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Biomedical subjects

N J Malden

Publications and source records attributed to N J Malden.

10 recordsLinked to original sources

Variable presentation of temporalis hypertrophy--A case report with literature review.

A case of painful, initially bilateral, and then unilateral temporalis hypertrophy in a 33-year-old Caucasian woman is presented in a primary care setting; the aetiology of the hypertrophy was considered reactive in nature. Medical and supportive treatment was successful in providing symptomatic relief. Further treatment including an intramuscular botulinum injection was considered by the patient with a view to reduction of the chronic enlargement of her temporalis and masseter musculature. A review of the literature and previous treatment regimes is also presented.

Adrenergic Uptake Inhibitors↗

Lingual nerve injury subsequent to wisdom teeth removal--a 5-year retrospective audit from a high street dental practice.

Lingual nerve damage subsequent to lower wisdom tooth removal affects a small number of patients, sometimes producing permanent sensory loss or impairment. A number of surgical techniques have been described which are associated with low incidences of this distressing post-operative complication. When a technique is adopted by an individual clinician then a personal audit may be prudent to establish how effective it is in relation to established nerve injury rates. This audit looks at a technique involving the minimal interference of lingual soft tissues during lower wisdom tooth removal in a high street practice situation for patients having mild to moderate impacted wisdom teeth removed under local anaesthetic. It was concluded that the technique employed was associated with a low incidence of lingual nerve trauma, comparable with that reported elsewhere.

Anesthesia, Dental↗

Management of mandibular fractures in the highlands of Papua New Guinea.

The Management of fractured mandibles presenting in the Highlands of Papua New Guinea (PNG) is described and discussed. Features of management in this situation included: a longer period of prefixation conservative treatment; the elective use of local anaesthesia for all but the occasional operative procedure; a more aggressive attitude towards traumatised or infected teeth lying in fracture sites; confining all those patients in intermaxillary fixation or those receiving systemic medication to the hospital for the total duration of the treatment. Treatment was required to be compatible with the special problems of an unsophisticated patient population with delay in presentation, plus absence of adequate follow-up, with therapy being carried out in a hospital environment lacking specialist facilities.

Female↗