International journal of oral and maxillofacial surgery
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Int J Oral Maxillofac Surg · Feb 1990
Randomized Controlled Trial Clinical TrialParadoxical reactions to rectal midazolam as premedication in children.
Eighty healthy children, between the ages of 2 and 7 years, who were to undergo oral surgical procedures under general anaesthesia, were allocated randomly to 4 groups. Three groups received rectal midazolam, and the other group a placebo (saline) as premedication 30 min prior to induction of anaesthesia. ⋯ No statistically significant difference was found between the treatment groups as to the effect on systolic- (p = 0.6920) and diastolic (p = 0.8701) blood pressures, respiration (p = 0.0505) and pulse (p = 0.6192) rates at either pre- or post-sedation levels. However, the results indicate that levels of anxiolysis and sedation were significantly associated with midazolam dosage (p less than 0.0001).
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Int J Oral Maxillofac Surg · Feb 1989
ReviewCricothyroidotomy, a useful alternative to tracheostomy in maxillofacial surgery.
Tracheostomy and prolonged intubation are traditionally used in maintaining the airway, particularly after extensive maxillofacial surgery. The literature reports significant morbidity and mortality from both these procedures. Cricothyroidotomy is proposed as a useful alternative in certain circumstances. ⋯ Cricothyroidotomy may also benefit the patient by quicker rehabilitation and in early mobilisation, compared with prolonged intubation. The surgical procedure is quick and easily performed, making it suitable for emergency airway control. Cricothyroidotomy is not appropriate in children or in patients with inflammation to the trachea, since these may predispose to subglottic stenosis.
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Int J Oral Maxillofac Surg · Aug 1988
Case ReportsImpairment of cranio-facial nerves due to AIDS. Report of 2 cases.
2 cases of disorders of craniofacial nerves resulting from progressive multifocal leucoencephalopathy are described. Clinical symptoms occurred as facial paralysis, hypaesthesia, hemianopsia and deafness. ⋯ Both patients died about 3 months after the first CNS symptoms had been diagnosed. Clinical and neurohistopathological findings as well as differential diagnoses are discussed.
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Int J Oral Maxillofac Surg · Feb 1987
Randomized Controlled Trial Comparative Study Clinical TrialSuprofen versus paracetamol after oral surgery.
A randomized double-blind trial was performed to evaluate efficacy and tolerability of suprofen 200 mg (Suprocil) in comparison to paracetamol 500 mg after surgical extraction of a wisdom tooth. The study lasted 4 days per patient at the longest. Pain intensity and pain relief were evaluated by the patients using a visual analog scale. ⋯ No significant differences between the 2 treatments was seen. Tolerability was rated good by all but 1 patient in each treatment group; with suprofen, 1 result was moderate, while with paracetamol, 1 result was poor. Adverse reactions occurred in 3 patients on suprofen and in 2 patients on paracetamol, though these reactions could not be related to the use of the drug itself.
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Int J Oral Maxillofac Surg · Aug 1986
Case ReportsProtracted dislocation of the temporomandibular joint.
A review of the literature concerning 37 cases of long-standing dislocation of the temporomandibular joint is presented. 3 new cases are added. A wide variety of methods of treatment has been used in the past. A survey of these methods will be given and a scheme of recommendation for managing the different clinical situations will be discussed.