David Bryan Powers
Professor of Surgery
Dr. Powers currently serves as a 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
- Professor of Surgery, Surgery, Plastic, Maxillofacial, and Oral Surgery, Surgery 2021
- Professor in Head and Neck Surgery & Communication Sciences, Head and Neck Surgery & Communication Sciences, Clinical Science Departments 2021
- Professor in Neurosurgery, Neurosurgery, Clinical Science Departments 2022
Contact Information
- DUMC 2955, Durham, NC 27710
- DUMC 2955, Durham, NC 27710
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david.powers@duke.edu
(919) 681-7043
- Background
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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
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Previous Appointments & Affiliations
- Associate Professor of Surgery, Surgery, Plastic, Maxillofacial, and Oral Surgery, Surgery 2013 - 2020
- Associate Professor in Head and Neck Surgery & Communication Sciences, Head and Neck Surgery & Communication Sciences, Clinical Science Departments 2020
- Instructor,Temporary in the Department of Surgery, Surgery, Plastic, Maxillofacial, and Oral Surgery, Surgery 2013
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Leadership & Clinical Positions at Duke
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Vice Chair and Chief of Oral & Maxillofacial Surgery; Division of Plastic, Maxillofacial and Oral Surgery
Director, Duke Craniomaxillofacial Trauma Program
Fellowship Director, Craniomaxillofacial Trauma and Reconstructive Surgery Fellowship
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Vice Chair and Chief of Oral & Maxillofacial Surgery; Division of Plastic, Maxillofacial and Oral Surgery
- Recognition
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In the News
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FEB 26, 2023 -
OCT 8, 2018 American Board of Oral & Maxillofacial Surgery -
AUG 24, 2018 The News & Observer
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- Expertise
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Subject Headings
- Research
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Fellowships, Supported Research, & Other Grants
- Craniomaxillofacial Trauma and Reconstructive Surgery Fellowship awarded by Duke Department of Surgery 2019
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External Relationships
- AO North America
- American Board of Oral & Maxillofacial Surgery
- KLS Martin
- KLS Martin (SORG North America)
- Sentinel Medical Innovations
- StartBox
- Stryker Corp
- Synthes GmbH (AO North America)
- Publications & Artistic Works
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Selected Publications
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Academic Articles
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Hollins, Andrew, Bryan Pyfer, John Breeze, Gloria Zhang, Steven J. Lohmeier, and David B. Powers. “Closed reduction of nasoseptal fractures: Key concepts for predictable results.” Br J Oral Maxillofac Surg, April 5, 2023. https://doi.org/10.1016/j.bjoms.2023.03.014.Full Text Link to Item
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Powers, David B., Nathaniel L. Quinley, Steven J. Lohmeier, and Libor Brezina. “Standardized Postoperative Patient Discharge Instructions for Maxillary and Mandibular Fractures.” Facial Plast Surg Aesthet Med 25, no. 2 (2023): 182–83. https://doi.org/10.1089/fpsam.2022.0199.Full Text Link to Item
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Lohmeier, S. J., and D. B. Powers. “Sugammadex-associated asystole in young obese patient: Case report.” Oral and Maxillofacial Surgery Cases 8, no. 3 (September 1, 2022). https://doi.org/10.1016/j.omsc.2022.100271.Full Text
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Johnston, Darin T., Steven J. Lohmeier, Hannah C. Langdell, Bryan J. Pyfer, Jordan Komisarow, David B. Powers, and Detlev Erdmann. “Current Concepts in Cranial Reconstruction: Review of Alloplastic Materials.” Plast Reconstr Surg Glob Open 10, no. 8 (August 2022): e4466. https://doi.org/10.1097/GOX.0000000000004466.Full Text Link to Item
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Powers, David B., John Breeze, and Detlev Erdmann. “Vascularized Fibula TMJ Reconstruction: A Report of Five Cases featuring Computerized Patient-specific Surgical Planning.” Plast Reconstr Surg Glob Open 10, no. 8 (August 2022): e4465. https://doi.org/10.1097/GOX.0000000000004465.Full Text Open Access Copy Link to Item
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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 168, no. 3 (June 2022): 212–17. https://doi.org/10.1136/bmjmilitary-2020-001483.Full Text Link to Item
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Blau, Jared A., Andrew N. Atia, and David B. Powers. “Clinical Competency Committees in Plastic Surgery Residency.” Plast Reconstr Surg Glob Open 9, no. 9 (September 2021): e3833. https://doi.org/10.1097/GOX.0000000000003833.Full Text Link to Item
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Atia, A., L. Halligan, L. Brezina, H. Levites, A. Hollins, J. Blau, J. A. Hernandez, S. Lohmeier, V. Suresh, and D. B. Powers. “Distribution of wounding patterns in casualties from mass shooting events.” Trauma (United Kingdom), January 1, 2021. https://doi.org/10.1177/14604086211049636.Full Text
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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 78, no. 11 (November 2020): 1883–85. https://doi.org/10.1016/j.joms.2020.06.039.Full Text Link to Item
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Levites, Heather A., Nathaniel L. Quinley, and David B. Powers. “The Impact of COVID-19 on the Treatment of Craniomaxillofacial Trauma and Head and Neck Infections.” Surg J (N Y) 6, no. 4 (October 2020): e171–74. https://doi.org/10.1055/s-0040-1721426.Full Text Link to Item
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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.Full Text Link to Item
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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.Full Text Link to Item
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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.Full Text Link to Item
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Breeze, John, Douglas M. Bowley, Stuart E. Harrisson, Justin Dye, Christopher Neal, Randy S. Bell, Rocco A. Armonda, et al. “Survival after traumatic brain injury improves with deployment of neurosurgeons: a comparison of US and UK military treatment facilities during the Iraq and Afghanistan conflicts.” J Neurol Neurosurg Psychiatry 91, no. 4 (April 2020): 359–65. https://doi.org/10.1136/jnnp-2019-321723.Full Text Link to Item
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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.Full Text Link to Item
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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.Full Text Link to Item
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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.Full Text Link to Item
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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.Full Text Link to Item
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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.Full Text Link to Item
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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.Full Text Link to Item
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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.Full Text Link to Item
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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.Full Text Link to Item
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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.Full Text Link to Item
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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.Full Text Link to Item
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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.Full Text Link to Item
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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.Full Text Link to Item
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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.Full Text Link to Item
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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.Full Text Link to Item
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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.Full Text Link to Item
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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.Full Text Open Access Copy Link to Item
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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.Full Text Link to Item
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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.Full Text Link to Item
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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.Full Text Open Access Copy Link to Item
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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.Full Text Open Access Copy Link to Item
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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.Full Text Link to Item
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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.Full Text Link to Item
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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.Full Text Link to Item
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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.Full Text Link to Item
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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.Full Text Link to Item
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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.Full Text Link to Item
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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.Full Text Link to Item
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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.Full Text Link to Item
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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.Full Text Link to Item
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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.Full Text
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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.Full Text
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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.Full Text Link to Item
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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.Link to Item
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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.
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Book Sections
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Powers, David, and John Holmes. “Maxillofacial Firearm Injuries.” In Peterson’s Principles of Oral and Maxillofacial Surgery. Springer, 2022.
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Powers, D. B., and E. D. Rodriguez. “Characteristics of Ballistic and Blast Injuries.” In Facial Trauma Surgery: From Primary Repair to Reconstruction, 261–72, 2019. https://doi.org/10.1016/B978-0-323-49755-8.00028-1.Full Text
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Powers, David, and Detlev Erdmann. “Surgical Correction of Panfacial Trauma.” In Operative Techniques in Plastic Surgery, 2019.
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Powers, David. “Management of Craniomaxillofacial Trauma.” In Clinician’s Handbook of Oral and Maxillofacial Surgery. Quintessence Publishing (IL), 2019.
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Powers, David, and John Breeze. “Penetrating Neck Trauma.” In Ballistic Trauma A Practical Guide. Springer, 2017.
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Powers, David. “Comminuted Mandible Fractures.” In Atlas of Oral and Maxillofacial Surgery- E-Book, edited by Paul Tiwana and Deepak Kademani. Elsevier Health Sciences, 2015.
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Powers, D. B., and E. D. Rodriguez. “Reconstruction of Avulsive Defects of the Maxillofacial Complex.” In Oral and Maxillofacial Trauma, 763–89, 2012. https://doi.org/10.1016/B978-1-4557-0554-2.00031-9.Full Text
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Powers, D. B., and R. I. Delo. “Maxillofacial Ballistic and Missile Injuries.” In Oral and Maxillofacial Trauma, 696–716, 2012. https://doi.org/10.1016/B978-1-4557-0554-2.00027-7.Full Text
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Other Articles
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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.Full Text
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Conference Papers
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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.Link to Item
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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.Link to Item
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