ABSTRACT
The present report describes 2 patients who underwent mandibular reconstruction after segmental mandibulectomy for benign pathology. The potential of an ultrasonic-aided biodegradable system for containment of a nonvascularized bone graft is discussed.
Subject(s)
Mandible/abnormalities , Mandible/surgery , Surgical Mesh , Humans , Male , Mandible/diagnostic imaging , Middle Aged , Radiography, Panoramic , Tomography, X-Ray ComputedABSTRACT
PURPOSE: To study the safety of deep sedation in an urban-based oral maxillofacial surgery training program. MATERIALS AND METHODS: Charts of patients undergoing an intravenous sedation from January 2005 through December 2009 were reviewed. Data recorded included age, gender, type of procedures performed, and intravenous medications. Patients were divided in 2 groups depending on whether they received a general anesthetic agent (propofol or ketamine) or not. Anesthesia complications and failures were recorded and categorized. RESULTS: In total, 1,167 intravenous sedations were recorded. Eight patients developed adverse reactions, 3 of which required further evaluation in the emergency department. In addition, 7 intravenous sedations needed to be aborted because of patient agitation and combativeness. No deaths or long-term morbidities were reported. CONCLUSIONS: The safety of deep sedation in an urban-based oral maxillofacial training program is similar to office-based anesthesia. Sedations failures may be attributed to paradoxical benzodiazepine reactions.
Subject(s)
Deep Sedation , Dental Service, Hospital , Oral Surgical Procedures , Safety , Urban Health Services , Adjuvants, Anesthesia/administration & dosage , Adjuvants, Anesthesia/adverse effects , Adult , Age Factors , Aggression/drug effects , Akathisia, Drug-Induced/etiology , Ambulatory Surgical Procedures , Anesthetics, Intravenous/administration & dosage , Anesthetics, Intravenous/adverse effects , Child , Deep Sedation/adverse effects , Diazepam/administration & dosage , Diazepam/adverse effects , Female , Fentanyl/administration & dosage , Fentanyl/adverse effects , Humans , Hypnotics and Sedatives/administration & dosage , Hypnotics and Sedatives/adverse effects , Injections, Intravenous , Internship and Residency , Ketamine/administration & dosage , Ketamine/adverse effects , Male , Midazolam/administration & dosage , Midazolam/adverse effects , Middle Aged , Postoperative Complications/chemically induced , Propofol/administration & dosage , Propofol/adverse effects , Sex Factors , Surgery, Oral/education , Young AdultABSTRACT
Significant maxillary anterior osseous defects are considered contraindications for fixed partial dentures. This clinical report discusses the surgical and restorative treatment protocol of a patient who sustained trauma to the premaxilla and was treated by distraction osteogenesis to provide an adequate restorative platform for an implant-retained fixed prosthesis.
Subject(s)
Alveolar Bone Loss/surgery , Alveolar Ridge Augmentation/methods , Dental Prosthesis, Implant-Supported , Maxilla/surgery , Osteogenesis, Distraction , Adult , Bone Regeneration , Bone Transplantation , Dental Implantation, Endosseous , Denture, Partial, Fixed , Guided Tissue Regeneration, Periodontal , Humans , Incisor/injuries , Male , Maxilla/injuries , Tooth Avulsion/rehabilitationABSTRACT
Ameloblastoma is a benign locally invasive tumor with a high tendency to recur. It is considered rare in the pediatric population, with most cases diagnosed in the third to fifth decades of life. Approximately 80% of ameloblastomas occur in the molar and ramus region of the mandible, while 20% of cases occur in the maxillary posterior region. This report presents a case of plexiform ameloblastoma in an uncommon location in an 8-year-old child. The lesion was initially thought to be a dentigerous cyst, based on its location and radiographic appearance. The clinical and radiographic features, histopathology, and treatment of solid, plexiform, maxillary ameloblastoma are reviewed, with an added emphasis on a literature review of ameloblastoma in children. This report emphasize the importance of long-term follow-up, since recurrence may occur many years after initial tumor removal.
ABSTRACT
We present a case of a 14-year-old adolescent boy who has oral cavity after gunshot wound to the tongue presenting with hemorrhage from the tongue requiring coil embolization of the right lingual artery. The patient subsequently developed macroglossia, which was managed with maxillomandibular fixation for a period of 3 weeks with complete resolution of glossal edema.
ABSTRACT
External fixation of mandible fractures is a useful technique when an open treatment is contraindicated because of extensive comminution, bone or soft tissue loss, and infection. This technique can also be used temporarily until definitive treatment is delivered. A uniphasic or biphasic system can be placed to reduce and stabilize mandibular fractures. These systems use surgically placed threaded pins and different types of connectors that can be manipulated to optimize the reduction of fractures. External fixation remains a quick, safe, and simple method to treat mandible fractures in selected clinical situations, and it should be part of the armamentarium in surgeons treating these injuries and fractures.
Subject(s)
Bone Nails , External Fixators , Fracture Fixation/instrumentation , Jaw Fixation Techniques/instrumentation , Mandibular Fractures/surgery , Adult , Cellulitis/etiology , Equipment Failure , External Fixators/adverse effects , Fracture Fixation/adverse effects , Fracture Fixation/methods , Fractures, Comminuted/surgery , Fractures, Ununited/etiology , Humans , Jaw Fixation Techniques/adverse effects , Male , Malocclusion/etiology , Mandible/surgery , Mandibular Fractures/complications , Middle Aged , Surgical Wound Infection/etiology , Trigeminal Nerve Injuries , Wound Infection/complications , Young AdultABSTRACT
The goal of treatment for nasal fractures is to restore the pretraumatic state and normal function. The decision by the surgeon regarding the surgical approach should be based on the degree of injury, the presence of concomitant facial injuries, patient compliance, training of the surgeon, and the presence and degree of septal injury. The use of a closed or open approach will then depend on the extent of the injury.