Cline McGraw (pinemove0)
To evaluate the efficacy of maxillomandibular advancement (MMA) surgery for the treatment of malocclusion and obstructive sleep apnea (OSA) in an adolescent population. <br> <br> A retrospective cohort study was designed using electronic medical record chart review. <br> <br> Fifteen patients aged 20 years or younger (range, 14-20) were included. All patients underwent MMA surgery for the primary correction of malocclusion and secondary treatment of OSA. Mean preoperative apnea-hypopnea index (AHI) was 28.9 ± 16.0 events/h (range, 7.1-54.7), and mean postoperative AHI was 5.7 ± 4.6 events/h (range, 1.5-18.4), reflecting a reduction of 23.2 events/h, an 80.6% reduction (P < .001). Fourteen patients (93.3%) experienced improvement in AHI. Mean minimal posterior airway space increased from 4.6 mm to 8.6 mm (P < .001). Mean posterior airway space at the level of the uvular tip increased from 6.7 mm to 11.5 mm (P < .001). Patients who underwent adjunct genioglossus advancement (GGA) had a mean decrease in AHI of 35.3 events/h (P=.004), which was not significantly different from the decrease in those who did not receive GGA. <br> <br> MMA surgery with or without GGA is an effective treatment option for adolescents with a malocclusion and an AHI >5.0 events/h. In this population, it is shown to decrease AHI and increase posterior airway space. More research is required to determine the ideal adolescent candidate for MMA surgery. <br>5.0 events/h. In this population, it is shown to decrease AHI and increase posterior airway space. More research is required to determine the ideal adolescent candidate for MMA surgery. <br> This cross-sectional study established the relationships between temporomandibular disorder (TMD) symptoms, psychological well-being (PWB), and psychological distress (PD). SHR-3162 order Additionally, the psychological predictors for various TMD features were determined. <br> <br> TMD symptoms were ascertained with the Diagnostic Criteria for TMDs Symptom Questionnaire in young adults and PWB and PD were assessed with Ryff's Scales of Psychological Well-Being-18 (SPWB-18) and Depression, Anxiety, and Stress Scales-21, respectively. Statistical analyses were conducted using Kruskal Wallis/Mann-Whitney U tests, Spearman's correlation, and multivariate logistic regression (α=.05). <br> <br> Of the 734 participants (mean age=19.35 ± 1.24 years) appraised, 40.7% had no TMD manifestations and 59.3% reported various TMD symptoms (25.2% pain-related, 14.6% intra-articular, and 19.5% combined). Among the 4 symptom groups, significant differences in PWB were perceived for total SPWB and the Environmental Mastery/Self-Acceptance subscales. Significant differences in total Depression, Anxiety, and Stress Scales-21, depression, anxiety, and stress were also noted between the pain-related TMD symptoms/combined TMD symptoms and no TMD symptoms groups. For all groups, the strongest correlation was observed between total SPWB and depression (r <br> =-0.52 to 0.65). <br> <br> Environmental mastery decreased the likelihood of pain-related and intra-articular TMD symptoms. Conversely, overall PD and anxiety predicted the presence of pain-related and intra-articular/combined TMD symptoms correspondingly. <br>Environmental mastery decreased the likelihood of pain-related and intra-articular TMD symptoms. Conversely, overall PD and anxiety predicted the presence of pain-related and intra-articular/combined TMD symptoms correspondingly. <br> To combat the opioid epidemic, prescribers need accurate information about pediatric home opioid requirements to manage acute pain after surgery. Current opioid use estimates come from retrospective surveys; this study used medication adherence technology (eCAP) to track home opioid use. <br> <br> To describe children's pain treatment at home after laparoscopic appendectomy, and to compare self-reported opioid analgesic use to eCAP data and counts of returned pills. <
