RESUMEN
The value of coronal incisions in maxillofacial surgery has been well documented. The incision provides excellent access to the upper facial skeleton aiding in adequate access, good anatomic reduction of fractures and hidden scar. The associated bleeding with raising a bicoronal flap is a matter of concern to beginner surgeons. This often prevents the regular use of this approach. Textbooks have recommended the use of Raney clips but these are not available routinely in India and are expensive. We have utilized simple stationary paper clips, autoclaved and used for surgery. This not only provide haemostasis but also aids in holding the flap during dissection. This technique would be of great help to young surgeons and in developing countries where economics plays a major role in surgery.
RESUMEN
We present here a case of tissue destruction and paresthesia following the accidental injection of sodium hypochlorite instead of local anesthetic in a patient scheduled for endodontic procedure. The accident was managed by the local injection of steroid, debridement of necrotic tissue, daily dressings and medications. Wound healing was satisfactory at the end of 1 month. An extra-oral scar and a small area of paresthesia persisted even after 5 years.
RESUMEN
Successful outcome in any surgery is dependent on unobstructed access. Management of patients with polytrauma of the face or those undergoing multiple/complex facial osteotomies has always been a challenge, not only to maxillofacial surgeons but also to the anesthetists, as both specialists fight for the same anatomic territory. Hernandez in 1986 published the first article on the submental route for endotracheal intubation. He developed this technique to avoid tracheotomy particularly in maxillofacial trauma where short-term maxillomandibular fixation was required.Since our first report in 1992, we have successfully avoided tracheostomy in 400 patients, by using this technique of transmylohyoid intubation. Experience of 20 years is put forward with critical analysis of problems and complications along with certain suggestions and refinements.