R Mahesh Kumar, S Varsha, K R Ashok Kumar, B Jambukeshwar Kumar, Supriyo Pal
{"title":"Atypical Sinonasal Inverted Papilloma - A Case Report.","authors":"R Mahesh Kumar, S Varsha, K R Ashok Kumar, B Jambukeshwar Kumar, Supriyo Pal","doi":"10.4103/ams.ams_64_24","DOIUrl":"10.4103/ams.ams_64_24","url":null,"abstract":"<p><strong>Rationale: </strong>Sinonasal tumours are rare occurrences accounting for 3-4% of tumours (benign/malignant/co-existing) in the head-and-neck region, making it difficult to render an absolute diagnosis and treatment, thereof keeping in mind the tumour presentation and quality of life of the patient.</p><p><strong>Patient concerns: </strong>The patient reported with complaints of swelling over the right side of the face associated with recent onset of pain in the same region.</p><p><strong>Diagnosis: </strong>Upon clinical, radiographic and histopathological examination, it was diagnosed as right Sinonasal inverted papilloma (SNIP).</p><p><strong>Treatment: </strong>The clinicians in the study approached the SNIP by opting for tumour resection with subtotal maxillectomy and reconstruction using a prosthetic obturator.</p><p><strong>Outcomes: </strong>Patient was operated and relived of the pathology and followed up for 18 months. She is now taken up for prosthetic rehabilitation.</p><p><strong>Take-away lessons: </strong>The authors advocate the choice for open surgeries in cases where minimally invasive techniques do not meet the needs of desired results.</p>","PeriodicalId":7972,"journal":{"name":"Annals of Maxillofacial Surgery","volume":"14 2","pages":"236-239"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11828048/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432221","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":"Erratum: Autologous Fat Grafting in Total Temporomandibular Joint Replacement Surgery.","authors":"","doi":"10.4103/ams.ams_234_24","DOIUrl":"10.4103/ams.ams_234_24","url":null,"abstract":"<p><p>[This corrects the article on p. 299 in vol. 8, PMID: 30693249.].</p>","PeriodicalId":7972,"journal":{"name":"Annals of Maxillofacial Surgery","volume":"14 2","pages":"261"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11828058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432243","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":"Post-hemiglossectomy Reconstruction: Pilot Study on the Overall Functional Evaluation.","authors":"Giorgio Barbera, Mattia Todaro, Gianmarco Saponaro, Tommaso Rizzo, Giulio Gasparini, Alessandro Moro","doi":"10.4103/ams.ams_140_24","DOIUrl":"10.4103/ams.ams_140_24","url":null,"abstract":"<p><strong>Introduction: </strong>The tongue plays a crucial role in speech, swallow and sleep. It is the most common site of primary intraoral cancer. A fasciocutaneous free flap is the first reconstructive option after surgery.</p><p><strong>Materials and methods: </strong>The aim of this study was to investigate the functional outcomes in patients treated with hemiglossectomy. We evaluated the objective tests and subjective assessments of swallowing, speech and sleep at 30 days after the surgery (T0) and at least 6 months after the end of the treatment (T1). We have implemented a battery of validated tools that comprehensively evaluate functional outcomes after resection of oral cancer, including speech, swallowing and head-and-neck-specific quality of life: MD Anderson Dysphagia Inventory (MDADI), Performance Status Scale-Head and Neck (PSS-HN) and Lazarus Tongue Range of Motion (ROM) Scale. Patients underwent objective tests such as videonasal endoscopic evaluation and magnetic resonance imaging. All patients were subjectively assessed with the Epworth Sleepiness Scale and underwent nocturnal polygraphy.</p><p><strong>Results: </strong>We treated six patients with advanced squamous cell carcinoma of the tongue; three received radial forearm flap and three received anterolateral thigh flap. Our study found that ROM, flap volume and defect volume are the most important characteristics for better MDADI, PSS-HN, Epworth score and respiratory disturbance index (RDI) on polygraphy.</p><p><strong>Discussion: </strong>Reconstruction of tongue cancer defects is challenging as the surgeon must consider adequate control of the tumour while also optimising residual functional capacity. The volume of the flap and ROM would seem to be the most important characteristics for improving the functional outcome.</p>","PeriodicalId":7972,"journal":{"name":"Annals of Maxillofacial Surgery","volume":"14 2","pages":"200-205"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11828057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432362","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":"Gardner's Syndrome: Vigilance Better than Negligence - A Case Report.","authors":"Yashika Kewalramani, Ajay Parihar, Prashanthi Reddy, Rashi Mandlik","doi":"10.4103/ams.ams_105_24","DOIUrl":"10.4103/ams.ams_105_24","url":null,"abstract":"<p><strong>Rationale: </strong>This case report highlights the essential role of dental and medical professionals in the early diagnosis of Gardner's syndrome (GS).</p><p><strong>Patient concerns: </strong>A 21-year-old patient presented with painless, progressively enlarging swelling on both sides of the face, which had developed over the past few years.</p><p><strong>Diagnosis: </strong>Imaging, including a panoramic image and multislice computed tomography (CT) scan, revealed multiple osteomas. The patient was referred to gastroenterology, where endoscopy and colonoscopy identified multiple adenomatous polyps.</p><p><strong>Interventions: </strong>The patient subsequently underwent facial aesthetic corrections.</p><p><strong>Outcomes: </strong>The patient is currently undergoing regular gastrointestinal monitoring and managing colon polyps, with follow-up appointments scheduled annually.</p><p><strong>Take-away lessons: </strong>To improve the prognosis, this report emphasises the vital role of dental and medical professionals in the early detection of GS, advocating for a multidisciplinary preventive approach.</p>","PeriodicalId":7972,"journal":{"name":"Annals of Maxillofacial Surgery","volume":"14 2","pages":"240-243"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11828060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432150","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}
Matthew D Reid, Annelisse Kaye Olsen, Annelise C Neal, Craig A MacKinnon, Swee T Tan
{"title":"Changing Contribution of Different Aetiologies of Maxillofacial Fractures - A Retrospective Study.","authors":"Matthew D Reid, Annelisse Kaye Olsen, Annelise C Neal, Craig A MacKinnon, Swee T Tan","doi":"10.4103/ams.ams_131_24","DOIUrl":"10.4103/ams.ams_131_24","url":null,"abstract":"<p><strong>Introduction: </strong>Maxillofacial fractures cost the New Zealand Accident Compensation Corporation approximately NZ$ 70-80 million annually. We have previously reported on ethnic and age groups disproportionately affected by these injuries and the impact of the COVID-19 lockdowns. This study provides an analysis of the aetiologies contributing to maxillofacial fractures over a period of 11 years.</p><p><strong>Materials and methods: </strong>Patients who were referred with a maxillofacial fracture to the Wellington Regional Plastic, Maxillofacial and Burns Unit from January 1, 2013 to December 31, 2023, were identified from our maxillofacial fracture database. The aetiology of injury was classified as interpersonal violence (IPV), fall, sport, road traffic accident (RTA), other or unknown. The number caused by each aetiology was correlated with year of injury to produce a trend over time.</p><p><strong>Results: </strong>A total of 2651 cases were identified during the study period. IPV was the most common aetiology, followed by fall, sport, RTA, other and unknown. The total number of injuries per year did not change significantly, nor did the number of injuries caused by sport, other or unknown aetiology. The number of injuries from IPV decreased by 3.9% per year, fall increased by 4.4% per year and RTA increased by 7.2% per year.</p><p><strong>Discussion: </strong>IPV remains the leading cause of maxillofacial fractures, although this is decreasing. The number of maxillofacial fractures caused by RTA is increasing. There is a sustained increase of maxillofacial fracture caused by falls, which especially affect the elderly, warranting further study of possible causes and preventative strategies.</p>","PeriodicalId":7972,"journal":{"name":"Annals of Maxillofacial Surgery","volume":"14 2","pages":"192-195"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11828073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432232","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":"Re-establishing Facial Aesthetics - Patient-specific Orbital Implant for Post-traumatic Deformity.","authors":"Sujeeth Kumar Shetty, Revati Kale, Abhinav Kathuria, Sonakshi Prakash, Prajwal Makam","doi":"10.4103/ams.ams_22_24","DOIUrl":"10.4103/ams.ams_22_24","url":null,"abstract":"<p><strong>Rationale: </strong>Complex fractures of the maxillofacial region can require staged interventions to achieve optimal outcomes. A significant example of this are complex fractures of the orbital floor, which may be difficult to restore during primary treatment. The secondary correction is often required which can be using stock- or customised implants.</p><p><strong>Patient concerns: </strong>A previously operated case of panfacial trauma presented with an aesthetic concern regarding the asymmetrical appearance of his eyes.</p><p><strong>Diagnosis: </strong>On clinical and radiological evaluation, the patient was diagnosed with enophthalmos of the left eye secondary to orbital floor fracture.</p><p><strong>Treatment: </strong>A patient-specific implant (PSI) was fabricated and placed for orbital floor reconstruction.</p><p><strong>Outcomes: </strong>Postoperatively, aesthetic and functional outcomes were satisfactory.</p><p><strong>Take-away lessons: </strong>This case report highlights the use of PSIs in orbital floor reconstruction, made possible due to the advent of virtual surgical planning and three-dimensional printing in the field of oral and maxillofacial surgery.</p>","PeriodicalId":7972,"journal":{"name":"Annals of Maxillofacial Surgery","volume":"14 2","pages":"221-223"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11828059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432364","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}
Vinayak Gourish Naik, M N Ravi Shankar, Rashmi Agarwal, Kirthi Kumar Rai, Amol Karande, Abhijeet Humne
{"title":"Submucosal Infiltration versus Intravenous Administration of Dexamethasone in Decreasing Post-operative Inflammatory Sequelae after Third Molar Surgery - A Comparative Study.","authors":"Vinayak Gourish Naik, M N Ravi Shankar, Rashmi Agarwal, Kirthi Kumar Rai, Amol Karande, Abhijeet Humne","doi":"10.4103/ams.ams_35_24","DOIUrl":"10.4103/ams.ams_35_24","url":null,"abstract":"<p><strong>Introduction: </strong>Surgical removal of lower third molar is one of the most common surgical procedures and is quite stressful for many patients. In this study, two different routes of administration of dexamethasone 8 mg (intravenous [IV] vs. submucosally infiltrated) were used to evaluate the role of dexamethasone in reducing the post-operative inflammatory sequelae following lower third molar removal.</p><p><strong>Materials and methods: </strong>Sixty patients who had to undergo surgical removal of mandibular third molars were randomly divided into two groups, each group consisting of 30 patients. One group of patients was administered 8 mg dexamethasone submucosally five min before the surgery. Another group of patients received 8 mg dexamethasone intravenously five min before the surgery. Facial swelling and pain were measured on the 2<sup>nd</sup>, 4<sup>th</sup> and 7<sup>th</sup> post-operative days.</p><p><strong>Results: </strong>The results of this study revealed that both the routes were effective in controlling post-operative pain and swelling. IV route of dexamethasone showed higher efficacy compared to submucosal (SM) route of dexamethasone in reducing the post-operative inflammatory sequelae in the surgical removal of impacted lower third molar teeth.</p><p><strong>Discussion: </strong>It was seen that IV dexamethasone (8 mg) and submucosal dexamethasone (8 mg) had equivalent ratings in terms of reduction of swelling and pain. Although the results of this study showed both the routes are effective in controlling post-operative swelling and pain after third molar surgery, the study concluded that certain benefits of submucosal route make the sm route to be a valuable alternative to iv dexamethasone.</p>","PeriodicalId":7972,"journal":{"name":"Annals of Maxillofacial Surgery","volume":"14 2","pages":"141-146"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11828056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432370","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}
Meghana Sri Ravali Puranapanda, Ananth Nag Jakkula, Tarun Gogineni, Srikanth Damera, Ganga Kishore Vatti
{"title":"Vital Staining Role in Resection and Reconstruction of Tongue Cancers with Free Flap - A Comparative Study.","authors":"Meghana Sri Ravali Puranapanda, Ananth Nag Jakkula, Tarun Gogineni, Srikanth Damera, Ganga Kishore Vatti","doi":"10.4103/ams.ams_62_23","DOIUrl":"10.4103/ams.ams_62_23","url":null,"abstract":"<p><strong>Introduction: </strong>The purpose of this study is to compare and infer the most suitable dye for visualisation of ipsilateral and contralateral sentinel lymph nodes (SLNs), positive, negative outcomes, sensitivity, their specificities and visualisation of anastomosed blood vessels in microvascular reconstruction of tongue cancers.</p><p><strong>Materials and methods: </strong>This is a prospective <i>in vivo</i> comparative study involving twenty patients diagnosed with squamous cell carcinoma of the tongue treated with wide excision of primary tongue tumour, modified functional neck dissection and microvascular reconstruction with radial forearm free flap. Consecutive random allocation was done into two groups with ten patients each. Patients were injected with methylene blue as the first group and near-infrared fluorescence indocyanine green (ICG) into the second. The patients were evaluated intraoperatively regarding the better dye in methylene blue and ICG for identification of ipsilateral and contralateral SLNs, their positive, negative outcomes, sensitivity and specificities. Apart from these, in cases of group B, after microvascular transfers, ICG is used for visualisation of anastomosed vessels to prevent abnormal perfusions, leaks and post-flap failures. Descriptive statistics, independent samples <i>t</i>-test, and Chi-square were used for statistical analysis.</p><p><strong>Results: </strong>The present study revealed ICG being the better dye in the parameters mentioned.</p><p><strong>Discussion: </strong>Lymph node yield in neck dissection is a prognostic factor in oral cancers. ICG is inferred as the better dye for identification of SLN with 100% outcomes and in blood vessel visualisation after microvascular free tissue transfers. It is also useful in identifying positive contralateral sentinel nodes, which is helpful in undertaking bilateral neck dissections related to tongue carcinoma.</p>","PeriodicalId":7972,"journal":{"name":"Annals of Maxillofacial Surgery","volume":"14 2","pages":"154-159"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11828046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432374","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":"Accidental Infratemporal Displacement of Maxillary Third Molar during Impaction - A Case Report.","authors":"S M Balaji, Preetha Balaji, Vinodhini Priyanka","doi":"10.4103/ams.ams_125_24","DOIUrl":"10.4103/ams.ams_125_24","url":null,"abstract":"<p><strong>Rationale: </strong>There are very limited literature on successful removal of displaced maxillary third molar (MTM) into the infratemporal fossa (ITF) after a surgical misadventure. A corrective surgery of one such case, including the pre-operative planning, has been presented in this case report.</p><p><strong>Patient concerns: </strong>A 43-year-old male presented with a displaced right MTM following an attempted extraction elsewhere approximately 20 days ago.</p><p><strong>Diagnosis: </strong>Imaging revealed the tooth in the ITF, behind the posterior wall of the maxillary sinus with the resultant diagnosis of iatrogenic displacement of MTM into the ITF during attempted removal.</p><p><strong>Treatment: </strong>The patient underwent successful removal of the displaced tooth under general anaesthesia after proper planning.</p><p><strong>Outcomes: </strong>Displaced MTM was removed, and healing was uneventful with pain management and antibiotics.</p><p><strong>Take-away lessons: </strong>This case highlights the need for careful surgical technique during MTM removal and contributes to the limited literature on managing such complications.</p>","PeriodicalId":7972,"journal":{"name":"Annals of Maxillofacial Surgery","volume":"14 2","pages":"258-260"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11828053/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432012","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}
K R Ashok Kumar, S Varsha, R Mahesh Kumar, B Jambukeshwar Kumar, Supriyo Pal, Swadhinata Handique
{"title":"Orthodontic-Surgical Management of Triple Impacted Mesiodens and Maxillary Incisors - A Case Report.","authors":"K R Ashok Kumar, S Varsha, R Mahesh Kumar, B Jambukeshwar Kumar, Supriyo Pal, Swadhinata Handique","doi":"10.4103/ams.ams_98_24","DOIUrl":"10.4103/ams.ams_98_24","url":null,"abstract":"<p><strong>Rationale: </strong>Mesiodens are supernumerary teeth located in the pre-maxilla between the two central incisors with a prevalence rate of 0.15-1.9%. An impacted mesiodens may cause delayed eruption of permanent incisors, ectopic eruption, pathological disturbances and malalignment of teeth.</p><p><strong>Patient concerns: </strong>The patient complained of missing upper front teeth associated with pain in the same region for two weeks.</p><p><strong>Diagnosis: </strong>Upon clinical and radiographic examination, it was diagnosed as triple impacted mesiodens with impacted permanent maxillary central incisors.</p><p><strong>Treatment: </strong>The clinicians in the study approached the issue by surgical removal of the impacted mesiodens and orthodontic treatment for extrusion of the impacted permanent maxillary central incisors.</p><p><strong>Outcomes: </strong>The patient was relieved of the pre-operative concerns and followed up regularly for the eruption of permanent maxillary central incisors.</p><p><strong>Take-away lessons: </strong>The authors advocate the importance of timely diagnosis and proper management of such rare pathologies.</p>","PeriodicalId":7972,"journal":{"name":"Annals of Maxillofacial Surgery","volume":"14 2","pages":"255-257"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11828061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432298","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}