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 1995
Case ReportsDiagnosis and treatment of intracranial complications of paranasal sinus infections.
Complications and local extension of paranasal sinus infections most often involve the orbit and periorbita. Because of the widespread use of antibiotics since World War II, intracranial extension of maxillofacial sinusitis is rarely seen today. ⋯ The mechanisms and potential for intracranial spread of infection from the frontal, sphenoid, and ethmoid sinuses are discussed in detail. The management of each type of complication is outlined, including the use of computed tomography and magnetic resonance imaging, and the role of surgical drainage.
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J. Oral Maxillofac. Surg. · Sep 1995
Case ReportsIntraoperative life-threatening emphysema associated with endotracheal intubation and air insufflation devices: report of two cases.
Two cases of life-threatening body emphysema with decompensating pneumothoraces, pneumomediastinum, and pneumopericardium intraoperatively have been presented. The most likely cause was tracheal perforation combined with high pressure ventilation. Although subcutaneous emphysema and pneumomediastinum are self-limiting conditions with rapid recovery with conservative treatment, life-threatening complications may arise requiring prompt recognition and specific surgical management in order to save the patient's life.
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J. Oral Maxillofac. Surg. · Sep 1995
Facial morphometry of television actresses compared with normal women.
The object of this investigation was to determine whether young women considered as beautiful differ in their three-dimensional facial characteristics from normal women of the same age and race. ⋯ The three-dimensional cutaneous facial characteristics of the beautiful women were significantly different from the characteristics of the normal women.
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J. Oral Maxillofac. Surg. · Aug 1995
Average blood loss and the risk of requiring perioperative blood transfusion in 506 orthognathic surgical procedures.
This study quantifies the estimated blood loss in seven groups of orthognathic surgical procedures and the risk of requiring perioperative blood transfusion, and identifies the factors relating to blood loss and need for transfusion. ⋯ The need for blood transfusion in this study was extremely low. Factors contributing to this are believed to be use of hypotensive anesthesia; a single surgical team; and a constant surgical setting. Patients having double-jaw surgery are at greater risk for blood loss than those having single-jaw procedures, and should be so advised, along with the risks of blood transfusion. The authors believe that under the conditions of this study the use of autodonation is not necessary, with the possible exception of complex double-jaw procedures involving small patients.