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Biomedical subjects

L B Kaban

Publications and source records attributed to L B Kaban.

143 records · Page 8Linked to original sources

Postoperative physiotherapy device for mandibular hypomobility.

The most difficult problem in the treatment of ankylosis of the temporomandibular joint is to maintain the immediate jaw mobility gained by surgery over a long period of time. This article describes a spring-loaded device for physiotherapy which provides an active opening force from the mandibular splint, distributed against a splint on the maxillary teeth and hard palate. Because the force is continuous and broadly distributed, patients have been able to exercise with minimal discomfort, and they have been able to maintain their initial postoperative mobility.

Ankylosis↗

Idiopathic failure of eruption of permanent molar teeth.

Failure of permanent teeth to erupt without any known cause is a seldom occurring phenomenon. However, it brings to light our ignorance of the basic physiologic mechanism of tooth eruption. In this article we present five patients with unerupted permanent molar teeth. In all instances, no obvious cause exists. Indications for operative intervention and management are discussed, but the cases are also presented to focus attention on our lack of knowledge of the physiology of tooth eruption.

Child↗

The use of epsilon-aminocaproic acid for the management of hemophilia in dental and oral surgery patients.

The use of epsilon-aminocaproic acid has proved to be an efficient and practical method for treating hemophiliacs who require dental work. In the past, patients requiring extractions were admitted to a hospital for approximately ten days and received replacement infusions every 12 hours during their stay. This resulted in a large expense because of the cost of the material and the hospitalization itself, not to mention the trauma sustained by the patient both physically and psychologically. Also, by decreasing the number of factor infusions, the risk of complications such as the transmission of hepatitis, allergic reaction, or inhibitor formation decreased. The same protocol using a single infusion of the appropriate factor replacement with supplementary epsilon-aminocaproic acid can be used for the management of patients with other coagulation disorders such as factor IX deficiency (Christman disease), factor XI deficiency, and von Willebrand's disease. Since this paper was submitted, seven more patients have been treated using this protocol. An additional seven odontectomies, 33 extractions, operative dentistry in 18 quadrants, and alveoloplasties in two full arches have been performed. This brings the total to 23 treatment sesions with 18 patients undergoing 124 procedures. One additional minor bleeding episode occurred, resulting in a total rate of four bleeding episodes in 23 treatment sessions and 124 procedures. Our incidence of complications secondary to epsilon-aminocaproic acid specifically remains zero.

Adolescent↗

Surgical treatment of mandibular hypomobility.

Mandibular hypomobility may be the result of a number of intra- and extra-articular conditions. Its treatment, predicated on an accurate diagnosis, varies from minor manipulative maneuvers to several surgical procedures. The applicability of coronoidectomy, in certain conditions, has become increasingly important.

Adolescent↗

[Animal models for investigating the possibility of cleft lip surgery in utero].

The continuous refinement and further development of prenatal diagnostics and of anesthesiologic as well as operative techniques have rendered fetal surgery a point of major clinical interest. In view of the present clinical results of prenatal surgery in the human fetus, the question arises, if it is wise to include the correction of craniofacial malformations in the indications for intrauterine surgery and thus to allow the qualitative advantages of fetal wound healing patterns to be utilized. In the present experimental study an animal model using rabbits is presented, which allows successful intrauterine surgery of the craniofacial area.

Animals↗