The British journal of oral & maxillofacial surgery
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Br J Oral Maxillofac Surg · Dec 2006
Randomized Controlled Trial Comparative StudyBupivacaine as pre-emptive analgesia in third molar surgery: Randomised controlled trial.
We conducted a prospective, randomised study on the use of pre-emptive analgesia in 45 patients who had bilateral impacted third molars removed. Bupivacaine 0.5% with adrenaline 1:200,000 was injected on one side, the other side acting as control. A visual analogue scale was used to measure the extent of postoperative pain. There was a significant reduction (p = 0.05) in postoperative pain on the injected side at 6, 12, and 72 h and an overall reduction in pain up to 7 days.
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Br J Oral Maxillofac Surg · Dec 2006
Case ReportsUse of interventional radiology in the management of mediastinitis of odontogenic origin.
Descending necrotising mediastinitis is a rare complication of odontogenic infection. The key to diagnosis is to maintain a high index of suspicion when antibiotics and adequate surgical drainage do not lead to resolution of symptoms. Open thoracic operation to drain mediastinal collections is potentially lethal and interventional radiological techniques are thought to reduce mortality. We report the use of interventional radiology in the diagnosis, monitoring and treatment of this condition and illustrate our experience with three case reports.