Person:
Cazar Almache, Marcelo Enrique

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Birth Date

1972-06-23

ORCID

0000-0002-6806-7442

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Afiliación

Universidad de Cuenca, Cuenca, Ecuador
Universidad de Cuenca, Dirección de Investigación, Cuenca, Ecuador
Universidad de Cuenca, Facultad de Odontología, Cuenca, Ecuador

País

Ecuador

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Facultad de Ciencias Médicas
La Facultad de Ciencias Médicas de la Universidad de Cuenca fue creada en el año 1867, convirtiéndose en una de las facultades más antiguas. La Facultad de Ciencias Médicas es un lugar donde la pasión por la salud y el compromiso con el bienestar se fusionan para formar profesionales altamente capacitados en diversas disciplinas del área de la salud. Nos enorgullece ofrecer un amplio programa académico de calidad que abarca varias áreas importantes para el bienestar de nuestra comunidad. Ofrecemos un entorno de aprendizaje enriquecedor y vanguardista, con docentes altamente capacitados y recursos actualizados. Valoramos la vinculación con lo colectivo y la investigación científica, con compromiso social al igual que ética. Nuestros graduados son reconocidos por su excelencia y están preparados para afrontar los desafíos de un mundo en constante evolución.

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Profesor (T)

Last Name

Cazar Almache

First Name

Marcelo Enrique

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Search Results

Now showing 1 - 10 of 27
  • Publication
    Análisis estético dentofacial: base de la terapéutica en deformidades faciales
    (2018) Cazar Almache, Marcelo Enrique; Abril Cordero, Luz Marina; Recendez Santillán, Norith De jesús
    The analysis and diagnosis of dentofacial alterations is the basis of the surgical orthodontic treatment of facial skullmass, facial deformities from a functional approach to a esthetics through clinical and technological tools such as imaging studies: cephalometric, cone beam tomography and stereolithographic models. The study of the facial aesthetics of the human being has been developed since antiquity based on the classic canons, which have marked as standard in the collective subconscious, the greek standards as the standard norm of facial beauty and that do not always coincide with all ethnic groups as in the case of Ecuadorian society. The present work intends to give to the student of pre and post of our means a methodology to approach the complexity of the aesthetic analysis dento facial coupling the classic interpretation to our multiculturalism.
  • Publication
    Tercer molar ectópico en seno maxilar: reporte de un caso
    (2017) Torres Cruz, Yonatan Josué; Cazar Almache, Marcelo Enrique; Miranda Villasana, José Ernesto; Palacios Vivar, Diego Esteban
    Ectopic tooth are dental organs found in a uncomon regions. There are publication that report ectopic tooth in the maxillofacial region being common sites palate, paraorbitaria region, nasal cavity, maxillary sinus, chin, coronides process and condyle. Cases have also been reported in non-dental areas such as ovary, anterior mediastinum region usually related to a teratoma. Ectopic tooth are often radiographic fi ndings because they are generally asymptomatic. Its therapeutic when found in the maxillary sinus could be conservative under periodic clinical-radiographic vigilance. Removal of these dental organs is necessary for their tendency to form cysts, develop odontogenic tumors and trigger neuropathic disorders. Surgical options are endoscopic, transnasal, Caldwell Luc or quadrangular approach. We present a case of a female of 32 years old with a diagnosis of ectopic third molar in maxillary antrum
  • Publication
    Prevalencia de las maloclusiones esqueletales en la población de la provincia del Azuay - Ecuador.
    (2021) Borja Espinosa, Diana Melissa; Cazar Almache, Marcelo Enrique; Ortega Montoya, Emily Antonieta
    Objective: To establish the prevalence of skeletal malocclusions in the population of the province of Azuay-Ecuador, through cephalometric analysis of lateral radiographs in order to make a comparison with the different regions of Ecuador. Materials and methods: Quantitative, descriptive, retrospective and longitudinal study in which clinical records of men and women between 11 and 50 years old who attended the maxillofacial surgery service of the Monte Sinaí hospital in the city of Cuenca - Ecuador were analyzed, with a diagnosis of skeletal malocclusions. 308 clinical records were obtained from 2010 to 2020, of which 202 were included in this investigation because they had a cephalometric X-ray of the patient, taken in the radiology and imaging service of the Monte Sinaí Hospital. Results: After statistical analysis, we found that 49% of the sample was class III, 43.56% class II and 7.42% class I. According to the bone base involved, class III can be presented as: maxilla normal with mandibular prognathism (35.64%), maxillary protrusion with mandibular prognathism (22.77%) or maxillary retrusion with mandibular prognathism (13.36%). Conclusion: The most prevalent skeletal malocclusion in this population is class III and the least frequent is class I, being greater in men than in women in an age range of 16 to 20 years.
  • Publication
    Estilos de afrontamiento de padres de niños con fisura labio-alveolo-palatina en los Andes Centrales del Ecuador (Cuenca-Ambato)
    (2025) Cazar Almache, Marcelo Enrique; Pinos Gavilanes, María Paz; Palacios Coello, Ruth Fabiola; Lucio Bravo, Miriam Alexandra; Quito, María Paz
  • Publication
    Retención dentaria múltiple: reporte de un caso y revisión de literatura.
    (2021) Saenz Delgado, Johanna Monserrath; Cazar Almache, Marcelo Enrique; Proaño Benenaula, Paula Bernarda
    Multiple dental retention is a pathology that presents several dental organs located inside the alveolar processes of both the maxilla and the mandible. Taking into consideration that this pathology may be related to local or systemic factors that condition its presence and may be accompanied by additional pathologies, such as, in this case, dentigerous cysts. Next, the case of a 20-year-old male patient with 13 retained teeth is reported, who has a systemic disease not related to said pathology. The objective is to inform and encourage a correct anamnesis, detailed clinical and radiological analysis, which allow us to reach a correct diagnosis and a good treatment plan; in order to generate a basis for future research
  • Publication
    Infección del seno maxilar por escherichia coli: revisión de la literatura y reporte de caso
    (2015) Cazar Almache, Marcelo Enrique; Miranda Villasana, José Ernesto; Palacios Vivar, Diego Esteban; Cedillo Orellana, Sara Ivanna
    The maxillary sinus foreign body is a frequent consequence of accidents in dental treatments. These unfortunate events are due to the close relationship of the root tips of posterior teeth relative to the floor of the maxillary sinus. Extruded endodontic materials can act essentially as foreign bodies and potentially can lead to various pathophysiological responses. Not always produce reaction, in some cases are asymptomatic, and kept only under observation. The microorganisms isolated in patients with sinusitis of odontogenic origin differ from non-odontogenic, its predominant by anaerobic bacteria. The present case refers to accidental displacement of gutta-percha cones to the maxillary sinus; together with the presence of communication oroantral allow entry and colonization of Escherichia coli, an aggressive and rare bacteria in this location. For therapeutic treatment we did an approach through the oroantral communication, and prescribe the sultamicilin as the antibiotic.
  • Publication
    Multiple dental retention: case report and literature review
    (2021) Proaño Benenaula, Paula Bernarda; Saenz Delgado, Johanna Monserrath; Cazar Almache, Marcelo Enrique
    Multiple dental retention is a pathology that presents several dental organs located inside the alveolar processes of both the maxilla and the mandible. Taking into consideration that this pathology may be related to local or systemic factors that condition its presence and may be accompanied by additional pathologies, such as, in this case, dentigerous cysts. Next, the case of a 20-year-old male patient with 13 retained teeth is reported, who has a systemic disease not related to said pathology. The objective is to inform and encourage a correct anamnesis, detailed clinical and radiological analysis, which allow us to reach a correct diagnosis and a good treatment plan; in order to generate a basis for future research
  • Publication
    Medición en tomografías de estructuras óseas craneales para determinar el dismorfismo sexual en la población andina. Parte I
    (2022) Ochoa Rivera, Vanessa Estefania; Villavicencio Martinez, Henry Daniel; Cazar Almache, Marcelo Enrique; Villavicencio Caparó, Ebingen
    Determine through digital tools the sexual dysmorphism in the Andean population of the south of Ecuador. Methods: The surfaces of the foramen magnum were measured in 385 Cone Beam computed tomography (CBCT) with a full window size of the cranial facial mass. The surface of the foramen magnum was measured in axial sections, obtaining length and width values by three observers, the surface of the great hole was calculated through the formulas established by Routal and Teixeira. Results: The measurement of the foramen magnum has a sensitivity close to 70% to determine the sexual dysmorphism of the skulls analyzed. Conclusion: This study validates the digital measurement of the foramen magnum surface obtained from CBCT being a tool to be used in the definition of sex through the cranial bones. It is definitive if the values obtained are in high o low numbers, but you will need a complementary measurement with another structure when intermediate values are present.
  • Publication
    Analgesia multimodal postoperatoria en cirugía ortognática
    (2015) Viteri Leon, Octavio Enrique; Dávila Cordero, Ulises; Cazar Almache, Marcelo Enrique
    Objectives: To evaluate postoperative analgesia effi cacy in undergoing orthognathic surgery patients. Material and methods: Prospective, randomized and observational study of 30 patients undergoing orthognathic surgery at the Rio University Hospital, Cuenca, Ecuador, in the period from July to September 2012 with patients aged between 17 and 40 years old. The protocol was performed as follows: general anesthesia, settling in trans-surgery ketorolac (0.9 mg/kg/dose) dexamethasone (0.1 mg/kg/ dose) ondansetron (0.1 mg/kg/dose) tranexamic acid 10 mg/kg/dose. Infi ltrated through the surgery team lidocaine with 1:200,000 epinephrine to 2% in the maxilla and mandible. We measured the intensity of postoperative pain through verbal analog scale (VAS). Results: The results in pain relief assessed by VAS in postoperative is under 3/10 points. Conclusions: We found adequate control of postoperative pain in our patients without requiring additional opioid drugs.
  • Publication
    Rotación del cuerpo adiposo de la mejilla para aumento de la proyección labial: reporte de caso
    (2016) Cazar Almache, Marcelo Enrique; Palacios Vivar, Diego Esteban; Miranda Villasana, José Ernesto
    The treatment of patients with skeletal abnormalities or deformities begins with planning based on facial analysis and cephalometric tracing. Often the values obtained from that analysis reveal abnormal skeletal conditions or insuffi cient soft tissue. Autologous fat grafts and using the buccal fat pad provide viable options to correct these defects and achieve a favorable aesthetic and functional result. The tissue characteristics of the buccal fat pad make it a structure that has good adaptability and a low rate of infection and rejection. It is often overlooked and simply resected to achieve more defi ned cheekbones and facial contours. It has multiple therapeutic uses and should always be considered an option in reconstructive procedures. We present the case of a 17-year-old female patient diagnosed with a dentofacial deformity, soft tissue defi ciency in the lip and perinasal region, and a failed orthodontic camoufl age treatment. Orthognathic and rhinoplasty surgery were performed to correct the hard-tissue defect, and the buccal fat pad rotated and advanced to enhance soft-tissue projection.