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Controversies in Oral and Maxillofacial Surgery, An Issue of Oral and Maxillofacial Clinics of North America, E-Book

Controversies in Oral and Maxillofacial Surgery, An Issue of Oral and Maxillofacial Clinics of North America, E-Book

Luis G. Vega | Daniel J. Meara

(2017)

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Book Details

Abstract

This issue of Oral and Maxillofacial Surgery Clinics of North America focuses on Controversies in Oral and Maxillofacial Surgery, and is edited by Drs. Luis Vega and Daniel Meara. Articles will include: Controversies in Dentoalveolar and Preprosthetic Surgery; Controversies in Maxillofacial Trauma; Controversies in Traditional Maxillofacial Reconstruction; Controversies in Microvascular Maxillofacial Reconstruction; Controversies in TMJ Surgery; Controversies in Orthognathic Surgery; Controversies in Facial Cosmetics; Controversies in Cleft/Craniofacial Surgery; Controversies in Oral and Maxillofacial Infections; Controversies in Oral and Maxillofacial Pathology; Controversies in Oral and Maxillofacial Oncology; Controversies in Obstructive Sleep Apnea Surgery; Controversies in Oral and Maxillofacial Anesthesia; Controversies in Dental Implant Surgery; and more!

Table of Contents

Section Title Page Action Price
Front Cover Cover
Controversies in Oral and Maxillofacial Surgery\r i
Copyright\r ii
Contributors iii
CONSULTING EDITOR iii
EDITORS iii
AUTHORS iii
Contents v
Preface: Controversies in Oral and Maxillofacial Surgery v
Controversies in Dentoalveolar and Preprosthetic Surgery v
Controversies in Maxillofacial Trauma v
Controversies in Traditional Oral and Maxillofacial Reconstruction v
Controversies in Microvascular Maxillofacial Reconstruction v
Controversies in Orthognathic Surgery vi
Controversies in Facial Cosmetic Surgery vi
Current Controversies in Metopic Suture Craniosynostosis vi
Controversies in the Management of Oral and Maxillofacial Infections vi
Controversies in Oral and Maxillofacial Pathology vi
Controversies in Oral and Maxillofacial Oncology vii
Controversies in Obstructive Sleep Apnea Surgery vii
Controversies in Anesthesia for Oral and Maxillofacial Surgery vii
Controversies in Implant Surgery vii
ORAL AND MAXILLOFACIAL SURGERY\rCLINICS OF NORTH AMERICA\r viii
FORTHCOMING ISSUES viii
February 2018 viii
May 2018 viii
August 2018 viii
RECENT ISSUES viii
August 2017 viii
May 2017 viii
February 2017 viii
Preface:\rControversies in Oral and Maxillofacial Surgery ix
Controversies in Dentoalveolar and Preprosthetic Surgery 383
Key points 383
INTRODUCTION 383
THE THIRD MOLAR DEBATE: THE ASYMPTOMATIC THIRD MOLAR CAN CAUSE PERIODONTAL DISEASE IN THE FUTURE 383
Seeking Clarity: Is There a Relationship Between Partially Impacted Third Molars and Progression of Periodontal Disease? 383
Periodontal Disease Associated with the Partially Impacted Third Molar 384
A Consensus? 384
DRUG HOLIDAY IN MEDICATION-RELATED OSTEONECROSIS OF THE JAWS: DOES CESSATION OF THE ANTIRESORPTIVE MEDICATION OF A PERIOD O ... 386
Current Evidence 386
THE DENTAL CLEARANCE: DO ORAL INFECTIONS INCREASE SYSTEMIC MORBIDITY AND MORTALITY? 387
Specific Clinical Indications for Dental Clearance 387
Transplant patient with dental disease 387
Prosthetic valves and prophylaxis as it relates to dentoalveolar procedures 388
Brain abscess from dental infection? 388
ALVEOLAR RIDGE PRESERVATION: IS THERE A NEED TO GRAFT ALL EXTRACTION SOCKETS TO PRESERVE ALVEOLAR RIDGE HEIGHT? 388
SUMMARY 389
REFERENCES 389
Controversies in Maxillofacial Trauma 391
Key points 391
INTRODUCTION 391
OPEN VERSUS CLOSED REDUCTION FOR CONDYLAR FRACTURES 391
TEETH IN THE LINE OF THE FRACTURE 392
PROPHYLACTIC ANTIBIOTICS IN FACIAL FRACTURES 393
MATERIALS FOR ORBITAL FLOOR REPAIR 394
FRONTAL SINUS FRACTURES 395
Sinus Obliteration Versus Sinus Observation 395
Advancements in Technology 395
Less Is More 395
Soft Tissue Versus Hard Tissue for Obliteration 395
TIMING OF REPAIR FOR MANDIBLE FRACTURES 395
RIGID VERSUS ABSORBABLE FIXATION IN CRANIOMAXILLOFACIAL TRAUMA SURGERY 396
Mandible Fractures 397
SUMMARY 397
REFERENCES 397
Controversies in Traditional Oral and Maxillofacial Reconstruction 401
Key points 401
INTRODUCTION 401
MANDIBULAR RECONSTRUCTION 402
MAXILLARY RECONSTRUCTION 402
RADIATION AND MEDICATION IMPLICATIONS ON RECONSTRUCTION 405
AUTOGENOUS GRAFTING VERSUS BIOLOGICS FOR MAXILLOFACIAL RECONSTRUCTION 406
Bone Morphogenic Protein 406
Peripheral Nerves 407
SOFT TISSUE RECONSTRUCTION 408
TECHNOLOGY ADVANCEMENTS 408
DISTRACTION OSTEOGENESIS 411
SUMMARY 411
REFERENCES 411
Controversies in Microvascular Maxillofacial Reconstruction 415
Key points 415
Controversies in Orthognathic Surgery 425
Key points 425
INTRODUCTION 425
SEQUENCING: WHICH JAW SHOULD GO FIRST? 426
SEGMENTAL OSTEOTOMIES 428
RIGID FIXATION CONFIGURATION 429
CONDYLE POSITION DURING ORTHOGNATHIC SURGERY 431
ANTERIOR OPEN BITE TREATMENT 432
VIRTUAL SURGICAL PLANNING AND SPLINTLESS SURGERY 434
SURGERY-FIRST TREATMENT MODEL 435
TEMPOROMANDIBULAR DISORDERS AND ORTHOGNATHIC SURGERY 436
SUMMARY 438
REFERENCES 438
Controversies in Facial Cosmetic Surgery 441
Key points 441
INTRODUCTION 441
LOWER BLEPHAROPLASTY: TO TAKE OUT PERIORBITAL FAT OR TO REPOSITION IT? 441
Summary 444
THE CHIN: WHAT IS THE BEST OPTION FOR CHIN AUGMENTATION, AN OSSEOUS GENIOPLASTY OR A CHIN IMPLANT? 444
Controversy 444
Advantages and Disadvantages of Osseous Genioplasty 444
Advantages and Disadvantages of Alloplastic Chin Augmentation 445
Additional Considerations 446
SUMMARY 446
REFERENCES 446
Current Controversies in Metopic Suture Craniosynostosis 447
Key points 447
INTRODUCTION 447
BACKGROUND AND GENERAL CONCEPTS 447
Pathophysiology 449
Indications for Surgical Treatment 449
Surgical Treatment 449
METOPIC CRANIOSYNOSTOSIS 449
Incidence of Metopic Craniosynostosis 449
Type of Metopic Craniosynostosis 449
NEURODEVELOPMENTAL CONSIDERATIONS 450
Cranial Volume 450
Shape 450
Deformation Versus Malformation 450
Intracranial Pressure 450
Other Considerations 451
Developmental Delay 451
Impact of Severity of Phenotype on Developmental Delay 451
DIAGNOSIS OF METOPIC CRANIOSYNOSTOSIS 451
Additional Methods to Aid in Diagnosis 452
Computed Tomography–based Measurements 452
TREATMENT OF METOPIC SUTURE CRANIOSYNOSTOSIS 453
Indications and Goals 453
Surgical Techniques 454
Surgical Outcomes 455
Type and Timing of Surgical Treatment and Impact on Appearance 456
Type and Timing of Surgical Treatment and Impact on Development 456
THE AUTHOR’S APPROACH TO THE MANAGEMENT OF METOPIC CRANIOSYNOSTOSIS 456
SUPPLEMENTARY DATA 460
REFERENCES 460
FURTHER READING 463
Controversies in the Management of Oral and Maxillofacial Infections 465
Key points 465
INTRODUCTION 465
TOPICS OF CONTROVERSY 465
IS CONTRAST-ENHANCED COMPUTED TOMOGRAPHY IMAGING MORE ACCURATE THAN CLINICAL EXAMINATION ALONE? 466
IS THERE A ROLE FOR THE USE OF MRI IN THE DIAGNOSIS OF DEEP NECK SPACE INFECTIONS? 466
IS THERE A ROLE FOR ULTRASOUND IN THE DIAGNOSIS OF HEAD AND NECK INFECTIONS? 467
IS THERE A ROLE FOR CONSERVATIVE MANAGEMENT OF HEAD AND NECK INFECTIONS? 467
IS THERE A ROLE FOR INTERVENTIONAL RADIOLOGY–GUIDED DRAINAGE OF HEAD AND NECK INFECTIONS? 468
WHAT IS THE BACTERIAL FLORA OF HEAD AND NECK INFECTIONS? 468
WHAT IS THE ROLE OF BIOFILMS IN MAXILLOFACIAL HARDWARE INFECTIONS? DOES THE HARDWARE HAVE TO BE REMOVED? 469
IS IT SAFE TO USE CORTICOSTEROIDS IN THE MANAGEMENT OF DEEP NECK SPACE INFECTIONS? 470
IS IT IMPORTANT TO IRRIGATE DRAINS PLACED IN DEEP NECK COLLECTIONS? 470
SHOULD TRACHEOSTOMY BE A ROUTINE PROCEDURE IN PATIENTS WITH DEEP NECK SPACE INFECTIONS? 471
SUMMARY 471
REFERENCES 471
Controversies in Oral and Maxillofacial Pathology 475
Key points 475
INTRODUCTION 475
KERATOCYSTIC ODONTOGENIC TUMOR 475
Management 476
Future Directions 477
GIANT CELL LESIONS 478
Origin 478
Relationship to Giant Cell Lesions in the Axial and Appendicular Skeleton 478
Treatment 479
Future Directions 480
AMELOBLASTOMA 480
Unicystic Ameloblastoma 480
Intraoperative Assessment of Margins 481
Future Directions 482
SUMMARY 482
REFERENCES 482
Controversies in Oral and Maxillofacial Oncology 487
Key points 487
INTRODUCTION 487
IMAGING MODALITIES IN HEAD AND NECK SQUAMOUS CELL CARCINOMA 487
Imaging Guidelines 488
Staging 488
Assessment of Response to Treatment/Surveillance 489
SENTINEL LYMPH NODE BIOPSY IN ORAL CAVITY SQUAMOUS CELL CARCINOMA 491
MANAGEMENT OF PAROTID MASSES 494
AUTOLOGOUS SUBMANDIBULAR GLAND TRANSFER 496
REFERENCES 498
Controversies in Obstructive Sleep Apnea Surgery 503
Key points 503
DIAGNOSIS 503
NONOPERATIVE TREATMENT OF OBSTRUCTIVE SLEEP APNEA 504
SURGICAL TREATMENT OF OBSTRUCTIVE SLEEP APNEA 504
WHAT IMAGING/AIRWAY ASSESSMENT MODALITIES SHOULD BE USED ALONE OR IN COMBINATION FOR DIAGNOSIS, TREATMENT PLANNING, AND OUT ... 505
WHAT IS THE ROLE OF LATERAL CEPHALOGRAMS? 505
WHAT DOES 3-DIMENSIONAL CONE-BEAM COMPUTED TOMOGRAPHY AIRWAY ASSESSMENT ADD? 506
WHAT ROLE DOES DYNAMIC UPPER AIRWAY IMAGING PLAY? 506
WHAT MEDICAL CONDITIONS PRECLUDE TREATMENT WITH MAXILLOMANDIBULAR ADVANCEMENT? 507
SHOULD MAXILLOMANDIBULAR ADVANCEMENT CANDIDATES BE OFFERED OTHER SURGICAL OPTIONS FIRST? 507
WHAT ARE THE INDICATIONS FOR ORTHODONTICS BEFORE MAXILLOMANDIBULAR ADVANCEMENT? 508
IS THERE A ROLE FOR PREOPERATIVE SPEECH/SWALLOW ASSESSMENT BEFORE MAXILLOMANDIBULAR ADVANCEMENT? 508
WHAT IS THE IDEAL MAGNITUDE OF ADVANCEMENT IN MAXILLOMANDIBULAR ADVANCEMENT? 508
WHAT ROLE DO ESTHETICS PLAY IN TREATMENT PLANNING FOR MAXILLOMANDIBULAR ADVANCEMENT? WHAT ARE SOME ALTERNATIVES TO CONVENTI ... 509
IS CONCOMITANT GENIAL TUBERCLE ADVANCEMENT OR NASAL SURGERY INDICATED DURING MAXILLOMANDIBULAR ADVANCEMENT? 509
IS BONE GRAFTING DURING MAXILLOMANDIBULAR ADVANCEMENT BENEFICIAL? 509
HOW DO WE DEFINE TREATMENT SUCCESS? 509
WHAT ARE THE PREDICTORS OF SUCCESS OR FAILURE OF MAXILLOMANDIBULAR ADVANCEMENT IN TREATMENT OF OBSTRUCTIVE SLEEP APNEA? 510
SUMMARY 510
REFERENCES 510
Controversies in Anesthesia for Oral and Maxillofacial Surgery 515
Key points 515
INTRODUCTION 515
BACKGROUND 516
HISTORICAL CONTROVERSY 516
CENTERS FOR MEDICARE AND MEDICAID SERVICES CHANGES EVERYTHING 519
CURRENT INTERPRETIVE GUIDELINES 520
Anesthesia 520
General Anesthesia 520
Monitored Anesthesia Care 520
Deep Sedation/Analgesia 521
Moderate Sedation/Analgesia (“Conscious Sedation”) 521
Minimal Sedation 521
Topical or Local Anesthesia 521
Who May Administer Anesthesia 521
DISCUSSION 521
THE FUTURE 522
REFERENCES 523
Controversies in Implant Surgery 525
Key points 525
INTRODUCTION 525
SHORT IMPLANTS 525
IMPLANTS IN THE GROWING PATIENT 527
MINI IMPLANTS 528
IMMEDIATE PLACEMENT OF IMPLANTS INTO INFECTED EXTRACTION SOCKETS 530
SUMMARY 531
REFERENCES 532