Medicine and Oral and Maxillofacial Surgery: Medicine and Oral and Maxillofacial Surgery

    

CUSTOM MASK

Referenced Procedure in Intellectual Property on 18/5/2020)

The system can allow the patient or the interlocutors, to the case, can feel better related, with the Professional, to the case and others.
Dr. F. Hernandez Altemir
Collegiate 505004161

 

 

Referenced Procedure for Intellectual Property, Zaragoza May 2020

Thought

Dr. F. Hernández Altemir ( Covid-May 19 2020)

click here 1

ANYTHING ELSE, TO DEFEND AGAINST COVID-19 IN SURGICAL ACTS

All who follow, With the intention of removing or at least decreasing, the flights, to the Covid-19, in practice of the:
ODONTOESTOMATOLOGICAL AND CRANEOMAXYLLOFACIAL HEAD AND NECK TERRITORY SPECIALTIES
IT IS INCLUDED, OF OTHER SURGICAL SPECIALTIES, REQUIRING INVASIVE PRACTICES WITH FAVORING INSTRUMENTATIONS OF THE DISSEMINATION OF FLUIDS OR PARTICLES

recommendations

Madrid, 15 April 2020
Given the current situation due to the pandemic caused by COVID-19,
and following international protocols, the General Council
issues the following good practice recommendations for emergency care:

Toca TO INVESTIGATE THE COVID cure-19 !

(Investigation project)
GOVERNMENT OF ARAGON
General Registry of Intellectual Property
SEAT NUMBER REGISTRY 10 / 2020 / 123
Author HERNANDEZ Altemir, Francisco
No.. request: Z-94-20
Filing date and effects: 24/02/2020
Registration No. Output: 131
The confidential
SPAIN BEGINS ITS TESTS
Covid's Life-Saving Experimental Plasma Treatment for Patients
Health
The best of Health
Study starts in Andalusia to evaluate the efficacy of plasma treatment of patients who have passed Covid-19
FDA APPROVES A SALIVA TEST TO DETECT CORONAVIRUS-19
KISSES COVID-19
Perhaps it should not be discarded, the possibility of transmitting immunity, through word of mouth kissing ( with its secretions ), between relatives, that Coronavirus-19 had passed and from cultivated kisses of these characteristics, to immunize, not only to those close to you, but to third parties, in order to create immunity to third parties.
It could be a means, with great diffusing capacity, cheap and of course it would require, especially, if used outside the family environment ( and in specific cases, of the latter) knowing your medical history and possible pathologies, so as not to transmit undesirable diseases.
The cultivated kisses, of patients, who have outgrown coronavirus-19 in turn, could be processed in the laboratory, to try to boost your immune capabilities, and transform them into true vaccines.
Dr. F. Hernandez Altemir
Medical Colegiado 505004161

BASIC VITAL SUPPORT

(RECOMMENDATIONS AS 2010 DEL EUROPEAN RESUSCITATION COUNCIL)

click here

1is Simposio SECPF – SECOMCyC

FINAL PROGRAM
COSMETIC SURGERY FACE: MAKING A DIFFERENCE
MADRID 14-15 February 2020
For our Proposal (*), the Directorate of the SYMPOSIUM, in the session SATURDAY Miscellany, 15 FEBRUARY 2020, the hours of 16.30-18.00, name change Term: Bichectomía:
( P R O P U E S T A *)

Search results ‘bolectomia´en http://www.medicinaycirugiaoralymaxilofacial.info

Bolectomía adipose, Yugal, Bholechtomía Yugal, Bolectomía (Bichectomy term replacement proposal)

See Article TERRITORIAL REGISTRATION OF INTELLECTUAL PROPERTY OF ARAGON Library of Aragon C / Doctor Cerrada 22, 3No. Registration No. Output: 284 Zaragoza 22 JUNE 2017 FRAY LUIS HERNANDEZ FRANCISCO ALTEMIR AMIGÓ 8 -0 -50006. B-ZARAGOZA

click here 3

INSTRUMENTAL TO FACILITATE submental INTUBATION!

New device for submental endotracheal intubation

click here

Does Le Fort I Osteotomy Have an Influence on Nasal Cavity and Septum Deviation?

The amount of septal deviation observed after surgery.

It may depend on the direction and magnitude of the

movement of the jaw during the osteotomy LI. In consecuense,

Previous studies revealed that the direction and method

movement of maxillary osteotomies influenced by LI

the nasal area and the nasal septum. [23] Another reason for

septal deviation after osteotomies L1 is dislocated by a

partially deflated cuff during extubation [24] e Ibrahim

et al.

[10] offered submental endotracheal intubation

technique (in which the endotracheal tube is placed

directly under the chin) To prevent damage to the nasal septum.

further, This technique provides the surgeon

with a clear view of the surgical field, It allows easy

display occlusal edges, dental midlines, superior

height of the lip and has no effect on any bone structure. That

It also allows concurrent rhinoplasty and offers a

access to the nasal septum.
The amount of septal deviation seen after the surgery may depend on the direction and the magnitude of the movement of maxilla during LI osteotomy. Accordingly, previous studies revealed that the direction and method of the maxillary movement with LI osteotomies influence the nasal area and nasal septum.[23] Another reason for septal deviation after L1 osteotomies is dislocation by a partially deflated cuff during extubation[24] and Ibrahim et al. [10] offered submental orotracheal intubation technique (in which the endotracheal tube is placed directly under the chin) to avoid nasal septal damages. Additionally, this technique provides the surgeon with a clear view of the surgical field, enables easy visualization of occlusal cants, dental midlines, upper lip height and has no effect to any bony structure. It also allows concurrent rhinoplasty and offers an inferior access to the nasal septum

Influence of the Digital Mock-Up and Experience on the Ability to Determine the Prosthetically Correct Dental Implant Position during Digital Planning: An In Vitro Study

Miriam O'Connor Esteban, Elena Riad Deglow, Alvaro Zubizarreta-Male * and Sofía Hernández Montero
Department of Implant Surgery,
Faculty of Health Sciences, Alfonso X the Wise University,
28691 Madrid, Spain; miriam_oconnor5@hotmail.com (M.O.E.); elenariaddeglow@gmail.com (E.R.D.); shernmon@uax.es (S.H.M.)
* Correspondence: amacho@uax.es Received: 23 November 2019; Accepted: 19 December 2019; Published: 24 December 2019

PHOTOGRAMMETRY, IMPLANT DIGITAL IMPRESION

XXII CONGRESS OF THE EUROPEAN ASSOCIATION FOR CRANIOMAXILLOFACIAL SURGERY
Prague Czech Republic 27-26 September 2014
Prague Congress Centre,
the stated, the Patient, he is okay

Transparent mask

Utility Model Registration Date 10 October 1986

It took effect, in addition to their isolation capabilities, in Operating Rooms, UVIS, Wards, etc., which allow easy identification, the bearer.
The explosion in these initial dates of the 2020 China and some other countries, the Coranovirus, It has taken, as events are occurring, Darla birth again, for possible implementation, Not only, for its primary purpose Protection. Sanitary levels Asistenciales, but also, at times more or less ordinary, in airports and other transport environments and even, In day to day, that can be, in situations agglomeration or more conventional.
Manufacturing estimate, that the times, It should not be difficult, managing to maintain their isolation capabilities, to which were added the facility to recognize carriers and for more human and affective interpersonal exchange form.

Utility model U9003517

BULLETIN 02-2020 – UNIVERSAL HERITAGE OF MANKIND. ANAMNESIS

Our colleague Francisco Hernández Altemir offers the opportunity to learn more about this issue through the web
http://www.medicinaycirugiaoralymaxilofacial.info:

 

Submental endotracheal intubation: an alternative to short-term tracheostomy

January 2020
Journal of the Institute of Medicine
Department of Anaesthesiology, Tribhuvan University Teaching Hospital, Nahrjgutrg (NEPAL)

ALSO they DESERVE THE ANIMALS submental INTUBATION!

Airway management by transmylohyoid endotracheal intubation in two cats with mandibular trauma

click here

THE RICH AND THE POOR

click here 1

click here 2

NEUROSURGERY
46:6 | JUNE 2000 | 1416-1453 DOI: 10.1097/00006123-200006000-00025 1416 Anatomic Report Unilateral Upper and Lower Subtotal Maxillectomy Approaches to the Cranial Base: Microsurgical Anatomy Tsutomu Hitotsumatsu, M.D., Ph.D.1 , Albert L. Rhoton, Jr., M.D.1 1Department of Neurological Surgery, University of Florida, Gainesville, Flower
Upper maxillectomy The upper maxillectomy yields anterior access to the posterior part of the central cranial base that is limited by the Eustachian tube superiorly and the hard palate inferiorly, even after the pterygoid process is removed (Fig. 5, N–P). Retracting the ipsilateral pharyngeal wall to the opposite side with division of the Eustachian tube produces somewhat limited access to the clivus and C1. Downloaded from https://academic.oup.com/neurosurgery/article-abstract/46/6/1416/2925972 by University of Zaragoza user on 02 January 2020 1449 Intracranial stage Upper maxillectomy Combining the upper maxillectomy with a frontotemporal craniotomy provides intradural access to the anterior and middle cranial fossae, the frontal and temporal lobes, and the basal cisterns by the subfrontal, pterional, pretemporal, and subtemporal routes (Fig. 5, L and Q). Removal of the greater sphenoid wing and floor of the middle cranial fossa opens the superior orbital fissure, round holes, oval, and spinosum, and it accesses the lateral wall of the cavernous sinus (Fig. 5, M–R). Drilling the base of the pterygoid plate exposes the pterygoid canal inferomedial to the foramen rotundum. Entry to the sphenoid sinus is obtained by drilling its lateral wall between the ophthalmic and maxillary nerves, or by drilling the anterior part of the root of the pterygoid process above the pterygoid canal. However, the space between the pterygoid canal and foramen rotundum is limited (Fig. 5S). Continued extradural dissection to the posterior part of the middle cranial fossa exposes the anterior surface of the petrous temporal bone, the trigeminal ganglion in Meckel’s cave, and the greater and lesser petrosal nerves in their grooves on the floor of the middle fossa. Drilling the apex of the petrous temporal bone behind the petrous carotid with opening of the dura accesses the anterolateral aspect of the upper brainstem, although the exposure is very limited. Anterior transposition of the petrous carotid is required to reach the central part of the clivus from this lateral exposure. The lateral access is best suited to exposing lesions at the petroclival junction rather than those centrally located in the clivus. Lower maxillectomy The lower maxillectomy, with removal of the clivus and anterior elements of the upper cervical vertebrae, provides reasonable intradural access to the front of the pons, the medulla, and the cervical spinal cord above C4 as well as the basilar and vertebral arteries (Fig. 4, P–S). The vital structures that provide the lateral limits to the extradural bone removal and the intradural exposure include the petrous and intracavernous carotid, especially the artery on the ipsilateral side; the abducent nerve in Dorello’s canals, particularly the contralateral nerve located at the anterosuperior end of the petrous apex; and the hypoglossal canals and occipital condyles. Opening the basilar venous plexus, which crosses behind the upper clivus and the posterior wall of the sphenoid sinus, may result in profuse hemorrhaging. DISCUSSION Among the various anterior routes to the central cranial base, the route most frequently selected for lesions involving the lower clivus and adjacent vertebral bodies has been the transoral approach (12,13). The upper and middle portions of the clivus are also accessible by the Le Fort I transverse maxillotomy, and the additional median section of either the hard or both the hard and soft palates increases the clival exposure, although Cocke and Robertson (9 ) and Cocke et al. ( 10) conclude that the unilateral maxillectomy provides a more extensive exposure than some bilateral approaches, such as the Le Fort I (1,4,23,28). The hemimaxillectomy approach described by Hernández-Altemir (16) accessed both the transmaxillary and transoral routes. Subsequent modifications and extensions have provided added exposure of both the central and the lateral cranial base, permitting en bloc excision of large neoplasms by selecting and combining the osteotomies on the basis of the extent of disease (7,8,10,15,18,19,21). The osteotomies for completing the upper and lower maxillectomy approaches are divided into four basic units: maxillary body, orbital rim, hard palate, and zygomatic arch; and three extended units: coronoid process, pterygoid process, and frontotemporal craniotomy (Fig. 3). The maxillary sinus is a core space for these approaches through which the retromaxillary area can be reached without violating any vital structure, although the transantral route alone provides very limited exposure (11). Removal of the medial orbital rim provides access to the ethmoid and frontal sinuses, cribriform plate, and the anterior face of the sphenoid sinus through the medial orbital route as in the lateral rhinotomy or medial maxillectomy approach; however, temporary sectioning of the medial palpebral ligament and the nasolacrimal duct usually is necessary (27). If the osteotomy involves the lower orbital rim and floor, the infraorbital nerve must be transected. A palatal osteotomy combined with a cut through the maxillary body below the orbital floor enables transmaxillary access to be combined with transoral access, and increases the anterior exposure of the central cranial base. Zygomatic arch osteotomy facilitates the lateral exposure of the upper part of the infratemporal fossa and the middle cranial fossa by allowing reflection of division of the temporalis muscle. Transection of the coronoid process opens the lateral aspect of the infratemporal fossa and allows early exposure of the maxillary artery for control of bleeding, which is common during the maxillary osteotomy. The sphenoid pterygoid process separates the central from the lateral cranial base and blocks anterolateral access to the central cranial base. Removing the pterygoid process provides exposure extending from the central to the lateral cranial base and allows for wide anterolateral access to the clivus and upper cervical spine. The frontotemporal craniotomy, when combined with an orbitozygomatic osteotomy and removal of the floor of the middle cranial fossa, provides lateral access to the cavernous sinus, the sphenoid sinus, and the petrous apex extradurally, and the frontal and temporal lobes and the basal cisterns intradurally

INDIA AVIATION ORGANIZATION COURSE ROUTE

How to arrange and conduct a successful CME event on airway management

Tanmay Tiwari1, Prem Raj Singh1, Tanya Tripathi2

ABSTRACT

Medicine is an ever-evolving branch of science, which requires regular teaching and training for the core purpose of patient safety. Physicians around the world are attending newer courses, workshops and continuing medical education (CME) programs to enhance their individual clinical skills. These courses offer much beyond the didactic lectures and are now routinely recommended by the regulatory authorities of most of the countries. This article will provide in-depth information for the conceptualization, planning and conduct of any educational medical course with a special reference to airway management. Key words: Accreditation, Airway, Anesthesiologists, Education, Physicians, Continuing medical education-

1Associate Professor, Department of Anesthesiology, King George’s Medical University, Lucknow, (India) 2Resident, Department of Pathology, Era Lucknow Medical College, Lucknow, (India) Correspondence: Dr. Tanmay Tiwari Assistant Professor Department of Anesthesia & Critical Care King George’s Medical University, Lucknow, (India) Email: tanmayanesthesia@gmail.com Phone: +91-9452526270 Received: 26 August 2019, Reviewed: 29 August, 7 September 2019, Revised: 4 September 2019, Accepted: 14 September 2019

click here

PREPARATION Academic program preparation: Academic or scientific schedule is the actual soul of the CME and workshop, therefore it should be attractive, with hot topics and with renowned speakers. Academic schedule for the course is decided by a core group of organizing team, comprising of senior anesthesiologists with sufficient teaching and working experience in the field of anesthesia. Academic schedule is usually divided into thematic sessions; Morning session of about 4 hours should comprise of keynote lectures, ‘how-I-do-it’ problem based case discussion, video session showing different approaches to airway management using various gadgets and techniques, and Afternoon session of 4 hours including hands on workshop on various workstations. Keynote lectures are allotted to senior academicians who have extensive experience in the field of airway management. These lectures should cover topics like ‘Airway Assessment- Current Status’, ‘Difficult Airway Guidelines’, ‘Ultrasonography (ultrasound) of Airway’, Apneic Óxygenation’, and ; Extubation of Difficult Airway’. ‘How-I-do-it’ – Problem based case discussions are short case based scenarios of difficult airway; on topics which include airway management in morbidly obese, burns, pediatric cleft lip palate, head and neck trauma, temporo-mandibular joint ankylosis, upper airway malignancy, and pregnancy. For this session practical approaches to particular cases are discussed with special take home message content. The final session before lunch may be planned as a video session which showcases the tricks and special paper 320 ANAESTH, PAIN & INTENSIVE CARE; VOL 23(3) AUGUST 2019 techniques of multiple alternative approaches to difficult intubation like submental intubation, retrograde intubation, lightwand assisted intubation, blind awake nasotracheal intubation, percutaneous cricothyroidotomy and awake fiberoptic intubation. Post lunch afternoon session of the course may be planned for the interactive hands on workshops for participants at multiple workstations. Workstations (Table 1) provide an opportunity to the participants to be acquainted with different options available for airway management, from easier to the most difficult scenario, according to the Guidelines of Difficult Airway Society (THE). The total duration of the CME + workshop may be from 0900 hours to 1800 hours in the evening (Total content hours of 8 hours + 1 hour break) in a day. Guest Faculty: We must aim to complete the scientific agenda with confirmed speakers. All official invites to the respective faculty members are sent 45 days before the course, so that they have ample time to prepare their talks. Faculty for the course may be selected from the host institution or other reputed national institutions. Some visiting international faculty can be an advantage. All the faculty are reminded from time to time and are requested to strictly comply with their allotted time for the talks. To avoid lapse in the program, few potential faculty from the organizing committee itself are kept in reserve and are asked to prepare a topic to be presented in case of failure of an invited faculty to attend the event. Announcement & Delegate Registration: A successful academic course or workshop requires a decent number of participants. Endorsement by professional bodies can be helpful, but dissemination of an impactful poster or brochure with original content of scientific agenda with renowned speakers on all available venues is required. To get maximum participation, details of the course need to be widely circulated in nearby hospitals, medical colleges and institutions using both print and electronic media. The course is also publicized through institutional website and electronic media through e-mails and WhatsApp messenger. The announcement posters must clearly mention essential information for the participants as given in Box 1. Box 1: Desirable information in announcement posters 1. The host institution 2. Title of the event 3. Venue 4. Day, dates and timings 5. Course director 6. National / local faculty 7. International faculty 8. Objectives 9. Who should attend 10. CME credits 11. Course program 12. Registration details; Fee; Bank account details special paper Table 1: Hands-on workstations and equipment required Workstation Equipment Workstation 1: Basic face mask techniques Face masks, Assorted types and sizes; Guedal oropharyngeal airway; Nasopharyngeal airway; Ambu bag; Airway manikin; Gel Workstation 2: Supraglottic airway (SGA or SGD) I come; Air-Q; LMA Classic; LMA Proseal; FasTrach,or the LMA Supreme. The LMA Unique; Combitube; Laryngeal tube; Airway manikin; Gel Workstation 3: Intubation; routine Endotracheal tubes, assorted sizes; McGill Laryngoscope handle, adult, pediatric; Macintosh laryngoscope blade, assorted sizes; Miller blade, assorted sizes; McCoy blades, two sizes; Intubation trainer manikin; Gel Workstation 4: Intubation; Difficult Endotracheal tubes, assorted sizes; Video laryngoscopes (rigid) VividTrac®, King Vision®, V-Mac® (Storz), C-Mac®, GlideScope®, McGrath MAC®, Pentax-Airway Scope® Airtraq®, Bonfils®, Bullard® laryngoscope, Ambu A-scope® ETView®, TruView®, Trachlight®, Shikani® Intubation trainer manikin; Gel Workstation 5: Intubation; Difficult Endotracheal tubes, assorted sizes; Flexible fiberoptic bronchoscope, adult, pediatric; Berman and Ovassapian airways; Intubation trainer manikin; Gel Workstation 6: Surgical airway Cricothyroidotomy set; Cricothyroidotom

ZARAGOZA'S UNIVERSITY

T E S I S DOCTORAL
INTUBACION SUBMENTAL
Drag. S u s a n a H e r n á n d e z M o n t e r o

OUR TECHNIQUE IN DISTRACTION 1984

PRESIONES HIDRODINAMICAS ALTERNANTES RINOFARINGEAS
IN FRACTURE TREATMENT
OF THE MIDDLE THIRD FACE (P.H.A.R.)
Dr. F. Hernández Altemir
( CASE FOR SELECTED)
in
STOMA
MEDICAL JOURNAL OF DENTISTRY AND CONTROL
V O L U M E N IV 1984 Number 1

R T D MAGAZINE SCIENTIFIC INFORMATION

ISSN 1028-9933
Volume 97 No.1 January – February 2018
Parotidectomia. Experience of 1992-2013
Parotidectomy 1992-2013 experience
Pedro Eladio Sánchez Rosell, Porfirio Pérez Galano, Pedro Eladio Sánchez Lafita,
Manuel de Jesús Castro Toirac, Edilandrt Ruiz Correa
10- CITA BIBLIOGRÁFICA; F. Hernandez Altemir
Parotidectomía y vena facial Parotidectomy and facial vein
F. Hernandez Altemir1, S. Hernandez Montero2, S. Hernandez Montero3, E. Hernandez Montero4
1 Stomatologist Doctor degree and Specialist in Oral and Maxillofacial Surgery. Founding member of European Society of Cranio-Maxillofacial Surgery. Corresponding Member of the Royal Academy of Medicine of Zaragoza. Spain 2 Drag. Medicine and Surgery and Bachelor Medical Dentist and Specialist in Oral and Maxillofacial Surgery. Academy Director of the Official Master of Dental Implantology and Prosthetic implant of Alfonso X el Sabio University of Madrid. 3 Bachelor of Medicine and Surgery, medical Dentist. Professor of Oral Pathology Bachelor of Dentistry, Faculty of Health Sciences and Sport (Huesca) at the University of Zaragoza. Spain 4 Specialist medical practitioner Otolaryngology Viladecans Hospital and the Institute of Neuro-Otology García Ibáñez de Barcelona. Spain Correspondence: Dr. F. Hernández Altemir Web: www.headandneck.es Email: Drahernndeshltemir @ it

Nasolabial soft tissue effects of segmented and non-segmented Le Fort I osteotomy using a modified alar cinch technique-a cone beam computed tomography evaluation

(*):
Raithatha R, Naini FB, Patel S, Sherriff M, Witherow
H. Long-term stability of limiting nasal alar base width changes with a cinch suture following Le Fort I osteotomy with submental intubation.
Int J Oral Maxillofac Surg 2017;46:1372–9.

Translated from Japanese

clinical Statistics

Clinical Study 13 panfacial fracture cases treated in our department.

Shinsuke Yamamoto 1) Atsushi Maeda 1) Yui Hirai 2) Atsushi Shudo 3) Kyo Uehara 4) Ken Ken Ueike 4) Naoki Taniike 1) Toshihiko Takenobu 1)

1) Department of Dental and Oral Surgery, Kobe City Medical Center

(President: Toshihiko Takenobu)

2) Department of Dental and Oral Surgery, Kobe City Nishi-Kobe Medical Center

(Chief: Taishi Iwaki)

3) Department of Dental and Oral Surgery, Hospital Kishiwada Tokushukai

(Chief: Director Kuroda)

4) Department of Dental and Oral Surgery, Hospital Municipal de Me

(Chief: Director Kayo Tamura)

(Accepted: 3 September 1980)

Clinical evaluation 13 panfacial cases of fractures

Y A M A M O T O S h i n s u k e 1 ) , M A E D A K e i g o 1 ) , H I R A I Y u z o 2 ) , S H U D O A t s u s h i 3 ) , U E H A R A K y O n O r i 4 ) , T A N II K E N una k i 1 ) y Takenobu Toshihiko 1)

1) Department of Oral and Maxillofacial Surgery, General Hospital Medical Center City Kobe

(Chief: Dr. TAKENOBU Toshihiko)

2) Department of Oral and Maxillofacial Surgery, Kobe City Nishi-Kobe Medical Center

(Chief : Dr. IWAKI Futoshi)

3) Department of Oral and Maxillofacial Surgery, Hospital Kishiwada Tokushukai

(Chief: Dr. KURODA Takashi)

4) Department of Oral and Maxillofacial Surgery, City Hospital Ako

(Chief : Dr. TAMURA Kayo)

(Accepted for publication: 3 of September 2019)

click here

click here

EHR

click here

Computer-Assisted 3D Reconstruction in Oral and Maxillofacial Surgery

Year 2019 (Page 76 from the article)
Submental oro-tracheal intubation was developed in order to avoid the need for tracheotomy and to permit unfettered access to the oral region. This type of intubation is done (a) in patients with comminuted fracture of the midface or the nose, where nasal intubation is contraindicated, (b) inpatients who require restoration of the occlusion, and (c) patients whose condition permits extubation at the end of surgery [78]. The neck pathology and normal anatomy can be easily diagnosed using 3-D reconstruction of this submental region to prevent complication of submental intubation.

British Journal of Oral and Maxillofacial Surgery

Submental intubation in oral and maxillofacial surgery: a systematic review 1986–2018

Volume 57, Issue 8 October 2019 ISSN 0266-4356

Madrid

C I B E L E S

Official Association of the First Region

7 November the 2019

Accession to the proposal that the "anamnesis" can be considered, Universal Heritage

click here

Clinical Anatomy of Submental Intubation A Review of the Indications, Technique, and a Modified Approach

DeAsia D. Jacob, MD, Fatma B. Tuncer, MD, David L. Kashan, MD, and Raffi Gurunluoglu, MD, PhD, FACS
Annals of Plastic Surgery • Volume 00, Number 00, Month 2019

Access to the Skull Base: Modular Facial Disassembly

The Journal of Craniofacial Surgery • Volume 25, Number 4, September 2014

International Journal of Recent Advances in Multidisciplinary Research

Vol. 06, Issue 07, pp.5064-5066, July, 2019
RESEARCH ARTICLE
SUBMENTAL INTUBATION: A USEFUL ALTERNATIVE FOR FACIAL TRAUMA SURGERY. CASE REPORT
1,*Denise Vazquez Bautista Yuliana, 2 Castillo García and Lourdes Trinidad 3 Norma Elizabeth Carrillo Molina
1 Anesthesiologist, Department of Anesthesiology, American British Cowdray Medical Center, Mexico
2 Anesthesiologist, Pain medicine, Department of Anesthesiology, American British Cowdray Medical Center, Mexico
3 Anesthesiologist, Critical care, Department of Anesthesiology, American British Cowdray Medical Center, Mexico

Traumatized CRANIOFACIAL WITH INJURY ACCESS ROADS RECALL transfacial

Case report submitted by Dr. Don Alberto Berguer

Ver Video

 

Official College of Dentistry and Stomatology of Aragon

NEWS BULLETIN
7 0ctubre 2019

UNIVERSAL HERITAGE ANAMNESIS
Accompanying the proposed flag of Clinical History

click here

Chronic hypoxemia factor aetiopathogenic producer atypia Cell Cancer Oral Cavity and other mucosal epithelia Agency

1 9 9 2
FOR YOU HAVE ANY CONNECTION WITH
2 01 9

Dr hypothesis work. F. Hernández Altemir, a possible etiology of cancer, when hypoxemia, still it seemed contemplated, in these areas. "explanations" appear thereon, primarily based on clinical observation and synthesized on a poster, with dates and places where he unveiled:

Zaragoza, 9 al 12 from December to 1992
Aragones III Congress of Medicine, Surgery and Nursing and Medical Specialties

MINISTRY OF EDUCATION AND TRAINING

Proposal anamnesis pass to be considered
universal material heritage of humanity
Madrid, 25 September 2019
Madrid, 21 October 2019

Juvenile Nasopharyngeal Angiofibroma Surgical Treatment in Paediatric Patients 2019

(All the 61 patients, Intubation operated under submental)

SPANISH SOCIETY XIV NATIONAL CONGRESS OF SKULL BASE

Alicante in October 24-25,
I precongress 23 October 2019
Diploma Pre-Congress: click here
Diploma Congress Assistance: click here
Diploma A Basis of the Skull?: click here
Poster: click here

OPENING DOORS WE!

Zygomatic swing approach to the infratemporal fossa
2 0 1 9

COLLEGIATE NEWS BULLETIN

OFFICIAL Association Dentistry and Stomatology ARAGON
ZARAGOZA- HUESCA-TERUEL
Nº. 35 (18.09.19)
CULTURAL EVENTS AND SCIENTISTS

BACKGROUND FOR POSSIBLE FLAG OF ANAMNESIS

click here

PORTRAIT OF MEDICAL DOCTORS ILUSTRES HISTORY ON CLINIC (See here)

ARAGON (SPAIN)

THE ROYAL ACADEMY OF MEDICINE OF ZARAGOZA

It adheres to the proposal that the “Anamnesis” you can consider

Universal Heritage

Adhesion RAME

ANAMNESIS (CLINICAL HISTORY) HERITAGE OF HUMANITY?

Tell you a story ……

Memories / 1) and News (2)

(1) -As a student in the Complutense University of Madrid, in the Bachelor of Medicine and Surgery, we were among other disciplines: Internal student

of General Pathology, in the Chair of Professor Bermejillo, for later, in the same condition, three years, in the Internal Medicine, of Professor Dr. Don Vicente Gilsanz.

We saw and explored patients, in the Consultations, where our Professor was, Dr.Descalzo, who collected our Histories and Clinical Explorations, for later,

If the clinical case, it was interesting, upload them to the Session of Don Vicente and of course, we tried to go there, whenever we could.

On one occasion, Professor Gilsanz, said in his Session, this boy, has described, Cushing’s syndrome (was a server … ..).

Review that every Saturday, we celebrated, most of the Interns and on our own initiative, our own Session, of Clinical Histories and of truth, that was worth it

Not to say, of course, that we also attended the sessions of the Chair, in the Aula Magna, of the Faculty of Medicine of Atocha, which were magnificent and good, it is not for nothing, but once, we dared to say things and the partner said, say it, say it …

Also to say, that the Stomatology Degree, we did at the same time, that of, by Opposition, Pediatrics and Childcare Competition (to not abandon … the general medicine … ..).

(2) – Now for not going further back, we have been observing, that the issue was not as before and I explain:

The patient arrives, you have him sign the Data Protection and you start to Historian … (still us, on paper, as always …) and it turns out, that as I am, Stomatologist and Oral and Maxillofacial Surgeon, … of course, we see, among others , many dental processes and … .., is not uncommon, that the patient and even direct or indirect close friends, before routine questions, tell you and all that, …, what for ?, if I come, so that I look at the tooth … ..I do not know, if I need to, comment on the subject of the Computer, which covers the patient and part of the relatives ………

All this and of course, much more, it made me think, we have to protect the Clinical History, updated and unintentionally, again: Well, it came to me to propose it, for World Heritage and in that we are, for a few dates … .

Dr. F. Hernández Altemir

Medical Collegiate 505004161.

No comment

ANAMNESIS (CLINIC HISTORY) WORLD HERITAGE?

I tell a story…….
Memories /1) Science and Technology (2)
(1) -And a student at the Complutense University of Madrid, in the Bachelor of Medicine and Surgery, We were among other disciplines: internal student
General Pathology, Professor in the Department Bermejillo, for later, in the same condition, three years, in Internal Medicine, Professor Dr. Don Vicente Gilsanz..
Saw and explored patients,, in Consultations, where our teacher was, The doctor. Descalzo, collecting stories and clinical examinations, then,
If the clinical case, it was interesting, subírselas the session and as Don Vicente, We tried to go to them, whenever we could.
On one occasion, Professor Gilsanz, He said at its meeting, this guy, He described, Cushing's Syndrome (It was a server…..).
Note that every Saturday, celebrated, most internal and on its own initiative, our own Session, Medical Records and truth, it was worth
stop say, Clear, also we were attending, the sessions of the Chair, in the Aula Magna, Faculty of Medicine Atocha, they were great and good, not for nothing, but sometime, we dared to say things and fellow said, dilo, work…
also say, the Bachelor of Stomatology, we did it at the same time, than, by Opposition Contest, Paediatrics & Child Care (stop not leave….general medicine…..).
(2)- Now not go back, we have observed, the matter, it was not like before and what I mean:
Reaches the patient, You make sign the Data Protection and start Historiar…(yet we, on paper, as usual….) and is, as I am, Stomatologist and Oral and Maxillofacial Surgeon,…, Clear, we see, among others, many dental procedures and….., It is not uncommon, the patient and even relatives direct or indirect, to routine questions, And tell you all that,…, for what?, if I come, I look to the grindstone…..I do not know, if I need, Commenting on the theme Computer, Plugging the patient and the next of kin………
Todo this and clear, much more, it made me think, We must protect the health records, and accidentally updated, again: I propose therefore came, for World Heritage and that we are, since, few dates….
Dr. F. Hernández Altemir
Medical Colegiado 505004161.

THE IMPACT OF TECHNOLOGICAL ADVANCES IN CRANIO-MAXILLOFACIAL SURGERY

-V Ramón y Cajal International Symposium on Maxillofacial Surgery-
(25th JANUARY 2019)

FLOOD

IMAGES AND HISTORICAL TEXTS POLIVALENTES and scientifically

All poster and scientific material, appearing in this box, They have been painstakingly restored, after various efforts, after having deteriorated seriously, Unexpected atmospheric phenomenon and some lost.

1994 – DIVISION ENT HOSPITAL LEGNANO. Click here

1998 – CRANIOFACIAL PEDICULATION SURGERY, A NEW METHOD 01. Click here

1998 – CRANIOFACIAL PEDICULATION SURGERY, A NEW METHOD 02. Click here

1998 – RETRONASAL INTUBATION, A NEW TECHNIQUE. Click here

2002 – CRANIOFACIAL PEDICULATION SURGERY – A NEW METHOPoster IV. Click here

2002 – CRANIOFACIAL PEDICULATION SURGERY, A NEW METHOD. Click here

2002 – CRANIOFACIAL TRACTION ARCH A NEW DEVICE Poster I. Click here

2002 XVI Congress of the European Association For Craneo-Maxillofaial Surgery. Click here

A Modification of Mcfee´s for simple Radical Dissection of the Neck Retocado. Click here

A Modification of McFee´s Technique for simple Radical Dissection of the Neck. Click here

A Modification of the Radical Partial Parotidectomy with… Click here

A Modification of the Total Paratidectomy with Hemimandibulectomy and Suprahyoid Evident. Click here

A Modification of the Total Parotidectomy with Sacrifice of the Peripheric Facial Associated with Hemimandibulectomy or Ostectomy. Click here

A Modification of the Total Parotidectomy with Sacrifice of the Peripheric Facial Associated… Click here

A Modification of the Total Parotidectomy with Sacrifice of the Peripheric Facial. Click here

A Techenical Modification of the cervical Submaxillectomy. Click here

A Technical Modification of the Superficial or Total Parotidectomy Associated with Dissection of the Peripheric Facial. Click here

A Technical Modification of the Total Parotidectomy with Sacrifice of the … Click here

A Technical Modification of the Total Parotidectomy with Sacrifice of the Peripheric Facial Ass. Click here

A Technical Modification of the Total Parotidectomy with Sacrifice of the Peripheric Facial Associated with Cervical Radical Evidement. Click here

A tecnical modification of the cervical submaxillectomy. Click here

A tecnical Modification of the Radical Simple Dissection of the neck. Click here

A Tecnical Modification Of the Superficial or Total Parotidectomy. Click here

Access to the area Transfacial Retromaxilar. Click here

Arterial Catheterization Temporocarotideo Innovations. Click here

TABLE Trigeminal Nerve. Click here

Diploma I Geniápolis Inventors Hall. Click here

Exercices of the Auricular Pavillon and the Cutaneoparotid Structures Asociated with Radical Dissection… Click here

Exercices of the Auricular Pavillon and the Cutaneoparotid Structures Associated with Hemimandibulectomy and… 1. Click here

Exercices of the Auricular Pavillon and the Cutaneoparotid Structures Associated with Hemimandibulectomy and… 2. Click here

Exeresis of the auricular pavillon and the cutaneoparotid structures… Click here

Dentists III Congress. Click here

VIA submental endotracheal intubation BY COLOR. Click here

Lámina Servetus retouched. Click here

Laryngeal mask retronasally. Click here

Pericraneal Fixation of the Nasotracheal tube. Click here

Cardiac massage research project intraesophageal. Click here

Techniques for emergency situations. Click here

Transfacial Acces to the Retromaxilary Area and some Technical Modifications 2. Click here

Transfacial Acces to the Retromaxillary Area and some Technical Modifications 1. Click here

Transfacial Acces to the Retromaxillary Area. Click here

A Modification Technique superficial or total parotidectomy… Click here

Thus was born the submental INTUBATION, ONE WAY to avoid tracheostomy

CLICK HERE

Click here

CLICK HERE

PREVIOUSLY submental intubation was born fiberoptic nasotracheal intubation
(Maxillofacial III National Congress of the Spanish Society of Oral Surgery and Salamanca, the days 31 May to 3 June 1972). CLICK HERE
What he said PETER MURPHY, and full 22 NO 3 ANAESTHESIA JULY 1967. CLICK HERE
Fibrolaringoscopio. CLICK HERE
Doctoral Thesis Susana CLICK HERE

SLEEP APNEA SYNDROME

A multidisciplinary vision UPDATED
(MADRID 2018 / ·NOVEMBER)
Dr. Don Francisco Hernández Altemir

V NATIONAL CONGRESS SPANISH SOCIETY HEAD AND NECK (SECYC)

MADRID 2018
Early diagnosis and treatment of Oral Cavity Cancer

fibroma Osificante 1986 Rev. Iberoamer. Cirg. Oral and Maxilof., 8, 21 (61-68),1986

CLICK HERE

F. HERNANDEZ Altemir. And COLS.:
A CASE OF GIANT Cavum ANGIOFIBROMA INVOLVED
TECHNIQUE FOR TEMPORARY disarticulation pediculated A CHEEK maxilla,
ESTOMA VOLUME II 1982 I NUDE. I.
2- F. Hernandez Altemir:
TEMPORARY disarticulation pediculated A CHEEK maxilla (IS)
As an approach transfacial RETROMAXILARES MAINLY TO THE REGIONS AND OTHER INDICATIONS
VÏA MAXILOPTERIGOIDEA. A NEW TECHNIQUE .
ESTOMA VOLUME III 1983 ON ONE . I.

F. Hernandez Altemir, and Partners.

disarticulation temporal pedicle to cheek maxillary(is) as approach route transfacial
retromaxilares primarily to regions and for other indications
(Via maxilopterigoidea) a new technique.
Rev. Iberoamer. Cirug. Oral and Maxilof .., 5, 13 (81-102), 1983.

Access to the Skull Base – Maxillary Swing Procedure – 2018

CLICK HERE

 

1- F. Hernandez Altemir. And COLS.:
A CASE OF GIANT Cavum ANGIOFIBROMA INVOLVED
BY TEMPORARY TECHNICAL disarticulation pediculated A CHEEK maxilla,
ESTOMA VOLUME II 1982 I NUDE. I.
F. HERNANDEZ Altemir:
TEMPORARY disarticulation pediculated A CHEEK maxilla (IS)
As an approach transfacial RETROMAXILARES MAINLY TO THE REGIONS AND OTHER INDICATIONS
VIA MAXILOPTERIGOIDEA. A NEW TECHNIQUE .
ESTOMA VOLUME III 1983 ON ONE . I.

Prior Authorship

Abstract

This is a comment on a prior letter regarding authorship1 that appeared in the June 1994 issue of the Archives regarding an article by Catalano and Biller.2

The original English description of the extended maxillotomy procedure was by Hernandez-Altemir of Zaragoza, Spain.3 He had previously published this technique in a Spanish journal in 1982 and 1983.4,5 A scholarly review of all the world’s literature would have turned up this article by Hernandez-Altemir. Maybe then it would not have been reintroduced as a new procedure by three different studies.1,6,7

This episode brings to mind several problems that are becoming more apparent to readers of the otolaryngology literature. Some of it may be related to our increasing reliance on computer literature searches. If the key words used in searches do not match with similar articles, these articles will be omitted in the search results. I think this

scientific contributions 64 CONGRESS SEDO TARRAGONA 2018, 6-9 OF JUNE

DR. FRANCISCO HERNANDEZ Altemir
Just over Occlusion
Our communication “Just over Occlusion” has allowed us to think that the number 8 He will occupy in the occluding concept, unsuspected aspects, which we will revealing.

Contributions to 17 Congress of Oral Surgery and Implantology 17/18 Mayo 2018 IBIZA

ORGANIZED BY THE SPANISH SOCIETY OF ORAL AND MAXILLOFACIAL SURGERY

Certificate of Attendance at Congress. click here
Communications certificates in poster format for graduates
1-: IS THERE A TYPE OF EXPERIENCE? (Prepared for Oral Communication)
2-: NASA (Poster)
3-: ORGANIC MATERIAL PERFUSION NANOTECHNOLOGY VACIO FRIO (Poster)

III Congress of the Madrid Society of Oral and Maxillofacial Surgery 2018

Chronic hypoxemia factor aetiopathogenic producer atypia Cell Cancer Oral Cavity and other mucosal epithelia Agency.

ROYAL ACADEMY OF MEDICINE OF ZARAGOZA (1992) – MADRILEÑA SOCIETY OF ORAL AND MAXILLOFACIAL SURGERY (2018)

AUTHORS DOCTORS

Francisco Hernández Altemir *, Sofía Hernández Montero **, Elena Hernandez Hernandez Susana Montero and Montero *** ****
/*: Stomatologist and Oral and Maxillofacial Surgeon, Specialist in Plastic and Reconstructive Surgery, Specialist in Pediatrics & Child Care, Specialist in Orthopedics and Traumatology /**: Medical dentist and Oral and Maxillofacial Surgeon /***: Medical specialist in Otolaryngology and Head and Neck Surgery /****: medical Dentist (endodontics)

Bibliography:
Miguel Angel Martínez -García, Francisco Campos-Rodríguez, Isaac Almendros and Ramon Farré: Relationship between sleep apnea and cancer. Bronconeumología files 2015:51(9) 456-461.

See full article

www.medicinaycirugiaoralymaxilofacial.info

certificates

NOTE:
The doctor. Don Francisco Hernández Altemir, participates among others in:
Discussion shift Friday 26 of January of 2018 Smmax 2018:
SESSION CARCINOMA BASAL
NEW FRONTIERS IN CARCINOMA BASAL FACIAL TREATMENT
with Observations, Questions and proposals of some aspects of the Treaty on Paper:
13:20 – 13:45 Erivedge: new systemic treatment alternatives
Onofre Jimenez Sanmartin
On:
If you are known and / or there was a possibility of applying some of the Systemic medications reviewed by Road (Oral), that such excellent results seemed so perceived in the dissertation and exhibition Clinical Case, doing so, Similar pathology for Incipient Mhrough: point infiltrations.

 

UNIVERSITY HOSPITAL 12 OCTOBER

Upgrade in care of the oral cavity in cancer patients
(Madrid 1 December 2017)

CRACKS

certificates: click here

NEITHER IS MINE

31/10/2017 -Little (France).

MOBILE microsurgery

View certificate
Sometimes lighting, for very different reasons no longer appropriate and in this regard, Light Mobile, It can be a more or less temporary solution, in this case in Experimental Microsurgery. In the pictures, you can see the differences during dissection of the vessels and other structures.!
THE course Cordoba (Spain) 18-20 / 2017.

Bolectomía adipose, Yugal, Bholechtomía Yugal, Bolectomía (Bichectomy term replacement proposal)

see Article

TERRITORIAL REGISTRATION OF INTELLECTUAL PROPERTY OF ARAGON

Library Aragon C / Closed Doctor 22, 3º
Registration No. Output: 284
Zaragoza 22 JUNE 2017
FRANCISCO HERNANDEZ Altemir
FRAY LUIS AMIGÓ 8 -0 -B
50006.-ZARAGOZA

WORLD BROADCAST

PSYCOSOMATIC MANIFESTATIONS OF GASTROSTOMY IN HEAD AND NECK SURGERY
Edited by: Pavel Kohout
ISBN 978-953-307-365-1
Publisher: in Tech
Publication Date: December 2011

OUR SUGGESTIONS AND MODIFICATIONS OF PROCEDURE degloving

CHANGING GRAPHICS: “THE MIDFACE DEGLOVING PROCEDURE”

ATTACHMENT TEXT:

see more

PERIIMPLANTITIS PLAGUE OF THE CENTURY

BRIEF HISTORY OF SHIPPING PROBABLE Communication:
I DO NOT HAVE SEEN; CASE NO PERIIMPLANTITIS!

1- Scientific Biography Per-Ingvar Branemark, with osteointegrative Comments terminology around the phenomenon of titanium implants and other aspects, by Dr. Don Francisco Hernández Altemir, since 05/03/2016 until the 24/12/2016. To see
2- Scientific Biography Per-Ingvar Branemark, with osteointegrative Comments terminology around the phenomenon of titanium implants and other aspects, by Dr. Don Francisco Hernández Altemir. To see

click here

PropuestaTerminológia implant
See more

 

Plus »