scholarly journals A clinical study of effect of peri-tonsillar infiltration of ropivacaine on tonsillectomy haemorrhage

Author(s):  
Ravi K. S. ◽  
Kiran M. Naik ◽  
Nikethan . ◽  
Aniketh V. R.

<p><strong>Background:</strong> The aim of this study to determine the relationship between the peritonsillar infiltration of ropivacaine hydrochloride and haemorrhage in patients undergoing tonsillectomy.</p><p><strong>Methods </strong>This prospective study was conducted in the department of otorhinolaryngology and head and neck surgery, Adichunchanagiri institute of medical sciences, B. G. Nagara, Mandya district. A sample size of 30 patients which satisfied the inclusion criteria were included in the study. <strong></strong></p><p>Ropivacaine (0.75%)<strong> </strong>was locally infiltrated on the right side (R-side) in the peri-tonsillar region before the surgery. The left side was considered as the control side. Intra-operative blood loss was estimated separately for both the sides. The data from the study will be analysed using chi square test and Student t test technique.</p><p><strong>Results:</strong> The 17 (56.7%) females and 13 (43.3%) males participated in the study. Majority of the cases belonged to &lt;10 years of age group. By analysing the data, blood loss was found to be higher on the left side (control side) compared to the right side on which peri-tonsillar infiltration of ropivacaine was given. The association between the blood loss on the right side and the left side (control side) was found to be significant (p&lt;0.0001).<strong></strong></p><p><strong>Conclusions: </strong>Based on the result of our study it can be derived that the peri-tonsillar infiltration of Ropivacaine (0.75%) is very effective in reducing intra-operative bleeding and at the same time providing a better bloodless field during surgery. Hence, we recommend the use of peri-tonsillar infiltration of Ropivacaine (0.75%) in view of better management of intra-operative blood lossissn.2454-5929.ijohns20220041</p>

2020 ◽  
pp. 52-55
Author(s):  
Debasish Ghosh ◽  
Shyama Bandopadhyay ◽  
Archana Singh ◽  
Soutrik Kumar ◽  
Arunabha Sengupta ◽  
...  

Radiological anatomy is evaluated in three dimensions for preoperative and paroperative sur-gical planning, which helps the surgeon to identify his or her limits of dissection during sur-gery and avoid complications. Patients attending OPD at Institute of Otorhinolaryngology and Head & Neck Surgery, Kol-kata, India with features of sinonasal disease were advised CT scan depending upon the symptoms and course of the disease. 100 study subjects (200 sides) were selected during the study period between 01/01/2019 to 30/06/2020. Septa related directly related to ICA in 31%(n=31) cases of whom 12 patients (12%), 8 pa-tients (8%) and 11 patients (11%) had septa related to right ICA, left ICA and bilaterally ICA respectively. Septa attachment to optic nerve is seen in 27%(n=27) patients, of whom 10 patients (10%), 11 patients (11%) and 6 patients (6%) had attachment related to right optic nerve, left optic nerve and both optic nerves, respectively. On the right side ICA protrusion and pneumatization of ACP were both present in 8(8%) patients and on the left side in 7(7%) patients. Chi-Square test indicated a statistically significant association (P < 0.001). Pneumatized ACP and ON protrusion consistently en-countered on the right and left side in 7 patients (7%) and 8 patients (8%) respectively. Chi-Square test indicated a significant association between ACP pneumatization and ON protru-sion (P<0.001). This resolution helped in better demonstration of complicated sphenoid sinus anatomy well. Hence, we support 1 mm triplaner CT Scans for preoperative imaging assessment for all sinus surgeries.


2021 ◽  
pp. 030157422110448
Author(s):  
Ankita Singh ◽  
Pradeep Tandon ◽  
Dipti Shastri

Objective: To estimate the maximum voluntary molar biting force (MBF) and incisor biting force (IBF) and their relationship to morphological variables in subjects with different vertical skeletal patterns. Materials and Methods: Maximum voluntary MBF, IBF, and morphological variables were recorded in 120 subjects (60 males and 60 females) with skeletal class I pattern in the age range of 14 to 24 years. All subjects were divided into 3 groups: Normodivergent, hypodivergent, and hyperdivergent, according to the maxillomandibular plane angle and Jarabak ratio. Bite force measurements were undertaken using a custom-made portable digital gnathodynamometer on the left and the right sides of the jaw in the molar and incisor regions during maximal clenching. Statistical analysis was performed using independent t-test, chi-square test, and ANOVA test using SPSS version 22.0.0.0 software. Results: MBF and IBF are influenced by gender with higher values obtained for male subjects in all groups in the following order: hypodivergent > normodivergent > hyperdivergent. No significant changes were seen with morphological variables in different groups. Conclusion: Molar and incisor biting forces are highest in hypodivergent subjects and least in hyperdivergent subjects as a reflection of jaw morphology and muscular efficiency. In all groups, males exhibit higher force values than females, underlining a strong gender influence on biting force and facial pattern.


Author(s):  
Anies Dewi Wirati Indraswari ◽  
Abdul Aziz ◽  
Meircurius Dwi Condro Surboyo

Abstract Introduction The coronavirus disease-2019 (COVID-19) pandemic has also hit Indonesia. Until September 2020, cases continued to increase with the highest number in Jakarta. The right behavior needs to be followed to prevent COVID-19; this aspect has a strong relationship with knowledge and attitude. This study aimed to analyze the relationship between the knowledge, attitudes, and behavior of hospitalized patients' families in Fatmawati Hospital, Jakarta, in an effort to prevent COVID-19. Materials and Methods A cross-sectional study was conducted on 300 respondents using a self-administered questionnaire to assess their knowledge, attitude, and behavior about COVID-19. The relationship between knowledge, attitude, and behavior was analyzed using the chi-square test with p < 0.05. Results Most of the participants responded to the questionnaire showing a good knowledge, attitude, and behavior related to the efforts to prevent COVID-19. No relationship was present between knowledge, attitude, and behavior in an effort to prevent COVID-19 (p = 0.414 and p = 0.165). Conclusion The hospitalized patients' families exhibited an adequate level of knowledge, attitude, and preventive behaviors toward COVID-19.


2018 ◽  
Vol 8 ◽  
pp. 16
Author(s):  
Georges Aoun ◽  
Ibrahim Nasseh

Objective: Triticeous cartilage is a small ovoid structure belonging to the laryngeal skeleton. When calcified, it becomes visible on panoramic radiographs and be mistaken for a carotid artery calcification (CAC) associated with cerebrovascular accidents. This study aimed to estimate the prevalence of calcified triticeous cartilage (CTC) detected by means of digital panoramic radiographs in a sample of Lebanese population. Materials and Methods: Digital panoramic radiographs of 500 Lebanese adult patients (281 females and 219 males) with a mean age of 47.9 years were included in this study and examined for CTC. The IBM® SPSS® for Windows version 20.0 (SPSS, Chicago, IL, USA) was used to carry out statistical analysis of the data collected. Results: Nearly 10.6% (53 out of 500) of the radiographs examined presented CTC. Of all the calcifications, 11 were on the right side, 5 on the left side, and 37 were bilateral. The cases detected belonged to 31 females and 22 males with an average age of 55.6 years (ranging from 24 to 85 years). Chi-square test did not show any statistical connection between gender and CTC, while Spearman's correlation analysis showed low positive correlation with age (r = 0.146). Conclusion: CTC can be detected on panoramic radiographs taken in daily dental practice; its identification is essential to avoid misdiagnosis with other calcifications in the neck region closely related to life-threatening risks such as CAC.


2020 ◽  
Author(s):  
Zhichao Zhang ◽  
Jingxuan Chen ◽  
Wei Shi ◽  
Shengyuan Zhou ◽  
Xiongsheng Chen ◽  
...  

Abstract Objective Single level ACCF combining single level ACDF (AcA) is an ideal way to treat CSM with multiple consecutive cervical intervertebral disc herniation alongside with severe bony narrowing of the spinal canal in between. AcA with the stand-alone technics on the ACDF level and a shorter titanium plate that only covers the ACCF levels (AcAsa) may possess potential advantages than conventional AcA. We performed a retrospective study to evaluate the feasibility, safety and effectiveness of AcAsa procedure. Methods 379 patients with CSM who had conventional AcA or AcAsa were retrospectively reviewed. Related patients factors, disease factors and treatment factors were acquired and subjected into student’s t test, chi-square test and survive analyses. Results Preoperative and postoperative JOA Scores in AcAsa: p<0.001. Preoperative and postoperative VAS Scores in AcAsa: p<0.001. 12months improvement of JOA Score between preoperative VAS Score≥2 and <2 in AcAsa: p=0.002. The amount of intraoperative blood loss between AcAsa and conventional AcA: p=0.011. Incidence of postoperative dysphagia between AcAsa and conventional AcA: p=0.038. Conclusion AcAsa significantly improve patients’ JOA Scores and reduce VAS Scores. Compared with conventional AcA, AcAsa leads to smaller amount of intraoperative blood loss and lower incidence of postoperative dysphagia. The alleviations of neurological symptoms, cervical motions and disc space heights at the ACDF levels are similar between the two types of surgeries. And patients with preoperative VAS less than 2 may benefit more from an AcAsa procedure.


2020 ◽  
Vol 60 (3) ◽  
pp. 182-187 ◽  
Author(s):  
Neeti Kapoor ◽  
Swati Dubey Mishra ◽  
Ashish Badiye

In fingerprint analysis, the determination of hand (right or left) is one of the keys to resolving questions regarding the identity of the donor of the print. It is rare to encounter a complete set of 10-digit fingerprints from the scene of a crime. Although vital and imperative, except for a few studies on whorl patterns, the use of single-digit prints and patterns to ascertain the hand of the donor is scarcely reported in the literature. This research describes a novel approach whereby an analysis of twinned loops was carried out to identify the various parameters that may be helpful in ascertaining the hand of the donor. Bilateral rolled fingerprints from 180 healthy consenting adults belonging to a heterogeneous population of central India were collected. Out of the total of 1800 prints taken, 100 twinned loops (50 on the right hand and 50 on the left hand) were analysed. The following six parameters were considered: the slope of the flow of the apex ridges, the distance between the left delta and the ascending core, the distance between the right delta and the ascending core, mid-core position, the position of the loop and ridge tracing. On applying the chi-square test, the results were found to be statistically significant. Therefore, these parameters were found suitable for the determination of the hand from a single twinned-loop print.


2014 ◽  
Vol 03 (03) ◽  
pp. 143-149
Author(s):  
Apsara M P.

Abstract Background and aims: The incidence of Coronary Artery Disease (CAD) has reached alanning proportions in India. The pathological hall mark of CAD is myocardial ischemia resulting from the atherosclerotic narrowing of coronary arteries. In this era of advanced interventions and cardiac surgery, a thorough knowledge of normal and variant anatomy of coronary arteries is of prime significance and of great use both to the clinicians and anatomists. Materials and methods: One hundred coronary angiograms of patients free of disease were studied in detail in different profiles. The data obtained was quantified according to their frequencies. The relation between the length of left main coronary artery and coronary artery dominance was statistically analyzed using the 'Chi Square test for Trend'. Results: This study highlighted some interesting findings such as the origin of Sino- atrial nodal artery from the second segment of right coronary artery in 3% of cases, double right marginal artery in 4% cases. Other variations such as Mouchet's posterior recurrent interventricular artery, origin of circumflex artery from the right coronary artery and abnormal communication between the terminal parts of right coronary artery and circumflex artery were each noticed in 1 % of cases. Conclusions: Coronary arteries and their branches are prone to variations in their course and morphology. Prior knowledge about this is important for the interpretation of coronary angiograms and surgical myocardial revascularization. The present work on normal and variant pattern of coronary arteries will help in gathering momentum to the already advancing research work in this field.


2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Raed Mukhaimer ◽  
Zafer Azizi

Purpose. The aim of this investigation was to evaluate clinically the percentage of permanent mandibular first molar teeth with three roots amongst Palestinian population. Patients and Methods. Three hundred twenty-two mandibular first molars from 185 females and 137 males scheduled for root canal treatment at the Dental Center of the Arab American University were examined over a 2-year period. The incidence of a third root revealed by periapical radiographs and the comparison of the occurrence between males and females and between the right and left sides of the mandible were recorded. Statistical Analysis. It was performed using the chi-square test with a significant level set at P<0.05%. Results. Of the 322 treated mandibular first molars, twelve teeth were found to have a third root with an overall incidence being 3.73%. More teeth with a third root were treated on the right side of the mandible compared to the left side. Conclusion. The incidence of a third root in Palestinian population was within the range of previous reports from the Middle East but considerably lower than the percentage from the Far East.


2013 ◽  
Vol 18 (6) ◽  
pp. 106-111 ◽  
Author(s):  
Paulo Estevão Scanavini ◽  
Renata Pilli Jóias ◽  
Maria Helena Ferreira Vasconcelos ◽  
Marco Antonio Scanavini ◽  
Luiz Renato Paranhos

OBJECTIVE: This study assessed the anterior-posterior positioning of the upper and lower first molars, and the degree of rotation of the upper first molars in individuals with Class II, division 1, malocclusion. METHODS: Asymmetry I, an accurate device, was used to assess sixty sets of dental casts from 27 females and 33 males, aged between 12 and 21 years old, with bilateral Class II, division 1. The sagittal position of the molars was determined by positioning the casts onto the device, considering the midpalatal suture as a symmetry reference, and then measuring the distance between the mesial marginal ridge of the most distal molar and the mesial marginal ridge of its counterpart. With regard to the degree of rotation of the upper molar, the distance between landmarks on the mesial marginal ridge was measured. Chi-square test with a 5% significance level was used to verify the variation in molars position. Student's t test at 5% significance was used for statistical analysis. RESULTS: A great number of lower molars mesially positioned was registered, and the comparison between the right and left sides also demonstrated a higher number of mesially positioned molars on the right side of both arches. The average rotation of the molars was found to be 0.76 mm and 0.93 mm for the right and left sides, respectively. CONCLUSION: No statistically significant difference was detected between the mean values of molars mesialization regardless of the side and arch. Molars rotation, measured in millimeters, represented ¼ of Class II.


2016 ◽  
Vol 5 (2) ◽  
pp. 118-122 ◽  
Author(s):  
Mohammed Jasim Aljuboori ◽  
Hussien Ali Al-Wakeel ◽  
Lor Yen Fang ◽  
Navenithamaria Eirutharajan ◽  
Santhanalaxmi A Balachandran

ABSTRACT Objectives Previous studies showed there were variations in the interforamina distance of mental foramen between races. The aim of our study is to determine the interforamina distance of mental foramen among Malaysian populations. Materials and methods A total of 503 orthopantomogram (OPG) radiographs were observed. Interexaminer calibration was estimated using the Kappa-Cohen formula. A sheet of transparent paper was superimposed on the panoramic film and the mental foramen was traced on it by using a fine marker pen. A vertical line marking the midline was drawn passing between the maxillary central incisors, the mandibular central incisors, or the nasal septum by using a ruler. The distance of the mental foramen from the midline was then recorded from both the left and the right side. The data were analyzed using chi-square test. Results According to our inclusion and exclusion criteria, 110 OPGs have been excluded and 393 OPGs were selected. In the Malay population, the most common interforamina distance for a male is between 55 and 60+ mm (n= 73, 54.8%). Also, the most common interforamina distance for a female is 55 to 60+ mm (n = 84, 50%). In the Chinese population, the most common interformina distance for a male is between 55 and 60+ mm (n=60, 66.8%). Similarly, the most common interforamina distance for a female is between 55 and 60+ mm (n= 73, 53.8%). Among the Indian population, the most common interforamina distance for a male falls between 55 and 60+ mm (n= 53, 43.4%) and for a female as well (n=50, 54%). According to the chi-square test, the results show that the study is statistically insignificant since the p-value is >0.05 for both the male and female population. Conclusion There is no relationship between the interforamina distance and the ethnicity. The most common interforamina distance for all the races falls between 55 and 60+ mm. How to cite this article Al-Juboori MJ, Saini R, Al-Wakeel HA, Fang LY, Eirutharajan N, Balachandran SA. Evaluation of the Intermental Foramina Distance among Malaysian Population by using Orthopantomogram Radiograph. Int J Experiment Dent Sci 2016;5(2):118-122.


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