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bichectomy bichectomy WHAT IS THE BICHAT FAT BALL? The Bichat fat ball It is a fat structure that is found between the facial muscles which participates in giving volume to the cheeks or cheeks. FOR WHAT IS THIS PROCEDURE PERFORMED? It is indicated for those patients who have a round face who want to refine the facial contour or for those patients who wish to decrease the volume of their cheeks. HOW LONG DOES THE PROCEDURE TAKE? About one hour WHAT DOES THE PROCEDURE CONSIST OF? The excision of the fat is carried out through small incisions inside the mouth, on both cheeks, the necessary amount of fat is extracted (the same on both sides) and the procedure is finished, generally it is not necessary to place stitches. It is important to mention that the fat ball of Bichat is not extracted in its entirety, only the portion that participates in giving volume to the cheeks. WHAT KIND OF ANESTHESIA IS USED? In most cases it can be performed only with local anesthesia, in cases of very apprehensive patients it can be combined with sedation and it is common to do it in combination with aesthetic nasal surgery. WHAT RESULTS ARE OBTAINED? A decrease in the volume of the cheeks is obtained and the facial contour is refined, highlighting the cheekbones. Results may vary from patient to patient and final change may be seen up to 6 to 9 months after of surgery To close

PAPERS PRESENTED AT MEDICAL CONGRESSES - April 27 - May 1, 2011: 2 papers that I participated as co-author in the congress of the American Bronchoesophageal Association held in Chicago, Illinois, USA. With the following jobs: ​ -Novel treatment of idiopathic subglottic stenosis with use of immunosuppressive medication (mycophenolate mofetil) Scott Rickert MD, Lesley Childs MD, Oscar Calderon Wengerman MD, Marshall Strome MD ​ -Laryngeal Manifestations of Relapsing Polychondritis And a Novel Treatment Option Lesley Childs MD, Scott Rickert MD, Oscar Calderon Wengerman MD, Robert Lebovics MD, Andrew Blitzer MD DDS ​ -27 to 30 October 2010: present the work titled: Head and neck schwannomas, case series presentation and literature review. At the congress of the Mexican Federation of Otorhinolaryngology and Head and Neck Surgery (FESORMEX). ​ - April 30 – May 5: present the work entitled: Laryngeal findings after intubation, before and after tracheostomy. At the LV National Congress of the Mexican Society of Otorhinolaryngology, in Acapulco, Guerrero, Mexico. ​ - July 19 to 36 present the work entitled: Otological Manifestations of Wegener's Granulomatosis. At the national congress of otorhinolaryngology and head and neck surgery held in Boca del Rio, Veracruz. ​ - July 19 to 36 present the titled work; Thyroid ectopic experience of 15 years of the general hospital Dr. Manuel Gea González. At the national congress of otorhinolaryngology and head and neck surgery held in Veracruz. Work won first place in the resident category. ​ - September 2008: present the work entitled Unusual association of systemic lupus erythematosus, Graves' disease and lymphadenopathy at the XXX Congress National of the Mexican Federation of Otorhinolaryngology and Head and Neck Surgery. (FESORMEX) held in Guadalajara Jalisco. - February 20-21, 2007: I presented the paper entitled: Na-K-ATP pump asa in epithelial cells at the 3rd Congress of Health Sciences held at the Universidad Anahuac Plantel Norte. State of Mexico. ​ - March 15 to 17, 2006: present the work entitled Middle lobe syndrome, presentation of a case and documentary review at the II International Congress of Health Sciences held at the Anáhuac University, Mexico City. ​ -4 - 8 September 2005: present the work called study of the interaction between beta subunits of Na / K atpasa, at the XLVIII National Congress of the Mexican Society of Physiological Sciences held in Guadalajara Jalisco endorsed by the Mexican Society of Physiological Sciences. ​ - April 2004: Present the paper entitled: West Nile Virus (WNV) at the IX Annual Academic Meeting held at the Universidad Anáhuac North campus. To close

CHAPTERS IN MEDICAL BOOKS -Calderon-Wengerman Oscar. Deep Neck Abscesses. The ABC of Otorhinolaryngology 1 edition, chap 34. Ed alfil. ISBN: 978-607-741-216-8 -Lupa M, Calderon Wengerman O. Otitis Media. Chap 5.4 pp 430. In APS Guide Attention Primary in health. Camiro Zuñiga A, Parada Perez M, Peschard Rodriguez, Vera Lara C. 2017 ed Intersystems. ISBN 978-607-443-637-2 -Lupa M, Calderon Wengerman O. Vertigo. Chap 5.6 pp 449. In APS Guide Attention Primary in health. Camiro Zuñiga A, Parada Perez M, Peschard Rodriguez, Vera Lara C. 2017 ed Intersystems. ISBN 978-607-443-637-2 - Rosales e, Calderon Wengerman O, Pharyngeal abscesses in Manual of Respiratory System Infection. Romero Cebello R, Romero Feregrino R. ISBN: 978-607-96646-0-2. 1 ed. pp 85-91. - Calderon Wengerman O. chapters: -Septoplasty -nose trauma -Laryngeal tumors - Rhinosinusitis, - Facial paralysis . in the 5th Edition of the EXARMED Interactive Evaluation (before Medical Residencies). http://exarmed.com and http -Calderon Wengerman O. Perioperative Management of patients with Obstructive Sleep Apnea. in The respiratory tract and its relationship with respiratory disorders during sleep. In Gutierrez Marcos L, Castorena A. Chap 13. Pp 58-64. ISBN 978-958-881-60-9 -Calderon Wengerman O. Tracheal Tumors In the Practice of Otorhinolaryngology and Head and Neck SurgeryISBN: 978-607-7743-71-2 2012 Editorial Médica Panamericana, SA de CV Chapter 41 TRACHEAL TUMORS pag: 251 – 255. ​ - Calderon Wengerman O, Prado Calleros H. Lymphadenopathy. In the Practice of Otorhinolaryngology and Head and Neck Surgery ISBN: 978-607-7743-71-2 2012 Editorial Médica Panamericana, SA de CV Chapter 43 lymphadenopathy. p: 271 – 275. -Calderon Wengerman O. Chapters: -Septoplasty -nose trauma -Laryngeal tumors - Rhinosinusitis, ​ In the 4th Edition of the Interactive Evaluation EXARMED (for the Examination of Applicants to Medical Residencies). http://exarmed.com Y http://guiaexarmed.com.mx . -Calderon Wengerman O, Rosales E, Corial Lorenzo JJ. Infections of ventricle shunt systems in Coria Lorenzo JJ, Goméz Barreto D. Practical Infectology in Pediatric Patients Mexico DF Edition. 2011. -Calderon Wengerman O, Rosales E, Corial Lorenzo JJ. Infections in the transplant patient. in Coria Lorenzo JJ, Goméz Barreto D. Practical Infectology in the Pediatric Patient. Mexico City 2nd Edition. 2011. -Perez Escamila A, Calderon Wengerman O, Allergic rhinitis. In: Gutierrez Marcos JA, Fajardo Dolci G E. The nose. Primary contact point of the airway. Mexico: Medical Impression. 2011. p147-160. 1st Edition. NIT: 900 331 377-6, ISBN: 978-958-99577-0-7 -Rosales Uribe RE, Calderon Wengerman O, Coria Lorenzo JJ. Hepatitis A Vaccine. In: Coria Lorenzo JJ. Diseases preventable by vaccination Illustrated manual. Mexico. M&M. 2007. P43-54. Volume 1. 1st edition. ISBN 968-9176-080 (complete works). and ISBN 968-9176-08-7 (Volume 1). -Calderon Wengerman O, Rosales Uribe RE, Coria Lorenzo JJ. Hepatitis B vaccine. In: Coria Lorenzo JJ. Diseases preventable by vaccination Illustrated manual. Mexico. M&M. 2007. P43-54. Volume 1. 1st edition. ISBN 968-9176-080 (complete works). and ISBN 968-9176-08-7 (Volume 1). - Interactive Manual of Surgical Techniques. Anahuac University. To close

VIDEO CONSULTATION The information of the virtual consultation... It is a virtual consultation with limitations, but has helped several patients; how to do: I ask patients to 10 min before the consultation have ready: a lamp (with the cell phone you can too) -His last studies (if apply) -Their temperature and if possible oxygenation. -A video if possible of the throat and palate that looks clear as if they wanted to see the texture of the palate and behind the bell (send me the video before the consultation). Preformed questions. ​ MARK THE DIRECT OFFICE 525553950778, 525553958760 for more information and schedule your appointment. Another option is through the following link: ​ ​ ​ ​ ​ ​ ​ ​ ​ To close

Allergic rhinitis An allergy is a reaction of your immune system to something that only bothers a small group of people. People with allergies are often sensitive to more than one thing. The substances that usually cause adverse reactions are: * pollen * dust mites * mold spores * Animal dander * Food * Insect bites * Medicines Normally, your immune system fights germs. It is your body's defense system. However, in most allergic reactions it responds to a false alarm. Genes and the environment likely play a role in allergies. Allergies can cause a number of symptoms such as a runny nose, sneezing, itching, rashes, edema (swelling), or asthma. These range from mild to severe. A severe reaction called anaphylaxis can be fatal. Doctors use skin and blood tests to diagnose allergies. Treatments include medicines, injections, and avoiding substances that cause allergies. NIH: National Institute of Allergy and Infectious Diseases Do not hesitate to contact us to receive the appropriate treatment To close

SEPTUM AND CORNETS SEPTUMPLASTY, ENDOSCOPIC TURBILLA REMODELING. The very outpatient procedure common i do in adults and in some selected cases in children. With functional and harmonic results. It is an outpatient procedure in which they are discharged the same day NOSE PLUGS ARE NOT USED. Breathe better. To close

BRUXISM AND DYSFUNCTION OF THE TEMPOROMANDIBULAR JOINT. WHAT IS BRUXISM: Bruxism (BRX) is defined as involuntary and intense grinding and/or clenching of the teeth, due to hypertrophy and/or repeated contraction of the masticatory muscles, especially the masseter muscles. It can happen during sleep or during the day. Toxin treatment is a treatment used in order to limit damage to different structures, especially the temporomandibular joint (TMJ). (1 ) Patients may report more or less acute pain during the chewing process; but also chronic pain, abnormal mobility, as well as wear and failure in dental restorations, as in the case of dental implants.(2) Headache, often with atypical irradiation, should be added to the above symptomatology.( 3 ) There are also patients who perceive the problem as an aesthetic disorder and their concern is due more to the squarer shape of the face. What does the procedure consist of? First, the area to be treated is anesthetized, then the points to infiltrate the toxin are selected. After treatment with TOXINA, 24% of the patients were free of BRX and the remaining 76% had great improvement; There were few and transient side effects. TB-A protects orofacial structures (teeth, jaw muscles, TMJ) from BRX-induced damage, while relieving pain and symptoms related to excessive muscle contraction. To close