Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons
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J. Oral Maxillofac. Surg. · May 2007
The submental flap in facial reconstruction: advantages and limitations.
Complex defects resulting from surgical excision of facial cancer sometimes require reconstruction using microvascular free tissue transfer. Tissue transfer from areas distant from the face can resolve many problems, but often provides a poor cosmetic match with facial skin. The submental flap helps surmount this problem. Cervical skin has similarities with face skin, and because this is a regional flap, it helps eliminate microsurgical risks. In this article we present a series of 9 cases, review the anatomy and the surgical technique, and explain the advantages and limitations of the submental flap. ⋯ The submental artery island flap is a useful reconstructive procedure that offers options to the reconstructive surgeon and has definite advantages over distant flaps in terms of ease of dissection and donor site appearance.
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J. Oral Maxillofac. Surg. · May 2007
Comparative Study Clinical TrialNitrous oxide does not aggravate postoperative emesis after orthognathic surgery in female and nonsmoking patients.
The purpose of this study was to evaluate the effect of supplemental nitrous oxide on postoperative nausea and vomiting (PONV) after propofol anesthesia for orthognathic surgery in female and nonsmoking patients. ⋯ It is suggested that supplemental nitrous oxide does not aggravate PONV after propofol anesthesia for orthognathic surgery in female nonsmoking patients.
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J. Oral Maxillofac. Surg. · May 2007
Clinical TrialRelationships between surgical difficulty and postoperative pain in lower third molar extractions.
To investigate the influence of surgical difficulty on postoperative pain after extraction of mandibular third molars. ⋯ Pain after extraction of a mandibular third molar increases with increased surgical difficulty and duration of the intervention.
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J. Oral Maxillofac. Surg. · May 2007
A protocol for the management of frontal sinus fractures emphasizing sinus preservation.
The purpose of this retrospective study is to review the incidence and etiology of frontal sinus fractures at an urban trauma center and validate a treatment protocol by assessing the outcome of a consecutive series of patients treated over a 10-year period. ⋯ Application of the management protocol described in this report results in functional sinus preservation for the majority of patients, with relatively few significant perioperative complications.