Person:
Cazar Almache, Marcelo Enrique

Birth Date

1972-06-23

ORCID

0000-0002-6806-7442

Afiliación

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

País

Ecuador

Organizational Units

Organizational Unit

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.

Job Title

Profesor (T)

Last Name

Cazar Almache

First Name

Marcelo Enrique

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Now showing 1 - 10 of 27

Queratoquiste Odontogénico de amplia dimensión: reporte de caso
(2020) Cazar Almache, Marcelo Enrique; Torres Calle, María Fernanda; Pinos Gavilanes, María Paz; Castillo Yaguana, Darwin Vicente; Cárdenas Campoverde, Juan Diego
Odontogenic keratocyst (OKC) is a lesion which origin is the dental epithelium,it has a predilection for presenting itself in the posterior portion of the mandible and is considered one of the most common lesions within odontogeniccysts. The following study presents a case of Odontogenic Keratocyst of a large dimension. A female patient presents with inflammatory symptoms at the level of the jaw. In the intraoral physical examination a palpation test was performed and together withradiographic examinations, in which a multilocular radiolucent image of 8x3 cm was determined. Subsequently, a biopsy was performed and the histology was compatible with Odontogenic Keratocyst. This article reviews the etiopathogenesis, clinical, radiographic, histopathological, immunohistochemical and treatment; with the aim of describing the importance of this lesion due to its ability to reach large dimensions and present high recurrence. Therefore, it is important to make a correct diagnosis that allowsto establish an adequate treatment plan for this lesion
Tratamiento de quiste óseo traumático mandibular de grandes dimensiones. Revisión de la literatura y reporte de un caso / Treatment of a Large Mandibular Traumatic Bone Cyst: Literature Review and Case Report
(2012) Cazar Almache, Marcelo Enrique; Miranda Villasana, José Ernesto; Brau Figueroa, Adrián; Recendez Santillán, Norith de Jesús
Background: The traumatic or simple bone cyst is frequently found in the maxillofacial area mostly in the posterior body of the mandible; its average diameter is 1-3 cm and the usual treatment is bone curettage. Method: A review of literature and a case of a large mandibular traumatic bone cyst are presented. An alternative therapy to treat large pseudocysts is proposed. Results: A 19-year-old female patient with diagnosis of a large simple bone cyst (diameter: 10 cm) was treated at the Regional “Vicente Corral Moscoso” Hospital that is affiliated to the Ministry of Health of Ecuador. The treatment consisted of intracavitary curettage and autologous iliac crest bone graft, achieving a fast and adequate bone mandible reconstruction.
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.
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.
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
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.
Manejo quirúrgico de la hiperplasia condilar tipo 2: reporte de un caso
(2019) Barajas Pérez, Victor Hiram; Cazar Almache, Marcelo Enrique; Miranda Villasana, José Ernesto; Recendez Santillán, Norith De jesús; Cuevas González, Juan Carlos; Zambrano Galván, Graciela
Condylar hyperplasia (CH) is a generic term for a pathological situation that is used to describe conditions that cause excessive growth and overdevelopment of the mandibular condyle and also impacting on the jaw, this bone formation is responsible about of 50 % of all deformities facial and it occurs most frequently between 11-30 years old. This case report is about a 21-years old female who showed unilateral condylar hyperplasia of left side with alveolodentary compensatory. Was carried out high condilectomy through an endoaural approach removing 5 mm of the upper condyle and the mandibular osteotomy was performed through intraoral approach with dissection and preservation of the inferior alveolar nerve, removing 8 mm of the inferior aspect of the mandible according to the aesthetic requirements. An appropriate treatment for the condylar hyperplasia focused on correcting the side effects such as functional or aesthetic it’s of great benefit for the patient because it allows improve their quality of life. A correct diagnosis is very important to planning a successful treatment.
Seguridad en la colocación de mini implantes ortodónticos en la región infracigomática
(2015) Cruz Ibañez, Luis Arturo; Gualan Cartuche, Leonardo Patricio; Cazar Almache, Marcelo Enrique; Bravo Calderón, Manuel Estuardo; Miranda Villasana, José Ernesto
Knowledge of the anatomy of the anterolateral region of the maxillary sinus should be essential when orthodontic mini screw implants are placed in the maxilla region. A retrospective study is performed to analyze the location of the alveoloantral artery in 158 Cone beam computed tomography (CBCT) studies of a population the city of Cuenca Ecuador. The distance was measured between alveoloantral canal and the cervical region from the first premolar to the second molar bilaterally. Thus the average measurements of the location of said vascular package level above the dental organs being determined that the length of the miniscrew implants to be placed in the region of infracigomatic crest be exceeded 15 mm were established
Osteomielitis crónica no supurativa mandibular: reporte de caso
(2022) Castillo Yaguana, Darwin Vicente; Cazar Almache, Marcelo Enrique; Torres Calle, María Fernanda; Pinos Gavilanes, María Paz
Osteomyelitis (OM) is considered one of the most challenging medical conditions for surgeons. In the last 50 years the number of cases of maxillary OM has decreased due to an improvement in oral hygiene, however, its complication is still relevant. The purpose of this paper is to present a case report of a patient with mandibular osteomyelitis and to analyze the literature on this condition
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.