Orthognathic Surgery 1 pc LeFort BSSO

Orthognathic Surgery (1 pc LeFort & BSSO)

Template Notes

FINDINGS This is a ***-year-old *** with a significant dental facial deformity who will undergo maxillary mandibular osteotomies.  The case was discussed at length with patient.  Risks, benefits, and alternative therapies reviewed.  The clinical indications discussed, understood, and accepted. Risks of bleeding, infection, hardware failure, injury to the inferior alveolar nerve, and reoperation were discussed, understood, and accepted.  The patient is […]

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Post Procedure Plans

Post Procedure Plans

Template Notes

Extraction Antibiotics: {OMFS ABX:33800:n} Analgesia per primary team, recommend Tylenol/Motrin for mild/moderate pain, Percocet or Tylenol #3 for breakthrough pain Soft/puree diet, chew away from extraction sites if possible Apply gauze pressure directly over extraction socket and keep in place with firm biting pressure, changing gauze every 20 min for 30-40min or until hemostasis has

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Modified Condylotomy

Modified Condylotomy

Template Notes

FINDINGS: This is a ***-year-old *** who underwent conservative therapy for temporomandibular joint dysfunction. Cone bean CT demonstrated no irregularities with the left joint complex. Evidence of anterior displaced disks without reduction were noted bilaterally on MRI. The patient clinically had significant decreased range of motion and chronic recurrent pain, not resolve with conservative means.

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Zmc Fracture With Orbit Reconstruction

ZMC Fracture with Orbit Reconstruction

Template Notes

FINDINGS: This is a *** year-old *** who suffered blunt trauma to the right face. The case was discussed at length with patient.  Risks, benefits, and alternative therapies reviewed.  The clinical indications discussed, understood, and accepted. Risks of bleeding, infection, hardware failure, injury to the inferior alveolar nerve, and reoperation were discussed, understood, and accepted.

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TMJ Arthroscopy

TMJ Arthroscopy

Template Notes

FINDINGS: This is a 17 year-old female with a three to four month history of trismus and a longer history of joint noise with reciprocal clicking affecting her right temporomandibular joint. The patient has had significant discomfort and dysfunction. The patient underwent cone beam CT imaging which showed normal osseous structures of the joint complex.

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Bilateral Total Joint Replacement

Bilateral Total Joint Replacement

Template Notes

FINDINGS: This is a ***-year-old *** who presented with irretractable pain and limited range of motion the mandible due to restrictive function of bilateral temporomandibular joints (TMJ). The patient underwent cone beam CT evaluation which demonstrated arthritic changes and loss of intra-articular joint space. Degenerative joint disease was evident bilaterally. The patient with recurrent acute

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