The British journal of oral & maxillofacial surgery
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Br J Oral Maxillofac Surg · Mar 2007
Anaesthetists and the standard of preoperative assessment by dentally-qualified hospital staff.
Our aims were to seek the opinion of consultant anaesthetists about the competence of maxillofacial SHOs to make preoperative assessments, and to compare the competence of maxillofacial SHOs with that of medically-trained SHOs in preoperative assessment as assessed by consultant anaesthetists. We concluded that most of the consultant anaesthetists who replied to our questionnaire were satisfied with the standard of preoperative assessment by maxillofacial SHOs.
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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.
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Br J Oral Maxillofac Surg · Jun 2006
Three-year review of facial fractures at a teaching hospital in northern Iran.
During the three years March 2001-February 2004, 7200 patients with maxillofacial trauma were seen at Poorsina Hospital, of whom 2160 had 4752 fractures of facial bones, 3089 (65%) mainly mandibular and 1663 (35%) mainly midfacial. Road traffic collisions accounted for the injuries in 6552 of the 7200 patients (91%), falls in 396 patients (5.5%), assault in 208 (2.9%) and sport and other causes in 44 (0.6%). The male (n=6646) to female (n=554) ratio was 12:1. During summer, Iranian weekends (Thursdays-Fridays) and the Iranian new year (begins on 21 March), the incidence was much higher than at other times.