A controlled clinical study of the efficacy and tolerability of nimesulide vs naproxen in maxillo-facial surgery

The anti-inflammatory and analgesic efficacy of nimesulide was assessed and compared with that of naproxen in the postoperative treatment of inflammatory complications of maxillo-facial surgery in a double-blind study. A total of 60 patients were randomly assigned to treatment with nimesulide (100mg twice daily) or naproxen (250mg twice daily) for 6 to 14 days. Treatment with either drug prevented the development of, or ameliorated the signs and symptoms associated with, the inflammatory process (spontaneous pain, difficulty in chewing and swallowing, swelling, hyperaemia, muscle contracture, poor sleep quality). Indeed, most patients experienced complete resolution of their signs and symptoms. The efficacy of nimesulide was considered to be superior to that of naproxen, although both drugs were tolerated equally well.

[Endoscopic diagnosis of the temporomandibular joint]

Clinical and radiographic examinations of the temporo-mandibular joint are difficult to perform. Alternative diagnostic methods, for example, double contrast arthrotomography, computerized tomography, magnetic resonance imaging, and arthroscopy raise hopes for improved diagnostic accuracy. The purpose of this paper is to review and evaluate the potentials and limitations of this new technique.

[Submandibular and laterocervical adenopathies of tubercular origin; aspects of 8 cases of cervical adenopathies of tubercular origin]

The Authors illustrate 8 cases of submandibular and latero-cervical adenopathies of tubercular origin. They deal with the subject from the etiopathogenic and clinical point of view. In particular they consider the epidemiological incidence and the advantages of surgical treatment in comparison with medical therapy.

[Tuberculosis of the oral mucosa]

The authors deal with a secondary TBC case of the mucous membrane of the cheek they have treated. They also deal with the present etiopathogenic hypotheses on this subject and the most frequent clinical symptoms.