The document discusses wound healing in the maxillofacial region. It begins with an introduction to wound healing processes and the layers of soft tissue in the maxillofacial region, including skin, muscle, cartilage, nerve and mucosa. It then covers soft tissue reactions to trauma, the phases of healing for different tissue types, and factors that can affect wound healing such as infection, ischemia and medication. Improper healing can lead to complications like dehiscence or scarring. The conclusion emphasizes the importance of understanding wound healing to optimize outcomes after facial injuries.
This seminar explains about the development, relations, ligaments, various attachments, vascular and nervous supply and various surgical approaches and its modifications to TMJ
Anatomy of the maxilla and its surgical implications /cosmetic dentistry coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.
This seminar explains about the development, relations, ligaments, various attachments, vascular and nervous supply and various surgical approaches and its modifications to TMJ
Anatomy of the maxilla and its surgical implications /cosmetic dentistry coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
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This topic has been presented by my lovely wife during her Orthopaedic rotation in HRPZ. My challenge is to redesign the slide using Zen approach. And Alhamdulillah it went very well. Good job Honey.
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BEDSORE (SOFT TISSUE CHRONIC WOUND) HEALING- By
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LED ( Ga-Al-As, 660) on Soft Tissue Healing: Review, Mechanism and A case report (Research Paper) -
Temporomandibular joint, a facial joint commonly undergoes internal derangement due to the abnormal position of the articular disc in relation to the condyle. Internal derangement of the TMJ is explained in detail in this presentation.
by - dr. sheetal kapse, 2nd year p.g. student, dept. of oral & maxillofacial surgery, RCDSR, Bhilai, C.G. please contact for any question...email id - sheetal.kpse@yahoo.com
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
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5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
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Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
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Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
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Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
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Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
3. INCLUSIONS
• Introduction
• Soft tissue layers in maxillofacial region
• Soft tissue reactions to trauma
• Healing of soft tissues
• Consequences of improper healing
• Factors affecting wound healing
• Conclusion
• References
Skin
Muscle
Cartilage
Nerve
Mucosa
4. INTRODUCTION
• The capacity for self-repair is crucial for the
survival of any organism, because without it the
organism would likely perish after minimal injury.
• A wound is a disruption in the normal anatomic
structure and function of tissue and is accompanied
by cellular damage.
5. INTRODUCTION
• Wound healing is an intricately coordinated series of
processes that involve cellular and subcellular
responses to tissue injury, leading to the release of
cytokines and growth factors, cell activation, and
resultant tissue regeneration.
6. INTRODUCTION
• The understanding of the remarkable cascade of events
involved in wound repair and healing is advancing
exponentially with the ongoing discoveries of the roles
of growth factors and signaling pathways.
• There is growing interest in stem cell research,
regenerative medicine applications, and bioactive
wound healing products.
15. Deep fat
compartments
The buccal fat pad
and its extensions
The prezygomatic space. This
space extends anteriorly to the
infraorbital area.
16.
17.
18. Michael Miloro, Scott Redlinger, Diane M. Pennington, Tommy Kolodge, In Situ
Location of the Temporal Branch of the Facial Nerve. Journal of Oral and Maxillofacial
Surgery. 2007; 65(12):2466–2469
20. Cellular responses to cell injury
autolysis, necrosis & apoptosis
gangrene & pathologic calcification
Harsh Mohan. Textbook of Pathology. India;
Jaypee Brothers Medical Publishers (P) Ltd; 2015.
21. Biosynthesis of prostaglandins (PG) and
leukotrienes(LT)
Tripathi KD. E,ssentials of Medical Pharmacology. India;
Jaypee Brothers Medical Publishers (P) Ltd; 2008.
22. Fonseca Raymond J,
Walker Robert V,
Barber H Dexter,
Powers, Michael P,
Frost David E. oral
and maxillofacial
trauma. China:
Saunders; 2013.
35. Wound healing of SKIN
Epidermal wound healing. Injury to
the epidermal layer induces epidermal
keratinocytes to undergo a process of
migration, mitosis, and maturation to
reconstitute the epidermis and restore
barrier function.
36. Overview of the wound healing response.
The panels show progressive phases of
wound healing.
A, The early wound (day 2) exhibits many
migratory responses.
B, As healing progresses (day 4), there is
evidence of mitosis in the several compartments.
C, In the later stages of healing (day 14), the
wound is maturing to establish a new
homeostasis.
37. Wound healing of MUSCLE
• Stages – 3
1. Inflammation – 5 days
2. Proliferation – 2-6 weeks
3. Remodeling - months
• RICE protocol
• Role of NSAIDs
• Role of steroids
• Ideal therapeutic agents
• Growth factors – IGF-1,
• Gene therapy
• Stem cell therapy
• Antifibrosis therapy – decortin, suramin, interferon – Y
• Bionic replacement
38. Wound healing of CARTILAGE
• Physiologically cartilage is considered as an isolated tissue
which is devoid of blood, lymphatic channels and free
nerve endings.
• Inflammatory phase is absent in healing process
• Superficial injury – defects remain unchanged for 2 years
• Penetrating injuries – repair by hyaline cartilage like
tissues.
• Blunt impact – rapid degeneration & osteoarthitic lesions.
• Future trend – tissue engineering & growth factors.
40. CLINICAL ASSESSMENT OF HEALING
NERVE INJURY
• An assessment of the status of the sensory nerve can be done in a relatively
short time in everyday clinical setting.
score response
S0 no recovery
S1 recovery of deep cutaneous pain
S1+ recovery of superficial pain
S2 same as S11 with addition of some touch Sensation
S2+ same as S2 but with hyperesthesia
S3 same as S2 but without hyperesthesia and with 2-point
discrimination greater than 15 mm,
S3+ same as S3 with good localization of stimulus and 2-
point discrimination of about 7 to 15 mm
S4 complete recovery (2-point discrimination is now 2 to 6
mm)
Thomas G. Auyong, Anh
Le. Dentoalveolar
Nerve Injury. Oral
Maxillofacial Surg Clin N
Am 23 (2011) 395–400
48. • When treating facial injuries, knowledge of the wound
healing process is crucial to maximize healing and
minimize adverse outcomes such as infection,
malunion and disfiguring scarring.
• In the trauma arena, oral and maxillofacial surgeons must
not only treat acute traumatic wounds appropriately,
but must also do everything possible to optimize the
wound healing conditions.
• Knowledge of the technologic advances in wound care,
regenerative medicine, and tissue engineering will allow
the surgeon treating maxillofacial trauma to achieve the
best possible outcome in these potentially devastating
facial injuries.