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 2013
Comparative StudyEffectiveness of treatment apnea-hypopnea index: a mathematical estimate of the true apnea-hypopnea index in the home setting.
To present a new measurement instrument, the Effectiveness of Treatment Apnea-Hypopnea Index (ET-AHI), which the authors developed to determine an estimate of the therapeutic control of obstructive sleep apnea (OSA). ⋯ The ET-AHI has the potential to significantly affect the care of patients with OSA because it may provide the treating clinician with a valuable tool to estimate the control of OSA for any therapeutic intervention. How closely the ET-AHI predicts the true effective AHI in the home setting requires further validation.
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J. Oral Maxillofac. Surg. · Feb 2013
Randomized Controlled Trial Comparative StudyHealing of intraoral wounds closed using silk sutures and isoamyl 2-cyanoacrylate glue: a comparative clinical and histologic study.
To compare the clinical and histologic healing of intraoral wounds closed using No. 3-0 silk suture with that obtained with isoamyl 2-cyanoacrylate glue. ⋯ On the seventh postoperative day, both clinical and histologic indicators of inflammation were higher on the sutured side, but these indicators had reached similar values on the fourteenth postoperative day on both the sutured and glued sides. This suggests that isoamyl 2-cyanoacrylate may aid initial healing.
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J. Oral Maxillofac. Surg. · Feb 2013
Comparative StudyAssessment of blood loss and need for transfusion during bimaxillary surgery with or without maxillary setback.
The objective of this study was to compare the blood loss, transfusion needs, and operation times in subjects who underwent bimaxillary surgery with versus without maxillary setback. ⋯ This study shows that intraoperative bleeding and operation time increased significantly in patients undergoing mandibular ramus osteotomy and Le Fort I osteotomy with maxillary setback. However, transfusion generally is not required during 2-jaw surgery, regardless of maxillary setback.
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J. Oral Maxillofac. Surg. · Jan 2013
Randomized Controlled Trial Comparative StudyCatheter-based donor site analgesia after rib grafting: a prospective, randomized, double-blinded clinical trial comparing ropivacaine and bupivacaine.
Although ribs provide the best source of cartilage for reconstruction, its harvesting is associated with significant postoperative pain and sometimes incapacitating functional deficit. The lack of studies in the maxillofacial literature on regional analgesia for rib harvests stimulated this study design. This study compared ropivacaine with bupivacaine in providing postoperative analgesia after rib harvest. ⋯ The use of catheter-based analgesia after rib harvesting provides excellent postoperative comfort, with ropivacaine providing an earlier return to normal function compared with bupivacaine. The duration of action of ropivacaine was significantly longer and, hence, decreased the need for rescue analgesics.