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Biomedical subjects

B C Stack

Publications and source records attributed to B C Stack.

At least 37 records · Page 2Linked to original sources

Missile injuries to the temporal bone.

Gunshot injuries to the head and neck are frequently seen in patients brought to a level I trauma center. These injuries result in great morbidity and mortality and a significant expenditure of health care dollars. Missile injuries to the temporal bone, though less common, can likewise be devastating. Common sequelae include vertigo, deafness, facial nerve paralysis, and death. A series of missile injuries to the temporal bone treated at Tampa General Hospital during 1993 prompted a review of head and neck missile injuries in our trauma registry over the past 4 years (1989 to 1993). More than 100 patients were shot in the head or neck; 25 of them had injury to the temporal bone. Outcomes included facial nerve injury (8), deafness (9), vertigo (3), and death (13).

Adolescent↗

Signal averaging and waveform analysis of laser Doppler flowmetry monitoring of porcine myocutaneous flaps: I. Acute assessment of flap viability.

Postoperative monitoring of microvascular free-tissue transfer is essential to the early identification and correction of vascular compromise. Laser Doppler flowmetry is a noninvasive monitor of capillary bed perfusion. Its current clinical use requires continuous monitoring and trend analysis to detect changes in capillary perfusion. This study investigated the hypothesis that signal averaging of laser Doppler flowmetry output triggered by a fixed point in the cardiac cycle would provide accurate information about the microvascular flow patterns not dependent on trend analysis. These results indicate that averaged waveform analysis allowed for a rapid, objective, and statistically significant distinction between a viable myocutaneous flap and one with vascular compromise in a porcine model. Moreover, this technique allows for distinction between venous and arterial insufficiency.

Animals↗

Temporomandibular joint disorder.

Temporomandibular joint disorder is a common clinical entity with diverse etiologies and symptoms. The hallmarks on physical examination are reduced or dysfunctional mandibular range of motion, malocclusion, and joint or preauricular tenderness. The diagnosis is made when a history of craniofacial symptoms or headache is linked with temporomandibular joint dysfunction. Temporomandibular joint disorders usually respond to medical treatment with anti-inflammatory medications, soft diet and occlusal therapy, without the need for surgical intervention. These disorders must be considered in the differential diagnosis of chronic headache, facial pain and compromised mandibular movement.

Humans↗

Recommended guide to the evaluation of permanent impairment of the temporomandibular joint.

This paper provides a method to evaluate the extent of permanent injury to the temporomandibular joint. The authors, working as the Committee on Permanent Impairment for the American Academy of Head, Facial, Neck Pain and TMJ Orthopedics, have used the same values as the American Medical Association has used in their Guides to the Evaluation of Permanent Impairment for other disk-protected and functional joints. These Guides may then serve as a tool to help physicians and dentists who treat temporomandibular joint injuries to rate the degree of permanent injury. These Guides may be combined with other areas of impairment that are already described and valued in the Guides to the Evaluation of Permanent Impairment published by the AMA. These Guides provide a range and each injury should be evaluated on an individual basis. We urge you to use these Guides conservatively and in harmony with good clinical judgement.

Disability Evaluation↗

Temporomandibular joint dysfunction syndrome in children.

Temporomandibular joint (TMJ) dsyfunction is described and a historical perspective of the disorder is presented. A review of research related to symptoms, incidence, correlates, and causes of TMJ dysfunction in children is presented. Factors regarding identification are discussed, and treatment options are outlined. The purpose of this article is to increase the awareness of school health personnel about a condition which traditionally has been considered an adult disorder.

Adolescent↗