ABSTRACT
The catabolic effects of surgical trauma and sepsis have long been recognized. Oral and maxillofacial surgical patients represent a unique group in that their surgery and its effects on the stomatognathic system may adversely affect the ability to receive adequate nutrition. This article discusses some basic nutritional principles and describes the indications and guidelines for enteric tube feeding in this patient population.
Subject(s)
Enteral Nutrition , Surgery, Oral , Basal Metabolism , Constipation/etiology , Diarrhea/etiology , Energy Intake , Enteral Nutrition/adverse effects , Female , Food, Formulated , Glucose Intolerance/etiology , Humans , Male , Nutritional Requirements , Nutritive Value , Osmolar Concentration , Protein-Energy Malnutrition/etiologyABSTRACT
Chronic renal failure (CRF) is the consequence of a multitude of diseases that cause permanent destruction of the nephron. Concurrent with renal failure are a host of changes affecting the homeostatic functioning of the individual. This report outlines the pathophysiology of CRF and highlights its effects on surgical manipulation of the oral and maxillofacial region in this patient population. In addition, some of the common physical findings and alterations in blood chemistries frequently observed in these patients are discussed.
Subject(s)
Dental Care for Disabled , Kidney Failure, Chronic , Bleeding Time , Blood Coagulation Disorders/etiology , Blood Loss, Surgical , Glomerular Filtration Rate , Humans , Hyperparathyroidism, Secondary/etiology , Hypertension/etiology , Jaw Diseases/etiology , Kidney Failure, Chronic/complications , Kidney Failure, Chronic/physiopathology , Mouth Diseases/etiology , Water-Electrolyte BalanceABSTRACT
The treatment of facial pain disorders has become a multifaceted discipline that involves numerous scientific fields. Diagnostic and treatment modalities may be beneficial to the patient but at times may also complicate the problem and compromise the outcome. We present an interesting case of left trigeminal neuralgia complicated by unassociated lingual nerve dysesthesia.
Subject(s)
Lingual Nerve , Trigeminal Neuralgia/complications , Cranial Nerve Diseases/complications , Cranial Nerve Diseases/etiology , Facial Pain/complications , Humans , Male , Middle Aged , Paresthesia/complications , Sialadenitis/complications , Submandibular Gland Diseases/complications , Submandibular Gland Diseases/surgery , Trigeminal Neuralgia/surgeryABSTRACT
Multiple surgical approaches to the orbits with the use of the eyelids have been used. The orbital rim incision fell into disfavor because of esthetic considerations. A subciliary approach supplemented by the lateral brow incision is currently the most popular method of approach to the orbital rim. It provides adequate access to the orbit, but it is not without inherent complications, such as unfavorable scarring, ectropion, and entropion. This article describes an alternate approach to the orbit by means of a transconjunctival incision with lateral canthotomy.