Blood flow changes after orthognathic surgery: maxillary and mandibular subapical osteotomy. 1976

M W Meyer, and G D Cavanaugh

Subapical osteotomies were performed in the left quadrant of the mandibles and maxillas of five dogs and six monkeys. Two indirect methods, the isotope fractionation (diffusible tracer) and particle distribution (nondiffusible tracer--15mu microspheres) were used to quantitate local blood flow. To examine the effect of the surgery, blood flows in the alveolar bone, mucosa, and dental pulp of the segmented left quadrant and the corresponding tissues in the right quadrant were calculated and compared. It was assumed that the blood flows to the nonoperated right quadrant could serve as the controls to those observed in the osteotomized segment. The fractional decrease in blood flows to tissues in the operated sides were similar in both experimental animals. The decrease was largest in the dental pulp, ranging from 54% to 82% on the average, and least for the mucosal tissue, ranging from 18% to 40%. Blood flows decreased by 48% to 74%, on the average, in the alveolar bone. In some animals, blood flow to mucosal tissue that served as the pedicle was actually greater than the blood flow in the corresponding tissue on the right side. After surgery, the cardiac output in the dogs averaged about 156 ml/min/kg as calculated from both the diffusible and nondiffusible data. In the monkeys in which only the microspheres were injected, the cardiac output averaged 99 ml/min/kg. The arterial blood pressure dropped 8 to 13 mm Hg on the average (dog, 108 to 100 mm Hg; monkeys, 94 to 81 mm Hg). The heart rate also decreased slightly in dogs, 158 to 139 beats/min on the average; however, it increased slightly after the surgery in the monkeys, 144 to 161 beats/min. Blood losses during surgery were replaced wtih lactated Ringer's solution and the transient decreases in blood pressure of about 20 to 35 mm Hg were not sufficient to produce any shut down of renal blood flow.

UI MeSH Term Description Entries
D007201 Indicator Dilution Techniques Methods for assessing flow through a system by injection of a known quantity of an indicator, such as a dye, radionuclide, or chilled liquid, into the system and monitoring its concentration over time at a specific point in the system. (From Dorland, 28th ed) Dilution Techniques,Dilution Technics,Indicator Dilution Technics,Dilution Technic,Dilution Technic, Indicator,Dilution Technics, Indicator,Dilution Technique,Dilution Technique, Indicator,Dilution Techniques, Indicator,Indicator Dilution Technic,Indicator Dilution Technique,Technic, Dilution,Technic, Indicator Dilution,Technics, Dilution,Technics, Indicator Dilution,Technique, Dilution,Technique, Indicator Dilution,Techniques, Dilution,Techniques, Indicator Dilution
D007554 Isotopes Atomic species differing in mass number but having the same atomic number. (Grant & Hackh's Chemical Dictionary, 5th ed) Isotope
D008334 Mandible The largest and strongest bone of the FACE constituting the lower jaw. It supports the lower teeth. Mylohyoid Groove,Mylohyoid Ridge,Groove, Mylohyoid,Grooves, Mylohyoid,Mandibles,Mylohyoid Grooves,Mylohyoid Ridges,Ridge, Mylohyoid,Ridges, Mylohyoid
D008437 Maxilla One of a pair of irregularly shaped bones that form the upper jaw. A maxillary bone provides tooth sockets for the superior teeth, forms part of the ORBIT, and contains the MAXILLARY SINUS. Maxillae,Maxillary Bone,Bone, Maxillary,Bones, Maxillary,Maxillary Bones,Maxillas
D008863 Microspheres Small uniformly-sized spherical particles, of micrometer dimensions, frequently labeled with radioisotopes or various reagents acting as tags or markers. Latex Beads,Latex Particles,Latex Spheres,Microbeads,Bead, Latex,Beads, Latex,Latex Bead,Latex Particle,Latex Sphere,Microbead,Microsphere,Particle, Latex,Particles, Latex,Sphere, Latex,Spheres, Latex
D009061 Mouth Mucosa Lining of the ORAL CAVITY, including mucosa on the GUMS; the PALATE; the LIP; the CHEEK; floor of the mouth; and other structures. The mucosa is generally a nonkeratinized stratified squamous EPITHELIUM covering muscle, bone, or glands but can show varying degree of keratinization at specific locations. Buccal Mucosa,Oral Mucosa,Mucosa, Mouth,Mucosa, Oral
D010027 Osteotomy The surgical cutting of a bone. (Dorland, 28th ed) Osteotomies
D012039 Regional Blood Flow The flow of BLOOD through or around an organ or region of the body. Blood Flow, Regional,Blood Flows, Regional,Flow, Regional Blood,Flows, Regional Blood,Regional Blood Flows
D001794 Blood Pressure PRESSURE of the BLOOD on the ARTERIES and other BLOOD VESSELS. Systolic Pressure,Diastolic Pressure,Pulse Pressure,Pressure, Blood,Pressure, Diastolic,Pressure, Pulse,Pressure, Systolic,Pressures, Systolic
D002302 Cardiac Output The volume of BLOOD passing through the HEART per unit of time. It is usually expressed as liters (volume) per minute so as not to be confused with STROKE VOLUME (volume per beat). Cardiac Outputs,Output, Cardiac,Outputs, Cardiac

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