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Biomedical subjects

Stewart K Lazow

Publications and source records attributed to Stewart K Lazow.

6 recordsLinked to original sources

Transoral 2.0-mm locking miniplate fixation of mandibular fractures plus 1 week of maxillomandibular fixation: a prospective study.

PURPOSE: In this study, a 2.0-mm locking miniplate (LMP)/screw system was assessed in the treatment of mandibular fractures with a 1-week period of maxillomandibular fixation (MMF). PATIENTS AND METHODS: Fifty mandibular fractures in 34 patients with a mean of 6.97 days of MMF were included in the study. The 2.0-mm LMPs were adapted along Champy's line of ideal osteosynthesis and secured with four 8.0-mm locking monocortical screws. All patients were followed for a minimum of 6 weeks. The incidence of soft tissue infections, nonunion, malunion, malocclusion, osteomyelitis, nerve injury, and tooth damage was prospectively assessed. RESULTS: Primary bone healing was achieved in 98% of cases. Three complications (6%) were observed. Two minor complications of intraoral wound dehiscence and malocclusion were noted. A fibrous nonunion requiring 3 additional weeks of MMF was noted. No evidence of malunion, osteomyelitis, plate fracture, iatrogenic nerve injuries, or dental injuries was noted. CONCLUSIONS: A single 2.0-mm LMP placed along Champy's line of ideal osteosynthesis with four 8-mm monocortical locking screws plus 1 week of MMF fixation is a reliable and effective treatment modality for mandibular fractures.

Adolescent↗

Orofacial infections in the 21st century.

In the 21st century, most orofacial infections are routinely managed with proper clinical assessment, selective diagnostic imaging, appropriate antibiotic therapy and timely surgical intervention. A thorough understanding of contemporary microbiology, pharmacology and surgical anatomy will enable the clinician to minimize the morbidity and mortality of orofacial infections.

Anti-Bacterial Agents↗

Mediastinitis secondary to an odontogenic infection. A case report.

Infectious mediastinitis of odontogenic etiology is a rare occurrence in the United States. The mortality associated with descending necrotizing mediastinitis is estimated at 40% to 50%, even with advances made in management of such serious infections. The early diagnosis and aggressive treatment of odontogenic infections has made this entity relatively obsolete, but we have not been able to eliminate the disease process altogether. We report on a case that was managed successfully, albeit with a long, protracted course.

Abscess↗