notas al margen
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NOTAS AL MARGEN Dr. Enrique Mejía Burgos Director Fundación CIEO E-mail: enmebu@yahoo.com E-mail: fundacion_cieo@yahoo.com &RQWLQXDQGRFRQHOWHPDGHORV1~FOHRVR5HWHQHGRUHV,QWUDUDGLFXODUHVH[LVWHXQDFDUDFWHUtVWLFDPRUIROyJLFD GHDOJXQRVGLHQWHVTXHSUHVHQWDQGRVUDtFHVHVGHFLUTXHVRQELUUDGLFXODUHVHVSHFLDOPHQWHHOSULPHUSUHPRODU VXSHULRUHVWHGLHQWHHQHOGHORVFDVRVSUHVHQWDHVWDSDUWLFXODULGDGORVRULÀFLRVGHHQWUDGDGHORVFRQGXFWRV JHQHUDOPHQWH VRQ GRV \ VH HQFXHQWUDQ SRU GHEDMR GH ODV YHUWLHQWHV LQWHULRUHV GH ODV F~VSLGHV 2WUD SHFXOLDULGDGHVODGLYHUJHQFLDGHHVWDVUDtFHVORFXDOREOLJDUtDDTXHHOQ~FOHRVHKLFLHUDHQGRVVHFFLRQHV DXPHQWDQGRWDQWRODFRPSOHMLGDGFRPRHOQXPHURGHFLWDV)LJXUD Figura 1. Divergencia Radicular 8QRGHORVSULQFLSDOHVLQFRQYHQLHQWHVDOPRPHQWRGHUHDOL]DUHOSDWUyQGHQ~FOHRHVHOKHFKRGHTXHWDQWR ORVSLQHVSODVWLFRVFRPRHODFUtOLFRGHPLFURUUHOOHQRFRQHOTXHVHUHDOL]DODLPSUHVLRQGHORVFRQGXFWRVSUHVHQWDQXQOLPLWHHOiVWLFRDOWRHVGHFLUTXHHQHOPRPHQWRGHUHWLUDUHOSDWUyQGHODVUDtFHVÀJXUDDXQTXH SUHVHQWDUDUHVLVWHQFLDVHGHVDORMDGHOVLWLRUHFXSHUDQGRODIRUPDGLYHUJHQWHGHORVFRQGXFWRV8QDYH]HVWH SDWUyQKDVLGRFRODGRLGHDOPHQWHHQ2UR7LSR,,,R,9ODULJLGH]\ODGLYHUJHQFLDLPSHGLUiVXHQWUDGDHQORV FRQGXFWRVÀJXUD 6 Notas al margen (OFRUWHGHEHOOHJDUORPDVSUy[LPRSRVLEOHD ODSDUWHFRURQDOGHOPXxyQVLQGHELOLWDUORGHPDVLDGR)LJXUD Figura 2. 3DWUyQGH1~FOHR Figura 3. 1~FOHR&RODGR2UR7LSR,,, 8QDVROXFLyQSUDFWLFDDHVWHGLOHPDHV 5HDOL]DUXQFRUWHHQODSDUWH,QWUDUDGLFXODUFRQ XQGLVFRXOWUDÀQR)LJXUD Figura 5.&RUWH)LQDO Figura 4. &RUWH &RQ D\XGD GH XQD IUHVD GH GLDPDQWH VXDYHmente se retiran los nódulos resultantes del FRODGR REWHQLpQGRVH XQD VXSHUÀFLH OLEUH GH LQWHUIHUHQFLDV TXH SXHGHQ JHQHUDU GLÀFXOWDG HQHOPRPHQWRGHODFHPHQWDFLyQ)LJXUD Figura 6. Retiro de Nódulos 7 Notas al margen - Realizado el recorte y retirados los nódulos se FLHUUDHOQ~FOHRFRQODD\XGDGHXQDSLQ]DKHPRVWiWLFDRDOLFDWHGHSXQWDVÀQDV)LJXUD Figura 8. (QWUDGDHQFRQGXFWRVGLYHUJHQWHV $O LU SUHVLRQDQGR HO Q~FOHR LQWUDUDGLFXODUPHQWH HVWHVHYDDEULHQGRDGDSWiQGRVHDODGLYHUJHQFLD UDGLFXODU)LJXUD Figura 9. Divergencia radicular (O UHWHQHGRU ,QWUDUDGLFXODU OOHJD DO IRQGR GHO FRQGXFWRSUHSDUDGRFRQXQDH[FHOHQWHDGDSWDFLyQ)LJXUD Figura 7. &LHUUH $O OOHYDU HO Q~FOHR FRODGR KDFLD HO GLHQWH HO FRUWH\FLHUUHGHODSRUFLyQUDGLFXODUGHOUHWHQHGRUIDFLOLWDODHQWUDGDVLQSUHVLyQGHODSDUWH ,QWUDUDGLFXODU)LJXUD Figura 10.
