Distraction osteogenesis of the mandible in the previously irradiated patient.
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Adult↗
Biomedical subjects
K M Coghlan
Publications and source records attributed to K M Coghlan.
Staphylococcal submandibular lymphadentitis of childhood.
The presentation of two patients with the condition is described. The difficulty of finding an underlying cause of the infection is discussed, and the importance of a history of recent head and neck infection emphasised. Recommendations are made for appropriate antibiotic therapy to cover Staphylococci as well as the more common Streptococci.
Administration, Oral↗
Cerebral radionecrosis following the treatment of parotid tumours: a case report and review of the literature.
Radiotherapy is an accepted part of the treatment of malignant tumours of the parotid gland. The use of radiotherapy in benign parotid tumours, where spillage of tumour cells has occurred at operation, is more controversial. Radiotherapy to the parotid bed is not without morbidity. Complications may arise as a result of radiation damage to neighbouring structures and there is also potential to induce malignant disease. A patient, whose postoperative radiotherapy following resection of a pleomorphic salivary gland adenoma was complicated by cerebral necrosis, is discussed. The literature pertaining to morbidity of radiotherapy for parotid tumours is reviewed.
Adenoma, Pleomorphic↗
A splint designed for easy fixation and release during orthognathic surgery.
Orthognathic correction of jaw deformity may require a period of inter-maxillary fixation (IMF) at operation or during the post-operative period. A splint has been designed which may be used for both fixation and localisation of the jaws and which employs a quick release mechanism designed for use during surgery. It may be used also by the patient when intermittent fixation is required post-operatively and by non-medical staff in the event of an emergency such as airway obstruction.
Dental Alloys↗
Sensory nerve disturbance following Le Fort I osteotomy.
This study assessed sensory nerve disturbance after Le Fort I osteotomy using the electric pulp test, pin-prick sensation, fine touch, and cold sensation. After 6 months, 78% of teeth positive preoperatively to an electric pulp tester regained sensitivity. Return of palatal sensation was affected by whether or not the greater palatine nerve (GPN) was divided during surgery. After 6 months, where the GPN was intact, all patients had fine touch sensation (88% at the preoperative level), and all had pin-prick sensation (97% at preoperative level). When the GPN was divided, all patients had fine touch sensation (13% at preoperative level), and all had pin-prick sensation (63% at preoperative level). The differences in the return to preoperative sensation were significant for fine touch (P=0.0001++) and for pin-prick (P-0.03) by chi-square analysis. Sensation returned more quickly and more completely in the two cases where the contralateral GPN was intact. In the buccal mucosa, 95% of patients regained some fine touch sensation after 6 months, but none returned to the preoperative level. Similarly, 85% regained some pin-prick sensation, but none achieved preoperative levels. Cold sensation, pin-prick sensation, and fine touch on the face returned to the preoperative level in all patients by 6 weeks postoperatively.
Adolescent↗
Malignant ameloblastoma revisited.
A case of a malignant ameloblastoma in a 49-year old Sri Lankan woman with widespread pulmonary metastases is presented, the diagnosis confirmed by needle biopsy. The current histological classification of odontogenic carcinomas and the management of metastatic pulmonary deposits are discussed.
Ameloblastoma↗
Eosinophilic granuloma of bone: a case report.
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Adolescent↗
Neurological damage after sagittal split osteotomy.
Neurological damage following the sagittal split osteotomy is a commonly recognised complication. The results of 38 osteotomies in 19 patients following a minimum post-operative period of 2 years is presented. Subjective evaluation demonstrated normal sensation in 73.7% of osteotomy sides. However, objective evaluation demonstrated normal sensation in only 34.2% of sides. The remainder had a variable degree of sensory loss.
Adolescent↗