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Biomedical subjects

H B Tilson

Publications and source records attributed to H B Tilson.

At least 19 recordsLinked to original sources

Hemophilic arthropathy of the temporomandibular joint: review of the literature, a case report, and discussion.

Hemarthrosis of extremity joints in patients with hemophilia has been well documented. However, hemarthrosis of the temporomandibular joint in patients with coagulopathies appears to be rare. Consequently, management of a temporomandibular joint hemarthrosis is difficult because of the lack of treatment guidelines. The purpose of this article is to review the pathophysiology of hemophilic arthropathy and its management. A case of temporomandibular joint hemophilic arthropathy in a patient with a factor XI deficiency will be presented. A brief review of factor XI deficiency and a hypothetical pathophysiological mechanism for internal derangement induced by myofascial pain dysfunction are included.

Adolescent

Frontal lobe abscess of dental origin. Report of a case.

A 52-year-old white man came to our hospital with obscure signs of disease. Multiple laboratory tests, radiographs, and examinations ruled out aseptic meningitis, bacterial endocarditis, cerebral artery aneurysm, and other possibilities. A brain abscess was finally diagnosed. The teeth and their surrounding tissues were implicated as the etiologic factors. The importance of odontogenic sources as potential foci of infection is emphasized. This sequel to odontogenic infection is quite rare, but it can be prevented by removal of chronically carious teeth and periapical pathosis.

Brain Abscess

Unilateral mydriasis during general anesthesia.

A healthy 24-year-old woman was taken to the operating room for surgical removal of impacted third molars while under general anesthesia. During surgery, a local anesthetic was administered, resulting in mydriasis, which was initially mistaken for a central nervous system deficit secondary to a complication from general anesthetic.

Adult

Eagle's syndrome. Report of a case.

This case report demonstrates an uncommon, symptomatic elongated styloid process that did not conform to the usual clinical features. The patient was under 30 years of age when the symptoms appeared. He experienced the classic symptoms without prior tonsillectomy; he also experienced carotid artery syndrome symptoms. However, the patient did receive the common diagnosis seen in many cases of unexplained chronic head and neck pain. He was simply labeled a psychotic with no just cause for pain.

Adult

Malignant lymphomas of the oral soft tissues.

Two cases have been presented in which a malignant lymphocytic tumor was found in the oral soft tissues. The first was a "histiocytic lymphoma" that appeared as a rapidly growing, ulcerative lesion. This tumor was the initial presentation of disease and may be considered a primary lesion. The second was a "poorly differentiated lymphocytic lymphoma" which formed a mass in the mental area. In that case, the tumor was associated with widespread disease. Both of these lesions had previously been diagnosed by physicians as inflammatory processes.

Adult

Osteochondromas associated with facial asymmetry and masticatory dysfunction: report of two cases.

Two cases of solitary osteochondromas interfering with mandibular motion are presented along with a brief review of the literature. A single incidence of an osteochondroma developing from the mandibular condyle is added to the growing number of case reports. In addition, an osteochondroma developing from the zygomatic arch is reported. Our review of the literature has shown no previous report of occurrence at this site.

Adult

Mandibular retrognathia: a review of the literature and selected cases.

Many techniques have been developed since the first osteotomy for correction of retrognathism was performed in 1905. These techniques have been in two groups--those that are performed in the mandibular body and those that are performed in the mandibular ramus. Ramus procedures are more favored because there is less morbidity in comparison to body procedures. Regardless of the procedure used, an adequate preoperative evaluation based on oral and radiographic examinations, study models, cephalometric analysis, and photographs is mandatory to achieve satisfactory results. A more satisfactory result can almost always be attained if a cooperative effort is made by the oral surgeon and orthodontist in the treatment of retrognathism.

Adolescent

Complications associated with maxillary osteotomies.

There are certain complications involved in maxillary ostetomies; devitalization of teeth, loss of part or all of the osteotomized segment, and relapse are possible problems. The paramount cause of the complications in seven different cases seemed to be the interruption of the blood supply to the operative site. A seven-point guideline is formulated; it integrates preoperative planning, surgical procqedures, and postoperative care.

Adolescent

The diagnostic significance of the microhematocrit as an office screening test.

The microhematocrit provides accurate and reproducible test results. This laboratory procedure is useful not only in determining the hematocrit value, but also in the identification of conditions that may be of primary interest to the clinician. The information it provides is valuable in treatment planning, in choosing an anesthetic technique, and in helping to avoid operative and postoperative complications. This test can be easily and inexpensively performed and can be incorporated into the normal office routine with little difficulty.

Blood Platelets

Eminectomy for the treatment of recurrent temporomandibular joint dislocation.

Several techniques have been used to treat chronic dislocation of the mandible. Most of these techniques represent attempts at reducing the mobility of the TMJ. The eminectomy procedure is an attempt at restoring normal joint function without reducing mobility of the joint. We have presented two cases of chronic dislocation of the mandible that were treated successfully by removal of the articular tubercle and the lateral portion of the temporal bone. Although surgery of the TMJ area may be hazardous if approached without caution, we feel that the complications associated with this procedure are minimized if adequate care is taken in flap design and tissue dissection. On the basis of the excellent results of the eminectomy procedures reported in the literature and of our own experience with this procedure, we feel that this is the preferred treatment for chronic dislocation of the mandible.

Adult