scholarly journals The Impact of Coronavirus Disease 2019 on the Disease Pattern of Oral and Maxillofacial Surgery Inpatients: A Comparative Study

2021 ◽  
Vol 8 ◽  
Author(s):  
Jingya Jane Pu ◽  
Colman Patrick McGrath ◽  
Yiu Yan Leung ◽  
Wing Shan Choi ◽  
Wei-fa Yang ◽  
...  
Keyword(s):  
Comparative Study ◽  
General Anesthesia ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Temporomandibular Disorder ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Essential Services ◽  
Disease Pattern ◽  
The Impact

Objective: Oral and maxillofacial surgery (OMFS) is a high-risk specialty involving airway and aerosol-generating procedures, which is potentially of more risk in the era of coronavirus disease 2019 (COVID-19). We aimed to identify the impact of COVID-19 on the disease pattern of OMFS inpatients and surgeries under general anesthesia in a comparative study.Materials and Methods: We reviewed the admission and operating theater records of OMFS patients from Jan 1 to Aug 31 in 2020 and 2019. The total number of cases, presenting disease patterns, and proportion of essential and non-essential medical services were compared between 2020 and 2019.Results: There were 664 admissions and 356 general anesthesia surgical procedures included in this study. Both admission and surgery numbers were significantly reduced in 2020, compared with 2019 (p = 0.012 and 0.007, respectively). The proportion of malignancy cases increased significantly, whereas that of cleft lip and palate and temporomandibular disorder (TMD) decreased. There was a significant increase in the proportion of essential services compared with non-essential services in 2020 compared with 2019.Conclusion: Our results first reported the epidemiological data of the impact of COVID-19 on OMFS disease pattern in a comparative study. The change of disease pattern and caseload will have a long-term impact on OMFS patient care, education, and training during the pandemic. Our paper provides evidence for health policy makers to consider the relocation of medical resources and optimization of medical education and services.

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.

Cleft surgery

2019 ◽  
pp. 143-152
Author(s):  
Johno Breeze ◽  
Sat Parmer ◽  
Niall McLeod
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Practical Knowledge ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Senior Clinician ◽  
Assessment And Treatment ◽  
Cleft Lip Repair ◽  
Contemporary Management ◽  
Cleft Surgery

This chapter contains eight clinical vivas on the subject of cleft 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 presentations such as cleft lip and palate as well as modalities of treatment including types of cleft lip repair. 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 ANALYSIS OF THE FREQUENCY OF BIRTH OF CHILDREN WITH CONGENITAL DEVELOPMENT DISORDERS IN A CITY WITH A PETROCHEMICAL INDUSTRY

2020 ◽  
Vol 16 (1) ◽  
pp. 139-142
Author(s):  
Sergey Chuykin ◽  
Julia Andrianova ◽  
Natal'ya Makusheva ◽  
Oleg Chuykin ◽  
Kristina Kuchuk ◽  
...  
Keyword(s):  
Petrochemical Industry ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Average Rate ◽  
Maxillofacial Surgery ◽  
Northern Region ◽  
Medical Documentation ◽  
Oral And Maxillofacial Surgery ◽  
Industrial Emissions ◽  
Congenital Cleft

Thing. Studying the frequency of birth of children with congenital malformations in a city with a petrochemical industry. The goal is to identify the effect of industrial emissions from enterprises in Ufa on the frequency of birth of children with congenital cleft lip and palate. Methodology. In the Department of Oral and Maxillofacial Surgery of the Republican Children's Clinical Hospital from 1985 to 2019, the medical documentation of children born in the city with a petrochemical industry with a cleft lip and palate was studied. Results. In industrial areas of Ufa, the average rate of birth of children with clefts is 3.65 ± 0.31 (Kalininsky) and 2.34 ± 0.29 (Ordzhonikidzevsky). According to our studies, it was found that in the industrial zone, the frequency of birth of children with congenital facial pathology is significantly higher than in environmentally safe areas, and ranges from 1: 282 (3.5) in the Kalinin industrial northern region to 1:859 (1.1) in the southernmost, ecologically safe Demsky district (p<0.01). On the whole, in Ufa, the average rates of the birth rate of children with congenital cleft lip and palate were 1:454 (2.204 ± 0.11). Conclusions. The correlation between the value of gross emissions of harmful substances into the atmospheric air and the frequency of congenital cleft lip and palate in the zone with emissions of 135,114―180,120 tons per year, then in the zone with the amount of emissions of 20,000―135,114 tons per year, and the frequency in the zone with emissions of 11,000 is less ― 20,000 tons per year. The average birth rates for children with ARVH in the cities of the Republic of Bashkortostan were per 1000 children born: in cities with NHP ― 2.44; in cities without NHP ― 1.13. The frequency of birth of children with ADV in cities with NHP is more than 2 times higher than the frequency of birth of children with ADV in cities without NHP (p <0.001).

Alveolar Bone Grafting in Patients with Complete Clefts: A Comparative Study between Secondary and Tertiary Bone Grafting

2002 ◽  
Vol 39 (1) ◽  
pp. 18-25 ◽  
Author(s):  
Rupert Dempf ◽  
Thomas Teltzrow ◽  
Franz-Josef Kramer ◽  
Jarg-Erich Hausamen
Keyword(s):  
Bone Grafting ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Alveolar Bone ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Comprehensive Treatment ◽  
Alveolar Bone Grafting ◽  
Medical University ◽  
Mixed Stage

Objective This investigation evaluated the results of alveolar bone grafting in patients with complete clefts, comparing secondary alveolar bone grafting (during the mixed stage of dentition) versus tertiary bone grafting (after completion of the second stage of dentition). Design This was a retrospective study. Of 140 osteoplasties, which all were operated according to the same standardized surgical technique, a clinical and roentgenological follow-up investigation was carried out in a collective of 85 osteoplasties. Clinically we searched for oronasal fistulae, assessed the periodontal status, determined the extent of the gingival attachment in the area of the osteoplasty, and searched for vertical growth disturbances in the area of the osteoplasty. Roentgenologically the height of the alveolar bone in the former clefted area was ascertained. Setting Records were obtained from a clinical and radiological study of the Department of Oral and Maxillofacial Surgery of the Medical University of Hannover (Germany). Interventions All patients were operated with the same standardized surgical method. The osteoplastic bridging of the alveolar cleft was performed via a vestibular gingival marginal incision and exclusively by grafting of cancellous bone from the iliac crest. Results The best results of alveolar bone grafting in cases of secondary osteoplasty were obtained when the lateral incisor or canine had grown into the transplant and had led to a functional stress of the transplanted bone. Approximately good results were to be found in tertiary osteoplasty when the transplanted bone had been stressed functionally through a dental implant. Comparing the secondary with the tertiary osteoplasty, there was a trend of lower resorption in secondary osteoplasty. Conclusions Secondary osteoplasty should represent an integral component of any concept for the comprehensive treatment of patients with cleft lip and palate.

scholarly journals Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies - USP (HRAC-USP) - part 3: Oral and Maxillofacial Surgery

2012 ◽  
Vol 20 (6) ◽  
pp. 673-679 ◽  
Author(s):  
José Alberto de Souza Freitas ◽  
Daniela Gamba Garib ◽  
Ivy Kiemle Trindade-Suedam ◽  
Roberta Martinelli Carvalho ◽  
Thais Marchini Oliveira ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Craniofacial Anomalies ◽  
Rehabilitative Treatment

Nasalance Distance and Ratio: Two New Measures

2000 ◽  
Vol 37 (3) ◽  
pp. 248-256 ◽  
Author(s):  
Tim Bressmann ◽  
Robert Sader ◽  
Tara L. Whitehill ◽  
Shaheen N. Awan ◽  
Hans-Florian Zeilhofer ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Maxillofacial Surgery ◽  
Mean Value ◽  
Oral And Maxillofacial Surgery ◽  
Acoustic Measurements ◽  
Operating Characteristics ◽  
Perceptual Judgments ◽  
University Of Technology ◽  
Nasal Resonance

Objectives Mean nasalance in speakers with perceptually normal nasal resonance can differ in magnitude considerably. In addition, categorizations of speech based on nasalance scores may not agree with perceptual judgments. To overcome this limitation, we evaluated two new simple measures derived from mean nasalance data: the nasalance distance (range between maximum and minimum nasalance) and the nasalance ratio (minimum nasalance divided by maximum nasalance). Setting Department of Oral and Maxillofacial Surgery, University of Technology, Munich, Germany. Subjects The sample consisted of 133 cleft lip and palate patients with normal nasal resonance or varying degrees of hypernasality. Procedures Oral and nasal acoustic measurements were made using the NasalView system. Nasalance distance and nasalance ratio were calculated for five nonnasal and three nasal sentences from the modified Heidelberg Rhinophonia Assessment Form. Results Optimum cutoffs were derived from Receiver-Operating Characteristics. Results for the sentence stimuli ranged from 64.4% to 89.6% sensitivity and from 91.2% to 94.1% specificity. When the analysis was limited to only one nonnasal and one nasal sentence, results ranged from 79.7% to 87.5% sensitivity and from 88.2% to 97.1% specificity. Conclusions We conclude that the two new measurements are valuable in routine clinical examinations. Nasalance distance and ratio derived from sentence stimuli are two useful and easily applicable measures that can be used to supplement the nasalance mean value.

scholarly journals Desenvolvimento dental e idade cronológica em pacientes com fissuras labiopalatinas: uma revisão de literatura

2020 ◽  
Vol 8 (9) ◽  
Author(s):  
Andressa Cavalcanti Pires ◽  
Marina Tavares Costa Nóbrega ◽  
Tânia Braga Ramos ◽  
Rosa Helena Wanderley Lacerda
Keyword(s):  
Cleft Palate ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Maxillofacial Surgery ◽  
Epidemiologic Study ◽  
Sao Paulo ◽  
Oral And Maxillofacial Surgery ◽  
São Paulo ◽  
Orofacial Clefts ◽  
Dental Maturation

Introdução: A idade dentária representa um aliado na avaliação da idade fisiológica, que comparada a idade cronológica, podem orientar quanto as alterações de desenvolvimento. Objetivo: Avaliar o atraso de desenvolvimento dental relacionado a idade cronológica do indivíduo portador de fissura labiopalatina. Material e método: Para realização da revisão da literatura foi utilizada abordagem indutiva e técnica documental baseada na literatura pré-existente sobre o assunto. A pesquisa abrange a busca de artigos publicados nas bases de referências bibliográficas PUBMED, Portal de Periódicos CAPES, SCIELO e BIREME. Utilizou-se como descritores: “odontogênese”, “fissura labial”, “fissura palatina”, “odontogenesis”, “cleft lip” e “cleft palate”. Resultados: Após excluídas as duplicatas, 34 artigos foram encontrados nas bases de dados selecionadas. Sendo 32 na base Pubmed, 25 na base Bireme, 04 no Portal de Periódicos CAPES e nenhum na base Scielo. Destes, 04 foram selecionados para análise. Conclusão: Pode-se concluir com esse trabalho que existe um atraso no desenvolvimento dentário de pacientes com fissura lábiopalatina em relação aos pacientes não fissurados e um atraso no desenvolvimento dentário de 6 meses deve ser considerado ao planejar o tratamento e cirurgias. É inconclusiva a diferença relacionada ao gênero.Descritores: Odontogênese; Fissura Labial; Fissura Palatina.ReferênciasVellini-Ferreira F. Ortodontia: Diagnóstico e Planejamento Clínico. 7. ed. São Paulo: Artes Médicas Ltda; 2008.Carrara CFC. Estudo da cronologia e sequência de erupção e das agenesias dos dentes permanentes em indivíduos brasileiros, leucodermas, portadores de fissura transforame incisivo unilateral [dissertação]. Bauru: Faculdade de Odontologia de Bauru - USP; 2000.Carvalho AAF, Carvalho A, Santos Pinto MC. Estudo radiográfico do desenvolvimento da dentição permanente de crianças brasileiras com idade cronológica variando entre 84 e 131 meses. Rev. Odonto UNESP. 1990;19:(1):31-9.Toledo OA. Aspectos da cronologia de erupção dos dentes permanentes. Considerações sobre o efeito da urbanização na alteração da cronologia eruptiva. Rev. Odontol Araçatuba.1965;1:47-64.Loevy HT, Aduss H. Tooth maturation in cleft lip, cleft palate, or both. Cleft Palate J.1988; 25(4):343-47.Ellis III. Management of Patients with Orofacial Clefts. In: Hupp, Ellis III, Tucker. Contemporary oral and maxillofacial surgery, 6ª th. Misssouri: Elsevier; 2014.Freitas e Silva DS, Mauro LDL, Oliveira LB, Ardenghi TM, Bönecker M. Estudo descritivo das fissuras lábio-palatinas relacionadas a fatores individuais, sistêmicos e sociais. RGO. 2008;56(4):387-91.Conway JC, Taub PJ, King R, Oberoi K, Doucette J, Jabs EW. Ten-year experience of more than 35,000 orofacial clefts in Africa. BMC Pediatr. 2015;15:8.Faraj JORA, André M. Alterações dimensionais transversas do arco dentário com fissura labiopalatina, no estágio de dentadura decídua. R Dental Press Ortodon Ortop Facial. 2007; 12(5):100-8.Silva Filho OG, Freitas JAS. Caracterização Morfológica e Origem Embriológica. In: Trindade IEK, Silva Filho OG (orgs). Fissuras labiopalatinas: uma abordagem interdisciplinar. São Paulo: Santos; 2007.p.17-49.Watson ACH. Embriologia, etiologia e incidência. In: Watson ACH, Sell DA, Grunwell P (orgs). Tratamento de fissura labial e fenda palatina. São Paulo: Santos; 2005.p.3-15Lages EMB, Marcos B, Pordeus IA. Oral health of individuals with cleft lip, cleft palate, or both. Cleft Palate-Craniofac J. 2004;41(1):59-63.Zandi M, HeidarI A. An epidemiologic study of orofacial clefts in Hamedan city, Iran: a 15-year study. Cleft Palate–Craniofac J. 2011;48(4 ):483-89.Coutinho ALF, Lima MC, Kitamura MAP, Ferreira Neto J, Pereira RM. Perfil epidemiológico dos portadores de fissuras orofaciais atendidos em um Centro de Referência do Nordeste do Brasil. Rev. Bras Saúde Mater Infant. 2009;9(2):149-56.Tan EL, Yow M, Kuek MC, Wong HC. Dental maturation of unilateral cleft lip and palate. Ann Maxillofac Surg. 2012;2(2):158-62.Lakatos EM, Marconi MA. Fundamentos de metodologia científica. 7 ed. São Paulo: Atlas, 2010.Borodkin AF, Feigal RJ, Beiraghi S, Moller KT, Hodges JS. Permanent tooth development in children with cleft lip and palate. Pediatr Dent. 2008; 30:408-13.Lai MC, King NM, Wong HM. Dental development of Chinese children with cleft lip and palate. Cleft Palate Craniofac J. 2008; 45:289-96.Tan ELY, Kuek MC, Wong HC, Yow M. Longitudinal dental maturation of children with complete unilateral cleft lip and palate: a case-control cohort study.Orthod Craniofac Res.2017; 20(4):189-95.Celebi AA, Ucar FI, Sekerci AE, Caglaroglu M, Tan E. Effects of cleft lip and palate on the development of permanent upper central incisors: a cone-beam computed tomography study. Eur J Orthod. 2015; 37(5):544-49.Ranta R. A comparative study of tooth formation in the permanent dentition of Finnish children with cleft lip and palate. Proc Fin Dent Soc. 1972;68(2):58-66.

scholarly journals Oral surgery – an assured future

2009 ◽  
Vol 91 (5) ◽  
pp. 175-175 ◽  
Author(s):  
Louis McArdle
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Oral Surgery ◽  
Maxillofacial Surgery ◽  
Medical Specialty ◽  
Facial Trauma ◽  
Oral And Maxillofacial Surgery ◽  
Major Transformation ◽  
Salivary Gland Disease ◽  
Soft Tissue Surgery

Oral and maxillofacial surgery (OMFS) has undergone a major transformation over the last two decades. This has resulted in the redefining of OMFS as a medical specialty and the categorisation of oral surgery as a dental specialty. Oral surgery includes dentoalveolar surgery, orthodontic surgery, intraoral soft tissue surgery, management of diseases of the jaws and oral implantology. OMFS also includes these areas of practice but has tended to focus on the management of more complex conditions such as orofacial malignancy and cleft-lip and palate surgery. Salivary gland disease, orthognathic surgery and facial trauma, although within the remit of OMFS, also fall within the extended competencies of the oral surgery curriculum and as such, will be part of the practice of some oral surgeons.

scholarly journals Junctional Rhythm Preoperatively and During General Anesthesia for Oral and Maxillofacial Surgery

2017 ◽  
Vol 64 (3) ◽  
pp. 165-167 ◽  
Author(s):  
Naotaka Kishimoto ◽  
Ikue Kinoshita ◽  
Yoshihiro Momota
Keyword(s):  
General Anesthesia ◽  
Local Anesthesia ◽  
Anesthetic Management ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Anesthesia Induction ◽  
Sagittal Split Ramus Osteotomy ◽  
Junctional Rhythm ◽  
Appropriate Treatment ◽  
Slow Heart Rate

We report a case of junctional rhythm that occurred both preoperatively and later during a portion of general anesthesia. A 19-year-old woman was scheduled to undergo bilateral sagittal split ramus osteotomy after being diagnosed with a jaw deformity. Preoperative electrocardiography (ECG) revealed a junctional rhythm with a slow heart rate (HR). At 90 minutes after anesthesia induction, local anesthesia with 10 mL of 1% lidocaine and 1:100,000 adrenaline was administered. A junctional rhythm appeared 15 minutes after the local anesthesia. We believe that the atrioventricular nodal pacemaker cells accelerated because of the increased sympathetic activity due to the adrenaline. On the preoperative ECG, the junctional rhythm with slow HR appeared as an escaped beat caused by slowing of the primary pacemaker. Therefore, we think that the preoperative junctional rhythm and the junctional rhythm that appeared during general anesthesia were due to different causes. Understanding the cause of a junctional rhythm could lead to more appropriate treatment. We therefore believe that identifying the cause of the junctional rhythm is important in anesthetic management.

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