National journal of maxillofacial surgery最新文献

{"title":"Comparative evaluation of chitosan- and hydrocolloid-based dressing for the management of abrasions over the maxillofacial region.","authors":"Prachur Malhotra, Saurabh Chandalia, Mrudula Mulay, Deep Shah, Kreena Shah, Kaustuv Kant","doi":"10.4103/njms.njms_126_22","DOIUrl":"10.4103/njms.njms_126_22","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to evaluate and compare the management of abrasions of the maxillofacial region by chitosan and hydrocolloid dressing materials.</p><p><strong>Materials and methods: </strong>The study was carried out by the Department of Maxillofacial Surgery, KMSDCH. The sample size of the study was 70 patients which were divided into two groups: Group A was the Chitosan group and Group B was Hydrocolloid Dressing. The abrasion site was cleaned, and the dressing was given. The parameters of assessment were the rate of wound healing and Bates-Jensen Wound Assessment.</p><p><strong>Results: </strong>The rates of wound healing for chitosan and hydrocolloid were 9 days and 14 days, respectively. The Bates-Jensen Scores for Wound Assessment for chitosan and hydrocolloid were similar.</p><p><strong>Conclusion: </strong>The chitosan dressing showed a faster rate of wound healing than hydrocolloid-based dressing.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"16 1","pages":"145-150"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12156858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnosis and treatment planning in dentofacial deformities: Are we justified?","authors":"Uday Kiran Uppada, David P Tauro, K P Senthilnathan","doi":"10.4103/njms.njms_34_24","DOIUrl":"10.4103/njms.njms_34_24","url":null,"abstract":"<p><strong>Purpose: </strong>To understand the viewpoint of the patients who already underwent corrective jaw surgery in order to ascertain whether the clinicians are justified pertaining to their diagnosis and treatment planning of patients with dentofacial deformities.</p><p><strong>Materials and method: </strong>In order to conduct this study, a predetermined questionnaire was designed to comprehend the thought process of patients who were already subjected to corrective jaw surgery in various surgical centers belonging to various states of south India. One hundred and thirty-six patients were enrolled in the survey. Demographic information, educational qualification, primary reason for undergoing corrective jaw surgery, whether they were convinced with the surgical treatment plan offered to them by the clinician following thorough evaluation, whether they were willing to proceed with a staged surgical treatment plan if offered, and whether they prefer a simple chair-side facial analysis which is time-consuming yet effective or advanced and sophisticated technology that can predict the surgical outcome were evaluated.</p><p><strong>Results: </strong>It was observed that among the patients who underwent corrective jaw surgery, nearly 62% had both esthetic and functional concerns, while 27% had esthetic concerns and only 11% had functional concerns. The patients with esthetic concerns primarily had apprehensions pertaining to their lips and chin region followed by the jaws, while the functional concerns were primarily with regard to difficulty in chewing. It was observed that 77% of the patients with dentofacial deformity were willing for a staged surgical treatment plan for an optimal clinical outcome. Only 58% of patients felt that the investigations performed on them were sufficient to provide a proper treatment plan and an optimal clinical outcome, while 36% were unaware. It was noticed that 68% of the patients preferred a simple chair-side facial analysis over an advanced and sophisticated technology that can predict the clinical outcome.</p><p><strong>Conclusion: </strong>On the basis of the inferences obtained from this study, it is wise to recommend that all the esthetic units of the face need to be taken into account while assessing the esthetics of a human face and not merely the relationships of the jaws. It can now be concluded based on the results obtained from this study that when one accomplishes a corrective jaw surgery purely constructed on the norms of the cephalometric analysis and data obtained from three-dimensional (3D) software solutions, it can inevitably fail to address few imperfections of the face. Therefore, for the diagnosis and planning treatment of dentofacial deformity patients, cephalometric analysis and 3D software solutions can only be used as an adjunctive diagnostic tools and clinical judgment needs to be given greater emphasis.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"16 1","pages":"44-50"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12156855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Human factors in difficult airway management: An anaesthetist's perspective.","authors":"Pritam K Mohanty","doi":"10.4103/njms.njms_13_25","DOIUrl":"10.4103/njms.njms_13_25","url":null,"abstract":"","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"16 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12156835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The outcomes of Facial Artery Musculomucosal (FAMM) flaps in oral oncologic reconstructions.","authors":"Sumeet Raj","doi":"10.4103/njms.njms_16_24","DOIUrl":"10.4103/njms.njms_16_24","url":null,"abstract":"<p><strong>Introduction: </strong>Head and neck cancer ablation results in challenging defects with complex reconstructive needs. The type of reconstruction depends on the nature, site, and size of the defect. Facial artery Musculomucosal (FAMM) flap reconstruction has emerged as a versatile option in a variety of small and medium-sized oral and oropharyngeal defects. We describe our experience reconstructing 12 intraoral defects with FAMM flap following resection for benign or malignant disease, with some having their surgery during the early Covid 19 pandemic.</p><p><strong>Materials and methods: </strong>We examined patient demographics, diagnosis, site, TNM staging, type of FAMM flap, associated functional/cosmetic outcomes, oncological resection margins and adjuvant treatment.</p><p><strong>Results: </strong>Most patients (75%) had Squamous cell carcinoma, with the palate (41.6%) being the most common site. Inferiorly based FAMM flaps (91.7%) were used in the majority. Clinically, T1 and T2 tumours (91.7%) were the most common. 91.7% had resumed normal dietary function; 83.4% had fully intelligible speech as assessed by the speech and language therapist; and 91.7% had aesthetically pleasing outcomes. 81.8% had clear resection margins. Two patients developed small residual oroantral fistulae requiring repair.</p><p><strong>Conclusion: </strong>The FAMM flap is a reliable option for reconstructing small to medium-sized oral defects with several advantages and excellent functional and cosmetic outcomes.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"16 1","pages":"24-32"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12156862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dermatoglyphics and cheiloscopy in inheritance of oral clefts in North Indian population.","authors":"Merin Paul, Mridul Khanduri, Jyotsna Jha, Mahinder Singh, Taruna Puri, Varun Kashyap","doi":"10.4103/njms.njms_166_23","DOIUrl":"10.4103/njms.njms_166_23","url":null,"abstract":"<p><strong>Introduction: </strong>Cleft lip and palate (CLP) is one of the most common congenital malformations occurring in the craniofacial region. Causes of CLP can be attributed to the genetics and environmental factors. Potential advantages of prenatal diagnosis of oral cleft include psycho-social preparation, opportunity for parent education, planned neonatal care, anticipation on possible feeding problems, and increased reproductive awareness. Dermatoglyphic analysis and cheiloscopic analysis are now beginning to prove themselves as an extremely useful tool for preliminary investigations into conditions with a suspected genetic basis.</p><p><strong>Materials and methods: </strong>The study consisted of two groups of 45 parents and siblings each of cleft lip with/without palate, CL (P)-affected children (group A) and normal children (group B). The study aimed to evaluate the inheritance of cleft lip and palate in North Indian patients using dermatoglyphics and cheiloscopy. Prints of all ten fingers were taken by the Ink method and recorded on white paper. Lip patterns were obtained by direct photography of the subjects in the natural head position.</p><p><strong>Results: </strong>Increased inter-digital asymmetry (with an increased score) was seen in mothers and fathers of group A. The loop pattern was seen more in the mothers, fathers, and siblings of group A. The Type O pattern was seen only in group A in only the fathers and mothers.</p><p><strong>Conclusion: </strong>A highly significant correlation was observed in finger prints and lip patterns in parents with CL (P)-affected children and hence can prove to be an extremely useful screening tool for CL(P) and other associated genetic anomalies.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"16 1","pages":"56-62"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12156860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of injectable platelet-rich fibrin (I-PRF) as a treatment in internal derangement of temporomandibular joint.","authors":"Vivek Kumar, Naqoosh Haidry, Ameera Salahudheen, Peeyush Shivhare, Ejaz Ahmed Mokhtar, Amit Basannavar","doi":"10.4103/njms.njms_209_23","DOIUrl":"10.4103/njms.njms_209_23","url":null,"abstract":"<p><strong>Introduction: </strong>The study aimed to evaluate the role of I-PRF in treating temporomandibular joint (TMJ) internal derangements with the primary objective being improvement in maximum interincisal opening and Helkimo clinical dysfunction score (HCDS), and secondary objective as identifying any side effects.</p><p><strong>Material and methods: </strong>The study involved 34 patients with MRI confirmed TMJ internal derangements (Wilkes 3-5). Injectable platelet-rich fibrin injected into TMJ (maximum 2 ml), one injection every week for 3 weeks. Total 3 injections were given to each affected TMJ. After total 3 injections, the patients were assessed for maximum interincisal opening, Helkimo Clinical Dysfunction Score (Range of movement, TMJ function, muscle pain, TMJ pain, pain on movement of mandible), and complications on 10^th day, 1 month, and 3 months postoperatively as the dependant variable. The results obtained were tabulated and compared with the inferential analysis.</p><p><strong>Results: </strong>Statistically significant differences were observed with respect to maximum interincisal opening and Helkimo Clinical Dysfunction Score at the end of 10^th day, 1 month, and 3 months postoperatively. No major complications were reported during the study; 11 patients had transient edema immediately following I-PRF injections which resolved itself, 1 patient had an episode of syncope during the 2^nd injection and 4 patients had transient facial nerve palsy during auriculotemporal nerve block which again resolved on itself.</p><p><strong>Conclusion: </strong>Our study also agreed with the previous literature and concluded that injectable platelet-rich fibrin has significant clinical efficacy in improving Helkimo clinical dysfunction score and maximum interincisal opening in patients suffering from internal derangements. Hence, it can be a potent treatment modality for patients with internal disk derangements.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"16 1","pages":"63-70"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12156843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effective modalities to manage the failure of dental implants in pediatric patients.","authors":"Mohammad Kamran Khan, Devesh Jindal, Sahana Selvaganesh, Mahendra K Jindal","doi":"10.4103/njms.njms_126_23","DOIUrl":"10.4103/njms.njms_126_23","url":null,"abstract":"<p><p>Pediatric patients with missing tooth pose a challenge to a dental clinician for the effective, functional, esthetic, and durable restoration and rehabilitation. There is a range of various prosthetic treatment options for such a dental condition, such as removable or fixed prosthesis. However, these prostheses are not much clinically effective, efficient, and durable and show low compliance, particularly in pediatric patients. In recent decades, dental implants have emerged as a boon for dentistry. Implants are superior in terms of functions, esthetics, durability, and compliance in adult patients than removable or fixed prosthesis. However, literature reveals that implants in pediatric patients (adolescents) have certain limitations/drawbacks, particularly dental occlusion problems (i.e., infraocclusion), which are due to the active growth phase of the bone and ankylosis of the implant. It is imperative to address the dental occlusion-related problems of implants in growing pediatric patients for achieving clinical success in adulthood phase when growth of the maxillofacial region ceases. Hence, this comprehensive and critical review has been conducted with the aim to explore the dental literature about the possible solutions (approaches/techniques) for the effective management of implant failure in growing pediatric patients. This review article will aid dental professionals including implantologists and pediatric dentists to consider the use of dental implants in adolescent pediatric patients for prosthetic rehabilitation. This article aims to review the relevant literature and highlight the possible ways (techniques) to manage the manifestations of implant failure after growth cessation.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"16 1","pages":"14-18"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12156838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nasal reconstruction of functional supernumerary nostril in a pediatric patient: A rare case.","authors":"Al Hafiz, Dolly Irfandy, Bestari Jaka Budiman","doi":"10.4103/njms.njms_168_23","DOIUrl":"10.4103/njms.njms_168_23","url":null,"abstract":"<p><p>Supernumerary nostril is an extremely rare congenital nasal disorder, with additional nostrils of unknown etiology. The choice of supernumerary nostril reconstruction technique is adjusted to the patient's clinical manifestations. This study evaluated a case of 12-year-old male patient with an additional nostril on the right side of the normal nostril since birth. The patient was diagnosed with a functional supernumerary nostril and treated with nasal reconstruction. Functional supernumerary nostril reconstruction is considered to be functional, cosmetic, and psychosocial development. Internal approach reconstruction was performed using an endoscope to maintain the functional part of the nose, and an external approach reconstruction was performed to form a near-normal nasal morphology. Rhinoplasty outcome evaluation (ROE) can be used to evaluate the patient's psychosocial status after reconstruction procedures.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"16 1","pages":"160-164"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12156863/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Osteochondroma of the condyle of the mandible: A case report.","authors":"Ranjeet Singh, Vibha Singh, Uma Shanker Pal, Richa Gupta","doi":"10.4103/njms.njms_137_23","DOIUrl":"10.4103/njms.njms_137_23","url":null,"abstract":"<p><p>Osteochondroma is a benign bone tumor commonly found in long bones but is relatively rare in the facial skeleton, specifically the jaws. Osteochondroma in the jaws presents diagnostic challenges due to its unique location and potential involvement of dental and oral structures. Differential diagnoses include ossifying fibroma, ameloblastoma, and odontogenic tumors. Accurate diagnosis thorough clinical assessment and appropriate imaging and histopathological examination is crucial. Surgical excision remains the primary treatment, providing symptomatic relief, functional restoration, and prevention of complications. We present two cases of left condylar osteochondroma in female patients reported with pain and limited mouth opening with deranged occlusion. Increased awareness of osteochondroma in the jaws is essential for timely diagnosis and appropriate treatment. Understanding its clinical characteristics, diagnostic evaluation, and management aids in achieving optimal patient outcomes.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"16 1","pages":"174-179"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12156836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Phototherapies for the management of immediate caustic injuries to a child's mouth: A case report.","authors":"Regina M Raffaele, Mario E Baldo, Luiz F Palma, Luana Campos","doi":"10.4103/njms.njms_15_22","DOIUrl":"10.4103/njms.njms_15_22","url":null,"abstract":"<p><p>Caustic soda ingestion is a serious medical and social concern as it may result in damage to the esophagus, pharynx, larynx, and mouth. The treatment for it is highly varying and controversial, since patients may manifest a combination of several symptoms or even none at all. Thus, this paper aimed at reporting a case in which a 2-year-old male Caucasian presenting oral caustic injuries (ulcerative lesions throughout the mouth) was treated by using a combination of antimicrobial photodynamic therapy (aPDT) and photobiomodulation therapy (PBMT) besides conventional supportive care. The treatment proposed resulted in an important clinical improvement of the child's oral condition within a few days, allowing the reintroduction of oral feeding and then hospital discharge. According to this case report, the combination of PMBT and aPDT used concomitantly with conventional supportive care may be useful for improving the oral condition of children suffering from oral injuries induced by caustic soda.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"16 1","pages":"157-159"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12156848/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144288086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}