of the palate, with discomfort in tooth brushing, eating and diction. For this reason, the "palatine torus resection and post-surgical placement of flap-containing plaque" was performed at the Clinic of the Odontology Pilot School in the University of Guayaquil in 2018, whose purpose is to apply the Dorrance surgical technique. through the incision in the form of double Y, for the exeresis of the osteotomy that was made using a chisel, hammer, rotating system at low speed, carrying out the elimination by sectants and a temporary acrylic plate was immediately placed, fixed with wires, surgical cement . Therefore, the results of the post-operative at 8 days are satisfactory, the provisional plate kept the conditioning of the fibromucosa to the palate keeping the flap in its position. It does not show the presence of hematomas by gravity, nor necrosis of the osteotomized part of the torus, being the successful recovery, due to the cicatrization by first intention.
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TORUS MANDIBULAR, PROTESIS DENTAL, PALADAR DURO