Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons
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J. Oral Maxillofac. Surg. · Aug 2008
Randomized Controlled Trial Comparative StudyNeuro-reflexotherapy for the management of myofascial temporomandibular joint pain: a double-blind, placebo-controlled, randomized clinical trial.
To assess the efficacy of neuro-reflexotherapy intervention (NRT) for treating temporomandibular joint dysfunction attributed to myofascial pain. Neuro-reflexotherapy intervention consists of the temporary implantation of epidermal devices in trigger points in the back and ear. It has shown efficacy, effectiveness, and cost-effectiveness in treating subacute and chronic common back pain. No study, however, has explored its efficacy in treating myofascial temporomandibular joint pain (MF/TMJP). ⋯ For patients in whom conservative treatment has failed, NRT improves the chronic pain associated with MF/TMJP syndrome.
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J. Oral Maxillofac. Surg. · Aug 2008
Randomized Controlled Trial Comparative StudyEffect of botulinum toxin-A in myofascial pain patients with or without functional disc displacement.
To evaluate the effects of botulinum toxin-A in the treatment of patients who have myofascial pain with or without functional disc displacement. ⋯ The injection of botulinum toxin-A decreases the muscle action potential in 14 days. The patients also show improvement in pain and psychological status.
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J. Oral Maxillofac. Surg. · Aug 2008
Comparative StudyPrevalence and prediction of difficult intubation in maxillofacial surgery patients.
The failure to maintain a patent airway after the induction of general anesthesia is a major concern for anesthesiologists. For securing the airway, tracheal intubation using direct laryngoscopy remains the method of choice in most cases. However, direct laryngoscopic intubation is difficult in 1% to 4%, and impossible in 0.05% to 0.35%, of patients who have seemingly normal airways. This study sought to determine the prevalence of difficult intubation in maxillofacial surgery patients, and to evaluate the usefulness of various predictive tests for difficult intubation. ⋯ We demonstrated that combining the Mallampati test with other instruments of measurement resulted in higher sensitivity than when either test was used alone.
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J. Oral Maxillofac. Surg. · Jul 2008
Submental intubation versus tracheostomy in maxillofacial trauma patients.
To evaluate the indications and outcomes of airway management by submental intubation or tracheostomy in patients with maxillofacial trauma, and to describe the technique of submental intubation in detail and discuss its latest refinements. ⋯ Submental endotracheal intubation is a simple technique with very low morbidity and can replace tracheostomy in selected cases of maxillofacial trauma without indication for prolonged ventilation support.