ABSTRACT
A majority of the procedures performed in the dental office setting are considered safe and minimally invasive. Despite this fact, as healthcare providers it is our responsibility to be able to anticipate, recognize and manage life-threatening emergencies that may occur. In the following report, the authors will describe a life-threatening complication that resulted from the placement of mandibular implants.
Subject(s)
Dental Implantation, Endosseous/adverse effects , Hematoma/etiology , Mandible/surgery , Mouth Floor/injuries , Oral Hemorrhage/etiology , Airway Obstruction/etiology , Airway Obstruction/therapy , Arteries/injuries , Female , Hematoma/surgery , Humans , Intubation, Intratracheal , Middle Aged , Mouth Floor/blood supply , Oral Hemorrhage/surgery , Time Factors , TracheostomyABSTRACT
PURPOSE: The purpose of this study was to report the incidence, causes, and patterns of maxillofacial injury associated with domestic violence. PATIENTS AND METHODS: A retrospective review of patients treated for domestic violence injuries at an inner-city hospital over a 5-year period was done, and data were collected on type and location of injury, mechanism of injury, alcohol involvement, and treatment. RESULTS: The sample consisted of 236 emergency room admissions. The majority (81%) of victims presented with maxillofacial injuries. The fist was a favorite means for assaults (67%). The middle third of the face was most commonly involved (69%). Soft tissue injuries were the most common type of injury (61%). Facial fractures were present in 30% of victims. The average number of mandible fractures per patient was 1.32. The majority of facial fractures (40%) were nasal fractures. Left-sided facial injuries were more common than right sided. CONCLUSIONS: These data confirm that most victims of domestic violence sustain maxillofacial injuries. Midface injuries predominate. The preponderance of facial injuries makes it very likely that oral and maxillofacial surgeons will be involved in the care of these patients.
Subject(s)
Domestic Violence , Maxillofacial Injuries/etiology , Adolescent , Adult , Aged , Alcohol Drinking , Contusions/etiology , Facial Injuries/etiology , Female , Humans , Lacerations/etiology , Middle Aged , Retrospective Studies , Skull Fractures/etiology , Wounds, Nonpenetrating/etiology , Wounds, Penetrating/etiologySubject(s)
Blepharoplasty , Dental Implants , Skin Transplantation/methods , Vestibuloplasty/methods , Aged , Dental Implantation, Endosseous , Female , Humans , Middle AgedABSTRACT
Morbidity from corneal ulcers is often severe in patients with Apert syndrome. These patients are at an increased risk of developing corneal ulcers because of the compromised corneal environment secondary to exophthalmos. During the past 6 years, three of five patients treated for Apert syndrome at our hospital have developed corneal ulcers. We present a case series discussing each patient, reasons for the development of ulceration, treatment, and outcomes. Morbidities in our group of patients included decreased visual acuity, opacified corneas, amblyopia, and blindness. Treatment is often difficult and complex. Therefore, an ophthalmologist should be an active team member in treating Apert patients.
