Complications in Oral and Maxillofacial Surgery: Management of Hemostasis and Bleeding Disorders in Surgical Procedures

2011 ◽  
Vol 23 (3) ◽  
pp. 387-394 ◽  
Author(s):  
Jay P. Malmquist
Keyword(s):  
Surgical Procedures ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Bleeding Disorders ◽  
Surgery Management

scholarly journals Orthognathic Surgery in a Patient with Multiple Sclerosis

2015 ◽  
Vol 16 (6) ◽  
pp. 507-511
Author(s):  
Saleh A Al-Bazie
Keyword(s):  
Multiple Sclerosis ◽  
Surgical Procedures ◽  
Orthognathic Surgery ◽  
Dental Treatment ◽  
Maxillofacial Surgery ◽  
Neurological Dysfunction ◽  
Oral And Maxillofacial Surgery ◽  
Inflammatory Disorder ◽  
Prophylactic Regimen ◽  
Acute Exacerbations

ABSTRACT Aim The aim of this paper was to report a case of orthognathic surgery successfully done in a patient with multiple sclerosis. Background Multiple sclerosis (MS) is a chronic, progressive inflammatory disorder of the central nervous system affecting young adults, characterized by lymphocytic infiltration of the brain and spinal cord leading to demyelination and focal axonal damage. Clinically, MS patients present with reversible neurological dysfunction in the early stages, which progresses to irreversible neurological disability and deficit. Oral manifestations of MS include facial numbness or pain, neuralgias, facial paralysis, dysarthria and dysphagia. While dental treatment is not contraindicated in MS patients, it is, however, limited to preventive and supportive dental care. Case description A 23-year-old Saudi male patient with a diagnosis of MS since 2008 reported to the oral and maxillofacial surgery (OMFS) department for correction of dentofacial deformity. The patient was under follow-up with the neurology department and was being treated with interferon beta-1a. Following consent from the neurologist and the patient, a Lefort 1 segmental osteotomy was done under general anesthesia. The patient was stable throughout the surgical procedure and during the postoperative period. The patient was discharged upon complete surgical recovery and no acute exacerbations of MS were reported during the perioperative period. Conclusion Based on our observations, orthognathic and maxillofacial surgical procedures can be safely carried out in patients with MS, provided a strict perioperative prophylactic regimen for stress reduction and prevention of acute attacks of MS is adhered to. Clinical significance Due to the stressful nature of dental treatment and oral and maxillofacial surgical procedures, acute exacerbations of MS are very much likely. Hence, it is imperative that dental and oral surgical practitioners are aware of the manifestations of MS and are able to manage such patients with suitable treatment modifications. How to cite this article Al-Bazie SA. Orthognathic Surgery in a Patient with Multiple Sclerosis. J Contemp Dent Pract 2015;16(6):507-511.

scholarly journals Use of Mini-anchors and Rehabilitation with 0° Cusp Angle Teeth Complete Denture in Recurrent Condylar Dislocation: Technical Adequacy and Procedure

2017 ◽  
Vol 18 (4) ◽  
pp. 337-341 ◽  
Author(s):  
Rafaella de S Leão ◽  
Edmilson Z da S Júnior ◽  
Marília GM de Alencar ◽  
Raisa Q Catunda ◽  
Sandra LD de Moraes ◽  
...  
Keyword(s):  
Surgical Procedures ◽  
Treatment Plan ◽  
Maxillofacial Surgery ◽  
Recurrent Dislocation ◽  
Complete Denture ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Movement ◽  
Technical Adequacy ◽  
Surgical Access ◽  
Tmj Dislocation

ABSTRACT Aim To report a case of association between the surgical treatment of temporomandibular dysfunction and rehabilitation with denture total prosthesis (TP) using nonanatomic teeth (cusp 0°) in patients with anterior recurrent dislocation of the temporomandibular joint (TMJ) and persistent uncontrolled mandibular movement, showing a technical adaptation and conduct. Introduction There are several treatment approaches available for dislocation of the TMJ. The use of condylar mini-anchors for recurrent TMJ dislocation is a valid option and should be considered since it does not alter the joint anatomy. In edentulous patients undergoing TMJ surgical procedures, prosthetic rehabilitation can be seen as a means of treatment preservation. Case report A 73-year-old female patient attended the oral and maxillofacial surgery clinic presenting with joint instability, ligament laxity, and chronic recurrent TMJ dislocations. She had already been through three previous unsuccessful surgical procedures. A treatment plan was done based on the installation of a mini-anchor in the patient's TMJ through the preauricular surgical access. Dislocations were then resolved, but the lack of mandibular control even to a lesser extent after surgery precluded the use of prosthetics even at rest. Thus, it was planned to manufacture two conventional TPs with 0° cusp angle teeth, a clinical protocol shortened to three sessions in an attempt to improve the stability of the prosthesis. Conclusion The use of an individual mini-anchor is simple and effective, and the use of artificial teeth is well suited to the case. Clinical significance A multidisciplinary intervention (surgery/ prosthesis) is of utmost importance for the resolution and preservation of the treatment of these complex cases. How to cite this article de S Leão R, da S Júnior EZ, de Alencar MGM, Catunda RQ, de Moraes SLD, do E Vasconcelos BC. Use of Mini-anchors and Rehabilitation with 0° Cusp Angle Teeth Complete Denture in Recurrent Condylar Dislocation: Technical Adequacy and Procedure. J Contemp Dent Pract 2017;18(4):337-341.

Bismuth Iodoform Paraffin Paste: History, Uses and Alternatives in Oral and Maxillofacial Surgery

Dental Update ◽  
2021 ◽  
Vol 48 (3) ◽  
pp. 207-211
Author(s):  
Gurpreet Kaur Randhawa ◽  
Richard M Graham ◽  
Karanveer Singh Matharu
Keyword(s):  
Side Effects ◽  
Surgical Procedures ◽  
Clinical Relevance ◽  
Wound Dressing ◽  
Adverse Reactions ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Ent Surgery ◽  
Present Information ◽  
Background History

Bismuth iodoform paraffin paste (BIPP) continues to be widely used in dental/oral and maxillofacial/ENT surgery for surgical cavity packing and wound dressing where pressure, antisepsis and haemostasis is required. We present information on its history and uses, including historical use, constituents, uses in surgery, risks and considerations for deciding on its use. Although side effects and adverse reactions have been reported, these are rare. CPD/Clinical Relevance: BIPP is commonly used in surgical procedures and an appreciation of its background, history, uses and side effects are important as well as an understanding of its alternatives.

scholarly journals Management of Masseter Muscle Hypertrophy and Role of Adjunctive Surgical Procedures

2020 ◽  
Vol 5 ◽  
pp. 247275122091314
Author(s):  
Venkatesh Anehosur ◽  
Anhad Mehra ◽  
Niranjan Kumar
Keyword(s):  
Surgical Procedures ◽  
Masseter Muscle ◽  
Muscle Hypertrophy ◽  
Maxillofacial Surgery ◽  
Mouth Opening ◽  
Case Series ◽  
Optimal Treatment ◽  
Oral And Maxillofacial Surgery ◽  
Treatment Protocols ◽  
Lateral Cephalograms

Aims and Objectives: The aim of this case series is to retrospectively analyze cases of masseter muscle hypertrophy and the surgical procedures carried out for their treatment in SDM craniofacial unit, Dharwad. The main objectives taken into account are the adjunctive procedures such as genioplasty and coronoidectomy, which help improve the esthetics and mouth opening of the patients postoperatively. Materials and Methods: This retrospective case series was conducted in the Department of Oral and Maxillofacial Surgery, SDM craniofacial unit, Dharwad, from 2010 to 2015. A total of 5 cases were operated on during this period. Orthopantomograms, computed tomography scans of the head and neck region, and lateral cephalograms of each patient were taken into account. Data were collected to study the treatment protocols and the adjunctive procedures, which helped improve the results of the surgery. Results: Of the 5 patients operated in the last 5 years, surgical debulking of the masseter muscle was the optimal treatment followed with genioplasty, which provided improved esthetics from the square-shaped jaw appearance. Coronoidectomy was helpful in increasing mouth opening in patients with trismus. Conclusion: The case series was not only carried out to enunciate causes of masseter muscle hypertrophy and its complications but also to discuss optimal treatment protocols along with adjunctive procedures to enhance the postoperative results and patient satisfaction.

scholarly journals Impact of the COVID-19 pandemic on surgical procedures in Brazil: a descriptive study

2021 ◽  
Author(s):  
Bárbara Okabaiasse Luizeti ◽  
Victor Augusto Santos Perli ◽  
Gabriel Gonçalves da Costa ◽  
Igor da Conceição Eckert ◽  
Aluisio Marino Roma ◽  
...  
Keyword(s):  
Health System ◽  
Surgical Procedures ◽  
Subcutaneous Tissue ◽  
Maxillofacial Surgery ◽  
Descriptive Study ◽  
Healthcare Systems ◽  
Oral And Maxillofacial Surgery ◽  
Endocrine Gland ◽  
Upper Airways ◽  
The Impact

Abstract Background: The COVID-19 pandemic has deeply affected medical practice, and changes in healthcare activities were needed to minimize the overload and avoid healthcare systems collapse. The aim of this study was to evaluate the impact of the pandemic on surgical procedures in Brazil. Materials and Methods: We conducted a descriptive study of the number of hospitalizations for surgical procedures in Brazil from 2016 to 2020. Data were collected from the Brazilian Department of Informatics of the Unified Health System (DATASUS). Analyzes were performed according to the type of procedure, geographical region, subgroups of surgical procedures, and the number of surgeries from 2020 were compared with the average from 2016 to 2019. Results: There were 4,009,116 hospitalizations for surgical procedures in the Brazilian Public Health System in 2020. When comparing it to the average of hospitalizations from 2016-2019, there was a decrease of 14.88% [95%IC (14.82-14.93)]. Decrease rates were 34.82% [95%IC (34.73-34.90)] for elective procedures and 1.11% [95%IC (1.07-1.13)] for urgent procedures. Decrease rates were similar in all the five regions of the country (average 14.17%). Surgical procedure subgroups with the highest decrease rates were endocrine gland surgery (48.03%), breast surgery (40.68%), oral and maxillofacial surgery (37.03%), surgery of the upper airways, face, head and neck (36.06%), and minor surgeries and surgeries of skin, subcutaneous tissue and mucosa (33.16%). Conclusion: The overload of healthcare facilities has demanded a reduction of non-urgent activities to prevent a collapse of healthcare systems, resulting in a decrease in elective surgeries. Recommendations about the performance of surgical procedures were made, and continuous refinements of these recommendations are encouraged.

scholarly journals Impact of the COVID-19 pandemic on surgical procedures in Brazil: a descriptive study

2021 ◽  
Author(s):  
Barbara Okabaiasse Luizeti ◽  
Victor Augusto Santos Perli ◽  
Gabriel da Costa ◽  
Igor Eckert ◽  
Aluisio Marino Roma ◽  
...  
Keyword(s):  
Health System ◽  
Surgical Procedures ◽  
Subcutaneous Tissue ◽  
Maxillofacial Surgery ◽  
Descriptive Study ◽  
Healthcare Systems ◽  
Oral And Maxillofacial Surgery ◽  
Endocrine Gland ◽  
Upper Airways ◽  
The Impact

Background: The COVID-19 pandemic has deeply affected medical practice, and changes in healthcare activities were needed to minimize the overload and avoid healthcare systems collapse. The aim of this study was to evaluate the impact of the pandemic on surgical procedures in Brazil. Materials and Methods: We conducted a descriptive study of the number of hospitalizations for surgical procedures in Brazil from 2016 to 2020. Data were collected from the Brazilian Department of Informatics of the Unified Health System (DATASUS). Analyzes were performed according to the type of procedure, geographical region, subgroups of surgical procedures, and the number of surgeries from 2020 were compared with the average from 2016 to 2019. Results: There were 4,009,116 hospitalizations for surgical procedures in the Brazilian Public Health System in 2020. When comparing it to the average of hospitalizations from 2016-2019, there was a decrease of 14.88% [95%IC (14.82-14.93)]. Decrease rates were 34.82% [95%IC (34.73-34.90)] for elective procedures and 1.11% [95%IC (1.07-1.13)] for urgent procedures. Decrease rates were similar in all the five regions of the country (average 14.17%). Surgical procedure subgroups with the highest decrease rates were endocrine gland surgery (48.03%), breast surgery (40.68%), oral and maxillofacial surgery (37.03%), surgery of the upper airways, face, head and neck (36.06%), and minor surgeries and surgeries of skin, subcutaneous tissue and mucosa (33.16%). Conclusion: The overload of healthcare facilities has demanded a reduction of non-urgent activities to prevent a collapse of healthcare systems, resulting in a decrease in elective surgeries. Recommendations about the performance of surgical procedures were made, and continuous refinements of these recommendations are encouraged.

scholarly journals Preprosthetic Surgery

2021 ◽  
pp. 361-381
Author(s):  
Bobby John
Keyword(s):  
Surgical Procedures ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Soft Or ◽  
Preprosthetic Surgery ◽  
Hard Tissues ◽  
The Individual

AbstractPreprosthetic surgery encompasses the surgical procedures with aim of redefining the soft or hard tissues or both by the accomplishment of relieving the biological interferences so that the individual can accept a comfortable prosthesis. In the early times it was regularly carried out in the specialty of oral and maxillofacial surgery. But the advent of implantology has relegated this area to a less performed corner but still some procedures remains valid and indispensable. The prosthetic management in certain cases pose great challenge in finding stability and retention, which in turn can successively catapulted by the manuvers of preprosthetic category.

scholarly journals Cortisol in Oral and Maxillofacial Surgery: A Double-Edged Sword

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Muslat A Bin Rubaia’an ◽  
Muath Khaled Alotaibi ◽  
Naif Mutlaq Alotaibi ◽  
Nasser Raqe Alqhtani
Keyword(s):  
Adverse Effects ◽  
Adrenal Gland ◽  
Inflammatory Response ◽  
Surgical Procedures ◽  
Postoperative Period ◽  
Chronic Condition ◽  
Maxillofacial Surgery ◽  
Accurate Diagnosis ◽  
Oral And Maxillofacial Surgery ◽  
Zona Fasciculata

Cortisol is a hormone that is naturally produced by the zona fasciculata of the cortex in the adrenal gland. One of its main functions is to decrease inflammation, particularly in areas where an inflammatory response is not necessary. In the field of oral and maxillofacial surgery, cortisol is used to improve the outcomes of surgical procedures and to make the postoperative period more comfortable for the patient. However, cortisol is considered a double-edged sword because its use is associated with both benefits and adverse effects. It is imperative to use cortisol following an accurate diagnosis, in addition to clarity regarding the desired surgical procedure for treating the acute or chronic condition affecting the patient. When used with caution, cortisol can serve as a valuable agent for reducing the postoperative inflammatory response in patients undergoing moderate as well as moderately severe surgical procedures.

Dental students’ perceptions of oral and maxillofacial surgery as a specialty

2019 ◽  
pp. 266-271
Author(s):  
Ibrahim Almutairi ◽  
Abdullah AlQarni ◽  
Mohammad Alharbi ◽  
Ahmed Almutairi ◽  
Mohammed Aldohan ◽  
...  
Keyword(s):  
Maxillofacial Surgery ◽  
Dental Students ◽  
Oral And Maxillofacial Surgery
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