ABSTRACT
Necrotizing fasciitis is a rare, rapidly progressing infection with significant morbidity and high mortality rates. Rarely does necrotizing fasciitis appear in the head and neck region; rather, it usually affects the limbs and abdomen of patients. This article presents our institution's experience with the disease and provides a discussion of propoied treatment options.
Subject(s)
Face , Fasciitis, Necrotizing/diagnostic imaging , Fasciitis, Necrotizing/therapy , Anti-Bacterial Agents/therapeutic use , Combined Modality Therapy , Debridement , Diagnosis, Differential , Drainage , Fasciitis, Necrotizing/microbiology , Humans , Male , Middle Aged , Oral Surgical ProceduresABSTRACT
Necrotizing fasciitis is a rare, rapidly progressing in- fection with significant morbidity and high mortality rates. Rarely does necrotizing fasciitis appear in the head and neck region; rather, it usually affects the limbs and abdomen of patients. This article presents our institution's experience with the disease and pro- vides a discussion of proposed treatment options.
Subject(s)
Fasciitis, Necrotizing/diagnosis , Debridement , Dental Caries/diagnosis , Diagnosis, Differential , Fasciitis, Necrotizing/surgery , Focal Infection, Dental/diagnosis , Follow-Up Studies , Humans , Hypertension/complications , Kidney Failure, Chronic/complications , Male , Middle Aged , Shock, Septic/diagnosisABSTRACT
Although not an uncommon occurrence from displaced zygomaticomaxillary complex fractures, localized air emphysema tends to resolve without consequence. Nevertheless, when accentuated by nose blowing or other forms of positive pressure soon after trauma, local air emphysema can spread via fascial planes into distant sites.
Subject(s)
Facial Bones/injuries , Mediastinal Emphysema/etiology , Orbital Diseases/etiology , Pneumopericardium/etiology , Skull Fractures/complications , Subcutaneous Emphysema/etiology , Fractures, Comminuted/complications , Frontal Bone/injuries , Humans , Male , Maxillary Sinus/injuries , Middle Aged , Nasal Bone/injuries , Nose/physiology , Orbital Fractures/complications , Pressure , Zygomatic Fractures/complicationsABSTRACT
Superior orbital fissure syndrome is an infrequently encountered entity with a unique presentation and significant morbidity. This article reviews the background of the syndrome, treatments in the literature, and discusses a recent case with treatment strategy.
ABSTRACT
Manifestations of systemic diseases can appear in the oral-maxillofacial area. They can be microbial, hematologic, endocrine, metabolic, genetic, nutritional, granulomatous and immunologic, and are based upon the disease. We present an extremely rare case in which deposits of crystallized monosodium urate appeared in the right paranasal region.
Subject(s)
Gout/diagnosis , Paranasal Sinus Diseases/diagnosis , Diagnosis, Differential , Female , Granuloma, Foreign-Body/pathology , Humans , Middle Aged , Tomography, X-Ray Computed , Uric Acid/analysisABSTRACT
The diagnosis and management of mandible fractures in the pediatric patient population can pose multiple challenges to the oral and maxillofacial surgeon. Resorbable plates and screws for fixation in this population are both well tolerated and effective. They enable realignment and stable positioning of rapidly healing fracture segments, while obviating any potential impediments to long-term metal retention.
Subject(s)
Absorbable Implants , Fracture Fixation, Internal/instrumentation , Mandibular Fractures/surgery , Bone Plates , Bone Screws , Bone Wires , Child, Preschool , Humans , Incisor/injuries , Jaw Fixation Techniques/instrumentation , Male , Mandibular Condyle/injuries , Mandibular Fractures/complications , Tooth Avulsion/complicationsABSTRACT
Sodium hypochlorite (NaOCl) is a well documented and widely accepted intracanal irrigant used to disinfect the pulp space in endodontic therapy. NaOCl can be an extremely cytotoxic material; therefore, care must be taken with its use. The authors present a case of periradicular extravasation of NaOCl with sequelae of pain, swelling, ecchymosis and parasthesia consistent with a chemical burn. The patient was treated with a nonsurgical medical management approach. She experienced a complete resolution of signs and symptoms, aside from a persistent residual focal parasthesia.
Subject(s)
Burns, Chemical/etiology , Periapical Tissue/injuries , Root Canal Irrigants/adverse effects , Sodium Hypochlorite/adverse effects , Bicuspid , Ecchymosis/chemically induced , Edema/chemically induced , Extravasation of Diagnostic and Therapeutic Materials/complications , Face , Female , Humans , Maxilla , Middle Aged , Paresthesia/chemically induced , Periapical Tissue/drug effectsABSTRACT
Routine CT studies of suspected closed head injury encompass the calvaria to the cranial base. It is at the cranial base that the glenoid fossa appears. An "empty glenoid fossa" sign is when there is no condyle associated within the fossa. This is suggestive of a condylar neck fracture.
Subject(s)
Mandibular Condyle/injuries , Mandibular Fractures/diagnostic imaging , Radiography, Dental , Temporal Bone/diagnostic imaging , Head Injuries, Closed/diagnostic imaging , Humans , Tomography, X-Ray ComputedABSTRACT
The vital need to retain closed-circuit airways during maxillofacial surgery has led to several innovations in anesthetic tube placement and stabilization. Several designs and alterations of endotracheal tubes have been described and are currently in use. These range from suturing the tubing to the patient's scalp to fabricating maxillofacial prostheses. In this report, an easy method for securing anesthetic tubes is described. This technique has been used successfully at our institution.
Subject(s)
Intubation, Intratracheal/instrumentation , Equipment Design , Humans , Intraoperative Care , Oral Surgical ProceduresABSTRACT
A technique for removing a broken abutment screw from internally threaded endosseous implants and salvaging the endosseous implant is presented. The technique involves the use of inexpensive instruments found in dental offices.
Subject(s)
Bone Screws , Dental Implants , Device Removal/instrumentation , Dental Restoration Failure , Device Removal/methods , HumansABSTRACT
Diffuse sclerosing osteomyelitis (DSO) is an interesting and debilitating entity with a disputed, unknown or unproven etiology. This case report illustrates the complexity of managing these cases, which are refractory to multiple therapeutic modalities.
Subject(s)
Mandibular Diseases/diagnosis , Osteomyelitis/diagnosis , Adult , Biopsy , Follow-Up Studies , Humans , Hyperbaric Oxygenation , Male , Mandibular Diseases/surgery , Osteomyelitis/surgery , Osteosclerosis/diagnosis , Osteosclerosis/surgery , Tomography, X-Ray ComputedABSTRACT
Emergency cricothyrotomy is a potentially lifesaving surgical procedure used to gain prompt access to an otherwise compromised and inaccessible airway. The purpose of this photoessay is to demonstrate the technique of the procedure in a step-by-step manner so that the physician can perform this intervention with ease and facility in the most stressful of circumstances.
