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. · Dec 2020
ReviewMasks or N95 Respirators During COVID-19 Pandemic-Which One Should I Wear?
Coronavirus Disease 2019 (COVID-19) has caused suffering and death around the world. Careful selection of facial protection is paramount for preventing virus spread among healthcare workers and preserving mask and N95 respirator supplies. ⋯ N95 respirators are preferred over masks against viral respiratory pathogens, especially during aerosol-generating procedures or when a patient's COVID-19 status is positive or unknown.
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J. Oral Maxillofac. Surg. · Aug 2020
Review Case ReportsEctopic Parotid Main Duct on Buccal Mucosa: A Case Report and Literature Review.
Ectopic parotid main duct (Stensen's duct) orifice is a rare anatomic abnormality of the salivary gland. We report a case in which the patient's left Stensen's duct opened on the left buccal skin. After surgery to perform parotid duct transposition, the buccal fistula was closed, and the saliva secreted by the parotid gland could overflow smoothly through the new orifice throughout a 3-year follow-up period. We also performed a review of the current relevant data.
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J. Oral Maxillofac. Surg. · Aug 2020
ReviewConsiderations for Oral and Maxillofacial Surgeons in COVID-19 Era: Can We Sustain the Solutions to Keep Our Patients and Healthcare Personnel Safe?
Several uncertainties exist regarding how we will conduct our clinical, didactic, business, and social activities as the coronavirus disease 2019 (COVID-19) global pandemic abates and social distancing guidelines are relaxed. We anticipate changes in how we interact with our patients and other providers, how patient workflow is designed, the methods used to conduct our teaching sessions, and how we perform procedures in different clinical settings. The objective of the present report is to review some of the changes to consider in the clinical and academic oral and maxillofacial surgery workflow and, allow for a smoother transition, with less risk to our patients and healthcare personnel. ⋯ Thus, we must prioritize surgery, balancing patient preferences and healthcare personnel risks. We have an opportunity now to make changes and embrace telemedicine and other collaborative virtual platforms for teaching and clinical care. It is crucial that we maintain COVID-19 awareness, proper surveillance in our microenvironments, good clinical judgment, and ethical values to continue to deliver high-quality, economical, and accessible patient care.
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J. Oral Maxillofac. Surg. · Dec 2017
Review Meta AnalysisPerioperative Systemic Corticosteroids in Orthognathic Surgery: A Systematic Review and Meta-Analysis.
Perioperative systemic corticosteroids are broadly used in orthognathic surgery to prevent postoperative complications, but it is unclear whether this practice is beneficial and concerns about potential side effects have been raised. The purpose of this systematic review and meta-analysis was to assess the effects of perioperative systemic corticosteroids on clinically important outcomes in patients undergoing orthognathic surgery. ⋯ The authors observed no evidence of effect of systemic corticosteroids on the risk of reintubation and hospital length of stay in orthognathic surgery. Although facial edema decrease was observed to be improved with the intervention, adverse effects were inconsistently screened and reported. Thus, the use of systemic steroids in orthognathic surgery is not supported by strong evidence.
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J. Oral Maxillofac. Surg. · Dec 2017
ReviewSurgeon's Guide to Facial Soft Tissue Filler Injections: Relevant Anatomy and Safety Considerations.
The purpose of this study is to provide a review of the relevant facial anatomy related to soft tissue filler injections. Facial fillers are used daily in our clinical practice. ⋯ Proper knowledge and understanding of the anatomic landmarks can minimize the risk of these vascular events. In addition, early recognition and treatment are necessary to prevent permanent complications.