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 2005
Office-based ambulatory anesthesia: Factors that influence patient satisfaction or dissatisfaction with deep sedation/general anesthesia.
The purpose of this report was to analyze data collected in an outcomes study in an attempt to identify factors that may be significant predictors of either patient satisfaction or dissatisfaction with deep sedation/general anesthesia (DS/GA) administered in an office-based setting. ⋯ The findings of this study indicate that patients are overwhelmingly satisfied with DS/GA provided in an office-based ambulatory setting. Items identified as significant predictors of dissatisfaction (anxiety, pain, vomiting, being awake) generally confirm preexistent suppositions. Surprisingly, patient age (<10 years old) and memory of postoperative instructions appear to have relevance to dissatisfaction as well. Lack of specific regimens and controls prevents confirmation that nitrous oxide improves patient satisfaction rates. Although statistically significant, the variations, which resulted in a higher or lower satisfaction rate, are of questionable clinical significance in many cases.
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J. Oral Maxillofac. Surg. · Jan 2005
Multicenter Study Clinical Trial Controlled Clinical TrialThe impact of intravenous corticosteroids with third molar surgery in patients at high risk for delayed health-related quality of life and clinical recovery.
To compare recovery for clinical and health-related quality of life (HRQOL) outcomes after third molar surgery in patients predicted to be at risk for delayed recovery, treated with or without intravenous (IV) corticosteroids at surgery. ⋯ Administration of IV corticosteroids before third molar surgery without antibiotics does not hamper clinical recovery even when healthy adult patients are predicted to have delayed recovery. Overall, IV corticosteroid administration had a limited, but beneficial effect on HRQOL outcomes.
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J. Oral Maxillofac. Surg. · Jan 2005
Prevalence of traumatic stressors in patients with temporomandibular disorders.
The aim of the present study was to identify the prevalence of significant traumatic stressor(s) reported by chronic temporomandibular disorder patients, and to describe the nature of these stressors. A second aim of this study was to evaluate and compare the behavioral and psychological domains of patients who reported 1 or more significant traumatic stressors to those who did not. ⋯ Prevalence of major traumatic stressors in chronic temporomandibular disorder patients is high. The greater distress on all psychological domains in patients endorsing major traumatic events may be a reflection of inadequate coping skills in these individuals. Therapy should be oriented toward the resolution of accompanying stressors such as depression, anxiety, and dysregulation of the hypothalamic-pituitary-adrenal axis.
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J. Oral Maxillofac. Surg. · Nov 2004
Postoperative imaging of zygomaticomaxillary complex fractures using digital volume tomography.
Three-dimensional imaging using digital volume tomography after reduction of zygomaticomaxillary complex fractures was performed and evaluated. ⋯ Digital volume tomography using the NewTom 9000 is suitable for assessment of postoperative results after zygomaticomaxillary complex reduction.
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J. Oral Maxillofac. Surg. · Oct 2004
Craniomaxillofacial fractures during recreational baseball and softball.
Baseball and softball are leading causes of sports-related facial trauma in the United States. We review our institutional experience (Strong Memorial Hospital, Rochester, NY) with these injuries and discuss measures to reduce their incidence. ⋯ With 68% of the injuries resulting from a ball impact, we endorse the recommendations of the Consumer Product Safety Commission for the use of low-impact National Operating Committee on Standards for Athletic Equipment-approved baseballs and softballs for youth and recreational leagues.