| 1. |
- Nordin, Thomas, et al.
(författare)
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Extraoral or intraoral approach in the oblique sliding osteotomy of the mandibular rami? Clinical experience and results.
- 1987
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Ingår i: Journal of Cranio-Maxillofacial Surgery. - 1010-5182 .- 1878-4119. ; 15:5, s. 233-237
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Tidskriftsartikel (refereegranskat)abstract
- The clinical results of oblique sliding (subcondylar) osteotomy of the mandibular rami performed by the extraoral or intraoral approach were compared. The patient material comprised 40 patients with mandibular prognathism. Twenty patients were operated upon using the extraoral approach and 20 patients were operated on using the intraoral approach. All patients had intermaxillary fixation for 7 weeks. The patients in both groups were followed up for 18 months. The experience of the operations was that the intraoral approach gave a shorter operation time than the extraoral approach. The extraoral approach, however, gave better visibility in the operation field and greater possibilities of manipulating the proximal fragment into an optimal position. In the follow-up evaluation, there were no significant differences between the two surgical techniques with regard to dental relapse, post-operative occlusion and mandibular function.
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| 2. |
- Rosenquist, J B, et al.
(författare)
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Long-acting analgesic or long-acting local anesthetic in controlling immediate postoperative pain after lower third molar surgery
- 1987
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Ingår i: Anesthesia Progress. - 0003-3006 .- 1878-7177. ; 34:1, s. 6-9
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Tidskriftsartikel (refereegranskat)abstract
- In a double-blind crossover study, the effect on postoperative pain of lidocaine plus diflunisal was compared with that of bupivacaine and placebo. Forty-eight patients with bilateral impactions of lower third molars had these removed on two occasions four weeks apart. One pain-control regimen was used on one occasion and the alternate on the second. The pain intensity was indicated on a visual analog scale at 2, 3, 4, 5, and 6 hours postoperatively. The pain values for the first postoperative hours were higher for the lidocaine diflunisal combination, whereas after 5 hours the opposite was true. Significantly more patients preferred the combination of lidocaine and diflunisal. Three patients reported fatigue postoperatively during the day of surgery, which they attributed to the operation and not to the analgesics used.
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