Search Our Scientific Publications & Authors

J Clin Exp Dent 2019 Mar 1;11(3):e287-e289. Epub 2019 Mar 1.

BDS. College of Medicine and Dentistry, James Cook University. Smithfield, Queensland - 4878. Australia.

Dental practitioners may encounter bifid mandibular canals upon radiographic assessment, and may not understand the true extent of this presentation. The presentation of a bifid mandibular canal poses difficulties when carrying out dental procedures, including administration of mandibular block anaesthesia, oral surgical procedures of the lower third molars, orthognathic surgery and implant placement. Therefore it is of paramount importance that general dental practitioners be aware of the radiographic appearance, as incorrect diagnosis of this rare presentation can lead to detrimental consequences. Read More

Anat Cell Biol 2019 Mar 29;52(1):82-83. Epub 2019 Mar 29.

Seattle Science Foundation, Seattle, WA, USA.

Knowledge of the anatomy and variations of the nerves of the oral cavity is important to surgeons who operate this region. Herein, we report a rare case of a buccal nerve with two distinct roots. The anatomy of this case and its clinical applications is discussed. Read More

Anat Cell Biol 2019 Mar 29;52(1):12-16. Epub 2019 Mar 29.

Seattle Science Foundation, Seattle, WA, USA.

The nerve to the mylohyoid (NM) originates from the mandibular division of the trigeminal nerve. The NM provides motor control to the mylohyoid and the anterior belly of the digastric. Its sensory component, as a variation of this nerve, has scantly been described in the literature. Read More

Anaesthesia 2019 May;74(5):663-673

Department of Anaesthesia, Toronto Western Hospital, University of Toronto, ON, Canada.

Surgery is the primary therapeutic intervention for breast cancer and can result in significant postoperative pain. We searched the current literature and performed a meta-analysis in order to compare the analgesic efficacy of the pectoral type-2 (Pecs II) block with systemic analgesia alone and with a thoracic paravertebral block for breast cancer surgery. Primary outcome was postoperative opioid consumption in the first 24 h after surgery. Read More

Oral Radiol 2019 Apr 3. Epub 2019 Apr 3.

Department of Paediatric Dentistry, Dental Faculty, Paul Sabatier University and University Hospital of Toulouse, Toulouse, France.

Objectives: The location of the mandibular foramen is essential for the quality of the inferior alveolar nerve block anaesthesia and has often been studied with contradictory results over the years. The aim of this study was to locate the mandibular foramen, according to the dental age of the subject, through 3D analysis.

Methods: Three-dimensional images were reconstructed from mandibular computed tomography of 260 children, adolescents and adults. Read More

J Oral Maxillofac Surg 2019 Apr 29;77(4):715-720. Epub 2018 Sep 29.

Assistant Lecturer, Department of Pedodontics and Preventive Dentistry, Dental Teaching Hospital, College of Dentistry, University of Baghdad, Baghdad, Iraq.

Purpose: The purpose of this study was to compare the outcomes of 2 different anesthetic techniques (local infiltration vs infraorbital nerve block) for eliminating pain during apical surgeries that are associated with extensive periapical pathology in the anterior maxilla.

Materials And Methods: Patients were randomly divided into 2 groups: patients in group I were anesthetized labially by local infiltration injections, whereas those in group II received a single infraorbital nerve block. Palatal injections were given for the 2 groups. Read More

Knee 2019 Mar 20. Epub 2019 Mar 20.

Orthopaedic Associates of Wisconsin, N15W28300 Golf Road, Pewaukee, WI 53072-4800, USA.

Background: There is a growing interest in avoiding discharging patients to rehab to maximize outcome and minimize complications after total knee arthroplasty (TKA). In addition, use of postoperative pain pathways that minimize opioid use is critical amidst the current opioid epidemic. However, the ideal pain regimen after TKA has yet to be determined. Read More

Evid Based Dent 2019 Mar;20(1):20-21

Department of Cariology and Comprehensive Care, New York University, College of Dentistry, New York, USA.

Data sources PubMed, EBSCOhost and Scopus database up till 9 September 2017 in English language. Clinical trial registry and reference lists of published systematic reviews, textbooks and selected articles were also searched.Study selection Population-based randomised clinical trials comparing effects of any single NSAID versus placebo as an oral premedication on the efficacy of IANB in achieving anaesthesia in patients ranging from age 14-68 with irreversible pulpitis who were undergoing nonsurgical root canal therapy in mandibular posterior teeth. Read More

Pulm Pharmacol Ther 2019 Mar 19. Epub 2019 Mar 19.

BELLUS Health, 275 Armand-Frappier Blvd., Laval, QC, H7V 4A7, Canada.

BLU-5937 is a small molecule that was shown to be a potent, selective and non-competitive P2X3 homotrimeric receptor antagonist. P2X3 receptors are ATP ion-gated channels located on primary afferent neurons. ATP released from damaged or inflamed tissues in the airways acts on P2X3 receptors of primary afferent neurons, triggering depolarization and action potentials that are transmitted centrally and interpreted as urge to cough. Read More

Anesth Prog 2019 ;66(1):20-23

Dentistry student, Islamic Azad University, Tehran, Iran.

The location of the mandibular foramen (MF) on digital panoramic radiographs can be an important guide for clinicians when administering the inferior alveolar nerve block (IANB) for dental anesthesia of the mandible. This study, aimed to assess the location of the MF relative to the anterior border (AB) of the ramus and the occlusal plane (OP) from digital panoramic radiographs. An observational case series study was conducted on digital panoramic radiographs from the oral and maxillofacial radiology department archives of patients at least 18 years of age with a 1:1 scale (100%). Read More

HSS J 2019 Feb 28;15(1):42-50. Epub 2019 Jan 28.

Florida Institute of Orthopaedic Surgical Specialists, 2307 West Broward Blvd. Suite 200, Fort Lauderdale, FL 33312 USA.

Background: Pain management after anterior cruciate ligament reconstruction (ACLR) may pose a risk of prolonged opioid use.

Questions/purposes: The purposes of this study in ACLR were to investigate the efficacy of a surgeon-administered local-regional block of specific genicular nerves on post-operative analgesia following ACLR and to quantify the outpatient opioid consumption and duration through the complete post-operative course.

Methods: Prospectively, all patients undergoing primary ACLR by a single surgeon were studied over a 10-month period. Read More

J Perioper Pract 2019 Feb 27:1750458919834195. Epub 2019 Feb 27.

Department of OMFS, Aligarh Muslim University, Aligarh, India.

Ludwig's angina is defined as a potentially lethal, rapidly spreading cellulitis, involving the sublingual and submandibular spaces, and is manifested by a brawny suprahyoid induration, tender swelling in the floor of the mouth, and elevation and posterior displacement of the tongue. During a life-threatening infection such as Ludwig's angina, the mother and foetus are vulnerable to septicemia and asphyxia. We describe a case of decompression of Ludwig's angina in a 28 weeks pregnant patient under bilateral superficial cervical plexus block. Read More

Clin Orthop Relat Res 2019 Mar;477(3):622-632

J. T. YaDeau, S. S. Liu, M. A. Gordon, E. A. Goytizolo, Y. Lin, A. A. Schweitzer, Department of Anesthesiology, Critical Care and Pain Management Hospital for Special Surgery, New York, NY, USA D. M. Dines, L. V. Gulotta, Department of Orthopedic Surgery, Sports Medicine, Hospital for Special Surgery, New York, NY, USA K. G. Fields, Healthcare Research Institute, Hospital for Special Surgery, New York, NY, USA.

Background: The pain experience for total shoulder arthroplasty (TSA) patients in the first 2 weeks after surgery has not been well described. Many approaches to pain management have been used, with none emerging as clearly superior; it is important that any approach minimizes postoperative opioid use.

Questions/purposes: (1) With a long-acting nerve block and comprehensive multimodal analgesia, what are the pain levels after TSA from day of surgery until postoperative day (POD) 14? (2) How many opioids do TSA patients take from the day of surgery until POD 14? (3) What are the PainOUT responses at POD 1 and POD 14, focusing on side effects from opioids usage?

Methods: From January 27, 2017 to December 6, 2017, 154 TSA patients were identified as potentially eligible for this prospective, institutional review board-approved observational study. Read More

J Robot Surg 2019 Feb 14. Epub 2019 Feb 14.

Department of Otolaryngology and Head and Neck Surgery, All India Institute of Medical Sciences, Teaching Block, 4th, Floor, New Delhi, 110029, India.

To analyze the feasibility, surgical outcomes and possible risks and complications encountered during transoral robotic surgery (TORS) for approaching parapharyngeal space (PPS) tumours, a retrospective cohort study was conducted. Out of 108 TORS procedures performed, 5 PPS tumours were identified from May 2011- November 2017. This study included 2 retrostyloid (benign nerve sheath tumour) and 3 prestyloid tumours (pleomorphic adenoma), of which one patient had previously undergone a transcervical approach for deep lobe of parotid pleomorphic adenoma. Read More

Surg Radiol Anat 2019 Feb 13. Epub 2019 Feb 13.

Chirurgia Plastica Ricostruttiva ed Estetica, Policlinico 'Paolo Giaccone' di Palermo, Palermo, Italy.

We report a very rare case of a unilaterally absent piriformis muscle in a 60 year old woman. Accompanying variations comprised a common gluteal artery (instead of two distinct superior and inferior gluteal arteries), and an absent gemellus inferior muscle. The contralateral left side showed a normally developed piriformis muscle. Read More

Pain Pract 2019 Feb 7. Epub 2019 Feb 7.

Department of Anesthesiology, Central Hospital of China Aerospace Corporation (Aerospace Clinical Medical School of Peking University), Beijing, China.

Objectives: To evaluate the efficacy and safety of ultrasound-guided cervical nerve root block (CRB) on acute pain and its preventive effects on post-herpetic neuralgia (PHN) in patients with cervical herpes zoster (HZ).

Methods: 140 recruited participants were randomized 1:1 to receive ultrasound-guided CRB with either mixed drug liquid (treatment group) or similar looking placebo (placebo group). All patients received a 7-day course of oral antiviral treatment, pregabalin, and analgesics as needed. Read More

J Maxillofac Oral Surg 2019 Mar 26;18(1):23-29. Epub 2017 Jun 26.

Department of Oral & Maxillofacial Surgery, Government Dental College & Hospital Srinagar, Srinagar, Jammu and Kashmir India.

Aim: To assess the safety and effectiveness of superficial cervical plexus (SCP) block in oral and maxillofacial surgical (OMFS) practice as an alternative to general anesthesia in selective cases.

Subjects And Methods: The total number of patients was 10, out of which 6 were male and 4 were female patients. Five patients had incision and drainage of perimandibular space infections, two patients had enucleation of cyst in the body of mandible, one patient had open reduction and internal fixation isolated angle fracture, and two patients had submandibular lymph node biopsies. Read More

Int J Oral Maxillofac Surg 2018 Nov 22;47(11):1365-1372. Epub 2018 Jun 22.

Department of Plastic and Oral Surgery, Boston Children's Hospital, Boston, USA.

Craniofacial microsomia (CFM) is characterized by an underdevelopment of the facial structures arising from the first and second branchial arches, but extracraniofacial anomalies such as vertebral anomalies may be present. This retrospective study was performed to determine the prevalence and types of vertebral anomalies and the association with other extracraniofacial anomalies in patients with CFM. The charts of all patients diagnosed with CFM seen in four craniofacial centres were reviewed for the presence of vertebral anomalies, symptoms, extracraniofacial anomalies, and the OMENS classification including the Pruzansky-Kaban type of mandibular deformity. Read More

Anaesthesist 2019 Feb 5;68(2):108-114. Epub 2019 Feb 5.

Klinik für Anästhesiologie, HELIOS-Kliniken Schwerin, Wismarsche Straße 393-7, 19049, Schwerin, Deutschland.

The authors describe in a clinical case series (n = 7) of older (age 78-95 years) high-risk patients the successful surgical treatment of proximal femoral fractures in a peripheral regional anesthesia technique. After positioning on the non-fractured side, a double injection technique (dual guidance concept: sonography plus nerve stimulation) was chosen. The injections were performed parasacrally (blockade of the sacral plexus under the piriformis muscle) and lumbar-paravertebrally (psoas compartment block and transmuscular quadratus lumborum block). Read More

Anesth Prog 2018 ;65(4):231-236

Emeritus Associate Professor, Division of Biosciences, The Ohio State University, Columbus.

There is evidence that the Computer-Controlled Local Anesthetic Device (CCLAD) decreases the pain of oral injections. The purpose of this study was to evaluate injection pain of the inferior alveolar nerve block (IANB) using the CCLAD in an upright position versus a supine position. Additionally, we evaluated solution deposition pain with the CCLAD when compared to previous studies using a traditional syringe. Read More

Neural Regen Res 2019 May;14(5):826-833

Biomedicine Research Center, Basic Medical College and Baotou Medical College of Neuroscience Institute; Inner Mongolia Key Laboratory of Hypoxic Translational Medicine, Baotou Medical College, Baotou, Inner Mongolia Autonomous Region; Beijing Key Laboratory of Hypoxic Conditioning Translational Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China.

Bisperoxo (1,10-phenanthroline) oxovanadate (BpV) can reportedly block the cell cycle. The present study examined whether BpV alters gene expression by affecting DNA methyltransferases (DNMTs), which would impact the cell cycle. Immortalized mouse hippocampal neuronal precursor cells (HT22) were treated with 0. Read More

J Pediatr Surg 2019 Apr 28;54(4):663-669. Epub 2018 Dec 28.

Helen DeVos Children's Hospital/Spectrum Health/Michigan State University Department of Surgery, Grand Rapids, Michigan.

Purpose: Management of postoperative pain is a significant challenge following the Nuss procedure. Epidurals, PCAs, and newer analgesia modalities have been used elsewhere without demonstrating consistent improvement in the reported length of hospital stays (LOS). We reviewed a large single surgeon experience identifying three different methods of analgesia used over time to highlight marked improvement in patient LOS. Read More

Anesth Analg 2019 Apr;128(4):631-640

Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, Texas.

Ambulatory arthroscopic anterior cruciate ligament reconstruction is associated with moderate pain, even when nonopioid oral analgesics such as acetaminophen and nonsteroidal anti-inflammatory drugs are used. Regional analgesia can supplement nonopioid oral analgesics and reduce postoperative opioid requirements, but the choice of regional analgesia technique for anterior cruciate ligament reconstruction remains controversial. Femoral nerve block, adductor canal block, and local instillation analgesia have all been proposed and are supported by some evidence from randomized controlled trials. Read More

J Dent Anesth Pain Med 2018 Dec 28;18(6):339-347. Epub 2018 Dec 28.

Department of Oral & Maxillofacial Surgery, Faculty of Dentistry, Mahidol University, Bangkok, Thailand.

Background: There are many techniques of inferior alveolar nerve block injection (IANBI); one among them is the computer-assisted intraosseous injection (CAIOI). Here we aim to evaluate the effectiveness of CAIOI with Quicksleeper® in mandibular third molar surgery.

Methods: This study is a clinical, single-blind, randomized, split-mouth, controlled trial including 25 patients (10 males and 15 females, mean age 21 years). Read More

Int Braz J Urol 2019 Jan-Feb;45(1):145-149

Department of Pediatric Urology, Children's Hospital Colorado, Denver, CO, United States.

Objective: In the majority of published series, children undergoing open pyeloplasty are admitted for at least one night. We hypothesized that it would be possible in the majority of infants to perform open pyeloplasty as an outpatient procedure.

Materials And Methods: All patients who underwent open pyeloplasty by a single surgeon between 2008 and 2016 were retrospectively reviewed. Read More

J Dent Educ 2019 Jan;83(1):56-63

Grace Wong is Lecturer, Sydney Dental School, University of Sydney; Heather C. Apthorpe is Lecturer, Sydney Dental School, University of Sydney; Kate Ruiz is Research Associate and Clinical Educator, Sydney Dental School, University of Sydney; and Shanika Nanayakkara is Lecturer, Sydney Dental School, University of Sydney.

Effective dental local anesthetic administration forms the basis of pain-free dentistry; therefore, the application of theoretical knowledge and the ability to deliver injections safely and competently are vital aspects of student learning. Student- to-student administration of the first local anesthetic injection has been a traditional method for preclinical training. The aim of this study was to evaluate oral health students' perceived value of such practice and the impact on their level of anxiety and confidence in giving their first injections to patients. Read More

Acta Stomatol Croat 2018 Jun;52(2):156-159

Department of Oral and Maxillofacial Surgery, University Hospital Dubrava, Zagreb, Croatia.

Hematoma is among less frequent complications which occur following local anesthesia. The posterior superior alveolar nerve block and inferior alveolar nerve block are known to be accompanied with a higher incidence of positive aspiration compared to all infiltration and block anesthesia techniques in oral surgery. We present the case of an otherwise healthy 8-year-old boy who experienced a large cheek hematoma after a routine infiltration anesthesia in the maxilla. Read More

Craniomaxillofac Trauma Reconstr 2018 Dec 25;11(4):331-332. Epub 2017 Aug 25.

Maxillofacial Surgery Services, Department of Dentistry, All India Institute of Medical Sciences, Tatibandh, Raipur, India.

This is a technical note describing hard tissue landmarks to simplify the intraoral glossopharyngeal nerve block. Our literature review revealed no specific mention of the same procedure in documented data. Read More

Eur J Anaesthesiol 2019 Apr;36(4):255-263

Background: Local infiltration anaesthesia (LIA) was introduced as an innovative analgesic procedure for enhanced recovery after primary total knee arthroplasty (TKA). However, LIA has never been compared with analgesia based on an adductor canal catheter and a single-shot sciatic nerve block.

Objective: To evaluate two analgesic regimens for TKA comparing mobility, postoperative pain and patient satisfaction. Read More

Clin Oral Investig 2018 Dec 14. Epub 2018 Dec 14.

Department of Pediatric dentistry, Goa Dental College, Goa, Bambolim, India.

Aim: The aim of this study was to compare the effectiveness of 2% articaine and 2% lignocaine in achieving adequate anesthesia in children between the age group of 6-13 years using inferior alveolar nerve block.

Methods: A triple blinded randomized controlled trial was conducted in 180 participants (90 patients- 2% articaine, 90 patients-2% lignocaine). Effectiveness of the anesthetic agent was determined at 3 points determined by subjective evaluation of pain using pain scales (FPS-R). Read More

Clin Oral Investig 2018 Dec 14. Epub 2018 Dec 14.

Department of Conservative Dentistry and Endodontics, Meenakshi Academy of Higher Education and Research (MAHER), Faculty of Dentistry, Maduravoyal, Chennai, 600095, India.

Objective: The purpose of the present study was to evaluate the effect of Endo-Ice followed by intrapulpal ice application for reducing pain during pulp extirpation in mandibular molars with symptomatic irreversible pulpitis.

Materials And Methods: Sixty patients diagnosed with symptomatic irreversible pulpitis participated in the present study. Subjects were randomly allocated to any one of the following groups: control group-inferior alveolar nerve block with lignocaine (2%) adrenaline (1:80000), articaine group-inferior alveolar nerve block with lignocaine (2%) adrenaline (1:80000) + Buccal infiltration with articaine (4%) with adrenaline (1:100000); or cold group-inferior alveolar nerve block with lignocaine (2%) adrenaline (1:80000) + cold application. Read More

BMC Med Educ 2018 Dec 14;18(1):308. Epub 2018 Dec 14.

Department of Oral and Maxillofacial Surgery, Erlangen University Hospital, Friedrich-Alexander University Erlangen-Nuremberg, Glückstrasse 11, 91054, Erlangen, Germany.

Background: Local anesthesia is an important skill and a prerequisite for most dental treatments. However, the step from theory to application on the patient is huge for the novice. Hence, a mannequin training model course was developed and implemented into the existing local anesthesia curriculum in undergraduate dental students. Read More

Pain Med 2018 Dec 7. Epub 2018 Dec 7.

Department of Neurosurgery.

Objectives: Patients with trigeminal neuralgia who are refractory to medical therapy may choose to undergo Gasserian ganglion percutaneous radiofrequency thermocoagulation. However, in cases where the foramen ovale is difficult to access due to various anatomical anomalies, the typical estimation of the facial entry point is suboptimal.

Methods: Three-dimensional computed tomography reconstruction imaging performed before surgery revealed anatomical variations in each of the four adult patient cases that made it more difficult to successfully access the foramen ovale (FO) for percutaneous radiofrequency thermocoagulation. Read More

J Endod 2019 Jan 6;45(1):1-5. Epub 2018 Dec 6.

Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Jamia Millia Islamia, Jamia Nagar, New Delhi, India.

Introduction: The present study comparatively evaluated the anesthetic efficacy of 4% articaine versus 2% lidocaine given as supplemental intraligamentary injections after a failed inferior alveolar nerve block.

Methods: One hundred six adult patients with symptomatic irreversible pulpitis in a mandibular first or second molar received an initial inferior alveolar nerve block with 2% lidocaine with 1:80,000 epinephrine. Pain during the endodontic treatment was assessed using the Heft-Parker visual analog scale. Read More

Indian J Dent Res 2018 Sep-Oct;29(5):611-615

Department of Oral and Maxillofacial Surgery, Dr. D. Y. Patil Vidyapeeth, Dr. D. Y. Patil Dental College and Hospital, Pimpri, Pune, Maharashtra, India.

Background: Two percent lidocaine hydrochloride is the gold standard for dental anesthesia against which newer local anesthetic agents may be compared. 0.75% ropivacaine is a newer, long-acting amide local anesthetic agent with inherent vasoconstriction property. Read More

Curr Opin Pediatr 2018 12;30(6):780-785

Montreal Children's Hospital, McGill University Health Centre, Montreal, Quebec, Canada.

Purpose Of Review: Headaches in children and adolescents are common, causing debilitating symptoms in many. Treatment of headache disorders can be complex and standard lifestyle changes as well as oral medications may offer inadequate relief. The purpose of this article is to review the mechanism of action, efficacy and technique of peripheral nerve blocks (PNBs) and the role they play in treating paediatric headache disorders. Read More

Medicine (Baltimore) 2018 Nov;97(45):e13127

Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Namku, Taegu, Republic of Korea.

Rationale: Although various oral medications and procedures are applied for managing migraine, their efficacy remains limited. To control migraine that does not respond to conventional treatments, we conducted pulsed radiofrequency (PRF) stimulation to the greater occipital nerve (GON) in 2 patients.

Patient Concerns: Patients 1 and 2 complained of chronic throbbing, pulsating, and tight headaches. Read More

J Dent Anesth Pain Med 2018 Oct 31;18(5):287-294. Epub 2018 Oct 31.

Division of Oral and Maxillofacial Surgery, Department of Dentistry, College of Medicine, Hanyang University, Seoul, Korea.

Mandibular third molar extraction is commonly performed in dental clinics. However, the optimal method of anesthesia has not been established for this procedure. The conventional inferior alveolar nerve block is the most widely used method. Read More

J Am Dent Assoc 2019 Feb 1;150(2):154-158. Epub 2018 Nov 1.

Background And Overview: Needle breakage when administering local anesthetic in the oral cavity can be of major concern to both the patient and the dentist. Intraoperative navigation has become the most popular advanced imaging technique.

Case Description: In this report, the authors describe a case of needle breakage during inferior alveolar nerve block for a dental procedure. Read More

Appl Environ Microbiol 2018 Dec 30;84(24). Epub 2018 Nov 30.

Institute of Advanced Sciences, Dartmouth, Massachusetts, USA

Botulinum neurotoxins (BoNTs), the most poisonous proteins known to humankind, are a family of seven (serotype A to G) immunologically distinct proteins synthesized primarily by different strains of the anaerobic bacterium Being the causative agents of botulism, the toxins block neurotransmitter release by specifically cleaving one of the three soluble -ethylmaleimide-sensitive factor attachment receptor (SNARE) proteins, thereby inducing flaccid paralysis. The development of countermeasures and therapeutics against BoNTs is a high-priority research area for public health because of their extreme toxicity and potential for use as biowarfare agents. Extensive research has focused on designing antagonists that block the catalytic activity of BoNTs. Read More

Head Neck 2018 Dec 2;40(12):2670-2676. Epub 2018 Nov 2.

Department of Anesthesiology, School and Hospital of Stomatology, China Medical University, Shenyang, People's Republic of China.

Background: We evaluated the utility of combined femoral and common peroneal nerve blocks in patients undergoing free fibular flap-based oromandibular reconstruction.

Methods: Forty patients undergoing reconstructive surgeries with free fibular flaps were randomly divided into nerve block and control groups (NB and C). In group NB, both femoral and common peroneal nerve blocks with 0. Read More

Anaesthesia 2019 Feb 1;74(2):167-173. Epub 2018 Nov 1.

Department of Anaesthesia and Critical Care, Mbarara Regional Referral Hospital, Mbarara University of Science and Technology, Mbarara, Uganda.

Both transversus abdominis plane block and intrathecal morphine may produce prolonged postoperative analgesia, but the respective clinical outcomes of these anaesthetic techniques in resource-limited settings are not well described. We randomly assigned patients undergoing caesarean section to receive a hyperbaric bupivacaine (10 mg) spinal anaesthetic followed by an ultrasound-guided transversus abdominis plane block, or a hyperbaric bupivacaine (10 mg) spinal anaesthetic with 100 mcg intrathecal morphine, followed by a postoperative sham block. Supplemental postoperative analgesia included self-administered oral diclofenac 50 mg and paracetamol 1 g every 8 h. Read More

Head Face Med 2018 Oct 29;14(1):23. Epub 2018 Oct 29.

Department of Cranio-Maxillofacial Surgery, Research Unit Rare Diseases with Orofacial Manifestations (RDOM), University Hospital Münster, Albert-Schweitzer-Campus 1, Gebäude W 30, D-48149, Münster, Germany.

Background: Myositis ossificans describes a heterotopic bone formation within a muscle. Thereby myositis ossificans is classified in two different groups: myositis ossificans progressiva (MOP) which describes a genetic autosomal dominant rare disease and myositis ossificans traumatica (MOT). The exact pathogenesis of MOT is unclear. Read More

J Oral Facial Pain Headache 2018 Fall;32(32):e53-e56

The great auricular nerve (GAN) is a sensory branch of the cervical plexus originating from the C2 and C3 nerve roots that innervates the external ear, mandibular angle, and parotid gland. Since idiopathic GAN neuralgia is a rare condition and branches of the GAN overlap with other cervical and cranial nerves, its diagnosis is challenging and can be confused with other facial neuralgias. This article describes the case of a 55-year-old woman with intractable unilateral periauricular and lateral head pain. Read More

Zhen Ci Yan Jiu 2018 Oct;43(10):611-5

The Second Clinical Medical College, Guangzhou University of Traditional Chinese Medicine, Guangzhou 510120, China.

Objective: To explore the effect of transcutaneous electrical acupoint stimulation (TEAS) combined with transversus abdominis plane (TAP) block in the enhanced recovery after surgery (ERAS) in patients undergoing laparoscopic colorectal cancer resection (LCCR).

Methods: A total of 101 patients undergoing LCCR were randomly divided into three groups: control (＝34), TAP (＝35) and TEAS＋TAP (＝32). Conventional perioperative anesthesia management of the 3 groups was performed according to the ERAS guidelines. Read More

Evid Based Dent 2018 Oct;19(3):92

New York University, College of Dentistry, New York, USA.

Data sourcesMedline, Embase, Scopus and Scielo were searched until April 2017 supplemented by manual searching.Study selectionClinical trials with parallel-groups, crossover and split mouth in patients older than 18 years were included with no language restrictions. The primary outcome considered was changes in pain intensity, while the secondary outcome was changes on onset time. Read More

Ann Otol Rhinol Laryngol 2019 Jan 22;128(1):62-65. Epub 2018 Oct 22.

1 Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head & Neck Surgery, Oregon Health and Science University, Portland, OR, USA.

Introduction:: Congenital unilateral lower lip palsy is an infrequently encountered condition that manifests as lower lip asymmetry during smiling, laughing, and crying. Treatment options are not well characterized.

Methods:: The authors present the case of a 51-year-old woman who was referred for surgical intervention for facial paralysis. Read More