ABSTRACT
The efficacy and safety of transvenous embosurgery for sigmoid sinus dural arteriovenous fistula (DAVF) using the internal jugular vein approach is well known. Embosurgery of cavernous sinus DAVF has also been described utilizing a superior ophthalmic vein approach. The first report of a sigmoid sinus DAVF endosurgical repair via a superior ophthalmic vein approach in a patient without internal jugular vein access is presented.
Subject(s)
Central Nervous System Vascular Malformations/therapy , Embolization, Therapeutic/methods , Cavernous Sinus , Central Nervous System Vascular Malformations/diagnostic imaging , Cranial Sinuses , Dimethyl Sulfoxide/therapeutic use , Eye/blood supply , Humans , Male , Middle Aged , Polyvinyls/therapeutic use , RadiographyABSTRACT
In a double-blind, randomized plan of drug administration, nalbuphine, fentanyl, and a placebo were compared for efficacy in sedation and analgesia during third molar removal. Fifty-eight patients participated in this study. Using accepted intravenous sedation and surgical techniques, fentanyl and nalbuphine were found to be better than placebo for anxiety and pain control in third molar surgery. Fentanyl had a longer duration of pain relief postoperatively than did nalbuphine. The study confirmed the need for a narcotic supplement to sedation techniques for third molar surgery.
Subject(s)
Analgesics , Fentanyl/therapeutic use , Molar, Third/surgery , Morphinans/therapeutic use , Nalbuphine/therapeutic use , Tooth Extraction , Tooth, Impacted/surgery , Clinical Trials as Topic , Diazepam , Double-Blind Method , Humans , Male , Patient Compliance , Placebos , Preanesthetic Medication , Random AllocationABSTRACT
The pathogenesis, clinical characteristics, screening protocol, and dental management of the patient with sickle cell anemia or sickle cell trait are discussed. Treatment modalities are presented to aid the practitioner in caring for the patient with a sickle cell disorder.
Subject(s)
Anemia, Sickle Cell , Dental Care for Disabled/methods , Humans , Sickle Cell TraitABSTRACT
An unusual case of bilateral condylar fractures in a child with extensive remodeling of the condyles is described. The case was complicated by the delay in diagnosing the fractures and the severity of the apertognathia, limited mandibular opening, and deviation of the mandible. Conservative therapy allowed remodeling of the condyles.
Subject(s)
Mandibular Condyle/injuries , Mandibular Fractures/therapy , Child , Humans , Male , Mandibular Condyle/physiopathology , Mandibular Fractures/physiopathologyABSTRACT
The sternocleidomastoid muscle may be used as a muscular or a myocutaneous flap to satisfy the need for viable soft tissue in the reconstruction of some cancer- and trauma-related deformities. The anatomic and technical bases of these flaps are discussed in the context of a single-stage pedicled transfer in oral and maxillofacial reconstructive surgery.