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. · Sep 2009
Prophylactic antiemetics in oral and maxillofacial surgery: a requiem?
To determine the incidence of postoperative nausea and vomiting (PONV) after oral and maxillofacial surgical procedures and to evaluate the rationale behind prophylactic antiemetic medications. ⋯ Information regarding the incidence of PONV after oral and maxillofacial surgical procedures remains scanty. We conclude that there does not appear to be a rationale for the prophylactic administration of antiemetic drugs in such surgical procedures. A watch-and-wait policy and simple GL may provide significant relief. Antiemetic medications are to be considered only in case of non-responders and intractable PONV.
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J. Oral Maxillofac. Surg. · Sep 2009
Controlled Clinical TrialClinical evaluations of coronectomy (intentional partial odontectomy) for mandibular third molars using dental computed tomography: a case-control study.
Studies have suggested that coronectomy reduces the risk of inferior alveolar nerve injury (IANI) when a close relationship with the inferior alveolar canal is indicated on panoramic imaging. However, the relationship between the inferior alveolar canal and the root are unclear on panoramic imaging. Our aim was to compare coronectomy with traditional extraction for the treatment of mandibular third molars that had clear high IANI risks as evaluated by dental computed tomography. ⋯ Coronectomy might reduce the risk of nerve injury for patients at true high risk of IANI as evaluated by dental computed tomography. A long-term postoperative review is needed to assess the incidence of root migration and the root extraction and infection rates after coronectomy.
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J. Oral Maxillofac. Surg. · Sep 2009
Microsurgical repair of peripheral trigeminal nerve injuries from maxillofacial trauma.
Injuries to the peripheral branches of the trigeminal nerve from maxillofacial trauma can have distressing sensory or functional sequelae. The present study reports the results of trigeminal microneurosurgical repair in a series of patients with maxillofacial trauma. ⋯ Microsurgical repair of peripheral branches of the trigeminal nerve injured by maxillofacial trauma produced significant improvement or complete recovery in 36 (86%) of 42 patients. These results compare favorably with the microsurgical repair of peripheral trigeminal nerve injuries resulting from other causes.