Treatment of hyperplasia of the coronoid process of the mandible in adults: analysis of 42 literature reports and illustrative case

ABSTRACT Objective: The objective of this research was to review the literature, compare different methods of surgical treatment for coronoid hyperplasia and report a clinical case of unilateral coronoid hyperplasia treated by coronoidectomy with intraoral access. Methods: A critical review of the literature was performed by selection of papers published in the last 20 years on the treatment of coronoid in adults in the PubMed, Medline, Scielo and Lilacs databases, with the terms coronoid hyperplasia OR coronoid elongation AND treatment OR management. The data was extracted for analysis. Results: twenty-four articles were selected. It included 42 patients, among them 69% were male patients and 81% were bilaterally affected. The age group with the highest prevalence was the people in the 20's and 30's. Sixty-nine percent of the patients were treated with coronoidectomy and 26.2% with coronoidotomy. The majority (83.3%) with intraoral access. No cases had surgical complications reported, and 71.4% underwent physiotherapy after surgery. Regarding the results, 83.3% were considered satisfactory, 11.9% were unsatisfactory. Conclusion: The great majority of the cases that brought significant results in the improvement of the pre and postoperative mouth opening were treated by coronoidectomy, proving to be an efficient and safe surgical treatment for the coronoid hyperplasia.

Download Full-text

A STUDY ON THE TRANSMISSION OF LYMPHATIC FILARIASIS WITH REFERENCE TO OCCUPATION IN URBAN AREAS OF NELLORE DISTRICT OF ANDHRA PRADESH

10.36106/5014583 ◽

2021 ◽

pp. 194-196

Author(s):

Bhuvanagiri Venkata Subbaiah ◽

P. Subbarama Raju

Keyword(s):

Lymphatic Filariasis ◽

Economic Impact ◽

Urban Areas ◽

Andhra Pradesh ◽

Sampling Method ◽

Age Group ◽

The People ◽

Convenience Sampling ◽

Parasitic Worms ◽

Selection Of

Lymphatic Filariasis commonly known as elephantiasis is a painful and profoundly disguring disease that has a major social and economic impact in Asia, Africa, the Western Pacic and parts of the Americas (Ottesen et.al., 1997). This disease is caused through parasitic worms known as larial worms. In most of the cases this disease have no symptoms, however, the people develop a syndrome called elephantiasis which is marked with severe swelling in the legs, breasts, arms and genitals. The condition becomes more painful and unable to tolerate the pain and the appearance of the patients also looks ugly. The main aim of this study is to assess the transmission of lymphatic lariasis with reference to occupation. The convenience sampling method was taken for selection of sampling among the selected areas with the sample of 255 in the urban areas of Nellore District of Andhra Pradesh. The results revealed that the people with the age group of more than 45 years living at slum areas were more affected with this disease due to lack of knowledge about this disease.

Download Full-text

Maximum Mouth Opening Range in Adult Patients Presented at Dental OPD CMH, Lahore

10.53350/pjmhs211571752 ◽

2021 ◽

Vol 15 (7) ◽

pp. 1752-1754

Author(s):

Muhammad Shairaz Sadiq ◽

Fareed Ahmad ◽

Ali Anwaar ◽

M. Salman Chisthy ◽

Bilal Abdul Qayum Mirza ◽

...

Keyword(s):

Pearson Correlation ◽

Adult Population ◽

Mouth Opening ◽

Military Hospital ◽

P Value ◽

Age Group ◽

Lower Incisor ◽

Incisal Edge ◽

Male Patients ◽

Maximum Opening

Objective: To determine the maximum mouth opening (MMO) in Pakistani adult population and its possible correlation with sex and age. Design of the Study: It was a cross-sectional study. Study Settings: This study was carried out at Outpatient Department of Dentistry Combined Military Hospital, Lahore from January 2019 to July 2019. Material and Methods: The study involved 894 adults’ patients having 463 males and 431 females patients age in the range of twenty one year to seventy years. The patients were asked maximally open their mouth and keep it open until no further opening of mouth possible. Then with the help of calibrated fiber ruler distance was measured from incisal edge of the upper incisor teeth to the incisal edge of the lower incisor teeth. To check the correlation of mouth opening with age a Pearson correlation analysis was done and significance of the test was checked by applying the independent sample T-test will be applied taking p value of ≤0.05 as statistically significant. A written informed consent was obtained from every patient. Results of the Study: For males mean maximum opening of mouth was observed as 51.4±8.1 mm having its range 38 to 70. Mean maximum opening of mouth for females was observed as 43.1±5.9 mm having age range 37 to 55 mm. In 21 to 30 years age group the opening of mouth was 39.90 ± 5.02 mm for female’s patients and 40.26 ± 5.26 mm for male patients. In 31 to 40 years age group the opening of mouth was 39.54 ± 4.69 mm for females and for female’s patients it was 40.24 ± 4.55 for male patients. In 41 to 50 years age group MMO was 40.24 ± 5.02 mm for females and was 40.97 ± 4.79 mm for males. In age 51 to 60 years age group the equivalent values for males were 41.54 ± 5.49 and for females41.04 ± 5.63 mm. In 61 to 70 years age group the corresponding values for females and males were 40.33 ±5.55 mm and41.25 ± 6.04 respectively. Conclusion: The mean MMO for males was 51.4 ± 8.2 and for females was 43.1 ± 6.7. The opening of the mouth looks to reduce with age. The opening of mouth of females is not as much of the males in the all groups of age. Keywords: Maximum mouth opening (MMO), Age, Sex

Download Full-text

Evaluation of the Operative Treatment in Chronic Haematogenous Pyogenic Osteomyelitis by Sequestrectomy and Saucerisation in Children

Bangladesh Journal of Infectious Diseases ◽

10.3329/bjid.v5i1.37711 ◽

2018 ◽

Vol 5 (1) ◽

pp. 15-20

Author(s):

Md Mamun Or Rashid ◽

Md Aminur Rahman ◽

AKM Anisuzzaman Choudhury ◽

Khursheda Akhtar ◽

Khodeza Akhtar

Keyword(s):

Surgical Treatment ◽

Chronic Osteomyelitis ◽

Age Group ◽

Proper Selection ◽

Female Ratio ◽

Male Female Ratio ◽

Pyogenic Osteomyelitis ◽

A Prospective Study ◽

Medical University ◽

Selection Of

Background: Complete resolution occurs in many other types of infections with the use of antibiotics but not always with chronic pyogenic osteomyelitis.Objective: The aim of the present study was to evaluate the effectiveness of most conventional method of surgical treatment of chronic pyogenic osteomyelitis by sequestrectomy and saucerisation in Children.Methodology: This present study was a prospective study conducted at Bangabandhu Shekh Mujib Medical University (BSMMU), Dhaka, Bangladesh from January 2015 to December 2016 for a period of two (2) years. Patients aged up to 16 years were included in the study. Purposive sampling was done. Only chronic osteomyelitis of haematogenous origin were included after proper selection of the patients. Sequestrectomy and saucerisation was done. Wound was kept open and allowed to heal from bottom and sides of the wound.Result: A total 36 patients aged up to 16 years were included in the study. Among the cases two third were male 26(72.23%) and rest were female 10(27.77%). The male female ratio was 2.6:1.Therefore the incident was significantly high in males (p<0.01). Most of the patients 28(77.77%) were in 6 to 16 age group, which was significantly high (p<0.01) and mean age was 9.83years. Average time taken for wound healing was 3.75 weeks. Regarding antibiotics, Cap Flucloxacillin was the maximum choice. Patients were followed up to maximum 2 years and evaluated clinically and radiologically. Maximum patients 31(86.10%) had satisfactory (good and fair) outcome, but only 5(13.88%) patients had poor outcome. There was a significant association among sequestrectomy and saucerisation with final outcome (p<0.001).Conclusion: It was concluded that describing operative technique is still method of choice for surgical treatment of chronic haematogenous pyogenic osteomyelitis.Bangladesh Journal of Infectious Diseases 2018;5(1):15-20

Download Full-text

Varicose vein surgery under anti-platelet therapy

Phlebologie ◽

10.1055/s-0037-1622242 ◽

2008 ◽

Vol 37 (06) ◽

pp. 287-297 ◽

Cited By ~ 1

Author(s):

P.-M. Baier ◽

Z. T. Miszczak

Keyword(s):

Varicose Vein ◽

Bleeding Time ◽

Varicose Veins ◽

Bleeding Risk ◽

Bleeding Complications ◽

Review Of The Literature ◽

Varicose Vein Surgery ◽

Anti Platelet Therapy ◽

Male Patients ◽

Acute Atherothrombosis

Summary Background: Platelet function inhibitors (PFI) are used for prophylaxis of atherothrombosis. These drugs cause a prolongation of the bleeding time and should eventually be stopped before an elective operation. However, there is a risk that a perioperative pause of PFI lead to acute atherothrombosis. Objective: Our aim was to study whether a discontinuation of PFI therapy is necessary to avoid bleeding complications in patients undergoing varicose vein surgery. Methods: Selective review of the literature and retrospective analysis of clinical data of our own patients. Results: In the years 2002 to 2007 a total of 10 827 patients have been operated on varicose veins, 673 (6.2%) of these aged 32–86 years (67 ± 7.9) receiving permanent PFI therapy: 256 male patients (38.0%) and 417 female (62.0%), 39.1% categorized as ASA III patients: male 11.6%, female 27.5%. 38 patients who continued PFI therapy did not demonstrate haemorrhagic complications and none of those pausing anti-platelet medication experienced thromboembolic complications. The literature survey confirmed our finding that it is not necessary to suspend PFI medication for varicose vein surgery as the bleeding risk can be controlled for by technical means. Conclusion: Discontinuation of PFI therapy prior to interventions on varicose veins does not seem to be necessary, further studies are essential though.

Download Full-text

To Establish A Normal Range of Inter-Incisal Opening - A Study of 756 Subjects of Age Group 20-50 Years in Yamunanagar City, Haryana.

Dental Journal of Advance Studies ◽

10.1055/s-0038-1670583 ◽

2013 ◽

Vol 01 (01) ◽

pp. 001-003

Author(s):

Aruna Singh ◽

Nymphea Pandit ◽

Monica Sharma

Keyword(s):

Pearson Correlation ◽

Mouth Opening ◽

Clinical History ◽

P Value ◽

Age Group ◽

Male Population ◽

Female Population ◽

Odontogenic Infections ◽

Anterior Teeth ◽

Average Maximum

Abstract Aim- 1. The aim of this study was to investigate the average maximum range of inter-incisal mouth opening in a representative sample of the adult subjects of Haryana. 2. To see any correlation between maximal inter-incisal opening with age. Methods- Maximum mouth opening was studied in 756 adult subjects with age range of 20-50 years in Yamunanagar, Haryana. Age limit was further divided into three groups (20-30, 31-40, 41-50). Those with clinical history of TMJ involvement, OSMF, any trauma, odontogenic and non-odontogenic infections, dental prosthesis on the anterior teeth, congenital anomalies in the maxillofacial region were excluded from this study. The measurements were recorded twice and mean of the two values were taken. Statistical Analysis- Independent sample t-test was calculated to compare age and mouth opening in both male and females respectively. Bivariate pearson correlation was used to see any relationship between age and mouth opening. P-value ≤ 0.05 and CI (confidence interval) at 95% were considered statistically significant. The Results- The average mouth opening of males (45.36±6.70 mm) subjects was higher as compared to female (41.27 ± 6.75 mm) with significant, p-value 0.000. The mean mouth opening ± SD for both sexes combined was 43.39 ± 7.02 mm. The corresponding values for mean inter-incisal opening in male population aged 20-30, 31-40, 41-50 were 45.52 ± 7.15, 46.16 ± 5.47, 42.96 ± 6.82 mm and in female population aged 20-30, 31-40, 41-50 were 41.40 ± 7.08, 41.60 ± 6.29 and 40.03 ± 6.38 mm respectively. Conclusion- Maximal mouth opening differ significantly with gender. There is a decrease in MMO with older age group.

Download Full-text

Two Stage Surgical Treatment of Cuboid Osteomyelitis. A Case Report and Review of the Literature

The Foot ◽

10.1016/j.foot.2021.101796 ◽

2021 ◽

pp. 101796

Author(s):

Elias S. Vasiliadis ◽

Christos Vlachos ◽

Angelos Antoniades ◽

Eftychios Papagrigorakis ◽

Matthaios Bakalakos ◽

...

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Review Of The Literature ◽

Two Stage

Download Full-text

Histopathological specialized staining of oral lichen planus-induced fibrotic changes and surgical treatment of associated restricted mouth opening: a case report

Bulletin of the National Research Centre ◽

10.1186/s42269-021-00514-0 ◽

2021 ◽

Vol 45 (1) ◽

Author(s):

Atsushi Shudo

Keyword(s):

Surgical Treatment ◽

Lichen Planus ◽

Oral Lichen Planus ◽

Histopathological Examination ◽

Mouth Opening ◽

Ki 67 ◽

Collagen Formation ◽

Immune Mediated ◽

Cytokeratin 13 ◽

Oral Lichen

Abstract Background Oral lichen planus is a chronic inflammatory and immune-mediated disease that affects the oral mucosa. Recent findings have suggested that oral lichen planus is often associated with submucosal fibrotic changes. Fibrotic changes in the buccal submucosa may cause restricted mouth opening. This report discusses the histopathological examination (including specialized staining) and surgical treatment for oral lichen planus-induced fibrotic changes. Case presentation Here, we describe a 63-year-old woman who had oral lichen planus with fibrotic changes. Her maximum mouth opening distance was approximately 30 mm due to submucosal fibrotic changes, and she exhibited gradual fibrosis progression. Histological examinations were performed to assess the oral lichen planus-induced fibrotic changes. Then, double Z-plasty were performed as treatment for restricted mouth opening. The immunohistochemical staining results were negative for cytokeratin 13 and positive in some layers for cytokeratin 17 and Ki-67/MIB-1. Masson's trichrome staining showed enhanced collagen formation. Postoperative mouth opening training enabled the patient to achieve a mouth opening distance of > 50 mm. Conclusion Our findings suggest that histopathological examination with specialized staining can aid in the evaluation of oral lichen planus-induced fibrotic changes, and that Z-plasty is effective for the treatment of restricted mouth opening due to oral lichen planus.

Download Full-text

Love and homophobia in Malawi's spoken-word poetry movement

Africa ◽

10.1017/s0001972021000255 ◽

2021 ◽

Vol 91 (3) ◽

pp. 361-387

Author(s):

Harri Englund

Keyword(s):

Gender Stereotypes ◽

Gender Relations ◽

Spoken Word ◽

The Internet ◽

Modern Poetry ◽

Spoken Word Poetry ◽

The People ◽

Popular Interest ◽

The Aesthetic ◽

Selection Of

AbstractBy the early 2010s, a number of Malawian poets in their twenties had begun to substitute the elliptical expression of earlier generations with a language that resonated with popular idioms. As poetry directed at ‘the people’, its medium is spoken word rather than print, performed to live audiences and distributed through CDs, radio programmes and the internet. Crafted predominantly in Chichewa, the poems also address topics of popular interest. The selection of poetry presented here comes from a female and a male poet, who, unbeknown to each other, prepared poems sharply critical of homosexuality and what they regarded as its foreign and local advocacy. The same poets have also gained success for their love poems, which have depicted intimate desires in remarkably compatible ways for both women and men. The poets who performed ‘homophobic’ verse went against popular gender stereotypes in their depictions of romantic love and female and male desires. This introductory essay, as a contribution toAfrica's Local Intellectuals series, discusses the aesthetic challenges that the new poets have launched in the context of Malawi's modern poetry. With regard to gender relations in their love poems, the introduction also considers the poets’ possible countercultural contribution despite their avowed commitment to perform for ‘the people’.

Download Full-text