scholarly journals Post exenteration surgery rehabilitation with orbital prosthesis – A case report

2022 ◽  
Vol 13 (1) ◽  
pp. 072-076
Author(s):  
Ainy Fitri Nuriyanto ◽  
Agus Dahlan ◽  
Abil Kurdi
Keyword(s):  
Case Report ◽  
Material Selection ◽  
Treatment Plan ◽  
Self Confidence ◽  
Prosthesis Retention ◽  
Orbital Prosthesis ◽  
History Of ◽  
Medical Adhesive ◽  
Orbital Defects

Orbital defects with total loss of eyelids and the eyeball cannot be satisfactorily repaired by reconstructive surgery. Therefore, a prosthetic placement is the treatment of choice to return the individual’s confidence by producing an acceptable and lifelike appearance. Male patient, 31 years old, came with history of exenteration surgery four months ago on right eye because of infection few years before. Patient wanted orbital prosthesis to improve esthetic and self-confidence. He lost his right eye ball and some part of right eyelid. Treatment of choice that would be fabricated was orbital prosthesis with medical adhesive retention support. Orbital prosthesis was one of the alternative that can be chose to reconstruct orbital defect. The success of the prosthesis was determined by the exactness of diagnosis, treatment plan determination, material selection, determination of prosthesis retention, and technique in processing the prosthesis.

A case report of haemolytic disease of the foetus and newborn caused by Alloantibody D and Jka in a Rhesus D negative Nigerian woman: Justification for the implementation of universal access to prophylaxis and evidenced-based best practices

2020 ◽  
Vol 28 (3) ◽  
pp. 245-252
Author(s):  
Osaro Erhabor ◽  
Williams Bitty Azachi ◽  
Erhabor Tosan
Keyword(s):  
Case Report ◽  
Best Practices ◽  
Pregnant Women ◽  
Universal Access ◽  
Haemolytic Disease ◽  
Nigerian Woman ◽  
Intrauterine Transfusion ◽  
History Of ◽  
Evidenced Based

A case report of a 38 years old ABO group A and Rhesus D negative multiparous, gravidae 8 and para 2, Nigerian woman who had a case of premarital miscarriage and who was not offered anti-D prophylaxis as part of her management. Lady went on to develop alloantibody D and Jka. Lady has had 7 further pregnancies post the miscarriage. The first child who is B Rhesus D positive is the only surviving child. The surviving child was delivered severely jaundiced and needed management post-delivery for haemolytic disease of the foetus and newborn (HDFN). Lady has had a history of a stillbirth. She was given a non-clinically indicated anti-D prophylaxis during the second pregnancy despite having been previously sensitized. The second baby died 3 months after delivery from complications of HDFN. She had had a further history of 5 miscarriages. She has had challenge with conception since 2010. Alloantibody testing confirms the presence alloantibody D and anti-Jka. Finding from this is a clear case of sub-optimal laboratory, obstetric and neonatal care offered particularly to pregnant women who are Rh D negative and those with alloantibodies in Nigeria. The Nigerian government will need to implement evidenced-based best practices; determination of alloantibody status of pregnant women during their first antenatal visit; provision of facilities for alloantibody identification, titration, quantification and feto maternal haemorrhage testing (FMH); implementation of a policy on universal access to anti-D prophylaxis for pregnant Rh D negative women who are not previously sensitized; provision of facilities required for the optimal intrauterine management of HDFN (foetal genotype testing, intrauterine transfusion, doppler ultrasound to diagnose anaemia inutero and provision of donor blood that meet the minimum requirements for intrauterine transfusion); determination of Rh D status of women who require a termination of pregnancy and provision of prophylactic anti-D for those found Rh D negative within 72 hours of procedure and the optimization of the knowledge of Medical Laboratory Scientist, Obstetricians, Neonatologist, Pharmacist and Traditional Birth Attendants in a bid to reduce the residual number of women who become sensitized and the number of preventable deaths of babies with HDFN.

scholarly journals Appropriate Evaluation of Psychiatric Patients Highlighted by Creutzfeldt-Jakob Disease: A Case Report

2020 ◽  
Vol 4 (4) ◽  
pp. 656-659
Author(s):  
Kathryn Bartlett ◽  
Kathleen Kane ◽  
Bryan Kane ◽  
Kevin Weaver ◽  
Gavin Barr
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Suicidal Ideation ◽  
Daily Living ◽  
Psychiatric Patients ◽  
Neurologic Examination ◽  
Detailed History ◽  
History Of ◽  
Jakob Disease

Introduction: Determination of medical stability for patients presenting with psychiatric complaints is common for emergency clinicians. A thorough history and physical examination is important. Case Report: A 53-year-old male presented to the emergency department (ED) with depression, suicidal ideation, and decline in activities of daily living over six months. While his initial neurologic examination was non-focal, subsequent re-evaluations demonstrated significant changes, and he was ultimately diagnosed with Creutzfeldt-Jakob disease. Conclusion: This case demonstrates how a detailed history of the present illness could have led to a more accurate and timely medical disposition from the ED.

scholarly journals Diagnosis of a horizontal root fracture during retreatment of a maxillary canine utilizing an electronic apex locator and monitoring with CBCT: a case report

2013 ◽  
Vol 16 (4) ◽  
pp. 99
Author(s):  
Maria Rachel Monteiro ◽  
Caio Cesar Randi Ferraz ◽  
Emmanuel João Nogueira Leal Silva ◽  
José Flávio Affonso Almeida
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Root Canal ◽  
Treatment Plan ◽  
Dental Trauma ◽  
Subsequent Treatment ◽  
Root Fracture ◽  
History Of ◽  
Horizontal Root Fracture ◽  
Electronic Apex Locator

<p><strong>Introduction: </strong>The aim of this case report is todemonstrate the retreatment of a maxillary caninediagnosed with a horizontal root fracture utilizingan electronic apex locator and monitored with conebeam computed tomography. <strong>Case Report: </strong>A 35year old African American male was referred for rootcanal retreatment of a maxillary right canine prior toprosthetic rehabilitation. Following removal of guttapercha, an apex locator was utilized to determine thelength of the root canal. After a more comprehensivedental history, the patient confirmed a previouslyunreported history of dental trauma at this time,leading to the suspicion of a horizontal root fracture.Clinical microscopy detected a connective tissue in theapical third of the root canal and multiple periapicaland occlusal radiographs enhanced visualizationof a horizontal root fracture. The coronal segmentwas filled with an MTA apical plug and the apicalsegment remained stable. A recall after 1.5 yearswas performed with CBCT, which showed no apicalradiolucency. <strong>Discussion: </strong>The present case reportreinforces the precept that detailed dental history andcareful observation of radiographs are critical factorsfor obtaining an accurate diagnosis. Fundamentaladjuncts, such as microscopy, apex locators andCBCT imaging, can potentially aid in the diagnosisand the subsequent treatment plan of horizontal rootfracture.</p><p>Keywords<br />Cone-beam computed tomography; Apex locator Cuspid; Radiography; horizontal root fracture.</p>

scholarly journals Evaluation of Temporomandibular Joint Dysfunction by A Mandibular Tracing System: A Case Report

2020 ◽  
pp. 8-12
Author(s):  
Peixi Liao ◽  
Keyword(s):  
Case Report ◽  
Temporomandibular Joint ◽  
Treatment Plan ◽  
Gingival Recession ◽  
Occlusal Plane ◽  
Temporomandibular Joint Dysfunction ◽  
Recommended Treatment ◽  
System A ◽  
History Of ◽  
The Right

Objective. The purpose of this case report is to present a digital mandibular tracing technique used to evaluate a patient with temporomandibular joint dysfunction (TMD). Clinical features. A 65-year-old Caucasian female patient presented with chronical jaw pain in her temporomandibular joint (TMJ) area. The patient describes a dental history of orthodontic and prosthodontic treatment. Orally patient exhibits super erupted teeth, multiply fractured restorations, facial gingival recession, and rotated teeth. The patient also had an uneven occlusal plane and non-working side contact at maxillary first and mandibular second molars. Evaluation and outcome. A digital mandibular tracing technique, cone beam computed tomography, and full-arch optical impressions were used to evaluate the patient's condition. The left condyle was slightly flat compared to the right one on the anterior surface. Limited protrusion and lateral movements and asymmetric border movements were detected. Apparently, an incomplete orthodontic treatment at the patient's early age, iatrogenic mandibular anterior restorations, and hit and slight effect are considered as causes for Temporo-mandibular joint problems. The recommended treatment plan sequence for this patient is an occlusal adjustment, replacement of defective restorations and fabrication of an occlusal guard for one of the arches. Conclusion. Digital mandibular tracing system can help the dentist to diagnose and analyze the causes of TMD patient specifically and individually. It also provides quick resolution and management for patients with TMD.

scholarly journals Implant Retained Orbital Prosthesis – Case Report/ Implantatno retinirana orbitalna proteza – prikaz slučaja

2015 ◽  
Vol 62 (2) ◽  
pp. 89-94
Author(s):  
Vojkan Lazić ◽  
Vitomir Konstantinović ◽  
Igor Djordjević ◽  
Milinko Mihailović
Keyword(s):  
Case Report ◽  
Tumor Resection ◽  
Orbital Exenteration ◽  
Facial Defects ◽  
Patient Reported ◽  
Orbital Prosthesis ◽  
Orbital Content ◽  
Orbital Defects ◽  
Bone Anchorage

SUMMARY Orbital defects after tumor resection (exenteration of orbital content) have been traditionally reconstructed with adhesive-retained craniofacial prostheses, also known as epistheses. The breakthrough in rehabilitation of facial defects with implant-retained prostheses has come with development of modern silicones (vynilpolysiloxane) and bone anchorage called osseointegration. Craniofacial implant technology offers improved reconstructive options to patients. This paper describes therapeutical procedure on a patient who received craniofacial implant-retained orbital prosthesis after orbital exenteration. The patient reported excellent prosthesis handling and stability

scholarly journals Symptomatic Os Subtibiale Following Injury: A Case Report of Failed Conservative Treatment, Leading to Differential Diagnosis Made Intraoperatively

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Abhijit Bandyopadhyay
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Conservative Treatment ◽  
Treatment Plan ◽  
Treatment Options ◽  
Distal Tibia ◽  
Radiographic Examination ◽  
Bone Fragment ◽  
History Of ◽  
Os Subtibiale

Introduction: Introduction: Os subtibiale is a rare accessory bone found adjacent to the distal tibia and is mostly asymptomatic. Differentiating it from a medial malleolar fracture is challenging. Most cases of acute ankle trauma that presents with an Os subtibiale are initially diagnosed as fractures by treating physicians at emergency centers. It is therefore critical for an orthopedic surgeon who gets referral for such cases to consider complete history of such patients to understand the cause of their symptoms. The goal is to avoid unnecessary surgical treatment and to realize that a symptomatic Os subtibiale can be successfully managed by conservative means. Nonetheless, certain cases may require surgical treatment if conservative treatment options fail. This is a case report of a patient that was diagnosed as a case of symptomatic Os subtibiale intraoperatively, after conservative options were unsuccessful. Case Presentation: An 18-year-old patient with an injured right ankle was referred to our clinic after failed attempts to resolve his symptoms conservatively. Based on our initial clinical and radiographic examination, the patient was continued on a conservative treatment plan assuming, it was a case of unsuccessful fracture union. After almost a year of failed conservative treatments, surgery was offered to the patient, with the understanding that the bone fragment might either be fused or completely removed based on intraoperative diagnosis. At surgery, it was observed that the bone fragment had the characteristic of an Os subtibiale. It presented as a round, smooth structure with well-formed cortical boundaries, and minimal attachment to the distal tibia. A diagnosis of symptomatic Os subtibiale was made intraoperatively, which was then successfully excised using standard orthopedic instrumentation. The patient healed uneventfully and reported a pain free, normal ankle range of motion at latest follow-up of 18 months. Conclusion: Accurate diagnosis of O

scholarly journals Should We Think More About Chronic Osteomyelitis After Trauma? A Case Report of Osteomyelitis of the Cuboid Bone

2020 ◽  
Author(s):  
Guang-hui Zhang ◽  
Hong-jun Wang ◽  
Bing Song ◽  
Hong-bin Wang
Keyword(s):  
Infectious Disease ◽  
Case Report ◽  
Chronic Osteomyelitis ◽  
Treatment Plan ◽  
Treatment Results ◽  
Cuboid Bone ◽  
Long Time ◽  
Infected Focus ◽  
History Of ◽  
Heavy Burden

Abstract Osteomyelitis is a refractory infectious disease in surgery, which takes a long time to be treated and the condition is easy to be repeated, which causes a heavy burden to individuals and families. Actively looking for the cause is the key to the treatment of osteomyelitis. In our work, we encountered a patient with cuboid osteomyelitis who had forgotten the history of injury and had received surgical treatment before seeing a doctor in our hospital, which caused great difficulties to our work. In the work of diagnosis and treatment, we constantly adjust the treatment plan and treatment ideas, and finally remove the branches from the infected focus, and obtain satisfactory treatment results.

scholarly journals CBCT of maxillary central incisor with internal resorption: a case report

2021 ◽  
Vol 5 (3) ◽  
pp. 122
Author(s):  
Khamila Gayatri Anjani ◽  
Fahri Reza Ramadhan ◽  
Azhari Azhari
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Cone Beam ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
Characteristic Appearance ◽  
Anterior Teeth ◽  
Dental Hospital ◽  
History Of ◽  
The Right

Objectives: The aim of this case report is to report the radiographic features of an internal resorption in maxillary central incisor and to emphasize the benefits of CBCT in this case. Case Report: A 14-year-old male went to Universitas Padjadjaran Dental Hospital with a discoloration of his fracture upper anterior teeth. The anamnesis revealed that the patient had history of a fall in about 6 years ago. Patient didn’t complain about pain when examination happened and wanted to have his teeth treated. Periapical radiograph showed an internal resorption in maxillary central incisor. Cone beam computed tomography (CBCT) was used to see other findings before determining the treatment plan. Conclusion: Internal resorption gives a characteristic appearance on the radiograph. CBCT modalities provide more information than conventional ones so that the use of this modality is not only to establish a diagnosis, but also can be used in determining the right treatment plan.

Orthodontical Management of Secondary Dental Migration Associated with a Reduced Periodontium: A Case Report

2020 ◽  
Vol 7 ◽  
Author(s):  
Laila Elhajoubi ◽  
Meriem Rhissassi ◽  
Fatima Zaoui ◽  
Loubna Bahije
Keyword(s):  
Case Report ◽  
Orthodontic Treatment ◽  
Bone Growth ◽  
Treatment Plan ◽  
Combined Treatment ◽  
Multidisciplinary Treatment ◽  
Tissue Response ◽  
Facial Aesthetics ◽  
Periodontal Status ◽  
Self Confidence

Introduction: Dental migrations following periodontal pathology may lead to significant aesthetic and functional complaints. In this case report, the presence of evident gingival recessions and mandibular crowding pushed us to opt for an ortho-periodontal multidisciplinary treatment plan, using extractions and incisive repositioning. Through this, we ensured tissue gain at the level of the superficial and deep periodontitis, thus avoiding the use of periodontal surgery.Clinical Case: A Moroccan 26-years-old female medical secretary who, being very concerned about her appearance and facial aesthetics, presented with pathological dental migrations following severe periodontitis, an unsatisfactory periodontal status, a clear mandibular crowding of the anterior inter-incisive diastemas, gingival recessions, attachment losses and quite large pocket depths with advanced bone resorptions in different areas. This required a specific multidisciplinary approach aiming at creating a healthy and well-structured periodontal environment through extensive periodontal treatment, combined with regular plaque control, and supplemented by an orthodontic treatment using extractions and incisive repositioning in order to avoid any vestibular movement that may worsen the recessions and will require possible overlapping. After 22 months of combined treatment, a stable occlusion was obtained with class I molar and canine relationship, perfect dental alignment, healthy periodontal architecture and significant attachment gain and bone growth. In addition, the patient’s facial aesthetics and self-confidence have been significantly improved. Conclusion: The orthodontic treatment supplementing the meticulously planned periodontal therapy that was administered for this patient has helped to improve functionality, facial aesthetics as well as psychological self-confidence. However, it must be gradual with application of mild forces and constant control of the periodontal status, for optimal tissue response.

scholarly journals A spectacle retained acrylic orbital prosthesis for rehabilitation of an exenterated eye

2012 ◽  
Vol 10 (2) ◽  
pp. 144-146
Author(s):  
P K Parajuli ◽  
P Suwal ◽  
R K Singh
Keyword(s):  
Case Report ◽  
Facial Appearance ◽  
Prosthetic Rehabilitation ◽  
Self Confidence ◽  
Orbital Prosthesis

Exenteration of an eye causes massive disfigurement and psychologic as well as social embarrassment as facial appearance is severely crippled. Prosthetic rehabilitation of such patients, if done meticulously, will improve the appearance as well as their self confidence. This case report describes an orbital prosthesis fabricated to rehabilitate a patient with exenteration of right eye, with the most economical material and easily available technique.DOI: http://dx.doi.org/10.3126/hren.v10i2.6585 Health Renaissance 2012; Vol 10 (No.2); 144-146 

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