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CIR

Revista Virtual Individual

Autores: Fabián Adolfo Parra Fuentes, Mónica Natalia Venegas Torres, Camilo Alberto Caicedo Montaño, Martín Fernando Orozco Fernández, Catalina Wilches Vanegas

Las anomalías dentofaciales (ADF) son un motivo frecuente de consulta en los servicios de cirugía maxilofacial, puesto que el diagnóstico por imagen es importante para la planificación y el seguimiento quirúrgico. Las ADF se refieren a la desviación significativa de las proporciones normales del complejo maxilomandibular, que afectan negativamente la oclusión dental. El manejo de estas alteraciones se realiza principalmente con cirugía ortognática, que busca el reposicionamiento de los componentes dentales y del esqueleto facial mediante una combinación de procedimientos. Los estudios de tomografía axial computarizada permiten a los cirujanos maxilofaciales establecer el tipo de anomalía, identificar los hallazgos asociados —alteraciones de la respiración—, realizar simulaciones quirúrgicas y definir una planificación quirúrgica precisa. Los grupos de trabajo interdisciplinarios y el conocimiento mínimo del lenguaje utilizado en el manejo de las ADF permiten un mejor abordaje de las modalidades de imagen, así como el reporte de información relevante para el manejo clínico de los pacientes.

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Dentofacial anomalies (DFA) are a frequent reason for consultation in maxillofacial surgery departments, since diagnostic imaging is important for surgical planning and follow-up. DFA refers to significant deviation from the normal proportions of the maxillomandibular complex, which negatively affects dental occlusion. The management of these alterations is mainly performed with orthognathic surgery, which seeks the repositioning of dental and facial skeletal components through a combination of procedures. Computerized axial tomography studies allow maxillofacial surgeons to establish the type of anomaly, identify associated findings —breathing alterations—, perform surgical simulations and define precise surgical planning. Interdisciplinary working groups and minimal knowledge of the language used in the management of DFAs allow a better approach to imaging modalities, as well as the reporting of relevant information for the clinical management of patients.

PDF

Dentofacial anomalies (DFA) are a frequent reason for consultation in maxillofacial surgery departments, since diagnostic imaging is important for surgical planning and follow-up. DFA refers to significant deviation from the normal proportions of the maxillomandibular complex, which negatively affects dental occlusion. The management of these alterations is mainly performed with orthognathic surgery, which seeks the repositioning of dental and facial skeletal components through a combination of procedures. Computerized axial tomography studies allow maxillofacial surgeons to establish the type of anomaly, identify associated findings —breathing alterations—, perform surgical simulations and define precise surgical planning. Interdisciplinary working groups and minimal knowledge of the language used in the management of DFAs allow a better approach to imaging modalities, as well as the reporting of relevant information for the clinical management of patients.