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At least 991 records · Page 55Linked to original sources
PubMed1990

A unique indexing splint for use in combined Le Fort and nasal injuries to avoid tracheostomy.

Midface fractures with associated displaced and/or comminuted nasal fractures can require tracheostomy for a general anesthetic airway if these fractures are to be reduced simultaneously. We describe a unique indexing splint that allows oral intubation yet also allows simultaneous reduction of midface and nasal fractures under one anesthetic. Furthermore, tracheostomy with its potential complications is avoided. The case report illustrates the technique, and alternative treatments for these injuries are discussed.

Adult↗
PubMed1988

A new technique for rapid splint localisation.

The locking bar is an inherent element of cap splint jaw localisation and fixation technique. The modified method described facilitates relocalisation; potentially reducing operating theatre and technician time.

Adolescent↗
PubMed1989

The Broadgreen osteotomy splint.

A modification is suggested to the standard cast metal cap splint which allows accurate and easier localisation in the operative and post-operative phases.

Dental Alloys↗
PubMed1987

Dynamic splinting following flexor tendon repair.

Electromyographic investigation of subjects wearing dynamic flexor tendon repair (Kleinert) splints shows a wide variability in the amount of contraction in the flexor digitorum profundus muscle during extension of the finger. We suggest there is no advantage in giving extra resistance to the extensor muscles, and that the strength of the rubber bands needs to be only just sufficient to flex the finger passively back to its resting position.

Adult↗
PubMed1988

The modified Kleinert splint in zone II flexor tendon injuries.

The Kleinert controlled passive mobilisation splint has been modified to increase the passive range of motion of the proximal and distal interphalangeal joints to near normal. 12 fingers with complete divisions of both flexor tendons in Zone II treated by this method have been reviewed after six months. Nine regained full motion and two good motion while one, with an associated crush compound fracture of the proximal phalanx, had a poor result. The increased mobilisation did not adversely affect wound healing or associated repair of digital nerves.

Adult↗
PubMed1991

Comparative study of the treatment of mandibular fractures with vestibular and lingual wire splints.

One hundred forty-two patients with mandibular fractures were studied during the 3-year period of 1988 to 1990. One hundred ten patients treated with lingual arch wires comprised the study group and 32 treated with routine labia/buccal arch wires formed the control group. Bone healing was analyzed with clinical and sonic methods in both groups. It was estimated that the clinical and sonic evidence of the mandibular body fragments union appeared earlier and the infection rate was lower in the study group than in the control group. It was concluded that lingual wire splints are preferable for treating fractures of mandibular body, alveolar ridge, and in patients with deep overbite.

Adolescent↗
PubMed1988

Clinical management of the acrylic splint Herbst appliance.

This article describes one variation in Herbst appliance design--the acrylic splint Herbst. Topics discussed include early fixed appliance treatment before Herbst therapy, impression taking, bite registration, and evaluation of appliance fabrication. The specifics of appliance delivery, including bonding of the maxillary appliance when indicated, are also discussed as are the techniques of appliance advancement and removal.

Acrylic Resins↗
PubMed1988

Fabrication of the acrylic splint Herbst appliance.

This article describes the fabrication of one type of Herbst appliance, a removable or fixed functional appliance that causes the posturing of the mandible in a forward position. The type of Herbst appliance described in this article consists of a wire framework to which are attached the various parts of the Herbst bite-jumping mechanism. The acrylic part of the appliance is fabricated from splint Biocryl or from methylmethacrylate. The steps of the fabrication of the appliance are described in detail.

Activator Appliances↗
PubMed1993

The acrylic-splint Herbst appliance: a cephalometric evaluation.

The purpose of this study was to investigate the skeletal and dental effects of the removable acrylic-splint Herbst appliance cephalometrically. Radiographs of 46 patients were collected, traced, digitized, and analyzed. Cephalometric measurements indicated that the treatment group was Class II before treatment and Class I after treatment, with no change in the vertical skeletal pattern. There was significantly more mandibular growth (Co-Gn) than in an untreated Class II control sample (P < or = 0.001), and less forward maxillary growth (nasion perpendicular to A) (P < 0.05). Molar correction was obtained by 21% more skeletal change and overjet correction by 25% more skeletal change than reported for the banded Herbst. Patients with higher mandibular plane angles had greater correction of Class II indicators than did patients with low angles. There was no significant change in the sagittal position of the condyle.

Adolescent↗
PubMed2006

Dressings, bandages, and splints for wound management in dogs and cats.

New materials have allowed the role of the bandage to expand from passive protector to active participant in the wound healing process. By building a bandage that maintains a moist wound environment,the veterinarian uses the patient's own wound healing mechanisms to provide selective autolytic debridement, speed granulation and epithelialization, decrease infection, and increase patient comfort. A large variety of primary dressings are available to custom-make a bandage appropriate to each stage of wound healing. This article discusses the principles of moist wound healing, selection and application of primary dressings, special considerations for applying and changing bandages and splints, and prevention of bandage complications.

Administration, Cutaneous↗
PubMed2005

Clinical audit of subjects with snoring & sleep apnoea/hypopnoea syndrome fitted with mandibular repositioning splint.

Snoring and obstructive sleep apnoea/hypopnoea syndrome (OSAHS) are often treated with mandibular repositioning splints (MRS), but the efficacy and satisfaction of them has not been comprehensively addressed. A survey on the use of and satisfaction with MRS was posted to 177 patients referred by a hospital orthodontic department for custom-fitting of a MRS. Data were analysed using non-parametric techniques. The response rate was 81% (n=144). Responders (30F, 114M) had mean (SD) age of 51 (11) years, apnoea+hypopnoea index (AHI) of 24 (21) per hr and Epworth Score of 10 (5) at diagnosis, and had been supplied with their MRS a median 7 (IQR 5-11) months previously. Fifty of the 144 patients (35%) had been offered continuous positive airway pressure (CPAP) treatment but had declined or abandoned this. Self-reported MRS use was 5 (2) h/night, with 74 of the 144 patients (51%) continuing to use MRS at least occasionally at a median 7 months after fitting. Survival analysis showed 12% still using MRS at 12 months. Epworth score fell slightly with MRS therapy [-2.4 (3.5); P=0.005] and 7 daytime and 2 nocturnal symptoms improved in MRS users (all P<0.05). Marital satisfaction did not change with MRS. Problems preventing MRS use in 70 non-users included: non-retention (n=12), sore mouth (n=13) or jaw (n=7), difficulties falling asleep (n=10) or breathing (n=7), excessive salivation (n=4), dental damage (n=4) and other problems (n=3). Continued use of MRS therapy was associated with a higher number of teeth, low marital satisfaction perceived by partners and greater improvement in symptoms reported by patients and partners. Continuance with MRS may be low and linked to tolerance problems.

Continuous Positive Airway Pressure↗
PubMed1996

Air-splint pressure effect on soleus muscle alpha motoneuron reflex excitability in subjects with spinal cord injury.

OBJECTIVE: This study investigated circumferential pressure effect on soleus motoneuron reflex excitability in subjects with spinal cord injury (SCI). SETTING: A university neuromuscular research laboratory. SUBJECTS: Six men with SCI, clinical level above L1. OUTCOME MEASURES AND INTERVENTION: Soleus motoneuron reflex excitability was assessed by measuring the average change in the peak-to-peak amplitude of 10 H-reflexes before (baseline), during (1, 3, and 5min) and after (1, 3, and 5min) pressure application. Pressure was applied to the lower leg by manually inflating an air-splint to a maintained range of 36.7 to 40.8mmHg for 5 minutes, after which it was deflated. DESIGN: Repeated measures, planned comparison. Dependent variables compared with baseline values only in post hoc tests. RESULTS: A one-way analysis of variance for repeated measures demonstrated significant difference (F6,30 = 4.03; p = .004) in the H-reflex amplitude across test conditions. Post hoc t tests (with Bonferroni's correction for multiple comparisons, p < or = .008) revealed a significant H-reflex amplitude reduction at 1, 3, and 5 minutes of pressure application when measurements were compared with the baseline value. Postpressure measurements returned to baseline; however, the third minute measurement was significantly greater than baseline values. CONCLUSIONS: Circumferential pressure applied to the lower leg decreased soleus muscle alpha motoneuron reflex excitability in subjects with SCI. This inhibition lasted only as long as the pressure was applied. Circumferential pressure application may be useful when a temporary decrease in muscle activity is a therapeutic goal in patients with SCI.

Adult↗