The British journal of oral & maxillofacial surgery
-
Br J Oral Maxillofac Surg · Jun 1988
Case ReportsLymphangitis carcinomatosa of the lungs. An unusual complication of oral cancer.
Lymphangitis carcinomatosa is a rare form of pulmonary metastasis. According to the literature only one case of oral cancer has previously been reported as the primary site. The diagnosis can be difficult to reach because the symptoms, as in this case, are often suggestive of heart failure or pneumonia.
-
Br J Oral Maxillofac Surg · Aug 1987
Psychological factors influencing post-operative pain and analgesic consumption.
The personality factors, post-operative pain experience and analgesic requirements after minor oral surgery under general anaesthesia of 103 patients are presented. Psychiatric morbidity, neuroticism and anxiety were related to increased pain which tended to persist longer than normal. Trait anxiety also correlated with simple analgesic consumption, and neuroticism was weakly associated with Omnopon requirements. ⋯ Despite higher levels of anxiety and neuroticism, women did not complain of more pain or require more analgesia than men in this study. There was also no overall correlation between post-operative pain experience and analgesic requirements. Therefore analgesic tablet consumption cannot be used as a measure of pain control.
-
Br J Oral Maxillofac Surg · Dec 1986
Case ReportsBroken tooth fragments embedded in the tongue: a case report.
Tooth fragments embedded in the lip are reasonably common and have been well reported in the literature. Tooth fragments in the tongue are less common with few reported cases (Jacowski & Colas, 1952; Snawder et al., 1979). A case report of multiple tooth fragments in the tongue is presented and a hypothesis suggested as to the cause and positioning of the fragments.
-
Br J Oral Maxillofac Surg · Jun 1986
Case ReportsPharyngoplasty: a hazard for nasotracheal intubation.
General anaesthesia is desirable for a wide range of oral and maxillofacial operations and nasal intubation is essential for some procedures, particularly orthognathic surgery. The patient who has undergone pharyngoplasty presents with a reduced velopharyngeal orifice which may interfere with the insertion of the nasal tube. It is suggested that nasal pharyngoscopy or a similar investigation should be included as part of the preoperative assessment for these patients if nasotracheal intubation is anticipated.
-
Br J Oral Maxillofac Surg · Apr 1986
Randomized Controlled Trial Comparative Study Clinical TrialA double-blind placebo-controlled comparison of three ibuprofen/codeine combinations and aspirin.
In a double-blind, single dose study of analgesic efficacy, 165 patients who were expected to develop moderate to severe pain following the removal of an impacted mandibular third molar tooth were allocated to receive aspirin, placebo, or an increasing dose of a fixed ratio ibuprofen/codeine combination. The degree of pain experienced prior to medication was noted and the patients were asked to record the degree of pain and of pain relief hourly for the following 5 hours. ⋯ There were few side effects and only one severe reaction was reported by a patient in the high dose group. To avoid side effects it is suggested that the medium-dose combination, ibuprofen 400 mg/codeine 30 mg, is optimal.