Transseptal fibers: extend interproximal over the alveolar bone and embed in cementum of adjacent teeth Alveolar crest: extend obliquely from the cementum to the alveolar crest Horizontal fibers: attach to the cementum apical to the alveolar crest fibers and run perpendicularly from the root of the tooth to the alveolar bone Oblique fibers: run from […]
Periodontal Ligaments Around Teeth Read Post »
Intracranial Hemorrhage: Types, Imaging Features, and Clinical Pearls Intracranial hemorrhage is a life-threatening neurologic emergency commonly encountered in trauma, neurosurgery, emergency medicine, and perioperative care. Rapid recognition of the type of hemorrhage, its mechanism, and its clinical presentation is essential for diagnosis, management, and exam performance. The four major categories include epidural hematoma, subdural hematoma,
Intracranial Hemorrhage Read Post »
Temporomandibular Joint Ankylosis: Classification and Clinical Significance Temporomandibular joint (TMJ) ankylosis is a debilitating condition characterized by restriction of mandibular movement due to fibrous or bony fusion of the joint components. It may result from trauma, infection, inflammatory disease, or prior TMJ surgery and can lead to significant functional, esthetic, and airway-related complications if left
Factors which decrease MAC Factors which increase MAC Advanced age Childhood Pregnancy (40% decrease) Hyperthyroidism Hypothermia Hyperthermia Acute alcohol intoxication Chronic alcohol use Drugs: benzodiazepines, opioids, muscle relaxants, central acting antihypertensives Drugs: amphetamine, cocaine
Factors Affecting MAC Read Post »
Alveolar Cell Types Type I Pneumocytes 97% of alveolar surfaces. Line the alveoli. Squamous; thin for optimal gas diffusion Type II Pneumocytes Secrete surfactant from lamellar bodies (arrow in A ) -> ↓ alveolar surface tension, prevents alveolar collapse, ↓ lung recoil, and ↑ compliance. Cuboidal and clustered B . Also serve as precursors to type
Respiratory System Read Post »
Patient was transferred from the floor to the OR holding area pt was interviewed by oral maxilla facial surgery, anesthesia, and the OR nursing service. It was established a proper H&P and consent have been obtained. All patient questions were answered. Patient was then transferred on a gurney to the OR holding area. He was
Orbital Floor Fracture Read Post »
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
ORIF Mandible via Extra-Oral Approach Read Post »
A Time Out was performed verifying patient procedure and laterality. Vitals, associated labs and imaging reviewed. *** carpules (1.7 ml each) of 2% lidocaine 1:100,000 epinephrine was used to anesthetized ***. Anesthesia was verified. Archbars were measured and cut to fit patient’s maxillary and mandibular arches. 24 gauge wires were used to secure archbars to
Placement into Intermaxillary Fixation Read Post »
The patient and the family were greeted in the preoperative area. All the risks and benefits of the procedure were once again explained to both the patient and the family and the risks of gait disturbances, paresthesias or the thigh, as well as lower chin and lip numbness were explained in detail all questions were
Hip Graft to Mandible Read Post »
The patient was greeted in the preoperative area. All the risks and benefits of the procedure were once again explained and the risks of sinus communication as well as lower chin and lip numbness were explained in detail all questions were answered. Consent had already been signed. Care was then handed back to the anesthesia
Incision & Drainage of Mandible Read Post »
