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Oral surgery, oral medicine, and oral pathology最新文献

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Identification of patients at risk for unnecessary or excessive TMJ surgery. 识别有不必要或过度TMJ手术风险的患者。
Pub Date : 1987-11-01 DOI: 10.1097/00006534-198811000-00064
R. D. Marciani, J. Haley, P. M. Moody, G. I. Roth
Musculoskeletal pain in the head and neck may be associated with a variety of psychological and psychiatric conditions. Therefore, patients with persistent temporomandibular (TMJ) and masticatory muscle complaints must also be evaluated for affective disorders. Identification of patients at risk for unnecessary or excessive TMJ surgery is enhanced when the surgeon is aware of a pattern of persistent pain and illness insistence that characterizes these patients. This article presents a list of characteristics that may identify a patient with an undiagnosed affective disorder who may be exposed to unnecessary treatment.
头颈部肌肉骨骼疼痛可能与多种心理和精神疾病有关。因此,患有持续性颞下颌(TMJ)和咀嚼肌疾病的患者也必须评估情感性障碍。当外科医生意识到这些患者的持续疼痛和疾病坚持的特征时,可以提高对有不必要或过度TMJ手术风险的患者的识别。这篇文章提出了一个特征列表,可以识别一个病人与未确诊的情感障碍谁可能暴露于不必要的治疗。
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引用次数: 10
A method to facilitate placement of screws for sagittal ramus osteotomy. 一种便于矢状支截骨螺钉置入的方法。
Pub Date : 1987-11-01 DOI: 10.1097/00006534-198811000-00062
W. M. Davis
This article describes a method of placing screws for bilateral sagittal ramus osteotomies. The technique, a slight modification of previous methods, eliminates the need for use of a clamp, aids in proximal segment control, and employs a single transosseous wire and two transcortical screws. This method has been used in more than 50 cases and has been proved to be adaptable and stable, even without intermaxillary fixation.
本文介绍了一种双侧矢状支截骨置入螺钉的方法。该技术对以前的方法进行了轻微的修改,消除了使用钳的需要,有助于近端节段的控制,并使用了一根经骨金属丝和两根经皮质螺钉。该方法已应用于50多例,即使不需要上颌间固定,也被证明是适应性强且稳定的。
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引用次数: 4
Hyperbaric oxygen in the treatment of osteoradionecrosis: a review of its use and efficacy. 高压氧治疗放射性骨坏死的应用及疗效综述。
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引用次数: 0
Estrogen receptors in the temporomandibular joint of the baboon (Papio cynocephalus): an autoradiographic study. 狒狒(Papio cynocephalus)颞下颌关节雌激素受体:放射自显影研究。
Pub Date : 1987-05-01 DOI: 10.1097/00006534-198705000-00051
T. Aufdemorte, J. V. Van Sickels, M. Dolwick, P. Sheridan, G. R. Holt, S. Aragon, G. Gates
Using an autoradiographic method, the temporomandibular joint (TMJ) complex of five aged female baboons was studied for the presence of receptors for estradiol-17 beta. The study was performed in an effort to learn more of the pathophysiology of this joint and in an attempt to provide a scientific basis to explain the reported preponderance of women who seek and undergo treatment for signs and symptoms referable to the TMJ. This experiment revealed that the TMJ complex contains numerous cells with receptors for estrogen, particularly the articular surface of the condyle, articular disk, and capsule. Muscles of mastication contained relatively fewer receptors. As a result, one may postulate a role for the sex steroid hormones in the maintenance, repair, and/or pathogenesis of the TMJ. Additional studies are necessary to fully determine the significance of hormone receptors in this site and any correlation between diseases of the TMJ and the endocrine status of affected patients.
采用放射自显影方法,研究了5只老年雌性狒狒颞下颌关节(TMJ)复合体中雌二醇-17 β受体的存在。进行这项研究的目的是为了更多地了解该关节的病理生理学,并试图提供科学依据来解释报道中寻求和接受与颞下颌关节相关的体征和症状治疗的女性的优势。本实验显示TMJ复合体包含大量具有雌激素受体的细胞,特别是髁突、关节盘和关节囊的关节表面。咀嚼肌的感受器相对较少。因此,人们可以假设性类固醇激素在TMJ的维持、修复和/或发病机制中起作用。需要进一步的研究来充分确定激素受体在该部位的意义,以及TMJ疾病与患者内分泌状况之间的相关性。
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引用次数: 33
Selective anesthesias of peripheral branches of the trigeminal nerve due to odontogenic infection. 牙源性感染对三叉神经外周支的选择性麻醉。
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引用次数: 0
Diagnosis and primary management of laryngeal trauma. 喉外伤的诊断与初步处理。
Pub Date : 1986-10-01 DOI: 10.1097/00006534-198610000-00042
P. K. Hartmann, G. Mintz, D. Verne, S. Timen
Four cases of laryngeal trauma are presented and the literature is reviewed. Diagnostic techniques and controversial primary treatment of airway obstruction are discussed. Recommendations include the use of indirect laryngoscopy on initial examination and the performance of a tracheostomy in cases of airway obstruction, in lieu of endotracheal intubation. The cases illustrate these points and demonstrate the variability in time intervals between injury and onset of symptoms.
本文报告喉外伤四例,并复习文献。本文讨论了气道阻塞的诊断技术和有争议的初步治疗方法。建议包括在初始检查时使用间接喉镜检查,在气道阻塞的情况下进行气管切开术,以代替气管插管。这些病例说明了这些要点,并证明了损伤和症状发作之间时间间隔的可变性。
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引用次数: 5
Drug interactions and vasoconstrictors used in local anesthetic solutions. 局部麻醉溶液中使用的药物相互作用和血管收缩剂。
Pub Date : 1986-10-01 DOI: 10.1097/00006534-198610000-00096
J. Yagiela, S. Duffin, L. Hunt
This study examined widely advertised interactions between sympathomimetic amine vasoconstrictors currently used in dental local anesthetic solutions and MAO inhibitors (phenelzine, 5 mg/kg), phenothiazines (chlorpromazine, 2 mg/kg), and tricyclic antidepressants (desipramine, 2 mg/kg). Twelve greyhound dogs premedicated with morphine and anesthetized with urethane and alpha-chloralose were prepared for physiologic recordings. During a control period, the dogs received bolus injections of epinephrine, norepinephrine, and levonordefrin sufficient to construct log-linear dose-response curves for each agent. Commercial anesthetic solutions, with and without the vasoconstrictors, were also used. The dose-response curves were then reproduced 1 hour after the administration of a drug interactant. Cardiovascular responses were not influenced by the coadministration of local anesthetics or by the prior administration of phenelzine. Chlorpromazine ameliorated pressor responses to norepinephrine and levonordephrin and reversed the hypertensive effect of high-dose epinephrine. Desipramine significantly increased vasoconstrictor potencies, particularly those of levonordefrin and norepinephrine, which were multiplied more than sixfold.
12只灰狗预先注射吗啡,并用氨基甲酸乙酯和-氯氯蔗糖麻醉,进行生理记录。在对照期间,狗接受肾上腺素、去甲肾上腺素和左炔诺哌啶的大量注射,足以构建每种药物的对数线性剂量-反应曲线。商业麻醉溶液,含和不含血管收缩剂,也被使用。然后在给药后1小时重现剂量-反应曲线。心血管反应不受局麻药联合使用或先前使用苯乙嗪的影响。氯丙嗪改善了对去甲肾上腺素和左炔诺去肾上腺素的降压反应,逆转了大剂量肾上腺素的降压作用。去西帕明显著增加了血管收缩剂的效力,尤其是左炔诺去甲肾上腺素和去甲肾上腺素,它们的效力增加了六倍以上。
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引用次数: 15
Diagnosis of acute maxillofacial infections: the role of computerized tomography. 急性颌面感染的诊断:计算机断层扫描的作用。
Pub Date : 1986-08-01 DOI: 10.1097/00006534-198608000-00043
J. Murphy, J. Ilacqua, M. Bianchi
Most acute maxillofacial infections are diagnosed by conventional dental and maxillofacial radiographic techniques. Computed tomography has greatly improved our ability to evaluate infections of the maxillofacial region that originate or extend into the contiguous soft tissues and paranasal sinuses. Four cases in which computed tomography facilitated diagnosis and treatment of advanced infections of the maxillofacial region are presented. In one case an underlying neoplasm was identified.
大多数急性颌面感染是通过传统的牙科和颌面x线摄影技术诊断的。计算机断层扫描极大地提高了我们评估颌面部区域感染的能力,这些感染起源于或延伸到相邻的软组织和鼻窦。本文介绍了四例计算机断层扫描对颌面部晚期感染的诊断和治疗。在一个病例中发现了潜在的肿瘤。
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引用次数: 1
Oral lichen planus. 口服鸡皮龙
E Eisenberg, D J Krutchkoff
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引用次数: 0
Acute transient sialadenopathy associated with anesthesia. 麻醉相关的急性一过性涎腺病。
Pub Date : 1986-03-01 DOI: 10.1097/00006534-198705000-00050
M. M. Rubin, G. Cozzi, E. Meadow
Five cases of acute transient sialadenopathy associated with the administration of anesthesia are described in this article. In each case, the patient's straining on the endotracheal tube was followed immediately by firm swelling of one or more of the salivary glands. The facial swelling was resolved within 24-four hours without treatment.
本文描述了5例与麻醉有关的急性暂时性涎腺病。在每个病例中,患者对气管内管的紧张紧跟着立即出现一个或多个唾液腺的坚定肿胀。面部肿胀在24- 4小时内消失,无需治疗。
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引用次数: 18
期刊
Oral surgery, oral medicine, and oral pathology
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