scholarly journals Management of Ankyloglossia and Breastfeeding Difficulties in the Newborn: Breastfeeding Sessions, Myofunctional Therapy, and Frenotomy

2016 ◽  
Vol 2016 ◽  
pp. 1-5
Author(s):  
Elvira Ferrés-Amat ◽  
Tomasa Pastor-Vera ◽  
Paula Rodríguez-Alessi ◽  
Eduard Ferrés-Amat ◽  
Javier Mareque-Bueno ◽  
...  
Keyword(s):  
Weight Gain ◽  
Speech Therapy ◽  
Surgical Intervention ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Myofunctional Therapy ◽  
Before And After ◽  
The Subject ◽  
Poor Weight Gain ◽  
Stimulation Of

The problems of suction in newborns give rise to multiple consequences for both the mother and the newborn. The objective of this paper is to present a case of ankyloglossia (“tongue-tie”) and the suction problems that were treated by a multidisciplinary team. The subject is a 17-day-old male patient, with ankyloglossia and suction problems during breastfeeding (pain in the breastfeeding mother, poor weight gain, and long breastfeeds). The patient followed the circuit established in our centre between the services of Oral and Maxillofacial Surgery and Breastfeeding and Speech Therapy and Orofacial Rehabilitation (CELERE). The evolution following the breastfeeding sessions, the myofunctional stimulation, and the lingual frenotomy was very favourable, thereby solving the suction problems that the newborn presented. All our patients receive breastfeeding sessions and myofunctional therapy as treatment. We know that a frenotomy is not always necessary and we believe that the stimulation of sucking before and after the surgical intervention is important in order to improve the final result.

scholarly journals Effect of educational intervention on the appropriate use of oral antimicrobials in oral and maxillofacial surgery: a retrospective secondary data analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Junya Kusumoto ◽  
Atsushi Uda ◽  
Takeshi Kimura ◽  
Shungo Furudoi ◽  
Ryosuke Yoshii ◽  
...  
Keyword(s):  
Educational Intervention ◽  
Oral Surgery ◽  
Maxillofacial Surgery ◽  
Antibiotic Use ◽  
Oral And Maxillofacial Surgery ◽  
Third Generation ◽  
Oral Antibiotics ◽  
Appropriate Use ◽  
Before And After ◽  
Third Generation Cephalosporins

Abstract Background In Japan, oral third-generation cephalosporins with broad-spectrum activity are commonly prescribed in the practices of dentistry and oral surgery. However, there are few reports on the appropriate use of antibiotics in the field of oral surgery. This study aimed to evaluate the appropriateness of antibiotic use before and after an educational intervention in the Department of Oral and Maxillofacial Surgery, Kobe University Hospital. Methods The use of oral antibiotics was investigated among inpatients and outpatients before and after an educational intervention conducted by the antimicrobial stewardship team. Additionally, the frequency of surgical site infection after the surgical removal of an impacted third mandibular molar under general anesthesia and the prevalence of adverse effects of the prescribed antibiotics were comparatively evaluated between 2013 and 2018. Results After the educational intervention, a remarkable reduction was noted in the prescription of oral third-generation cephalosporins, but increased use of penicillins was noted among outpatients. There was reduced use of macrolides and quinolones in outpatients. Although a similar trend was seen for inpatients, the use of quinolones increased in this population. Despite the change in the pattern of antibiotic prescription, inpatients who underwent mandibular third molar extraction between 2013 and 2018 did not show a significant increase in the prevalence of surgical site infections (6.2% vs. 1.8%, p = .336) and adverse effects of drugs (2.1% vs. 0%, p = .466). Conclusions This study suggests that the judicious use of oral antibiotics is possible through conscious and habitual practice of appropriate antibiotic use. However, further investigation is required to develop measures for appropriate use of oral antibiotics.

Bone disease

2019 ◽  
pp. 95-108
Author(s):  
Johno Breeze ◽  
Sat Parmer ◽  
Niall McLeod
Keyword(s):  
Bone Disease ◽  
Practical Knowledge ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Odontogenic Tumours ◽  
Senior Clinician ◽  
Assessment And Treatment ◽  
The Subject ◽  
Contemporary Management ◽  
Complex Cases

This chapter contains eight clinical vivas on the subject of maxillofacial bone disease. This will provide candidates sitting the vivas component of the Oral and Maxillofacial Surgery FRCS examination with practical knowledge in the assessment and treatment of conditions such as keratocystic odontogenic tumours, ameloblastoma as well as osteonecrosis derived from medications or iatrogenic radiotherapy. It will also provide insight for clinicians in allied specialties, such as otolaryngology and plastic surgery, in how to engage in a debate with a senior clinician in the contemporary management of such complex cases.

Salivary gland disease

2019 ◽  
pp. 69-82
Author(s):  
Johno Breeze ◽  
Sat Parmer ◽  
Niall McLeod
Keyword(s):  
Salivary Gland ◽  
Practical Knowledge ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Senior Clinician ◽  
Assessment And Treatment ◽  
The Subject ◽  
Salivary Gland Disease ◽  
Contemporary Management ◽  
Complex Cases

This chapter contains eight clinical vivas on the subject of salivary gland disease. This will provide candidates sitting the vivas component of the Oral and Maxillofacial Surgery FRCS examination with practical knowledge in the assessment and treatment of obstructive, benign, and malignant salivary gland diseases. It will also provide insight for clinicians in allied specialties, such as otolaryngology and plastic surgery, in how to engage in a debate with a senior clinician in the contemporary management of such complex cases.

Head and neck surgical oncology

2019 ◽  
pp. 1-16
Author(s):  
Johno Breeze ◽  
Sat Parmer ◽  
Niall McLeod
Keyword(s):  
Head And Neck ◽  
Practical Knowledge ◽  
Maxillofacial Surgery ◽  
Neck Region ◽  
Surgical Oncology ◽  
Oral And Maxillofacial Surgery ◽  
Senior Clinician ◽  
Assessment And Treatment ◽  
The Subject ◽  
Contemporary Management

This chapter contains eight clinical vivas on the subject of head and neck surgical oncology. This will provide candidates sitting the vivas component of the Oral and Maxillofacial Surgery FRCS examination with practical knowledge in the assessment and treatment of cancer presenting in the head, face, and neck region. It will also provide insight for clinicians in allied specialties, such as otolaryngology and plastic surgery, in how to engage in a debate with a senior clinician in the contemporary management of such complex cases.

scholarly journals Orthognathic Surgical Rehabilitation in a Patient with Nemaline Rod Myopathy: A Case Report

2020 ◽  
Vol 4 (5) ◽  
pp. 1-6
Author(s):  
Faisal A Quereshy ◽  
Keyword(s):  
Case Report ◽  
Adverse Events ◽  
Surgical Planning ◽  
Surgical Intervention ◽  
Treatment Plan ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Hospital Stays ◽  
Staged Treatment ◽  
Disease Specific

A case report of the 5-year treatment path of a female patient with Nemaline Rod Myopathy treated by the Department of Oral and Maxillofacial Surgery and the Department of Craniofacial Orthodontics at the Case Western Reserve University in Cleveland, Ohio is presented. Myopathic patients present with disease-specific facies that requires extensive surgical intervention. Additionally, these patients are medically complex, requiring extensive pre and post-surgical planning to avoid adverse events. Our multi-disciplinary and multi-staged treatment plan required no extended post-surgical hospital stays or emergent interventions and she was to reach her stated goal of closing her lips and speaking.

scholarly journals Branchial cleft cyst. Particularities of diagnosis and treatment. Clinical case

2021 ◽  
Vol 3 (59) ◽  
pp. 71-77
Author(s):  
Gabriela Tverdohleb ◽  
◽  
Dumitru Sirbu ◽  
Stanislav Strisca ◽  
◽  
...  
Keyword(s):  
Clinical Case ◽  
Surgical Intervention ◽  
Maxillofacial Surgery ◽  
Diagnostic Methods ◽  
Cervical Region ◽  
Oral And Maxillofacial Surgery ◽  
Anatomical Structures ◽  
Additional Information ◽  
Branchial Cleft ◽  
Surgery Department

Branchial cysts are rare congenital malformations which arise due to the partial or complete involution of branchial apparatus in the development of the human embryo, causing huge discomfort to the patient. The objective of the study is to investigate the clinical picture, the evolution, the diagnostic methods of the branchial cysts to optimize the treatment tactics. A clinical case will be presented of a 40–years–old patient which was admitted to IMU IMSP in the Oral and Maxillofacial Surgery Department with the diagnosis of a left lateral branchial cyst. The patient accuses aesthetic disorders and the presence of a voluminous swelling which was located in the upper left lateral cervical region that began 2 years ago with episodes of frequent superinfection, gradually increasing in size. Therefore, a clinical and paraclinical examination was performed (laboratory tests, ultrasonography) to specify the diagnosis and to provide additional information on adjacent anatomical structures that may influence the tactics of the surgical treatment. A surgical intervention such as „removal of the swelling” was advised. Following the excision of the cyst under general anesthesia, the postoperative period passed without any particularities. Early diagnosis will reduce the increase in size of the branchial cysts preventing inflammatory complications with their superinfection.

Aesthetics

2019 ◽  
pp. 185-198
Author(s):  
Johno Breeze ◽  
Sat Parmer ◽  
Niall McLeod
Keyword(s):  
Plastic Surgery ◽  
Practical Knowledge ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Prominent Ears ◽  
Facial Surgery ◽  
Senior Clinician ◽  
The Subject ◽  
Contemporary Management ◽  
Complex Cases

This chapter contains eight clinical vivas on the subject of aesthetic facial surgery. This will provide candidates sitting the vivas component of the Oral and Maxillofacial Surgery FRCS examination with practical knowledge in the assessment of aesthetic conditions such as a dorsal nasal hump of prominent ears. It will also focus on types of treatment such as fillers, lasers, or a brow lift. It will also provide insight for clinicians in allied specialties, such as otolaryngology and plastic surgery, in how to engage in a debate with a senior clinician in the contemporary management of such complex cases.

Craniofacial surgery

2019 ◽  
pp. 129-142
Author(s):  
Johno Breeze ◽  
Sat Parmer ◽  
Niall McLeod
Keyword(s):  
Practical Knowledge ◽  
Maxillofacial Surgery ◽  
Craniofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Hemifacial Microsomia ◽  
Senior Clinician ◽  
Assessment And Treatment ◽  
The Subject ◽  
Contemporary Management ◽  
Complex Cases

This chapter contains eight clinical vivas on the subject of congenital and craniofacial surgery. This will provide candidates sitting the vivas component of the Oral and Maxillofacial Surgery FRCS examination with practical knowledge in the assessment and treatment of congenital conditions presenting in the craniofacial region. These include craniosynostosis and predisposing conditions, hemifacial microsomia, and vascular anomalies. It will also provide insight for clinicians in allied specialties, such as otolaryngology and plastic surgery, in how to engage in a debate with a senior clinician in the contemporary management of such complex cases.

scholarly journals Abscess of the anterior belly of the digastric muscle: a case report

2019 ◽  
Vol 101 (7) ◽  
pp. e150-e153
Author(s):  
A Thompson ◽  
M Pankhania
Keyword(s):  
Surgical Intervention ◽  
Multimodality Imaging ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Digastric Muscle ◽  
High Dependency ◽  
Anterior Belly ◽  
Neurovascular Structures ◽  
Learning Points ◽  
Nose And Throat

Abscess of the anterior belly of the digastric muscle has not been previously described and could pose a diagnostic and interventional dilemma. This case summarises the clinical, microbiological, radiological and surgical issues encountered and suggests learning points for clinicians posed with similar presentations. We recommend timely assessment by an appropriately trained clinician in either ear, nose and throat or oral and maxillofacial surgery, admission to a closely observable environment with airway-trained nursing staff and with potential for escalation to high dependency or intensive care in the event of airway compromise, as well as early involvement of an anaesthetist. Multimodality imaging should be performed to identify and localise an abscess collection or phlegmon, including an orthopantomogram in anticipation of odontogenic source and dental extraction as a definitive intervention. Surgical intervention for the abscess collection should be considered with consideration of the important neurovascular structures in this region.

Assessment of routine diet (garlic consumption) as a pre- and postoperative protocol in oral and maxillofacial surgical interventions: An evidence-based literature review

2020 ◽  
Vol 26 (2) ◽  
pp. 135-139
Author(s):  
Upasna Malhotra ◽  
Matthew Hasday ◽  
Georgios E Romanos ◽  
Fawad Javed
Keyword(s):  
Literature Review ◽  
Patient Management ◽  
Maxillofacial Surgery ◽  
Present Review ◽  
Oral And Maxillofacial Surgery ◽  
Oral Surgical Procedures ◽  
Surgical Interventions ◽  
Management Protocol ◽  
Before And After ◽  
History Of

Background: It was hypothesized that pathological bleeding (PB) during and/or after oral surgical procedures is higher in systemically healthy patients who have a history of garlic intake compared to controls (patients without a history of garlic consumption). Aim: The aim of the present review article was to identify studies in which garlic consumption was included as a patient management protocol before and after oral and maxillofacial surgery (OMFS). Methods: A review of pertinent indexed literature was performed. The focused question that was addressed was “Has diet (garlic consumption) been considered as a patient management protocol before and after OMFS?” The inclusion criteria were: (a) studies published in indexed databases, (b) original studies, (c) studies on OMFS, and (d) studies that considered diet (garlic consumption) as a patient management protocol before and after OMFS. Literature review, commentaries, letters to the editor, and studies published in non-indexed resources were excluded. The pattern of the present review was customized to summarize the pertinent information. Results: The initial search using the terms “oral,” maxillofacial,” “protocol,” and “surgery” yielded 1478 studies. The addition of the term “diet” to this search strategy reduced the number of studies to five. Further filtration of these studies using the terms “garlic” and/or “ Allium sativum” showed no studies. Conclusions: Garlic intake predisposes patients to PB. However, there are no studies in the indexed literature that have considered the inclusion of garlic consumption in patient management protocols before and after OMFS.

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