Intracranial Pressure Monitors
Key points • Intracranial pressure monitors are indicated in patients with severe traumatic brain injury and a Glasgow Coma Scale score between 3 and 8 or for acute hydrocephalus. •…
Tube Thoracostomy
Key points • Tube thoracostomy is the insertion of a tube into the pleural cavity to facilitate drainage of air and fluid. • Tube thoracostomy can be used as both…
Central Venous Access Techniques
Key points • Central venous access can be obtained if peripheral venous access is inadequate or if there is a need for total parenteral nutrition administration, invasive hemodynamic monitoring, transvenous…
Focused Assessment with Sonography for Trauma
Key points • Focused assessment with sonography for trauma (FAST) is a technique used for identifying fluid in the abdomen, pelvis, or pericardium. It involves 4 cardinal views: right (hepatic/renal),…
Percutaneous Dilatational Tracheostomy
Key points • Percutaneous dilatational tracheostomy (PDT) is a safe procedure that can be performed at the bedside. • There is a learning curve associated with PDT. • Patient selection…
Open Tracheostomy Procedure
Key points • Open tracheostomy allows for visualization of critical structures in the neck. • Visualization of important structures is a major advantage of the open tracheotomy procedure. • Midline…
Adjuncts for Care of the Surgical Patient
Sidney L. Bourgeois Jr, DDS, Editor Our specialty has a long history of managing patients with complex medical problems and multisystem traumatic injuries. Our population is aging and living longer,…
Dedication
I would like to dedicate this clinic to my mentors both in Oral and Maxillofacial Surgery and during my service in the US Navy. Over the years they have taught…
Forthcoming Issues
Forthcoming Issues March 2016 Orthognathic Surgery Steven M. Sullivan, Editor September 2016 Upper Facial Rejuvenation Faisal A. Quereshy, Editor Previous Issues March 2015 Diagnosis and Management of Neck Masses David…
Contributors
Editor SIDNEY L. BOURGEOIS Jr, DDS Chief, Dental Service, Chief, Oral and Maxillofacial Surgery, Syracuse Veterans Affairs Medical Center; Clinical Assistant Instructor, SUNY-Upstate Medical University, Department of Surgery, Dental Division,…
Adjuncts for Care of the Surgical Patient
ATLAS OF THE ORAL AND MAXILLOFACIAL SURGERY CLINICS OF NORTH AMERICA www.oralmaxsurgeryatlas.theclinics.com Consulting Editor RICHARD H. HAUG September 2015 • Volume 23 • Number 2
Genioplasty
Key points • Genioplasty procedures are mostly performed as part of the orthognathic surgical correction of dentofacial deformities. • The clinical and radiographic assessment of the chin should, therefore, form…
Surgically Assisted Maxillary Expansion
Key points • The transverse dimension of the maxillomandibular complex must be evaluated, diagnosed, and addressed to achieve stability after orthognathic correction. • Orthopedic maxillary expansion (nonsurgical) is effective and…
Computer-Assisted Surgical Simulation for Concomitant Temporomandibular Joint Custom-Fitted Total Joint Reconstruction and Orthognathic Surgery
Key points • Temporomandibular joint conditions and dentofacial deformities commonly coexist. • Combined orthognathic and total joint reconstruction cases can be predictably performed in one stage. • The application of…
Implications of Sequencing in Simultaneous Maxillary and Mandibular Orthognathic Surgery
Key points • If one performs mandibular surgery first, rigid fixation is mandatory. • Counterclockwise rotation is easier to do when operating the mandible first. • Clockwise rotation is easier…
Intraoral Vertical Ramus Osteotomy Procedure and Technique
Key points • Intraoral vertical ramus osteotomy is a useful osteotomy for mandibular setback and rotational movements of the mandible. • The correct placement of the osteotomy is critical to…
The Bilateral Sagittal Split Mandibular Ramus Osteotomy
Key points • Sound technical craft requires a consistent surgical routine. • Knowledge of the tips and traps associated with each surgical step makes surgical efforts occur smoothly. • Correct…
