Orthodontic-surgical management of a patient with

0 downloads 0 Views 1MB Size Report
pp 190r197. Revista Mexicana de Ortodoncia ... http: www.medigraphic.com ortodoncia ... tativas del paciente para llevar a cabo un buen diagnóstico y tomar.
www.medigraphic.org.mx

4GXKUVC/GZKECPCFG1TVQFQPEKC 8QN0Q ,WN[5GRVGODGT %#5'4'2146

RR e190–e197

1TVJQFQPVKEUWTIKECNOCPCIGOGPVQHCRCVKGPVYKVJENCUU++ FKXKUKQPOCNQEENWUKQPCPFRTQOKPGPVEJKP /CPGLQQTVQFÎPEKEQSWKTÕTIKEQFGWPRCEKGPVGEQPOCNQENWUKÎP ENCUG++FKXKUKÎP[OGPVÎPRTQOKPGPVG 5C[TC0C[GNNK8GN¶\SWG\5GTTCPQ #PVQPKQ)ÎOG\#TGPCUh #$564#%6

4'57/'0

/CNGRCVKGPVQH[GCTUQHCIGUMGNGVCNENCUU++YKVJJQTK\QPVCN ITQYVJCPFRTQOKPGPVEJKPYJQUGOCKPTGCUQPHQTEQPUWNVCVKQPYCU JKURTQOKPGPVEJKPYJQRTGUGPVGFCEQPECXGRTQſNGDTCEJKHCEKCN DKQV[RGNQYGTTGVTQEJGKNKCRTQOKPGPVEJKPJQTK\QPVCNITQYVJFGGR OGPVQNCDKCNHQNF*GJCFCENCUU++FKXKUKQPOCNQEENWUKQPCOO QXGTLGVCPFCOOQXGTDKVG6JGVTGCVOGPVQDLGEVKXGUYGTGVQ KORTQXGVJGHCEKCNCPFFGPVCNCGUVJGVKEUEQQTFKPCVGFGPVCNCTEJGU CPFGUVCDNKUJCHWPEVKQPCNQEENWUKQP+PVGTFKUEKRNKPCT[VTGCVOGPVYCU RGTHQTOGF QTVJQFQPVKEQTVJQIPCVJKEUWTIGT[ DGIKPPKPIYKVJCRTG UWTIKECNRJCUGD[RNCEKPIUNQV/$6ſZGFCRRNKCPEGU+PVJG UWTIKECNRJCUGCVTKRNGUWTIGT[YCURGTHQTOGFCPFUWDUGSWGPVN[ CRQUVUWTIKECNUVCIG6TGCVOGPVTGUWNVUYGTGUCVKUHCEVQT[UKPEGVJG UGVQWVQDLGEVKXGUYGTGCEJKGXGFVJWUKORTQXKPIVJGRCVKGPVŏUHCEKCN CGUVJGVKEU+PVGTFKUEKRNKPCT[EQOOWPKECVKQPKUKORQTVCPVCUYGNNCU VQTGEQIPK\GVJGRCVKGPVŏUGZRGEVCVKQPUKPQTFGTVQRGTHQTOCIQQF FKCIPQUKUCPFUGNGEVVJGVTGCVOGPVCNVGTPCVKXGVJCVDGUVHCXQTU HWPEVKQPCGUVJGVKEUCPFKORTQXGUVJGRCVKGPVŏUUGNHEQPſFGPEG

2CEKGPVGOCUEWNKPQFGCÌQUFGGFCFENCUG++GUSWGNÃVKECEQP ETGEKOKGPVQJQTK\QPVCN[OGPVÎPRTQOKPGPVGEW[QRTKPEKRCNOQVKXQ FGEQPUWNVCGTCGNOGPVÎPRTQOKPGPVGGZKUVGPVG2TGUGPVCRGTHKN EÎPECXQDTCSWKHCEKCNTGVTQSWGNKCKPHGTKQTOGPVÎPRTQOKPGPVGETG EKOKGPVQJQTK\QPVCNUWTEQOGPVQNCDKCNOW[OCTECFQFGPVCNOGPVG GUENCUG++FKXKUKÎPUQDTGOQTFKFCJQTK\QPVCNOO[UQDTGOQTFKFC XGTVKECNOOOQTFKFCRTQHWPFC.QUQDLGVKXQUHWGTQPOGLQTCTNC GUVÃVKECHCEKCN[FGPVCNTGNCEKQPCTCTECFCUGUVCDNGEGTWPCQENWUKÎP HWPEKQPCN'NVTCVCOKGPVQTGCNK\CFQHWGKPVGTFKUEKRNKPCTKQ QTVQFÎPEK EQSWKTÕTIKEQ UGKPKEKÎEQPNCHCUGRTGSWKTÕTIKECEQNQECPFQCRC TCVQNQIÈCſLC/$6UNQV'PGNVKGORQSWKTÕTIKEQUGTGCNK\ÎWPC EKTWIÈCVTKRNG[RQUVGTKQTOGPVGNCHCUGRQUVSWKTÕTIKEC.QUTGUWNVCFQU FGNVTCVCOKGPVQHWGTQPUCVKUHCEVQTKQUFGDKFQCSWGUGEQPUKIWKGTQP NQUQDLGVKXQURNCPVGCFQUOGLQTCPFQGUVÃVKEC[HCEKCNOGPVGCNRC EKGPVG'UKORQTVCPVGNCEQOWPKECEKÎPKPVGTFKUEKRNKPCTKC[NCUGZRGE VCVKXCUFGNRCEKGPVGRCTCNNGXCTCECDQWPDWGPFKCIPÎUVKEQ[VQOCT NCOGLQTCNVGTPCVKXCFGVTCVCOKGPVQHCXQTGEKGPFQNCHWPEKÎPGUVÃVKEC [RTQRQTEKQPCPFQUGIWTKFCFRGTUQPCNCNRCEKGPVG

-G[YQTFU%NCUU++FKXKUKQPHCEKCNCGUVJGVKEURTQOKPGPVEJKPFGGRDKVGKPVGTFKUEKRNKPG 2CNCDTCUENCXG%NCUG++FKXKUKÎPGUVÃVKECHCEKCNRTQOKPGPEKCFGNOGPVÎPOQTFKFCRTQHWPFCKPVGTFKUEKRNKPC

+0641&7%6+10 #GUVJGVKEUKUVJGOCKPOQVKXCVKQPCNTGCUQPHQTRCVKGPVU UGGMKPI QTVJQFQPVKE VTGCVOGPV FWG VQ VJG HCEV VJCV RGTEGRVKQPQHVJGHCEKCNRTQſNGCPFFGPVCNCGUVJGVKEUCTG GUUGPVKCNN[DCUGFQPJQYRGQRNGRGTEGKXGVJGOUGNXGU JQYGXGTRGQRNGŏUGOQVKQPUVJQWIJVUCPFDGJCXKQT OC[XCT[CPFVJGUGFKHHGTGPEGUETGCVGKPFKXKFWCNKV[ 5QOGUVWFKGUJCXGCTIWGFVJCVRU[EJQNQIKECNHCEVQTU OC[JCXGEGTVCKPGHHGEVUQPHCEKCNRGTEGRVKQPCPFFGPVCN CGUVJGVKEUCOQPI[QWPICFWNVU %NCUU++OCNQEENWUKQPUECPRQUGCEJCNNGPIGHQTVJG FKCIPQUKUCPFVTGCVOGPVRNCPFWGVQVJGHCEVVJCVENKPKECN HGCVWTGUOC[JKPFGTVJGECWUGQHVJGOCNQEENWUKQP CPF VJKU OC[ DG DGECWUG VJG OCZKNNC KU PCTTQYGT VJCPKPCFWNVUYKVJPQTOCNQEENWUKQP6JGNKVGTCVWTG JCU OGPVKQPGF VJCV KP RCVKGPVU YKVJ FGPVQUMGNGVCN FKUJCTOQPKGU ENCUU++ ITQYVJKUFKHHGTGPVEQORCTGFVQ

RCVKGPVUYKVJCPQTOCNFGPVQUMGNGVCNTGNCVKQPUJKRDQVJ KPSWCPVKV[CUYGNNCUKPFKTGEVKQPQHVJGETCPGQHCEKCN UVTWEVWTGU +P  ENCUU ++ FKXKUKQP  OCNQEENWUKQP YCU FGHKPGFD[#PING+VJCUCTGNCVKXGN[NQYRTGXCNGPEG KP EQORCTKUQP YKVJ QVJGT OCNQEENWUKQPU 6JKU OCNQEENWUKQPKUIGPGTCNN[EJCTCEVGTK\GFD[TGVTQENKPGF WRRGT EGPVTCN KPEKUQTU FGGR DKVG CPF OQNCTU CPF ECPKPGUKPFKUVQEENWUKQP

YYYOGFKITCRJKEQTIOZ

 )TCFWCVGFQHVJG5RGEKCNV[QH1TVJQFQPVKEU h  2TQHGUUQTQH1TVJQFQPVKEU 2QUVITCFWCVG5VWFKGUCPF4GUGCTEJ&KXKUKQP(CEWNV[QH&GPVKUVT[ 0CVKQPCN#WVQPQOQWU7PKXGTUKV[QH/GZKEQ 6JKUCTVKENGECPDGTGCFKPKVUHWNNXGTUKQPKPVJGHQNNQYKPIRCIG JVVRYYYOGFKITCRJKEEQOQTVQFQPEKC

© 2015 Universidad Nacional Autónoma de México, Facultad de Odontología. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). See related content at doi: http://dx.doi.org/10.1016/j.rmo.2016.03.051

Revista Mexicana de Ortodoncia 2015;3 (3): e190-e197

'VKQNQI[KUOWNVKHCEVQTKCNCUVJGTGOC[DGIGPGVKEQT GPXKTQPOGPVCNHCEVQTUKPXQNXGFQTKVOC[DGFWGVQC JKIJNKRNKPGNKRJ[RGTCEVKXKV[QTKPETGCUGFOCUVKECVQT[ HQTEGU 7UWCNN[ RCVKGPVŏU YKVJ VJKU OCNQEENWUKQP JCXG C OGUQHCEKCN QT DTCSWKHCEKCN DKQV[RG OCP[ UJQY CPQTOCNHCEKCNEQPXGZKV[CPFCUVTCKIJVQTEQPXGZ RTQHKNG #NVJQWIJ VJG[ OC[ JCXG CPVKCGUVJGVKE HCEKCNRTQRQTVKQPUCPFQEENWUCNFKUJCTOQPKGUVJGKT OCPFKDWNCTTCOWUKUPQTOCNQTNQPICPFVJG[JCXG IQQFITQYVJRQVGPVKCNQHVJGOCPFKDNGUQOGVKOGU GXGPUKOKNCTVQRCVKGPVUYKVJENCUU+OCNQEENWUKQPU *QYGXGTVJGOCZKNNCCPFOCPFKDNGCTGVJGOCKP DQP[ DCUGU QH HCEKCN EQORQUKVKQP VJGTGHQTG VJG TGNCVKQPUJKRDGVYGGPVJGOVJGKTQEENWUKQPCPFUQHV VKUUWGUFGſ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n+JCXGC XGT[NCTIGEJKP€ %GRJCNQOGVTKECNN[ JG YCU C DTCEJ[EGRJCNKE UMGNGVCNENCUU++CPFRTGUGPVGFCTGVTWUKXGNQYGTNKR EQPECXGRTQſNGRTQOKPGPVEJKPUJQTVCPVGTKQTETCPKCN DCUGJQTK\QPVCNITQYVJWRRGTKPEKUQTRTQENKPCVKQP CPFRTQVTWUKQPCPFNQYGTKPEKUQTTGVTQENKPCVKQPCPF TGVTWUKQP (KIWTG 6JGRCPQTCOKETCFKQITCRJ (KIWTG  TGXGCNUCETQYPTQQVTCVKQCFGSWCVGCNXGQNCT TKFIGJGKIJVRTGUGPEGQHHQWTVJKTFOQNCTUCPFUJQTV TQQVUKPVJGWRRGTCPVGTKQTVGGVJYJKEJYCUEQPſTOGF YKVJRGTKCRKECNTCFKQITCRJU (KIWTG  (CEKCNN[ VJG RCVKGPV JCF C EQPECXG RTQHKNG RTQOKPGPVEJKPUVTCKIJVPQUGFGGROGPVQNCDKCNHQNF RTQVTWUKXG WRRGT NKR YKFG DWEECN EQTTKFQTU WRRGT KPEKUQTFKURNC[YJGPUOKNKPI (KIWTG  #VVJGKPVTCQTCNENKPKECNGZCOKPCVKQPCPFQTVJQFQPVKE CPCN[UKUVJGRCVKGPVRTGUGPVGFCENCUU++FKXKUKQP OCNQEENWUKQPWRRGTKPEKUQTRTQENKPCVKQPCPFRTQVTWUKQP NQYGT KPEKUQT TGVTQENKPCVKQP CPF TGVTWUKQP DKNCVGTCN OQNCTENCUU++CPFECPKPGENCUU+KPETGCUGFQXGTDKVG

e191 CPFQXGTLGVUSWCTGFFGPVCNCTEJGUOQNCTTQVCVKQP GZEGUUKXGEWTXGQH5RGGUGXGTGWRRGTCPFOKNFNQYGT ETQYFKPIPGICVKXGFKUETGRCPEKGUDGVYGGPDCUCNDQPG NGPIVJCPFVQQVJOCVGTKCNDKNCVGTCNOQNCTCPFECPKPG ENCUU++KPETGCUGFQXGTDKVGCPFQXGTLGV (KIWTG  6TGCVOGPVQDLGEVKXGU 5MGNGVCN ENCUU + YKVJ CU OWEJ KORTQXGOGPV QH VJGRTQHKNGCURQUUKDNGGNKOKPCVGFGPVCNETQYFKPI

(KIWTG+PKVKCNNCVGTCNEGRJCNQITCO

(KIWTG+PKVKCNQTVJQRCPVQOQITCRJ[

YYYOGFKITCRJKEQTIOZ

(KIWTG2GTKCRKECNTCFKQITCRJUYJGTGCFKOKPKUJGFTQQV NGPIVJYCUQDUGTXGF

e192

Velázquez SSN et al. Orthodontic-surgical management of a patient with class II division 2 malocclusion and prominent chin

EQQTFKPCVGCTEJGUCEJKGXGOQNCTCPFECPKPGENCUU+ CUYGNNCUGUVCDNKUJCPCFGSWCVGQXGTDKVGCPFQXGTLGV CPFEQTTGEVVJGFGPVCNOKFNKPG 6TGCVOGPVRNCP 1TVJQFQPVKEUWTIKECN VTGCVOGPV  UNQV /$6 ſZGFCRRNKCPEGUYKVJDCPFUKPſTUVCPFUGEQPFWRRGT CPFNQYGTOQNCTUYGTGRNCEGF 2TGUWTIKECNRJCUGKPKVKCNNGXGNKPICPFCNKIPOGPV EQQTFKPCVKQP QH FGPVCN CTEJGU TQQV EQTTGEVKQP CPF RCTCNNGNK\CVKQPENQUWTGQHURCEGU

5WTIKECNRJCUGUWTIKECNRTGFKEVKQPKPEQPLWPEVKQP YKVJVJGFGRCTVOGPVQHUWTIGT[ 2QUVUWTIKECNUVCIGTGNGXGNKPIDTCEMGVTGRQUKVKQP EQPUQNKFCVKQP UVCDKNK\CVKQP UOKNG FGVCKNKPI CPF TGVGPVKQP %QWTUGQHVTGCVOGPV 6TGCVOGPVYCUDGIWPYKVJVJGRNCEGOGPVQH UNQV/$6ſZGFCRRNKCPEGUUVCTVKPIYKVJVJGNGXGNKPI CPFCNKIPOGPV (KIWTG# VJGFGPVCNQTICPYCU ITCFWCNN[KPEQTRQTCVGFEQPHQTOKPIVJGFGPVCNCTEJGU

(KIWTG +PKVKCNHCEKCNRJQVQITCRJU

YYYOGFKITCRJKEQTIOZ

(KIWTG +PKVKCNKPVTCQTCNRJQVQITCRJU

Revista Mexicana de Ortodoncia 2015;3 (3): e190-e197

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

e193  QWPEGUŒKPVGTOCZKNNCT[GNCUVKEUYGTGWUGF HQTOQPVJUHQTſZCVKQPCPFCHVGTYCTFUENCUU++„Œ QWPEGUGNCUVKEYGTGWUGF5WDUGSWGPVN[DTCEMGVU QHVJGFGPVCNQTICPUCPFYGTGTGRQUKVKQPGF 6JTGGOQPVJUCHVGTVJGTGRQUKVKQPCRRQKPVOGPVſZGF CRRNKCPEGUYGTGTGOQXGF (KIWTG  4GVGPVKQPWRRGTCPFNQYGTEKTEWOHGTGPVKCNTGVCKPGTU YGTGRNCEGF 4'57.65 6 T G C V O G P V  Q D L G E V K X G U  Y G T G  C E E Q O R N K U J G F  EGRJCNQOGVTKECNN[ UMGNGVCN ENCUU + YCU CEJKGXGF HCEKCNN[ VJG RTQHKNG KORTQXGF 1EENWUCNN[ FGPVCN

#

(VWHGRFXPHQWRHVHODERUDGRSRU0HGLJUDSKLF $

(KIWTG

%

# .GXGNKPI CPF CNKIPOGPV $ 'ZRCPUKQPYKVJUVCKPNGUU UVGGN CTEJYKTG % 1EENWUCN 5GVVNGOGPV

YYYOGFKITCRJKEQTIOZ (KIWTG 5WTIKECNRTQEGFWTG % Q W T V G U [   / ( 5  # P C D G N N C *GTPCPFG\

e194

Velázquez SSN et al. Orthodontic-surgical management of a patient with class II division 2 malocclusion and prominent chin

(KIWTG'XQNWVKQPCPFFC[UCHVGTUWTIGT[

YYYOGFKITCRJKEQTIOZ

(KIWTG (KPCNRJQVQITCRJU

Revista Mexicana de Ortodoncia 2015;3 (3): e190-e197

e195 ETQYFKPIYCUGNKOKPCVGFOQNCTCPFECPKPGENCUU+YCU CEJKGXGFCPCFGSWCVGQXGTDKVGCPFQXGTLGVOCZKOCN KPVGTEWURCVKQPCPFECPKPGIWKFCPEGYGTGQDVCKPGF

(KIWTGUVQCPF6CDNG+  &+5%755+10 +VKUKORQTVCPVVQVCMGKPVQEQPUKFGTCVKQPCGUVJGVKEU CPFHCEKCNCPFFGPVCNJCTOQP[UKPEGEWTTGPVN[HCEKCN GUVJGVKEUKUJKIJN[XCNWGFD[UQEKGV[KPIGPGTCNCPFYG OWUVEQPUKFGTVJGVJGTCRGWVKEQRVKQPUHQTVTGCVKPIENCUU ++OCNQEENWUKQPUCUYGNNCUVJGKTGHHGEVQPVJGRCVKGPVŏU RTQſNG 2TQſNGEJCPIGUCTGUWDLGEVKXGDGECWUGVJGRQKPV QH XKGY XCTKGU HTQO RGTUQP VQ RGTUQP FGRGPFKPI QP VJG UQEKQEWNVWTCN GPXKTQPOGPV 6JGTGHQTG KV KU TGEQOOGPFGFVQUVWF[HCEKCNCPFFGPVCNRTQRQTVKQPUVQ DCNCPEGUWEJCGUVJGVKEU 6QRGTHQTOCRTQRGTKPVGTFKUEKRNKPCT[FKCIPQUKU VCMKPIKPVQEQPUKFGTCVKQPVJGRCVKGPVŏUGZRGEVCVKQPU CPFECTGHWNN[CUUGUUKPIVJGVTGCVOGPVRNCPKUKORQTVCPV HQTCEJKGXKPIVJGUGVQDLGEVKXGUCPFHQTDGKPICDNGVQ KORTQXGVJGRCVKGPVŏUUQEKCNUGVVKPI

(KIWTG(KPCNTCFKQITCRJU

YYYOGFKITCRJKEQTIOZ

(KIWTG+PKVKCNCPFHCEKCNRJQVQITCRJU

Velázquez SSN et al. Orthodontic-surgical management of a patient with class II division 2 malocclusion and prominent chin

e196

(KIWTG (KPCNOQFGNU

4'('4'0%'5

6CDNG+70#/CPCN[UKU #PING

0QTOCNXCNWG

2CVKGPV

5MGNGVCNENCUU

5VCTV'PF

50# 5VGKPGT 50$ 5VGKPGT #0$ 5VGKPGT (CEKCNCPING &QYPU %QPXGZKV[ &QYPU &KTGEVKQPQHITQYVJ

QvQ QvQ QvQ QvQ QvQ

)Q)P(*CPING &QYPU 5#T)Q#PINGUWO $LQTM )QPKCECPING $LQTM )TQYVJFKTGEVKQP ,CTCDCM

    

    

     

QvQ QvQ QvQ 

           

QvQ QvQ QvQ

     

+PEKUQTRQUKVKQP 50CPING ,CTCDCM )Q)PCPING 6YGGF +PVGTKPEKUCNCPING 6YGGF .KRCGUVJGVKEU 7RRGTNKR 4KEMGVVU .QYGTNKR 4KEMGVVU

  

 ;KP.,KCPI/%JGP95OCNGU4,9CPI36CPI.&KHHGTGPEGU KPHCEKCNRTQſNGCPFFGPVCNGUVJGVKERGTEGRVKQPUDGVYGGP[QWPI CFWNVUCPFQTVJQFQPVKUVU#O,1TVJQF&GPVQHCEKCN1TVJQR     4KXGTC5/*CVEJ,24WIJ,&2U[EJQNQIKECNHCEVQTCUUQEKCVGF YKVJQTVJQFQPVKEUWTIKECNVTGCVOGPV5GOKP1TVJQF   /KPKEJ%/#TCÕ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ÎUVKEQ[RNCPKHKECEKÎPENÈPKEC5CQ 2CWNQ 'FKVQTKCN .CU #TVGU /ÃFKECU  +P 'UETKX¶P FG 5CVWTPQ.1TVQFQPEKCGPFGPVKEKÎPOKZVC%CTCECU'FKVQTKCN #OQNEC  /CL).WEEJGUG(26JGOCPFKDNGKPENCUU++FKXKUKQP#PING 1TVJQF    2TQHſV91TVQFQPEKCEQPVGORQT¶PGCVGQTÈC[RT¶EVKECTCGF /CFTKF'F'NUGXKGT'URCÌC5# +UJKJCTC ; -WTQFC 5 5WICYCTC ; -WTQUCMC * 6CMCPQ ;COCOQVQ 6 ;COCUJKTQ 6 .QPIVGTO UVCDKNKV[ QH KORNCPV CPEJQTGFQTVJQFQPVKEUKPCPCFWNVRCVKGPVYKVJC%NCUU++&KXKUKQP

YYYOGFKITCRJKEQTIOZ

vOO   vOO  

 

%10%.75+10 +PVGTFKUEKRNKPCT[EQOOWPKECVKQPCPFVJGRCVKGPVŏU RGTEGRVKQPCTGKORQTVCPVVQRGTHQTOCIQQFFKCIPQUKU CPF UGNGEV VJG DGUV VTGCVOGPV CNVGTPCVKXG HQT VJG RCVKGPVyUDGPGHKVHCXQTKPIHWPEVKQPCGUVJGVKEUCPF RTQXKFKPIITGCVGTUGNHEQPHKFGPEGHQTVJGRCVKGPVV Q KPVGTCEVKPVJGKTUQEKCNGPXKTQPOGPV

Revista Mexicana de Ortodoncia 2015;3 (3): e190-e197

OCNQEENWUKQPCPFCWPKNCVGTCNOQNCTUEKUUQTUDKVG#O,1TVJQF &GPVQHCEKCN1TVJQR  5 /QTGPQ7./*QYG5%-WOOGV%8GNC-%&CYUQP&8 5QWVJCTF6'2JGPQV[RKEFKXGTUKV[KPYJKVGCFWNVUYKVJOQFGTCVG VQUGXGTG%NCUU++OCNQEENWUKQP#O,1TVJQF&GPVQHCEKCN1TVJQR    4WH52CPEJGT\*%NCUU++FKXKUKQPOCNQEENWUKQPIGPGVKEUQT GPXKTQPOGPV!#ECUGTGRQTVQHOQPQ\[IQVKEVYKPU#PING1TVJQF    2GEM52GEM.-CVCLC/%NCUU++FKXKUKQPOCNQEENWUKQPC JGTKVCDNGRCVVGTPQHUOCNNVGGVJKPYGNNFGXGNQRGFLCYU#PING 1TVJQF  

e197 )QP\¶NG\4/).CTC/2%QTTGEEKÎPPQSWKTÕTIKECFGNRGTſNFG WPCOCNQENWUKÎPENCUG++4GXKUVC/GZKECPCFG1TVQFQPEKC    #NCXK&)$G)QNG'#5EJPGKFGT$,(CEKCNCPFFGPVCNCTEJ CU[OOGVTKGUKP%NCUU++UWDFKXKUKQPOCNQEENWUKQP#O,1TVJQF &GPVQHCEKCN1TVJQR  

/CKNKPICFFTGUU 5C[TC0C[GNNK8GN¶\SWG\5GTTCPQ 'OCKNEFUC[TC"JQVOCKNEQO

YYYOGFKITCRJKEQTIOZ