RESUMO
198 consultant surgeons were asked about their drinking habits and their attitude to drinking alcohol whilst on call. Some of the answers raise issues which cause concern. It may be appropriate to consider a similar questionnaire to a wider professional group.
Assuntos
Consumo de Bebidas Alcoólicas/psicologia , Atitude do Pessoal de Saúde , Consultores/psicologia , Equipe Hospitalar de Odontologia/psicologia , Humanos , Fumar/psicologia , Odontologia Estatal , Reino UnidoRESUMO
For an endosseous dental implant to be successful, it needs an amount of bone in three-dimensions: height, width and thickness. I report the case of a 17-year-old man with congenital absence of all four lower incisor teeth and a knife-edged shaped upper margin of the mandible.
Assuntos
Aumento do Rebordo Alveolar/métodos , Transplante Ósseo/métodos , Mandíbula/cirurgia , Osteotomia/métodos , Adolescente , Anodontia/reabilitação , Humanos , Incisivo/anormalidades , MasculinoRESUMO
Arriving at a correct diagnosis in some cases of facial pain and headache can test the time, patience, and diagnostic skills of any clinician. When the symptoms are diffuse with few localizing signs, it is easy to attribute pain to a functional origin. The case described underlines the importance of careful clinical examination and the use of magnetic resonance imaging, which proved the only positive diagnostic aid in this instance. The value of magnetic resonance imaging in redefining Chiari malformations is discussed and the question of appropriate interpretation of findings aired.
Assuntos
Malformação de Arnold-Chiari/diagnóstico , Dor Facial/etiologia , Cefaleia/etiologia , Nervo Trigêmeo , Adulto , Malformação de Arnold-Chiari/complicações , Malformação de Arnold-Chiari/cirurgia , Descompressão Cirúrgica , Forame Magno/anormalidades , Forame Magno/cirurgia , Humanos , Pressão Intracraniana , Imageamento por Ressonância Magnética , MasculinoRESUMO
Scleroma (rhinoscleroma), a chronic granulomatous disease of the upper respiratory tract, is endemic within a confined distribution of geographic foci. Sporadic cases and those arising in poorly defined foci may be unexpected and difficult to diagnose. Three cases from a maxillo-facial unit in northern Nigeria are described, of which two simulated intranasal neoplasms and the third had atypical clinical features. These cases form the first substantial description of scleroma in Nigeria, a country that is part of an indefinite focus of the disease. The epidemiology, clinical features, pathology and diagnosis of scleroma are reviewed.
