scholarly journals Microbiological Characteristics and Surgical Management of Animal-Bite-Related Oral & Maxillofacial Injuries: A Single Center’s Experience

Antibiotics ◽  
2021 ◽  
Vol 10 (8) ◽  
pp. 998
Author(s):  
Johannes Spille ◽  
Juliane Schulz ◽  
Dorothee Cäcilia Spille ◽  
Hendrik Naujokat ◽  
Henning Wieker ◽  
...  
Keyword(s):  
General Anesthesia ◽  
Maxillofacial Surgery ◽  
Lower Eyelid ◽  
Wound Management ◽  
Oral And Maxillofacial Surgery ◽  
Microbiological Characteristics ◽  
Information Status ◽  
Antibiotic Management ◽  
Duration Of Hospitalization ◽  
Bite Wounds

The objective of the current study is to retrospectively evaluate animal-bite injuries and to gain insight into the epidemiology, accident consequences and treatment concept of these accidents in oral and maxillofacial surgery. Data of patients, who were admitted January 2015 and April 2021, were retrospectively evaluated regarding the patients’ characteristics (age, gender), facial distribution of substance defects/partial amputations, duration of hospitalization, operation treatments and antibiotic treatments. Data of 75 patients were included. Patients were bitten by dogs (n = 69.92%), cats (n = 4) and horses (n = 2). Lower eyelid/cheek complex was the most affected region (n = 37, 32.74%). Most of the patients between 0 and 3 years had to be operated on under general anesthesia (p = 0.011), while most of the adults could be operated on under local anesthesia (p = 0.007). In the age group 0–12 years, 30 patients (68%) were operated on under general anesthesia. Ampicillin/Sulbactam (48%) was the antibiotic most used. Antibiotics were adjusted after wound swabs in case of wound infections or critical wound conditions. This means that resistant antibiotics were stopped, and sensitive antibiotics were used. Structured surgical and antibiotic management of animal-bite wounds in the maxillofacial region is the most important factor for medical care to avoid long-term aesthetic consequences. Public health actions and policies under the leadership of an interdisciplinary committee could improve primary wound management, healing outcome and information status in the general population.

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.

scholarly journals Olfactory Dysfunction After Oral and Maxillofacial Surgery

2021 ◽  
Author(s):  
Yaxi Wang ◽  
Hua Li ◽  
Xuanping Huang ◽  
Nuo Zhou
Keyword(s):  
General Anesthesia ◽  
Nasal Septum ◽  
Rare Complication ◽  
Nasotracheal Intubation ◽  
Maxillofacial Surgery ◽  
Olfactory Dysfunction ◽  
Oral And Maxillofacial Surgery ◽  
General Anesthetic ◽  
Anesthetic Drugs ◽  
Nasal Septum Deviation

Abstract Background: Although anesthesia can contribute to olfactory dysfunction, it is a rare complication after oral and maxillofacial surgery by general anesthesia.Cases presentation: In this study, we introduced 3 cases of patient suffering from anosmia (complete loss of smell), after oral and maxillofacial surgery by general anesthesia. We also investigated possible etiologies of anosmia. Conclusions: There are some evidences that anosmia is caused by nasotracheal intubation, which may cause OM injury and/or swing of the nasal septum in patients with nasal septum deviation. Olfactory dysfunction via general anesthetic drugs, however, may have a different etiology.

Perioperative safety and complications in treatment of oral and maxillofacial surgery patients under general anesthesia with obstructive sleeping disorders

2018 ◽  
Vol 46 (9) ◽  
pp. 1609-1615 ◽  
Author(s):  
Evgeny Goloborodko ◽  
Ann Christina Foldenauer ◽  
Nassim Ayoub ◽  
Matthias Knobe ◽  
Stephan Christian Möhlhenrich ◽  
...  
Keyword(s):  
General Anesthesia ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Sleeping Disorders ◽  
Perioperative Safety

scholarly journals EFFECT OF TRAHEOSTOMY ON THE INPATIENT TREATMENT OF PATIENTS WITH CONTACT MEDIASTINITES

2019 ◽  
Vol 26 (1) ◽  
pp. 94-100
Author(s):  
Alexander L. Gromov ◽  
Mikhail A. Gubin ◽  
Sergei V. Ivanov ◽  
Denis S. Tishkov
Keyword(s):  
Conflict Of Interest ◽  
Inpatient Treatment ◽  
Surgical Intervention ◽  
Maxillofacial Surgery ◽  
Total Duration ◽  
Treatment Results ◽  
Microbiological Characteristics ◽  
Duration Of Hospitalization ◽  
Bed Days ◽  
The Impact

The aimwas to assess the impact of emergency and planned tracheostomy on the main indicators of inpatient treatment in patients with contact mediastinitis.Materials and methods.This work was performed on the basis of the Department of Maxillofacial Surgery of the Kursk Regional Clinical Hospital. In order to conduct a comparative assessment of the treatment results, the patients with contact mediastinitis (46 people, surveyed period 2008–2017) were divided into 2 subgroups: control (25 people, 7 women, 18 men), who were treated without a tracheostomy; and the main group (21 people: 9 women, 12 men), with tracheostomy performed. The etiological and microbiological characteristics of the disease, the total duration of inpatient treatment, the length of stay in the resuscitation and intensive care units (bed-days), the dependence of the disease outcome (death, recovery) on the form of surgical intervention (tracheostomy) were evaluated.Results.A statistically significant effect of tracheostomy on the total duration of hospitalization and mortality rate was established (p0.05). Consequently, at present this issue cannot be resolved unambiguously and requires further research and mathematical analysis.Conclusion.The implementation of tracheostomy significantly increases the duration of inpatient treatment of patients with contact odontogenic mediastinites (p0.05).Conflict of interest: the authors declare no conflict of interest.

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