876 results match your criteria Oral and maxillofacial surgery clinics of North America[Journal]


Radiation Oncology for Head and Neck Cancer: Current Standards and Future Changes.

Oral Maxillofac Surg Clin North Am 2019 Feb 25;31(1):31-38. Epub 2018 Oct 25.

Department of Oral Maxillofacial Surgery, University of Florida College of Medicine, PO Box 100416, Gainesville, FL 32610-0416, USA.

Treatment of head and neck cancer with curative intent consists of surgery and/or radiotherapy (RT) sometimes combined with adjuvant chemotherapy depending on the tumor site, extent, and histology. Herein, the authors review the role of RT in the management of head and neck mucosal squamous cell carcinoma (SCC). The authors focus on the outcomes of definitive RT and, depending on the primary site, postoperative RT. Read More

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http://dx.doi.org/10.1016/j.coms.2018.08.003DOI Listing
February 2019
13 Reads

Oral Cavity Cancer.

Oral Maxillofac Surg Clin North Am 2019 Feb 25;31(1):13-29. Epub 2018 Oct 25.

Division of Head and Neck Surgery, Head and Neck Oncologic Surgery and Microvascular Reconstruction Fellowship, Department of Oral and Maxillofacial Surgery, University of Florida College of Medicine - Jacksonville, University of Florida - Jacksonville, 653-1 West 8th Street 2nd FL/LRC, Jacksonville, FL 32209, USA. Electronic address:

Management of oral cavity squamous cell carcinoma has become increasingly driven by emerging evidence as a result of the improved quality of clinical research associating clinicopathologic risk factors with oncologic and survival outcomes. Multiple significant recent changes to treatment guidelines and staging algorithms for oral cavity squamous cell carcinoma reflect evolving understanding of tumor biology and the need for adequately extensive treatment of aggressive disease. This article provides clinicians with a synopsis of the most contemporary management strategies for oral cavity squamous cell carcinoma, framed within the context of historical treatment philosophies. Read More

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http://dx.doi.org/10.1016/j.coms.2018.08.002DOI Listing
February 2019
9 Reads

Gene Therapy in Head and Neck Cancer.

Oral Maxillofac Surg Clin North Am 2019 Feb 25;31(1):117-124. Epub 2018 Oct 25.

Head and Neck Division, Department of Solid Tumor Oncology, Levine Cancer Institute, 1021 Morehead Medical Drive, Suite 3200, Charlotte, NC 28204, USA. Electronic address:

Although overall cancer death rates are decreasing, comparative improvements in head and neck squamous cell cancer are modest. Although new advances targeting immune checkpoints may soon improve these numbers, additional research for new therapeutic options is vital. One potential treatment avenue is the use of gene therapy. Read More

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http://dx.doi.org/10.1016/j.coms.2018.08.006DOI Listing
February 2019

The Head and Neck Cancer Patient: Neoplasm Management.

Oral Maxillofac Surg Clin North Am 2019 Feb;31(1):xi-xii

Division of Surgical Oncology, Banner MD Anderson Cancer Center, Suite 450, 2946 E Banner Gateway Drive, Gilbert, AZ 85234, USA; Department of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA. Electronic address:

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http://dx.doi.org/10.1016/j.coms.2018.10.001DOI Listing
February 2019

Immunotherapy for Head and Neck Cancer.

Oral Maxillofac Surg Clin North Am 2019 Feb;31(1):85-100

Earle A. Chiles Research Institute, Robert W. Franz Cancer Center, Providence Portland Medical Center, Providence Cancer Institute, 4805 Northeast Glisan Street, Suite 2N35, Portland, OR 97213, USA; Head and Neck Institute, 1849 NW Kearney, Suite 300, Portland, Oregon 97209, USA. Electronic address:

The immune system has a vital role in the development, establishment, and progression of head and neck squamous cell carcinoma (HNSCC). Immune evasion of cancer cells leads to progression of HNSCC. An understanding of this mechanism provides the basis for improved therapies and outcomes for patients. Read More

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http://dx.doi.org/10.1016/j.coms.2018.09.002DOI Listing
February 2019
8 Reads

Management of the Neck in Oral Squamous Cell Carcinoma: Background, Classification, and Current Philosophy.

Oral Maxillofac Surg Clin North Am 2019 Feb;31(1):69-84

Department of Oral and Maxillofacial Surgery, University of Michigan, Ann Arbor, MI, USA.

Nodal metastasis is the single most prognostic determinant in patients with oral squamous cell carcinoma (OSCC). Since its inception more than a century ago, the management of the neck has led to decreased surgical morbidity, with continued preservation of oncologic safety for OSCC. Nodal metastasis is the single most prognostic determinant in patients with OSCC. Read More

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http://dx.doi.org/10.1016/j.coms.2018.09.004DOI Listing
February 2019
15 Reads

Soft Tissue Reconstruction for Head and Neck Ablative Defects.

Oral Maxillofac Surg Clin North Am 2019 Feb;31(1):39-68

Department of Oral and Maxillofacial Surgery/Head and Neck Surgery, Louisiana State University Health Science Center, 1501 Kings Highway, Shreveport, LA 71103, USA.

Soft tissue reconstruction of head and neck ablative defects is a broad, challenging, and subjective topic. The authors outline goals to keep in mind when deciding on a primary reconstructive option for defects created by oncologic resection. Factors considered in local, regional, and distant flap selection are discussed. Read More

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http://dx.doi.org/10.1016/j.coms.2018.08.004DOI Listing
February 2019
27 Reads

Current Concepts in Chemotherapy for Head and Neck Cancer.

Oral Maxillofac Surg Clin North Am 2019 Feb;31(1):145-154

Medicine, Division of Hematology and Oncology, Translational Research, The University of Arizona Cancer Center, 1515 North Campbell Avenue, Tucson, AZ 85724, USA. Electronic address:

This article highlights the evidence-based data to support systemic treatment options for patients with head and neck squamous cell carcinoma (HNSCC). The discovery of the human papillomavirus epidemic in HNSCC and its favorable prognosis has led to a major focus of research. Patients are stratified into clinical or pathologic risk categories and enrolled in trials comparing standard treatment paradigms with deintensification, in low-risk disease, or to intensification, in intermediate-risk or high-risk disease. Read More

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http://dx.doi.org/10.1016/j.coms.2018.09.003DOI Listing
February 2019
5 Reads

Salivary Gland Malignancies.

Oral Maxillofac Surg Clin North Am 2019 Feb;31(1):125-144

Division of Oral and Maxillofacial Surgery, University of Texas Southwestern Medical School, Parkland Memorial Hospital, 5323 Harry Hines Boulevard, Mail Code 9109, Dallas, TX 75390, USA.

Salivary gland tumors are rare pathologic entities that are derived from major and minor salivary gland tissue located throughout the head and neck region. These tumors are distinctly heterogenous, comprising numerous cell types, especially those deemed malignant. The incidence of malignant salivary gland tumors is widely distributed in both adult and pediatric patient populations. Read More

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http://dx.doi.org/10.1016/j.coms.2018.08.007DOI Listing
February 2019
10 Reads

Contemporary Osseous Reconstruction of the Mandible and the Maxilla.

Oral Maxillofac Surg Clin North Am 2019 Feb;31(1):101-116

Thyroid, Head and Neck Cancer Foundation, 10 Union Square East, Suite 5B, New York, NY 10003, USA; Department of Otolaryngology Head and Neck Surgery, Mount Sinai Beth Israel, 10 Union Square East, Suite 5B, New York, NY 10003, USA; Department of Otolaryngology Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, New York, NY 10029-6574, USA.

Cancers of the oral cavity and paranasal sinuses often require ablative surgery with adjuvant therapy in most cases. Large, postablative defects of the mandible and the maxilla present several challenges to the reconstructive surgeon. Functional and cosmetically satisfactory restoration requires a thorough understanding of the underlying disease process, a firm grasp of the nuances of head and neck anatomy, and an ability to plan and execute a reconstruction with the most suitable tissue for each particular patient. Read More

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http://dx.doi.org/10.1016/j.coms.2018.08.005DOI Listing
February 2019
11 Reads

The Treatment of Laryngeal Cancer.

Oral Maxillofac Surg Clin North Am 2019 Feb;31(1):1-11

Division of Surgical Oncology, Banner MD Anderson Cancer Center, 2946 East Banner Gateway Drive, Suite 450, Gilbert, AZ 85234, USA. Electronic address:

Successful management of laryngeal cancer depends on careful pretreatment evaluation of patient and disease factors to arrive at accurate staging, leading to appropriate treatment selection for patients with this highly impacting disease. Surgical modalities, including transoral laser microsurgery, open partial laryngectomy, and total laryngectomy, offer options, alone or in combination with radiation and chemotherapy. Treatment strategy for laryngeal cancer should strive for cure while maintaining the best quality of life possible for the patient. Read More

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http://dx.doi.org/10.1016/j.coms.2018.09.001DOI Listing
February 2019
18 Reads

Getting It Right from the Start.

Oral Maxillofac Surg Clin North Am 2018 Nov;30(4):ix-x

Division of Surgical Oncology, Banner MD Anderson Cancer Center, 2946 E Banner Gateway Drive, Suite 450, Gilbert, AZ 85234, USA; Department of Head and Neck Surgery, The University of Texas MD Anderson, Cancer Center, Houston, TX, USA. Electronic address:

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http://dx.doi.org/10.1016/j.coms.2018.08.001DOI Listing
November 2018

Psychosocial Effects of Head and Neck Cancer.

Oral Maxillofac Surg Clin North Am 2018 Nov;30(4):499-512

Department of Oncology, Faculty of Medicine, McGill University, Montreal, Quebec, Canada; Department of Oncology and Department of Otolaryngology - Head and Neck Surgery, Jewish General Hospital, 3755 Cote Suite Catherine Road, Pavilion E Room E-872, Montreal, Quebec H3T 1E2, Canada. Electronic address:

Head and neck cancer is known to be both physically and psychologically challenging. The present review summarizes the literature on the psychosocial effects of head and neck cancer by distinguishing features in the preoperative and postoperative periods. It outlines the importance of an integrated collaborative care approach in clinics as well as areas worthy of further program development. Read More

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http://dx.doi.org/10.1016/j.coms.2018.06.010DOI Listing
November 2018
9 Reads

Maxillofacial Prosthetics.

Oral Maxillofac Surg Clin North Am 2018 Nov;30(4):487-497

Department of Prosthodontics, Indiana University School of Dentistry, 1121 West Michigan Street, Indianapolis, IN 46202, USA.

The treatment of head and neck cancers requires a team approach. Maxillofacial prosthetics and oncologic dentistry are involved in many phases of the treatment. After the cancer ablation surgery, if surgical reconstruction cannot not completely restore the surgical defect site, maxillofacial prostheses plays an important role to rehabilitate the patient's mastication, swallowing, and speech. Read More

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http://dx.doi.org/10.1016/j.coms.2018.06.009DOI Listing
November 2018
11 Reads

Head and Neck Cancer Research and Support Foundations.

Authors:
Joshua E Lubek

Oral Maxillofac Surg Clin North Am 2018 Nov;30(4):459-469

Oral-Head and Neck Surgery/Microvascular Surgery, Department of Oral and Maxillofacial Surgery, University of Maryland, 650 West Baltimore Street, Suite 1401, Baltimore, MD 21201, USA. Electronic address:

Ongoing genetic and epigenetic research involving DNA methylation, salivary biomarkers, wild-type p53 tumor suppressor gene proteins, and HPV oncogenes are being directed at identification and treatment of dysplastic and malignant squamous cell mucosal lesions. Research is being conducted to improve immunotherapy drug response rates by increasing the amount of inflammation within the tumor microenvironment. Ongoing research is focused on the application of the antidiabetic drug metformin for the prevention and management of oral squamous cell dysplastic lesions. Read More

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http://dx.doi.org/10.1016/j.coms.2018.06.007DOI Listing
November 2018
8 Reads

Framework for Speech-Language Pathology Services in Patients with Oral Cavity and Oropharyngeal Cancers.

Oral Maxillofac Surg Clin North Am 2018 Nov;30(4):397-410

Department of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA. Electronic address:

This article provides a framework speech-language pathology services to optimize functional outcomes of patients with oral cavity and oropharyngeal cancers. Key principles include (1) a proactive rehabilitation model that minimizes intervals of disuse or inactivity of speech and swallowing systems, (2) standardized evaluation paradigms that combine objective instrumental assessments with patient-reported outcome measures, and (3) systematic methods for surveillance and intensive rehabilitation for late dysphagia. Read More

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http://dx.doi.org/10.1016/j.coms.2018.07.001DOI Listing
November 2018
3 Reads

Physical Rehabilitation and Occupational Therapy.

Oral Maxillofac Surg Clin North Am 2018 Nov 31;30(4):471-486. Epub 2018 Aug 31.

Faculty of Rehabilitation Medicine, University of Alberta, Cross Cancer Institute, 2-50 Corbett Hall, Edmonton, Alberta T6G 2G4, Canada.

Head and neck cancer and associated treatments can have debilitating effects on patient physical function and quality of life. The American Cancer Society's Head and Neck Cancer Survivorship Care Guidelines recommend that all patients receive an assessment after their treatment to address complications that may impact long-term recovery and function. Evidence supports the role of physical activity, exercise, physical therapy, and occupational therapy to decrease symptom burden after treatment and improve strength, endurance, and function. Read More

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http://dx.doi.org/10.1016/j.coms.2018.06.008DOI Listing
November 2018
11 Reads

Nutrition and Perioperative Care for the Patient with Head and Neck Cancer.

Oral Maxillofac Surg Clin North Am 2018 Nov 31;30(4):411-420. Epub 2018 Aug 31.

Department of Otolaryngology-Head and Neck Surgery, UC Davis School of Medicine, Sacramento, CA, USA. Electronic address:

Recovery after major head and neck cancer surgery is a complex process. In addition to perioperative sequelae such as pain, wound infections, venous thromboembolism (VTE), and pneumonia, these patients frequently suffer from malnutrition. We provide a contemporary evidence-based approach to common aspects of perioperative care to guide the clinician in the optimal management of patients. Read More

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http://dx.doi.org/10.1016/j.coms.2018.06.003DOI Listing
November 2018
3 Reads

Multidisciplinary Team Planning for Patients with Head and Neck Cancer.

Oral Maxillofac Surg Clin North Am 2018 Nov 31;30(4):435-444. Epub 2018 Aug 31.

Department of Head and Neck Surgery, University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1445, Houston, TX 77030, USA.

The multidisciplinary team planning conference is critical in the evaluation and management of patients with head and neck cancer. The management is complex and dictates the care of a multidisciplinary team for optimal results. First, the head and neck multidisciplinary team ensures the complete evaluation of patients before beginning treatment. Read More

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http://dx.doi.org/10.1016/j.coms.2018.06.005DOI Listing
November 2018
11 Reads

Oral Assessment and Management of the Patient with Head and Neck Cancer.

Oral Maxillofac Surg Clin North Am 2018 Nov 31;30(4):445-458. Epub 2018 Aug 31.

Division of Otolaryngology and Head and Neck Surgery, City of Hope, 1500 East Duarte Road, Duarte, CA 91010, USA.

Patients undergoing treatment of head and neck cancer risk developing significant acute and chronic changes that affect the hard and soft tissue of the oral cavity and the head and neck region. This article discusses considerations and recommendations for patients before, during, and after treatment of head and neck cancer. The objective of these recommendations is to maintain oral health, compensate for treatment- and disease-associated morbidities, and improve quality of life. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10423699183005
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http://dx.doi.org/10.1016/j.coms.2018.06.006DOI Listing
November 2018
20 Reads

Imaging of Patients with Head and Neck Cancer: From Staging to Surveillance.

Oral Maxillofac Surg Clin North Am 2018 Nov 22;30(4):421-433. Epub 2018 Aug 22.

Division of Neuroradiology, Johns Hopkins University, School of Medicine, 600 North Wolfe Street Phipps B100, Baltimore, MD 21287, USA.

In this review, the authors summarize the latest imaging methods and recommendations for each of the various steps in managing patients with head and neck cancer, from staging of disease to posttreatment surveillance. Because staging of head and neck cancers is different for various subsites of the head and neck, imaging is discussed separately for each. A separate discussion of imaging of perineural spread, occult primary tumors, and lymph nodes is followed by a discussion of paradigms for surveillance imaging in the posttreatment neck. Read More

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http://dx.doi.org/10.1016/j.coms.2018.06.004DOI Listing
November 2018
2 Reads

Epidemiology and Demographics of the Head and Neck Cancer Population.

Oral Maxillofac Surg Clin North Am 2018 Nov 3;30(4):381-395. Epub 2018 Aug 3.

Department of Otolaryngology-Head and Neck Surgery, Emory University School of Medicine, 550 Peachtree Street. MOT 1135, Atlanta, GA 30308, USA. Electronic address:

Head and neck malignancies comprise a heterogeneous group of malignancies that cause significant morbidity to those affected. These malignancies are associated with specific risk factors and exposures, some of which impact prognosis. The most common risk factors for developing head and neck cancers are tobacco and alcohol use. Read More

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http://dx.doi.org/10.1016/j.coms.2018.06.001DOI Listing
November 2018
20 Reads

Current Controversies in the Management of Temporomandibular Disorders.

Oral Maxillofac Surg Clin North Am 2018 Aug 5;30(3):xiii. Epub 2018 Jul 5.

Department of Oral and Maxillofacial Surgery, Virginia Commonwealth University, School of Dentistry, 521 North 11th Street, Richmond, VA 23298-0566, USA. Electronic address:

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http://dx.doi.org/10.1016/j.coms.2018.05.005DOI Listing
August 2018
2 Reads

Introduction.

Authors:
Rui P Fernandes

Oral Maxillofac Surg Clin North Am 2018 Aug 5;30(3):xi. Epub 2018 Jul 5.

Division of Head and Neck Surgery, Departments of OMFS, Neurosurgery, Orthopedic Surgery, University of Florida College of Medicine Jacksonville, 653-1 West 8th Street, Jacksonville, FL 32209, USA. Electronic address:

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http://dx.doi.org/10.1016/j.coms.2018.06.002DOI Listing
August 2018
4 Reads

Surgical Management of Idiopathic Condylar Resorption: Orthognathic Surgery Versus Temporomandibular Total Joint Replacement.

Oral Maxillofac Surg Clin North Am 2018 Aug 5;30(3):355-367. Epub 2018 Jul 5.

Department of Oral and Maxillofacial Surgery, Boston University, Henry M. Goldman School of Dental Medicine, 100 East Newton Street, Suite G-407, Boston, MA 02118, USA. Electronic address:

Young females with retruded and hyperdivergent mandibles, class II openbite malocclusions, and steep occlusal planes with or without TMJ symptoms are at higher risk for Idiopathic Condylar Resorption (ICR). Such patients undergoing orthodontic and /or surgical treatment should be informed of possible relapse due to ICR. Orthognathic Surgery with Total joint replacement or Orthognathic surgery alone may both be acceptable options for management of the facial deformity and the malocclusion that ensues from ICR. Read More

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http://dx.doi.org/10.1016/j.coms.2018.05.004DOI Listing
August 2018
3 Reads

Costochondral Graft Versus Total Alloplastic Joint for Temporomandibular Joint Reconstruction.

Authors:
Louis G Mercuri

Oral Maxillofac Surg Clin North Am 2018 Aug 5;30(3):335-342. Epub 2018 Jul 5.

Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W Harrison Street, Chicago, IL 60612, USA; TMJ Concepts, 2233 Knoll Drive, Ventura, CA 93003, USA. Electronic address:

Presently, there are 2 options for the replacement of the temporomandibular joint for end-stage pathology: autogenous bone grafting or alloplastic joint replacement. This article presents evidence-based advantages and disadvantages for each of these management options to assist both surgeons and their patients in making that choice. Read More

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http://dx.doi.org/10.1016/j.coms.2018.05.003DOI Listing
August 2018
4 Reads

Surgical Versus Nonsurgical Management of Degenerative Joint Disease.

Oral Maxillofac Surg Clin North Am 2018 Aug 5;30(3):291-297. Epub 2018 Jul 5.

Department of Oral and Maxillofacial Surgery, Virginia Commonwealth University School of Dentistry, Wood Building Room 311C, 520 North 12th Street, Richmond, VA 23298, USA. Electronic address:

As knowledge of the complexity of myofascial pain and its interaction with temporomandibular joint disorders has increased, the use of surgical procedures to treat degenerative joint disease has decreased. The focus has moved from a "surgery-first" approach toward a more cautious one that involves nonsurgical treatment as the primary modality, then minimally invasive treatments, followed by open surgical modalities, when indicated. This article examines the current literature regarding the effectiveness of nonsurgical and surgical treatments for the management of degenerative joint disease. Read More

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http://dx.doi.org/10.1016/j.coms.2018.04.005DOI Listing
August 2018
4 Reads

The Use of Botulinum Toxin for the Treatment of Myofascial Pain in the Masticatory Muscles.

Authors:
Daniel M Laskin

Oral Maxillofac Surg Clin North Am 2018 Aug 5;30(3):287-289. Epub 2018 Jul 5.

Department of Oral and Maxillofacial Surgery, Virginia Commonwealth University School of Dentistry, 521 North 11th Street, Richmond, VA 23298-0566, USA. Electronic address:

Although the use of botulinum toxin has been recommended for the management of myofascial pain and dysfunction, the precise mechanism of its action remains undetermined and studies on its effectiveness are equivocal. Moreover, even if such treatment may temporarily relieve the symptoms, it does not address the cause of the problem. Also, its use is not free of potential complications. Read More

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http://dx.doi.org/10.1016/j.coms.2018.04.004DOI Listing
August 2018
2 Reads

The Efficacy of Pharmacologic Treatment of Temporomandibular Disorders.

Authors:
Gary M Heir

Oral Maxillofac Surg Clin North Am 2018 Aug 5;30(3):279-285. Epub 2018 Jul 5.

Department of Diagnostic Sciences, Center for Temporomandiublar Disorders and Orofacial Pain, Rutgers School of Dental Medicine, Room D880, 110 Bergen Street, Newark, NJ 07101, USA. Electronic address:

This is not a pharmacopeia offering directions for choosing the proper pain medication for treating temporomandibular disorders. Rather, the appropriate decision depends on proper diagnosis, an understanding of the pain mechanisms involved, and the different targets for analgesic action. This article discusses these issues and evaluates the various drugs involved. Read More

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http://dx.doi.org/10.1016/j.coms.2018.05.001DOI Listing
August 2018
3 Reads

Discectomy Versus Disc Preservation for Internal Derangement of the Temporomandibular Joint.

Oral Maxillofac Surg Clin North Am 2018 Aug 7;30(3):329-333. Epub 2018 Jun 7.

Department of Oral and Maxillofacial Surgery, Virginia Commonwealth University, 520 North 12th Street, Wood Building, Room 311C, Richmond, VA 23298, USA. Electronic address:

Anterior disc displacement with or without reduction is a common finding in symptomatic and asymptomatic individuals. When symptomatic and associated with dysfunction it requires an intervention. Once nonsurgical management fails and the patient does not respond to minimally invasive procedures, open surgical treatment is indicated. Read More

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http://dx.doi.org/10.1016/j.coms.2018.05.002DOI Listing

Combined or Staged Temporomandibular Joint and Orthognathic Surgery for Patients with Internal Derangement and Dentofacial Deformities.

Oral Maxillofac Surg Clin North Am 2018 Aug 1;30(3):351-354. Epub 2018 Jun 1.

Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, Warren Suite 1201, 55 Fruit Street, Boston, MA 02114, USA.

Patients with internal derangement of the temporomandibular joint and dentofacial deformities need appropriate evaluation for both conditions. Correct diagnosis of internal derangement is vital in determining the correct orthognathic surgery plan, and it is particularly important to differentiate between myofascial dysfunction and intra-articular joint problems. Depending on the stage of internal derangement, patients may need treatment for temporomandibular dysfunction symptomatically, staged, or concurrently with orthognathic surgery. Read More

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http://dx.doi.org/10.1016/j.coms.2018.04.010DOI Listing
August 2018
5 Reads

The Role of Stress in the Etiology of Oral Parafunction and Myofascial Pain.

Oral Maxillofac Surg Clin North Am 2018 Aug 1;30(3):369-379. Epub 2018 Jun 1.

Department of Neuroscience, Reproductive Sciences and Oral Sciences, Section of Orthodontics, University of Naples Federico II, Via Pansini 5-80131-Naples, Italy.

Oral parafunction during waking comprises possible behaviors that can be measured with a comprehensive checklist or behavioral monitoring. Multiple studies lead to largely consistent findings: stressful states can trigger parafunctional episodes that contribute to myofascial pain. However, this simple causal pathway coexists with at least 3 other pathways: anxiety and stress are potent direct contributors to pain, pain results in maladaptive behaviors such as parafunction, and parafunction may be a coping response to potential threat coupled with hypervigilance and somatosensory amplification. Read More

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http://dx.doi.org/10.1016/j.coms.2018.04.011DOI Listing
August 2018
3 Reads

Malocclusion as a Cause for Temporomandibular Disorders and Orthodontics as a Treatment.

Authors:
Bhavna Shroff

Oral Maxillofac Surg Clin North Am 2018 Aug 1;30(3):299-302. Epub 2018 Jun 1.

Department of Orthodontics, Virginia Commonwealth University School of Dentistry, 520 North 12th Street, Suite111, Richmond, VA 23298, USA. Electronic address:

This article explores the long-standing controversy between orthodontics and temporomandibular disorders (TMDs). It reviews the history of this controversy and presents a discussion of the current literature concerning the potential role of malocclusion in the onset of TMDs. It also explores the potential role of orthodontic treatment as a possible cure for TMDs and concludes, based on the most current evidence-based literature, that there is no relationship. Read More

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http://dx.doi.org/10.1016/j.coms.2018.04.006DOI Listing
August 2018
2 Reads

Arthroscopy Versus Arthrocentesis for Treating Internal Derangements of the Temporomandibular Joint.

Authors:
Daniel M Laskin

Oral Maxillofac Surg Clin North Am 2018 Aug 1;30(3):325-328. Epub 2018 Jun 1.

Department of Oral and Maxillofacial Surgery, Virginia Commonwealth University School of Dentistry, 521 North 11th Street, Richmond, VA 23298-0566, USA. Electronic address:

The introduction of arthroscopy of the temporomandibular joint represented a major change in the management of internal derangements and to the realization that re-establishing joint mobility by arthroscopic lysis and lavage was as effective as surgically restoring disc position. It was subsequently shown that such treatment could be done without joint visualization. This raised the question of whether the inability to visualize the joint and perform other surgical manipulations limited its usefulness. Read More

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http://dx.doi.org/10.1016/j.coms.2018.04.008DOI Listing
August 2018
1 Read

Orthognathic Surgery as a Treatment for Temporomandibular Disorders.

Oral Maxillofac Surg Clin North Am 2018 Aug 1;30(3):303-323. Epub 2018 Jun 1.

Division of Facial Pain, Department of Orthodontics, University of Florida College of Dentistry, PO Box 100444, Gainesville, FL 32610-0444, USA.

Well-controlled clinical trials supporting orthognathic surgery as the primary management for temporomandibular disorders (TMDs) are lacking. Most published studies lack an adequate experimental design to minimize biases. Studies that did minimize some biases do support an overall reduction in the frequency of TMD signs and symptoms in some Class III and Class II patients who had orthognathic surgery. Read More

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http://dx.doi.org/10.1016/j.coms.2018.04.007DOI Listing
August 2018
1 Read

The Role of Imaging in the Diagnosis of Temporomandibular Joint Pathology.

Oral Maxillofac Surg Clin North Am 2018 Aug 1;30(3):239-249. Epub 2018 Jun 1.

Department of Maxillofacial Radiology, Faculty of Dentistry, Institute of Clinical Dentistry, University of Oslo, PO Box 1109, Blindern, Oslo 0317, Norway.

Diagnostic imaging is sometimes necessary to supplement the clinical findings in patients with suspected temporomandibular disorders (TMDs). However, the interpretation of pathology in the imaging findings is often complicated by the presence of similar findings in asymptomatic volunteers, as well as by the use of inadequate imaging techniques and poor image quality. This article focuses on these issues and gives guidance on the appropriate use of diagnostic imaging in patients with suspected TMD. Read More

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http://dx.doi.org/10.1016/j.coms.2018.04.001DOI Listing
August 2018
9 Reads

The Use of Oral Appliances in the Management of Temporomandibular Disorders.

Oral Maxillofac Surg Clin North Am 2018 Aug 1;30(3):265-277. Epub 2018 Jun 1.

Department of Prosthodontics, Nova Southeastern University College of Dental Medicine, 3103-3163 Southwest 76th Avenue, Davie, FL 33314, USA; Private Practice, Coral Springs, FL 33071, USA.

Oral appliances (OAs) are widely used for treating various types of temporomandibular disorders (TMDs); however, many controversies persist about how they should be designed, how they should be used, and even what their ultimate purpose might be. This article discusses 6 of the current controversies, with a focus on the evidence available to support reasonable practice guidelines for the clinical use of OAs in treating certain TMDs. Read More

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http://dx.doi.org/10.1016/j.coms.2018.04.003DOI Listing
August 2018
3 Reads

Injectable Agents Versus Surgery for Recurrent Temporomandibular Joint Dislocation.

Oral Maxillofac Surg Clin North Am 2018 Aug 1;30(3):343-349. Epub 2018 Jun 1.

Department of Oral and Maxillofacial Surgery, Virginia Commonwealth University, 520 North 12th Street, Wood Building Room 311C, Richmond, VA 23298, USA. Electronic address:

Recurrent temporomandibular joint dislocation (TMJD) is a distressing entity to the patient and a therapeutic challenge to the treating provider. Absence of high-level evidence in literature among currently available treatment options creates a lack of consistency in management. This article reviews the current literature on common injectable agents used and the open surgical techniques. Read More

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http://dx.doi.org/10.1016/j.coms.2018.04.009DOI Listing
August 2018
8 Reads

The Use of Synovial Fluid Analysis for Diagnosis of Temporomandibular Joint Disorders.

Authors:
Gary F Bouloux

Oral Maxillofac Surg Clin North Am 2018 Aug 1;30(3):251-256. Epub 2018 Jun 1.

Oral and Maxillofacial Surgery, Emory University, 1365B Clifton Road Northeast, Atlanta, GA 30322, USA. Electronic address:

There has been considerable progress in the identification of the various synovial fluid cytokines and growth factors associated with various disorders of the temporomandibular joint. However, the presence of the same inflammatory mediators and proteins in these conditions, despite differing causes, makes it very difficult to identify the specific disease using synovial fluid analysis alone. Read More

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http://dx.doi.org/10.1016/j.coms.2018.03.001DOI Listing
August 2018
2 Reads

Occlusal Equilibration for the Management of Temporomandibular Disorders.

Oral Maxillofac Surg Clin North Am 2018 Aug 30;30(3):257-264. Epub 2018 May 30.

Department of Medical Biotechnologies, School of Dental Medicine, University of Siena, Strada delle Scotte 4, 53100 Siena, Italy. Electronic address:

The concept of equilibrating the occlusion to treat and/or to prevent temporomandibular disorders found its background in the old precepts of gnathology, but an assessment of the available literature as well as an appraisal of its biological rationale suggests that it is not recommended for routine use. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10423699183002
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http://dx.doi.org/10.1016/j.coms.2018.04.002DOI Listing
August 2018
6 Reads

Oral Maxillofac Surg Clin North Am 2018 May;30(2):xi

Private Practice, 16011 S. 108th Avenue, Orland Park, IL 60467, USA; University of Illinois at Chicago, College of Dentistry, Chicago, IL 60612, USA. Electronic address:

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http://dx.doi.org/10.1016/j.coms.2018.02.003DOI Listing
May 2018
7 Reads

Anesthetic Pump Techniques Versus the Intermittent Bolus: What the Oral Surgeon Needs to Know.

Oral Maxillofac Surg Clin North Am 2018 May;30(2):227-237

Department of Oral and Maxillofacial Surgery, University of California at San Francisco School of Dentistry, Box 0440, 533 Parnassus Avenue, UB 10, San Francisco, CA 94143, USA.

The most popular agents in use for office-based anesthesia are propofol, ketamine, and remifentanil, which have the desirable properties of rapid onset and short duration of action. A useful parameter in assessing these agents is the context-sensitive half-time. These anesthetic agents demonstrate relatively low, flat plots compared with older agents. Read More

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http://dx.doi.org/10.1016/j.coms.2018.02.001DOI Listing
May 2018
3 Reads
0.480 Impact Factor

Airway Management for the Oral Surgery Patient.

Authors:
Allan Schwartz

Oral Maxillofac Surg Clin North Am 2018 May;30(2):207-226

Department of Periodontics, The Center for Advanced Dental Education, Saint Louis University, 3320 Rutger Street, St Louis, MO 63104, USA. Electronic address:

This article discusses anesthesia assessment concepts related to airway evaluation and airway maintenance for safe and reliable selection of either open system (entrainment of room air) or closed system (no entrainment of room air) airway devices, which can be used during office-based oral surgical procedures, depending on the needs of a patient. Dental facial and oral structures are integral to an anesthetist's preoperative patient evaluation prior to surgery. The preoperative medical history and physical examination as well as the nature of the oral surgical procedure affect the selection of a proper and safe airway device. Read More

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http://dx.doi.org/10.1016/j.coms.2018.01.008DOI Listing
May 2018
3 Reads

The American Association of Oral and Maxillofacial Surgeons Simulation Program.

Oral Maxillofac Surg Clin North Am 2018 May;30(2):195-206

Department of Anesthesia and Perioperative Medicine, Medical University of South Carolina, 167 Ashley Avenue, Suite 301, MSC 912, Charleston, SC 29425-9120, USA. Electronic address:

Patient safety in dental anesthesia has been called into question in recent years. Simulation training has been proposed and developed as one possibility for increasing preparedness and training in cases of adverse events in dental anesthesia. This article presents an overview of the challenges of patient safety in dental anesthesia and how to address them with simulation training. Read More

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http://dx.doi.org/10.1016/j.coms.2018.01.007DOI Listing
May 2018
3 Reads

Oral Surgery Patient Safety Concepts in Anesthesia.

Oral Maxillofac Surg Clin North Am 2018 May;30(2):183-193

Department of Oral and Maxillofacial Surgery, University of California, San Francisco School of Dentistry, Box 0440, 533 Parnassus Avenue, UB 10, San Francisco, CA 94143, USA.

An effective office emergency preparedness plan for the oral and maxillofacial surgery office can be developed through the use of well-designed checklists, cognitive aids, and regularly scheduled in situ simulations with debriefings. In order to achieve this goal, the hierarchal culture of medicine and dentistry must be overcome, and an inclusive team concept embraced by all members of the staff. Technologic advancements in office automation now make it possible to create interactive cognitive aids. Read More

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http://dx.doi.org/10.1016/j.coms.2018.01.005DOI Listing
May 2018
3 Reads
0.480 Impact Factor

Anesthesia for the Pediatric Oral and Maxillofacial Surgery Patient.

Oral Maxillofac Surg Clin North Am 2018 May;30(2):171-181

Division of Oral Maxillofacial Surgery, Department of Surgery, University of Cincinnati, Cincinnati, OH 45242, USA. Electronic address:

Pediatric patients present to the oral and maxillofacial surgeon for surgical services that can be performed safely and efficiently. Children and parents tend to be anxious; achieving cooperation is paramount for successful procedures. Several techniques can be used to alleviate anxiety and provide analgesia and anesthesia. Read More

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http://dx.doi.org/10.1016/j.coms.2018.02.002DOI Listing
May 2018
5 Reads

The Failed Sedation: Solutions for the Oral and Maxillofacial Surgeon.

Authors:
Robert C Bosack

Oral Maxillofac Surg Clin North Am 2018 May;30(2):165-169

Private Practice, 16011 South 108th Avenue, Orland Park, IL 60467, USA; University of Illinois at Chicago College of Dentistry, 801 S. Paulina, Chicago, IL 60612, USA. Electronic address:

Due to wide variation in patient responses, both intended and adverse, it is impossible to successfully sedate all patients. Choosing the right drug and dose regimen can be challenging, especially in patients who are naïve to anesthesia. Underdosing can lead to pain perception, patient movement and combativeness, awareness with recall, and the sympathetic neuroendocrine stress response. Read More

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http://dx.doi.org/10.1016/j.coms.2018.01.004DOI Listing
May 2018
4 Reads

Anesthetic Agents Commonly Used by Oral and Maxillofacial Surgeons.

Oral Maxillofac Surg Clin North Am 2018 May;30(2):155-164

Department of Dental Anesthesia, NYU Langone Hospital, 150 55th Street, Brooklyn, NY 11220, USA; Division of Endodontics, Orthodontics and General Practice Residency, Herman Ostrow School of Dentistry of USC, 925 West 34th Street, Los Angeles, CA 90089, USA.

Oral and maxillofacial surgeons have a variety of anesthetic agents that can be used to provide anesthesia safely and efficiently in the office-based environment. However, it is critical to have a thorough understanding of the particulars for each agent. Commonly used anesthetic agents, administered either individually or in combination, include diazepam, midazolam, propofol, ketamine, opioid agonists such as fentanyl or remifentanil, dexmedetomidine, and inhalational agents, including nitrous oxide and sevoflurane. Read More

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http://dx.doi.org/10.1016/j.coms.2018.01.003DOI Listing
May 2018
3 Reads

Oral and Maxillofacial Surgery Team Anesthesia Model and Anesthesia Assistant Training.

Authors:
Stephanie J Drew

Oral Maxillofac Surg Clin North Am 2018 May;30(2):145-153

Division of Oral and Maxillofacial Surgery, Emory University School of Medicine, 1365 Clifton Road NE, Building B, Suite 2300, Atlanta, GA 30322, USA. Electronic address:

The model for oral and maxillofacial surgery (OMFS) delivery of office-based, open airway anesthesia has morphed from the operator-anesthetist to the delivery of team anesthesia, supporting a widespread focus on organizational aspects of the delivery of care. The training, continuing education, and coordination of a diverse anesthesia team provides a system to improve the safety and efficacy of anesthesia delivery. The hallmarks of this system include communication, checks and balances, monitoring, team dynamics, protocols, emergency scenario preparation and rehearsal, and crisis resource management during an emergent situation. Read More

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http://dx.doi.org/10.1016/j.coms.2018.01.002DOI Listing
May 2018
4 Reads

Preoperative Evaluation and Patient Selection for Office-Based Oral Surgery Anesthesia.

Authors:
Stuart Lieblich

Oral Maxillofac Surg Clin North Am 2018 May;30(2):137-144

University of Connecticut School of Dental Medicine, Farmington, CT, USA; Private Practice, Avon Oral and Maxillofacial Surgery, 34 Dale Road, Suite 105, Avon, CT 06001, USA. Electronic address:

Provision of an outpatient anesthetic requires careful review of the patient's medical history along with salient aspects of the physical examination. The oral and maxillofacial surgeon may need to consult with the patient's medical providers to gain an understanding of the patient's potential risks for an adverse event. This article reviews key aspects of the patient evaluation so that an informed determination of suitability for an office anesthetic can be made. Read More

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http://dx.doi.org/10.1016/j.coms.2018.01.001DOI Listing
May 2018
3 Reads