Management of Complications in Oral and Maxillofacial Surgery 1st Edition by Michael Miloro, Antonia Kolokythas ISBN 9780813820521
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Authors:Michael Miloro; Antonia Kolokythas , Author sort:Miloro, Michael & Kolokythas, Antonia , Published:Published:Nov 2011
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ISBN 13: 9780813820521
Author: Michael Miloro, Antonia Kolokythas
Aimed at oral and maxillofacial surgeons, this text is the first to concentrate solely on the management of complications associated with head and neck surgical procedures. Assuming the readers have an advanced level of surgical knowledge allows the authors more scope to focus on the problems encountered. The editors are well-respected, with Antonia Kolokythas listed in the Dental Products Report’s ‘Top 25 women in dentistry 2012’, whose interest lies with oral cancer research, whilst Michael Miloro’s clinical profile includes bone grafting and microneurosurgery.
The first chapter highlights the importance of identifying patient risk, which will ultimately impact on treatment success. Complications associated with general anaesthesia are described and provide a useful reference to guide informed consent for many surgical procedures.
Whilst written primarily for specialists, chapters are applicable to others outside the field. ‘Maxillofacial trauma’ contains comprehensive information on mandibular fractures – a common presentation in accident and emergency, suitable for trainees. Chapter nine, entitled ‘Cosmetic surgery’, is useful for GDPs considering expanding their clinical repertoire to include facial aesthetics, as it describes the management of complications related to botox and injectable fillers.
The book fails to acknowledge the importance of collaboration between the maxillofacial surgeon and other members of the dental team, most notably in Chapter 12 entitled ‘Lip cancer’, where there is only brief reference to the dental implications associated with radiotherapy. There is opportunity to expand this text to include those complications, including mucositis, xerostomia and rampant caries, which can have devastating effects on the patient.
The modern text refers to new imaging techniques including three-dimensional cone beam computed tomography and computer-assisted surgery, for example in hard tissue reconstruction in Chapter 13, which can significantly reduce post-operative complications by simulating a surgical plan and fabricating a template to guide bone grafting.
I expect this will be a popular reference text for many oral and maxillofacial specialists. However, I feel it could benefit from further editing to break down the written content with more images and data reference boxes, thus appealing to a wider audience who have a particular interest in the topic.
Management of Complications in Oral and Maxillofacial Surgery 1st Edition Table of contents:
Part 1: Introduction to Complications in Oral and Maxillofacial Surgery
- Overview of Complications in Oral and Maxillofacial Surgery
- Definition and classification of surgical complications
- Preoperative risk assessment
- Strategies for minimizing complications
- Ethical and Legal Considerations in Managing Surgical Complications
- Patient consent and communication
- Legal implications of complications in surgery
Part 2: Complications in Dentoalveolar Surgery
- Complications of Tooth Extraction
- Alveolar fractures, root fractures
- Dry socket (Alveolar osteitis)
- Infection and hemorrhage
- Surgical Management of Impacted Teeth
- Nerve injury during third molar extraction
- Complications in complex extractions (e.g., unerupted teeth)
- Complications in Apical Surgery
- Periapical abscess formation
- Failure of root-end resection or retrograde filling
Part 3: Complications in Orthognathic and Craniofacial Surgery
- Complications in Orthognathic Surgery
- Infection, bleeding, and scarring
- Temporomandibular joint dysfunction
- Nerve injuries (e.g., inferior alveolar nerve)
- Craniofacial Surgery: Complications and Management
- Issues in reconstructive surgery (e.g., soft tissue complications)
- Bone grafting complications
- Failure of fixation and alignment
Part 4: Complications in Implant Surgery
- Implant Placement and Failure
- Causes of implant failure
- Infection and soft tissue complications
- Peri-implantitis and bone resorption
- Complications of Bone Grafting Procedures
- Graft resorption and non-union
- Infections and vascular complications
- Soft tissue complications
Part 5: Soft Tissue Complications
- Wound Healing and Soft Tissue Infections
- Management of surgical site infections
- Delayed wound healing in compromised patients
- Scar formation and revision techniques
- Complications in Aesthetic Facial Surgery
- Postoperative swelling, bruising, and tissue necrosis
- Facial nerve injury and its management
- Aesthetic outcomes and revision surgery
Part 6: Neurologic and Vascular Complications
- Neurologic Complications
- Nerve injury and neuropathic pain (e.g., inferior alveolar nerve, facial nerve)
- Management of post-surgical paresthesia or anesthesia
- Surgical strategies for nerve repair
- Vascular Complications
- Hemorrhage control and management
- Arterial and venous complications in maxillofacial surgery
- Management of hematomas and postoperative bleeding
Part 7: Special Considerations and Systemic Complications
- Management of Complications in Medically Compromised Patients
- Management strategies for patients with diabetes, cardiovascular disease, or immune disorders
- Anesthesia considerations and postoperative care
- Psychological Complications
- Managing anxiety and psychological stress in patients
- Postoperative depression and coping strategies
Part 8: Postoperative Complications and Follow-up
- Postoperative Pain Management
- Acute and chronic pain management techniques
- Pharmacologic and non-pharmacologic interventions
- Long-Term Complications and Follow-up Care
- Ongoing surveillance for infection and healing issues
- Managing chronic complications in the long-term recovery phase
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