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. · Nov 2009
Comment Letter Comparative StudyComparison between dexmedetomidine and remifentanil for intraoperative controlled hypotension.
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J. Oral Maxillofac. Surg. · Oct 2009
Safe, efficient, and cost-effective orthognathic surgery in the outpatient setting.
There has been a dramatic decline in the number of orthognathic surgery cases over the past 15 to 20 years. This decrease is a result of several compounding factors including decreasing coverage by major medical insurance companies and increasing health care costs. The difficulty associated with making orthognathic surgery financially practical has turned the interest of many oral and maxillofacial surgeons away from orthognathic procedures. ⋯ Alternative methods for providing high-quality surgical services at a reasonable cost must be explored including providing options for cost-effective outpatient surgical care, making better arrangements for financial assistance, and exploring options to obtain coverage from third-party providers. Outpatient surgery in facilities that can substantially reduce cost can be an effective way of providing quality treatment that is affordable to patients. Efficient, safe, and effective outpatient orthognathic surgery will help patients benefit from this valuable service.
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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.