A simple template for orbital floor defects.
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Biomedical subjects
Publications and source records attributed to J H Willoughby.
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A case of transient abducens nerve palsy following Le Fort I maxillary osteotomy is reported. The results of the CT scan strongly suggest the cause was a fracture of the body of the sphenoid bone but the cause of the fracture is unclear. The palsy occurred on the first postoperative day and recovery took approximately 5 months. The most likely explanation for the complication is a transmittal of force from the osteotome used to fracture through the pterygoid plates extending superiorly through the medial surface of the cavernous sinus. This case clearly demonstrates the importance of care in positioning of the pterygomaxillary osteotome.
"Crack," an extra potent form of purified cocaine, is being abused today across the United States. The drug is no longer confined to the inner city. Its presence is ubiquitous in the middle class. "Crack" users can become dangerous to themselves and to others, even to the extent of committing murder. Cardiac irritability and hypertension are among the associated severe problems of "crack" abuse. The toxicity of cocaine is therefore a major problem. It is imperative that all practitioners become aware of the signs and symptoms of cocaine toxicity and its management. This awareness can help to avoid or alleviate a crisis in the clinic or office.
A case of acute pansinusitis with the complication of orbital cellulitis has been described. The patient initially had pain around the maxillary right first molar. Accurate diagnosis allowed for prompt, vigorous treatment, culminating in surgical intervention. The need for dental and oral surgical practitioners to be thoroughly familiar with all of the manifestations of paranasal sinus disease cannot be overemphasized.