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            2 => "Osteomielitis cr&#243;nica"
            3 => "Tibia"
            4 => "Injerto &#243;seo"
            5 => "Plasma rico en plaquetas"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La t&#233;cnica quir&#250;rgica m&#225;s eficaz en el tratamiento de la sinusitis frontal cr&#243;nica complicada con una osteomielitis cr&#243;nica&#44; incluye la limpieza y legrado del seno&#44; y la obliteraci&#243;n de los espacios muertos y sellado del <span class="elsevierStyleItalic">ostium</span> del seno frontal&#46; Existen varios materiales aut&#243;logos y alopl&#225;sticos usados para la obliteraci&#243;n sinusal&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Paciente intervenido de un plasmocitoma localizado en el seno frontal&#44; que desarroll&#243; una sinusitis frontal complicada con una osteomielitis cr&#243;nica con fistulizaci&#243;n y supuraci&#243;n cut&#225;nea&#46; Se trat&#243; mediante un legrado de la cavidad del seno frontal y obliteraci&#243;n con injerto esponjoso de tibia y plasma rico en plaquetas &#40;PRP&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La obliteraci&#243;n tras limpieza y legrado del seno frontal es un tratamiento efectivo para la osteomielitis cr&#243;nica sinusal&#46; Tras la intervenci&#243;n quir&#250;rgica&#44; se comprob&#243; la desaparici&#243;n de los s&#237;ntomas de nuestro paciente&#46; No hubo recidiva de la enfermedad ni complicaciones postoperatorias&#46; El uso de injerto &#243;seo de tibia y PRP puede ser una alternativa eficaz a los materiales existentes para dicha obliteraci&#243;n&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetives</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The more successfully surgical treatment for the treatment of chronic frontal sinusitis complicated with chronic osteomielitis&#44; is the cleaning and curettage of the sinus with obliteration of the sinus cavity and nasofrontal duct&#46; Several autologous and alloplastics materials are used for this obliteration&#46;</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">We report the case of a patient previously operated on because of frontal sinus plasmocytoma who developed frontal sinusitis with chronic osteomielitis and cutaneous suppuration&#46; He received surgical treatment with frontal sinus curettage and obliteration with tibial bone graft and platelet-rich plasma &#40;PRP&#41;&#46; Symptoms disappeared and there were no complications or recurrence&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Obliteration of the frontal sinus with tibial bone graft and PRP after sinus cleaning and curettage can be a good alternative in the treatment of chronic frontal sinus osteomielitis&#46;</p>"
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Vol. 17. Núm. 4.
Páginas 351-356 (enero 2005)
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Vol. 17. Núm. 4.
Páginas 351-356 (enero 2005)
Obliteración del seno frontal mediante injerto de tibia y plasma rico en plaquetas para el tratamiento de la osteomielitis crónica
Frontal sinus obliteration using tibial bone graft and platelet-rich plasma for the treatment of chronic osteomyelitis
Visitas
1617
M. Acosta-Feria
, P. Infante-Cossío, J.M. Hernández-Guisado, E. Torres-Carranza, A. García-Perla, R. Belmonte-Caro, J.L. Gutiérrez-Pérez
Servicio de Cirugía Maxilofacial. Hospitales Universitarios Virgen del Rocío. Sevilla
Este artículo ha recibido
Información del artículo
Resumen
Objetivos

La técnica quirúrgica más eficaz en el tratamiento de la sinusitis frontal crónica complicada con una osteomielitis crónica, incluye la limpieza y legrado del seno, y la obliteración de los espacios muertos y sellado del ostium del seno frontal. Existen varios materiales autólogos y aloplásticos usados para la obliteración sinusal.

Material y métodos

Paciente intervenido de un plasmocitoma localizado en el seno frontal, que desarrolló una sinusitis frontal complicada con una osteomielitis crónica con fistulización y supuración cutánea. Se trató mediante un legrado de la cavidad del seno frontal y obliteración con injerto esponjoso de tibia y plasma rico en plaquetas (PRP).

Conclusiones

La obliteración tras limpieza y legrado del seno frontal es un tratamiento efectivo para la osteomielitis crónica sinusal. Tras la intervención quirúrgica, se comprobó la desaparición de los síntomas de nuestro paciente. No hubo recidiva de la enfermedad ni complicaciones postoperatorias. El uso de injerto óseo de tibia y PRP puede ser una alternativa eficaz a los materiales existentes para dicha obliteración.

Palabras clave:
Seno frontal
Obliteración
Osteomielitis crónica
Tibia
Injerto óseo
Plasma rico en plaquetas
Summary
Objetives

The more successfully surgical treatment for the treatment of chronic frontal sinusitis complicated with chronic osteomielitis, is the cleaning and curettage of the sinus with obliteration of the sinus cavity and nasofrontal duct. Several autologous and alloplastics materials are used for this obliteration.

Material and methods

We report the case of a patient previously operated on because of frontal sinus plasmocytoma who developed frontal sinusitis with chronic osteomielitis and cutaneous suppuration. He received surgical treatment with frontal sinus curettage and obliteration with tibial bone graft and platelet-rich plasma (PRP). Symptoms disappeared and there were no complications or recurrence.

Conclusions

Obliteration of the frontal sinus with tibial bone graft and PRP after sinus cleaning and curettage can be a good alternative in the treatment of chronic frontal sinus osteomielitis.

Key words:
Frontal Sinus
Obliteration
Chronic Osteomyelitis
Tibia
Bone graft
Platelet-rich plasma

Artículo

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