Monitoring for the Oral and Maxillofacial Surgeon

Bosack, Robert C.

doi:10.1016/j.coms.2016.12.008

Cited by 6 publications

(3 citation statements)

References 9 publications

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“…Surgical excision is the conventional treatment for oral and maxillofacial malignant tumors. 20,21 Postoperative radiotherapy is usually applied for high-grade malignant tumors and nerve-involved tumors. 22 Compared with surgical resection alone, surgical excision plus postoperative radiotherapy can greatly increase oral and maxillofacial malignancy local control and long-term survival rates.…”

Section: Discussionmentioning

confidence: 99%

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MR‐guided 125I seed implantation treatment for maxillofacial malignant tumor

Wang

Peng

et al. 2020

J Applied Clin Med Phys

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PurposeThis study assessed the therapeutic efficacy of postoperative magnetic resonance (MR)‐guided interstitial 125I seed implantation for treatment of oral and maxillofacial malignant tumors.Methods and MaterialsA total of 127 patients with oral or maxillofacial malignant tumors were included in this study who received interstitial 125I treatment after the surgery resection. Before implantation, all the patients received MR scans to assess the lesion scope, extent, and nature. 125I implantation target regions were based on the pre‐operative imaging. 125I seeds were delivered to target regions via puncture needles under the real‐time guidance of MR. Computed tomography (CT)or MR was performed immediately after implantation and again every 3 months later.ResultsAfter successful 125I implantation, all patients were also examined regularly to detect tumor recurrence, lymphatic, and distant metastases. To date, CT or MR verification showed that 13/127 patients experienced tumor recurrence or lymphatic metastasis or distant metastasis. No seeds migration was observed, no serious treatment‐related complications affected patient quality of life, and no important organ (such as major cervical vessels, spinal cord, etc.) injuries were observed.ConclusionOur results show that MR‐guided 125I implantation is an effective approach to site‐specific treatment for oral and maxillofacial tumor, which could potentially reduce postoperative complications and tumor recurrence rates, increase patient survival, and improve quality of life.

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Section: Discussionmentioning

confidence: 99%

“…Surgical excision is the conventional treatment for oral and maxillofacial malignant tumors 20,21 . Postoperative radiotherapy is usually applied for high‐grade malignant tumors and nerve‐involved tumors 22 .…”

Section: Discussionmentioning

confidence: 99%

MR‐guided 125I seed implantation treatment for maxillofacial malignant tumor

Wang

Peng

et al. 2020

J Applied Clin Med Phys

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“…Minimal and moderate sedation techniques are widely used in pediatric dentistry ( 48 ). While minimal and moderate sedation can be unpredictable compared to deep sedation, especially in complex and invasive dental procedures ( 48 ), using a higher depth of sedation can increase the chance of adverse events ( 49 ). In the current era of individualized medicine, there is a trade-off between the need for deep sedation and parental preference in pediatric dentistry, presenting a challenge for physicians in clinical practice.…”

Section: Discussionmentioning

confidence: 99%

Parental preferences for the procedural sedation of children in dentistry: a discrete choice experiment

Zhuge,

Zheng,

et al. 2023

Front. Pediatr.

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PurposeThe aim of this study was to explore parental preferences for the procedural sedation of children in dentistry through a discrete choice experiment (DCE) to inform clinical decisions and oral health management.MethodsBased on literature reviews, interviews with parents of pediatric dental patients, and expert consultation, six attributes, including fasting time, recovery time, sedative administration routes, adverse reactions, sedation depth and procedure cost, were incorporated into the DCE questionnaire. The DCE questionnaire collected data on parental preferences for pediatric dental sedation treatment from June to August 2022. A conditional logit model was used to analyze preference and willingness to pay (WTP) for each attribute and its level. Subgroup analyses assessing the impact of parents' dental anxiety on procedural sedation preferences were also conducted using conditional logit models.ResultsA total of 186 valid questionnaires were gathered. Parents' preferences for fewer adverse reactions, a milder sedation depth, lower out-of-pocket cost, shorter fasting and recovery times and administration by inhalation were significantly associated with their choice of sedation model. The conditional logit model showed that parents were most interested in treatments with no adverse reactions (0% vs. 15%) (Coef, 1.033; 95% CI, 0.833–1.233), followed by those providing minimal sedation (vs. deep sedation) (Coef, 0.609; 95% CI, 0.448–0.769). Moreover, the relative importance of adverse reactions and fasting time was higher among anxious than nonanxious parents. The study found a WTP threshold of ¥1,538 for reducing adverse reactions (15% to 0%). The WTP threshold for the best sedation procedure scenario (no fasting requirement, 10 min recovery time, administration by inhalation, 0% adverse reaction incidence and minimal sedation) was ¥3,830.ConclusionReducing the adverse reactions and depth of sedation are predominant considerations for parents regarding procedural sedation in pediatric dentistry, followed by lower cost, shorter fasting and recovery times and inhalation sedation. Parents with dental anxiety had a stronger preference for options with a lower incidence of adverse reactions and shorter fasting time than parents without dental anxiety. This discovery is helpful for doctors and can promote collaborative decision-making among parents and doctors.

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