The patient was greeted in the preoperative area. All the risks and benefits of the procedure were once again explained and the risks of malocclusion, nonunion, malunion, pain, bleeding, infection, swelling, permanent nerve dysfunction including lower chin and lip numbness were explained in detail all questions were answered. Consent had already been signed. Care was […]
Left Angle & Right Parasymphysis Fractures Read Post »
Armamentarium #9 Molt periosteal elevator #15 Scalpel blade Appropriate sutures (4-0 Vicryl sutures, 4-0 chromic gut sutures) Curved Mayo scissors Double-guarded septal osteotome Freer elevator Kirschner wire Langenbeck (toe-in) retractors (two) Local anesthetic with vasoconstrictor Mallet Needle driver Pterygoid chisel Round bur Safe-edge saw Sagittal saw Selden retractor Spatula osteotome Straight osteotome Suture scissors Woodson
LeFort Maxillary Osteotomy Read Post »
The term “craniosynostosis” refers to the premature fusion of one or more of the cranial vault sutures. The result is fusion of the bones adjacent to the suture and arrested sutural growth of the adjacent bones. The classic theory, known as Virchow’s law, states that premature fusion of a cranial suture results in limited development
Virchow’s Law & Cranial Sutures Read Post »
Insufficiency: structural defect that causes the velum to be too short to close against the posterior pharyngeal wall Incompetence: parts do not work properly such that velopharyngeal movement is inadequate to achieve closure independent of tissue bulk Mislearning: improper activation and coordination of the tissue of the velopharynx to achieve closure
Velopharyngeal Dysfunction Read Post »
Wilkes Classification for Internal Derangement of the TMJ The Wilkes Classification is a widely accepted clinical and radiographic staging system used to describe internal derangement of the temporomandibular joint (TMJ). It correlates clinical symptoms, disk position, joint mechanics, and degenerative changes, providing a framework for diagnosis, prognosis, and treatment planning. Internal derangement of the TMJ
Wilkes Classification for Internal Derangement Read Post »
Thyroid storm is an abrupt exacerbation of hyperthyroidism caused by sudden release of thyroid hormone (T4) into circulation by accident or an otherwise clinical presentation. Clinical symptoms mimic malignant hyperthermia. There is tachycardia, dehydration, hyperthermia and shock. This would be high on the list of possible causes due to the sudden loss of memory, the
intrinsic/auto PEEP due to dynamic airway collapse (“air trapping”). The FRC is increased by recruiting more alveoli and by increasing alveolar size. Intrinsic (auto) PEEP occurs when the inspiratory/expiratory time ratio approaches 1:1. Hyperinflation of the thoracic cavity results in increased intra-thoracic pressure and subsequently a decrease in cardiac output. Ideally, the I/E ventilator ratio
Intrinsic/Auto PEEP Read Post »
an autosomal dominant condition leading to a deficiency in uroporphyrinogen synthetase activity, causing an accumulation of uroporphobilogen, which is excreted in the urine turning it a dark color. Classic symptoms of an acute attack include intense abdominal pain, motor weakness, (usually starting proximally in the upper limbs) and confusion/agitation. These are due to nervous system
Acute Intermittent Porphyria Read Post »
Aspergillus forms fruiting bodies and septate filaments branching at acute angles Candida grows as yeast forms, tandem arrays of elongated forms without hyphae (pseuhyphae) and true hyphae with septate Actinomyces is a gram-positive filamentous or rod-shaped bacteria Mucormycosis form non-septate, irregularly wide fungal hyphae with frequent right-angle branching. In addition mucormycosis frequently occur in diabetics
Tricyclic antidepressants, including specifically amitriptyline, have been suggested to be effective in alleviating pain in chronic pain syndromes and in reducing bruxism by an unknown mechanism. None of the distractors have been shown to decrease bruxism. SSRI’s may increase bruxism. Tricylcic antidepressants (elavil) prevent the reuptake of catecholamines. Ketamine has sympathomimetic effects and will
Selective Serotonin Reuptake Inhibitors (SSRIs) & Tricycle Antidepressants (TCAs) Read Post »
