Rocio me preocupa lo de alejandro y yo quiero ayudar ya que no me han dado tema y por eso estoy

mirando desde la base de la facultad de medicina en ginebra y me salen estos articulos a lo mejor
puedes tu bajarlos porque ami no me permite, pero te mando los termino MHES espero que te sirva
y lunes hablaremos con alejandro, espero comprendas mi preocupacion si necesitas algo porfavor
no me excluyas quiero ayudar. Cuidate besos.

Abstract
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Chir Main. 2015 Feb;34(1):49-54. doi: 10.1016/j.main.2014.12.001. Epub 2015 Jan 15.
Secondary restoration of fingertip sensation with Littler's
heterodigital neurovascular island flap after ring avulsion
injury: Report of two cases.
Peraut E1, Mirous MP2, Chammas M3.
Author information

Abstract
Treatment of ring avulsion injuries is technically challenging. Surgical success
depends not only on revascularization and anatomic restoration but also on
functional recovery. A functional finger is mobile and sensible. We report two cases
of secondary restoration of the finger pulp's sensibility with Littler's heterodigital
neurovascular island flap after a ring avulsion injury. Two patients (47-year-old
physiotherapist and 21-year-old student) suffered a degloving injury of the 4th finger
on the left hand, classified in Urbaniak class III and Kay-Adani class IVd. The
emergency treatment consisted in replantation with suture repair of the ulnar proper
palmar digital artery; the nerve was not repaired due to its avulsion from the pulp.
Four months later, once the vascularization was stable, restoration of the fingertip's
sensibility was done using Littler's heterodigital neurovascular island flap. The 3rd
finger's ulnar palmar digital pedicle was dissected using a hemi-Bruner incision.
The pedicled flap was brought to the host site after being tunneled through the 4th
finger's base. A split skin graft was performed at the donor site. After three years of
follow-up, two-point discrimination on the 4th finger's radial pulp was 5mm and
cortical integration was satisfactory. The donor site had only tactile sensitivity. The
DASH (Disabilities of the Arm, Shoulder and Hand) score was 13.3 and 11.7, and
the total arc of motion was 90° and 180°, respectively. Littler's flap seems to be
appropriate for restoring sensation at fingertip after ring avulsion injuries. Donor site
complications seem acceptable.
Copyright © 2015 Elsevier Masson SAS. All rights reserved.
KEYWORDS:
Degloved digit; Doigt long; Heterodigital neurovascular island flap; Lambeau de Littler;
Lambeau neurovasculaire hétérodigital; Littler's flap; Resensibilisation pulpaire;
Restoration of sensibility; Ring avulsion injury (class III); Ring finger
Pediatr Dent. 2015;37(1):1-6.
Revascularization of Immature, Nonvital Permanent Tooth
Using Platelet-rich Fibrin in Children.
Nagaveni NB1, Poornima P2, Joshi JS2, Pathak S2, Nandini DB3.
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Abstract
The purpose of this paper was to present a new approach wherein
revascularization of the immature, nonvital permanent tooth was performed using
platelet-rich fibrin (PRF) as a novel scaffold material. This was performed after
disinfection of the root canal space using triple antibiotic paste followed by placing a
PRF membrane in the root canal. The patient was followed up regularly at three-,
six-, nine-, and 12-month intervals for review. After 12 months, clinical examination
showed negative response to percussion and palpation tests but positive response
to cold and electric pulp tests. Radiographic examination revealed continued
thickening of the root dentinal walls, narrowing of root canal space, root
lengthening, and closure of the root apex with normal periradicular architecture.
However, more clinical research using large samples is necessary to prove it
advantageous for regenerative endodontic therapy in children.
Abstract
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Eur J Paediatr Dent. 2014 Jul;15(2 Suppl):203-6.

Revascularization in an immature necrotic permanent incisor
after severe intrusive luxation injury: a case report.
Cantekin K1, Herdem G1, Peduk K1.
Author information

Abstract
BACKGROUND:
Pulp necrosis as a result of trauma is common in almost all intruded teeth, and the
ideal treatment method for intruded immature and necrotic teeth has not yet been
determined. Therefore, the aim of this report was to present a case of pulp
revascularisation in a severely intruded immature maxillary right incisor.
CASE REPORT:
After clinical and radiographic examination, the incisor was defined as necrotic.
Revascularisation therapy was performed over multiple appointments. After 21
months of recall appointments, healing of the periapical area and apical closure
were seen to be complete. However, at the 27-month appointment, the vitality tests
were negative and revascularisation of the right incisor, which had intrusion injuries,
had not occurred. The tooth underwent root canal treatment. Finally, the tooth
spontaneously erupted into the vestibule and was repositioned with orthodontic
appliances.
CONCLUSION:
Although revascularisation can promote continued root development and root
dentin apposition, long-term root canal treatment may be required due to treatment
results with periapical inflammation in intruded teeth with open apices.