Abordaje hemicoronal extendido en fractura facial compleja. Reporte de caso.
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| Title: | Abordaje hemicoronal extendido en fractura facial compleja. Reporte de caso. |
|---|---|
| Alternate Title: | Extended Hemicoronal Approach in Complex Facial Fracture. A Case Report. |
| Authors: | Cuéllar Gutiérrez, Javier1, Palma Garrido, Katherine1, Muñoz Canepa, Antonia1, González Vásquez, Roberto1, Pampin López, Francisco1 |
| Source: | Revista Medica Herediana. ene-mar2026, Vol. 37 Issue 1, p46-52. 7p. |
| Subjects: | PHYSICAL diagnosis, TRAFFIC accidents, FRACTURE fixation, COMPUTED tomography, OPERATIVE surgery, SKULL fractures, PLASTIC surgery, CRANIOFACIAL abnormalities, ADULTS |
| Abstract (English): | The extended hemicoronal approach (EHCA) provides broad access to all three facial thirds, which is useful in complex panfacial fractures. The case of a polytrauma male with right panfacial fracture, after sustaining a high-energy motorcycle accident, is presented. Clinically, he was hemodynamically stable, and on examination, hemifacial volume increase, edema, periorbital ecchymosis, conjunctival chemosis, restriction of mandibular opening, and anterior open bite were noted. CT scan showed multiple fractures in the three facial thirds. EHCA was performed, supplemented with transconjunctival and upper vestibular accesses, which allowed accurate anatomical reduction and stable fixation by means of osteosynthesis plates. The patient recovered without significant functional or aesthetic sequelae. This case demonstrates that the EHCA is effective and versatile for the comprehensive management of complex panfacial fractures. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | El abordaje hemicoronal extendido (AHCE) proporciona un amplio acceso a los tres tercios faciales, lo cual resulta útil en fracturas panfaciales complejas. Se presenta el caso de un paciente politraumatizado con fractura panfacial derecha, tras sufrir un accidente de alta energía en motocicleta. En la revisión clínica, se mostró hemodinámicamente estable y al examen destacaban el aumento de volumen hemifacial, edema, equimosis periorbitaria, quemosis conjuntival, restricción de apertura mandibular y mordida abierta anterior. La tomografía mostró múltiples fracturas en los tres tercios faciales. Se realizó AHCE, complementado con accesos transconjuntival y vestibular superior, lo que permitió realizar la reducción anatómica precisa y fijación estable mediante placas de osteosíntesis. La evolución fue favorable, sin secuelas funcionales ni estéticas significativas. Este caso demuestra que el AHCE es eficaz y versátil para el manejo integral de fracturas panfaciales complejas. [ABSTRACT FROM AUTHOR] |
| Copyright of Revista Medica Herediana is the property of Universidad Peruana Cayetano Heredia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: lth DbLabel: MedicLatina An: 193470538 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Abordaje hemicoronal extendido en fractura facial compleja. Reporte de caso. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Extended Hemicoronal Approach in Complex Facial Fracture. A Case Report. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Cuéllar+Gutiérrez%2C+Javier%22">Cuéllar Gutiérrez, Javier</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Palma+Garrido%2C+Katherine%22">Palma Garrido, Katherine</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Muñoz+Canepa%2C+Antonia%22">Muñoz Canepa, Antonia</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22González+Vásquez%2C+Roberto%22">González Vásquez, Roberto</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Pampin+López%2C+Francisco%22">Pampin López, Francisco</searchLink><relatesTo>1</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Revista+Medica+Herediana%22">Revista Medica Herediana</searchLink>. ene-mar2026, Vol. 37 Issue 1, p46-52. 7p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22PHYSICAL+diagnosis%22">PHYSICAL diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22TRAFFIC+accidents%22">TRAFFIC accidents</searchLink><br /><searchLink fieldCode="DE" term="%22FRACTURE+fixation%22">FRACTURE fixation</searchLink><br /><searchLink fieldCode="DE" term="%22COMPUTED+tomography%22">COMPUTED tomography</searchLink><br /><searchLink fieldCode="DE" term="%22OPERATIVE+surgery%22">OPERATIVE surgery</searchLink><br /><searchLink fieldCode="DE" term="%22SKULL+fractures%22">SKULL fractures</searchLink><br /><searchLink fieldCode="DE" term="%22PLASTIC+surgery%22">PLASTIC surgery</searchLink><br /><searchLink fieldCode="DE" term="%22CRANIOFACIAL+abnormalities%22">CRANIOFACIAL abnormalities</searchLink><br /><searchLink fieldCode="DE" term="%22ADULTS%22">ADULTS</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: The extended hemicoronal approach (EHCA) provides broad access to all three facial thirds, which is useful in complex panfacial fractures. The case of a polytrauma male with right panfacial fracture, after sustaining a high-energy motorcycle accident, is presented. Clinically, he was hemodynamically stable, and on examination, hemifacial volume increase, edema, periorbital ecchymosis, conjunctival chemosis, restriction of mandibular opening, and anterior open bite were noted. CT scan showed multiple fractures in the three facial thirds. EHCA was performed, supplemented with transconjunctival and upper vestibular accesses, which allowed accurate anatomical reduction and stable fixation by means of osteosynthesis plates. The patient recovered without significant functional or aesthetic sequelae. This case demonstrates that the EHCA is effective and versatile for the comprehensive management of complex panfacial fractures. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: El abordaje hemicoronal extendido (AHCE) proporciona un amplio acceso a los tres tercios faciales, lo cual resulta útil en fracturas panfaciales complejas. Se presenta el caso de un paciente politraumatizado con fractura panfacial derecha, tras sufrir un accidente de alta energía en motocicleta. En la revisión clínica, se mostró hemodinámicamente estable y al examen destacaban el aumento de volumen hemifacial, edema, equimosis periorbitaria, quemosis conjuntival, restricción de apertura mandibular y mordida abierta anterior. La tomografía mostró múltiples fracturas en los tres tercios faciales. Se realizó AHCE, complementado con accesos transconjuntival y vestibular superior, lo que permitió realizar la reducción anatómica precisa y fijación estable mediante placas de osteosíntesis. La evolución fue favorable, sin secuelas funcionales ni estéticas significativas. Este caso demuestra que el AHCE es eficaz y versátil para el manejo integral de fracturas panfaciales complejas. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Revista Medica Herediana is the property of Universidad Peruana Cayetano Heredia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=lth&AN=193470538 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.20453/rmh.v37i1.6864 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 7 StartPage: 46 Subjects: – SubjectFull: PHYSICAL diagnosis Type: general – SubjectFull: TRAFFIC accidents Type: general – SubjectFull: FRACTURE fixation Type: general – SubjectFull: COMPUTED tomography Type: general – SubjectFull: OPERATIVE surgery Type: general – SubjectFull: SKULL fractures Type: general – SubjectFull: PLASTIC surgery Type: general – SubjectFull: CRANIOFACIAL abnormalities Type: general – SubjectFull: ADULTS Type: general Titles: – TitleFull: Abordaje hemicoronal extendido en fractura facial compleja. Reporte de caso. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Cuéllar Gutiérrez, Javier – PersonEntity: Name: NameFull: Palma Garrido, Katherine – PersonEntity: Name: NameFull: Muñoz Canepa, Antonia – PersonEntity: Name: NameFull: González Vásquez, Roberto – PersonEntity: Name: NameFull: Pampin López, Francisco IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Text: ene-mar2026 Type: published Y: 2026 Identifiers: – Type: issn-print Value: 1018130X Numbering: – Type: volume Value: 37 – Type: issue Value: 1 Titles: – TitleFull: Revista Medica Herediana Type: main |
| ResultId | 1 |
