Oral and maxillofacial surgery clinics of North America
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Imaging plays a key role in dental implantation, management of maxillofacial trauma, facial reconstruction, temporomandibular joint pathology, and evaluation and treatment of neoplasms and infections. In addition to traditional conventional radiography, recent advances in computer tomography, magnetic resonance imaging, and positron emission tomography-computed tomography fusion technology have made radiology an even more vital component of patient care in dental and craniomaxillofacial practice.
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Oral Maxillofac Surg Clin North Am · Nov 2009
ReviewAnesthetic and postoperative management of the obstructive sleep apnea patient.
Sleep apnea patients pose a challenge for surgeons, anesthesiologists, and surgical facilities as there is increased risk for anesthetic and postoperative complications. Precautions before and after surgery minimize these risks. ⋯ Safe perioperative management requires judicious use of narcotics and sedating medications, reducing upper airway edema, prevention of aspiration and deep vein thrombosis, blood pressure control, use of positive airway pressure, and proper postoperative monitoring. Although the literature lacks specific recommendations, the guidelines presented in this article are based on more than 20 years of experience and supported by peer-reviewed medical literature.
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Oral Maxillofac Surg Clin North Am · May 2009
ReviewManagement of comminuted fractures of the mandible.
Comminuted fractures of the mandible are unusual but not rare. They are complex injuries with a high complication rate. ⋯ Traditional management with closed techniques is noted for good long-term results, but may involve an extended period of treatment. Treatment with open reduction and rigid internal fixation significantly shortens the course of treatment and simplifies the convalescence.
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Oral Maxillofac Surg Clin North Am · Feb 2009
ReviewNerve injuries and treatment in facial cosmetic surgery.
Surgical intervention remains a popular choice in patients seeking facial rejuvenation. Although uncommon, temporary or permanent peripheral nerve injury may complicate almost any type of invasive aesthetic procedure of the face, resulting in functional and psychological consequences for patients. ⋯ Depending on the type of injury, various interventions may range from observation and close follow-up to interposition nerve grafting. This article reviews the pertinent anatomy of nerves at risk in facial cosmetic surgery and discusses various management strategies for inadvertent injury to peripheral nerves of the face.
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Facial implants are readily used for aesthetic and reconstructive efforts in lieu of autogenous materials due to obvious benefits. Alloplastic facial augmentation is not without potential complications. This article discusses the major factors that contribute to complications of facial implant surgery, based on alloplast composition, surgical technique, and facial region. Also discussed are the most common complications as well as both their prevention and management.