0000000000802410
AUTHOR
Elena Gómez
On the regioselectivity of the Friedländer reaction leading to huprines: stereospecific acid-promoted isomerization of syn-huprines to their anti-regioisomers
Abstract Racemic 12-amino-6,7,8,11-tetrahydro-7,11-methanocycloocta[ b ]quinoline derivatives ( syn -huprines) substituted at the 9-position with a methyl or ethyl group, and both enantioenriched forms of the 9-ethyl derivative, obtained by chiral MPLC resolution of the racemic mixture, were readily converted to the corresponding anti -isomers (huprines) by stereospecific acid-promoted (AlCl 3 or triflic acid) isomerization of the endocyclic CC double bond from the 9(10)- to the 8(9)-position. These results support the hypothesis that the hitherto unseen syn -huprines are also formed under the usual acidic Friedlander reaction conditions used to prepare the known huprines, but rearrange in…
Orthodontically guided bone transport in the treatment of alveolar cleft: A case report
Introduction: Conventional treatments are sometimes not possible in certain alveolar cleft cases due to the severity of the gap which separates the fragments. Various management strategies have been proposed, including sequential surgical interventions or delaying treatment until adulthood to then carry out maxillary osteotomies. A further alternative approach has also been proposed, involving the application of bone transport techniques to mobilise the osseous fragments and thereby reduce the gap between lateral fragments and the premaxilla. Case Report: We introduce the case of a 10-year-old patient who presented with a bilateral alveolar cleft and a severe gap. Stable occlusion between t…
Beckwith-Wiedemann Syndrome: Open bite evolution after tongue reduction
Background Macroglossia causes functional deficits such as airway obstruction, drooling, phonation difficulties, and leads to protrusion of dentoalveolar structures resulting in an anterior open bite and a prognathic mandibular appearance. Macroglossia is present in the majority of patients with Beckwith-Wiedemann syndrome (BWS) and surgical treatment may be indicated. Material and Methods A retrospective review was conducted including BWS patients who underwent surgical tongue reduction between 2000 and 2015 at the Hospital Universitario La Paz, Madrid. Results Out of 16 patients with BWS, surgery was performed in 11 cases. Tongue protrusion with open bite was the main indication for surgi…