David Bryan Powers | Scholars@Duke

David Bryan Powers
Associate Professor of Surgery

Dr. Powers currently serves as an Associate Professor of Surgery, and Director of the Craniomaxillofacial Trauma Program, at Duke University Medical Center. Additionally, he is the Fellowship Director for the Craniomaxillofacial Trauma and Reconstructive Surgery fellowship within the Department of Surgery. His surgical experience in facial trauma was attained during a military career highlighted by the acute management of ballistic and other injuries of warfare, as well as performing secondary and tertiary facial reconstructive surgery during various staff assignments at Wilford Hall USAF Medical Center, the Walter Reed National Military Medical Center – Bethesda and the R Adams Cowley Shock Trauma Center in Baltimore, Maryland. He lectures and has published extensively on the management of ballistic and high-energy transfer injuries to the craniomaxillofacial skeleton, comprehensive reconstruction techniques for facial trauma, and the use of computer-aided surgical planning and patient-specific implants for anatomic rehabilitation after catastrophic craniomaxillofacial injuries.

Current Appointments & Affiliations

Associate Professor of Surgery, Surgery, Plastic, Maxillofacial, and Oral Surgery, Surgery 2013

Contact Information

DUMC 2955, Durham, NC 27710
DUMC 2955, Durham, NC 27710
david.powers@duke.edu

Background
Education, Training, & Certifications
- Oral Surgery Resident, Wilford Hall Medical Center 1996 - 2002
- General Surgery Intern, Wilford Hall Medical Center 2000 - 2001
- M.D., University of Texas Health Science Center San Antonio 2000
- D.M.D., University of Kentucky, College of Dentistry 1990
Duke Appointment History
- Instructor,Temporary in the Department of Surgery, Surgery, Plastic, Maxillofacial, and Oral Surgery, Surgery 2013
Leadership & Clinical Positions at Duke
- Director, Duke Craniomaxillofacial Trauma Program
  
  Fellowship Director, Craniomaxillofacial Trauma and Reconstructive Surgery Fellowship
Recognition
In the News
- OCT 8, 2018 American Board of Oral & Maxillofacial Surgery
  
  Meet our Newest Board Director
- AUG 24, 2018 The News & Observer
  
  Duke Basketball Injury Update
Expertise
Subject Headings
Research
Fellowships, Supported Research, & Other Grants
- Craniomaxillofacial Trauma and Reconstructive Surgery Fellowship awarded by Duke Department of Surgery 2019
External Relationships
- KLS Martin
- KLS Martin LP (North American SORG)
- Stryker Corp
- Synthes GmbH (AO North America)
Publications & Artistic Works
Selected Publications
- Academic Articles
  - Breeze, John, and David Bryan Powers. “Current opinion in the assessment and management of ballistic trauma to the craniomaxillofacial region.” Curr Opin Otolaryngol Head Neck Surg 28, no. 4 (August 2020): 251–57. https://doi.org/10.1097/MOO.0000000000000634.
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  - Powers, David B., and Visakha Suresh. “Which Surgical Specialties Provide Craniomaxillofacial Trauma Services at American College of Surgeons Level I Trauma Centers.” J Oral Maxillofac Surg, July 17, 2020. https://doi.org/10.1016/j.joms.2020.06.039.
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  - Chiu, William C., D. B. Powers, J. M. Hirshon, S. A. Shackelford, P. F. Hu, S. Y. Chen, H. H. Chen, et al. “Impact of trauma centre capacity and volume on the mortality risk of incoming new admissions.” Bmj Mil Health, May 30, 2020. https://doi.org/10.1136/bmjmilitary-2020-001483.
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  - Breeze, John, Douglas M. Bowley, James G. Combes, James Baden, Linda Orr, Andrew Beggs, Joseph DuBose, and David B. Powers. “Outcomes following penetrating neck injury during the Iraq and Afghanistan conflicts: A comparison of treatment at US and United Kingdom medical treatment facilities.” J Trauma Acute Care Surg 88, no. 5 (May 2020): 696–703. https://doi.org/10.1097/TA.0000000000002625.
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  - Breeze, John, Richard J. Blanch, Robb Mazzoli, Joseph DuBose, Douglas M. Bowley, and David B. Powers. “Comparing the Management of Eye Injuries by Coalition Military Surgeons during the Iraq and Afghanistan Conflicts.” Ophthalmology 127, no. 4 (April 2020): 458–66. https://doi.org/10.1016/j.ophtha.2019.10.014.
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  - Murray, Margaret, Theodore N. Pappas, and David B. Powers. “Maxillary Prosthetics, Speech Impairment, and Presidential Politics: How Grover Cleveland Was Able to Speak Normally after His "Secret" Operation.” Surg J (N Y) 6, no. 1 (January 2020): e1–6. https://doi.org/10.1055/s-0039-3400537.
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  - Breeze, John, Douglas M. Bowley, James G. Combes, James Baden, Rory F. Rickard, Joseph DuBose, and David B. Powers. “Facial injury management undertaken at US and UK medical treatment facilities during the Iraq and Afghanistan conflicts: a retrospective cohort study.” Bmj Open 9, no. 11 (November 25, 2019): e033557. https://doi.org/10.1136/bmjopen-2019-033557.
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  - Powers, David B., and John Breeze. “Avulsive Soft Tissue Injuries.” Atlas Oral Maxillofac Surg Clin North Am 27, no. 2 (September 2019): 135–42. https://doi.org/10.1016/j.cxom.2019.05.005.
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  - Suresh, Visakha, Rachel Anolik, and David Powers. “The Utility of Polyether-Ether-Ketone Implants Adjacent to Sinus Cavities After Craniofacial Trauma.” J Oral Maxillofac Surg 76, no. 11 (November 2018): 2361–69. https://doi.org/10.1016/j.joms.2018.05.002.
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  - Avashia, Yash, Peter Bittar, Visakha Suresh, and David B. Powers. “A Novel Approach for the Management and Prevention of Self-Induced Masticatory Lingual Trauma in the Neurologically Injured Patient.” Craniomaxillofac Trauma Reconstr 11, no. 3 (September 2018): 242–48. https://doi.org/10.1055/s-0037-1606300.
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  - Suresh, Visakha, Muath Bishawi, Michael W. Manning, Chetan Patel, Joseph Rogers, Carmelo Milano, Jacob Schroder, Mani Daneshmand, and David Powers. “Management of Patients With Left Ventricular Assist Devices Requiring Teeth Extraction: Is Halting Anticoagulation Appropriate?” J Oral Maxillofac Surg 76, no. 9 (September 2018): 1859–63. https://doi.org/10.1016/j.joms.2017.10.022.
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  - Breeze, John, J. G. Combes, J. DuBose, and D. B. Powers. “How are we currently training and maintaining clinical readiness of US and UK military surgeons responsible for managing head, face and neck wounds on deployment?” J R Army Med Corps 164, no. 3 (July 2018): 183–85. https://doi.org/10.1136/jramc-2018-000971.
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  - Powers, David B. “In Response to "Routine Postoperative Imaging Is Not Indicated in the Management of Mandibular Fractures".” J Oral Maxillofac Surg 75, no. 10 (October 2017): 2036. https://doi.org/10.1016/j.joms.2017.05.040.
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  - Carlson, Anna Rose, Ronnie Labib Shammas, Alexander Christopher Allori, and David Bryan Powers. “A Technique for Reduction of Edentulous Fractures Using Dentures and SMARTLock Hybrid Fixation System.” Plast Reconstr Surg Glob Open 5, no. 9 (September 2017): e1473. https://doi.org/10.1097/GOX.0000000000001473.
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  - Crowson, Matthew Gordon, Miles Berger, Grace C. McCarthy, and David B. Powers. “Orbitocerebral Impalement: Case Discussion and Management Algorithm.” Craniomaxillofac Trauma Reconstr 10, no. 3 (September 2017): 225–29. https://doi.org/10.1055/s-0036-1592098.
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  - Ochs, Mark, William Chung, and David Powers. “Trauma Surgery.” J Oral Maxillofac Surg 75, no. 8S (August 2017): e151–94. https://doi.org/10.1016/j.joms.2017.04.023.
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  - Choi, Kevin J., Bora Chang, Charles R. Woodard, David B. Powers, Jeffrey R. Marcus, and Liana Puscas. “Survey of Current Practice Patterns in the Management of Frontal Sinus Fractures.” Craniomaxillofac Trauma Reconstr 10, no. 2 (June 2017): 106–16. https://doi.org/10.1055/s-0037-1599196.
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  - Powers, David B. “Classification of Mandibular Condylar Fractures.” Atlas Oral Maxillofac Surg Clin North Am 25, no. 1 (March 2017): 1–10. https://doi.org/10.1016/j.cxom.2016.11.001.
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  - Powers, David B., Elda Fisher, and Detlev Erdmann. “Zygomatic Intraosseous Hemangioma: Case Report and Literature Review.” Craniomaxillofac Trauma Reconstr 10, no. 1 (March 2017): 1–10. https://doi.org/10.1055/s-0036-1592087.
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  - Breeze, J., D. C. Tong, D. Powers, N. A. Martin, A. M. Monaghan, D. Evriviades, J. Combes, et al. “Optimising ballistic facial coverage from military fragmenting munitions: a consensus statement.” Br J Oral Maxillofac Surg 55, no. 2 (February 2017): 173–78. https://doi.org/10.1016/j.bjoms.2016.10.018.
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  - Soo, Joanne, George Kokosis, Michael Ogilvie, Xiaoyin Sara Jiang, David B. Powers, Daniel J. Rocke, and Detlev Erdmann. “A Rare Case of Malignant Transformation of Oral Lichen Planus of the Mandible.” Plast Reconstr Surg Glob Open 4, no. 12 (December 2016): e1070. https://doi.org/10.1097/GOX.0000000000001070.
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  - Marcus, Jeffrey R., and David Powers. “Stryker SMARTLock Hybrid Maxillomandibular Fixation System: Clinical Application, Complications, and Radiographic Findings.” Plast Reconstr Surg 138, no. 5 (November 2016): 948e-949e. https://doi.org/10.1097/PRS.0000000000002727.
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  - Waldron, Nathan H., Bryant W. Stolp, Michael P. Ogilvie, David B. Powers, and Michael R. Shaughnessy. “Transorbital endotracheal intubation: a nonstandard approach to a difficult airway.” J Clin Anesth 34 (November 2016): 314–17. https://doi.org/10.1016/j.jclinane.2016.05.005.
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  - Kokosis, George, Robin Schmitz, David B. Powers, and Detlev Erdmann. “Mandibular Reconstruction Using the Free Vascularized Fibula Graft: An Overview of Different Modifications.” Arch Plast Surg 43, no. 1 (January 2016): 3–9. https://doi.org/10.5999/aps.2016.43.1.3.
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  - Cahill, Thomas J., Rikesh Gandhi, Alexander C. Allori, Jeffrey R. Marcus, David Powers, Detlev Erdmann, Scott T. Hollenbeck, and Howard Levinson. “Hardware Removal in Craniomaxillofacial Trauma: A Systematic Review of the Literature and Management Algorithm.” Ann Plast Surg 75, no. 5 (November 2015): 572–78. https://doi.org/10.1097/SAP.0000000000000194.
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  - Lazarides, Alexander, Detlev Erdmann, David Powers, and William Eward. “Custom facial reconstruction for osteosarcoma of the jaw.” J Oral Maxillofac Surg 72, no. 11 (November 2014): 2375.e1-2375.10. https://doi.org/10.1016/j.joms.2014.07.018.
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  - Ryan, Marisa, David B. Powers, and Liana Puscas. “Mandibular mass. Focal cemento-osseous dysplasia (FCOD).” Jama Otolaryngol Head Neck Surg 140, no. 10 (October 2014): 985–86. https://doi.org/10.1001/jamaoto.2014.1984.
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  - Powers, David B., and Robert I. Delo. “Characteristics of ballistic and blast injuries.” Atlas Oral Maxillofac Surg Clin North Am 21, no. 1 (March 2013): 15–24. https://doi.org/10.1016/j.cxom.2012.12.001.
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  - Silva, Kathryn N., William S. Twaddell, and David B. Powers. “A 40-year-old man with a perforated cheek.” Am J Med Sci 341, no. 5 (May 2011): 399–403. https://doi.org/10.1097/MAJ.0b013e3181e2ed3e.
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  - Powers, David B., Patrick F. Allan, Curtis J. Hayes, and Peter G. Michaelson. “A review of the surgical treatment options for the obstructive sleep apnea/hypopnea syndrome patient.” Mil Med 175, no. 9 (September 2010): 676–85. https://doi.org/10.7205/milmed-d-10-00132.
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  - Powers, D. B. “Distribution of civilian and military maxillofacial surgical procedures performed in an Air Force theatre hospital: implications for training and readiness.” J R Army Med Corps 156, no. 2 (June 2010): 117–21. https://doi.org/10.1136/jramc-156-02-13.
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  - Cho, Raymond I., Hans E. Bakken, Mark E. Reynolds, Brett A. Schlifka, and David B. Powers. “Concomitant cranial and ocular combat injuries during Operation Iraqi Freedom.” J Trauma 67, no. 3 (September 2009): 516–20. https://doi.org/10.1097/TA.0b013e3181a5f08d.
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  - Powers, David B. “Systemic lupus erythematosus and discoid lupus erythematosus.” Oral Maxillofac Surg Clin North Am 20, no. 4 (November 2008): 651–62. https://doi.org/10.1016/j.coms.2008.07.001.
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  - Bitonti, David A., Michael A. Steinle, David B. Powers, Thomas S. MacKenzie, and Paul M. Lambert. “Oral and maxillofacial surgery careers in the military and department of veterans affairs.” Oral Maxillofac Surg Clin North Am 20, no. 1 (February 2008): 17–26. https://doi.org/10.1016/j.coms.2007.10.002.
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  - Kincaid, Brent L., David B. Powers, Roger W. Childress, and John P. Schmitz. “The use of endoscopy for management of bilateral sagittal split complications.” J Oral Maxillofac Surg 64, no. 5 (May 2006): 846–50. https://doi.org/10.1016/j.joms.2006.01.014.
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  - Powers, D. B., M. J. Will, S. L. Bourgeois, and H. D. Hatt. “Maxillofacial trauma treatment protocol.” Oral and Maxillofacial Surgery Clinics of North America 17, no. 3 SPEC. ISS. (January 1, 2005): 341–55. https://doi.org/10.1016/j.coms.2005.05.003.
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  - Powers, D. B., and O. B. Robertson. “Ten common myths of ballistic injuries.” Oral and Maxillofacial Surgery Clinics of North America 17, no. 3 SPEC. ISS. (January 1, 2005): 251–59. https://doi.org/10.1016/j.coms.2005.05.001.
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  - Powers, D. B., and J. W. Morrison. “Middle cerebral artery aneurysm misdiagnosed as a temporomandibular disorder: report of a case.” J Oral Maxillofac Surg 56, no. 11 (November 1998): 1346–49. https://doi.org/10.1016/s0278-2391(98)90620-6.
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  - Powers, D. B., W. A. Edgin, and L. Tabatchnick. “Stereolithography: a historical review and indications for use in the management of trauma.” J Craniomaxillofac Trauma 4, no. 3 (1998): 16–23.
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  - Powers, D. B., and J. W. Morrison. “Middle cerebral artery aneurysm misdiagnosed as a temporomandibular disorder: Report of a case.” Journal of Oral and Maxillofacial Surgery 56, no. 11 SUPPL. 5 (1998): 1346–49.
- Other Articles
  - Powers, D. B. “The role of the Oral and Maxillofacial Surgeon in wartime, emergencies, and terrorist attacks.” Oral and Maxillofacial Surgery Clinics of North America, January 1, 2005. https://doi.org/10.1016/j.coms.2005.04.006.
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- Conference Papers
  - Ibrahim, Mohamed M., Ryan M. Schweller, Mahmoud M. Mohammed, David B. Powers, and Bruce Klitzman. “Implantable Oxygen Platform for Continuous, Real-time Detection of Vascular Perfusion and Ischemia.” In Wound Repair and Regeneration, 26:A8–A8. WILEY, 2018.
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  - Ibrahim, Mohamed M., Ryan M. Schweller, Mahmoud M. Mohammed, David B. Powers, and Bruce Klitzman. “NOVEL IMPLANTABLE OXYGEN BIOSENSORS FOR DETECTION OF VASCULAR PERFUSION AND ISCHEMIA.” In Wound Repair and Regeneration, 25:A40–A40. WILEY, 2017.
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Education, Training, & Certifications

Duke Appointment History

Leadership & Clinical Positions at Duke

In the News

Subject Headings

Fellowships, Supported Research, & Other Grants

External Relationships

Selected Publications

Academic Articles

Other Articles

Conference Papers