<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1870-199X</journal-id>
<journal-title><![CDATA[Revista odontológica mexicana]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Odont. Mex]]></abbrev-journal-title>
<issn>1870-199X</issn>
<publisher>
<publisher-name><![CDATA[Universidad Nacional Autónoma de México, Facultad de Odontología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-199X2006000400181</article-id>
<article-id pub-id-type="doi">10.22201/fo.1870199xp.2006.10.4.15893</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Influencia de las osteotomías tipo Le Fort I sobre los cambios funcionales y estructurales del seno maxilar]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ledezma Bastardo]]></surname>
<given-names><![CDATA[Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Noriega]]></surname>
<given-names><![CDATA[Juan Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soto Hernández]]></surname>
<given-names><![CDATA[Fidel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quezada Rivera]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,UNAM Facultad de Odontología ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,UNAM Facultad de Odontología ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Médica Sur  ]]></institution>
<addr-line><![CDATA[México, DF. ]]></addr-line>
</aff>
<aff id="Af4">
<institution><![CDATA[,UNAM Facultad de Odontología ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2006</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2006</year>
</pub-date>
<volume>10</volume>
<numero>4</numero>
<fpage>181</fpage>
<lpage>189</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-199X2006000400181&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-199X2006000400181&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-199X2006000400181&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Se ha escrito mucho acerca de las bondades de la cirugía ortognática en el aspecto estético facial y funcional de los maxilares. La mayor parte de la literatura nos invita a revisar una serie de técnicas encaminadas al cuidado de las estructuras óseas y neurovasculares del lecho quirúrgico durante las osteotomías, previa realización de un diagnóstico y plan de tratamiento adecuados. Se han hecho resaltar los cambios volumétricos y de resistencia al flujo aéreo de la cavidad nasal posterior a las osteotomías de tipo Le Fort I de intrusión y/o avance. En lo que se refiere al seno maxilar, poco se ha investigado acerca de los cambios que pudieran producirse tras lesionar la membrana de Schneider de manera invariable en este tipo de cirugías. Si la mucosa sinusal es lesionada, dando lugar a la formación de un coágulo en el interior del seno maxilar, tras la realización de osteotomías tipo Le Fort I, cabría esperar cambios reales en la anatomía y funcionamiento adecuado del sistema de drenaje, así como en la limpieza, humidificación y calentamiento fisiologico del aire inspirado. En este estudio se observaron y analizaron los cambios funcionales y estructurales que se produjeron en el seno maxilar y en la cavidad nasal tras la realización de osteotomías tipo Le Fort I en cinco pacientes con requerimientos ortognáticos, mediante el análisis comparativo de estudios tomográficos, histológicos, nasoendoscópicos y clínicos subjetivos pre y posquirúrgicos. Los resultados obtenidos en esta investigacion, demostraron una reducida incidencia de la enfermedad nasosinusal en los pacientes estudiados, posterior a la realización de las osteotomías tipo Le Fort I.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Many papers have been published about the benefits of the orthognathic surgery in relation to esthetics and the functions of the jaws. Most articles invite us to review a series of surgical techniques which purpose are to take care of the bone and neurovascular structures at the surgical site, having previously done an adequate diagnosis and treatment plan. Changes in volume and air flow resistance of the nasal cavity have been mentioned after intrusion of Le Fort I osteotomies. In relation to the maxillary sinus, very little has been investigated about the changes that could be produced if the Schneider membrane was injured, during this procedure, producing a clot inside the maxillary sinus producing changes in the anatomy as well as an inadequate function of the humidification and warming of the inhaled air. This paper presents the functional and structural changes that have been produced in the maxillary sinus and in the nasal cavity after the Le Fort I osteotomies in five patients that required orthognathic surgery with a comparative analysis of preoperative arid postoperative CT scans, histological, nasoendoscopies and Clinical subjective studies. The results of this paper showed very low incidence of naso-antral problems in the group of patients studied after Le Fort I osteotomies.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Osteotomía Le Fort I]]></kwd>
<kwd lng="es"><![CDATA[sinusitis maxilar]]></kwd>
<kwd lng="es"><![CDATA[seno maxilar]]></kwd>
<kwd lng="es"><![CDATA[membrana de Schneider]]></kwd>
<kwd lng="es"><![CDATA[función nasal]]></kwd>
<kwd lng="en"><![CDATA[Le Fort I osteotomy]]></kwd>
<kwd lng="en"><![CDATA[maxillary sinusitis]]></kwd>
<kwd lng="en"><![CDATA[maxillary sinus]]></kwd>
<kwd lng="en"><![CDATA[Schneider membrane]]></kwd>
<kwd lng="en"><![CDATA[nasal function]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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