scholarly journals Management of Temporomandibular Joint Disorders by Arthroscopic Lavage

2016 ◽  
Vol 12 (1) ◽  
pp. 88-93
Author(s):  
Md Abdur Rab ◽  
Golam Mohiuddin Chowdhury ◽  
Abdullah Al Mehedi ◽  
Quazi Sindhi ◽  
Mohammad Iqbal Kabir ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Joint Pain ◽  
Maxillofacial Surgery ◽  
Armed Forces ◽  
Temporomandibular Joint Disorders ◽  
Military Hospital ◽  
Oral And Maxillofacial Surgery ◽  
Medical College ◽  
Arthroscopic Lavage ◽  
Jaw Function

Introduction: Temporomandibular joint disorders (TMDs) are among the most common disorders in the maxillofacial region which usually present with joint pain, decreased jaw mobility, joint clicking, headache, tinnitus, neck pain etc. There are different modalities of treatment used for the TMDs. These include some conservative and surgical procedures. The main aim is to improve the jaw function and reduction of joint pain. Arthroscopy is a modern diagnostic and effective therapeutic procedure for the TMDs. Objective: To assess the outcome of arthroscopic lavage of Temporomandibular Joint (TMJ) in terms of improvement of jaw function and joint pain in patients suffering from TMDs. Materials and Methods: This prospective study was carried out at the department of Oral and Maxillofacial Surgery, Military Dental Centre, Combined Military Hospital of Dhaka Cantonment from 01 October 2014 to 31 March 2016. Patients were selected consecutively having TMDs and unresponsive to conservative nonsurgical therapy. Total thirty patients of TMDs were selected for study and all the patients were treated with arthroscopic lavage. Objective data were collected including, inter incisal opening, lateral excursion, deviation on opening, tenderness on palpation. A questionnaire in the form of visual analogue scale relating to pain, joint clicking and Jaw mobility were completed by each patient at 1 week,1 month and 6 months post operatively. Results: Among thirty patients, 10 patients were male and 20 patients were female. Mean age of the patient was 42.6±5.79 years. Maximum patients were in the age group of 41-45 years. There was statistically significant improvement in maximum incisal opening and pain score. There was also reduction in Joint clicking and tenderness in maximum patients. Conclusion: The findings of the present study suggested potential utility of arthroscopic lavage in the management of TMDs. Journal of Armed Forces Medical College Bangladesh Vol.12(1) 2016: 88-93

scholarly journals A Morphometric Analysis of Intra-articular Disc of Temporomandibular Joints in Cadavers

2021 ◽  
Author(s):  
Pratik Ashokkumar Agrawal ◽  
Navin S Shah ◽  
Ramnarayan A Gandotra ◽  
Karan Vasantray Panchal ◽  
Rishabh Navin Shah
Keyword(s):  
Temporomandibular Joint ◽  
Anatomic Variation ◽  
Maxillofacial Surgery ◽  
Temporomandibular Joint Disorders ◽  
Research Centre ◽  
Oral And Maxillofacial Surgery ◽  
Articular Disc ◽  
Chi Square ◽  
Temporomandibular Joints ◽  
Human Cadavers

Introduction: Temporomandibular Joint (TMJ) has been a controversial topic in Oral and Maxillofacial Surgery speciality especially regarding temporomandibular joint disorders and internal derangement of articular disc. The aetiology behind it has been related to the anatomic variations of the disc and its impact on the functioning of the articular disc. To understand such anatomic variation, the study has been conducted that will help future maxillofacial surgeon’s in designing accurate prosthetic articular disc that will improve the overall mechanics of the functioning of the prosthetic disc. Aim: To analyse the morphometric variations of the intra-articular disc in terms of circumference of the disc, perforations and their thickness within the disc in cadavers. Materials and Methods: The present observational study was carried out on cadavers in the Department of Anatomy. SBKS Medical College and Research Centre, Sumandeep Vidyapeeth University, Gujarat, India. The study was done from January 2017 to October 2018. Temporomandibular joints were dissected bilaterally from 10 human cadavers, i.e., 20 articular discs. The disc was removed and was measured with the help of thread, vernier callipers and standardised metallic scale and the circumference and thickness in the disc were evaluated. Descriptive statistical test was used and Chi-square test was applied. Results: Mean thickness of disc, both in males as well as females ranged from 1.4-2.0 mm in the Posterio-Medial (PM) and Posterio- Lateral (PL) region, while in Anterio-Medial (AM) and Anterio- Lateral (AL) region it ranged from 1.6-1.8 mm. Maximum length of disc ranged from 12-13 mm in anterio-posterio dimension while in Medio-Lateral (ML) it was 22-23 mm. Conclusion: The study gives an indepth knowledge about the various morphometric variations of articular disc and also shows its impact on the functioning of the disc. The study also directs maxillofacial surgeons to design prosthetic articular disc with greater accuracy and anatomical knowledge so that the procedures like surgical replacement of the disc can be carried out with greater potency and efficacy for the betterment of the patient.

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 Prevalence and severity of temporomandibular joint disorders among house officers & post-graduate residents of private & public sector medical hospitals in Peshawar, Pakistan

2019 ◽  
Vol 6 (1) ◽  
pp. 2-8
Author(s):  
Mohammad Ilyas ◽  
Fariha Kifayat ◽  
Faryal Gul ◽  
Salman Khan ◽  
Sumaira Saeed ◽  
...  
Keyword(s):  
Private Sector ◽  
Temporomandibular Joint ◽  
Maxillofacial Surgery ◽  
Cross Sectional Study ◽  
Temporomandibular Joint Disorders ◽  
Oral And Maxillofacial Surgery ◽  
Sectional Study ◽  
Cross Sectional ◽  
Public And Private ◽  
Postgraduate Students

OBJECTIVES:To evaluate the prevalence and severity of TMDs in house officers and postgraduate students belonging to public and private sector medical and dental colleges.METHODOLOGY:This was a cross sectional study carried out from July 2018 to September 2018 in Department of Oral and Maxillofacial Surgery, Sardar Begum Dental College and Hospital, Peshawar. After approval from ethical committee Gandhara University, an informed consent was obtained and Fonseca questionnaire was used to evaluate TMDs from 320 subjects who voluntarily want to participate in the study; selected with equal genders from public and private sectors medical and dental hospitals, Peshawar. Those who have musculoskeletal, neurological, systemic problems and orthodontics treatment subjects were excluded from the study.RESULTS:The age range selected was 22-32 years and the mean age presentation was 26.5 ± 3.4 years. Results showed that female postgraduate residents of private sector consider themselves tenser (18.8%) than others. 70.17% female house officers of private sector have noticed TMJ clicking and 83.17% of male house officers clenched or grind their teeth than others.CONCLUSION:The study concluded that mild and moderate TMDs are more common in-house officers and postgraduate residents.KEYWORDS: Temporomandibular Disorders, Prevalence, Temporomandibular Joint, Fonseca’s Anamnestic Index, Cross-Sectional Study

scholarly journals Response of systemic PUVA in vitiligo - experience with 25 cases in Combined Military Hospital, Dhaka

2015 ◽  
Vol 10 (1) ◽  
pp. 29-33
Author(s):  
ATM Rezaul Karim ◽  
Md Abdul Latif Khan ◽  
Md Sayeed Hasan ◽  
Moyassaque Ahmed ◽  
Shirajul Islam Khan ◽  
...  
Keyword(s):  
Therapeutic Response ◽  
Previous Treatment ◽  
Armed Forces ◽  
The Body ◽  
Military Hospital ◽  
Study Group ◽  
Inclusion Criteria ◽  
Medical College ◽  
Number Of Patients ◽  
Prospective Longitudinal

Introduction: It is a pigmentation disorder in which melanocytes (the cells that make pigment) in the skin are destroyed. As a result, white patches appear in the skin in different parts of the body. Objective: The objective of this study is to see the efficacy of systemic PUVA in the treatment of vitiligo patient. Methods: This is an prospective longitudinal interventional study, carried out in the depigmented area was assessed according to the department of Dermatology and Venereology, Combined Military Hospital, Dhaka in between the duration of April 2010 to March 2011. Total 25 vitiligo patients based on inclusion criteria like patient with vitiligo affecting more than 5% body surface area, patient having ivory- white fluorescence on Wood’s lamp, patient who was above 15 years of age, patient who had given written consent, patient was not taken any previous treatment etc. Results: This study showed the therapeutic response of study group after 04 weeks of therapy, 05 (20%) patients responsed Fair, 15 (60%) patients responsed Poor and no responsed by 05 (20%) patients. Therapeutic response of study group after 08 weeks of therapy showed that 15 (60%) patients responsed Fair and 10 (40%) patients responsed Poor. It was observed after 12 weeks of therapy that 13 (52%) patients responsed Poor followed by 10 (40%) patients responsed Fair and 02 (08%) patients responsed well. 29 JAFMC Bangladesh. Vol 10, No 1 (June) 2014 Therapeutic response of study group after 16 weeks of therapy was 15 (60%) patients responsed Fair, followed by 06 (24%) patients responsed Poor and 04 (16%) patients responsed Good. It was showed that after 20 weeks of therapy 13 (52%) patients responsed Fair, followed by 08 (32%) patients responsed Good, 03 (12%) patients responsed Poor and 01 (04%) patients responsed Excellent. It was observed that after 24 weeks of therapy 12 (48%) patients responsed Good, followed by 08 (32%) patients responsed Fair, 03 (12%) patients responsed Poor and 02 (08%) patients responsed Excellent. Conclusion: Systemic PUVA for the repigmentation of vitiligo seems to be effective. Study needs large number of patients for longer period of duration for confirmation of results. DOI: http://dx.doi.org/10.3329/jafmc.v10i1.22900 Journal of Armed Forces Medical College Bangladesh Vol.10(1) 2014

Referral patterns of emergency physicians regarding head and neck pathology in Western Australia

2018 ◽  
Vol 9 (4) ◽  
pp. 147-150
Author(s):  
Jo Ann Ong ◽  
Dieter Gebauer ◽  
Estie Kruger ◽  
Marc Tennant
Keyword(s):  
Maxillofacial Surgery ◽  
Temporomandibular Joint Disorders ◽  
Scope Of Practice ◽  
Oral And Maxillofacial Surgery ◽  
Facial Fractures ◽  
Emergency Physicians ◽  
The Us ◽  
Head And Neck Pathology ◽  
Salivary Gland Disease ◽  
The Uk

Those dual qualified in oral and maxillofacial surgery (OMFS) in Australia have a scope of practice that includes dentoalveolar surgery, facial fractures, craniofacial deformities, salivary gland disease, temporomandibular joint disorders, and the treatment of oral and facial cancers with reconstruction. This differs from other countries such as the UK, the US, France and Brazil, which can lead to complexities of interaction when internationally trained health professionals, who may be unaware of this wide breadth of practice, are the ‘gatekeepers’ at tertiary health facilities. 1 – 3

scholarly journals Psychological State of Selected Infertile Couples of Bangladesh

2019 ◽  
Vol 14 (1) ◽  
pp. 41-45
Author(s):  
SM Nurul Irfan ◽  
Md Mahbubur Rahman ◽  
Sangita Mithun ◽  
SM Yasir Arafat ◽  
Farzana Zafreen
Keyword(s):  
Computer Software ◽  
Armed Forces ◽  
Cross Sectional Study ◽  
Psychological State ◽  
Military Hospital ◽  
Infertile Couple ◽  
Depression Anxiety Stress Scale ◽  
Cross Sectional ◽  
Medical College ◽  
Infertile Couples

Introduction: Infertility is an increasingly prevalent condition which causes considerable psychological problems among infertile couples. Objective: To assess the psychological state of infertility in terms of depression, anxiety and stress among the infertile couples of Bangladesh. Materials and Methods: This cross-sectional study was conducted in the fertility centre of Combined Military Hospital, Dhaka from January to July 2018 among purposively selected 112 infertile couple. Data were collected by face to face interview through a pretested semi-structured Bangla questionnaire of Depression-Anxiety-Stress Scale and analyzed by computer software SPSS 19.0. Results: Among the 112 infertile couples, depression was found among 54.5%, anxiety among 53.6% and stress in 30.4% of females. Whereas among males depression was found in 38.4%, anxiety 26.8% and stress 21.4%. This study also revealed that couples with primary infertility had more depression, anxiety and stress than others. Conclusion: Females have been psychologically more affected than their husbands due to infertility. More than half of the females had depression and anxiety and about one third was affected by stress which was higher than their husbands. Journal of Armed Forces Medical College Bangladesh Vol.14(1) 2018: 41-45

scholarly journals Severe Cutaneous Adverse Drug Reactions in Bangladesh: A Review in a Tertiary Level Hospital

2016 ◽  
Vol 12 (2) ◽  
pp. 71-75
Author(s):  
Md Niamul Gani Chowdhury ◽  
Mohammad Enamul Hoque ◽  
Md Abdul Latif Khan ◽  
Md Shirajul Islam Khan
Keyword(s):  
Adverse Drug Reactions ◽  
Armed Forces ◽  
Stevens Johnson Syndrome ◽  
Military Hospital ◽  
Case Report Form ◽  
Drug Reactions ◽  
Female Ratio ◽  
Medical College ◽  
Johnson Syndrome ◽  
Systemic Symptoms

Introduction: The Severe Cutaneous Adverse Drug Reactions (SCADRs) are rare but life-threatening as these encompass drug reaction with eosinophilia and systemic symptoms (DRESS), Stevens-Johnson syndrome (SJS), toxic epidermal necrolysis (TEN) and acute generalized exanthematous pustulosis (AGEP). Objective: To estimate the incidence of SCADRs and to find out the cause in Bangladesh. Materials and Methods: 50 patients with SCADRs were studied over a period of 1 year from January 2015 to December 2015 in the Department of Dermatology, Combined Military Hospital, Dhaka. Data were collected from the informant and recorded in structured Case Report Form. Quantitative data were expressed as mean and standard deviation and qualitative data as frequency and percentage. Results: Clinical diagnosis of the study subjects recognized 46.0% cases as SJS, 28(19.0%) as TEN, 16.0% as DRESS and 10.0% as AGEP. The maximum incidence (46%) was seen in the age group of 31-50 years; mean age of the patient was 37.42+5.3 years. Male and female ratio was 2.84:1. Anticonvulsant group of drugs could give rise to maximum incidence of SCADRs. Carbamazepine was responsible in 22.0% cases of SCADRs, followed by Phenytoin in 16.0% patients and Phenobarbital in 14.0% cases. Conclusion: SCADRs were seen mostly with the anticonvulsant drugs belonging to Carbamazepine and Phenytoin group. SCADRs deserve continuous monitoring to plan preventive strategies. Journal of Armed Forces Medical College Bangladesh Vol.12(2) 2016: 71-75

scholarly journals Patients Satisfaction about Magnetic Resonance Imaging Services at Combined Military Hospital, Dhaka

2020 ◽  
Vol 15 (1) ◽  
pp. 61-63
Author(s):  
Md Rezaur Rahman ◽  
Umar Rashed Munir ◽  
Farzana Zafreen ◽  
Md Abdul Wahab
Keyword(s):  
Waiting Time ◽  
Study Finding ◽  
Armed Forces ◽  
Cross Sectional Study ◽  
Military Hospital ◽  
Positive Finding ◽  
Cross Sectional ◽  
Face To Face ◽  
Medical College ◽  
The Past

Introduction: MRI investigation indicates sensitivity as well as specificity. The increasing clinical utility, coupled with the greater availability and capacity to per¬form, has resulted in a dramatic increase in their use over the past de¬cades. The expectation of the care seekers has also increased and it is a major concern whether this increase in MRI result has improved patient outcomes or not. Objective: The study was carried out with the aim to evaluate various aspects of satisfaction among the MRI performing patients at Combined Military Hospital, Dhaka. Materials and Methods: This descriptive cross sectional study was carried out on patient satisfaction of MRI services at CMH, Dhaka. A total of 186 patients performing investigation at MRI Department of CMH Dhaka since 01st May 2011 to 15th May 2011 were interviewed. Data were collected and analysed by face-to-face interview and reviewing medical record with the help of a questionnaire and checklist. Results: The waiting time of 8-12 weeks for MRI was maximum among 24.7% patients; followed by 17.7% for 2-4 weeks and 16.1% for 1-2 weeks. It also revealed that waiting time was higher (8-12 weeks) in Neurosurgery referred cases (33.3%), Orthopaedic (28.2%) followed by Neurology (14.3%) (p<0.05). The outdoor patients experienced more waiting time in comparison to indoor patients. Orthopaedic referred cases had the highest (53.8%) positive finding followed by Neurosurgery (15.1%) and Medicine (7.5%). A significant majority of the patients are satisfied (68.81%) or very satisfied (25.80%) with the MRI service. Conclusion: This study finding will help the hospital administrator not only in monitoring the investigation but also to take measures to improve the facilities of MRI department. Journal of Armed Forces Medical College Bangladesh Vol.15 (1) 2019: 61-63

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