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. · Feb 2014
Randomized Controlled TrialSingle-dose intra-alveolar chlorhexidine gel application, easier surgeries, and younger ages are associated with reduced dry socket risk.
Although dry socket (DS) is commonly investigated, many of its risk factors remain highly controversial. In addition, few studies are available to show the preventive effect of chlorhexidine gel on DS. Moreover, multivariable analyses of DS risk factors are scarce, and their interactions have not been assessed previously. Therefore, the simultaneous effect of chlorhexidine gel and 4 DS risk factors and their interactions were analyzed within a multivariable framework. ⋯ Intra-alveolar application of chlorhexidine gel and practicing less traumatic surgeries are advocated, particularly in older patients. Smoking seems unlikely to affect DS frequency. The role of gender is inconclusive.
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J. Oral Maxillofac. Surg. · Feb 2014
Randomized Controlled TrialEfficacy and safety of dexmedetomidine versus propofol for the sedation of tube-retention after oral maxillofacial surgery.
To compare the safety and efficacy of sedation induced by dexmedetomidine and propofol after oral and maxillofacial surgery. ⋯ Dexmedetomidine showed similar safety and efficacy as propofol and could be used for tube-retaining sedation after oral and maxillofacial surgery.
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J. Oral Maxillofac. Surg. · Feb 2014
Age-based treatment of aggressive fibromatosis in the head and neck region.
To review our experience regarding the difference in management and treatment outcomes of aggressive fibromatosis of the head and neck region in children and adults, emphasizing, in particular, the role of conservative surgery in comprehensive treatment strategies. ⋯ For the treatment of aggressive fibromatosis, conservative resection with preservation of form and function should be given greater priority in all age groups. Also, postoperative adjuvant therapy is vital for patients with gross or microscopic residual tumor to obtain progression-free survival.
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J. Oral Maxillofac. Surg. · Feb 2014
Case ReportsComposite three-layer closure of oral antral communication with 10 months follow-up-a case study.
We propose a 3-layer composite closure technique for an oral antral communication (OAC) while avoiding secondary donor site morbidity. ⋯ The presented technique for 3-layer closure of OACs allows for the stability of a double-layer closure of OAC with the added benefit of bone grafting from single operative site, achieving stable oral antral closure, bone grafting, and the avoidance of secondary donor site morbidity.
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J. Oral Maxillofac. Surg. · Jan 2014
Randomized Controlled Trial Comparative StudyNicardipine infusion for hypotensive anesthesia during orthognathic surgery has protective effect on renal function.
Hypotensive anesthesia may adversely affect renal function. The purpose of this study was to evaluate the renoprotective effect of nicardipine in patients undergoing orthognathic surgery under hypotensive anesthesia. ⋯ Subclinical and reversible renal dysfunction appears during hypotensive anesthesia in patients undergoing orthognathic surgery. Continuous infusion of nicardipine attenuated the increase in NAG, which is a marker of renal tubular injury, during hypotensive anesthesia with desflurane and remifentanil.