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Do Patients Fear Undergoing General Anesthesia for Oral Surgery?
Jasmine R. Elmore BS,
 James H. Priest DDS, and
 Daniel M. Laskin DDS, MS
Article Category: Other
Volume/Issue: Volume 61: Issue 2
Online Publication Date: Jan 01, 2014
DOI: 10.2344/0003-3006-61.2.69
Page Range: 69 – 72

A study by the American Society of Anesthesiologists (ASA), reported in 2010, found that a lack of understanding and fear about general anesthesia has led to as many as 25% of patients postponing necessary surgery. 1 However, the attitude of patients about having general anesthesia specifically for oral surgery procedures has never been investigated. The purpose of this study was to determine if patients who need to undergo a general anesthetic for oral surgery have the same apprehension as those needing major surgery. It was hypothesized

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Yuki Kojima DDS, PhD,
 Kazuma Asano DDS,
 Takeshi Murouchi MD, PhD, and
 Kazuya Hirabayashi MD, MBA
Article Category: Case Report
Volume/Issue: Volume 70: Issue 3
Online Publication Date: Oct 18, 2023
Page Range: 128 – 133

complications. 1 For example, nonsteroidal anti-inflammatory drugs carry a substantial complication risk for patients with gastrointestinal or renal impairment. 2 Opioids are also commonly used for perioperative analgesia after oral and maxillofacial surgery; however, their use in elderly patients can increase the risk of delirium and postoperative nausea and vomiting. 3 Peripheral nerve blocks using an indwelling catheter and infusion pump system for continuous local anesthetic delivery have been demonstrated to be effective in various surgeries including those

Steven I. Ganzberg DMD, MS,
 Thomas Dietrich DDS,
 Manuel Valerin DDS, and
 F. Michael Beck DDS, MA
Article Category: Other
Volume/Issue: Volume 52: Issue 4
Online Publication Date: Jan 01, 2005
Page Range: 128 – 131

’’). Off label, triazolam has shown great utility as an anxiolytic-sedative for dental procedures. Orally administered triazolam, 0.5 mg, with 50% nitrous oxide in oxygen produces anxiolytic activity during oral surgery, which is comparable, on average, to 19 mg of intravenous diazepam. 1 Peak plasma levels of orally administered triazolam are generally reached within 2 hours after oral administration, with clinical sedative effects realized in as quickly as 30 minutes. 2 Additionally, triazolam has a short beta half-life, with a reported range of 1.5 to 5.5 hours

Soudeh Chegini,
 Kevin D Johnston,
 Athanasios Kalantzis, and
 Daljit K Dhariwal
Article Category: Research Article
Volume/Issue: Volume 59: Issue 2
Online Publication Date: Jan 01, 2012
Page Range: 69 – 74

Maxillary and mandibular osteotomies may be associated with significant blood loss and postoperative airway compromise. Deliberate hypotensive anesthesia, head up tilt, and local anesthesia with vasoconstrictor can reduce blood loss to the extent that blood transfusion is now uncommon. 1 It is, however, important to avoid excessive opioid-induced postoperative narcosis and respiratory depression associated with these techniques. Anesthetic maintenance with propofol and remifentanil is fast becoming the technique of choice for orthognathic surgery in our

Aya Oda,
 Keita Yoshida,
 Tamayo Uno,
 Taiga Yoshinaka,
 Akari Mukai, and
 Masahiro Irifune
Article Category: Brief Report
Volume/Issue: Volume 64: Issue 3
Online Publication Date: Jan 01, 2017
Page Range: 173 – 174

Hyperthyroidism is a preexisting disorder that is occasionally encountered by anesthesiologists during preanesthetic evaluations. Hyperthyroidism is usually accompanied by allergies, and there is a suggested relationship between the development of hyperthyroidism and the exacerbation of allergic disease. 1 Here, we report a case with palmoplantar pustulosis and hyperthyroidism diagnosed after simultaneous bimaxillary orthognathic surgery. The patient was a 39-year-old woman (height, 153.2 cm; weight, 48.4 kg) who suffered from

Saulo Gabriel Moreira Falci PhD,
 Thiago César Lima DDS,
 Carolina Castro Martins PhD,
 Cássio Roberto Rocha dos Santos PhD, and
 Marcos Luciano Pimenta Pinheiro PhD
Article Category: Research Article
Volume/Issue: Volume 64: Issue 3
Online Publication Date: Jan 01, 2017
Page Range: 136 – 143

In the field of oral and maxillofacial surgery, the removal of impacted third molars is considered a routine procedure. 1 This procedure can lead to painful symptoms, swelling, and disorders that may be transitory or permanent, including trismus and paresthesia. Pain is considered severe by 93% of patients in the first 24 to 48 hours after surgery. 2 Therefore, preoperative intake of anti-inflammatories should be considered to minimize pain (preemptive analgesia), swelling, and trismus in the postoperative period. 3 Preemptive

Nobuyuki Matsuura PhD, DDS,
 Taiki Okamura DDS,
 Satoko Ide PhD, DDS, and
 Tatsuya Ichinohe PhD, DDS
Article Category: Research Article
Volume/Issue: Volume 64: Issue 1
Online Publication Date: Jan 01, 2017
Page Range: 3 – 7

Major diseases requiring surgical treatment in the oral and maxillofacial region include malignant tumor, jaw deformity, and cleft lip and palate. Because both oral mucosa and bone marrow, which have abundant blood flow, are part of the surgical field, control of bleeding to ensure a clear surgical field is important for the smooth progression of surgery. Reduction of bleeding also helps to limit allogeneic blood transfusions and decrease the need for autologous blood transfusion, potentially enabling swifter postoperative recovery and fewer

Kyle J. Kramer DDS, MS,
 Steven Ganzberg DMD, MS,
 Simon Prior BDS, PhD, MS, and
 Robert G. Rashid DDS, MAS
Article Category: Other
Volume/Issue: Volume 59: Issue 3
Online Publication Date: Jan 01, 2012
Page Range: 107 – 117

portions of surgery. The short clinical half-lives of these opioids are particularly beneficial for ambulatory anesthesia, since patients tend to recover faster and have fewer side effects or complications once the drugs are either quickly redistributed or metabolized. Infusion combinations of propofol and remifentanil for induction and maintenance of deep sedation or nonintubated general anesthesia (DS/GA) have been shown to be safe and effective in providing analgesia, stable sedation/hypnosis, and satisfactory operating conditions along with a shorter recovery

Aiji Sato(Boku) DDS, PhD,
 Maki Morita DDS,
 MinHye So MD,
 Tetsuya Tamura MD, PhD,
 Fumiaki Sano MD,
 Yasuyuki Shibuya DDS, PhD,
 Jun Harada MD, PhD, and
 Kazuya Sobue MD, PhD
Article Category: Case Report
Volume/Issue: Volume 65: Issue 3
Online Publication Date: Jan 01, 2018
Page Range: 192 – 196

referred to the Nagoya City University Graduate School of Medical Sciences Department of Oral and Maxillofacial Surgery for evaluation of right mandibular tenderness diagnosed as osteomyelitis. Preoperative evaluation revealed moderate cardiac enlargement by chest radiograph (cardiothoracic ratio: 52%). Table 1.  Medical History Timeline* Sinus bradycardia (heart rate: 44 beats/min) and negative T waves (II, III, aV F , V3–6) were observed by 12-lead electrocardiogram

Mathew Cooke DDS, MD, MPH,
 Michael A. Cuddy DMD,
 Brad Farr DDS, and
 Paul A. Moore DMD, PhD, MPH
Article Category: Other
Volume/Issue: Volume 61: Issue 2
Online Publication Date: Jan 01, 2014
Page Range: 73 – 77

embolic stroke occurs when a blood clot or other debris forms away from the brain and is carried through the bloodstream to lodge in narrower brain arteries. Another cause of stroke is when bleeding occurs into brain tissue from a ruptured blood vessel (hemorrhagic stroke). 3 Stroke is a leading cause of morbidity and mortality. 4 Perioperative acute ischemic stroke is a recognized complication of noncardiac, nonvascular surgery. 5 Among the general population, the rate of acute ischemic stroke in the perioperative period has been reported to be as high as 0