OBJETIVO: Establecer frecuencia de la patología tiroidea según resultados anatomopatológicos en el Hospital Alberto Sabogal del Callao y determinar la distribución según edad, sexo y hallazgos clínicos de la patología tiroidea. DISEÑO: Estudio descriptivo retrospectivo. METODOS: Se revisó todas las intervenciones quirúrgicas de la glándula tiroides en el Hospital NacionalAlberto Sabogal Sologuren (HNASS) entre enero del 2000 y diciembre del 2002. RESULTADOS: Se intervinieron 190 tiroides y se revisaron 182 casos: 91,0%, mujeres y 8,9%, varones. Sólo el 19,2% fue catalogado, en el preoperatorio, como neoplasia maligna tiroidea. Dentro de la clínica asociada predominó bocio (74,5%) de los casos, seguido del dolor (8,2%), disfagia (5,3%) y disfonía (4,5%). En el sexo masculino, el 76,5% de los casos se encontró entre los 40 y 59 años; mientras que, en el sexo femenino los g...

OBJETIVO: Establecer frecuencia de la patología tiroidea según resultados anatomopatológicos en el Hospital Alberto Sabogal del Callao y determinar la distribución según edad, sexo y hallazgos clínicos de la patología tiroidea. DISEÑO: Estudio descriptivo retrospectivo. METODOS: Se revisó todas las intervenciones quirúrgicas de la glándula tiroides en el Hospital NacionalAlberto Sabogal Sologuren (HNASS) entre enero del 2000 y diciembre del 2002. RESULTADOS: Se intervinieron 190 tiroides y se revisaron 182 casos: 91,0%, mujeres y 8,9%, varones. Sólo el 19,2% fue catalogado, en el preoperatorio, como neoplasia maligna tiroidea. Dentro de la clínica asociada predominó bocio (74,5%) de los casos, seguido del dolor (8,2%), disfagia (5,3%) y disfonía (4,5%). En el sexo masculino, el 76,5% de los casos se encontró entre los 40 y 59 años; mientras que, en el sexo femenino los g...

Neurofibromas are benign tumors of frequent presentation in the head and neck. We report the case of a 14 years old male who presented a cervical tumor 14 cm in length. Despite the size of the tumor and the fact that it displaced the cervical midline structures, the patient remained asymptomatic. The pathology report following surgery was of a neurofibroma. On discharge there were no motor limitations present, but loss of soft palate sensitivity and nauseous reflex, and the previous Horner syndrome. Surgery is the gold standard treatment and total resection is ideal, but debulking is preferred according to the neurofibroma characteristics. Neurological deficit could be expected.

El quiste o fístula del conducto tirogloso es una alteración del desarrollo producida por la falta de involución del conducto de descenso de la glándula tiroides. Debido a la presentación y frecuencia en edad pediátrica consideramos necesario el presente estudio. Se revisaron 167 casos intervenidos en un periodo de ocho años, siendo el 61,1% de sexo masculino y mayor presentación en menores de seis años de edad 57,5%. Se presentaron como quiste tirogloso el 68,9% y el 31,1% restante como fístula con secreción. Su localización más frecuente es a nivel de la línea media 85% e infrahioideo 57,5%. Se reintervinieron 26 casos del total. La patología del conducto tirogloso es frecuente en pacientes pediátricos, siendo necesario el tratamiento quirúrgico con la resección medial del hueso hioides. A pesar de realizar los pasos descritos la recidiva es posible.

Se describe el caso de un varón de 21 años, que ingresa a emergencia por sufrir un traumatismo, por arma de fuego de alta velocidad. El área comprometida es el tercio inferior facial, con extensión a las regiones submentoniana y submandibulares. El paciente presentó una fractura conminuta en la mitad inferior mandibular y dos fracturas con desplazamiento en la mitad superior mandibular, sin pérdida ni compromiso de piezas dentarias. Posterior a la reducción cruenta y osteosíntesis con alambre quirúrgico realizada en emergencia, en la reconstrucción se utilizó un implante hecho a medida basado en imágenes tomográficas. El implante de polieteretercetona (PEEK) fue seleccionado  para reemplazar la pérdida ósea y para restaurar la anatomía facial. Los implantes de PEEK son actualmente  una nueva opción biocompatible, simple y versátil parareconstrucciones mandibulares com...

Introduction: Osteomyelitis is a picture of casual presentation, resulting as a complication of various etiologies and requires immediate surgical and medical treatment. Objective: To evaluate the results of pathology-level reported as osteomyelitis of the jaws in pediatric patients , both the jaw and the upper jaw, which required surgical treatment and antibiotic coverage, for the period from 2008 to 2013. Material Methods: Study descriptive, retrospective , held at the National Institute of Child Health Results : predominance was found in males ( 64.7 %) and higher filing under 10 years of age (91%), the mandible was more frequently affected (92.1 %) with a predominance of chronic osteomyelitis in 82.4 % of cases . The region of the mandibular body and angle were the most affected with 75 and 62.5 % respectively. All patients were performed surgical cleaning and removal of sequestra wi...

A 22 years old male was referred to emergency for a gunshot trauma that involves the inferior third of the face with extension to the both submandibular and submental regions. The patient presented at the inferior half of the mandible, bodies and symphysis, a comminuted mandible fracture and two displaced fractures at the upper half of the mandible; though no teeth were missing. He underwent at emergency an open reduction and osteosynthesis with wires. A polyetheretherketone (PEEK) computer designed implant was placed to replace the lost bone tissue and restore the facial aesthetics. The PEEK implant is actually a new, simple and versatile method for complex mandibular reconstructions.

Introducction: mandible reconstruction, an important area within heat and neck surgery, is atopic with constant innovation with plenty of debate and scientific contributions that allow physicians to have adequate therapy for extensive tumors that may leave aesthetic and functional sequels.Clinical cases. The cases that underwent a large surgical resection and required a microsurgical fibula free flap for a mandible tumor were reviewed between January 2004 to August 2008; by the Head, Neck and Maxillofacial Surgery department at the National Pediatric Health Institute. Four cases were taken part in the study period; with same quantity of cases for males and females. With ages between 2 and 17 years, and an average of 11.2 years. The four cases were from the inner states of Peru (Piura, Tumbes, Cajamarca and Junín). We present mandible resections as long as 15 cm for one side. A...

El quiste o fístula del conducto tirogloso es una alteración del desarrollo producida por la falta de involución del conducto de descenso de la glándula tiroides. Debido a la presentación y frecuencia en edad pediátrica consideramos necesario el presente estudio. Se revisaron 167 casos intervenidos en un periodo de ocho años, siendo el 61,1% de sexo masculino y mayor presentación en menores de seis años de edad 57,5%. Se presentaron como quiste tirogloso el 68,9% y el 31,1% restante como fístula con secreción. Su localización más frecuente es a nivel de la línea media 85% e infrahioideo 57,5%. Se reintervinieron 26 casos del total. La patología del conducto tirogloso es frecuente en pacientes pediátricos, siendo necesario el tratamiento quirúrgico con la resección medial del hueso hioides. A pesar de realizar los pasos descritos la recidiva es posible.

Se describe el caso de un varón de 21 años, que ingresa a emergencia por sufrir un traumatismo, por arma de fuego de alta velocidad. El área comprometida es el tercio inferior facial, con extensión a las regiones submentoniana y submandibulares. El paciente presentó una fractura conminuta en la mitad inferior mandibular y dos fracturas con desplazamiento en la mitad superior mandibular, sin pérdida ni compromiso de piezas dentarias. Posterior a la reducción cruenta y osteosíntesis con alambre quirúrgico realizada en emergencia, en la reconstrucción se utilizó un implante hecho a medida basado en imágenes tomográficas. El implante de polieteretercetona (PEEK) fue seleccionado  para reemplazar la pérdida ósea y para restaurar la anatomía facial. Los implantes de PEEK son actualmente  una nueva opción biocompatible, simple y versátil parareconstrucciones mandibulares com...

Introduction: Osteomyelitis is a picture of casual presentation, resulting as a complication of various etiologies and requires immediate surgical and medical treatment. Objective: To evaluate the results of pathology-level reported as osteomyelitis of the jaws in pediatric patients , both the jaw and the upper jaw, which required surgical treatment and antibiotic coverage, for the period from 2008 to 2013. Material Methods: Study descriptive, retrospective , held at the National Institute of Child Health Results : predominance was found in males ( 64.7 %) and higher filing under 10 years of age (91%), the mandible was more frequently affected (92.1 %) with a predominance of chronic osteomyelitis in 82.4 % of cases . The region of the mandibular body and angle were the most affected with 75 and 62.5 % respectively. All patients were performed surgical cleaning and removal of sequestra wi...

A 22 years old male was referred to emergency for a gunshot trauma that involves the inferior third of the face with extension to the both submandibular and submental regions. The patient presented at the inferior half of the mandible, bodies and symphysis, a comminuted mandible fracture and two displaced fractures at the upper half of the mandible; though no teeth were missing. He underwent at emergency an open reduction and osteosynthesis with wires. A polyetheretherketone (PEEK) computer designed implant was placed to replace the lost bone tissue and restore the facial aesthetics. The PEEK implant is actually a new, simple and versatile method for complex mandibular reconstructions.

Introducction: mandible reconstruction, an important area within heat and neck surgery, is atopic with constant innovation with plenty of debate and scientific contributions that allow physicians to have adequate therapy for extensive tumors that may leave aesthetic and functional sequels.Clinical cases. The cases that underwent a large surgical resection and required a microsurgical fibula free flap for a mandible tumor were reviewed between January 2004 to August 2008; by the Head, Neck and Maxillofacial Surgery department at the National Pediatric Health Institute. Four cases were taken part in the study period; with same quantity of cases for males and females. With ages between 2 and 17 years, and an average of 11.2 years. The four cases were from the inner states of Peru (Piura, Tumbes, Cajamarca and Junín). We present mandible resections as long as 15 cm for one side. A...

Goldenhar syndrome is the second most frequent craniofacial malformation; occur sporadically or as an autosomal-dominant inheritance that involves derivatives of the first and second branchial arch. Furthermore, an association with exposure to different drugs and maternal diabetes has been described. Main features are eye conditions, headphones (ear, pinna) and vertebral, hence its nickname spectrum oculo-auriculo-vertebral. We report the case of a girl of eight years old with multiple congenital anomalies by a multidisciplinary study will highlight the clinical features suggestive of this syndrome. The results were satisfactory for the patients, it was dental treatment and hard tissue distraction osteogenesis of the mandible at the Instituto Nacional de Salud del Niño.

Goldenhar syndrome is the second most frequent craniofacial malformation; occur sporadically or as an autosomal-dominant inheritance that involves derivatives of the first and second branchial arch. Furthermore, an association with exposure to different drugs and maternal diabetes has been described. Main features are eye conditions, headphones (ear, pinna) and vertebral, hence its nickname spectrum oculo-auriculo-vertebral. We report the case of a girl of eight years old with multiple congenital anomalies by a multidisciplinary study will highlight the clinical features suggestive of this syndrome. The results were satisfactory for the patients, it was dental treatment and hard tissue distraction osteogenesis of the mandible at the Instituto Nacional de Salud del Niño.

The word 'ankylosis' is derived from ancient Greek, meaning 'a rigid joint', in this case associated to an impediment for progressive mouth opening, as a consequence of a fibrous, bony, or mixed tissue junction between the mandibular condyle and the mandibular fossa. This condition may occur as a sequel of mandible and face trauma, infectious diseases, or as a manifestation of chronic diseases leading to joint damage. This limitation in mouth opening may lead to poor oral hygiene, dental cavities, dental and facial deformities, and obstructive sleep apnea. Surgical therapy is mandatory in such cases, and there are many procedures described in the literature. Our objective is to show our surgical experience in 5 selected patients who were operated in our institution on the basis of the current surgical protocols.

The word 'ankylosis' is derived from ancient Greek, meaning 'a rigid joint', in this case associated to an impediment for progressive mouth opening, as a consequence of a fibrous, bony, or mixed tissue junction between the mandibular condyle and the mandibular fossa. This condition may occur as a sequel of mandible and face trauma, infectious diseases, or as a manifestation of chronic diseases leading to joint damage. This limitation in mouth opening may lead to poor oral hygiene, dental cavities, dental and facial deformities, and obstructive sleep apnea. Surgical therapy is mandatory in such cases, and there are many procedures described in the literature. Our objective is to show our surgical experience in 5 selected patients who were operated in our institution on the basis of the current surgical protocols.