Journal of Cranio-Maxillary Diseases最新文献

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Standards of care for patients with orofacial clefts in Brazil 巴西口面部裂患者的护理标准
Journal of Cranio-Maxillary Diseases Pub Date : 2013-07-01 DOI: 10.4103/2278-9588.121838
S. Nuvvula
{"title":"Standards of care for patients with orofacial clefts in Brazil","authors":"S. Nuvvula","doi":"10.4103/2278-9588.121838","DOIUrl":"https://doi.org/10.4103/2278-9588.121838","url":null,"abstract":"","PeriodicalId":359264,"journal":{"name":"Journal of Cranio-Maxillary Diseases","volume":"137 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124381408","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}
引用次数: 0
Temporalis muscle flap in the management of tubercular osteomyelitis of zygomatic bone 颞肌瓣在颧骨结核性骨髓炎治疗中的应用
Journal of Cranio-Maxillary Diseases Pub Date : 2013-07-01 DOI: 10.4103/2278-9588.121872
V. Bhatia, P. Menon, M. Raibagkar
{"title":"Temporalis muscle flap in the management of tubercular osteomyelitis of zygomatic bone","authors":"V. Bhatia, P. Menon, M. Raibagkar","doi":"10.4103/2278-9588.121872","DOIUrl":"https://doi.org/10.4103/2278-9588.121872","url":null,"abstract":"The tuberculosis (TB) affecting the zygomatic bone is rare and there are only few reported cases in literature. TB of the zygomatic bone has been conventionally treated by anti-tubercular therapy and surgical intervention is rarely required. We report a case of TB of zygomatic bone in a 16-year-old boy on anti-tubercular therapy for pulmonary TB, who presented with swelling of right cheek with a discharging sinus. The patient was managed successfully using a temporalis muscle flap after the removal of the diseased tissue and bone and initiation of category II anti-tubercular therapy. The wound was protected by temporalis muscle flap, to provide vascularized cover and increase local vascularity so that the anti-tubercular therapy can reach the diseased region and also to prevent exposure of the zygomatic bone in case of a wound break down.","PeriodicalId":359264,"journal":{"name":"Journal of Cranio-Maxillary Diseases","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122026417","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}
引用次数: 0
Cytomorphometric analysis of the keratinocytes obtained from clinically normal buccal mucosa in chronic gutkha chewers 慢性古特哈咀嚼患者临床正常颊黏膜角质形成细胞的细胞形态学分析
Journal of Cranio-Maxillary Diseases Pub Date : 2013-07-01 DOI: 10.4103/2278-9588.121846
S. Acharya, S. Tayaar, T. Khwaja
{"title":"Cytomorphometric analysis of the keratinocytes obtained from clinically normal buccal mucosa in chronic gutkha chewers","authors":"S. Acharya, S. Tayaar, T. Khwaja","doi":"10.4103/2278-9588.121846","DOIUrl":"https://doi.org/10.4103/2278-9588.121846","url":null,"abstract":"Objective: The objective of this study was to examine the cellular changes induced by chronic gutkha chewing in buccal mucosa as revealed by cytomorphometry. Study design: Nuclear area (NA), cellular area (CA), nuclear diameter (ND), cellular diameter (CD), ratio of NA to CA (NA:CA), ratio of ND to CD (ND:CD) of exfoliated buccal squames obtained from clinically normal appearing buccal mucosa of chronic gutkha chewers (n = 30), were stained by Papanicolou method and observed under light microscope. 100 cells in each case were measured using image analyser. Non-gutkha users (healthy) served as negative controls (n = 20) and oral squamous cell carcinomas (OSCCs) in gutkha users served as positive controls (n = 20). All the variables except for ND:CD (using Shapero-Wilk test) were normally distributed and hence their mean difference was tested using ANOVA followed by Tukey test. In case of ND:CD non-parametric Kruskal-Wallis test followed by Mann-Whitney test was applied. Results: A highly significant decrease in CD, CA, increase in ND, NA, ND:CD and NA:CA were observed in smears obtained from chronic gutkha chewers when compared with the healthy controls (P < 0.05). The mean value of ND and NA in gutkha chewers was greater than those of healthy controls, but lesser than that of OSCC cases. Conversely, the CD and CA gradually decreased from healthy controls to gutkha chewers to OSCC cases. Conclusions: The findings indicate that gutkha chewing influences the cellular alterations. The study confirms cytomorphometric changes in the buccal keratinocytes of chronic gutkha chewers.","PeriodicalId":359264,"journal":{"name":"Journal of Cranio-Maxillary Diseases","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123439073","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}
引用次数: 11
Osteoradionecrosis: Patient characteristics and treatment outcome in a cohort from Copenhagen University Hospital 1995-2005 骨放射性坏死:1995-2005年哥本哈根大学医院的患者特征和治疗结果
Journal of Cranio-Maxillary Diseases Pub Date : 2013-07-01 DOI: 10.4103/2278-9588.121840
R. Matras, L. Forner, E. Andersen, L. Specht, S. Hillerup
{"title":"Osteoradionecrosis: Patient characteristics and treatment outcome in a cohort from Copenhagen University Hospital 1995-2005","authors":"R. Matras, L. Forner, E. Andersen, L. Specht, S. Hillerup","doi":"10.4103/2278-9588.121840","DOIUrl":"https://doi.org/10.4103/2278-9588.121840","url":null,"abstract":"Purpose: The present retrospective observational study was undertaken to evaluate disease characteristics, treatment strategy and treatment results of a large unselected cohort of patients with osteoradionecrosis (ORN) after radiation therapy (RT) for head and neck cancer at the Copenhagen University Hospital 1995-2005. Patients and Methods: Medical records of 180 consecutive patients diagnosed with ORN were reviewed. Patients had all received treatment for ORN at the Department of Oral Maxillofacial Surgery, Copenhagen University Hospital from 1 January 1995 to 31 December 2005. Only patients who had received their primary treatment for head and neck cancer in the eastern part of Denmark were included. Results: The cohort consisted predominantly of men (78%) of whom a clear majority were smokers (60.6%). The median age was 57. The median time until the onset of post-RT ORN was 1.9 years. ORN lesions were mostly located in the mandibular symphysis, body and angle regions. Hyperbaric oxygen treatment was given to 93% of the patients; and 25% of the patients completed disease-free follow-up after a median of 1.2 years. At the time of study termination, 17% were still undergoing active treatment. Social class distribution showed a clear predominance of the lower social classes. Conclusion: The present study demonstrates the variability of mandibular ORN. Onset varies greatly, which demonstrates the lifelong nature of the risk of ORN. In the majority of patients, the primary tumor was located in the oral cavity or the oropharynx. ORN does not appear to imply social inequality.","PeriodicalId":359264,"journal":{"name":"Journal of Cranio-Maxillary Diseases","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117270920","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}
引用次数: 2
Bilateral conductive hearing loss due to facial canal overlying on the oval window 双侧传导性听力损失,原因是面耳管覆盖在椭圆形窗上
Journal of Cranio-Maxillary Diseases Pub Date : 2013-07-01 DOI: 10.4103/2278-9588.121849
R. Karli
{"title":"Bilateral conductive hearing loss due to facial canal overlying on the oval window","authors":"R. Karli","doi":"10.4103/2278-9588.121849","DOIUrl":"https://doi.org/10.4103/2278-9588.121849","url":null,"abstract":"The facial canal (FC) may display congenital bony dehiscences, and the facial nerve may show variations and anomalies of its usual course. These features have clinical and surgical significance. The aim of this study is to report FC course anomalies overlying the oval window in a patient presenting with conductive hearing loss and FC dehiscence.","PeriodicalId":359264,"journal":{"name":"Journal of Cranio-Maxillary Diseases","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125357890","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}
引用次数: 0
Standards of care for patients with orofacial clefts in Brazil: Starting a necessary debate 巴西腭裂患者的护理标准:开始一场必要的辩论
Journal of Cranio-Maxillary Diseases Pub Date : 2013-07-01 DOI: 10.4103/2278-9588.121844
F. Queirós, G. Wehby, Camila Vila-Nova, Luzia Poliana Silva
{"title":"Standards of care for patients with orofacial clefts in Brazil: Starting a necessary debate","authors":"F. Queirós, G. Wehby, Camila Vila-Nova, Luzia Poliana Silva","doi":"10.4103/2278-9588.121844","DOIUrl":"https://doi.org/10.4103/2278-9588.121844","url":null,"abstract":"Background: Unwarranted variation in the provision of health-care services for patients with orofacial clefts (OFC) may exist both within and between countries. Establishing standards of care (SOC) can reduce this variation and improve patient outcomes. Aim: The aim of this study is to describe SOC for treatment and longitudinal evaluation of individuals with OFC in selected craniofacial centers in Brazil compared with standards established by the American Cleft Palate-Craniofacial Association (ACPA). Materials and Methods: This was a descriptive pilot study. A professional from the participating craniofacial centers, who had adequate knowledge about SOC at their institutions, completed a web survey. Results: Eight craniofacial centers, including the five largest centers for cleft care in Brazil, answered the web-survey. All centers follow the ACPA minimum parameters for team composition. However, only one center follows all recommendations for longitudinal evaluation and treatment of patients. Four centers meet all but one recommendation. Age at bone grafting of the alveolar cleft and instrumental assessment of velopharyngeal function were the two most varying parameters from ACPA standards, with only about half of studied centers adhering to them. There were no clear patterns of variation in adherence by facility location, size and years since the establishment. Conclusion: The large variation between centers in treatment and longitudinal evaluation protocols highlights the need to adopt similar SOC for individuals with orofacial clefts in Brazil and to identify barriers for adopting these standards.","PeriodicalId":359264,"journal":{"name":"Journal of Cranio-Maxillary Diseases","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131396774","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}
引用次数: 2
Update on Langerhans cells 朗格汉斯细胞的最新进展
Journal of Cranio-Maxillary Diseases Pub Date : 2013-07-01 DOI: 10.4103/2278-9588.121847
Robin Sabharwal, Shamindra Sengupta, Bhudev Sharma, Vineet K Gupta
{"title":"Update on Langerhans cells","authors":"Robin Sabharwal, Shamindra Sengupta, Bhudev Sharma, Vineet K Gupta","doi":"10.4103/2278-9588.121847","DOIUrl":"https://doi.org/10.4103/2278-9588.121847","url":null,"abstract":"The Langerhans cells (LC) are the bone marrow-derived dendritic, antigen-presenting cells of the skin and oral mucosa. These are characterized by a unique intra cytoplasmic organelle - the Birbeck granule and constitutively expresses class II major histocompatibility complex (MHC) molecules and the Cluster differentiation Ia (CD1a) glycoprotein. The LC represents one of the most potent APC of the body and fulfills an important role in detecting foreign antigen entering the body through the skin and in immune surveillance. The distribution of LC is restricted to the skin, lymph nodes, bronchial mucosa, and thymus. This paper reviews the classification, origin, and the role of the LC in various pathological conditions.","PeriodicalId":359264,"journal":{"name":"Journal of Cranio-Maxillary Diseases","volume":"127 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115460731","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}
引用次数: 1
An aesthetic and rapid approach to treat midline diastema 一种快速美观的治疗中线肺气肿的方法
Journal of Cranio-Maxillary Diseases Pub Date : 2013-07-01 DOI: 10.4103/2278-9588.121856
Santosh Kumar, Damini Gandotra
{"title":"An aesthetic and rapid approach to treat midline diastema","authors":"Santosh Kumar, Damini Gandotra","doi":"10.4103/2278-9588.121856","DOIUrl":"https://doi.org/10.4103/2278-9588.121856","url":null,"abstract":"Maxillary midline diastema is a common esthetic problem of patients which adversely affects body image and self-esteem, especially in adults. Often, patients are more conscious about the spaces between front teeth and seek treatment for cosmetic reasons. Different treatment modalities include restoration, orthodontics, prosthodontics, surgery, and various combinations of the above. Orthodontic procedures are routinely used to close diastema; however, there may be concerns with the appearance of braces especially in adults limiting its use. Here, we describe a case where a clear thermoplastic retainer was modified to close the midline diastema in relatively shorter time period.","PeriodicalId":359264,"journal":{"name":"Journal of Cranio-Maxillary Diseases","volume":"180 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121208346","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}
引用次数: 3
Ramsay Hunt syndrome with cranial polyneuropathy 拉姆齐·亨特综合征伴颅多神经病变
Journal of Cranio-Maxillary Diseases Pub Date : 2013-07-01 DOI: 10.4103/2278-9588.121850
R. Prabhu, Preeti Volvoikar, A. Dinkar, V. Prabhu
{"title":"Ramsay Hunt syndrome with cranial polyneuropathy","authors":"R. Prabhu, Preeti Volvoikar, A. Dinkar, V. Prabhu","doi":"10.4103/2278-9588.121850","DOIUrl":"https://doi.org/10.4103/2278-9588.121850","url":null,"abstract":"Ramsay Hunt syndrome (RHS), also known as Zoster Oticus, is a rare complication of Herpes Zoster, in which there is reactivation of latent varicella zoster virus infection in the geniculate ganglion. RHS with involvement of other cranial nerves is a rare finding. Very few cases of RHS with cranial polyneuropathy have been reported in the literature. A successfully treated case of RHS with cranial polyneuropathy of V, VII, VIII, and IX cranial nerves has been reported.","PeriodicalId":359264,"journal":{"name":"Journal of Cranio-Maxillary Diseases","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121310943","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}
引用次数: 0
Primary intraosseous squamous cell carcinoma of mandible ex-odontogenic cyst in a young patient 年轻患者下颌骨前牙源性囊肿的原发性骨内鳞状细胞癌
Journal of Cranio-Maxillary Diseases Pub Date : 2013-07-01 DOI: 10.4103/2278-9588.121851
Shraddha Jain, Ansu Sam, Dennis I. Yohannan, S. Kumar, Deepti Joshi, M. Priya
{"title":"Primary intraosseous squamous cell carcinoma of mandible ex-odontogenic cyst in a young patient","authors":"Shraddha Jain, Ansu Sam, Dennis I. Yohannan, S. Kumar, Deepti Joshi, M. Priya","doi":"10.4103/2278-9588.121851","DOIUrl":"https://doi.org/10.4103/2278-9588.121851","url":null,"abstract":"We report a case of primary intraosseous carcinoma (PIOC) of the mandible arising from the epithelial lining of pre-existing odontogenic cyst in a 21-year-old male who presented with external swelling in the region of body and ramus of right mandible, pain, spontaneous shedding of right third molar tooth, and difficulty in opening the jaw. Contrast-enhanced computed tomography of head and neck region showed an expansile unilocular lesion with mixed solid and cystic components involving the right hemimandible in both its ramus and body with widening of the mental foramen and soft-tissue extension anteriorly suggestive of perineural invasion. The patient underwent right hemimandibulectomy with supraomohyoid neck dissection. Histopathological examination revealed a well differentiated squamous cell carcinoma with squamous lining of pre-existing odontogenic cyst. The criteria for PIOC were fulfilled in our case as initially there was only external swelling of the mandible with intact oral mucosa. The case is rare for its presentation at a young age and initial resemblance to benign pathology.","PeriodicalId":359264,"journal":{"name":"Journal of Cranio-Maxillary Diseases","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128073739","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}
引用次数: 1
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