No coin nor oath required. For personal study only.
The authors recognize the inconvenience of intermaxillary fixation and have formulated criteria for conservative therapy in certain mandibular fractures. First, there should be no radiographic or clinical evidence of distraction a t the fracture site initially or after reduction, even if a slight malocclusion was present. The occlusion must return to its preinjury position within five days. Second, in the presence of radiographic or clinical evidence of distraction of the fragments in nontoothbearing areas, the occlusion remained normal.
Antibiotics were used only when open reductions were done, or when the patient's medical history indicated their use. Patients with third molars in the line of fracture who were treated without maxillomandibular fixation had the involved teeth removed two to six weeks after injury. If open reduction was done via intraoral or extraoral technique, the tooth was removed at the time of surgery. All other nonfractured teeth in the line of fracture were retained. A liquid diet was prescribed for seven to ten days after injury, following which a soft diet was prescribed for two to three weeks. Patient cooperation was found to be extremely high and the patients generally were conscientious about home care and following instructions.
๐ SIMILAR VOLUMES
The authors review their neck dissections for head and neck cancer performed between 1961 and 1982. A total of 1,500 functional neck dissections were performed on 843 patients. Eighty percent of these were performed in the absence of clinical metastases, and in 77%, bilateral, functional neck dissec