Abstract:
:Due to wide variation in patient responses, both intended and adverse, it is impossible to successfully sedate all patients. Choosing the right drug and dose regimen can be challenging, especially in patients who are naïve to anesthesia. Underdosing can lead to pain perception, patient movement and combativeness, awareness with recall, and the sympathetic neuroendocrine stress response. Overdosing can lead to unintended loss of upper airway tone, hypoventilation/apnea, adverse cardiovascular changes, and prolonged sedation (with its attendant problems).
journal_name
Oral Maxillofac Surg Clin North Amjournal_title
Oral and maxillofacial surgery clinics of North Americaauthors
Bosack RCdoi
10.1016/j.coms.2018.01.004subject
Has Abstractpub_date
2018-05-01 00:00:00pages
165-169issue
2eissn
1042-3699issn
1558-1365pii
S1042-3699(18)30004-9journal_volume
30pub_type
杂志文章,评审abstract::This article reviews three poorly recognized yet relatively common presentations of hyperactive orofacial movement disorders: oromandibular dystonia, orofacial dyskinesia, and drug-induced extrapyramidal syndrome reactions. Orofacial movement disorders are often misdiagnosed as temporomandibular disorders, hence under...
journal_title:Oral and maxillofacial surgery clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.coms.2007.12.010
更新日期:2008-05-01 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 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::For decades the edentulous population has been unrecognized in its need to be treated in an effective manner. The debilitating condition affects quality of life. Implants have provided a strategy for developing a standard of care. The McGill consensus statement provided evidence that 2 implants supporting a mandibular...
journal_title:Oral and maxillofacial surgery clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.coms.2015.01.005
更新日期:2015-05-01 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 focus of this article is to provide the oral and maxillofacial surgeon with an overview of some of the recent information and computer technologies available in the marketplace as they relate to diagnostic imaging, implantology, orthognathic surgery, and craniofacial surgery. In so doing, the author hopes to highl...
journal_title:Oral and maxillofacial surgery clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.coms.2007.09.006
更新日期:2008-02-01 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::Patients undergoing treatment of head and neck cancer risk developing significant acute and chronic changes that affect the hard and soft tissue of the oral cavity and the head and neck region. This article discusses considerations and recommendations for patients before, during, and after treatment of head and neck c...
journal_title:Oral and maxillofacial surgery clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.coms.2018.06.006
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::Extensive reviews have concluded that grafting of the socket reduces bone loss regardless of product or method. However, nothing has been shown to reliably and completely maintain alveolar dimensions. We advocate a biologically driven and anatomically based approach for reconstruction of the socket. There are various ...
journal_title:Oral and maxillofacial surgery clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.coms.2020.07.010
更新日期:2020-11-01 00:00:00
abstract::The submental island flap is a local flap that is simple to raise and is useful for oral and lower face reconstruction of soft tissue defects. It is based on the submental artery and the facial vein. Using a retrograde flow design allows for reconstruction of forehead, temporal, and periorbital defects. Raising the fl...
journal_title:Oral and maxillofacial surgery clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.coms.2014.05.005
更新日期:2014-08-01 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::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::Oral and maxillofacial surgeons are often involved in the diagnosis and treatment of vascular neoplasms of the head and neck. An incorrect diagnosis may lead to improper or unnecessary treatment. This article reviews the diagnosis and management of vascular tumors. ...
journal_title:Oral and maxillofacial surgery clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.coms.2015.07.010
更新日期:2016-02-01 00:00:00
abstract::This is not a pharmacopeia offering directions for choosing the proper pain medication for treating temporomandibular disorders. Rather, the appropriate decision depends on proper diagnosis, an understanding of the pain mechanisms involved, and the different targets for analgesic action. This article discusses these i...
journal_title:Oral and maxillofacial surgery clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.coms.2018.05.001
更新日期:2018-08-01 00:00:00
abstract::The safe and efficient use of outpatient surgical anesthesia modalities is a significant part of the training and expertise of the oral and maxillofacial surgeon. Although adverse outcomes are rare, they can have considerable traumatic psychological and professional consequences for the surgeon involved. The goal of t...
journal_title:Oral and maxillofacial surgery clinics of North America
pub_type: 杂志文章
doi:10.1016/j.coms.2013.03.006
更新日期:2013-08-01 00:00:00
abstract::Evaluation of the paranasal sinuses is often performed in a purely clinical fashion, without the need for imaging. However, in certain instances imaging may be deemed valuable or even necessary in helping to solve a diagnostic dilemma, confirm a suspected diagnosis, evaluate the extent of a known condition, or assess ...
journal_title:Oral and maxillofacial surgery clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.coms.2012.01.004
更新日期:2012-05-01 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::The postoperative care of a surgical patient will depend on the site of the surgery, the nature of the surgery, the type of anesthesia used, and co-morbidities from diseases of major organ systems. Despite these variables, certain general principles are applicable and are discussed in this article. Important aspects o...
journal_title:Oral and maxillofacial surgery clinics of North America
pub_type: 杂志文章
doi:10.1016/j.coms.2005.09.005
更新日期:2006-02-01 00:00:00
abstract::Juvenile rheumatoid arthritis is a chronic childhood disease that has a multiplicity of effects on the growth and development of the facial skeleton. An understanding of the disease in general and its therapy is necessary for successful surgical-orthodontic care. ...
journal_title:Oral and maxillofacial surgery clinics of North America
pub_type: 杂志文章
doi:10.1016/j.coms.2005.08.004
更新日期:2005-11-01 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::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::The reconstruction of acquired maxillary bony defects after pathologic ablation, infectious debridement, avulsive trauma, or previously failed reconstructions with zygoma implants represents a treatment alternative that is safe, predictable, and cost-effective. Still the single most important factor for treatment succ...
journal_title:Oral and maxillofacial surgery clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.coms.2013.02.007
更新日期:2013-05-01 00:00:00
abstract::This article discusses the recent advances and basic concepts of skeletal anchorage devices of various types and reviews the current literature on their use. Temporary skeletal anchorage devices allow orthodontic movements that were previously thought to be difficult if not impossible. Much like the concepts introduce...
journal_title:Oral and maxillofacial surgery clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.coms.2009.10.011
更新日期:2010-02-01 00:00:00
abstract::This article discusses the reconstruction of full-thickness defects of the lower and upper lip. Although these may occur as a result of hereditary disorders (cleft lip) or trauma, reconstruction is described in relation to oncologic ablation for primary lip cancers. These defects will obviously be preplanned and most ...
journal_title:Oral and maxillofacial surgery clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.coms.2013.01.001
更新日期:2013-05-01 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::Idiopathic condylar resorption almost exclusively affects women. Its exact etiology and pathogenesis remain unclear. It has been associated with rheumatoid arthritis, temporomandibular joint internal derangement, condylar fractures, connective tissue or autoimmune diseases, orthodontic treatment, and orthognathic surg...
journal_title:Oral and maxillofacial surgery clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.coms.2007.01.002
更新日期:2007-05-01 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::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::Hair loss affects more than 1.2 billion people worldwide. As the technology and artistry of hair restoration surgery has improved including natural results, so too has the popularity of this procedure. As with any other surgical procedure, complications may occur and this presents a major challenge for the surgeon and...
journal_title:Oral and maxillofacial surgery clinics of North America
pub_type: 杂志文章
doi:10.1016/j.coms.2008.10.010
更新日期:2009-02-01 00:00:00