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. · Aug 2008
Randomized Controlled Trial Comparative StudyEffect of botulinum toxin-A in myofascial pain patients with or without functional disc displacement.
To evaluate the effects of botulinum toxin-A in the treatment of patients who have myofascial pain with or without functional disc displacement. ⋯ The injection of botulinum toxin-A decreases the muscle action potential in 14 days. The patients also show improvement in pain and psychological status.
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J. Oral Maxillofac. Surg. · Aug 2008
Randomized Controlled Trial Comparative StudyNeuro-reflexotherapy for the management of myofascial temporomandibular joint pain: a double-blind, placebo-controlled, randomized clinical trial.
To assess the efficacy of neuro-reflexotherapy intervention (NRT) for treating temporomandibular joint dysfunction attributed to myofascial pain. Neuro-reflexotherapy intervention consists of the temporary implantation of epidermal devices in trigger points in the back and ear. It has shown efficacy, effectiveness, and cost-effectiveness in treating subacute and chronic common back pain. No study, however, has explored its efficacy in treating myofascial temporomandibular joint pain (MF/TMJP). ⋯ For patients in whom conservative treatment has failed, NRT improves the chronic pain associated with MF/TMJP syndrome.
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J. Oral Maxillofac. Surg. · Aug 2008
Incidence and severity of maxillofacial injuries during the Second Lebanon War among Israeli soldiers and civilians.
To analyze the incidence and severity of maxillofacial injuries in the Second Lebanon War, that occurred during the summer of 2006, among Israeli soldiers and civilians. ⋯ In the Second Lebanon War, the incidence and severity of true maxillofacial injuries, without dental injuries alone, were relatively low compared with previous reports of other conflicts. However, because most injuries involved multiple organs, special attention is required when planning and providing emergency, as well as secondary and tertiary medical care to war wounded.
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J. Oral Maxillofac. Surg. · Jul 2008
Factors for intraoperative blood loss in bimaxillary osteotomies.
Autologous blood donation is not routinely recommended for all cases of orthognathic surgery. The aim of this study was to evaluate the factors for blood loss during bimaxillary osteotomies that might indicate preoperative blood donation. ⋯ For patients undergoing bimaxillary osteotomies with segmentation of the maxilla and additional procedures, a preoperative donation of autologous blood should be considered.
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J. Oral Maxillofac. Surg. · Jul 2008
Simultaneous functional endoscopic sinus surgery and esthetic rhinoplasty in orthognathic patients.
Patients treated for dentofacial deformities may be predisposed to aggravated sinonasal disease postoperatively, particularly if concurrent rhinoplasty is performed. The authors present their experience with simultaneous rhinoplasty, maxillary/mandibular osteotomies, and functional endoscopic sinus surgery (FESS). ⋯ The combination of orthognathic surgery, rhinoplasty, and FESS in selected cases is safe and effective.