A typical Odontogenic Neoplasm: Peripheral Odontogenic Fibroma

There appears to be similarities between the clinical appearances of different types of gingival overgrowths. The WHO type peripheral odontogenic fibroma (POdF) is an unusual benign odontogenic neoplasma of the gingiva. It is considered to be an extraosseous counterpart of the central odontogenic fibroma (COF). Among all biopsy specimens, POdF comprehend only upto 0.05%. Odontogenic fibromas are rare but still they provide a noteworthy diagnostic and therapeutic challenge. Along with clinical, radiographic appearance, and histologic features, a sound knowledge on biologic behavior of rare gingival overgrowths would ensure an accurate diagnosis of tumor pathology. We present here a case report of POdF that occurred in a young female patient in anterior interdental region displacing the tooth. Platelet rich fibrin (PRF) was used to stimulate soft tissue healing. Two year follow up showed satisfactory healing with no recurrence.

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Immediate Loading of Onepiece Root Form Implant: A Case Report with 3 Years’ Follow-up

Journal of Health Sciences & Research ◽

10.5005/jp-journals-10042-1027 ◽

2016 ◽

Vol 7 (1) ◽

pp. 16-18

Author(s):

Shilpa Shivanand ◽

Navnita Singh ◽

Shivaprasad Bilichodmath

Keyword(s):

Case Report ◽

Clinical Performance ◽

Mechanical Design ◽

Treatment Protocol ◽

Immediate Loading ◽

Soft Tissue Healing ◽

Implant Placement ◽

Tissue Healing ◽

Anterior Mandible

ABSTRACT Aim The aim of this case report was to evaluate the clinical performance of a onepiece implant in a partially edentulous anterior mandible. Introduction Osseointegration being an accepted and well-documented concept, attention is nowdirected toward simplification of the mechanical design of implants and toward achieving biomechanical success. Case report This case report demonstrates the immediate loading of one piece root form implant in esthetically concern patient. Patient came to the clinic with the chief complain of missing lower front teeth and wanted replacement of the same. Conclusion A single stage, one piece implant placement with immediate loading provides a good soft tissue healing and minimal postoperative discomfort to the patient. Clinical significance One piece root form implants is a reliable treatment protocol in esthetically concerned patients. How to cite this article Bilichodmath S, Shivanand S, Singh N. Immediate Loading of Onepiece Root Form Implant: A Case Report with 3 Years’ Follow-up. J Health Sci Res 2016;7(1):16-18.

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Er:YAG Laser Assisted Treatment of Central Odontogenic Fibroma of the Mandible

Case Reports in Dentistry ◽

10.1155/2015/230297 ◽

2015 ◽

Vol 2015 ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

Luis Silva Monteiro ◽

Marco Martins ◽

José Júlio Pacheco ◽

Filomena Salazar ◽

João Magalhães ◽

...

Keyword(s):

Surgical Treatment ◽

Er:Yag Laser ◽

Complete Removal ◽

Odontogenic Tumour ◽

Radiographic Appearance ◽

Odontogenic Epithelium ◽

Odontogenic Fibroma ◽

Central Odontogenic Fibroma ◽

Expansive Lesion

Central odontogenic fibroma is a very rare benign odontogenic tumour characterized by a fibrous mature stroma with variable strands or islands of inactive-looking odontogenic epithelium. Our aim is to report a case of a central odontogenic fibroma and describe the clinical usefulness of Er:YAG laser for the surgical treatment of this tumour. A 74-year-old woman presented with an expansive lesion located in a mandible with multilocular and mixed radiographic appearance. A conservative excision using Er:YAG laser was performed. Complete removal was obtained. There were no postoperative complications. The histopatologic features were consistent with the diagnosis of central odontogenic fibroma of rich-epithelium type. No recurrence was observed during follow-up.

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Treatment of open tibial shaft fractures using intra medullary interlocking

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20171574 ◽

2017 ◽

Vol 3 (3) ◽

pp. 366

Author(s):

G. Ramachandra Reddy ◽

P. N. Prasad

Keyword(s):

Open Fracture ◽

Study Participant ◽

Bony Union ◽

Main Study ◽

Soft Tissue Healing ◽

Tissue Healing ◽

Study Participants ◽

Lost To Follow Up ◽

Tibial Shaft Fractures

Background: It has been estimated that annual incidence of open fractures of long bones is 11.5 per 100 000 personswith 40% occurring in the lower limb and commonest site is the tibial diaphysis. This study was performed to evaluate clinical outcome of patients with open fracture of shaft of tibia.Methods: It was a hospital based observational prospective study was performed on a total of 30 study participants were enrolled and out of them 2 were lost to follow up. After discharge follow up was done every four weeks for clinical, radiological progress of bony union and soft tissue healing.Results: Majority of the study participants were in the age group of 31-40 years (37%). Males were the main study participant (63.3%). The process of healing took for about 13-16 weeks in 57.1% of the study participants were as in 18% of them it healed within 12 weeks. In 25% of the study participants the healing was completed in more than 16 weeks. Conclusions: It has been observed from the study that interlocked intramedullary nailing is a very effective and safe and technique for the management of open tibial fractures.

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Platelet rich plasma in treatment of plantar fascitis

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20171494 ◽

2017 ◽

Vol 3 (3) ◽

pp. 350

Author(s):

N. Venkatseh Kumar ◽

Arvind Kumar S. M. ◽

Udayamoorthy S. ◽

Krishna Kumar

Keyword(s):

Pain Relief ◽

Plantar Fasciitis ◽

Platelet Rich Plasma ◽

Visual Analogue Score ◽

Soft Tissue Healing ◽

Pain Scores ◽

Tissue Healing ◽

Maximum Pain ◽

The Mean

Background: Platelet rich plasma (PRP) has been a breakthrough in the field of medicine especially in the field of orthopaedics for enhancing bone and soft tissue healing. Plantar Fasciitis is a very common problem in the field of orthopaedics and are very difficult to treat and a challenge to orthopaedicians. The aim of our study was to find out the efficacy of autologous PRP in relieving pain in patients with plantar fasciitis.Methods: In this study, 25 patients with plantar fasciitis (age above 18 years) were selected. The pain intensity was assessed with visual analogue score initially and during follow up. All subjects were given single autologous intra-lesional PRP injection and the results were assessed using difference in VAS.Results: The mean pain score at presentation was 8.08. The mean pain scores at subsequent intervals of 1,2,4,6 months after injection were 4.32, 2.60, 1.88 & 2.00 respectively. (P<0.05 which is statistically significant). The maximum pain relief was seen at 4th month post PRP injection and the pain relief was sustained till the last follow up. Conclusions: From our study we have found that Intra-lesional autologous PRP is effective in relieving pain in patients with plantar fasciitis. PRP is biological and can be a safe adjuvant in the treatment of Plantar Fasciitis.

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Characteristics of Different Types of Childhood Violence and the Risk of Revictimization

Violence Against Women ◽

10.1177/1077801218818381 ◽

2019 ◽

Vol 25 (14) ◽

pp. 1696-1716 ◽

Cited By ~ 4

Author(s):

Ida Frugaard Stroem ◽

Helene Flood Aakvaag ◽

Tore Wentzel-Larsen

Keyword(s):

Childhood Abuse ◽

Telephone Survey ◽

Regression Analyses ◽

Multiple Forms ◽

Different Types ◽

Children And Young Adults ◽

Childhood Violence ◽

Forms Of Violence ◽

The Relationship

This study investigates the relationship between the characteristics of different types of childhood violence and adult victimization using two waves of data from a community telephone survey (T1) and a follow-up survey, including 505 cases and 506 controls, aged 17-35 years (T2). The logistic regression analyses showed that exposure to childhood abuse, regardless of type, was associated with adult victimization. Exposure to multiple types of abuse, victimization both in childhood and in young adulthood, and recency of abuse increased these odds. Our findings emphasize the importance of assessing multiple forms of violence when studying revictimization. Practitioners working with children and young adults should be attentive to the number of victimization types experienced and recent victimization to prevent further abuse.

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Open Capsulorrhaphy for Recurrent Multidirectional Instability of the Shoulder

Video Journal of Sports Medicine ◽

10.1177/26350254211007142 ◽

2021 ◽

Vol 1 (3) ◽

pp. 263502542110071

Author(s):

Ioanna K. Bolia ◽

Rebecca Griffith ◽

Nickolas Fretes ◽

Frank A. Petrigliano

Keyword(s):

Shoulder Instability ◽

Return To Sport ◽

Young Female ◽

Subscapularis Tendon ◽

Shoulder Stabilization ◽

Ehlers Danlos Syndrome ◽

Physically Active ◽

Recurrent Shoulder Instability ◽

Multidirectional Instability

Background: The management of multidirectional instability (MDI) of the shoulder remains challenging, especially in athletes who participate in sports and may require multiple surgical procedures to achieve shoulder stabilization. Open or arthroscopic procedures can be performed to address shoulder MDI. Indications: Open capsulorrhaphy is preferred in patients with underlying tissue hyperlaxity and who had 1 or more, previously failed, arthroscopic shoulder stabilization procedures. Technique Description: With the patient in the beach-chair position (45°), tissue dissection is performed to the level of subscapularis tendon via the deltopectoral approach. The subscapularis tenotomy is performed in an L-shaped fashion, and the subscapularis tendon is tagged with multiple sutures and mobilized. Careful separation of the subscapularis tendon from the underlying capsular tissue is critical. Capsulotomy is performed, consisting of a vertical limb and an inferior limb that extends to the 5 o’clock position on the humeral neck (right shoulder). After evaluating the integrity of the labrum, the capsule is shifted superiorly and laterally, and repaired using 4 to 5 suture anchors. The redundant capsule is excised, and the subscapularis tendon is repaired in a side-to-side fashion, augmented by transosseous equivalent repair using the capsular sutures. Results: Adequate shoulder stabilization was achieved following open capsulorrhaphy in a young female athlete with tissue hyperlaxity and history of a previously failed arthroscopic soft tissue stabilization surgery of the shoulder. The athlete returned to sport at 6 months postoperatively and did not experience recurrent shoulder instability episodes at midterm follow-up. Discussion/Conclusion: Based on the existing literature, 82% to 97% of patients who underwent open capsulorrhaphy for MDI had no recurrent shoulder instability episodes at midterm follow-up. One study reported 64% return-to-sport rate following open capsulorrhaphy in 15 adolescent athletes with Ehlers-Danlos syndrome, but more research is necessary to better define the indications and outcomes of this procedure in physically active patients.

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Cardiac Amyloidosis with Discordant QRS Voltage between Frontal and Precordial Leads

Medicina ◽

10.3390/medicina57070660 ◽

2021 ◽

Vol 57 (7) ◽

pp. 660

Author(s):

Csilla-Andrea Eötvös ◽

Roxana-Daiana Lazar ◽

Iulia-Georgiana Zehan ◽

Erna-Brigitta Lévay-Hail ◽

Giorgia Pastiu ◽

...

Keyword(s):

Left Ventricular Hypertrophy ◽

Cardiac Amyloidosis ◽

Ventricular Hypertrophy ◽

Low Voltage ◽

Disease Process ◽

Left Ventricular ◽

Clinical Suspicion ◽

Immunoglobulin Light Chain ◽

Different Types

Among the different types, immunoglobulin light chain (AL) cardiac amyloidosis is associated with the highest morbidity and mortality. The outcome, however, is significantly better when an early diagnosis is made and treatment initiated promptly. We present a case of cardiac amyloidosis with left ventricular hypertrophy criteria on the electrocardiogram. After 9 months of follow-up, the patient developed low voltage in the limb leads, while still maintaining the Cornell criteria for left ventricular hypertrophy as well. The relative apical sparing by the disease process, as well as decreased cancellation of the opposing left ventricular walls could be responsible for this phenomenon. The discordance between the voltage in the frontal leads and precordial leads, when present in conjunction with other findings, may be helpful in raising the clinical suspicion of cardiac amyloidosis.

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Ultrasonic Percutaneous Tenotomy for Recalcitrant Lateral Elbow Tendinopathy: Clinical and Sonographic Results at 90 Months

The American Journal of Sports Medicine ◽

10.1177/03635465211010158 ◽

2021 ◽

pp. 036354652110101

Author(s):

Benjamin F.H. Ang ◽

P. Chandra Mohan ◽

Meng Ai Png ◽

John Carson Allen ◽

Tet Sen Howe ◽

...

Keyword(s):

Pain Relief ◽

Extensor Tendon ◽

Tissue Healing ◽

Lateral Elbow ◽

Percutaneous Tenotomy ◽

Vas Scores ◽

The Common ◽

Lateral Elbow Tendinopathy

Background: In a study from our institution, ultrasonic percutaneous tenotomy of the brevis and the common extensor tendon for recalcitrant lateral elbow tendinopathy showed excellent safety profiles, high tolerability, efficiency, sustained pain relief, functional improvement, and sonographic evidence of tissue healing in 20 patients at 3 years’ follow-up. Purpose: To explore the long-term clinical and sonographic results of ultrasonic percutaneous tenotomy of the brevis and the common extensor tendon. Study Design: Case series; Level of evidence, 4. Methods: The same cohort of 20 patients was recalled after 7 years, and visual analog scale (VAS) for pain and Disabilities of the Arm, Shoulder and Hand (DASH) scores, need for secondary intervention, and overall satisfaction were assessed. They were also reassessed using ultrasound imaging of the brevis and the common extensor tendon to evaluate tendon hypervascularity, tendon thickness, and the progress or the recurrence of the hypoechoic scar tissue. Results: We successfully scored 19 patients and performed ultrasound on 16 patients with a median follow-up of 90 months (range, 86-102 months). There were no adverse outcomes and satisfaction remained at 100% (6 patients, satisfied; 13 patients, very satisfied). No patient developed a recurrence of symptoms and signs of lateral elbow tendinopathy, and therefore no secondary intervention was required. The improvement from baseline and early term scores was sustained ( P < .001 for all). At 90 months, there was a significant improvement in VAS scores and DASH–Compulsory scores compared with preprocedure scores and all follow-up times until 3 months. There was no difference in VAS scores and DASH–Compulsory scores at 90 months compared with 6 and 36 months. For DASH–Work scores, there was a significant improvement at 90 months compared with preprocedure scores, but there was no difference between DASH–Work scores at 90 months and scores at all other points of follow-up. At 90 months, hypervascularity remained resolved in 79% of patients, while all patients had reduced tendon swelling and sustained resolution or reduction of the hypoechoic lesion. Conclusion: At the long-term follow-up of 90 months, ultrasonic percutaneous tenotomy of the brevis and the common extensor tendon, previously shown to enhance recovery of lateral elbow tendinopathy, demonstrated good durability of pain relief and functional recovery that was previously achieved. This was accompanied by sustained sonographic tissue healing with no significant deterioration.

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