scholarly journals SURGICAL MANAGEMENT OF GENERALIZED GINGIVAL ENLARGEMENT – A CASE SERIES

2016 ◽  
Vol 20 (3) ◽  
Author(s):  
Muhammad Usman Akhtar ◽  
Asif Nazir ◽  
Samera Kiran
Keyword(s):  
Surgical Management ◽  
Tertiary Care ◽  
Maxillofacial Surgery ◽  
Case Series ◽  
Surgical Excision ◽  
Oral And Maxillofacial Surgery ◽  
Lack Of Information ◽  
Dental Practitioners ◽  
Gingival Enlargement ◽  
Tertiary Care Centers

Introduction:  Generalized gingival enlargement is characterized by massive and exuberant gingival over-growth that poses social, aesthetic, phonetic and functional problems for the patient. Therefore, it requires meticulous management.Objective:  To describe the surgical management of generalized gingival enlargement by electrosurgical excision of patients presenting to a tertiary care centre.Study Design:  Case series.Materials and Methods:  The study was conducted at the Department of Oral and Maxillofacial Surgery, de’Montmorency College of Dentistry, Lahore, from January 2010 to December 2012. A total of sixteen patients were operated by using electrosurgical approach under general anaesthesia for surgical excision of generalized gingival enlargement.Results:  All of the sixteen patients, 11 males and 5 females, showed excellent healing postoperativelywithout any recurrent gingival overgrowth.Discussion:  To the best of our knowledge, the current study presents the largest case series of generalized gingival enlargement. Most of these cases were with massive disease due to lack of information of the study population about their disease, delay in referral by the general dental practitioners, painless and innocent nature of the problem. Early referral of such patients to tertiary care centers can prevent the patients from social and psychological embarrassment.Conclusion:  Electrosurgical excision is an excellent surgical technique for management of generalized gingival enlargement. Moreover, cross comparative studies are required to establish some diagnostic and therapeutic standards for such patients.

scholarly journals Evaluation of 2 mm locking plates for treating mandibular fractures

2020 ◽  
Vol 8 (2) ◽  
pp. 566
Author(s):  
Amit Sharma ◽  
Kopal Sharma ◽  
Vasim Raja Panwar ◽  
Neel Kamal ◽  
Manish Gurjar
Keyword(s):  
Internal Fixation ◽  
Tertiary Care ◽  
Maxillofacial Surgery ◽  
Case Series ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Care Hospital ◽  
Early Recovery ◽  
Body Fracture ◽  
Angle Fracture

Background: The progressive development in the trauma management has now paved way to the use of miniplates for the treatment of mandibular fractures. We present a case series of twenty-five patients treated with miniplates for the mandibular fractures.Methods: The study was done on twenty-five patients diagnosed clinically and radiographically with mandibular fractures and attending the outpatient department of Oral and Maxillofacial surgery of a tertiary care hospital in Jaipur city. The selected cases were treated by open reduction and internal fixation under general anesthesia. 2.0-mm titanium locking mini plates were used as a method of internal fixation. The patients were evaluated for the location, type and number of fractures, time required for adaptation and fixation of single four hole 2.0-mm locking plate, complications during surgery, pre and post-surgical occlusal relationship, adequacy of reduction on postoperative radiograph and any post-surgical complications requiring a secondary surgical intervention.Results: Majority were in the age group of 21-30 years (72%) with a mean age of 26.6 years. Among these, there were 23(92%) male and 2(8%) female patient. Maximum (28%) patients were of symphysis and angle fracture followed by symphysis and condylar (25%), while only 2% cases were of Para symphysis and condylar. The mean time taken for single plate adaptation and fixation was 11.34 minutes for symphysis fracture, 14.12 minutes for parasymphysis fracture, and 11.56 minutes for body fracture and 18.90 minutes for angle fractures.Conclusions: The locking miniplates in mandibular fractures is efficacious enough to appreciate early recovery of normal jaw function, uneventful healing and good union at the fracture site with minimal weight loss due to early reinstatement of masticatory function.

scholarly journals A national study of choanal atresia in tertiary care centers in Canada – part I: clinical presentation

2021 ◽  
Vol 50 (1) ◽  
Author(s):  
Josee Paradis ◽  
Agnieszka Dzioba ◽  
Hamdy El-Hakim ◽  
Paul Hong ◽  
Frederick K. Kozak ◽  
...  
Keyword(s):  
Respiratory Distress ◽  
Clinical Presentation ◽  
Tertiary Care ◽  
Choanal Atresia ◽  
Case Series ◽  
Retrospective Chart Review ◽  
National Study ◽  
Feeding Difficulties ◽  
Presenting Symptoms ◽  
Tertiary Care Centers

Abstract Background To evaluate the clinical presentation of choanal atresia (CA) in tertiary centers across Canada. Methods Multi-centre case series involving six tertiary care pediatric hospitals across Canada. Retrospective chart review of patients born between 1980 and 2010 diagnosed with CA at a participating center. Results The health charts of 215 patients (59.6% female) with CA were reviewed and included in this study. The mean age of patients at time of CA presentation was 0.4 months (range 0.1 to 7.2 months) for bilateral CA and 37.8 months (range 0.1 to 164.1 months) for unilateral cases. The most common presenting symptoms for bilateral CA in decreasing order were respiratory distress (96.4%), feeding difficulties (68.2%), and rhinorrhea (65.5%), and for unilateral cases in decreasing order were rhinorrhea (92.0%), feeding difficulties (24.7%), and respiratory distress (18.0%). For the majority of patients (73.2%), the obstruction comprised mixed bony and membranous tissue, with only 10.5% presenting with a purely membranous obstruction. Familial history of CA was confirmed in only 3.3% of cases. One half of patients with CA presented with one or more associated anomalies and 30.6% had a syndrome. Conclusions The present investigation is the first national multi-institutional study evaluating the clinical presentation of CA over three decades. The present cohort of CA patients presented with a breadth of co-morbidities with highly variable presentations, with bilateral cases being more severely affected than unilateral cases. Further investigation into hereditary linkages to CA development is warranted. Graphical abstract

scholarly journals Treatment of Stage 2 Medication-Induced Osteonecrosis of the Jaw: A Case Series

2021 ◽  
Vol 18 (3) ◽  
pp. 1018
Author(s):  
Guillermo Pardo-Zamora ◽  
Yanet Martínez ◽  
Jose Antonio Moreno ◽  
Antonio J. Ortiz-Ruíz
Keyword(s):  
Bone Structure ◽  
Negative Impact ◽  
Maxillofacial Surgery ◽  
Case Series ◽  
Osteonecrosis Of The Jaw ◽  
Oral And Maxillofacial Surgery ◽  
Minimally Invasive Surgical ◽  
Therapeutic Protocols ◽  
Serious Disease ◽  
The University

Medication-induced jaw osteonecrosis (MRONJ) is a rare and serious disease with a negative impact on patients’ quality of life, whose exact cause remains unclear and which may have a multifactorial origin. Although there are different therapeutic protocols, there is still no consensus. This case series evaluated three patients diagnosed with staged 2 MRONJ treated at the University of Murcia dental clinic according to the protocols described by the Spanish Society of Oral and Maxillofacial Surgery and the American Association of Oral and Maxillofacial Surgeons. Within 12 months of the application of therapeutic protocols, the lesions were completely healed in all cases. Radiography showed slow but progressive healing with normal bone structure. Conservative treatment with antibiotics, chlorhexidine rinses and minimally invasive surgical intervention with necrotic bone resection is effective in treating stage 2 of MRONJ. In cases of refractory osteonecrosis, the application of platelet and leukocyte-rich fibrin (PRF-L) in the surgical approach improves the outcome in soft tissue healing and bone regeneration but further research is needed to confirm its effectiveness.

scholarly journals RUPTURED UTERUS

2010 ◽  
Vol 17 (02) ◽  
pp. 314-317
Author(s):  
YASMEEN AKHTAR
Keyword(s):  
Tertiary Care ◽  
Case Series ◽  
Descriptive Study ◽  
Risk Category ◽  
Cesarean Sections ◽  
High Risk Category ◽  
Trained Personnel ◽  
Design Case ◽  
Tertiary Care Centers ◽  
Ruptured Uterus

Objective: To analyze the risk factors for uterine rupture and to share the 5 years experience of ruptured uterus with other colleagues of the specialty. Study design: Case series descriptive study. Settings: Gynae /Obstetrics Unit -I Lady Willingdon Hospital Lahore. Study Duration: Five years i.e Ist May 2004 to 30th April 2009. Material and Methods: Obstetric patients who presented with ruptured uteri. Results: Results showed that risk factor for ruptured uteri include cesarean sections (61.11%), grand multiparty (16.6%), Instrumentaldeliveries (4.44%) and undetected perforation (1.11%). Conclusion: Ruptured uterus is a high risk category of patients. The patients with previous scar, grand multiparas, obstructed prolonged labour must be managed by proper trained personnel and in tertiary care centers in order to avoid the morbidity or mortality due to ruptured uterus. 

Temporomandibular joint disorders

2020 ◽  
Vol 13 (8) ◽  
pp. 475-483
Author(s):  
Timothy Collins
Keyword(s):  
Temporomandibular Joint ◽  
Temporomandibular Disorder ◽  
Maxillofacial Surgery ◽  
Temporomandibular Joint Disorders ◽  
Oral And Maxillofacial Surgery ◽  
Poor General Health ◽  
Disease States ◽  
Accident And Emergency ◽  
Dental Practitioners ◽  
The Face

The temporomandibular joint (TMJ) is prone to a number of disease states involving any one of its anatomical components. The current favoured term for problems associated with the TMJ is ‘temporomandibular disorder’ (TMD). TMD is one of the most common orofacial pain conditions. Patients will present to GPs and general dental practitioners as well as directly to accident and emergency, typically for referral to Oral and maxillofacial surgery, due to either significant acute pain or chronic pain that can no longer be tolerated. Common features of TMD include pain in the face and preauricular area, restricted jaw movement, and noise from the TMJs during jaw movements. TMD can coincide with poor general health, psychological co-morbidities such as depression and often affects quality of life.

scholarly journals An Initial Overview of Management and Treatment Outcomes for Head and Neck Hemangiomas

2018 ◽  
Vol 32 (2) ◽  
pp. 30-33
Author(s):  
Rodolfo U. Fernandez
Keyword(s):  
Radiofrequency Ablation ◽  
Head And Neck ◽  
Surgical Management ◽  
Vascular Tissue ◽  
Case Series ◽  
Surgical Excision ◽  
Capillary Hemangioma ◽  
University Hospital ◽  
Treatment Modalities ◽  
Complete Excision

Objective: To provide an initial overview of the outcomes of different treatment modalities used for hemangiomas. Methods: Design:           Case Series Setting:           Tertiary National University Hospital Participants: Records of 21 patients diagnosed with head and neck hemangiomas in the Philippine General Hospital Department of Otorhinolaryngology from 2009 to 2014 were reviewed. Results: Majority of the patients were female (61.9%) and in the pediatric age group (57.1%). Of the 21 patients, 6 underwent medical management, 13 had surgical management, 1 had both medical and surgical management, and 1 opted to observe the lesion. All patients treated with propranolol observed a decrease in the size of the lesion. Seven out of the 13 patients had radiofrequency ablation; all had gross residual lesion. Six of the 13 underwent excision, with complete excision being achieved in 5 of 6 cases. Conclusion: Treatment response of patients in this series with hemangiomas of the head and neck to propranolol at a dose of 1 to 2 mg/kg/day may reflect international data. Outcomes analysis for radiofrequency ablation and surgical excision requires a longer duration of follow-up.   Keywords: propranolol hydrochloride, prednisone, pulsed radiofrequency treatment, capillary hemangioma, vascular tissue neoplasms  

scholarly journals Laparoscopic Anterior 180° Partial Fundoplication - Indian Perspective

2021 ◽  
Vol 7 (3) ◽  
pp. 22-29
Author(s):  
Dr. Biswabasu Das ◽  
◽  
Dr. Sandeep Sahu ◽  
Dr. Radhakrishna Y ◽  
Bibhabasu Das ◽  
...  
Keyword(s):  
Adverse Effects ◽  
Clinical Outcome ◽  
Tertiary Care ◽  
Case Series ◽  
Outcome Data ◽  
High Rate ◽  
Partial Fundoplication ◽  
Tertiary Care Centers ◽  
Almost All

Aim: To evaluate Laparoscopic anterior 180° partial fundoplication for its good long-term relief forsymptoms of gastroesophageal reflux disease and association with adverse effects. Methods:Study design: Prospectively evaluated case series. Settings: Tertiary care centers Patients: Theclinical outcomes were determined for all patients who had undergone a laparoscopic anterior partialfundoplication by us between January 1, 2013 to March 31, 2021. Interventions: Clinical outcome,complications, and follow-up after laparoscopic anterior 180° partial fundoplication was obtainedusing a structured questionnaire. Results and Discussion: 228 procedures were performed. Theoutcome at 0 to 8 years (mean, 4 years) follow-up was determined for 195 patients. 1 death waslinked to the laparoscopic procedure and 2 patients died during follow-up due to unrelated causes.For 186 patients (95%) with clinical outcome data at late follow-up, gastroesophageal refluxsymptoms were significantly improved following surgery and were well controlled in 9 patients(4.5%). In a subset of 85 patients with more than 5 years of follow-up, relief of heartburn was foundin 59 patients (69%). Incidence and severity of heartburn were reduced after surgery in 22 patients(26%), decreased dyspepsia in 80 patients (94%). Normal belching was preserved in 84 patients(99%) and almost all patients were able to eat normally. Conclusion: Laparoscopic anterior 180°partial fundoplication is an effective procedure for the surgical treatment of gastroesophageal refluxand is associated with a high rate of patient satisfaction at late follow-up. Compared to Nissen'sfundoplication it is as good as control of recurrent reflux as well as reduced adverse effects. Thepatient goes home in 3-4 days. Hence we recommend it as the procedure of choice for refluxsymptoms.

scholarly journals Outcome of Surgical Excision for Managing the Oral Pyogenic Granuloma

2021 ◽  
pp. 127-133
Author(s):  
Ameer Gul ◽  
Muhammad Shahzad ◽  
Ali Raza Abbasi ◽  
Tariq Hussain Shaikh ◽  
Taimoor Ali Khan ◽  
...  
Keyword(s):  
Maxillofacial Surgery ◽  
Surgical Excision ◽  
Pyogenic Granuloma ◽  
Oral And Maxillofacial Surgery ◽  
Surgical Removal ◽  
Moderate Pain ◽  
Mild Pain ◽  
Valuable Procedure ◽  
History Of ◽  
Surgery Department

Objective: To determine the outcome of surgical removal of oral pyogenic granuloma in terms of post-operative pain (POP), post-operative healing and post-operative infection. Materials and methods: This observational study was conducted at Oral and Maxillofacial Surgery department, Liaquat University of Medical and Health Sciences Jamshoro/Hyderabad, from October 2018 to March 2019. Patients of oral pyogenic granuloma, 18-45 years old and either of gender were included. Surgical process of oral pyogenic granuloma were done under local anesthetic by giving infiltration surrounding deep oral pyogenic granuloma by 2% Xylocaine along with adrenaline. Patients were followed for three weeks on weekly basis to access post-operative complications including post-operative healing. Data was collected via study proforma. Results: Total 37 patients took part in the study; their mean age was 47.86+7.61 years. On 1st week assessment all patients were noted with history of mild pain, moderate pain and severe pain (19, 10 and 8 cases respectively), while healing was achieved in 19 patients. On second week assessment 25 patients exhibited mild pain and 6 exhibited moderate pain and healing was achieved by 16 patients. On 3rd week assessment, only 09 patients exhibited mild pain and mostly were healed few cases showed minor infection. Conclusion: It was concluded that surgical removal is valuable procedure for the management of pyogenic granuloma of oral cavity with lower rates of post-operative infection and pain, and highest rates of post-operative healing.

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