RESUMEN
A case is presented which illustrates the occlusal problems that can develop when a dental appliance such as a temporomandibular splint with incomplete occlusal cover is worn for a reasonable length of time. As in this case, the selective over-eruption of posterior teeth not incorporated in the appliance can lead to the development of an anterior open bite and an increased overjet. A simple orthodontic method to correct the iatrogenic malocclusion through the re-intrusion of the over-erupted teeth is shown and the importance of providing long-term dental appliances with full occlusal contact is discussed.
Asunto(s)
Enfermedad Iatrogénica , Maloclusión/etiología , Ferulas Oclusales/efectos adversos , Mordida Abierta/etiología , Adulto , Femenino , Humanos , Maloclusión/terapia , Mordida Abierta/terapia , Diseño de Aparato Ortodóncico , Retenedores Ortodóncicos/efectos adversos , Trastornos de la Articulación Temporomandibular/terapia , Técnicas de Movimiento Dental/instrumentaciónRESUMEN
Ameloblastoma is an odontogenic neoplasm of enamel organ type tissue which does not undergo transformation to the point of enamel formation. We present the second case in the English literature of maxillary ameloblastoma that presented with nasal obstruction and rhinorrhoea, and the first to be excised using a combined maxillotomy and endoscopic ethmoidectomy. The patient had no previous dental history. The unusual presenting symptoms, as well as the highly destructive nature of these lesions when arising in the maxilla, make them worthy of consideration in the differential diagnosis of nasal and maxillary masses. We discuss the clinical features, pathology and management of these lesions and review the literature.
Asunto(s)
Ameloblastoma/patología , Neoplasias Maxilares/patología , Pólipos Nasales/patología , Anciano de 80 o más Años , Ameloblastoma/cirugía , Humanos , Masculino , Neoplasias Maxilares/cirugía , Pólipos Nasales/cirugía , Resultado del TratamientoRESUMEN
A case of orbital subperiosteal abscess (SPA) complicating a minimally displaced zygomatic complex (ZMC) fracture is reported and the aetiology and management of this potentially life-threatening condition is discussed. The value of CT scanning in staging orbital infection and determining the site of the abscess and involved paranasal sinuses is emphasised. The correct interpretation of a lateral skull radiograph with the patient brow up may have lead to earlier diagnosis and treatment.
Asunto(s)
Absceso/etiología , Ceguera/etiología , Enfermedades Orbitales/etiología , Fracturas Cigomáticas/complicaciones , Absceso/diagnóstico por imagen , Adulto , Sinusitis del Etmoides/complicaciones , Sinusitis del Etmoides/diagnóstico por imagen , Humanos , Luxaciones Articulares/complicaciones , Masculino , Sinusitis Maxilar/complicaciones , Sinusitis Maxilar/diagnóstico por imagen , Enfermedades Orbitales/diagnóstico por imagen , Periostio , Tomografía Computarizada por Rayos X , Fracturas Cigomáticas/diagnóstico por imagenRESUMEN
A postal audit of the main surgical variables in third molar exodontia under general anaesthesia was undertaken on consultants holding a National Health contract within the British Isles. This first paper presents the results. A response rate of 175 returned questionnaires from the 247 consultants was obtained (70.9%). Analysis revealed that the majority of consultants use antibiotics, mouthwashes, sutures, analgesics and postoperative review and the minority steroids and peroperative local anaesthetic, routinely in the majority of cases. Approximately half routinely use a chisel as opposed to a bur for bone removal. The consultants who gave all their patients steroids were significantly (p less than 0.01) more likely to possess a medical qualification than the consultants who did not.
Asunto(s)
Auditoría Médica , Tercer Molar/cirugía , Extracción Dental/estadística & datos numéricos , Adolescente , Adulto , Alveolectomía/estadística & datos numéricos , Analgésicos/uso terapéutico , Anestesia Dental/estadística & datos numéricos , Anestesia Local/estadística & datos numéricos , Antibacterianos/uso terapéutico , Servicio Odontológico Hospitalario/estadística & datos numéricos , Utilización de Medicamentos/estadística & datos numéricos , Educación en Odontología/estadística & datos numéricos , Educación Médica/estadística & datos numéricos , Humanos , Antisépticos Bucales/uso terapéutico , Medicina Estatal/estadística & datos numéricos , Suturas/estadística & datos numéricos , Reino Unido/epidemiologíaRESUMEN
A reliable method of securing suction drain tubing is presented. It ensures that the tubing lies flat on the skin and runs in the direction the surgeon wishes. The method uses an adhesive tape (Elastoplast) 'flag' on the tubing.
Asunto(s)
Succión/instrumentación , Técnicas de Sutura , Vendajes , Procedimientos Quirúrgicos Dermatologicos , Humanos , Propiedades de SuperficieRESUMEN
A method for draping in TMJ surgery including arthroscopy is presented using a urological drape. The advantage is that it allows movement of the mandible by the surgeon or assistant without their contamination by saliva.
Asunto(s)
Equipos de Seguridad , Equipo Quirúrgico , Articulación Temporomandibular/cirugía , HumanosRESUMEN
A method for the immediate correction of the defect created at the donor site of the temporalis muscle flap is described. It uses a performed acrylic prosthesis. A case is presented in which the prosthesis could have been used to good effect, and two cases are reported to show the successful use of this technique.
Asunto(s)
Resinas Acrílicas , Prótesis e Implantes , Colgajos Quirúrgicos/efectos adversos , Músculo Temporal/cirugía , Anciano , Femenino , Humanos , Masculino , Diseño de PrótesisRESUMEN
The use of the pectoralis major muscle only flap in conjunction with a free iliac crest bone graft for reconstruction of the mandible is described. These flaps were raised in 20 cadavers and found to be of consistently adequate length to be used as described.