International journal of oral and maxillofacial surgery
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Int J Oral Maxillofac Surg · Dec 1996
Case ReportsClosed reduction of chronic bilateral temporomandibular joint dislocation. A case report.
Attempts at manual reduction under general anesthesia of a chronically dislocated temporomandibular joint were unsuccessful. Light elastic traction was applied to modified dentures, and after 7 weeks the condyles were partially repositioned. Without further active reduction, the condyles were fully reseated by 9 months.
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Int J Oral Maxillofac Surg · Oct 1996
Local bupivacaine infusion following bone graft harvest from the iliac crest.
A method of local analgesic delivery to the donor site after the harvest of autogenous corticocancellous bone from the iliac crest is described. The technique reduces the need for postoperative systemic analgesia and facilitates early patient mobilization.
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Int J Oral Maxillofac Surg · Apr 1996
Case ReportsProbable BCG osteomyelitis of the hard palate: a case report.
A 4-year-old child with probable multifocal BCG osteomyelitis is reported. The lesions in the skull, clavicula, humerus, ribs, fibula, calcaneus, metatarsus, and hard palate were mainly osteolytic and healed rapidly with antituberculotic therapy. This is the first time that involvement of the hard palate has been described.
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Int J Oral Maxillofac Surg · Aug 1995
Review Case ReportsPosterior ischemic optic neuropathy following bilateral radical neck dissection.
A patient is presented with posterior ischemic optic neuropathy (PION) after bilateral radical neck dissection, probably caused by hemodynamic hypotension, combined with other factors. A postmortem histologic study of the optic nerve was performed to analyze the pathogenic mechanism of blindness. To prevent this complication, one should favor a two-stage procedure, avoiding drug-induced hypotension, overtransfusion, and anemia. During the postoperative period, visual acuity should be monitored regularly, and proper positioning of the patient's head is necessary.
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Int J Oral Maxillofac Surg · Feb 1995
Prefabricated prostheses for the reconstruction of skull defects.
Cranioplasties using intraoperatively modeled prostheses may fail to create harmonic contours with long-term stability. In contrast, preoperative modeling would allow more sophisticated planning of the contour and better preparation of the implant material, if a sufficiently precise model of the defect-site was available. ⋯ The margins of this prosthesis-geometry are generated by the borders of the defect and the surface by considering the non-affected neighbouring contours. Cranioplasties in cases of large postsurgical skull defects are presented as the first clinical applications of this new method, which also allows the use of titanium and fabrication of integrated fixation-devices.