Abstract：
:Obstructive sleep apnea (OSA) is a common chronic disease characterized by repetitive pharyngeal collapse during sleep. OSA is associated with cardiovascular disease and increased mortality, among other issues. Continuous positive airway pressure (CPAP) is considered first line therapy for OSA, but is not always tolerated. Both non-surgical and surgical alternative management strategies are available for the CPAP intolerant patient. This article explores controversies surrounding airway evaluation, definition of successful treatment, and surgical management of the CPAP intolerant patient with moderate to severe OSA. Controversies specific to maxillomandibular advancement (MMA) are also discussed.
journal_name
Oral Maxillofac Surg Clin North Amjournal_title
Oral and maxillofacial surgery clinics of North Americaauthors
Dicus Brookes CC,Boyd SBdoi
10.1016/j.coms.2017.07.005subject
Has Abstractpub_date
2017-11-01 00:00:00pages
503-513issue
4eissn
1042-3699issn
1558-1365pii
S1042-3699(17)30057-2journal_volume
29pub_type
杂志文章,评审abstract：:Hemostasis is a key step in safe and predictable surgery. Knowledge of normal blood clotting mechanisms and abnormal diathesis is necessary to anticipate potential problems during and after surgery. As an adjunct to bleeding control, topical hemostatic agents have long been used in all surgical disciplines. This artic...
journal_title：Oral and maxillofacial surgery clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.coms.2016.06.007
更新日期：2016-11-01 00:00:00
abstract：:Healthy soft tissue surrounding a dental implant is essential for health, function, and esthetics. The development of the tooth includes the formation of a biologic connection between the living tissues that has to be created during the healing process after placement of the implant. The success of dental implants is ...
journal_title：Oral and maxillofacial surgery clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.coms.2010.04.001
更新日期：2010-08-01 00:00:00
abstract：:Temporomandibular disorders (TMD) and primary headaches can be perpetual and debilitating musculoskeletal and neurological disorders. The presence of both can affect up to one-sixth of the population at any one time. Initially, TMDs were thought to be predominantly musculoskeletal disorders, and migraine was thought t...
journal_title：Oral and maxillofacial surgery clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.coms.2016.03.004
更新日期：2016-08-01 00:00:00
abstract：:Ongoing genetic and epigenetic research involving DNA methylation, salivary biomarkers, wild-type p53 tumor suppressor gene proteins, and HPV oncogenes are being directed at identification and treatment of dysplastic and malignant squamous cell mucosal lesions. Research is being conducted to improve immunotherapy drug...
journal_title：Oral and maxillofacial surgery clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.coms.2018.06.007
更新日期：2018-11-01 00:00:00
abstract：:The orbits can be visualized easily on routine or customized protocols for computed tomography (CT) or cone beam CT (CBCT) scans. Detailed orbital investigations are best performed with 3-dimensional imaging methods. CT scans are preferred for visualizing the osseous orbital anatomy and fissures while magnetic resonan...
journal_title：Oral and maxillofacial surgery clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.coms.2012.07.003
更新日期：2012-11-01 00:00:00
abstract：:Because of the common shared risk factors of smoking and heavy alcohol consumption, literature involving oropharyngeal squamous cell carcinoma (OPSCC) is often combined with oral squamous cell carcinoma. Human papilloma virus is now confirmed to be a major risk factor of OPSCC with its distinct epidemiology and favora...
journal_title：Oral and maxillofacial surgery clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.coms.2017.03.004
更新日期：2017-08-01 00:00:00
abstract：:Digital imaging technology and refined software programs have significantly improved a clinician's ability to assess and evaluate anatomic structures and quantify both defect size and required graft volume. This article summarizes the computed tomography-based technology used in these applications to illustrate their ...
journal_title：Oral and maxillofacial surgery clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.coms.2019.03.008
更新日期：2019-08-01 00:00:00
abstract：:The practicing oral and maxillofacial surgeon treating patients with oroantral communication (OAC)/oroantral fistulas should be familiar and competent with the various treatment options available. Multiple techniques are available from purely soft tissue flaps, which have proved to be successful over time, to a combin...
journal_title：Oral and maxillofacial surgery clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.coms.2012.01.015
更新日期：2012-05-01 00:00:00
abstract：:This article addresses the incidence of specific complications and, where possible, offers a preventive or management strategy. Injuries of the inferior alveolar and lingual nerves are significant issues that are discussed separately in this text. Surgical removal of third molars is often associated with postoperative...
journal_title：Oral and maxillofacial surgery clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.coms.2006.11.013
更新日期：2007-02-01 00:00:00
abstract：:Nasal tip deformities after primary rhinoplasty may occur, including the formation of bossae, a pinched nasal tip, and nasal tip ischemia. Because of the central location in the midface, even minimal nasal tip deformities (small bossa) may be noticed and upsetting to the patient. This is in addition to more severe nas...
journal_title：Oral and maxillofacial surgery clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.coms.2020.09.005
更新日期：2021-02-01 00:00:00
abstract：:The temporomandibular joint (TMJ) is one of the many joints involved in the inflammatory arthritides. As imaging of joints has developed, so have the data regarding extent and prevalence of TMJ involvement in these diseases. TMJ disease is especially prevalent in juvenile arthritis. The adult and pediatric inflammator...
journal_title：Oral and maxillofacial surgery clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.coms.2014.09.001
更新日期：2015-02-01 00:00:00
abstract：:Classification criteria provide a formalized approach to studying course and management of rheumatic disease, as well as a measure of improvement in care. Understanding the purposes of classification criteria sets and the differences between different classification criteria is crucial for understanding rheumatic dise...
journal_title：Oral and maxillofacial surgery clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.coms.2013.09.001
更新日期：2014-02-01 00:00:00
abstract：:Three edentulous maxillary patients were treated with 9- to 15-mm advances of the maxilla by Le Fort I distraction osteogenesis combined with simultaneous sinus floor autograft placement. The patients were subsequently treated with 8 implants placed in the molar, bicuspid, and canine regions for complete arch ceramo-m...
journal_title：Oral and maxillofacial surgery clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.coms.2018.12.009
更新日期：2019-05-01 00:00:00
abstract：:Oral and maxillofacial surgeons may not be able to prevent complications from occurring but have significant control over enhancing quality communication with their patients. Surgeons who take the time to focus on detailed communications will most often not find themselves embroiled in protracted litigation. This arti...
journal_title：Oral and maxillofacial surgery clinics of North America
pub_type： 杂志文章
doi：10.1016/j.coms.2004.10.006
更新日期：2005-02-01 00:00:00
abstract：:From Celsus' first reports of rubor, calor, dolor, tumor, and functio laesa, has come an understanding of inflammation's manifestations at the organ, tissue, vascular, cellular, genetic, and molecular levels. Molecular medicine now raises the opposite question: can local oral infections and their inflammatory mediator...
journal_title：Oral and maxillofacial surgery clinics of North America
pub_type： 杂志文章
doi：10.1016/j.coms.2011.07.001
更新日期：2011-11-01 00:00:00
abstract：:Postoperative bone healing after oral surgical procedures occurs uneventfully in most cases. However, in certain patients, the normal process of healing can be delayed and, in some cases, often because of multiple coexisting factors, the sites can become infected, with extension of the infection into medullary bone. T...
journal_title：Oral and maxillofacial surgery clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.coms.2011.04.005
更新日期：2011-08-01 00:00:00
abstract：:Lower lip reconstruction is ideally achieved with innervated flaps that supply mucosa, functional muscle, and skin. These flaps should be capable of being used when vermilionectomy is necessary. The size and shape of the defect determine the optimal flap. This article illustrates the flaps used by the authors for part...
journal_title：Oral and maxillofacial surgery clinics of North America
pub_type： 杂志文章
doi：10.1016/S1042-3699(03)00068-2
更新日期：2003-11-01 00:00:00
abstract：:Bleeding at the time of surgery has the potential to become a serious complication. Careful patient assessment and review of history are of the utmost importance if this situation is to be avoided on the operating table. Unfortunately, many patients, particularly younger individuals with little to no previous exposure...
journal_title：Oral and maxillofacial surgery clinics of North America
pub_type： 杂志文章
doi：10.1016/j.coms.2005.12.010
更新日期：2006-05-01 00:00:00
abstract：:The public yearning for cosmetic procedures is stronger now than ever before. More and more doctors from various specialties are performing these procedures. Because muscular facial activity is one of the major forces responsible for the formation of wrinkles, an intimate knowledge of facial muscular anatomy is necess...
journal_title：Oral and maxillofacial surgery clinics of North America
pub_type： 杂志文章
doi：10.1016/j.coms.2004.09.005
更新日期：2005-02-01 00:00:00
abstract：:This article highlights the process of making the proper orofacial pain diagnosis. A classification is presented based on the clinical characteristics of the pain complaint and the structure by which it emanates. It is meant to serve as a road map for the clinician, which will help him or her establish the correct dia...
journal_title：Oral and maxillofacial surgery clinics of North America
pub_type： 杂志文章
doi：10.1016/j.coms.2007.12.009
更新日期：2008-05-01 00:00:00
abstract：:The authors review the clinical presentation, diagnostic evaluation, and treatment modalities for salivary gland enlargement in an HIV-infected population. Because this can occasionally be the presenting clinical symptom of HIV infection, it is important for the oral/maxillofacial surgeon to diagnose and manage HIV sa...
journal_title：Oral and maxillofacial surgery clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.coms.2009.04.002
更新日期：2009-08-01 00:00:00
abstract：:Asymptomatic third molars may have associated periodontal pathology that may not be limited to the third molar region and have a negative impact on systemic health. Third molars should be considered for removal when there is clinical, radiographic, or laboratory evidence of acute or chronic periodontitis, caries, peri...
journal_title：Oral and maxillofacial surgery clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.coms.2006.11.007
更新日期：2007-02-01 00:00:00
abstract：:This article briefly reviews some of the most common skin lesions in the head and neck of a child. Benign "lumps and bumps" are very common in children and it is prudent for the pediatric maxillofacial surgeon to be familiar with their presentation, workup (including radiographic studies), and definitive surgical mana...
journal_title：Oral and maxillofacial surgery clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.coms.2012.04.001
更新日期：2012-08-01 00:00:00
abstract：:This article reviews evolving and lesser known technologies for tissue cutting and their application in oral and maxillofacial surgery. ...
journal_title：Oral and maxillofacial surgery clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.coms.2019.07.009
更新日期：2019-11-01 00:00:00
abstract：:Most patients who seek appearance-enhancing medical treatments report some degree of body image dissatisfaction, which is believed to motivate the pursuit of these treatments. However, patients with extreme body image dissatisfaction may be suffering from a psychiatric disorder known as body dysmorphic disorder (BDD)....
journal_title：Oral and maxillofacial surgery clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.coms.2010.07.002
更新日期：2010-11-01 00:00:00
abstract：:Preoperative decision-making is vital to determine potential success of periapical surgery. Adequate exposure of the root apical region is best approached via a sulcular-type incision. Surgical procedures include resection of 2 to 3 mm of the apical portion along with root end preparation and seal. The surgeon must de...
journal_title：Oral and maxillofacial surgery clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.coms.2015.04.009
更新日期：2015-08-01 00:00:00
abstract：:TMJ surgeries are not always successful. Many potential pitfalls can occur during any phase of the treatment and can lead to complications, less than desirable results, and short- or long-term failures. Unsatisfactory results can occur for multiple reasons, including misdiagnosis of the original pathologic condition, ...
journal_title：Oral and maxillofacial surgery clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.coms.2010.12.001
更新日期：2011-02-01 00:00:00
abstract：:The management of complex maxillofacial injuries sustained in modern warfare or terrorist attack has presented military surgeons with a new form of injury pattern previously not discussed in the medical literature. The unique wounding characteristics of the IED, the portability of the weapon platform, and the relative...
journal_title：Oral and maxillofacial surgery clinics of North America
pub_type： 杂志文章
doi：10.1016/j.coms.2005.05.003
更新日期：2005-08-01 00:00:00
abstract：:Coronectomy is considered in patients older than 25, where there is an intimate relationship between the roots of a retained lower third molar (occasionally second or first molars) and the inferior alveolar nerve, in noncontraindicated circumstances. It may be used on younger patients with a medium to high risk of inf...
journal_title：Oral and maxillofacial surgery clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.coms.2015.04.003
更新日期：2015-08-01 00:00:00
abstract：:This article discusses the general methods used to assess patients before, during, and after operative procedures, sedation, or general anesthesia by the oral and maxillofacial surgery team. The details about specific disease processes will be discussed in other articles. These methods and modalities are not standards...
journal_title：Oral and maxillofacial surgery clinics of North America
pub_type： 杂志文章
doi：10.1016/j.coms.2013.03.007
更新日期：2013-08-01 00:00:00
