Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons
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Corrective plastic surgery is indicated after accidents, burns, cancer surgery, or postoperative wound healing disorders with large tissue defects. The range of reconstructive techniques includes local skin flaps, pedicle grafts, and microvascular anastomosed flaps in the case of large defects. Main complications such as arterial and venous insufficiency caused by a vessel collapse or a vascular spasm are reported regularly in the area of anastomosed vessels and are the concern of any surgeon. Today, leeches are used if wound healing is at risk because of hemodynamic imbalance or a venous insufficiency. ⋯ Leech therapy should be considered as a reliable additional procedure and an advantage in maxillofacial and plastic reconstructive surgery to remedy complications resulting from a hemodynamic imbalance or venous insufficiency in the immediate postoperative period.
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J. Oral Maxillofac. Surg. · Jan 2012
Correlation between volume of herniated orbital contents and the amount of enophthalmos in orbital floor and wall fractures.
To analyze the correlation between the volume of herniated orbital contents and the amount of enophthalmos in orbital floor and wall fractures. ⋯ The overall volume of herniated orbital contents correlated significantly with the amount of enophthalmos. The orbital floor was detected to be the site most significantly correlated with the amount of enophthalmos (although only if herniation occurred posterior to the vertical eyeball equator). Only the volume of herniated soft tissues posterior to the eyeball equator showed correlation with the amount of enophthalmos.
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J. Oral Maxillofac. Surg. · Jan 2012
Review Meta Analysis Comparative StudyInferior or double joint spaces injection versus superior joint space injection for temporomandibular disorders: a systematic review and meta-analysis.
To compare the effect and safety of inferior or double temporomandibular joint spaces drug injection versus superior temporomandibular joint space injection in the treatment of temporomandibular disorders. ⋯ Inferior or double temporomandibular joint spaces drug injection technique shows better effect than superior space injection technique, and their safety is affirmative. However, more high-quality studies are still needed to test and verify the evidence.
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J. Oral Maxillofac. Surg. · Jan 2012
Comparative StudyOccurrence and severity of concomitant injuries in other areas than the face in children with mandibular and midfacial fractures.
To clarify the occurrence, causes, severity, and predictors of concomitant injuries in pediatric patients with facial fractures. ⋯ Concomitant injuries in areas other than the face should be expected first and foremost after high-speed trauma mechanisms and in association with severe facial fractures. Concomitant injuries in general occur most frequently in the limbs, with severe concomitant injuries in particular occurring most often in the head and neck region and chest, emphasizing the importance of multiprofessional teamwork in the diagnosis of pediatric patients who have sustained facial fractures.
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J. Oral Maxillofac. Surg. · Jan 2012
Discharge patterns of orthognathic surgeries in the United States.
The aim of the present study was to provide a nationally representative estimate of the number and type of different orthognathic procedures performed in hospitalized patients in the United States. ⋯ This study provides nationwide estimates of hospital discharge patterns and outcomes in patients undergoing orthognathic surgeries in United States hospitals. Future studies should examine factors associated with outcomes.