Revue de stomatologie et de chirurgie maxillo-faciale
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Rev Stomatol Chir Maxillofac · Dec 2012
Randomized Controlled Trial Comparative Study[Inferior alveolar nerve block with ropivacaine: effect on nausea and vomiting after mandibular osteotomy].
Our objective was to evaluate the contribution of bilateral inferior alveolar nerve block (BIANB) in patients before mandibular sagittal osteotomy for postoperative pain management, consumption of opioids, treatment of nausea and vomiting. ⋯ BIANB during mandibular osteotomy increases the patient comfort by decreasing PONV and improving postsurgical analgesia.
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Rev Stomatol Chir Maxillofac · Dec 2012
Case Reports[PEEK customized implant for skull esthetic reconstruction].
Craniotomies provide unsightly sequels. Conservative methods for the removed bone, autologous graft, or use of surgical cement do not always allow restoring cranial symmetry. A customized PolyEtherEtherKetone (PEEK) implant may then be used. This implant is made from 3D CT reconstruction. The PEEK material is biocompatible, conformable, strong enough to protect the brain. ⋯ The aesthetic results are satisfactory, the postoperative short and simple. PEEK is a good alternative to titanium implants for customized implants; it is easier to use and lighter. This customized implant is well suited to correct unsightly sequels of craniotomy.
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Skin expansion is a good solution for the reconstruction of head and neck defects. We assessed the complications of cervico-facial skin expansion technique to draft recommendations so as to minimize risks. ⋯ The complications of head and neck soft tissue expansion are often minor. The rate of reconstruction failure remains acceptable.