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Biomedical subjects

G D Wood

Publications and source records attributed to G D Wood.

At least 19 recordsLinked to original sources

Blank paper or printed set task forms for retrievable patient notes?

Patients' clinical notes made at review appointments following removal of third molars under a general anaesthetic at five Mersey Hospitals have been compared with those formed from the recording of the findings of preselected tasks. Consistent high quality retrievable records were achieved using the preselected task forms, superior to those formed on blank paper.

Dental Service, Hospital

Oral and maxillofacial surgery: should a district service be retained?

The adult new patient attendances at a District General Hospital for 1988 and 1989 have been analysed and the patients with oral and maxillofacial injuries identified. The injuries were classified using the International Classification of Diseases. The time spent undertaking emergency surgery out of hours by each firm using the operating facility has been analysed. An argument for a national district service in Oral and Maxillofacial Surgery is developed and advanced drawing on the results obtained from the study.

Adult

Hours of surgery.

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Emergency Service, Hospital

Osteotomy at the Le Fort I level. A versatile procedure.

Tumours of the nasopharynx, cervical spine and base of skull have been surgically excised using the Le Fort I maxillary osteotomy to gain access to them. Five cases that illustrate the versatility of the approach are presented. The Le Fort I osteotomy is recommended to oral and maxillofacial surgeons, ENT and neurosurgeons as a simple procedure to approach the described areas which leaves no external scars and gives good visualisation of the tumour to be removed.

Adolescent

Aggressive calcifying odontogenic cyst--a possible variant of ameloblastoma.

A case of an aggressive calcifying odontogenic cyst of the maxilla is presented. It recurred twice after surgical excision over the course of a year and was subsequently treated by maxillectomy followed by radiotherapy. The current histological criteria for the diagnosis of calcifying odontogenic cyst were satisfied but it is argued that they are drawn too widely. Since the majority of calcifying odontogenic cysts are benign in behaviour the presence of cytological indicators of local destruction and invasiveness alongside the usual features of calcifying odontogenic cysts (presence of dentinoid, epithelial ghost-cell degeneration) should be the over-riding prognostic considerations and should thus be reflected in the diagnostic title. Such tumours are best regarded as variants of ameloblastoma rather than as unusually aggressive forms of calcifying odontogenic cyst and an appropriate name would be 'dentinogenic ghost-cell ameloblastoma'.

Adult

A dentonasal deformity.

A case of an impacted mesiodens that produced a marked nasal deformity and a deviated nasal septum is discussed.

Adult

Blindness following fracture of the zygomatic bone.

Two cases of blindness following fracture of a zygomatic bone, with disruption of the optic canal are reported. The importance of excluding optic canal disruption where blindness results subsequent to fracture or surgery to the orbit in the presence of certain features of retrobulbar haemorrhage is emphasised.

Adult

In situ fluoride uptake from fluoride dentifrices by carious enamel.

A series of studies was performed to measure fluoride deposition in incipient caries-like lesions in enamel specimens contained in functional partial dentures in panelists who used fluoride dentifrices for periods ranging from two to nine weeks. The studies demonstrated the ability of the model to replicate the fluoride-uptake results obtained with a series of three dentifrices in two different panels of subjects. All fluoride dentifrices resulted in significant fluoride deposition, although significantly greater deposition was observed with a NaF-SiO2 dentifrice.

Adolescent

The Le Fort I osteotomy as an approach to the nasopharynx.

Facial deformity is commonly treated by Le Fort I osteotomy. In this case it is used to treat (successfully so far) an extensive tumour of the nasopharynx. The technique was used for its ease of procedure and good exposure of the nasopharynx.

Adolescent