DOCSLIB.ORG

Treatments for Ankyloglossia and Ankyloglossia with Concomitant Lip-Tie Comparative Effectiveness Review Number 149

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Treatments for Ankyloglossia and Ankyloglossia with Concomitant Lip-Tie Comparative Effectiveness Review Number 149 Comparative Effectiveness Review Number 149 Treatments for Ankyloglossia and Ankyloglossia With Concomitant Lip-Tie Comparative Effectiveness Review Number 149 Treatments for Ankyloglossia and Ankyloglossia With Concomitant Lip-Tie Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither Road Rockville, MD 20850 www.ahrq.gov Contract No. 290-2012-00009-I Prepared by: Vanderbilt Evidence-based Practice Center Nashville, TN Investigators: David O. Francis, M.D., M.S. Sivakumar Chinnadurai, M.D., M.P.H. Anna Morad, M.D. Richard A. Epstein, Ph.D., M.P.H. Sahar Kohanim, M.D. Shanthi Krishnaswami, M.B.B.S., M.P.H. Nila A. Sathe, M.A., M.L.I.S. Melissa L. McPheeters, Ph.D., M.P.H. AHRQ Publication No. 15-EHC011-EF May 2015 This report is based on research conducted by the Vanderbilt Evidence-based Practice Center (EPC) under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD (Contract No. 290-2012-00009-I). The findings and conclusions in this document are those of the authors, who are responsible for its contents; the findings and conclusions do not necessarily represent the views of AHRQ. Therefore, no statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services. The information in this report is intended to help health care decisionmakers—patients and clinicians, health system leaders, and policymakers, among others—make well-informed decisions and thereby improve the quality of health care services. This report is not intended to be a substitute for the application of clinical judgment. Anyone who makes decisions concerning the provision of clinical care should consider this report in the same way as any medical reference and in conjunction with all other pertinent information, i.e., in the context of available resources and circumstances presented by individual patients. AHRQ or U.S. Department of Health and Human Services endorsement of any derivative products that may be developed from this report, such as clinical practice guidelines, other quality enhancement tools, or reimbursement or coverage policies, may not be stated or implied. This report may periodically be assessed for the currency of conclusions. If an assessment is done, the resulting surveillance report describing the methodology and findings will be found on the Effective Health Care Program Web site at www.effectivehealthcare.ahrq.gov. Search on the title of the report. This document is in the public domain and may be used and reprinted without permission except those copyrighted materials that are clearly noted in the document. Further reproduction of those copyrighted materials is prohibited without the specific permission of copyright holders. Persons using assistive technology may not be able to fully access information in this report. For assistance contact [email protected]. None of the investigators have any affiliations or financial involvement that conflicts with the material presented in this report. Suggested citation: Francis DO, Chinnadurai S, Morad A, Epstein RA, Kohanim S, Krishnaswami S, Sathe NA, McPheeters ML. Treatments for Ankyloglossia and Ankyloglossia With Concomitant Lip-Tie. Comparative Effectiveness Review No. 149. (Prepared by the Vanderbilt Evidence-based Practice Center under Contract No. 290-2012-00009-I.) AHRQ Publication No. 15-EHC011-EF. Rockville, MD: Agency for Healthcare Research and Quality; May 2015. www.effectivehealthcare.ahrq.gov/reports/final.cfm. ii Preface The Agency for Healthcare Research and Quality (AHRQ), through its Evidence-based Practice Centers (EPCs), sponsors the development of systematic reviews to assist public- and private-sector organizations in their efforts to improve the quality of health care in the United States. These reviews provide comprehensive, science-based information on common, costly medical conditions, and new health care technologies and strategies. Systematic reviews are the building blocks underlying evidence-based practice; they focus attention on the strength and limits of evidence from research studies about the effectiveness and safety of a clinical intervention. In the context of developing recommendations for practice, systematic reviews can help clarify whether assertions about the value of the intervention are based on strong evidence from clinical studies. For more information about AHRQ EPC systematic reviews, see www.effectivehealthcare.ahrq.gov/reference/purpose.cfm. AHRQ expects that these systematic reviews will be helpful to health plans, providers, purchasers, government programs, and the health care system as a whole. Transparency and stakeholder input are essential to the Effective Health Care Program. Please visit the Web site (www.effectivehealthcare.ahrq.gov) to see draft research questions and reports or to join an email list to learn about new program products and opportunities for input. We welcome comments on this systematic review. They may be sent by mail to the Task Order Officer named below at: Agency for Healthcare Research and Quality, 540 Gaither Road, Rockville, MD 20850, or by email to [email protected]. Richard G. Kronick, Ph.D. David Meyers, M.D. Director Acting Director Agency for Healthcare Research and Quality Center for Evidence and Practice Improvement Agency for Healthcare Research and Quality Stephanie Chang, M.D., M.P.H. Kim M. Wittenberg, M.A. Director, EPC Program Task Order Officer Center for Evidence and Practice Center for Evidence and Practice Improvement Improvement Agency for Healthcare Research and Quality Agency for Healthcare Research and Quality iii Acknowledgments The authors gratefully acknowledge the following individuals for their contributions to this project. Annette Williams assisted with managing the report. Tanya Surawicz extracted data, created tables, and assisted with screening studies and quality assessment. Jessica Kimber and Sanura Latham provided invaluable assistance with retrieving studies, data entry, and table formatting. Key Informants In designing the study questions, the EPC consulted several Key Informants who represent the end-users of research. The EPC sought the Key Informant input on the priority areas for research and synthesis. Key Informants are not involved in the analysis of the evidence or the writing of the report. Therefore, in the end, study questions, design, methodological approaches, and/or conclusions do not necessarily represent the views of individual Key Informants. Key Informants must disclose any financial conflicts of interest greater than $10,000 and any other relevant business or professional conflicts of interest. Because of their role as end- users, individuals with potential conflicts may be retained. The TOO and the EPC work to balance, manage, or mitigate any conflicts of interest. The list of Key Informants who participated in developing this report follows: Jeanne L. Ballard, M.D. Cincinnati College of Medicine Cincinnati, OH Lori Feldman-Winter, M.D., M.P.H. Cooper Medical School of Rowan University Camden, NJ Donna Geddes, Ph.D. University of Western Australia Crawley, Western Australia, Australia Timothy Hickman, M.D., M.Ed, M.P.H. University of Missouri-Kansas City School of Medicine Kansas City, MO Gregory L. Lof, Ph.D., CCC-SLP, FASHA MGH Institute of Health Professions Boston, MA Diana Mayer, M.D., IBCLC, FAAP CentraState Medical Center Freehold, NJ iv Greg Notestine, D.D.S. Beavercreek, OH Richard Rosenfeld, M.D., M.P.H. SUNY Downstate Medical Center Brooklyn, NY Catherine Watson Genna, IBCLC, RLC Private Practice Woodhaven, NY Technical Expert Panel In designing the study questions and methodology at the outset of this report, the EPC consulted several technical and content experts. Broad expertise and perspectives were sought. Divergent and conflicting opinions are common and perceived as healthy scientific discourse that results in a thoughtful, relevant systematic review. Therefore, in the end, study questions, design, methodologic approaches, and/or conclusions do not necessarily represent the views of individual technical and content experts. Technical Experts must disclose any financial conflicts of interest greater than $10,000 and any other relevant business or professional conflicts of interest. Because of their unique clinical or content expertise, individuals with potential conflicts may be retained. The TOO and the EPC work to balance, manage, or mitigate any potential conflicts of interest identified. The list of Technical Experts who participated in developing this report follows: Jeanne L. Ballard, M.D. Cincinnati College of Medicine Cincinnati, OH Lori Feldman-Winter, M.D., M.P.H. Cooper Medical School of Rowan University Camden, NJ Ann L. Kellams, M.D., IBCLC University of Virginia Health System Charlottesville, VA Diana Mayer, M.D., IBCLC, FAAP CentraState Medical Center Freehold, NJ Megan Overby, Ph.D., CCC-SLP Duquesne University Pittsburgh, PA v Gautham K. Suresh, M.D. Dartmouth-Hitchcock Medical Center Lebanon, NH Dale Amanda Tylor, M.D., M.P.H. Washington Township Medical Foundation Fremont, CA Catherine Watson Genna, IBCLC, RLC Private Practice Woodhaven, NY Lynn S. Wolf, M.O.T., O.T.R., IBCLC Seattle Children’s Hospital Seattle, WA Peer Reviewers Prior to publication of the final evidence report, EPCs sought input from independent Peer Reviewers without financial conflicts of interest. However, the conclusions and synthesis of the scientific literature presented in
Load more

Recommended publications
  • Management of Saliva and Drooling Excessive Saliva and Drooling Affects up to 50% of People with Parkinson’S (PD)
    Management of Saliva and Drooling Excessive saliva and drooling affects up to 50% of people with Parkinson’s (PD). Drooling can be embarrassing and can limit social interactions for the person with PD. Saliva and Drooling Parkinson Information Parkinson It can also be an important symptom of swallowing difficulty, which can increase the risk of choking on saliva. People with Parkinson’s disease do not swallow automatically due to rigidity and impaired mobility of the muscles of the palate, throat and esophagus. Saliva pools in the mouth and can potentially become a hazard since swallowing into the lungs carries the risk of pneumonia. If you have poor posture, saliva collects in the front of the mouth, resulting in drooling. Cause and symptoms Decreased control of saliva is most often caused by changes in the ability to swallow, rather than from producing too much saliva. A common cause of drooling for people with PD is the weakening and/or loss of motor control of the muscles involved in swallowing. You may experience one or more of the following symptoms: • Decreased ability to keep your mouth closed at rest, known as the “open mouth posture” • Difficulty keeping lips closed • Lack of awareness of the saliva in your mouth • Wetness at the sides of your mouth • A wet sounding voice • Drooling with posture changes • Coughing and/or choking Evaluation and treatment Speak with your physician about all symptoms that may not be related to PD. If you are experiencing drooling or choking on your saliva, you may require a swallowing evaluation by a Speech Language Pathologist.
    [Show full text]
  • Glossary for Narrative Writing
    Periodontal Assessment and Treatment Planning Gingival description Color: o pink o erythematous o cyanotic o racial pigmentation o metallic pigmentation o uniformity Contour: o recession o clefts o enlarged papillae o cratered papillae o blunted papillae o highly rolled o bulbous o knife-edged o scalloped o stippled Consistency: o firm o edematous o hyperplastic o fibrotic Band of gingiva: o amount o quality o location o treatability Bleeding tendency: o sulcus base, lining o gingival margins Suppuration Sinus tract formation Pocket depths Pseudopockets Frena Pain Other pathology Dental Description Defective restorations: o overhangs o open contacts o poor contours Fractured cusps 1 ww.links2success.biz [email protected] 914-303-6464 Caries Deposits: o Type . plaque . calculus . stain . matera alba o Location . supragingival . subgingival o Severity . mild . moderate . severe Wear facets Percussion sensitivity Tooth vitality Attrition, erosion, abrasion Occlusal plane level Occlusion findings Furcations Mobility Fremitus Radiographic findings Film dates Crown:root ratio Amount of bone loss o horizontal; vertical o localized; generalized Root length and shape Overhangs Bulbous crowns Fenestrations Dehiscences Tooth resorption Retained root tips Impacted teeth Root proximities Tilted teeth Radiolucencies/opacities Etiologic factors Local: o plaque o calculus o overhangs 2 ww.links2success.biz [email protected] 914-303-6464 o orthodontic apparatus o open margins o open contacts o improper
    [Show full text]
  • Szanowni Państwo, Ladies and Gentlemen
    Szanowni Państwo, Oddajemy w Państwa ręce piąte wydanie Katalogu Szpitali Prywatnych. Lecznice, skupione w Ogólnopolskim Stowarzyszeniu Szpitali Prywatnych, dysponują ilością niemal 10 000 łóżek, zatrudniają ponad 35 000 personelu i prawie 60 000 osób współpracujących. Zarządy naszych placówek wciąż podkreślają swą misję publiczną, jaką pełnią szpitale prywatne, świadcząc leczenie w ramach Narodowego Funduszu Zdrowia (96% wykonanych zabiegów). W tym roku Ogólnopolskie Stowarzyszenie Szpitali Prywatnych weszło w 16 rok działalności. Katalog nasz pokazuje, ile ciężkiej pracy wykonali polscy pracodawcy, tworząc tak piękne i przyjazne dla pacjenta ośrodki, które za sprawą Narodowego Funduszu Zdrowia świadczą wysokospecjalistyczną pomoc dla każdego polskiego obywatela. Uzupełnieniem katalogu od kilku lat stał się wydawany cyklicznie zeszyt statystyczny opisujący w sposób uporządkowany funkcjonowanie i toczenie ekonomiczne sektora szpitali prywatnych. Andrzej Sokołowski Prezes Zarządu Ogólnopolskiego Stowarzyszenia Szpitali Prywatnych Ladies and Gentlemen, We are pleased to present to you the fifth edition of the Catalogue of Private Hospitals. The entities affiliated in the Polish Association of Private Hospitals have almost 10.000 hospital beds, employ over 35.000 medical staff and almost 60.000 other personnel. Our hospitals’ directors keep underlining that the private medical centres also fulfil a public healthcare mission, delivering healthcare services within the National Health Fund (96% of all their procedures). UNION EUROPEENNE HOSPITALISATION
    [Show full text]
  • Oral Diagnosis: the Clinician's Guide
    Wright An imprint of Elsevier Science Limited Robert Stevenson House, 1-3 Baxter's Place, Leith Walk, Edinburgh EH I 3AF First published :WOO Reprinted 2002. 238 7X69. fax: (+ 1) 215 238 2239, e-mail: [email protected]. You may also complete your request on-line via the Elsevier Science homepage (http://www.elsevier.com). by selecting'Customer Support' and then 'Obtaining Permissions·. British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Cataloging in Publication Data A catalog record for this book is available from the Library of Congress ISBN 0 7236 1040 I _ your source for books. journals and multimedia in the health sciences www.elsevierhealth.com Composition by Scribe Design, Gillingham, Kent Printed and bound in China Contents Preface vii Acknowledgements ix 1 The challenge of diagnosis 1 2 The history 4 3 Examination 11 4 Diagnostic tests 33 5 Pain of dental origin 71 6 Pain of non-dental origin 99 7 Trauma 124 8 Infection 140 9 Cysts 160 10 Ulcers 185 11 White patches 210 12 Bumps, lumps and swellings 226 13 Oral changes in systemic disease 263 14 Oral consequences of medication 290 Index 299 Preface The foundation of any form of successful treatment is accurate diagnosis. Though scientifically based, dentistry is also an art. This is evident in the provision of operative dental care and also in the diagnosis of oral and dental diseases. While diagnostic skills will be developed and enhanced by experience, it is essential that every prospective dentist is taught how to develop a structured and comprehensive approach to oral diagnosis.
    [Show full text]
  • 16. Questions and Answers
    16. Questions and Answers 1. Which of the following is not associated with esophageal webs? A. Plummer-Vinson syndrome B. Epidermolysis bullosa C. Lupus D. Psoriasis E. Stevens-Johnson syndrome 2. An 11 year old boy complains that occasionally a bite of hotdog “gives mild pressing pain in his chest” and that “it takes a while before he can take another bite.” If it happens again, he discards the hotdog but sometimes he can finish it. The most helpful diagnostic information would come from A. Family history of Schatzki rings B. Eosinophil counts C. UGI D. Time-phased MRI E. Technetium 99 salivagram 3. 12 year old boy previously healthy with one-month history of difficulty swallowing both solid and liquids. He sometimes complains food is getting stuck in his retrosternal area after swallowing. His weight decreased approximately 5% from last year. He denies vomiting, choking, gagging, drooling, pain during swallowing or retrosternal pain. His physical examination is normal. What would be the appropriate next investigation to perform in this patient? A. Upper Endoscopy B. Upper GI contrast study C. Esophageal manometry D. Modified Barium Swallow (MBS) E. Direct laryngoscopy 4. A 12 year old male presents to the ER after a recent episode of emesis. The parents are concerned because undigested food 3 days old was in his vomit. He admits to a sensation of food and liquids “sticking” in his chest for the past 4 months, as he points to the upper middle chest. Parents relate a 10 lb (4.5 Kg) weight loss over the past 3 months.
    [Show full text]
  • Upper Airway Surgery for Obstructive Sleep Apnea Aaron E
    Sleep Medicine Reviews, Vol. 6, No. 3, pp 195±212, 2002 doi:10.1053/smrv.2002.0242, available online at http://www.idealibrary.com on Upper airway surgery for obstructive sleep apnea Aaron E. Sher Capital Region Otolaryngology-Head and Neck Group, LLP, Medical Director, Capital Region Sleep Wake Disorders Center of St. Peter's Hospital, Associate Clinical Professor of Surgery, Division of Head and Neck Surgery, Albany Medical College, Albany, NY, USA KEYWORDS Summary Upper airway surgical treatments for obstructive sleep apnea syndrome Sleep apnea syndromes, (OSAS) attempt to modify dysfunctional pharyngeal anatomy or by-pass the pharynx. surgery, pharynx, Modi®cations of the pharynx diminish the bulk of soft tissue structures which abut the airway, soft tissue, air column, place them under tension, others alter their spatial inter-relationships. skeletal, palate, tongue, Surgical procedures are designed to modify the retropalatal pharynx, the retrolingual maxillomandibular, pharynx, or both. There is no single surgical procedure, short of tracheostomy, which tracheostomy, consistently results in complete elimination of OSAS. However, appropriate application of current surgical techniques (synchronously or sequentially) may achieve uvulopalatopharyngoplasty, cure in most patients without resort to tracheostomy. Patient selection, versatility in polysomnography varied surgical approaches, and willingness to utilize more than one procedure when necessary appear to be critical attributes of a successful surgical program. On the other hand, analysis of the ef®cacy of individual surgical interventions is thwarted by the frequent practice of reporting on the application of multiple procedures in combination with evaluation of the composite effect. Well designed, multi-center studies would help clarify the strengths and weaknesses of different treatment approaches.
    [Show full text]
  • Non-Syndromic Occurrence of True Generalized Microdontia with Mandibular Mesiodens - a Rare Case Seema D Bargale* and Shital DP Kiran
    Bargale and Kiran Head & Face Medicine 2011, 7:19 http://www.head-face-med.com/content/7/1/19 HEAD & FACE MEDICINE CASEREPORT Open Access Non-syndromic occurrence of true generalized microdontia with mandibular mesiodens - a rare case Seema D Bargale* and Shital DP Kiran Abstract Abnormalities in size of teeth and number of teeth are occasionally recorded in clinical cases. True generalized microdontia is rare case in which all the teeth are smaller than normal. Mesiodens is commonly located in maxilary central incisor region and uncommon in the mandible. In the present case a 12 year-old boy was healthy; normal in appearance and the medical history was noncontributory. The patient was examined and found to have permanent teeth that were smaller than those of the average adult teeth. The true generalized microdontia was accompanied by mandibular mesiodens. This is a unique case report of non-syndromic association of mandibular hyperdontia with true generalized microdontia. Keywords: Generalised microdontia, Hyperdontia, Permanent dentition, Mandibular supernumerary tooth Introduction [Ullrich-Turner syndrome], Chromosome 13[trisomy 13], Microdontia is a rare phenomenon. The term microdontia Rothmund-Thomson syndrome, Hallermann-Streiff, Oro- (microdentism, microdontism) is defined as the condition faciodigital syndrome (type 3), Oculo-mandibulo-facial of having abnormally small teeth [1]. According to Boyle, syndrome, Tricho-Rhino-Phalangeal, type1 Branchio- “in general microdontia, the teeth are small, the crowns oculo-facial syndrome. short, and normal contact areas between the teeth are fre- Supernumerary teeth are defined as any supplementary quently missing” [2] Shafer, Hine, and Levy [3] divided tooth or tooth substance in addition to usual configuration microdontia into three types: (1) Microdontia involving of twenty deciduous and thirty two permanent teeth [7].
    [Show full text]
  • Skeletal Malocclusion: a Developmental Disorder with a Life-Long Morbidity
    Elmer ress Review J Clin Med Res. 2014;6(6):399-408 Skeletal Malocclusion: A Developmental Disorder With a Life-Long Morbidity Nishitha Joshia, Ahmad M. Hamdanb, Walid D. Fakhouric, d Abstract Keyword: Skeletal malocclusion; Micrognathia; Retrognathia; Prognathia; Late-onset diseases The likelihood of birth defects in orofacial tissues is high due to the structural and developmental complexity of the face and the sus- ceptibility to intrinsic and extrinsic perturbations. Skeletal maloc- clusion is caused by the distortion of the proper mandibular and/or Introduction maxillary growth during fetal development. Patients with skeletal malocclusion may suffer from dental deformities, bruxism, teeth Disorders of the head and face are very common birth de- crowding, trismus, mastication difficulties, breathing obstruction fects in all racial populations, and can appear as isolated phe- and digestion disturbance if the problem is left untreated. In this notype or as part of a syndrome. The prevalence of cranio- review, we focused on skeletal malocclusion that affects 27.9% of facial anomalies varies among different ethnicities based on the US population with different severity levels. We summarized genetic background, geography, socio-economical status and the prevalence of class I, II and III of malocclusion in different ethnic groups and discussed the most frequent medical disorders environmental factors. Because of the structural complexity associated with skeletal malocclusion. Dental anomalies that lead of the craniofacial region, variations in genetic and environ- to malocclusion such as tooth agenesis, crowding, missing teeth mental factors may have a profound effect on development, and abnormal tooth size are not addressed in this review. We pro- and could lead to congenital birth defects.
    [Show full text]
  • Guide for Dental Fees for General Dentists January 2020
    Guide for Dental Fees for General Dentists January 2020 Copyright © 2019 by the Alberta Dental Association and College ALBERTA DENTAL ASSOCIATION AND COLLEGE Preamble The fees listed herein are published to serve merely as a guide. No dentist receiving this list is under any obligation to accept the fees itemized. Any dentist who does not use all or any of these fees will in no way suffer in their relations with the Alberta Dental Association and College or any other body, group or committee affiliated with or under the control of the Alberta Dental Association and College. A genuine suggested fee guide is one which is issued merely for professional information purposes without raising any intention or expectation whatsoever that the membership will adopt the guide for their practices. Dentists have the right and freedom to use any dental codes that are included in the Alberta Uniform System of Coding and List of Services. Dentists may use these fees to assist them in determining their own professional fees. A suggested protocol to follow in order to eliminate the possibility of patient misunderstandings regarding the fees for dental treatment is: a. Perform a thorough oral examination for the patient. b. Explain, carefully, the particular problems encountered in this patient's mouth. Describe your treatment plan and prognosis, in a manner, which the patient can fully understand. Assure yourself that the patient has understood the presentation. c. Present your fee for treatment, before the commencement of treatment. d. Arrange financial commitments in such a manner that the patient understands their obligation. e.
    [Show full text]
  • Opinion of Trustees Resolution of Dispute Case No
    Opinion of Trustees Resolution of Dispute Case No. 88-122 Page 1 _____________________________________________________________________________ OPINION OF TRUSTEES _____________________________________________________________________________ In Re Complainant: Employee Respondent: Employer ROD Case No: 88-122 - October 3, 1989 Board of Trustees: Joseph P. Connors, Sr., Chairman; Paul R. Dean, Trustee; William Miller, Trustee; Donald E. Pierce, Jr., Trustee; Thomas H. Saggau, Trustee. Pursuant to Article IX of the United Mine Workers of America ("UMWA") 1950 Benefit Plan and Trust, and under the authority of an exemption granted by the United States Department of Labor, the Trustees have reviewed the facts and circumstances of this dispute concerning the provision of health benefits coverage for orthodontic treatment under the terms of the Employer Benefit Plan. Background Facts An oral surgeon states that the Employee's daughter began experiencing pain and popping in the right temporomandibular joint after being hit in the area of the right mandible during a fight in March 1985. She was treated by a physical therapist and had splint therapy to correct her temporomandibular joint problems for about six months. In August 1985, the Employee's daughter suffered a second injury to the right side of the head. She continued having pain and popping in the right temporomandibular joint, and surgery, an arthroplasty of the joint, was performed in December 1986. The Employer provided coverage for the physical therapy, the splint therapy and the surgery to correct her temporomandibular joint problems. In March 1988, an oral surgeon recommended orthodontic treatment to alleviate all of the Employee's daughter's symptoms. The Employee's daughter was examined by an orthodontist on May 10, 1988; he noted that she had reciprocal clicking in both temporomandibular joints, lack of proper chewing motion, limited mobility of the mandible, frequent headaches, and tenderness in the right jaw joint.
    [Show full text]
  • INDEX to 1915-1919 Obituaries in the Canton Repository
    INDEX To 1915-1919 Obituaries in the Canton Repository Published by the Stark County District Library of Canton, Ohio 2005 Index to 1915-1919 Obituaries in the Canton Repository The following is an alphabetical listing, by the deceased’s surname, of obituaries that appeared in the Canton, Ohio newspaper, The Repository. It was compiled by the library staff during the course of the year in the hope that it would be a useful tool to genealogy, as well as other researchers. To use this index, simply locate the name of the person whose obituary you wish to find. The entries will appear as follows: Miller William A. (Estella M.) Mrs. 1924 Jan. 13 30 The first column is the name of the deceased. The second gives the date on which the item appeared. And the third tells the page number containing the obituary. You may find one name with multiple listings showing different dates and locations in the paper. This indicates consecutive listings for that individual. I encourage you to view each for additional information. Index to 1915-1919 Obituaries in the Canton Repository Surname Given Name Maiden Title Year Mth Day Pg ? Mary 1918 Apr. 18 15 Aaron Benjamin 1918 Nov. 27 2 Abbott Lawrence C. 1919 Mar. 14 24 Abels infant 1919 July 16 6 Abherve Minnie Jacobs Mrs. 1918 Dec. 13 33 Abrams Leo 1917 Apr. 24 2 Abt Leo 1918 Apr. 27 1 Abvrezis Macone 1917 Sept. 17 2 Acker L. E. 1918 Jan. 13 26 Acker Leonard E. 1918 Jan. 12 5 Acker Sarah Mrs.
    [Show full text]
  • Core Curriculum for Surgical Technology Sixth Edition
    Core Curriculum for Surgical Technology Sixth Edition Core Curriculum 6.indd 1 11/17/10 11:51 PM TABLE OF CONTENTS I. Healthcare sciences A. Anatomy and physiology 7 B. Pharmacology and anesthesia 37 C. Medical terminology 49 D. Microbiology 63 E. Pathophysiology 71 II. Technological sciences A. Electricity 85 B. Information technology 86 C. Robotics 88 III. Patient care concepts A. Biopsychosocial needs of the patient 91 B. Death and dying 92 IV. Surgical technology A. Preoperative 1. Non-sterile a. Attire 97 b. Preoperative physical preparation of the patient 98 c. tneitaP noitacifitnedi 99 d. Transportation 100 e. Review of the chart 101 f. Surgical consent 102 g. refsnarT 104 h. Positioning 105 i. Urinary catheterization 106 j. Skin preparation 108 k. Equipment 110 l. Instrumentation 112 2. Sterile a. Asepsis and sterile technique 113 b. Hand hygiene and surgical scrub 115 c. Gowning and gloving 116 d. Surgical counts 117 e. Draping 118 B. Intraoperative: Sterile 1. Specimen care 119 2. Abdominal incisions 121 3. Hemostasis 122 4. Exposure 123 5. Catheters and drains 124 6. Wound closure 128 7. Surgical dressings 137 8. Wound healing 140 1 c. Light regulation d. Photoreceptors e. Macula lutea f. Fovea centralis g. Optic disc h. Brain pathways C. Ear 1. Anatomy a. External ear (1) Auricle (pinna) (2) Tragus b. Middle ear (1) Ossicles (a) Malleus (b) Incus (c) Stapes (2) Oval window (3) Round window (4) Mastoid sinus (5) Eustachian tube c. Internal ear (1) Labyrinth (2) Cochlea 2. Physiology of hearing a. Sound wave reception b. Bone conduction c.
    [Show full text]