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1.
J Oral Maxillofac Surg ; 78(11): 2027-2031, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33131548

RESUMO

PURPOSE: A hoverboard, or self-balancing scooter, is a battery-powered vehicle with 2 wheels connected by a longboard that requires handsfree operation. The purpose of the present study was to characterize the emergency department visits for hoverboard-related craniomaxillofacial trauma and determine predictors of injuries and hospital admission. MATERIALS AND METHODS: We performed a retrospective cohort study of the National Electronic Injury Surveillance System from 2015 to 2018. The database was searched using the codes for battery-powered vehicles and craniomaxillofacial body parts (ie, head, face, mouth, eyeball, ear). Entries with the term "hoverboard" in their narrative were included. The predictors were gender, age, body part, year, season, setting, and helmet wear. The outcomes were injury diagnoses (ie, dental injury, facial fracture, soft tissue injury, intracranial injury) and hospital admission. Associations between the predictors and outcomes were evaluated using χ2 and t tests. RESULTS: The final sample included 440 patients, of whom 51% were male and 74% were pediatric (age, ≤18 years). Pediatric and male patients were both less likely to wear helmets (P < .01). The injuries had most commonly occurred in the winter (38%) and in a home setting (77%). Facial fractures were more likely in adults (P = .03) and in the summer (P = .04). The overall admission rate was 4.3%. The admission rates were greater for those with facial fractures (P = .02) and intracranial injuries (P = .03) but lower for those with soft tissue injuries (P < .01). Street injuries resulted in a greater admission rate compared with home injuries (P = .01). CONCLUSIONS: Craniomaxillofacial injuries from hoverboard accidents have resulted in emergency department visits and hospital admissions since the vehicle's introduction to the consumer market in 2015. Most cases occurred in the winter, which might reflect increased sales and novice riders during the holiday season. Injuries to adults, in the summer or outdoors, appear to be more severe. Intracranial injuries were the most frequent diagnosis; thus, helmet wear is recommended.


Assuntos
Traumatismos Craniocerebrais , Traumatismos Faciais , Fraturas Cranianas , Adulto , Criança , Serviço Hospitalar de Emergência , Traumatismos Faciais/epidemiologia , Traumatismos Faciais/etiologia , Feminino , Dispositivos de Proteção da Cabeça , Humanos , Masculino , Estudos Retrospectivos , Fraturas Cranianas/epidemiologia
2.
J Oral Maxillofac Surg ; 78(12): 2128.e1-2128.e7, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32950471

RESUMO

PURPOSE: The utility of social media in oral and maxillofacial surgery (OMS) residency programs has never been investigated, despite the increasing popularity of such platforms in academic medicine. As a specialty that strives for constant innovation, it is important for OMS programs to participate in the emerging concept of incorporating social media into medical and surgical education. Therefore, this study aimed to evaluate the use of Instagram in OMS residency programs in the United States. METHODS: A cross-sectional study of Instagram search data was performed. The Instagram accounts of OMS residency programs were searched, and their metrics were retrieved from June 1 to June 5, 2020. Factors correlated with the total number of followers were identified. The use of Instagram in OMS residency programs was compared with that in other related dental and surgical residency programs. RESULTS: Only 17 (18.7%) of 91 OMS residency programs had an Instagram account. The number of programs with Instagram accounts exhibited linear growth (R2 = 0.98) since December 2018. The median number of followers was 326 (range, 94 to 2,152), and the median number of posts was 9 (range, 2 to 40). The number of Instagram followers was positively correlated with the number of accounts followed, the number of total posts, and the number of educational posts, and it was negatively correlated with the Instagram engagement rate. Instagram presence did not differ among residency programs for orthodontics (18.2%), periodontics (5.5%), and OMS (P = .067). However, Instagram presence in OMS residency programs was significantly lower than that in plastic surgery (74.7%; P < .001) and otolaryngology residency programs (35.0%; P = .011). CONCLUSIONS: Instagram use in OMS residency programs is growing but is significantly lower than that in related surgical fields. This may represent a missed opportunity for promoting collaboration and efficiently delivering useful information to trainees.

3.
J Oral Maxillofac Surg ; 78(9): 1583-1589, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32473916

RESUMO

PURPOSE: The purpose of the present study was to compare the severity of craniomaxillofacial injuries between accidents involving motorized and nonmotorized standup scooters. MATERIALS AND METHODS: This is a 20-year cross-sectional study of the National Electronic Injury Surveillance System. Injuries from powered and unpowered standup scooters were included in this study if they involved the head, face, eyeball, mouth, or ear. Study predictors were obtained from both patient and injury characteristics. The study outcome was the probability of hospital admission from the emergency department. A multiple logistic regression model was created to model the probability of admission using all significant univariate predictors. RESULTS: A total of 11,916 records were included in the present study, of which 9.5% involved motorized scooters. The proportion of motorized injuries more than tripled from 2014 (5.8%) to 2018 (22.1%). Motorized injuries occurred more often in older individuals (24.0 vs 8.5 years; P < .01). A greater proportion of motorized injuries involved the head (55.0 vs 36.9%; P < .01) and resulted in concussion (11.5 vs 5.6%; P < .01), fractures (6.7 vs 2.0%; P < .01), and other nonspecified internal organ injuries (31.1 vs 19.6%; P < .01). Motorized scooter injuries had more than triple the admission rate compared to nonmotorized injuries (13.9 vs 3.7%; P < .01). After controlling for potential confounders, injuries from motorized scooters still had double the odds of hospital admission (odds ratio, 2.03; P < .01). CONCLUSIONS: Motorized standup scooters appear to cause more severe injuries than conventional nonmotorized scooters. The recent growth of rentable electric scooters may pose a future public health concern. Ride-sharing companies should ensure that customers are capable of safely and responsibly operating these vehicles.


Assuntos
Fraturas Ósseas , Idoso , Estudos Transversais , Serviço Hospitalar de Emergência , Hospitalização , Humanos , Modelos Logísticos
5.
Oral Maxillofac Surg Clin North Am ; 28(1): 1-10, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26614696

RESUMO

Despite the many types of oral pathologic lesions found in infants and children, the most commonly encountered are benign soft tissue lesions. The clinical features, diagnostic criteria, and treatment algorithms of pathologies in the age group from birth to 18 years of age are summarized based on their prevalence in each given age distribution. Treatment modalities include both medical and surgical management.


Assuntos
Doenças da Boca/terapia , Biópsia , Criança , Humanos , Doenças da Boca/congênito , Doenças da Boca/patologia , Patologia Bucal
6.
Oral Maxillofac Surg Clin North Am ; 21(3): 345-52, 2009 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-19608051

RESUMO

The incidence of salivary gland infections in the pediatric population is low but not infrequently seen in pediatric oral and maxillofacial surgery practices and hospital environs. With an ever increasing armamentarium of diagnostic tools and medical and surgical therapies, these patients can be managed successfully with minimum morbidity and decreased incidence of recurrences.


Assuntos
Parotidite/diagnóstico , Parotidite/terapia , Algoritmos , Criança , Pré-Escolar , Doença Crônica , Diagnóstico Diferencial , Diagnóstico por Imagem , Humanos , Incidência , Lactente , Recém-Nascido , Parotidite/epidemiologia , Parotidite/microbiologia , Parotidite/fisiopatologia
7.
Oral Maxillofac Surg Clin North Am ; 19(2): 173-85, vi, 2007 May.
Artigo em Inglês | MEDLINE | ID: mdl-18088876

RESUMO

Eating disorders are common in girls and women. Two common eating disorders--anorexia nervosa and bulimia nervosa--have significant medical complications. Oral and maxillofacial surgeons must be cognizant of the signs, symptoms, and medical consequences of these disorders. The increased incidence of these diseases has implications in the surgical management the oral and maxillofacial surgery patient. A review of the literature and guidelines in the perioperative management of these surgical patients are presented in this article.


Assuntos
Transtornos da Alimentação e da Ingestão de Alimentos/fisiopatologia , Anorexia Nervosa/fisiopatologia , Anorexia Nervosa/terapia , Bulimia Nervosa/fisiopatologia , Bulimia Nervosa/terapia , Transtornos da Alimentação e da Ingestão de Alimentos/terapia , Feminino , Humanos , Procedimentos Cirúrgicos Bucais , Fatores Sexuais , Perda de Peso
8.
Anesth Prog ; 54(3): 115-7, 2007.
Artigo em Inglês | MEDLINE | ID: mdl-17900210

RESUMO

Dapsone is a leprostatic agent commonly prescribed for the management of leprosy, malaria, and the immunosuppression-induced infections of Pneumocystis carinii and Toxoplasma gondii. In susceptible patients, methemoglobinemia, a potentially life-threatening event, can occur. We report a case of dapsone-induced methemoglobinemia which was observed during general anesthesia for the management of a fractured mandible. The pathophysiology, diagnosis, and management of dapsone-induced methemoglobinemia will be discussed.


Assuntos
Anestesia Geral/efeitos adversos , Dapsona/efeitos adversos , Hansenostáticos/efeitos adversos , Metemoglobinemia/induzido quimicamente , Feminino , Humanos , Fraturas Mandibulares/cirurgia , Metemoglobinemia/diagnóstico , Pessoa de Meia-Idade
9.
Implant Dent ; 12(3): 211-6, 2003.
Artigo em Inglês | MEDLINE | ID: mdl-14560480

RESUMO

Placement of endosseous implants and inferior alveolar nerve transposition is a treatment option for patients with an edentulous posterior mandible with inadequate bone height superior to the inferior alveolar canal. Complications associated with these procedures include infection, prolonged neurosensory disturbances, and/or pathologic fracture. This report presents the surgical management of a patient with a mandible fracture after inferior alveolar nerve transposition with concurrent placement of two endosseous implants.


Assuntos
Implantes Dentários/efeitos adversos , Fraturas Mandibulares/etiologia , Nervo Mandibular/patologia , Idoso , Alveolectomia , Transplante Ósseo , Implantação Dentária Endo-Óssea/efeitos adversos , Seguimentos , Fixação Interna de Fraturas , Humanos , Arcada Edêntula/reabilitação , Arcada Edêntula/cirurgia , Masculino , Osteotomia/efeitos adversos
10.
Artigo em Inglês | MEDLINE | ID: mdl-12789141

RESUMO

Aging in the upper third of the face manifests as rhytids and ptosis of the frontal, glabellar, and brow regions. Frown lines may occur even in younger individuals as a result of habitual or dynamic forehead muscular hyperactivity. Multiple treatment options have been advocated to address forehead rhytids and brow ptosis. This article reviews 3 of the more commonly used treatment options: collagen, botulinum toxin, and surgical forehead lifting. Additionally, an algorithm is proposed as a guideline for selecting the most appropriate option for a given condition.


Assuntos
Testa/cirurgia , Envelhecimento da Pele/patologia , Toxinas Botulínicas Tipo A/administração & dosagem , Toxinas Botulínicas Tipo A/uso terapêutico , Colágeno/administração & dosagem , Colágeno/uso terapêutico , Músculos Faciais/patologia , Feminino , Testa/patologia , Humanos , Injeções Subcutâneas , Masculino , Ritidoplastia
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