scholarly journals The use of bipolar coagulation forceps prevented salivary fistula in patients with parotidectomy: a retrospective study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kun Wu ◽  
Keke Zhu ◽  
Yingxi Ye ◽  
Sainan Li ◽  
Hanjiang Wu ◽  
...  
Keyword(s):  
Logistic Regression Model ◽  
Maxillofacial Surgery ◽  
Control Group ◽  
Oral And Maxillofacial Surgery ◽  
Controlled Trials ◽  
Common Complication ◽  
Bipolar Coagulation ◽  
Salivary Fistula ◽  
Central South ◽  
Experimental Group

Abstract Background Salivary fistula is a relatively common complication in patients who have undergone a parotidectomy. The purpose of this study was to investigate the effects of bipolar coagulation forceps use on salivary fistulas. Methods From March 2015 to June 2020, 177 patients who underwent a parotidectomy in the Department of Oral and Maxillofacial Surgery at the Second Xiangya Hospital of Central South University were recruited. The patients were divided into an experimental group and a control group based on whether bipolar coagulation forceps or sutures were used, respectively. Results The drainage output of the experimental group was significantly lower than that of the control group (p = 0.04). The duration of dressing pressure applied in the experimental group was significantly shorter than that in the control group (p = 0.0003). Moreover, the incidence of salivary fistula in the experimental group (9.8%, 8/82) was notably lower than that in the control group (34.7%, 33/95) (p < 0.0001). In the logistic regression model for salivary fistula development, both the use of bipolar coagulation forceps (p = 0.0021) and drainage output (p = 0.0237) were associated with the presence of salivary fistulas. Conclusions Our findings indicate that the use of bipolar coagulation forceps decreases the incidence of salivary fistula in patients who have undergone a parotidectomy. The use of bipolar coagulation forceps is a safe, effective, and convenient method to prevent salivary fistulas in patients who undergo a parotidectomy. Trial registration: Current Controlled Trials ChiCTR2100044722, Date: 26/03/2021, Retrospectively registered.

scholarly journals The Bipolar Coagulation Forceps Prevented Salivary Fistula in Patients with Parotidectomy

2020 ◽  
Author(s):  
Kun Wu ◽  
Keke Zhu ◽  
Yingxi Ye ◽  
Sainan Li ◽  
Hanjiang Wu ◽  
...  
Keyword(s):  
Logistic Regression Model ◽  
Maxillofacial Surgery ◽  
Control Group ◽  
Oral And Maxillofacial Surgery ◽  
Common Complication ◽  
Bipolar Coagulation ◽  
Salivary Fistula ◽  
And Control ◽  
Central South ◽  
Experimental Group

Abstract Background: Salivary fistula is a relatively common complication in patients with parotidectomy. The purpose of this study was to investigate the effect of bipolar coagulation forceps in salivary fistulas.Method and Material: From March 2015 to June 2020, 177 patients for management of parotidectomy were recruit from the Department of Oral and Maxillofacial Surgery at the Second Xiangya Hospital, Central South University. The patients were divided into experimental group and control group according to application of bipolar coagulation forceps or suture, respectively.Results: The draining output of experimental group was dramatically decreased compared to control group (p = 0.04). The duration of pressure dressing application in experimental group was significantly increased compared to control group (p = 0.0003). Moreover, the incidence of salivary fistula in experimental group (9.8%, 8/82) was notably lower than that in control group (34.7%, 33/95) (p < 0.0001). In logistic regression model for salivary fistula development, both of bipolar coagulation forceps (p = 0.0026) and draining output (p = 0.0186) associated with salivary fistula.Conclusion: Our findings indicated that bipolar coagulation forceps decreased the incidence of salivary fistula in parotidectomy patients. The bipolar coagulation forceps is a safe, effective, and convenient method to prevent salivary fistulas in parotidectomy patients.

scholarly journals Development and Clinical Application of Shapeable Head Braking Device

2020 ◽  
Vol 4 (4) ◽  
Author(s):  
Zuozhen Wen ◽  
Yan Wang ◽  
Xiaoyan Mao ◽  
Liping Zhang ◽  
Xiaojing Huang ◽  
...  
Keyword(s):  
Head And Neck ◽  
Clinical Application ◽  
Head Movement ◽  
Maxillofacial Surgery ◽  
Tumor Resection ◽  
Patient Comfort ◽  
Control Group ◽  
Oral And Maxillofacial Surgery ◽  
Experimental Group ◽  
Brake Device

Objective: To evaluate the application effect of a plastic head brake device after radical resection of oral malignant tumors and flap repair for defects. Methods: 2018-2019 years, 5 months Sun Yat-sen Memorial patients oral and maxillofacial surgery for oral malignant tumor resection surgery period skin flaps hospital 150 patients randomly divided into groups. Test groups 70 examples and the control group of 80 cases, two different head braking methods were used. The experimental group used a self-designed head brake device, which was prepared to suit the height of the patient before operation. It was used from 0 to 3 days after operation. After the operation, the head lateral range was adjusted according to the braking requirements, and the pillow height was adjusted. The control group wrapped a 500 g salt bag with a treatment towel on both sides of the patient's head for head braking. The incidence of flap vascular crisis, head and neck deviation, head occipital pressure ulcer incidence and patient comfort during braking were evaluated in both groups. Results: The occurrence of vascular crisis in patients with oral tumors was significantly correlated with the patient's gender, alcoholism, and head movement (P<0.05), and the movement of patients' head and neck was also significantly correlated with the occurrence of vascular crisis. Compared with the control group, the experimental group had significant differences in head and neck deviation, incidence of vascular crisis, incidence of head ulcer pressure ulcers and patient comfort (P<0.05). Conclusion: The degree of head movement and incidence of vascular crisis in patients Closely related. Mouldable head brake device has more than ordinary salt bag ProA better head and neck braking effect can significantly reduce the incidence of postoperative vascular crisis, improve patient comfort, and have a better clinical application effect. In addition, this device can also be used repeatedly, reducing economic costs and better improving the satisfaction of doctors, nurses and patients.

Comparison of Dental Caries Prevalence in Patients with Cleft Lip and/or Palate and Their Sibling Controls

2009 ◽  
Vol 46 (5) ◽  
pp. 529-531 ◽  
Author(s):  
Mahmoud Al-Dajani
Keyword(s):  
Dental Caries ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Maxillofacial Surgery ◽  
Permanent Teeth ◽  
Control Group ◽  
Oral And Maxillofacial Surgery ◽  
Caries Prevalence ◽  
Dmft Index ◽  
And Control

Objective: To evaluate the prevalence of dental caries in patients with cleft lip and/or palate and their cleft-free sibling controls. Methods: The two subject groups (patient and control) comprised 106 participants. The former group consisted of 53 patients with cleft lip and/or palate, aged 12 to 29 years, who visited the Oral and Maxillofacial Surgery Hospital at Damascus University of Syria. The control group consisted of the patients’ siblings who had no clefts, and they were sex matched to the patient group. Dental caries were examined clinically and were reported using the decayed, missing, and filled permanent teeth (DMFT) index. The DMFT scores were compared between the two groups. Results: The author found an overall association of dental caries with the presence of cleft lip and/or palate (odds ratio  =  2.52; 95% confidence interval  =  1.389–4.574; p < .05). The DMFT index scores were proportionally higher in patients with cleft lip and/or palate compared with the control group (p < .001). Conclusion: Subjects with cleft lip and palate are susceptible to dental caries independently of socioeconomic status.

scholarly journals Shortening of bones using novel contraction osteogenesis device: An experimental study

2021 ◽  
Vol 11 (Suppl. 1) ◽  
pp. 26-31
Author(s):  
Hakan Ocak ◽  
Erdem Kılıç ◽  
Alper Alkan
Keyword(s):  
Experimental Study ◽  
Maxillofacial Surgery ◽  
Latency Period ◽  
Test Group ◽  
Study Groups ◽  
Skin Incision ◽  
Alternative Methods ◽  
Control Group ◽  
Oral And Maxillofacial Surgery ◽  
Complication Rates

Aim: Given the high complication rates associated with orthognathic surgery for the correction of maxillomandibular malformations, studies have focused on alternative methods of strengthening the jaw, such as distraction osteogenesis. However, methods of shortening of the jaw are not well-elucidated in oral and maxillofacial surgery practice. This study aims to investigate the efficacy of a new method of shortening osteotomized jaws. Methodology: A 2.5–3 cm skin incision was made on the left tibia of each of 15 New Zealand white rabbits aged 12–18 months, followed by fixation of 15 mm pre-opened distractor devices to the tibia after osteotomy. After a five-day latency period, the distractors were activated to a total of 8 mm, with closure of the device set at a rate of 0.25 mm/day in the test group. After a five-day latency period, the distractors closed at a rate of 0.125 mm/day, achieving a total contraction of 5 mm. The distractors were not activated in the control group. The bone at the contraction range was evaluated, and the resultant shortening was measured. Results: The tibia was shortened by an average of 4.32 mm. Exaggerated bone formation was identified around the osteotomized cortical bone in all rabbits in the control and study groups, and there were minimal complication rates. Conclusion: This study verified that the jaw can be shortened by performing slow, controlled contraction with a bone resorption pattern.   How to cite this article: Ocak H, Kılıç E. Alkan A, Shortening of the bones using a novel contraction osteogenesis device: An experimental study. Int Dent Res 2021;11(Suppl.1):26-31. https://doi.org/10.5577/intdentres.2021.vol11.suppl1.5   Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

scholarly journals Meta-Analysis of Randomized Controlled Trials of Xueshuantong Injection in Prevention of Deep Venous Thrombosis of Lower Extremity after Orthopedic Surgery

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Shu-ting Yan ◽  
Feng Gao ◽  
Tai-wei Dong ◽  
Hao Fan ◽  
Miao-miao Xi ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Randomized Controlled Trials ◽  
Orthopedic Surgery ◽  
Meta Analysis ◽  
Control Group ◽  
Controlled Trials ◽  
Randomized Controlled ◽  
Experimental Group

Objective. To systematically evaluate the clinical efficacy of Xueshuantong injection (Panax notoginseng saponins) in preventing deep venous thrombosis (DVT) of lower extremity after orthopedic surgery. Methods. The randomized controlled trials (RCTs) of Xueshuantong injection in prevention of lower extremity DVT after orthopedic surgery were retrieved from CNKI, Wanfang database, VIP, PubMed, and Cochrane Library by August 2020. Revman5.2 was used to analyze the results. Results. A total of 20 articles including 2336 patients were included. The results of meta-analysis showed that the incidence of DVT in the experimental group was lower than that in the control group; after operation, the D-dimer (Ddimer), thrombin time (APTT), and prothrombin time (PT) in the experimental group were significantly improved compared with those in the control group, and the difference between the two groups was statistically significant. Conclusion. Xueshuantong injection can effectively prevent the formation of lower extremity DVT after orthopedic surgery and antagonize the postoperative hypercoagulable state of blood, which has high clinical value.

COMPARISON OF POST EXTRACTION SOCKET HEALING WITH AND WITHOUT USING PLATELET RICH FIBRIN (PRF) – A CLINICAL AND RADIOGRAPHIC STUDY

2021 ◽  
pp. 62-65
Author(s):  
S.P. Indra Kumar ◽  
Kavin T ◽  
Narendar R ◽  
E. Gayathri Priyadharshini ◽  
Akshaya murugan ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Maxillofacial Surgery ◽  
Test Group ◽  
Control Group ◽  
Oral And Maxillofacial Surgery ◽  
Soft Tissue Healing ◽  
Extraction Socket ◽  
Platelet Rich Fibrin ◽  
Tissue Healing ◽  
Socket Healing

AIM: The aim of this study is to comparatively evaluate the post extraction socket healing clinically and radiographically with and without using Platelet Rich Fibrin (PRF). MATERIALS AND METHODS: Fifty, otherwise healthy individuals undergoing dental treatment in the department of Oral and Maxillofacial surgery, Vivekananda Dental College for women, Thiruchengode, were randomly selected and the participants were divided into two groups – test group(PRF, n=25) and control group (Blood clot, n=25). Blood was freshly obtained from the participants of the test group and PRF was prepared. PRF was placed in the sockets of the test group and followed by the pressure application and suturing. Control group were allowed to heal naturally. Clinically, soft tissue healing and socket closure were assessed. Radiographic analysis of socket healing done by comparison of pre- and post-operative radiographs. The clinical follow-up assessments were done at an interval of 3 days, 1 week and 4 weeks and the data obtained were assessed. The patients were aged above 18 years, i RESULT: ncluding 33 females and 17 males. The soft tissue and socket healing were higher in the test group when compared with the control group clinically and the mean proportion of radiographic bone ll was signicantly higher in the test group in all the time intervals of 3 days, 1 week and 4 weeks, respectively. Outcome of the study CONCLUSION: demonstrate that the PRF placement in the extraction socket accelerates soft tissue healing and socket healing and increases the bone ll and reduces the bone resorption using clinical and radiographic methods.

Association between clinical stage of oral cancer and expression of immunohistochemical markers

2017 ◽  
Vol 89 (6) ◽  
pp. 17-22
Author(s):  
Wojciech Świątkowski ◽  
Mansur Rahnama ◽  
Tomasz Tomaszewski ◽  
Mariola Bigas ◽  
Agnieszka Świątkowska ◽  
...  
Keyword(s):  
Oral Cancer ◽  
Detection System ◽  
Tumor Staging ◽  
P53 Protein ◽  
Clinical Stage ◽  
Maxillofacial Surgery ◽  
Response To Treatment ◽  
Control Group ◽  
Oral And Maxillofacial Surgery ◽  
Protein Markers

Aim: The aim of this study is to demonstrate the possible correlation between the expression of examined protein markers - p53, EGFR, PCNA, p44/42 in the mass of the tumor and the clinical stage of disease. Material: 48 patients of the Department and Clinic of Oral and Maxillofacial Surgery, Lublin diagnosed with oral cancer. The control group consisted of 10 patients diagnosed with leukoplakia lesions in the oral cavity. The methods: Immunohistochemical analysis using the detection system DAKO K5007 Cat - Dako REAL ™ Detection System, Peroxidase DAB +, Rabbit / Mouse. Results: Based upon the statistical results, significant correlation between p53 protein and tumor staging; however, a correlation between the level of expression of EGFR, p44/42, PCNA and staging was not likewise revealed. Conclusions: Looking for oral squamous cell carcinoma markers remains an actual issue. Identification of specific markers of oral cancer could be used in screening the population, determining prognosis and response to treatment.

scholarly journals Pattern of Oral and Maxillofacial New Referrals During COVID-19 Lockdown

2021 ◽  
Vol 16 (2) ◽  
pp. 199-208
Author(s):  
Syed Nabil ◽  
Muhammad Aiman Mohd Nizar ◽  
Muhd Fazlynizam Rashdi ◽  
Szu Ching Khoo ◽  
Muhammad Kamil Hassan ◽  
...  
Keyword(s):  
Emergency Departments ◽  
Maxillofacial Surgery ◽  
Demographic Factors ◽  
Control Group ◽  
Oral And Maxillofacial Surgery ◽  
Bivariate Statistics ◽  
Home Address ◽  
Significant Difference ◽  
Level Of Significance ◽  
The Impact

The study aimed to quantify the impact of lockdown during the COVID-19 pandemic on new case referrals to the Oral and Maxillofacial Surgery (OMS) service. The researchers retrospectively reviewed all new referrals received during a government-imposed 47-day lockdown period and a similar period pre-lockdown as a control group. The main outcome was the differences in the number of new case referrals between the two periods. The contributing clinical and demographic factors were also explored. Appropriate bivariate statistics were computed and the level of significance was set at 0.05 for all tests. A total of 309 referrals were received during the study period. There was a reduction of new referrals due to the lockdown from five to two cases per day. There was a statistically significant reduction of cases referred from outpatient and emergency departments. There was also a statistically significant difference with regard to home address distance to the centre. Medically compromised and orofacial infection referrals were not affected by lockdown. The lockdown imposed due to the pandemic has significantly impacted the pattern of new OMS referrals. Referrals for orofacial infections, the medically compromised and inpatients were minimally affected by lockdown.

scholarly journals A Meta-analysis of Acupuncture Treatment for Irritable Bowel Syndrome

2021 ◽  
Vol 10 (2) ◽  
Author(s):  
Biwei Chen ◽  
Lili Zhang ◽  
Shaozong Chen ◽  
Changzhen Gong
Keyword(s):  
Irritable Bowel Syndrome ◽  
Clinical Research ◽  
Randomized Controlled Trials ◽  
Meta Analysis ◽  
Cochrane Library ◽  
Control Group ◽  
Controlled Trials ◽  
Randomized Controlled ◽  
Irritable Bowel ◽  
Experimental Group

To assess the efficacy of acupuncture for treatment of irritable bowel syndrome through meta-analysis of randomized controlled trials in recent 20 years. Online databases, including CNKI, VIP, WANFANG,PubMed, Cochrane Library, Web of Science and Embase were searched for randomized controlled trials (RCTs) of acupuncture for IBS. Retrieval time was from January 1, 2000 to January 31, 2021. According to Jadad scoring criteria,the bias risk and quality assessment of each RCT included were evaluated by two researchers. RevMan 5.3 software was used for the meta analysis. Eight RCTs were selected which include a total of 1181 patients.The control group has 425 patients and the experimental group has 756 patients. The result of meta-analysis indicates that the total effective rate for the experimental group was superior to that of the control group [OR=3.29,95%CI [2.16~5.03](P<0.01)], and the funnel plot was basically symmetric. Acupuncture therapy is shown to have a good safety and compliance record. However, the number of high-quality trials is small, and there are some deficiencies in the methodology of clinical research. Acupuncture, as a supplementary therapy for irritable bowel syndrome, has positive clinical significance and prospects for application. The methodology of clinical research needs to be further improved.

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