Myron R Tucker

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Multiple techniques of internal screw fixation are being used in clinical oral and maxillofacial surgery. This study evaluated the uniaxial pull-out strength of five commonly used screws and Kirschner pins placed by five different techniques. The pull-out strength of the Kirschner pins was significantly less (P greater than .0001) than that of the screws.(More)
This retrospective review compares the results of using rigid internal fixation (RIF) and wire fixation for orthognathic surgery patients. The records of two groups of demographically similar patients who underwent comparable surgery, performed by the same four attending surgeons at the same institutions during the same time period (1983 to 1986), were(More)
PURPOSE Following orthognathic surgery, patients use qualitatively different words to describe altered sensation on their face. These words indicate normal, hypoesthetic, paresthetic, or dysesthetic sensations and so reflect the intrusiveness of the altered sensation. The objective of this study was to examine the relationship between the intrusiveness of(More)
The use of ketamine in adults has been complicated by untoward hallucinatory emergence reactions. The addition of nitrous oxide and diazepam to subanesthetic doses of ketamine may be effective in decreasing these reactions. Adult patients were sedated for outpatient oral and maxillofacial surgery procedures using nitrous oxide, diazepam, and either fentanyl(More)
A case of coronoid process hyperplasia is presented. The primary presenting complaint and clinical feature was restriction of opening, although there was marked facial asymmetry in the area of the right zygoma. Presurgical documentation of this anatomic variation by routine radiography and computed tomography with sagittal reconstruction is presented.
Surgical correction of Class II malocclusions, when associated with mandibular deficiency, often has improved results with combined orthodontic and surgical correction compared with orthodontic treatment alone. Strong consideration of surgical correction of mandibular deficiency should be based on the following questions: 1) Do the patient's goals for(More)
There has been a dramatic decline in the number of orthognathic surgery cases over the past 15 to 20 years. This decrease is a result of several compounding factors including decreasing coverage by major medical insurance companies and increasing health care costs. The difficulty associated with making orthognathic surgery financially practical has turned(More)
The delivery of care by oral and maxillofacial surgeons is becoming more challenging because of escalating health care costs and limited reimbursement from insurance providers. The changing health care landscape forces surgical practices to be flexible and adaptive to change in order to remain viable. The delivery of surgical services continues to evolve as(More)