National journal of maxillofacial surgery最新文献

{"title":"Efficacy of peritonsillar infiltration with dexmedetomidine versus tramadol in comparison to placebo for pain control and sedation after tonsillectomy in pediatric patients: A randomized clinical trial.","authors":"Hesameddin Modir, Esmail Moshiri, Faezeh Naghavi","doi":"10.4103/njms.njms_507_21","DOIUrl":"https://doi.org/10.4103/njms.njms_507_21","url":null,"abstract":"<p><strong>Objective: </strong>This article aimed to assess the efficacy of peritonsillar infiltration with dexmedetomidine-ropivacaine versus tramadol-ropivacaine for pain control and sedation after tonsillectomy in pediatric patients.</p><p><strong>Materials and methods: </strong>This double-blind clinical trial recruited 99 eligible children (4-8 years old) undergoing tonsillectomy and assigned to three block-randomized groups, receiving dexmedetomidine-ropivacaine (group A), tramadol-ropivacaine (group B), or placebo-ropivacaine (group C). The vital signs included blood pressure, heart rate, and SaO₂ before anesthesia induction, during surgery at regular intervals until 24 h after surgery. The duration of surgery and recovery, complications, and analgesic consumption were recorded and pain scores were measured by Children's Hospital of Eastern Ontario Pain Scale (CHEOPS) and Oucher scales as well as sedation scores by the Wilson sedation scale. Data were analyzed within SPSS 20 at a significance level of 0.05.</p><p><strong>Results: </strong>The lowest pain scores were measured by the CHEOPS scale in the dexmedetomidine-ropivacaine group (<i>P</i> < 0.05). Statistically significant difference was observed in the CHEOPS pain score between the first two groups at 30 min, 1 h, 2 h, and 4 h after surgery (<i>P</i> < 0.01). The differences were revealed in the Oucher pain assessments among all groups from the time of recovery to four postoperative hours (<i>P</i> < 0.05), with the lowest in the dexmedetomidine-ropivacaine group whose sedation score was greater during recovery and 5 min after surgery (<i>P</i> < 0.05). Subjects in tramadol group had six cases of dizziness and nausea, while no side effects were observed in two other groups (<i>P</i> < 0.05). Only seven participants receiving dexmedetomidine required acetaminophen, but 29 in the tramadol group and all in the placebo group demanded to receive acetaminophen (<i>P</i> = 0.001).</p><p><strong>Conclusion: </strong>The authors concluded that dexmedetomidine as an adjuvant to ropivacaine has better performance in local infiltration for intra- and post-tonsillectomy analgesia and postoperative sedation, without any special side effects (like the placebo group), and that it hence is recommended to be used for local infiltration during tonsillectomy.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"15 1","pages":"40-46"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140862866","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":"Bullous erythema multiforme secondary to fluconazole intake: A unique case report managed with photobiomodulation therapy.","authors":"Juliana Mota Siqueira, Luiz Felipe Palma, Luana Campos","doi":"10.4103/njms.njms_128_22","DOIUrl":"https://doi.org/10.4103/njms.njms_128_22","url":null,"abstract":"<p><p>While fluconazole use is generally considered safe and well-tolerated, there has been an increasing number of reports regarding several adverse events. Therefore, the present study aimed to present a unique case in which photobiomodulation therapy (PBMT) was employed to manage bullous erythema multiforme lesions secondary to fluconazole intake. A 32-year-old female patient sought emergency dental care due to painful orofacial lesions that had developed two days after oral fluconazole use for recurrent vulvovaginal candidiasis. Given the acute clinical features, a diagnosis of bullous erythema multiforme secondary to fluconazole was established. Prednisone 20 mg was then prescribed for five days, and fluconazole intake was immediately discontinued. As the initial treatment strategies failed to show improvement in the clinical condition, three PBMT sessions were proposed every other day. Within seven days, almost complete wound healing was observed, and any pain complaints were no longer present. The resolution of orofacial lesions within a short period suggests that PBMT could be a promising tool for managing drug-induced bullous erythema multiforme. However, more studies are needed to confirm this statement.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"15 1","pages":"151-153"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057598/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140861612","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":"Is there an association between head and neck cancer diagnosis and self-reported dental fear? A dual-center cross-sectional study.","authors":"Claudia Y Maeda, Rafael V Serrano, Luana Campos, Luiz F Palma, Marcelo Marcucci","doi":"10.4103/njms.njms_119_22","DOIUrl":"https://doi.org/10.4103/njms.njms_119_22","url":null,"abstract":"<p><strong>Introduction: </strong>Mental distress is highly reported in cancer patients, resulting in anxiety and depression most of the time. Both conditions, in turn, are recognized to be related to dental fear in adults; however, there are no studies on patients suffering from head and neck cancer. Thus, the present study aimed to investigate whether newly diagnosed patients with head and neck cancer are more prone to self-reported dental fear.</p><p><strong>Material and methods: </strong>This dual-center cross-sectional study was conducted with 25 healthy outpatients and 25 patients with a recent diagnosis of head and neck cancer, all requiring dental care. The patients were informed at the first appointment about their dental therapy planning and the Brazilian Portuguese Version of the Dental Fear Survey (DFS) questionnaire was then applied after appropriate instructions.</p><p><strong>Results: </strong>The DFS total scores did not differ statistically between the groups (Mann-Whitney U test, <i>P</i> = 0,120) but the Cancer Group presented a slightly higher mean score (32.2 ± 10.0) than the Control Group (30.0 ± 14.2).</p><p><strong>Conclusion: </strong>Within the limitations of this study, newly diagnosed patients with head and neck cancer and healthy individuals seem to experience similar self-reported dental fear.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"15 1","pages":"36-39"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057582/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873740","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":"Does lifestyle modification (physical exercise and listening to music) improve symptoms in patients with a temporomandibular disorder? A randomized clinical trial.","authors":"Reza Tabrizi, Yasaman Shourmaej, Fereydoun Pourdanesh, Shervin Shafiei, Hamidreza Moslemi","doi":"10.4103/njms.njms_23_23","DOIUrl":"https://doi.org/10.4103/njms.njms_23_23","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of the study was to compare pain relief in temporomandibular disorder (TMD) patients with or without lifestyle modification.</p><p><strong>Materials and methods: </strong>This randomized clinical trial was performed on patients with TMD, who did not regularly exercise or listen to music. The participants were allocated into two groups. In the treatment group, the participants were instructed to exercise five times or more per week (30 minutes per session) and listen to the music of their choice five times or more per week (15 minutes per session) for 12 weeks. In the control group, the participants had their usual lifestyle without any modifications. The participants were examined for clicking and crepitus in the joint and maximum mouth opening before and after the intervention. The pain severity was also documented based on a visual analog scale.</p><p><strong>Results: </strong>Thirty five patients were studied in each group. Twelve weeks after the intervention, the mean pain severity was 2.70 ± 0.73 in the treatment group and 4.63 ± 0.77 in the control group. The results of data analysis demonstrated a significant difference between the two groups regarding the mean pain severity at 12 weeks after the intervention (<i>P</i> <.001).</p><p><strong>Conclusions: </strong>Lifestyle modification through physical exercise and listening to music may reduce pain in TMD patients.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"15 1","pages":"55-58"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874248","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":"Proliferative potential of impacted tooth lesions using Ki67 labelling index-A clinicopathological insight.","authors":"Himani Grover, Atiqul Islam, Nikita Gulati, Anshi Jain","doi":"10.4103/njms.njms_214_22","DOIUrl":"https://doi.org/10.4103/njms.njms_214_22","url":null,"abstract":"<p><p>Tooth impaction is a frequent phenomenon, and the prevalence and distribution of this entity in different regions of the jaws may vary considerably. The third molars, maxillary canines, maxillary and mandibular premolars, and maxillary central incisors are the most commonly affected teeth. Impacted teeth in children and adolescents are rarely associated with pathological changes, but the prevalence of problems has been found to increase in later decades. Impacted teeth are commonly asymptomatic and not associated with any pathologic lesions for years. Proliferative potential of various odontogenic lesions were calculated using Ki-67 labeling index calculation, with the highest index of Unicystic Ameloblastoma followed by Adenomatoid odontogenic tumor, Unicystic Ameloblastoma, followed by the dental follicle. Ki-67 is a marker of cell proliferation, used as an important diagnostic marker in the pathologic differentiation of various lesions. It is always better to orthodontically treat or extract asymptomatic impacted teeth to avoid or to restrict the proliferative capacity of the dental follicle. Treatment decisions about the third molar have important clinical and cost implications.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"15 1","pages":"146-150"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869119","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":"Dysontogenic cyst of the oral floor excision by preserving Wharton's duct by micro-surgical repair and relocation to floor of the mouth - A clinical case report.","authors":"Nathiya Balasubramaniyan, Rinku G Kurian, Umesh R Somasundaram, Shamala Sivanandham","doi":"10.4103/njms.njms_124_22","DOIUrl":"https://doi.org/10.4103/njms.njms_124_22","url":null,"abstract":"<p><p>A 20-year-old female presents with a painless, progressive, normal color smooth surface sublingual swelling extending to chin that had gradually increased in size over the preceding 2 months, which severely impaired her speech and swallowing. Fine-needle aspiration biopsy was suggestive of benign cystic lesion. Following surgical excision, the mass was found to contain a large amount of sebaceous keratin material removed along with the entire capsule of the cyst. Definitive diagnosis was confirmed with histological examination. We report a case of dermoid cyst treated surgically through an intra-oral approach by preserving and relocating the Wharton's duct using micro-surgical repair to the floor of the mouth, thereby leading to a good cosmetic and functional result for the patient.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"15 1","pages":"142-145"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140857857","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":"Guidelines for dental implants in the times of COVID-19.","authors":"Neeti Solanki, Lakshya Kumar Yadav, Mayank Singh, Pooran Chand","doi":"10.4103/njms.njms_450_21","DOIUrl":"https://doi.org/10.4103/njms.njms_450_21","url":null,"abstract":"<p><p>Since the first reported case in December 2019, COVID-19 has become a worldwide pandemic. Although primarily a zoonotic infection, human-to-human transmission is well reported now and the mode of spread is mainly via respiratory droplets during direct contact or via surfaces contaminated with the virus as it remains viable on the surfaces for a long time. Direct communication and consistent exposure to body fluids such as blood and saliva and the fact that routinely done dental procedures generate aerosols predisposing dental professionals to serious risk for COVID-19 infection. Hence, to ensure the smooth working and safety of dental professionals as well as the patients, a set of directives are of paramount importance. Various guidelines have been released for the efficient operation of dental professionals; however, no such recommendations/directives have been laid out pertaining to dental implants in particular. Here, we are presenting a set of recommendations for managing urgent implant-related treatment procedures.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"15 1","pages":"23-28"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871889","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 immediate impact of mandatory helmet law on maxillo-facial trauma: A comparative study in a major trauma center, Uttar Pradesh.","authors":"Arun Pandey, Thakur P Chaturvedi, Naresh K Sharma, Akhilesh K Singh, Janani A Kumar, Nitesh Mishra","doi":"10.4103/njms.njms_313_21","DOIUrl":"https://doi.org/10.4103/njms.njms_313_21","url":null,"abstract":"<p><strong>Aim: </strong>To analyze the effect of the mandatory helmet rule in helmet usage among motorcycle riders and on facial trauma and to determine the significance of difference in the possibility of facial trauma between the helmeted and non-helmeted motorcycle riders.</p><p><strong>Setting and design: </strong>A retrospective comparative study conducted in a major trauma center at Uttar Pradesh.</p><p><strong>Material and method: </strong>Data for the present study was obtained from records of the Emergency Department of Trauma Center, for a period of two months before and after the implementation of The Motor Vehicles Act in UP. The study included patients with a history of non-fatal motorcycle accidents who sustained facial injuries regardless of the presence of injuries to other areas of the body during the study period. Information regarding helmet usage during the accident was also recorded. The results were compared between the pre-law period and post-law period.</p><p><strong>Statistical analysis used: </strong>Sample t-test was applied to find the level of significance.</p><p><strong>Results: </strong>Out of 219 injured patients, 152 (69.40%) subjects were not wearing helmets, whereas only 67 (30.59%) subjects were wearing helmets. It was observed that around 68.18% of people stated wearing helmets after law implementation with a statistical significance (P value < 0.05).</p><p><strong>Conclusion: </strong>Our study shows that the mandatory helmet rule with elevated penalty rates has significantly increased the usage of helmet among the motorcycle riders, and it also proves that the possibility of facial trauma is significantly higher in non-helmeted riders when compared to helmeted riders.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"15 1","pages":"116-120"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874144","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":"Interim management of Pierre Robin sequence using a custom-made face mask.","authors":"Vishal Kulkarni, Kumar C Senthil, Mukti K Rath, Madhu Singh","doi":"10.4103/njms.njms_99_23","DOIUrl":"https://doi.org/10.4103/njms.njms_99_23","url":null,"abstract":"<p><p>Pierre Robin sequence poses a great challenge for anesthesiologists during laryngoscopy and intubation, making oxygenation and ventilation difficult. The role of early surgical intervention is recommended for the improvement of the airway and overall survival of the neonate. The situation becomes even more challenging, when the neonate may not be fit for such surgical interventions. The present case posed such a challenge to the team. To the authors' knowledge, the decision to use a face mask as an interim life-saving measure was considered for the first time. This provided a greater window of opportunity for further course of action, only to be later managed by distraction osteogenesis of the mandible. The unconventional use of orthopedic appliances for the management of threatened airways may provide the clinician with time, where further management may be carried out. The present article will explain such a procedure that was carried out as a life-saving measure.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"15 1","pages":"157-159"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140862346","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":"Condylar osteomyelitis: A case report of a rare complication of maxillary dental extraction.","authors":"Oliver Dugena, Andrew Sidebottom","doi":"10.4103/njms.njms_189_22","DOIUrl":"https://doi.org/10.4103/njms.njms_189_22","url":null,"abstract":"<p><p>Condylar osteomyelitis is a long-standing infection of the condylar head of the mandible. The chronic progression of this disease can lead to the destruction of surrounding bony structures and can ultimately affect function. Currently, in English Literature, there have been few cases published on condylar osteomyelitis. Interestingly, regardless of proximity, there have only been two other reported cases of condylar osteomyelitis subsequent to extractions of the upper maxillary third molar. We report a case of a 27-year-old female who presented with an acute episode of condylar osteomyelitis after a simple extraction of an upper left third molar. Several courses of antibiotics did not alleviate her severe trismus, paresthesia, or extensive preauricular collection. Three surgical interventions showed negative growth on numerous swabs. However, CT scans and an MRI confirmed extensive osteomyelitis along the left head, neck, and the angle of the mandible. Following inpatient IV antibiotics, the patient was discharged with a PICC line to allow for long-term treatment. An improvement in function, pain, and swelling was seen on discharge. However, due to the nature of this disease she was monitored for 2 years and due to joint collapse has been listed for alloplastic replacement.</p>","PeriodicalId":101444,"journal":{"name":"National journal of maxillofacial surgery","volume":"15 1","pages":"154-156"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057594/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140856419","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}