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{'sha1': '86a49c472491ab99d0ab8e642e7bd53790e28c14', 'content': 'Objetivos: mostrar los resultados de los primeros pacientes con síndrome de apnea obstructiva del sueño (SAOS) de tipo periférico esqueletal tratados en nuestro país con osteogénesis por distracción mandibular. Métodos: se trataron 9 pacientes con distracción osteogénica mandibular bilateral, con distractores marca Leibinger y Synthes. El periodo de latencia fue de 72 horas. La tasa de distracción mandibular, a razón de 1,0 mm cada 12 horas y la contención fue de 8 semanas. Luego se inició el tratamiento ortodóncico posquirúrgico. Se evaluaron los resultados a través de polisomnografía y estudios cefalométricos antes de la intervención, luego y al año del tratamiento. Resultados: el 89 % de los casos fueron curados, el 11 % tuvo mejoría. Dentro de las complicaciones encontradas, el 55 % de los pacientes presentaron limitación temporal de la apertura bucal, que remitió con fisioterapia, y dos pacientes necesitaron traqueostomía con fines anestésicos. Conclusiones: la osteogénesis por distracción mandibular resultó ser un método terapéutico eficaz para el tratamiento del SAOS de tipo periférico, esqueletal.<br>Objectives: to show the results from the first patients presenting with sleep obstructive apnea syndrome (SOAS) of skeletal peripheral type treated in our country with osteogenesis by mandibular distraction. Methods: Nine patients were treated with bilateral mandibular osteogenic distraction using Leibinger and Synthes distraction devices. Latency period was of 72 hours. Mandibular distraction rate at 1,0 mm each 12 hours and restraint was of 8 weeks. Then, postsurgical orthodontics treatment was started. Results were assessed by polysomnography and cephalometry studies before intervention, after it and at a year of treatment. Results: The 89 % of cases had a good recovery, the 11 % showed an improvement. Complications included: a temporary limitation of mouth opening in 55 % disappearing with physiotherapy and two patients needed tracheostomy for anesthetic purposes. Conclusions: Osteogenesis by mandibular d [...]', 'mimetype': 'text/plain', 'lang': 'es'}
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en
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cc-by-nc
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37-49
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Editorial Ciencias Médicas
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[]
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published
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article-journal
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2010
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title |
Aplicación de distracción osteogénica mandibular en niños con el síndrome de apnea obstructiva del sueño Application of a mandibular osteogenic distraction in children with sleep obstructive apnea
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47
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[]
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