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National Journal of Maxillofacial Surgery

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https://www.readbyqxmd.com/read/28356700/indolent-palatal-swelling-catch-22
#1
Preeti Sharma, Vijay Wadhwan, K V Arun Kumar, Arvind Venkatesh, Timsy Thapa
We present an interesting but intriguing case of an indolent palatal swelling. The lesion was asymptomatic causing little discomfort to the patient and thus was an incidental clinical finding. Provisional diagnosis was a benign, minor salivary gland tumor. Clinical differential diagnoses included benign lymphoepithelial lesion or mucus extravasation phenomenon. Nevertheless, we also considered malignancies such as mucoepidermoid carcinoma, lymphoma, and neoplasm of the maxillary sinus. However, the histopathology revealed a rare clinicopathologic entity prompting immediate treatment of the lesion...
July 2016: National Journal of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28356699/a-systematic-noninvasive-approach-for-rehabilitation-of-traumatized-maxillary-incisors
#2
Rakesh Kumar Yadav, Aseem Prakash Tikku, Anil Chandra, Shibha Mehta
Esthetic and functional impairment due to dental trauma is a major concern for patients. The management of such traumatic cases is complex, and it requires a comprehensive knowledge, diagnosis, and treatment planning. It is also important to take into account the patient's desire as well as economical status. The present case report describes a simple, conservative, and noninvasive approach for the rehabilitation of traumatized maxillary incisors.
July 2016: National Journal of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28356698/inadequate-vertical-bone-dimension-managed-by-indirect-sinus-grafting-technique-and-simultaneous-implant-placement
#3
Shikha Nandal, Pankaj Ghalaut, Deepika Nandal
Implant placement into the posterior maxilla often creates a challenge due to inadequate bone height because of close sinus proximity. This article presents a case report of indirect sinus lift technique involving hydraulic pressure to elevate the floor of the maxillary sinus.
July 2016: National Journal of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28356697/orofacial-cysticercosis-report-of-a-rare-case-with-review-of-literature
#4
Sharad Chand, Madan Mishra, Gaurav Singh, Abhishek Singh, Sapna Tandon
Cysticercosis is common in developing countries in which the combination of rural society, crowding, and poor sanitation facilities allows greater contact between humans and pigs and thus more opportunities for fecal contamination of food and water occurs. They are rarely located in oral and perioral tissues, particularly in the muscles of mastication, muscle of the facial expression, suprahyoid muscles, and postcervical musculature and also as in the tongue, buccal mucosa, and lip. Cysticercosis is a potentially fatal parasitic disease that rarely found in the maxillofacial region in humans...
July 2016: National Journal of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28356696/hiv-associated-large-aggressive-extranodal-lymphoma-of-the-oral-cavity
#5
Rahul Dilip Kamat, Vikas Dhupar, Francis Akkara, Anita Dhupar
Malignant lymphomas form a heterogeneous group of neoplasms of the lymphoid tissue with different clinical courses, depending on the treatment and the prognosis. Human immunodeficiency virus (HIV) infection and acquired immune deficiency syndrome (AIDS) have been associated with an increased risk for the development of lymphoproliferative disorders. The incidence of lymphoma is associated with 60-fold increase in seropositive patients as compared to seronegative patients. The present case describes a diffuse aggressive extranodal lymphoma in a known HIV patient...
July 2016: National Journal of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28356695/sialocele-a-rare-sequlae-of-transparotid-approach-in-subcondylar-fracture-management
#6
R Rajeev, S Sajesh, Mathew Jose, N Dhineksh Kumar
Iatrogenic injury and/or damage to the parotid salivary gland during transparotid approach for open reduction and internal fixation of mandibular condyle fracture is a rare event. Accumulation of saliva in the gland leads to formation of a sialocele. Huge sialocele often seeks drain through the most dependent area through an extraoral wound, whereas in the absence of extraoral fistula, saliva can be redirected intraorally using a stent. A case of mangement of sialocele caused by damage to glandular elements during a transparotid approach for a subcondylar fracture reduction is reported...
July 2016: National Journal of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28356694/naso-orbital-fistula-and-socket-reconstruction-with-radial-artery-forearm-flap-following-orbital-mucormycosis
#7
Ankur Bhatnagar, Amit Agarwal
Invasive mucormycosis is an uncommon cause of orbital exenteration. Reconstruction of an exenterated orbit is a surgical challenge. The loss of eyelids, adnexal structures, and even surrounding skin causes significant facial disfigurement. The goal for reconstruction demands a symmetrical orbital cavity with good prosthetic rehabilitation. Multiple reconstructive options in the form of skin grafts, local flaps, and free flaps are available. However, none of them provide ideal reconstruction. Our patient not only had extensive soft-tissue loss and unstable lining but also a large naso-orbital fistula...
July 2016: National Journal of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28356693/the-use-of-mini-plates-for-intermaxillary-fixation-in-a-severely-comminuted-mandibular-fracture-with-bilateral-condylar-fractures
#8
James William Clohessy, Frank Chang, Shiva S Subramaniam
Intermaxillary fixation (IMF) is an integral technique utilized by maxillofacial surgeons to appropriately reduce and relate maxillary and mandibular fractures to both one another and the facial skeleton. This case report reviews the management of a comminuted mandibular fracture including inoperable bilateral condylar fractures that precluded the use of convention IMF techniques necessitating an alternative technique. This was achieved in the form of modified bony plates extending intraorally. Postoperative review showed favorable results with occlusion and range of motion comparable to the premorbid function and no unforeseen complications...
July 2016: National Journal of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28356692/ameloblastic-fibroma-or-fibrosarcoma-a-dilemma-of-oral-surgeon
#9
Nitin Verma, Neha
Ameloblastic fibroma (AF) is an uncommon true mixed odontogenic tumor, with a relative frequency between 1.5% and 4.5% of all odontogenic tumors. It may behave either as a true neoplasm or as a hamartomatous proliferation of odontogenic epithelium of the enamel organ and odontogenic mesenchyme of the primitive dental pulp. Frequently diagnosed between the first and second decades of life with 75% of cases was diagnosed before the age of 20 and present with a well-defined unilocular or multilocular radiolucencies...
July 2016: National Journal of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28356691/preoperative-evaluation-of-cervical-lymph-nodes-for-metastasis-in-patients-with-oral-squamous-cell-carcinoma-a-comparative-study-of-efficacy-of-palpation-ultrasonography-and-computed-tomography
#10
Niranjan Mishra, Krushna Chandra Rath, Upendra Nath Upadhyay, Subhrajit Raut, Shadab Ali Baig, Krishna Gopal Birmiwal
INTRODUCTION: Oral cancer is a major health threat in a country like India, where patients frequently present with advanced disease with regional dissemination to cervical lymph nodes. The management and prognosis depend on the status of cervical lymph nodes. Thus, it becomes imperative to diagnose and evaluate them preoperatively. AIM: This study aims to compare the efficacy of palpation, ultrasonography (USG) and computed tomography (CT) in the preoperative evaluation of cervical lymph node for metastasis in patients with oral squamous cell carcinoma...
July 2016: National Journal of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28356690/sedation-in-oral-and-maxillofacial-day-care-surgery-a-comparative-study-between-intravenous-dexmedetomidine-and-midazolam
#11
Niranjan Mishra, Krishna Gopal Birmiwal, Nibedita Pani, Subhrajit Raut, Gaurav Sharma, Krushna Chandra Rath
INTRODUCTION: Sedation is an important component of day care oral and maxillofacial surgical procedures under local anesthesia. Although various sedative drugs in different regimens have been used for sedation, an ideal agent and regimen are yet to be established. AIM: The aim of this study is to compare the efficacy of intravenous (IV) dexmedetomidine and midazolam as a sedative agent for day care oral and maxillofacial surgical procedures. SETTINGS: The study was conducted in the Department of Oral and Maxillofacial Surgery, SCB Dental College and Hospital, Cuttack, Odisha, India...
July 2016: National Journal of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28356689/an-epidemiological-survey-in-hospital-setup-in-lucknow-district-a-cross-sectional-study
#12
Uma Shanker Pal, Mayank Singh, Lakshya Kumar, Pankaj Verma, R K Singh, Shailendra Kumar, G G Agarwal, Akash Asthana
INTRODUCTION: Oral cancer is the sixth most common form of cancer reported globally which includes lip, tongue, mouth, and throat. Developing countries face several challenges to identify and remove potential risk factors. Chewing tobacco/pan masala is considered to be the most potential risk factor for oral precancerous lesions and oral cancer. OBJECTIVE: To study the clinical-epidemiological profile of oral cancer cases and potential risk factor associated with it...
July 2016: National Journal of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28356688/comparing-hemodynamic-and-glycemic-response-to-local-anesthesia-with-epinephrine-and-without-epinephrine-in-patients-undergoing-tooth-extractions
#13
Paramjot Kaur, Rashi Bahl, Sameer Kaura, Sumit Bansal
INTRODUCTION: Lignocaine with epinephrine as local anesthetic (LA) provides hemostasis and decreases the risk of systemic toxicity. The purpose of the present study was to investigate and compare the response of lignocaine with and without epinephrine to evaluate hemodynamic and metabolic response in normotensive and type II controlled diabetic patients. MATERIAL AND METHODS: A total of 50 patients (25 healthy and 25 controlled type II diabetics) undergoing multiple tooth extractions (age group of 20-80 years) were included in this prospective, randomised, clinical study...
July 2016: National Journal of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28356687/evaluation-of-two-socket-healing-procedures-with-and-without-mesenchymal-stem-cells-a-comparative-study
#14
Abhinav Jain, Mahinder Singh, K P Ganapathy, Vikas Ramola, Deepak Passi, Komal Jain
AIMS AND OBJECTIVES: Successful preservation of the edentulous ridge after extraction may eliminate or reduce the need for ridge augmentation procedures. It is proved that grafting of fresh extraction sockets with bone grafts promotes ridge preservation. An objective method of maintaining height and width of alveolar ridge using mesenchymal stem cells (MSCs) seeded on collagen membrane was implemented in this study. METHODOLOGY: Ten bilaterally symmetrical extraction sockets scheduled for extraction were selected for this study...
July 2016: National Journal of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28356686/evaluating-the-use-of-octyl-2-cyanoacrylate-in-unilateral-cleft-lip-repair
#15
Vijaylaxmy Malhotra, J K Dayashankara Rao, Varun Arya, Shalender Sharma, Sushil Singh, Payal Luthra
BACKGROUND: Facial cosmetic results are one of the most concerning issues for the parents who get their children operated for cleft lip. Moreover, the postoperative care of the surgical site, the discomfort associated with the suture removal, and additional visit for suture removal are other reasons which encourages one to use any new technologies that may replace the need for suture placement. In this study, we used octyl-2-cyanoacrylate, a tissue adhesive which offers a viable alternative to traditional techniques without compromising optimal wound closure...
July 2016: National Journal of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28356685/treatment-modalities-for-surgical-management-of-anterior-palatal-fistula-comparison-of-various-techniques-their-outcomes-and-the-factors-governing-treatment-plan-a-retrospective-study
#16
Krishnamurthy Bonanthaya, Pritham Shetty, Abhimanyu Sharma, Jyoti Ahlawat, Deepak Passi, Mahinder Singh
AIM: Aim of this retrospective study was to access the various surgical treatment options available for repair of Anterior palatal fistula depending upon their size and presenting age, and also to anticipate the treatment outcome. MATERIALS AND METHODS: The series include study report of forty patients with secondary anterior palatal fistula post cleft palate repair, reported in a single unit during a duration of 3 years. All the cases were managed surgically under general anesthesia...
July 2016: National Journal of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28356684/effects-of-honey-in-the-management-of-alveolar-osteitis-a-study
#17
Nikita Soni, Vibha Singh, Shadab Mohammad, R K Singh, U S Pal, Ranjana Singh, Jyatasana Aggrwal, Mahesh Pal
INTRODUCTION: Alveolar osteitis (AO) is a complication of tooth extraction which indicates inflammation of alveolar bone of either maxilla or mandible. This study uses Apitherapy where honey catalyses biological reactions to improve immune system, makes local environment unbearable for microorganisms in the affected socket and enhances healing. MATERIALS AND METHODS: 50 patients of AO were included in the study. After cleansing of the affected socket, honey dressing was applied...
July 2016: National Journal of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28356683/a-study-on-total-intravenous-anesthesia-in-orthognathic-surgical-procedures
#18
P L Vasundhar, Gokkulakrishnan Sadhasivam, Satya Bhushan, Siva Kalyan, Kho Chai Chiang
AIMS AND OBJECTIVE: To assess the use of propofol for induction and maintenance of anaesthesia among patients undergoing various combinations of orthognathic surgical procedures. MATERIALS AND METHODS: Following Preoperative evaluation, patients were given Fentanyl (2 micrograms/kg) intravenously. Induction (2 mg/kg) and maintenance (10 mg/kg/hr) of anaesthesia was achieved by Propofol infusion. Blood Pressure and heart rate were maintained at >70 or 80 mm Hg and >50 respectively and were monitored continuously...
July 2016: National Journal of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28356682/dental-implants-in-children-a-multidisciplinary-perspective-for-long-term-success
#19
REVIEW
Nidhi Agarwal, Dipanshu Kumar, Ashish Anand, Surendrakumar Kaluram Bahetwar
Congenital hypodontia or trauma is a frequent cause of loss of teeth in children. The absence of teeth leads to loss of function and lack of normal alveolar growth, along with unpleasant esthetics that hamper the psychosocial development of the young child. Traditionally, the management of tooth loss in the young child is done by conservative means. None of those methods of treatment are completely satisfactory and have their own drawbacks. Dental implants in a young child would be an ideal mode of treatment for the absence of teeth...
July 2016: National Journal of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28356681/complications-in-the-use-of-bilateral-inferiorly-based-nasolabial-flaps-for-advanced-oral-submucous-fibrosis
#20
REVIEW
Rajesh Kshirsagar, Ajay Mohite, Suman Gupta, Amod Patankar, Vikrant Sane, Pratik Raut
Surgical management of advanced oral submucous fibrosis (OSMF) using bilateral inferiorly based nasolabial flaps is becoming increasingly popular. However no comprehensive analysis of delayed complications using this technique is available in the literature. The authors have conducted a retrospective study to examine the delayed complications of bilateral inferiorly based nasolabial flaps used in advanced oral submucous fibrosis at their institute along with a detailed review of literature on the subject. Thirty-two patients from January 2004 to December 2015 with OSMF and an interincisal distance less than 15 mm were included...
July 2016: National Journal of Maxillofacial Surgery
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