Oral Surgery最新文献

{"title":"Comparative evaluation of efficacy of 2% lidocaine containing adrenaline with and without hyaluronidase in inferior alveolar nerve blocks for patients requiring bilateral mandibular extractions","authors":"Piyush Lunkad, S. Shah, Bhimappa Rudagi, Mili Mehta, Bhushan Bhagat, Smriti Ticku","doi":"10.1111/ors.12869","DOIUrl":"https://doi.org/10.1111/ors.12869","url":null,"abstract":"To evaluate and compare the efficacy of 2% lidocaine containing adrenaline with and without hyaluronidase in inferior alveolar nerve blocks for patients requiring bilateral mandibular extractions.This was the split‐mouth study conducted on 26 patients requiring bilateral mandibular teeth extraction. All the patients were assigned randomly to one of the two groups: (i) 2% lignocaine HCl + 1:2,00,000 adrenaline + hyaluronidase (75 IU) solution will be administered on one side which is the experimental side and (ii) 2% lignocaine HCl + 1:2,00,000 adrenaline solution on the other side is control side. In the first session, the patients randomly received the inferior alveolar nerve block with or without hyaluronidase in one side of the oral cavity. One week later, the same patient received the other technique which was not received in the first session. We also evaluated the onset, duration and need of any supplementary anaesthesia in both the groups.Comparison of VAS score in the control group (2.73 ± 0.724) and experimental group (3 ± 0.693) showed statistically insignificant results (p = 0.177). Whereas the onset of local anaesthesia showed a statistically significant difference between the two groups (p < 0.001) mean of control group (2.73 ± 0.47) and experimental group (1.15 ± 0.23). Comparison of duration of anaesthesia showed a statistically significant difference (p < 0.001) with the mean duration of the experimental group being higher (106 ± 7.94) than the control group (86.27 ± 3.90). Comparison for the need for supplementary anaesthesia showed no statistically significant difference between the two groups.We conclude that if hyaluronidase is used, better blocks with smaller volumes are produced. LAs with hyaluronidase have been shown to improve the quality and effectiveness of anaesthetic blocks and shorten the time it takes for anaesthesia to begin, accelerate the onset of akinesia and lessen the need for additional anaesthesia. It also increases the duration of anaesthesia.","PeriodicalId":38418,"journal":{"name":"Oral Surgery","volume":"45 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139442347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Augmented reality and immersive teaching technology in global health","authors":"Amol S. Dhane, S. Sarode, Safia Farooqui","doi":"10.1111/ors.12871","DOIUrl":"https://doi.org/10.1111/ors.12871","url":null,"abstract":"","PeriodicalId":38418,"journal":{"name":"Oral Surgery","volume":"26 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139445250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Deep vein thrombosis and bilateral submassive pulmonary emboli post‐routine sinus lift: A case report and review of the literature","authors":"Danny H. Kim, Eric J. Zhao, Nicholas Tong, David H. Yang","doi":"10.1111/ors.12870","DOIUrl":"https://doi.org/10.1111/ors.12870","url":null,"abstract":"Venous thromboembolism (VTE) arising after major oral surgery under general anaesthesia is an exceedingly rare occurrence, and under local anaesthesia even more so. We report a case of a 55‐year‐old male with a remote history of squamous cell carcinoma of the left tonsil, in remission, who developed deep vein thrombosis and bilateral pulmonary emboli after routine sinus lift under local anaesthetic. We discuss the diagnosis, risk factors, and the role of sinus lift in contributing to the onset of VTE in this report. We also discuss a role of potential thromboembolic prophylaxis in high‐risk patients undergoing dentoalveolar procedures under local anaesthetic.","PeriodicalId":38418,"journal":{"name":"Oral Surgery","volume":"28 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139447552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The use of pentoxifylline within the medical regime for the management and prevention of osteoradionecrosis in patients with cardiac‐, cerebrovascular and thromboembolic conditions","authors":"Nadeen Jawad, Reem AlHakim, C. Sproat, Vinod Patel","doi":"10.1111/ors.12866","DOIUrl":"https://doi.org/10.1111/ors.12866","url":null,"abstract":"Osteoradionecrosis (ORN) is a serious and late complication following radiotherapy for head and neck cancer (HNC). Current medical management involves the use of pentoxifylline, which is advised to be used with caution in certain patients with cardiac‐ or cerebrovascular conditions. This retrospective review aims to assess the clinical outcomes of patients medically managed on the background of pre‐existing cardiac‐ and cerebrovascular conditions or treatment with anticoagulant/antiplatelet therapy for thromboembolic disease.Clinical records of 36 patients were identified and reviewed retrospectively. Patients were split into two subgroups—patients having treatment for established ORN (n = 21) and patients ‘at risk’ of ORN following dentoalveolar surgery (n = 15).In the established ORN group, 38% healed, and 57% were considered stable. In the prophylaxis group, 100% of cases healed with no ORN. Overall, across both groups, most patients reported no major side effects from pentoxifylline, with the most common being gastric irritation (n = 3, 8%).This retrospective review provides early valuable insight on pentoxifylline for patients with existing cardiac‐, cerebrovascular and thrombo‐embolic conditions who have been treated with radiotherapy for HNC, both prophylactically to help prevent ORN and as treatment for established ORN.","PeriodicalId":38418,"journal":{"name":"Oral Surgery","volume":"3 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139388701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The management of osteoradionecrosis in palliative head and neck cancer patients","authors":"Reem AlHakim, Nadeen Jawad, C. Sproat, Vinod Patel","doi":"10.1111/ors.12867","DOIUrl":"https://doi.org/10.1111/ors.12867","url":null,"abstract":"Osteoradionecrosis (ORN) is a well‐recognised complication of radiotherapy in the cured head and neck cancer (HNC) patients. More recently with improved survivorship in the palliative HNC group, there is an increasing population that is also burdened by radiation late effects such as ORN. Currently, there is no proven approach to manage ORN in this cohort of patients. This study reports the management and outcome of a case series of palliative care HNC patients with established ORN.The clinical records of 20 palliative care HNC patients with an established ORN diagnosis were identified and reviewed retrospectively.All 20 patients were managed via a conservative approach. Medical management via PENTO (n = 4, 20%) or PENTOCLO (n = 8, 40%) was the most popular approach. All but two patients had ORN that healed (4/20, 20%), or was stabilised (14/20, 70%). The two patients with progressive ORN had a tumour diagnosis adjacent to the necrotic site.Medical management via PENTO/CLO provided promising results in this small cohort of palliative patients with ORN. The overall combined healing and stability of ORN status are comparable to those in the literature, though most cases are stabilised as opposed to cured.","PeriodicalId":38418,"journal":{"name":"Oral Surgery","volume":"95 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139395525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Odontogenic sinusitis: A literature review","authors":"Michael George, Anthony Noor, A. Thorpe, N. Sritharan, F. Riffat","doi":"10.1111/ors.12861","DOIUrl":"https://doi.org/10.1111/ors.12861","url":null,"abstract":"To present the most recent evidence about odontogenic sinusitis.An electronic search was conducted in MEDLINE via OVID, Embase via OVID and PubMed for odontogenic sinusitis.Odontogenic sinusitis originates from pathology of the dentition and surrounding structures. This disease differs from sinusitis of other causes in pathophysiology, diagnosis, microbiology and management. Symptoms of unilateral nasal obstruction and purulent discharge are highly suggestive of the disease. Computed tomography is considered the gold standard in assessing the relationship between dental conditions and sinus disease. Failure to eliminate the dental source of infection will often result in treatment failures. Collaboration and multidisciplinary management between dental surgeons and otolaryngologists is imperative for the successful identification and treatment of the disease, as either treatment in isolation may be inadequate leading to poor patient outcomes. Primary dental treatment may be effective in patients with lower sinonasal disease burden and similarly, patients suffering from minimal dental disease may recover from sinus surgery alone. Combined dental and sinus surgery results in disease resolution in 90%–100% of patients; however, controversy remains regarding the optimal sequence of interventions.This review describes the aetiological, microbiological, clinical findings and diagnostic methods, as well as clinical and patient factors influencing treatment modalities of odontogenic sinusitis. Furthermore, a management decision tree is provided.","PeriodicalId":38418,"journal":{"name":"Oral Surgery","volume":"57 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139224928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Increasing the depth of vestibular sulcus using a disposable IV infusion set tube in apically positioned flap surgery: A technical note","authors":"G. R. Bayar, Selim Sezer","doi":"10.1111/ors.12862","DOIUrl":"https://doi.org/10.1111/ors.12862","url":null,"abstract":"In this technical note, it was aimed to provide an appropriate retention, better stability and function for our patient's denture by the technique applied newly.The authors offer a new and effective method using a part of disposable IV infusion set tube and single mini titanium screw stabilizing of apically positioned flap in order to secure vestibule sulcus depth gained.One‐year follow‐up of our patient showed that our technique provided a consistent and predictable increase in attached gingival width and could be used successfully in the treatment of insufficient vestibular depth cases.","PeriodicalId":38418,"journal":{"name":"Oral Surgery","volume":"229 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139251192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Telengiectatic osteosarcoma of mandible with special emphasis on immunohistochemical and molecular characteristics: A case report with review of literature","authors":"Eram Khan, Saloni Verma, N. Sivakumar, Pooja Sharma, Shaleen Chandra, Shalini Gupta","doi":"10.1111/ors.12860","DOIUrl":"https://doi.org/10.1111/ors.12860","url":null,"abstract":"Telangiectatic osteosarcoma (TOS) is an uncommon pathology accounting for about 0.4%–12% of all osteosarcomas with predilection for younger adults. It is most frequently seen in the metaphysis of long bones, appearing as painful osteolytic mass that histopathologically characterized by dilated, blood‐filled vascular spaces lined by malignant osteoblasts along with osteoid formation. It has exchangeable clinical, radiological and pathological features with benign lesions like aneurysmal bone cyst and giant cell tumour of bone as well. Thus, delineating this malignancy from its benign counterparts is a crucial part in the therapeutic management.To report a case of telengiectatic osteosarcoma of jaw in a 17 year old female patient with special highlights on molecular diagnostics and therapeutic modules.A panel of immunohistochemical markers comprising of SATB2, CDK4, MDM2, panCK, CD31, desmin, NKX2.2 and TLE1 were employed in combination with fluorescent in‐situ hybridization to detect the prevalence of rearrangement in CDK4 and MDM2 genes.On immunohistochemistry, the neoplastic cells were strongly positive for SATB2 and negative for CDK4, MDM2, panCK, CD31, desmin, NKX2.2 and TLE1. Fluorescent in‐situ hybridization of CDK4 and MDM2 genes was also negative.Considering its rarity in jaws combined with clinicopathological overlap with other benign pathologies, diagnosis of this entity is crucial in treatment planning and prognostic significance. Moreover, only five cases of TOS have been reported so far in the craniofacial region. Here, we have reported the sixth case of its kind with detailed clarification pertaining to its immunohistochemical and molecular aspects.","PeriodicalId":38418,"journal":{"name":"Oral Surgery","volume":"116 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139257578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ChatGPT‐4 as auxiliary tool in the temporomandibular disorders diagnostic: An opinion","authors":"Margarite Maria Delmondes Freitas, Lucas Alves da Mota Santana, Lara Góis Floresta, Ricardo Luiz Cavalcanti de Albuquerque Júnior","doi":"10.1111/ors.12863","DOIUrl":"https://doi.org/10.1111/ors.12863","url":null,"abstract":"","PeriodicalId":38418,"journal":{"name":"Oral Surgery","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139256262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unravelling necrotizing fasciitis: The consequences of untreated odontogenic infections","authors":"Rodrigo dos Santos Pereira, Carlos Fernando Mourão, Bianca Pereira da Silva, Carolina de Fátima Soares Pinto, Raphael Capelli Guerra, Jonathan Ribeiro da Silva","doi":"10.1111/ors.12859","DOIUrl":"https://doi.org/10.1111/ors.12859","url":null,"abstract":"Oral SurgeryEarly View LETTER TO THE EDITOR Unravelling necrotizing fasciitis: The consequences of untreated odontogenic infections Rodrigo dos Santos Pereira, Rodrigo dos Santos Pereira orcid.org/0000-0003-2509-8633 University of Grande Rio-UNIGRANRIO, Rio de Janeiro, BrazilSearch for more papers by this authorCarlos Fernando Mourão, Corresponding Author Carlos Fernando Mourão [email protected] orcid.org/0000-0001-5775-0222 Department of Periodontology, Tufts University School of Dental Medicine, Boston, Massachusetts, USA Correspondence Carlos Fernando Mourão, Tufts University School of Dental Medicine, 1 Kneeland St, 15th floor, Office 1513D, Boston, MA 02111, USA. Email: [email protected]Search for more papers by this authorBianca Pereira da Silva, Bianca Pereira da Silva University of Grande Rio-UNIGRANRIO, Rio de Janeiro, BrazilSearch for more papers by this authorCarolina de Fátima Soares Pinto, Carolina de Fátima Soares Pinto University of Grande Rio-UNIGRANRIO, Rio de Janeiro, BrazilSearch for more papers by this authorRaphael Capelli Guerra, Raphael Capelli Guerra orcid.org/0000-0002-9071-7827 Sirio Libanês Hospital, São Paulo, BrazilSearch for more papers by this authorJonathan Ribeiro da Silva, Jonathan Ribeiro da Silva orcid.org/0000-0002-6174-0112 University Serra dos Órgãos – UNIFESO, Rio de Janeiro, BrazilSearch for more papers by this author Rodrigo dos Santos Pereira, Rodrigo dos Santos Pereira orcid.org/0000-0003-2509-8633 University of Grande Rio-UNIGRANRIO, Rio de Janeiro, BrazilSearch for more papers by this authorCarlos Fernando Mourão, Corresponding Author Carlos Fernando Mourão [email protected] orcid.org/0000-0001-5775-0222 Department of Periodontology, Tufts University School of Dental Medicine, Boston, Massachusetts, USA Correspondence Carlos Fernando Mourão, Tufts University School of Dental Medicine, 1 Kneeland St, 15th floor, Office 1513D, Boston, MA 02111, USA. Email: [email protected]Search for more papers by this authorBianca Pereira da Silva, Bianca Pereira da Silva University of Grande Rio-UNIGRANRIO, Rio de Janeiro, BrazilSearch for more papers by this authorCarolina de Fátima Soares Pinto, Carolina de Fátima Soares Pinto University of Grande Rio-UNIGRANRIO, Rio de Janeiro, BrazilSearch for more papers by this authorRaphael Capelli Guerra, Raphael Capelli Guerra orcid.org/0000-0002-9071-7827 Sirio Libanês Hospital, São Paulo, BrazilSearch for more papers by this authorJonathan Ribeiro da Silva, Jonathan Ribeiro da Silva orcid.org/0000-0002-6174-0112 University Serra dos Órgãos – UNIFESO, Rio de Janeiro, BrazilSearch for more papers by this author First published: 09 November 2023 https://doi.org/10.1111/ors.12859Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Onli","PeriodicalId":38418,"journal":{"name":"Oral Surgery","volume":" 41","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135242145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}