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 1995
Diagnosis of unsuspected facial fractures on routine head computerized tomographic scans in the unconscious multiply injured patient.
This article assessed the value of routine head computerized axial tomographic (CT) scans for diagnosis of unsuspected facial fractures and its clinical implications in the multiply injured patient who is intubated, unconscious, or sedated at the time of initial assessment and requires a head CT scan to assess for brain injury. ⋯ Routine head CT scans to assess for brain injury in the multiply injured patient are also very useful in the diagnosis of unsuspected facial fractures, almost half of which will require surgical intervention.
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J. Oral Maxillofac. Surg. · May 1995
Baseball bat injuries to the maxillofacial region caused by assault.
Baseball bats, although meant for recreational use, are also frequently used as assault weapons, resulting in multiple types of injuries including those in the maxillofacial region. This report reviews the patients admitted to the Maryland Institute of Emergency Medical Service with maxillofacial injuries caused by blunt trauma from assault with a baseball bat between July 1989 and January 1994. ⋯ Assaults with a baseball bat can result in significant morbidity and even mortality.
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J. Oral Maxillofac. Surg. · Apr 1995
Long-term effects of jawbone curettage on the pain of facial neuralgia.
To evaluate the dimension and duration of pain reduction in patients with facial neuralgias after localization, decortication, and curettage of histologically confirmed inflammatory jawbone lesions of the newly identified form of alveolar avascular osteonecrosis called neuralgia-inducing cavitational osteonecrosis (NICO). ⋯ Neuraglia-inducing cavitational osteonecrosis appears to be associated with at least some cases of facial neuralgia, or with a pain so similar as to be clinically indistinguishable. Decortication and curettage dramatically reduces or eliminates this intense pain in two of every three patients, although multiple surgeries may be required, and additional sites of osteonecrosis may occur. It is recommended that NICO be included in the differential diagnosis of idiopathic facial pain syndromes.