Answering the Call: How to Establish a Dentoalveolar Surgery Mission in Low- and Middle-Income Countries.

Addressing access to oral health care in many low- to middle-income countries is a complicated issue. Oral and maxillofacial surgeons may help engage with vulnerable populations through carefully planned dentoalveolar mission trips. The process of planning a mission includes selecting a population and identifying their unique needs, designing clinic layouts and workflows, team preparation, collection of supplies, fundraising, and advertising. During the mission, methods for protecting privacy, delivering treatment that is standard of care, and sanitation/sterilization options are reviewed. Ethical considerations include avoiding exploitation of vulnerable populations, offending local hosts, need for data collection, and long-term mission sustainability.

Chinchaysuyoa, a new genus of the fish family Ariidae (Siluriformes), with a redescription of Chinchaysuyoa labiata from Ecuador and a new species description from Peru.

In recent years, morphological and molecular studies have improved our understanding about the relationships and classification schemes of the marine catfishes of the family Ariidae. A taxonomic issue that is still contentious concerns the limits and status of the freshwater Neotropical ariid diversity, in particular the species in the genus Potamarius. The delimitation of Potamarius is currently uncertain given the disjunct distribution of the species in Mesoamerica (Potamarius izabalensis, P. nelsoni and P. usumacintae, from Lake Izabal and Usumacinta River basins in Mexico to Guatemala) and Brazil (P. grandoculis, from coastal lakes in southeastern Brazil). The freshwater Arius labiatus and Hexanematichthys henni from the Peripa and Daule rivers in Ecuador that drain to the Eastern Pacific (EP), have also at times been listed as species inquirenda in Potamarius. Here, we redescribe Arius labiatus, redefine the taxonomic status of Hexanematichthys henni, as junior synonym of Arius labiatus, and describe a new species from Peru that is closely related to Arius labiatus. Based on morphological and molecular phylogenetic evidence, we also describe a new genus (Chinchaysuyoa) for the two South American species.

The Effect of Deep Vein Thrombosis Prophylaxis on Bleeding in Periorbital Surgery in Trauma Patients.

The aim of this study is to assess if there is an increase in postoperative venous thromboembolism (VTE) or bleeding complications in patients who received perioperative chemical thromboprophylaxis compared with patients in whom chemical thromboprophylaxis was held during periorbital trauma surgery. This is a retrospective chart review of patients undergoing periorbital surgery treated in three different city hospitals, by the Department of Oral and Maxillofacial Surgery, University of Texas, between August 2014 and December 2016. A total of 237 patients were included in this study. None of these patients suffered a postoperative VTE. A total of 102 patients received perioperative pharmacologic thromboprophylaxis in the form of enoxaparin or heparin. In this group, one patient suffered a buccal space hematoma. Chemical thromboprophylaxis was held in 135 patients preoperatively and for at least 24 hours postoperatively. In this group, one patient suffered a retrobulbar hematoma after repair of an orbital floor fracture. The rate of postoperative bleeding complications was compared by the chi-square test and was not statistically significant ( p = 0.8417).

Evolving Technologies for Tissue Cutting.

This article reviews evolving and lesser known technologies for tissue cutting and their application in oral and maxillofacial surgery.

Peces de la cuenca del río Chira, Piura, Perú / Peces de la cuenca del río Chira, Piura, Perú

Abstract Chira River is located on the north coast of Peru. The scant information of the ichthyofauna from coastal drainages from Peru is noteworthy. The aim of this study is to characterize the ichthyofauna along the Chira River basin in terms of diversity and altitudinal range distribution. The material examined belongs to the Ichthyological collection of the Natural History Museum (MUSM). The diversity of fishes is composed of 27 species belonging to 19 families and ten orders. Siluriformes and Characiformes were the most diverse, consisting of 22% (six species) for each one. Five species are new records for the Chira River (three natives and two non-natives). Six marine species and seven exotic species were recorded as well. The altitudinal distribution patterns for all species were registered. This study increases the known diversity of freshwater fishes from Pacific Drainage Rivers in Peru, and it could be used for management and conservation plans.

Resumen El río Chira está ubicado en la costa norte del Perú. La escasa información de la ictiofauna de las cuencas costeras del Perú es notable. El objetivo de este estudio es caracterizar la ictiofauna en la cuenca del río Chira en términos de diversidad y rango de distribución altitudinal. El material examinado pertenece a la colección ictiológica del Museo de Historia Natural (MUSM). La diversidad de peces está compuesta por 27 especies pertenecientes a 19 familias y 10 órdenes. Cinco especies son nuevos registros para el río Chira (tres nativas y dos no nativas). Fueron registradas seis especies marinas y siete especies exóticas. Este estudio incrementa el conocimiento de la diversidad de peces de las cuencas costeras en Perú, y puede ser usado para planes de manejo y conservación.

Cathorops festae (Boulenger 1898) (Siluriformes; Ariidae), a valid species from Ecuador and Peru.

Over the past decade, the Sea Catfish (Ariidae) genus Cathorops has been the focus of a major taxonomic review, which has resulted in the revalidation of five synonymized nominal species, and the recognition of seven new species. With 21 valid species, Cathorops is currently the most species-rich genus of Ariidae in the New World. The principal lacuna in the taxonomic knowledge of genus species is the uncertain status of Arius festae Boulenger, 1898, described from Naranjal, in the Guayas River basin of Ecuador. In the present study Cathorops festae is redescribed as a valid species based on morphological and molecular data.

Fixation of mandibular angle fractures with a 2.0-mm 3-dimensional curved angle strut plate.

PURPOSE: The aim of this study was to evaluate our experience and complication rate with the use of a 3-dimensional 2.0-mm curved angle strut plate for mandibular angle fracture fixation. PATIENTS AND METHODS: This was a retrospective evaluation of 37 patients with noncomminuted mandibular angle fractures fixated with a transorally placed curved 2.0-mm strut plate. Postoperative intermaxillary fixation was used in 5 patients for a mean period of 22 days. A nonchewing diet was prescribed for 6 weeks. Records were reviewed for demographic information, medical history, fracture characteristics, operative management, and complications. RESULTS: Two patients developed infections requiring plate removal and reapplication of fixation. Both of these patients had a molar in the fracture line that was left in place during the first operation. One patient developed a mucosal wound dehiscence without consequence. After a mean follow-up period of 10 weeks, 39.4% of patients with a postinjury/pretreatment inferior alveolar nerve deficit reported a return to normal sensation. All patients who developed a sensory deficit as a result of surgery reported full recovery of sensation. A persistent sensory deficit appeared to be related to fracture displacement. CONCLUSION: Fixation of noncomminuted mandibular angle fractures with a 2.0-mm curved angle strut plate was predictable. This plate is low in profile, strong yet malleable, facilitating reduction and stabilization at both the superior and inferior borders. Development of a postoperative infection appeared to be related to failure of removal of a molar in the fracture line. The infection rate of 5.4% found in this study compares favorably with that seen with reconstruction plates. Use of this plate did not appear to cause a permanent sensory deficit in this study.

Tibial bone harvesting under intravenous sedation: Morbidity and patient experiences.

PURPOSE: The aims of this study were to evaluate the complication rate, the recovery, and the experience in patients undergoing tibial bone harvesting under intravenous sedation. PATIENTS AND METHODS: This was a prospective study of 10 consecutive patients who underwent unilateral or bilateral sinus grafting with tibial bone grafts under intravenous sedation in a 3-month period in the oral and maxillofacial surgery outpatient clinic. All medications used perioperatively were recorded. Postoperative analgesic requirements were evaluated, along with patient recovery and complications and the patients' subjective experiences. RESULTS: All patients underwent unilateral tibial bone harvesting using a nontrephination technique under sedation with meperidine and methohexital. On average, 11.3 mL of compressed marrow was harvested. All patients described a sensation of scraping intraoperatively but not of severe pain. On average, patients required narcotic analgesics for 1.2 days postoperatively and non-narcotic analgesics for 10.2 days. Discomfort and a gait disturbance were present for an average of 9 to 10 days. There were no wound complications, and all patients were satisfied with the recovery and donor site. CONCLUSIONS: Tibial bone harvesting under intravenous anesthesia in an office setting is well tolerated and well accepted. The postoperative recovery and complication rate also seem to compare favorably with those of tibial grafting under general anesthesia.

Effect of stress and dexamethasone treatment on circadian rhythms of melatonin and corticosterone in ring dove (Streptopelia risoria).

The possible relationship between the circadian rhythm of blood levels of melatonin and corticosterone in ring dove (Streptopelia risoria) subjected to both immobilization stress and immobilization stress plus dexamethasone treatment were studied. The results show changes in the circadian rhythm of melatonin, with increased daytime levels in situations of stress accompanied by increased corticosterone levels. The highest blood melatonin levels over the 24 h of the study were obtained when the animals were treated with dexamethasone and then subjected to stress. Given the antioxidant role of melatonin, our results support the idea ofmelatonin-corticosterone coupling with the possibility that melatonin released in situations of stress counteracts the adverse effects of glucocorticoids on the organism.