RESUMO
We present the complete results of our 2013 survey of the members of the American Society of Maxillofacial Surgery (ASMS). We surveyed all 799 members of the Society from around the world regarding educational themes and modalities they wish to add to future ASMS educational programs. We also asked our members about surgical modalities and care paths in which they have the most expertise. The objective of the survey was to provide data that can be used to improve the education and training of the ASMS members. The results suggest that some widely taught topics perhaps should be taught less, whereas coverage of other topics should be increased.
Assuntos
Sociedades Odontológicas , Cirurgia Bucal/educação , Atitude do Pessoal de Saúde , Fenda Labial/cirurgia , Fissura Palatina/cirurgia , Traumatismos Craniocerebrais/cirurgia , Currículo/tendências , Coleta de Dados , Estética , Humanos , Procedimentos Cirúrgicos Ortognáticos , Preceptoria , Procedimentos de Cirurgia Plástica , Sociedades Odontológicas/tendências , Cirurgia Bucal/tendências , Estados UnidosRESUMO
BACKGROUND: Treatment options for muscle spasm complications of the pectoralis major (PM) flap in head and neck reconstruction have hardly been investigated. The authors report their experience using botulinum toxin (BTX-A) injections as a treatment of PM flap myospasm complications in head and neck reconstruction. METHODS: From January 2005 to May 2009, 83 patients underwent PM flap reconstruction. Eleven of them reported muscle twitching as a post-operative complication and are therefore included in this study. As all 11 patients refused a second surgery, they were offered BTX-A injections. This group of patients was followed up at regular intervals with clinical examinations, digital photography, range of motion (ROM) of the neck in different vectors, and neck disability system (NDS) questionnaires. RESULTS: After the first BTX-A infiltration, muscle twitching decreased, the ROM values increased and, according to the NDS, patients' discomfort progressively decreased. Only two of the 11 patients required two additional BTX-A sessions. CONCLUSION: BTX-A infiltration is an effective non-invasive procedure that significantly reduces the PM muscular contraction in head and neck reconstruction.
