National Journal of Maxillofacial Surgery最新文献

{"title":"Intraosseous schwanomma: A rare case report","authors":"Basavaraj C. Sikkerimath, Anu Jose, Aditya Anshu","doi":"10.4103/njms.njms_444_21","DOIUrl":"https://doi.org/10.4103/njms.njms_444_21","url":null,"abstract":"Intraosseous schwanommas are benign tumors that arise from Schwann cells. They are common in soft tissues of the head and neck region. However, intraosseous schwanommas are rare accounting for less than 1% of all bone tumors. They commonly manifest as a swelling that is usually asymptomatic. They can be treated with simple enucleation and curettage with a low rate of recurrence and malignant transformation. Histopathology alone is insufficient for arriving at a definitive diagnosis. Immunohistochemistry plays an important role in such cases for correctly establishing and confirming the diagnosis. Here, we present a rare case of intraosseous schwanomma (neurilemmoma) of the mandible.","PeriodicalId":18827,"journal":{"name":"National Journal of Maxillofacial Surgery","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135611160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of fascial space infections using ultrasonography as a surgical guide for drainage - A case series","authors":"GK Abbiramy, K Raghavendra, Sooraj Soman, Pillai A. Gopinathan","doi":"10.4103/njms.njms_1_22","DOIUrl":"https://doi.org/10.4103/njms.njms_1_22","url":null,"abstract":"Fascial space infections are common emergencies presented to a maxillofacial surgeon. Space infection requires early diagnosis and prompt management. When left untreated, space infection spreads and involves not just one space, but also its adjacent spaces. Abscess in the head and neck region are treated by surgical incision and drainage, along with antibiotics and removal of the causative factor. The surgical incision and drainage of an abscess, if carried out based on physical examination may result in, excessive pain, tissue trauma, unnecessary extensive incisions, excess time and failure to locate and evacuate the abscess fluid. To avoid all such complications, ultrasonography is not only an invaluable diagnostic tool but also aids in ultrasonography guided drainage of fascial space infections.","PeriodicalId":18827,"journal":{"name":"National Journal of Maxillofacial Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135611186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tactical combat casualty care: A rule and not an exception!!!","authors":"Vishal Kulkarni, Sirsendu Ghosh","doi":"10.4103/njms.njms_182_23","DOIUrl":"https://doi.org/10.4103/njms.njms_182_23","url":null,"abstract":"INTRODUCTION Since time immemorial, any nation has been constantly in a state of dynamism with elements of peace, war, and conflict. Naturally, any country would resort to diplomatic and political measures to avoid conflict situations, yet it becomes prudent for their armed force to be battle ready for offensive and defensive operations. There has been a paradigm shift like warfare over the decades, so the casualty rates and treatment outcomes have remarkably improved. Although the age-honored doctrines of casualty care have shown resilience, the scenario may change due to warfare's nature, namely proxy, low-intensity conflict (LIC), border wars, or skirmishes to highly lethal forms, such as nuclear, biologic, and chemical (NBC) war situations. BACKGROUND AND CURRENT SCENARIO No group has learned more about the care of the injured in the past few decades than any nation's armed forces. It is said that the only advantage of a war-like situation is the improvement in the care of injured soldiers. However, the same concepts need to be extended to civilian casualties that sustain such war-like injuries due to armed conflicts. The same concepts are now rushed into civilian medical establishments to provide trauma care. The concept of training the military medic and the warrior himself has served as a “force multiplier” from a medical standpoint. It has been estimated that a wounded individual has the greatest probability of dying within the first hour after sustaining any injury, and the events that occur even before evacuation may result in irreversible morbidity and, in most cases, mortality. The causes may have a wider arena for basic management, but hemorrhage alone constitutes 50% of fatalities. The role of “trained buddy” can be exploited in that if he can control or arrest an external arterial hemorrhage, it can be a life-saving measure as he would be the only personnel available during the precious golden hour. Does this mean that the present concepts of ABCDE in primary management of trauma need alteration and XABCDE is the need for reality (where X is stopping of exsanguinating hemorrhage)? Tactical combat causality (CAS) care (TCCC) TCCC is the prehospital care rendered to a casualty in a tactical combat environment. The principles of TCCC are fundamentally different from those of traditional civilian trauma care, where most medical providers and medics train. These differences are based on both the unique patterns and types of wounds that are suffered in combat and the tactical conditions that medical personnel face in combat. Unique combat wounds and tactical conditions make it difficult to determine which intervention to perform at what time. Besides addressing a casualty's medical condition, responding medical personnel must also address the tactical situation faced while providing casualty care in combat. A medically correct intervention performed at the wrong time may lead to further casualties. The application of the principles of TC","PeriodicalId":18827,"journal":{"name":"National Journal of Maxillofacial Surgery","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135611906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A case report on implant retained auricular prosthesis: Bringing back hope and smile.","authors":"Deeksha Gupta,&nbsp;Rahul Thakkur,&nbsp;Bhumi Shah","doi":"10.4103/njms.njms_441_21","DOIUrl":"10.4103/njms.njms_441_21","url":null,"abstract":"<p><p>Long-term success of a facial prosthesis mainly depends on retention. Most articles relate tissue health to long-term success, not retention. Anatomic undercuts, skin adhesives and implants are important factors to provide sufficient retention. Extra oral implant retained prosthesis have been proven to be a predictable treatment option for maxillofacial rehabilitation. This case report describes the clinical and laboratory procedures for fabricating implant-retained auricular prosthesis using magnets for retention. It describes how an initial planning for implant placement with Hader-bar retentive system was opted out due to intra-surgical situation. The use of craniofacial implants for retention of extra oral prosthesis, such as ears, offers excellent support and retentive abilities and improves a patient's appearance and quality of life. It has been shown in clinical and biomechanical studies that two implants are sufficient to retain an auricular prosthesis. Judicial treatment planning and implant placement according to the available remaining structures is prudent for a successful prosthesis.</p>","PeriodicalId":18827,"journal":{"name":"National Journal of Maxillofacial Surgery","volume":"14 1","pages":"152-156"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/67/35/NJMS-14-152.PMC10235729.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9950368","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":"Combination of double-sliding advancement genioplasty and prearthroplastic distraction osteogenesis in cases of TMJ ankylosis with severe mandibular atrophy.","authors":"Geeta Singh,&nbsp;Shivani Sharma,&nbsp;U Vignesh,&nbsp;Ravi Katrolia","doi":"10.4103/njms.njms_310_21","DOIUrl":"10.4103/njms.njms_310_21","url":null,"abstract":"<p><p>The aim of this study is to present a case of facial asymmetry secondary to unilateral long-standing temporomandibular joint (TMJ) ankylosis managed by a staged treatment protocol. Treatment for facial asymmetry secondary to unilateral TMJ ankylosis can have varied approaches followed by different workers according to their experiences. This predistraction arthroplasty versus prearthroplastic distraction debate has been at the center stage in literature for quite some time. Hereby, we present a case followed by the latter approach along with double-sliding genioplasty to correct chin asymmetry. A 25-year-old male patient with a history of facial trauma 15 years ago reported a complaint of inability to open mouth and gradually developing facial asymmetry. The patient was thoroughly evaluated using radiographs and cephalometric analysis to establish the diagnosis of TMJ ankylosis with facial asymmetry and suspected sleep apnea. The patient was treated according to our institutional protocol of prearthroplastic asymmetry correction followed by ankylosis release along with double-sliding genioplasty to correct residual deformity at a later date. Correction of facial asymmetry before ankylosis release provides a more evidence-based approach as supported by the current literature. Plus, any residual deformity can be rectified using orthomorphic procedures such as genioplasty. Since there is an ongoing debate in the current literature about sequencing in the treatment of facial asymmetry cases, the presented case adds to the argument that the approach followed herein provides for more favorable outcome.</p>","PeriodicalId":18827,"journal":{"name":"National Journal of Maxillofacial Surgery","volume":"14 1","pages":"143-146"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e2/a7/NJMS-14-143.PMC10235746.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9569768","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":"Comparative evaluation of efficacy of Halstead technique, Clark and Holmes technique, Gow Gates technique, and Sargenti technique for mandibular anesthesia","authors":"Sayali Awate, Kalyani Bhate, Uday Londhe, Murtaza Contractor, Tushar Bhosale, Shreyas Lokhande","doi":"10.4103/njms.njms_157_22","DOIUrl":"https://doi.org/10.4103/njms.njms_157_22","url":null,"abstract":"Aim: This study aimed to evaluate the inferior alveolar nerve block, that is, the Halstead technique, Clark and Holmes technique, Gow Gates technique, and Sargenti technique, for mandibular anesthesia. Methodology: This prospective, double-blinded, in-vivo study was conducted amongst 100 patients, requiring mandibular anesthesia. These patients were divided into four groups. Parameters assessed were time required for appearance of subjective and objective symptoms and signs, positive aspiration, need for supplementary anesthesia, and ease of administration. Results: The means for subjective symptoms for the four techniques, that is, Halstead technique, Clark and Holmes technique, Gow Gates technique, and Sargenti technique, were 78.44, 120.76, 176.6, and 203.08, respectively. The means for objectives symptoms for the four techniques, that is, Halstead technique, Clark and Holmes technique, Gow Gates technique, and Sargenti technique, were 110.6, 269.8, 287.48, and 154.08, respectively. Halstead technique had statistically significant ( P < 0.05) faster objective signs than all the other techniques. Supplementary block if required was noted for all four techniques. Conclusion: The Clark and Holmes technique showed maximum complications, while Gow Gates technique was most difficult to administer. The Angelo Sargenti technique gave good results, same as standard Halstead technique.","PeriodicalId":18827,"journal":{"name":"National Journal of Maxillofacial Surgery","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135610954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A comparative study to evaluate the therapeutic effects of nutraceuticals in oral leukoplakia:- A randomized clinical trail","authors":"Tanveer Ahmad, Imran Khan, Asia Sultana, M. Moshahid A. Rizvi","doi":"10.4103/njms.njms_25_23","DOIUrl":"https://doi.org/10.4103/njms.njms_25_23","url":null,"abstract":"Background: Oral leukoplakia, usually white changes in the oral mucosa, is one of the most common conditions affecting the oral cavity. Oral leukoplakia can occur anywhere in the mouth and is usually asymptomatic. Clinical diagnosis is reliant on visual inspection and manual palpation. It has a global prevalence of 2.6% and a malignant transformation rate of 0.13–34%. In India, OL has a higher prevalence (0.2–5.2%) but a lower a malignant transformation rate (0.13–10%). Methodology: It was a randomized control trial in which study was conducted on clinically diagnosed 300 oral leukoplakia patients. All patients were randomly categorized in three groups of 100 each. Group-A: Patients were given commercially available curcumin 500 mg. daily orally. Group-B: Patients were given 4 mg of oral lycopene daily. Group-C: Patients were treated with 4 mg of lycopene + 500 mg curcumin daily by oral route. After recording the pre-treatment clinical findings, all the participants were evaluated regularly after 30 days, 60 days and 90 days of active treatment and once in a month for another 3 months of post-treatment follow-up and to evaluate concomitant medication, lesion(s), compliance, and adverse events. The clinical response was evaluated by bi-dimensional measurement of the lesions and color photography. Safety assessment measures: Physical examination and laboratory tests were performed at baseline, and every 30 days for 3 months after randomization. Result: Number of participants cured after treatment with oral curcumin was 51%. Participants took lycopene tablets showed 63% cure rate and 72% participants cured after treatment with combination curcumin and lycopene. Conclusion: Results showed that curcumin, lycopene, and a combination of the two are effective in the treatment of oral leukoplakia. When compared, we found that lycopene is a better nutraceutical as compared to curcumin. When both nutraceuticals were given to the participants, they showed better results than single nutraceuticals when the data were analyzed after 90 days of treatment. There is a significant difference in the response of curcumin and combinations of both nutraceuticals, although the difference between lycopene and combinations of curcumin and lycopene is insignificant.","PeriodicalId":18827,"journal":{"name":"National Journal of Maxillofacial Surgery","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135611181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"External auditory canal injuries in maxillofacial trauma – Proposal of a symptom-based treatment algorithm with a report of twelve cases","authors":"Elavenil Panneerselvam, Ramkumar Ceyar Kuppuswamy Alagesan, Vaishnavi Sripathi, Geetha Sridharan, Sasikala Balasubramanian, Krishnakumar Raja Vegasana Balakrishna","doi":"10.4103/njms.njms_188_22","DOIUrl":"https://doi.org/10.4103/njms.njms_188_22","url":null,"abstract":"Purpose: Injury to the external auditory canal (EAC) may occur following facial trauma. They manifest as otalgia, ear bleeding, otorrhea, facial palsy, or altered hearing. But literature regarding its management is sparse. The study aimed to identify the incidence and types of EAC injury in facial trauma, grade their severity, and propose a symptom-based treatment algorithm. Patients and Methods: This was a prospective case series involving patients with signs/symptoms of EAC injury following maxillofacial trauma. The EAC was evaluated by clinical examination, imaging, endoscopy, and audiometry. Clinical findings were graded into mild, moderate, and severe. Treatment was matched to clinical findings according to the proposed algorithm. The outcomes of the study were incidence and types of EAC injury in facial trauma and resolution of presenting signs/symptoms. Data were analyzed for descriptive statistics using SPSS software (v26; IBM, Armonk, NY). Results: A total of 88 patients reported with maxillofacial trauma during a 6-month period. Signs/symptoms of EAC injury were observed in 41 patients, of which 12 (11 males and 1 female) were confirmed with a diagnosis of EAC injuries. Eight patients demonstrated only cartilaginous injuries while three had bony injuries. Treatment was successful in 11 out of 12 patients, with a best point estimate of 0.86 (Z score-1.959, 95% CI). Conclusion: Clinical findings of EAC injury mandate thorough investigation to ascertain the site and severity of the injury. Symptom-based treatment of EAC injuries produces an effective resolution of signs/symptoms and improved treatment outcomes.","PeriodicalId":18827,"journal":{"name":"National Journal of Maxillofacial Surgery","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135611473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of marginal bone loss in SLA and RBM implants: A prospective cohort study","authors":"Majid Nemati, Bahar Dadkhah, Reza Tabrizi, Shervin Shafiei, Hamidreza Moslemi","doi":"10.4103/njms.njms_165_22","DOIUrl":"https://doi.org/10.4103/njms.njms_165_22","url":null,"abstract":"Context: The study aims to answer the following question: Among the patients who received a dental implant, is there any difference in marginal bone loss (MBL) between sandblasted and acid-etched (SLA) and resorbable blast media (RBM) implants? Aims: The study aimed to evaluate marginal bone loss in SLA and RBM implants one year after loading. Settings and Design: A Prospective Cohort Study. Methods and Material: In this prospective cohort study with a pre-protocol population, subjects were assigned into two groups: Subjects received SLA implants in group 1 and RBM in group 2. MBL was assessed 12 months after loadings through digital parallel radiographs. Statistical Analysis Used: An Independent t -test was used to compare MBL between the two groups. Results: Sixty-six implants were studied (each group 33 implants). The mean of MBL in the RBM group was significantly higher than the SLA group (1.39 ± 0.31 mm, 0.89 ± 0.26 mm, respectively, P < 0.001). MBL in the mesial sides of implants in the RBM group was significantly higher than the SLA group (1.28 ± 0.29 mm, 0.8 ± 0.29 mm, respectively, P < 0.001). Analysis of the data demonstrated a significantly higher mean of MBL in the distal sides of implants in the RBM group than in the SLA group (1.51 ± 0.35 mm, 0.97 ± 0.27 mm, respectively, P < 0.001). In both groups, the mean of MBL on the distal side was significantly higher than on the mesial side ( P < 0.05). Conclusions: Within this study's limitation, RBM implants showed significantly more MBL than SLA implants.","PeriodicalId":18827,"journal":{"name":"National Journal of Maxillofacial Surgery","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135612016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A rare case of high-grade non-Hodgkin's lymphoma with oral and multiple extranodal manifestations.","authors":"Mohammed Faisal,&nbsp;Raha Mariyam,&nbsp;Jyothish Krishna,&nbsp;Binshad Basheer","doi":"10.4103/njms.njms_497_21","DOIUrl":"10.4103/njms.njms_497_21","url":null,"abstract":"<p><p>Lymphomas are a group of malignant diseases affecting the lymphoreticular system. Lymphoma is the second most common neoplasm of the head and neck after squamous cell carcinoma, but the incidence of lymphomas in the oral cavity and orbit is rare. Non-Hodgkin's lymphoma (NHL) is less predictable than Hodgkin's but has a greater predilection to extranodal tissues. Non-Hodgkin's incidence in extranodal sites accounts for about 20% to 30%, but in the oral cavity, its around 0.1% to 5%. The rarity of incidence in the oral cavity and atypical radiographic features diagnosing a lymphoma is quite a challenge for clinicians. Here we describe a case of 31-year-old male patient with high-grade non-Hodgkin's lymphoma involving oral cavity with metastasis to orbit, skeletal structures, testes, liver, pancreas and nasopharynx, which is quite rare.</p>","PeriodicalId":18827,"journal":{"name":"National Journal of Maxillofacial Surgery","volume":"14 1","pages":"147-151"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4f/5d/NJMS-14-147.PMC10235732.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9569770","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}