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Article ; Online: Neurosensory anatomy and function in

Bazzana-Adams, Kayla D / Evans, David C / Reisz, Robert R

iScience

2023 Volume 26, Issue 4, Page(s) 106473

Abstract: ... ...

Abstract	Dimetrodon
Language	English
Publishing date	2023-03-21
Publishing country	United States
Document type	Journal Article
ISSN	2589-0042
ISSN (online)	2589-0042
DOI	10.1016/j.isci.2023.106473
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Article ; Online: Present and Future Trends in Transoral Surgical Intervention: Maximal Surgery, Minimally Invasive Surgery, and Transoral Robotic Surgery.

Halpern, Leslie R / Adams, David R

Oral and maxillofacial surgery clinics of North America

2021 Volume 33, Issue 2, Page(s) 263–273

Abstract: Oral and maxillofacial surgery (OMFS) has undergone a renaissance/metamorphosis as a specialty and in the technologic innovations that have enhanced the surgical care of patients. This article reviews traditional maximal transoral approaches in the ... ...

Abstract	Oral and maxillofacial surgery (OMFS) has undergone a renaissance/metamorphosis as a specialty and in the technologic innovations that have enhanced the surgical care of patients. This article reviews traditional maximal transoral approaches in the management of common pathologic lesions seen by OMFS, and compares these techniques with a literature review that applies minimally invasive technology and innovative robotic surgery (transoral robotic surgery) to treat similar lesions. The traditional approaches described in this article have transcended generations and future trends are suggested that will improve the training of the OMFS legacy as clinicians move forward in the care of patients.
MeSH term(s)	Humans ; Minimally Invasive Surgical Procedures ; Robotic Surgical Procedures
Language	English
Publishing date	2021-02-03
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	1316546-x
ISSN	1558-1365 ; 1042-3699
ISSN (online)	1558-1365
ISSN	1042-3699
DOI	10.1016/j.coms.2020.12.003
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Article ; Online: Surgical Reduction of Chronic Bilateral Traumatic Dislocation of the Mandibular Condyles With Erosion of the Middle Fossa Floor: Case Report With Surgical Video.

Agnoletto, Guilherme J / Couldwell, Sandrine / Halpern, Leslie R / Adams, David R / Couldwell, William T

Operative neurosurgery (Hagerstown, Md.)

2024 Volume 22, Issue 3, Page(s) 144–149

Abstract: Background: Dislocation of the mandibular condyle (MC) is not a common condition, but when a traumatic case involves erosion of the middle fossa floor, it becomes a much more complicated and even rarer pathology.: Objective: To describe the ... ...

Abstract	Background: Dislocation of the mandibular condyle (MC) is not a common condition, but when a traumatic case involves erosion of the middle fossa floor, it becomes a much more complicated and even rarer pathology. Objective: To describe the management of traumatic dislocation of the MCs with erosion of the middle fossa floor. We provide a step-by-step surgical video demonstrating reestablishment of the condylar position and occlusion. Methods: A 65-yr-old woman with rheumatoid arthritis presented after a ground-level fall. She was admitted to the intensive care unit with simultaneous complex medical conditions, intubated, and medically treated for over a month. She was seen in outpatient follow-up 2 mo later and noted to have an anterior open bite and bilateral temporomandibular joint pain. Computed tomography of the face showed bilateral dislocation of the MCs with erosion of the middle fossa floor. Results: Open surgical treatment with bilateral eminectomies was performed to obtain adequate reduction, involving a multidisciplinary team including neurosurgery, oral-maxillofacial surgery, and otolaryngological surgery. She did well postoperatively. Conclusion: Multiple factors predispose a patient to MC dislocation, but we believe the catalyst in this case was significant manipulation of the jaw during endotracheal intubation. A chronic postoperative open bite can lead to much more difficult treatment, given bony erosion and fibrotic tissue formation. This case highlights the challenges of diagnosis and treatment of a bilateral traumatic dislocation and provides a surgical video reference description of repair and resolution.
MeSH term(s)	Female ; Humans ; Joint Dislocations/diagnostic imaging ; Joint Dislocations/surgery ; Mandibular Condyle/surgery ; Open Bite/complications ; Open Bite/surgery ; Tomography, X-Ray Computed ; Temporomandibular Joint/surgery
Language	English
Publishing date	2024-02-20
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	2767575-0
ISSN	2332-4260 ; 2332-4252
ISSN (online)	2332-4260
ISSN	2332-4252
DOI	10.1227/ONS.0000000000000048
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Article ; Online: Failure to Rescue: A Quality Metric for Cardiac Surgery and Cardiovascular Critical Care.

Gross, Caroline R / Adams, David H / Patel, Parth / Varghese, Robin

The Canadian journal of cardiology

2023 Volume 39, Issue 4, Page(s) 487–496

Abstract: Failure to rescue, defined as mortality after a surgical complication, is a widely accepted quality metric across many specialties and is becoming an important metric in cardiac surgery. The failure to rescue metric provides a target for improvements in ... ...

Abstract	Failure to rescue, defined as mortality after a surgical complication, is a widely accepted quality metric across many specialties and is becoming an important metric in cardiac surgery. The failure to rescue metric provides a target for improvements in patient outcomes after complications occur. To be used appropriately, the failure to rescue metric must be defined using a prespecified set of life-threatening and rescuable complications. Successful patient rescue requires a systematic approach of complication recognition, timely escalation of care, effective medical management, and mitigation of additional complications. This process requires contributions from cardiac surgeons, intensivists, and other specialists including cardiologists, neurologists, and anaesthesiologists. Factors that affect failure to rescue rates in cardiac surgery and cardiovascular critical care include nurse staffing ratios, intensivist coverage, advanced specialist support, hospital and surgical volume, the presence of trainees, and patient comorbidities. Strategies to improve patient rescue include working to understand the mechanisms of failure to rescue, anticipating postoperative complications, prioritizing microsystem factors, enhancing early escalation of care, and educating and empowering junior clinicians. When used appropriately, the failure to rescue quality metric can help institutions focus on improving processes of care that minimize morbidity and mortality from rescuable complications after cardiac surgery.
MeSH term(s)	Humans ; Hospital Mortality ; Cardiac Surgical Procedures ; Postoperative Complications/epidemiology ; Critical Care ; Hospitals
Language	English
Publishing date	2023-01-05
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	632813-1
ISSN	1916-7075 ; 0828-282X
ISSN (online)	1916-7075
ISSN	0828-282X
DOI	10.1016/j.cjca.2023.01.001
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Article ; Online: The Dentoalveolar Surgical Patient: Perioperative Principles Based on Contemporary Controversies.

Halpern, Leslie R / Adams, David R

Oral and maxillofacial surgery clinics of North America

2020 Volume 32, Issue 4, Page(s) 495–510

Abstract: Dentoalveolar surgery comprises more than 50% of the practice of oral and maxillofacial surgeons worldwide and is the most commonly performed category of surgical procedure. Optimal strategies for management of many medical problems, however, remain ... ...

Abstract	Dentoalveolar surgery comprises more than 50% of the practice of oral and maxillofacial surgeons worldwide and is the most commonly performed category of surgical procedure. Optimal strategies for management of many medical problems, however, remain unclear. Remaining current on medical and surgical perioperative strategies is a standard for best practice. This article provides contemporary approaches for the perioperative management of patients presenting for dentoalveolar surgery. Attention will be directed to the perioperative management of cardiovascular disease, diabetes, and obesity. These diseases are chosen owing to controversies with respect to good scientific evidence that supports a standard of perioperative care.
MeSH term(s)	Humans ; Oral and Maxillofacial Surgeons ; Perioperative Care
Language	English
Publishing date	2020-09-07
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	1316546-x
ISSN	1558-1365 ; 1042-3699
ISSN (online)	1558-1365
ISSN	1042-3699
DOI	10.1016/j.coms.2020.07.004
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Article ; Online: Medically Complex Dental Implant Patients: Controversies About Systemic Disease and Dental Implant Success/Survival.

Halpern, Leslie R / Adams, David R

Dental clinics of North America

2020 Volume 65, Issue 1, Page(s) 1–19

Abstract: Advances in dental implant therapy have created choices to enhance the expectations of dental practitioners and their patients with respect to oral rehabilitation at any age after childhood and regardless of, in most cases, medical disabilities. The ... ...

Abstract	Advances in dental implant therapy have created choices to enhance the expectations of dental practitioners and their patients with respect to oral rehabilitation at any age after childhood and regardless of, in most cases, medical disabilities. The medical status of the patient however can significantly influence the success rate of dental implant therapy. This article applies the hierarchy of scientific evidence ranging from case reports, retrospective, prospective cohort investigations, systematic reviews, and meta-analyses criteria in order to determine whether dental implant placement in medically compromised patients yields any detrimental sequelae.
MeSH term(s)	Child ; Dental Implantation, Endosseous ; Dental Implants ; Dental Restoration Failure ; Dentists ; Humans ; Professional Role ; Prospective Studies ; Retrospective Studies
Chemical Substances	Dental Implants
Language	English
Publishing date	2020-10-09
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	392075-6
ISSN	1558-0512 ; 0011-8532
ISSN (online)	1558-0512
ISSN	0011-8532
DOI	10.1016/j.cden.2020.08.001
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Article ; Online: Impacts of Socioeconomic Status on Dentoalveolar Trauma.

Feller, Christina N / Adams, Jazzmyne A / Friedland, David R / Khani, Masoud / Luo, Jake / Poetker, David M

WMJ : official publication of the State Medical Society of Wisconsin

2023 Volume 122, Issue 1, Page(s) 32–37

Abstract: Introduction: Children sustain dentoalveolar trauma and lose teeth at the same rate regardless of socioeconomic status; however, debate surrounds these rates in adults. It is known socioeconomic status plays a major role in access and treatment in ... ...

Abstract	Introduction: Children sustain dentoalveolar trauma and lose teeth at the same rate regardless of socioeconomic status; however, debate surrounds these rates in adults. It is known socioeconomic status plays a major role in access and treatment in health care. This study aims to clarify the role of socioeconomic status as a risk factor for dentoalveolar trauma in adults. Methods: A single center retrospective chart review took place from January 2011 through December 2020 for patients requiring oral maxillofacial surgery consultation in the emergency department, due to either dentoalveolar trauma (Group 1) or other dental condition (Group 2). Demographic information including age, sex, race, marital status, employment status, and type of insurance were collected. Odds ratios were calculated by chi-square analysis with significance set at Results: Over the course of 10 years, 247 patients (53% female) required an oral maxillofacial surgery consultation, with 65 (26%) sustaining dentoalveolar trauma. Within this group, there were significantly more subjects who were Black, single, insured with Medicaid, unemployed, and 18 - 39 years old. In the nontraumatic control group, there were significantly more subjects who were White, married, insured with Medicare, and 40 - 59 years old. Conclusions: Among those seen in the emergency department requiring an oral maxillofacial surgery consultation, those with dentoalveolar trauma have an increased likelihood of being single, Black, insured with Medicaid, unemployed, and 18 - 39 years old. Further research is needed to determine causality and the most critical/influential socioeconomic status factor in sustaining dentoalveolar trauma. Identifying these factors can assist in developing future community-based prevention and educational programs.
MeSH term(s)	Aged ; Child ; Adult ; Humans ; Female ; United States ; Adolescent ; Young Adult ; Middle Aged ; Male ; Retrospective Studies ; Medicare ; Risk Factors ; Social Class ; Socioeconomic Factors
Language	English
Publishing date	2023-03-20
Publishing country	United States
Document type	Journal Article
ZDB-ID	441051-8
ISSN	2379-3961 ; 0043-6542 ; 1098-1861
ISSN (online)	2379-3961
ISSN	0043-6542 ; 1098-1861
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Article ; Online: Mpox Virus in Pregnancy, the Placenta, and Newborn.

Schwartz, David A / Ha, Sandy / Dashraath, Pradip / Baud, David / Pittman, Phillip R / Adams Waldorf, Kristina

Archives of pathology & laboratory medicine

2023 Volume 147, Issue 7, Page(s) 746–757

Abstract: Context.—: Before its eradication, the smallpox virus was a significant cause of poor obstetric outcomes, including maternal and fetal morbidity and mortality. The mpox (monkeypox) virus is now the most pathogenic member of the Orthopoxvirus genus ... ...

Abstract	Context.—: Before its eradication, the smallpox virus was a significant cause of poor obstetric outcomes, including maternal and fetal morbidity and mortality. The mpox (monkeypox) virus is now the most pathogenic member of the Orthopoxvirus genus infecting humans. The 2022 global mpox outbreak has focused attention on its potential effects during pregnancy. Objective.—: To understand the comparative effects of different poxvirus infections on pregnancy, including mpox virus, variola virus, vaccinia virus, and cowpox virus. The impact on the pregnant individual, fetus, and placenta will be examined, with particular attention to the occurrence of intrauterine vertical transmission and congenital infection. Data sources.—: The data are obtained from the authors' cases and from various published sources, including early historical information and contemporary publications. Conclusions.—: Smallpox caused maternal and perinatal death, with numerous cases reported of intrauterine transmission. In endemic African countries, mpox has also affected pregnant individuals, with up to a 75% perinatal case fatality rate. Since the start of the 2022 mpox outbreak, increasing numbers of pregnant women have been infected with the virus. A detailed description is given of the congenital mpox syndrome in a stillborn fetus, resulting from maternal-fetal transmission and placental infection, and the potential mechanisms of intrauterine infection are discussed. Other poxviruses, notably vaccinia virus and, in 1 case, cowpox virus, can also cause perinatal infection. Based on the historical evidence of poxvirus infections, mpox remains a threat to the pregnant population, and it can be expected that additional cases will occur in the future.
MeSH term(s)	Infant, Newborn ; Female ; Humans ; Pregnancy ; Monkeypox virus ; Mpox (monkeypox) ; Placenta ; Orthopoxvirus ; Variola virus ; Poxviridae Infections ; Vaccinia virus
Language	English
Publishing date	2023-03-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	194119-7
ISSN	1543-2165 ; 0363-0153 ; 0096-8528 ; 0003-9985
ISSN (online)	1543-2165
ISSN	0363-0153 ; 0096-8528 ; 0003-9985
DOI	10.5858/arpa.2022-0520-SA
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Article ; Online: AOA Critical Issues: A Culture of Safety Across All Orthopaedic Professional Endeavors.

Ring, David / Adams, Julie / Samora, Julie / Kamal, Robin

The Journal of bone and joint surgery. American volume

2024 Volume 106, Issue 7, Page(s) 654–658

Abstract: Abstract: Medical professionals strive for a culture of safety in which error is anticipated, systems are designed to catch an error before it causes harm, and each event is an opportunity for specific clinicians and the system they work in to improve. ... ...

Abstract	Abstract: Medical professionals strive for a culture of safety in which error is anticipated, systems are designed to catch an error before it causes harm, and each event is an opportunity for specific clinicians and the system they work in to improve. A culture of safety is based on behavioral ethics, which recognizes that the automatic functions of the human mind can lead good people to misstep, and it incorporates tools such as checklists that embody critical thinking in order to help limit missteps and associated harm. Although the discussion surrounding a culture of safety often focuses on patient care, the social contract between physicians and society involves expectations that physicians will use their expertise to promote the public good in all of their professional endeavors. For example, lapses in professional conduct in the management of conflicts of interest and in ethical marketing have led to restrictions in physician self-regulation. Orthopaedic surgeons can cultivate a culture of safety and a growth mindset across all aspects of the profession, including media coverage of musculoskeletal illness, surgeon participation in informational media (e.g., podcasts and blogs), the marketing of oneself or one's practice, practice patterns and variations, academic discourse, expert legal testimony, the development and implementation of policy and law, and commercial ventures. Systems that anticipate the human potential for missteps; create tools, tactics, and structures to limit missteps and associated harm; and support surgeons and their teams in all professional endeavors can contribute to the effective and fulfilling promotion of the public good.
MeSH term(s)	Humans ; Orthopedics ; Communication ; Physicians
Language	English
Publishing date	2024-01-09
Publishing country	United States
Document type	Journal Article
ZDB-ID	220625-0
ISSN	1535-1386 ; 0021-9355
ISSN (online)	1535-1386
ISSN	0021-9355
DOI	10.2106/JBJS.23.00784
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Article ; Online: Duration of effectiveness of coblation for recurrent epistaxis in hereditary hemorrhagic telangiectasia.

Feller, Christina N / Adams, Jazzmyne A / Friedland, David R / Poetker, David M

American journal of otolaryngology

2022 Volume 43, Issue 3, Page(s) 103409

Abstract: Introduction: Hereditary hemorrhagic telangiectasia (HHT) is an autosomal dominant disease leading to recurrent epistaxis, telangiectasias, and/or visceral arteriovenous malformations. Multiple treatment methods, including both pharmacologic and ... ...

Abstract	Introduction: Hereditary hemorrhagic telangiectasia (HHT) is an autosomal dominant disease leading to recurrent epistaxis, telangiectasias, and/or visceral arteriovenous malformations. Multiple treatment methods, including both pharmacologic and surgical, are described to be effective in managing symptomatic HHT. Few report the duration of symptom improvement for each of these treatment methods. This study aims to analyze the duration of effectiveness of coblation treatment for recurrent epistaxis in those with HHT. Methods: Retrospective single-center chart review was completed for patients diagnosed with HHT who underwent coblation treatment by the same otolaryngologist from December 2009 to November 2021. Demographic information was collected along with whether local Bevacizumab was used during each treatment. Months between treatment coblation sessions was used as a surrogate for duration of treatment effectiveness. Descriptive statistics were used for analysis alongside quantitative statistical analysis. Results: Over the course of 12 years, 57 patients (24 female, 42.11%) with HHT underwent a total number of 150 coblation treatments. The average age at initial coblation was 59 years (29-88) with an average follow-up time of 5 years (1-12 years). Of the 150 coblations, 30 treatments (20%) included bevacizumab injections into the nasal cavity. The average duration of treatment effectiveness across all 150 treatment sessions was 24.5 months (1-87 months). Of the 26 patients (46%) that underwent multiple coblation treatments, the overall average duration of coblation effectiveness was 16.4 months (1-72 mos). When Bevacizumab was utilized, the average duration of effectiveness was 18.3 months (3-62 mos), while the average duration of effectiveness for treatments without Bevacizumab was 15.7 months (1-87 mos, p > 0.251). Further, there was no correlation between duration of treatment effectiveness and age, sex, and race; yet,there was a significant negative correlation between the use of tobacco and duration of coblation effectiveness (p = 0.0202). Conclusions: Coblation is an effective treatment option for the management of epistaxis in patients with HHT with duration of benefit lasting approximately 2 years. The use of Bevacizumab did not add to the duration of treatment benefit. Further, the duration of benefit was negatively impacted by smoking history.
MeSH term(s)	Bevacizumab/therapeutic use ; Epistaxis/etiology ; Epistaxis/surgery ; Female ; Humans ; Retrospective Studies ; Telangiectasia, Hereditary Hemorrhagic/complications ; Telangiectasia, Hereditary Hemorrhagic/drug therapy ; Treatment Outcome
Chemical Substances	Bevacizumab (2S9ZZM9Q9V)
Language	English
Publishing date	2022-02-19
Publishing country	United States
Document type	Journal Article
ZDB-ID	604541-8
ISSN	1532-818X ; 0196-0709
ISSN (online)	1532-818X
ISSN	0196-0709
DOI	10.1016/j.amjoto.2022.103409
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