Oral and maxillofacial surgery clinics of North America
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Oral Maxillofac Surg Clin North Am · Aug 2015
ReviewBest Practices for Management of Pain, Swelling, Nausea, and Vomiting in Dentoalveolar Surgery.
Pain, swelling, nausea, and vomiting associated with outpatient oral and maxillofacial surgical procedures are common occurrences in daily practice. The need to minimize these often unavoidable consequences of surgical intervention is of utmost importance in delivering a good experience for our patient population, thus improving outcomes of our surgery as well as anesthesia. A review of current therapies available to manage these experiences is presented to enable the practitioner to develop multimodal protocols and custom tailor treatment based on procedure and patient risk factors for these unfortunate consequences of surgery.
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Oral Maxillofac Surg Clin North Am · Aug 2014
ReviewThe pedicled latissimus dorsi myocutaneous flap in head and neck reconstruction.
The pedicled latissimus dorsi myocutaneous flap (PLDMF) is not the first-line reconstructive option for most clinicians; however, when treating salvage patients or those with depleted neck vessels, the PLDMF provides a valuable armamentarium. Unlike the pectoralis major myocutaneous flap or the lower island trapezius flap, the PLDMF has greater versatility in soft tissue design and a longer arc of rotation. These advantages are of great importance in managing advanced reconstructive cases.
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Oral Maxillofac Surg Clin North Am · Nov 2013
ReviewResponsible and prudent imaging in the diagnosis and management of facial fractures.
This article reviews the current standard of care in imaging considerations for the diagnosis and management of craniomaxillofacial trauma. Injury-specific imaging techniques and options for computer-aided surgery as related to craniomaxillofacial trauma are reviewed, including preoperative planning, intraoperative navigation, and intraoperative computed tomography. ⋯ Imaging considerations in the pediatric trauma patient are also discussed. Responsible postoperative imaging as it relates to facial trauma management and outcomes assessment is reviewed.
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Oral Maxillofac Surg Clin North Am · Aug 2013
Pharmacology of intravenous sedative/anesthetic medications used in oral surgery.
This article provides an overview of historical and current sedative agents available to the dentist anesthetist. The surgeon is given rational choices for sedation and the individualization of drug selection for each patient. Total intravenous anesthesia is becoming increasingly popular for dental sedation because of the availability of ultra-short-acting drugs and computerized infusion technology. Levels of sedation are more easily achieved and maintained, and recovery is enhanced, which gives the operator extreme, moment-to-moment control of the anesthetic experience and improves patient outcomes.
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Oral Maxillofac Surg Clin North Am · Aug 2013
Anesthesia equipment for the oral and maxillofacial surgery practice.
The physical design of an oral and maxillofacial surgeon's office is highly individualized and unique. Every office must incorporate certain essential equipment and features to safely deliver office anesthesia, regardless of the scope of anesthesia services provided. Furthermore, the office design and anesthesia armamentarium must take into account patient safety and comfort. This article discusess the necessary elements, ranging from preanesthesia assessment forms and intraoperative records to office design, anesthesia monitors, and equipment related to the safe and successful administration of office-based anesthesia by oral and maxillofacial surgeons and their staff.