OBJECTIVE:To compare the effects of propofol with traditional thiopental anesthesia for oral-maxillofacial surgery in terms of vital sign changes and awakening time.METHODS: Thirty cases undergoing maxillectomy were randomly divided into two groups(propofol and thiopental) in order to compare vital sign changes before and after administration of anesthetics (propofol and thiopental). RESULTS: The pharmacological circulatory disturbance of propofol was less important than thiopental and the incidence of apnea was significantly higher than thiopental (P<0.01).The awakening time of propofol was significantly shorter than thiopental (P<0.01). CONCLUSION: With rapid awakening time of propofol was significantly a safe anesthetic agent in oral-maxillofacial surgery,especially for long time operation.
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Malays J Pathol
December 2024
Universiti Malaya, Faculty of Dentistry, Department of Oral & Maxillofacial Clinical Sciences, 50603, Kuala Lumpur, Malaysia.
The surgical ciliated cyst is a newly added entity under the cysts of the jaws in the World Health Organization (WHO) Classification of Head and Neck Tumours (2022). It is preceded by a prior surgery to the jaw many years before its diagnosis. A 53-year-old Chinese female, who had undergone cleft lip and palate repair followed by orthognathic surgery before the age of 20, was referred for management of an incidentally found cyst in the left maxilla.
View Article and Find Full Text PDFBMJ Open
December 2024
Department of Anesthesiology, Shanghai Jiao Tong University School of Medicine Affiliated Ninth People's Hospital, Shanghai, China
Objectives: This study aimed to evaluate the predictive abilities of the 5-item modified Frailty Index (5-mFI), Prognostic Nutrition Index (PNI), and their combination in older adult patients undergoing oral cancer resection and free flap reconstruction.
Design: Retrospective cohort study.
Setting: Secondary care involving multiple centres treating older adult patients for oral cancer.
Childs Nerv Syst
December 2024
NJ Craniofacial Center, Morristown, NJ, 07960, USA.
Background: Goldenhar syndrome is a clinically heterogeneous disorder defined by a rare combination of congenital anomalies-an eye abnormality, in addition to two of the following three: ear anomalies, mandibular malformations, and vertebral defects. Notably, children with Goldenhar syndrome present with a high incidence of cervical spine malformations.
Clinical Case: In this report, we present an unusual case of a 15-year-old child with Goldenhar syndrome, who additionally presents with some clinical features of VACTERL syndrome.
Geriatr Gerontol Int
January 2025
Division of Welfare, Department of Oral Health and Welfare, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
Aim: Malnutrition is reportedly associated with the development of delirium. As dental health is essential for nutritional intake, tooth loss may be a risk factor for the development of delirium. This study aimed to investigate the relationship between postoperative delirium and the number of remaining teeth in patients undergoing gastrointestinal surgery.
View Article and Find Full Text PDFWorld J Plast Surg
January 2024
Department of Oral & Maxillofacial Surgery, Mashhad Dental School, Mashhad University of Medical Sciences, Mashhad, Iran.
The surgery-first approach (SFA) is gaining popularity in orthognathic surgery because it makes treatment duration shorter and more satisfying for patients. However, its effectiveness in complex cases isn't fully understood. Here, we describe a rare case where SFA was used to fix problems caused by missing posterior teeth and a deep bite, which made traditional pre-surgery orthodontic treatment impractical.
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