Oral and maxillofacial surgery clinics of North America
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Oral Maxillofac Surg Clin North Am · Aug 2013
Management of allergy and anaphylaxis during oral surgery.
Minor and major allergic reactions occur during oral and maxillofacial treatment. Immediate diagnosis and pharmacologic intervention are imperative. Signs and symptoms may be variable. The early administration of epinephrine is critical.
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Oral Maxillofac Surg Clin North Am · May 2013
ReviewReconstruction of acquired oromandibular defects.
Acquired defects of the mandible resulting from trauma, infection, osteoradionecrosis, and ablative surgery of the oral cavity and lower face are particularly debilitating. Familiarity with mandibular and cervical anatomy is crucial in achieving mandibular reconstruction. ⋯ Complexity of mandibular reconstruction ranges from simple rigid internal fixation to microvascular free tissue transfer, depending on defect- and patient-related factors. Modern techniques for microvascular tissue transfer provide a wide array of reconstructive options that can be tailored to patients' specific needs.
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Oral Maxillofac Surg Clin North Am · Aug 2012
ReviewSinonasal disease and orbital cellulitis in children.
Sinonasal disease is common in the pediatric population because of anatomic, environmental, and physiologic factors. Once paranasal sinusitis develops, orbital cellulitis is a concerning sequela that can result in loss of visual acuity and even intracranial disease. Thus, a clear history and physical examination in conjunction with radiographic studies are critical to a correct diagnosis and timely institution of treatment that may include hospitalization, serial ophthalmologic examinations, intravenous antibiotics, and surgery. The serious nature of orbital cellulitis in children cannot be overestimated; but, if prompt and appropriate treatment is initiated, the prognosis is excellent and long-term sequelae should be limited.
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Nerve injury associated with dentoalveolar surgery is a complication contributing to the altered sensation of the lower lip, chin, buccal gingivae, and tongue. This surgery-related sensory defect is a morbid postoperative outcome. Several risk factors have been proposed. This article reviews the incidence of trigeminal nerve injury, presurgical risk assessment, classification, and surgical coronectomy versus conventional extraction as an approach to prevent neurosensory damage associated with dentoalveolar surgery.
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Oral Maxillofac Surg Clin North Am · Aug 2011
Complications in oral and maxillofacial surgery: management of hemostasis and bleeding disorders in surgical procedures.
Oral and maxillofacial surgeons perform a wide variety of surgical procedures. One of the major complications of these various surgical techniques is uncontrolled bleeding. ⋯ This article evaluates various causes of bleeding, and identifies both local and systemic and pathways. Considerations of treatment for patients with these various disorders are discussed regarding the best management options for adequate hemostasis.