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Biomedical subjects

Pat Ricalde

Publications and source records attributed to Pat Ricalde.

5 recordsLinked to original sources

Strength analysis of titanium and resorbable internal fixation in a mandibulotomy model.

PURPOSE: Mandibulotomy is used to access various tumors of the tongue base, posterior oral cavity, pharynx, parapharyngeal space, and cranial base. Internal fixation using titanium plates and screws is the most common method of stabilization. These have the potential for interference with radiotherapy delivery. This in vitro study compares the strength of titanium and resorbable internal fixation in a mandibulotomy model by analyzing the force required for plate and screw breakage. MATERIALS AND METHODS: Red oak wood board was used to simulate the mandible. Titanium and resorbable plates and screws in various configurations were used to stabilize pieces of the wood. They were arranged in 6 different groups. The specimens were individually tested with a vertical load, while the test machine recorded the force-versus-displacement behavior automatically. RESULTS: Plate type and configuration affected the applied load required to induce displacement of the simulated mandibulotomy. Heating and cooling the resorbable plates prior to strength testing also affected the load-versus-displacement curve. CONCLUSIONS: Overall, the titanium system we studied exhibited greater resistance to deformation from a vertical load than did the resorbable plate groups.

Absorbable Implants↗

Cleft-orthognathic surgery.

For the cleft patient presenting in adolescence with a jaw discrepancy and malocclusion, misinformation and limited available surgical and dental expertise often prevents a favorable facial reconstruction and dental rehabilitation. A major advantage of the modified Le Fort I osteotomy is its ability to simultaneously close cleft dental gap(s), resolve oronasal fistulas, manage skeletal defects, stabilize dentoalveolar segments, and correct jaw deformities. When a thoughtful staging of reconstruction is undertaken, individuals born with cleft lip and palate can reach adolescence after undergoing only a limited number of operations and interventions, without negative attention being drawn to their original malformation.

Adolescent↗

Angioleiomyoma of the tongue.

A case of angioleiomyoma of the tongue is detailed. The patient sought treatment for a painless, rubbery mass of 10 years duration. The tumor was unusual, appearing bilobed, with the dorsal aspect whitish in color and a blue ventral component. Occasional episodes of numbness were noted. Biopsy of the lesion demonstrated bundles of smooth muscle cells surrounding numerous vascular spaces. The patient was lost to follow-up; as a result, a complete surgical excision of the tumor was not performed.

Actins↗