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National Journal of Maxillofacial Surgery

Mayank Singh, Lakshya Kumar, Mohd Anwar, Pooran Chand
The loss of tooth in the esthetic area is often a traumatic experience for the patient. Patients may suffer real or perceived detrimental effects following the loss of one or more teeth. Dental implant offers the most cost-effective and long-term solution for replacement of missing teeth with high average life expectancy, providing the patient with the best sense of security and well-being. Recently, immediate implant placement after extraction of tooth with early loading has become more common. The advantages of this procedure include fewer surgical interventions, reduction in overall treatment time, reduced soft and hard tissue loss, and psychological satisfaction to the patient...
July 2015: National Journal of Maxillofacial Surgery
Virendra Singh, Kannu Priya, Amrish Bhagol, Shruti Kirti, Manju Thepra
Painful conditions of unexplained origin pose a challenging task for the clinician from both the diagnosis and treatment perspective. This might be accounted due to overlapping symptomatology; moreover, nonspecific subjective findings push the diagnostic process to a more perplexing direction. The main loophole in their management lies in difficulty to make an appropriate diagnosis. Clicking hyoid is an extremely rare anomaly of hyoid bone which produces painful clicking in throat. Here, we report a case of a young patient presented with pain and clicking in throat which aggravated on swallowing...
July 2015: National Journal of Maxillofacial Surgery
Anand Narain Srivastava, Parul Gupta, Aqwam Siddiqui, Shoaib Irfan
Intraoral epidermoid cyst of buccal mucosa is generally an uncommon entity. Epidermal inclusion cyst refers sequestration of epidermal elements into the dermal and deeper tissue during the fetal period in line of fusion of embryonic process or acquired due to implantation of the epithelium due to trauma or surgery. It usually presents as slow growing asymptomatic cysts but may be symptomatic due to large size, interfering with mastication and speech or secondary infection. Surgical excision is done for removal of these cysts...
July 2015: National Journal of Maxillofacial Surgery
Satya Prakash Agarwal, Sunil Kumar, Hitendra Pratap Singh, Shahab Ali Usmani
Maxillofacial fibro-osseous lesions comprise a group of face and jaw disorders characterized by the replacement of bone by a benign connective-tissue matrix with varying amount of mineralized substances. Fibro-osseous lesions of the maxilla are not an uncommon tumor. Majority of the lesions with fibrous and osseous components include ossifying fibroma, fibrous dysplasia, cemento-ossifying fibroma, and cementifying fibroma. We present a case of 15-year-old female with huge fibroosseous lesion which was treated with total maxillectomy via a Weber-Ferguson approach...
July 2015: National Journal of Maxillofacial Surgery
Parmanand Dhanrajani, Peter W Cropley
Eosinophilic ulcer of the oral mucosa is considered to be a benign, reactive, and self-limiting lesion, with unclear pathogenesis, manifesting as a rapidly developing solitary ulcer. We report a case of a 42-year-old man who presented with a chronic indurated ulcer of buccal mucosa adjacent to the right upper wisdom tooth. Histopathological examination showed polymorphic inflammatory infiltrate, rich in eosinophilis, involving the superficial mucosa, and the deeper muscle layer. Immunohistochemical analysis revealed single CD30+ cells scattered within an inflammatory infiltrate...
July 2015: National Journal of Maxillofacial Surgery
Vinit Shah, Lakshya Yadav, Mayank Singh, Smriti Kharbanda
A maxillofacial prosthodontist forms an important link in the interdisciplinary management of a patient with anopthalmosis. Prosthetic management of an anopthalmic defect aims to deliver a well-fitting ocular prosthesis that can mimic the original eye as closely as possible, and thus restoring the patient's self-confidence and thereby rehabilitating them in the society. The fabrication of a custom ocular prosthesis is a demanding art. This case report presents a simplified technique for the fabrication of a custom ocular prosthesis for a child who had lost his eye to enucleation following retinoblastoma...
July 2015: National Journal of Maxillofacial Surgery
Arsheed Hussain Hakeem, Imtiyaz Hussain Hakeem, Fozia Jeelani Wani
Parathyroid adenoma usually presents with the signs and symptoms of hypercalcemia due to hyperparathyroidism. Brown's tumor is the late clinical consequence of untreated hyperparathyroidism and is rarely seen now-a-days due to improved screening biochemical tests. These tumors are characterized by high orthoclastic activity and bone resorption. These are usually located in the pelvis, ribs, clavicles, and extremities. This manuscript highlights a rare presentation of brown's tumor of upper alveolus in a 35-year-old female with a previously undiagnosed case of hyperparathyroidism due to a parathyroid adenoma...
July 2015: National Journal of Maxillofacial Surgery
Niranjan Mishra, Akhilesh Kumar Singh, Rahul Agrawal, Shreya Singh
Chondrosarcomas (CS) are slow-growing, malignant mesenchymal tumors characterized by the formation of cartilage by the tumor cells. Benign cartilage-producing tumors within the jaws are extremely uncommon, but most ultimately prove to represent low-grade CS. In the maxillofacial region, the maxilla is more commonly affected than the mandible, it comprises less than 2% of all jaw tumors. Clinically, the tumor presents as a swelling that may be painful and cause loosening of the involved teeth, with widening of the periodontal ligament space...
July 2015: National Journal of Maxillofacial Surgery
Vikash Ranjan, Shalu Rai, Deepankar Misra, Sapna Panjwani
Eagle's syndrome, also known as an elongated styloid process, is a condition that may be the source of craniofacial and cervical pain. It is infrequently reported but is probably more common than generally considered. The symptoms related to Eagle's syndrome can be confused with those attributed to a wide variety of facial neuralgia and or oral, dental, and temporomandibular joint diseases. In this paper, there are two cases, which reported to the Department of Oral Medicine, Diagnosis, and Maxillofacial Radiology, with a chief complaint of radiating pain in the preauricular region of the face...
July 2015: National Journal of Maxillofacial Surgery
Sanjay Kumar, S Mohan, Rupali Lav, Bobby John
Tuberculosis (TB), one of the oldest known microbial infectious diseases affecting humans has continued to burden our healthcare system over generations. Conventionally, primary TB usually manifests as a pulmonary infection. However, the last decade has witnessed increasing reports of extrapulmonary infections. It's often atypical clinical presentations require a high degree of clinical suspicion, especially in the developing countries with a high incidence of this infectious disease. In this report, we present one such case of tuberculous osteomyelitis of the mandibular condyle where the patient reported with the complaint of swelling on the left side of the face with no apparent systemic manifestation...
July 2015: National Journal of Maxillofacial Surgery
Neeraj Kumar Dhiman, Chandresh Jaiswara, Naresh Kumar, Shashikant C U Patne, Arun Pandey, Vishal Verma
Intraosseous hemangiomas are one of the rarest lesion of jaw bones (0.5-1%) occurring most commonly in vertebral column, skull bone, and rarely in mandible. Mainly occurs in the second decade of life with female: male predilection (2:1). Origin of hemangiomas is still debatable. World Health Organization considers it as a true benign neoplasm of vascular origin, and many authors believe it to be a hamartoma. It is very difficult to diagnose due to variable clinical and radiological features. A biopsy is not done on a routine basis due to a higher risk of hemorrhage...
July 2015: National Journal of Maxillofacial Surgery
Naresh Kumar, Akhilesh Kumar Singh, Arun Pandey, Vishal Verma
Mandibular fractures in children are very rare as compared to adults due to protected anatomic features of child and less exposure to road traffic accidents. Management becomes complicated due to inherent dynamic nature, instability of mixed dentition and fear of surgery. Conservative management can be done with the help of acrylic cap splints along with circum-mandibular wiring, intermaxillary fixation with eyelet wires, arch wires or open reduction and internal fixation with bio-resorbable plates. Different methods have various pros and cons...
July 2015: National Journal of Maxillofacial Surgery
Himanshu Aeran, Vijay Nautiyal, Varun Kumar, Shashank Uniyal
The success of dental implants in patients that have undergone chemo and radiotherapy for a region other than head and neck remain unclear, although some local and systemic factors could be contraindications to dental implant treatment. As there are very few absolute medical contraindications to dental implant treatment, but a number of conditions may increase the risk of treatment failure or complications. The case report describes the successful survival of dental implants placed in maxilla and mandible of a patient who had undergone radio and chemotherapy for prostate cancer...
July 2015: National Journal of Maxillofacial Surgery
Vijaylaxmy Malhotra, J K Dayashankara Rao, Varun Arya, Shalender Sharma, Yashpal Kataria, Payal Luthra
BACKGROUND: Preservation of the functional integrity of the facial nerve (FN) is a critical measure of success in temporomandibular joint (TMJ) surgery. In spite of the development of a myriad of surgical approaches to the TMJ, FN remains at risk. The deep subfascial approach provides an additional layer of protection (the deep layer of the temporalis fascia and the superficial temporal fat pad) to the temporal and zygomatic branches of the FN and thus, is the safest method to avoid FN injury...
July 2015: National Journal of Maxillofacial Surgery
Akanksha Yadav, Lakshya Kumar, Neeta Misra, U Deepak, G C Shiv Kumar
INTRODUCTION: The role of trace elements in various diseases has been a matter of controversy with various authors reporting on conflicting data. They are receiving much attention in the detection of oral cancer and precancer as they are found to be significantly altered and have an important role in carcinogenesis. Trace elements have been extensively studied in the recent years to assess whether they have any modifying effect in the etiology of oral malignant conditions. MATERIALS AND METHODS: A study was conducted on fifty subjects with clinically diagnosed oral submucous fibrosis (OSMF) and fifty controls with no apparent lesions of the oral mucosa and without any areca nut-related oral habit...
July 2015: National Journal of Maxillofacial Surgery
Sanjeev Parshad, Sourabh Nandi, Nisha Marwah, Promod Mehta, Mayank Tripathi, Netrapal, Shekhar Gogna, R K Karwasra
CONTEXT: Oral squamous cell carcinoma (OSCC) is the most common malignancy in India and tobacco and betel nut chewing are well established risk factors. Despite successful campaigns to help people shun this habit in developing countries the incidence has rather gone up and HPV and sexual practices are now definitely implicated for this. AIM: An attempt was made to generate Indian data on role of HPV and sexual practices in relation to OSCC. SETTINGS AND DESIGN: A prospective observational study was conducted on 50 patients with oral squamous cell carcinoma...
July 2015: National Journal of Maxillofacial Surgery
Rajesh Kshirsagar, Vikram Singh, Sudhir Pawar, Rahul Shah
AIM: To evaluate the efficacy and safety of the retromandibular approach in the management of condylar fractures by open reduction and internal fixation (ORIF). MATERIALS AND METHODS: A total of 20 patients with unilateral mandibular condylar fractures underwent ORIF using retromandibular approach. Pertinent data were collected and subjected to evaluation. RESULTS: The retromandibular approach was found to be expeditious in adequately exposing the fracture site and enabling ORIF...
July 2015: National Journal of Maxillofacial Surgery
Satish Kumar, Mona Saxena, Kandakurtis Srinivas, Vinod Kumar Singh
INTRODUCTION: Early diagnosis of cancer helps a great deal in the management of oral cancer patients. Number of proteinous markers have been employed for this purpose. Majority of them are not specific. Recently conjugated oligosaccharide with proteins and lipids have gained considerable importance in the present postgenomics and postproteomic period in the diagnostic and prognostics of cancer cases. MATERIALS AND METHODS: In this study, serum fucose levels were estimated in 50 control cases and 75 cases of oral cancer by the method of Dische and Shettles as adopted by Winzler...
July 2015: National Journal of Maxillofacial Surgery
Rakesh Kain, Satyavrat Arya
INTRODUCTION: Maxillofacial injuries are presented with many different patterns. It mostly depends upon the mode of injury like physical assault, road traffic accidents, occupational injuries, fall, sport injuries and animal attacks. Animals bites are common with wild animals but attack from an otherwise calm animal like camel is unusual and unexpected. They may cause a severe kind of maxillofacial injury which ranges from minor lacerations to total loss of soft and hard tissues. Such incidences are frequently seen in Rajasthan, India where camels are kept as a pet...
July 2015: National Journal of Maxillofacial Surgery
Vijay Kumar, Jeewan Ram Vishnoi, Channabasappa G Kori, Sameer Gupta, Sanjeev Misra, Naseem Akhtar
BACKGROUND: Primary mucosal malignant melanoma is an extremely rare, aggressive neoplasm accounting for 0.5% of all oral malignancies. Any pigmented lesion in oral cavity should have an index of suspicion, which should be investigated to detect the disease at an early stage and managed appropriately. Melanomas tend to invade locally into the tissue or metastasize more commonly than other malignant tumors of the oral cavity. MATERIALS AND METHODS: We report a retrospective case series of eight patients suffering from primary oral malignant melanoma treated in our department between 2012 and 2014...
July 2015: National Journal of Maxillofacial Surgery
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