Annals of Maxillofacial Surgery最新文献_第8页

Prognostic Significance of Lymph Node Ratio in Predicting the Outcome of Oral Squamous Cell Carcinoma – A Retrospective Study 淋巴结比例在预测口腔鳞状细胞癌结局中的预后意义--一项回顾性研究

Annals of Maxillofacial Surgery Pub Date : 2024-04-03 DOI: 10.4103/ams.ams_82_23

Tanvy Sansgiri, H. Saluja, Seemit Shah, A. Dadhich, Deepak Singh

{"title":"Prognostic Significance of Lymph Node Ratio in Predicting the Outcome of Oral Squamous Cell Carcinoma – A Retrospective Study","authors":"Tanvy Sansgiri, H. Saluja, Seemit Shah, A. Dadhich, Deepak Singh","doi":"10.4103/ams.ams_82_23","DOIUrl":"https://doi.org/10.4103/ams.ams_82_23","url":null,"abstract":"\u0000 \u0000 \u0000 The lymph node status is a very important prognostic factor in head-and-neck cancer. The presence of metastatic lymph nodes will reduce the overall survival by 50%. Lymph node ratio (LNR) is defined as the ratio of the number of positive lymph nodes to the total number of lymph nodes dissected. The aim of the study was to investigate the prognostic value of LNR in oral squamous cell carcinoma (OSCC).\u0000 \u0000 \u0000 \u0000 Medical records of pathologically confirmed OSCC patients who reported with loco-regional recurrence from January 2017 to January 2022 were analysed. LNR and disease-free survival (DFS) were calculated for each patient. The endpoint of the study was disease-free survival. Spearman’s correlation was used to establish a correlation between DFS and LNR.\u0000 \u0000 \u0000 \u0000 A total of 33 patients were included in the study. DFS was calculated for all the patients. LNR was calculated in patients with pathological N+ neck. There was a negative significant moderate correlation between LNR and DFS (Spearman’s rho = −0.593, P < 0.001). A higher LNR value of more than 0.01 was associated with a shorter DFS period. T4 tumour stage had significantly higher LNR. A positive significant moderate correlation was found between LNR and tumour stage (Spearman’s rho = 0.703, P = 0.01). As the T stage increased, the LNR ratio also increased. In the present study, tumour subsite tongue was associated with significantly higher LNR (P = 0.001).\u0000 \u0000 \u0000 \u0000 LNR can be considered an independent prognostic parameter for DFS in OSCC patients with cervical lymph node metastasis.\u0000","PeriodicalId":7972,"journal":{"name":"Annals of Maxillofacial Surgery","volume":"148 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140746501","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

Uncommon Posterior Disc Displacement of Temporomandibular Joint - A Case Report 颞下颌关节罕见的后方椎间盘移位--病例报告

Annals of Maxillofacial Surgery Pub Date : 2024-03-20 DOI: 10.4103/ams.ams_167_23

Ahmad Gh. AlKandari, Khalid Tarek Karkar

{"title":"Uncommon Posterior Disc Displacement of Temporomandibular Joint - A Case Report","authors":"Ahmad Gh. AlKandari, Khalid Tarek Karkar","doi":"10.4103/ams.ams_167_23","DOIUrl":"https://doi.org/10.4103/ams.ams_167_23","url":null,"abstract":"\u0000 \u0000 \u0000 Posterior disc displacement (PDD) is an uncommon condition in which disc tissue is located between the posterior surface of the condyle and post-glenoid tubercle. The etiopathogenesis of this condition is idiopathic. There are different predisposing factors in the literature which are consistent with the presented case such as lack of anterior prominence of the disc, thinning of the posterior zone of the disc and perforation of the disc.\u0000 \u0000 \u0000 \u0000 We report an uncommon temporomandibular joint (TMJ) arthropathy case of a 33-year-old female patient, who presented with long-standing TMJ pain associated with limited mouth opening.\u0000 \u0000 \u0000 \u0000 The patient was diagnosed with non-reducible PDD of TMJ bilaterally.\u0000 \u0000 \u0000 \u0000 Open surgery of TMJ (Discopexy) was the choice of treatment to release and mobilise discs.\u0000 \u0000 \u0000 \u0000 A noticeable increase in mouth opening without pain in TMJ area was achieved immediately after surgery and remained stable during periodic follow-ups.\u0000 \u0000 \u0000 \u0000 The importance of magnetic resonance imaging as a diagnostic tool for arthropathy, to determine the proper management is essential. Moreover, the root of the helix inter tragus notch incision presents an advantage of open surgery of TMJ which results in immediate outcome with limited complications.\u0000","PeriodicalId":7972,"journal":{"name":"Annals of Maxillofacial Surgery","volume":"351 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140227962","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

Is Vitamin D Deficiency a Risk Factor for Osseointegration of Dental Implants - A Prospective Study 维生素 D 缺乏是否是牙科植入物骨结合的风险因素 - 一项前瞻性研究

Annals of Maxillofacial Surgery Pub Date : 2024-02-06 DOI: 10.4103/ams.ams_165_23

Karim Abdel Mohsen, Mona Nady AbdEl-Raouf, Kirolos Makram, Marwa Elkassaby, Maggie A Khairy, Mahmoud AbdelAziz, Hend El-Messiry, Ramy M Gaber

{"title":"Is Vitamin D Deficiency a Risk Factor for Osseointegration of Dental Implants - A Prospective Study","authors":"Karim Abdel Mohsen, Mona Nady AbdEl-Raouf, Kirolos Makram, Marwa Elkassaby, Maggie A Khairy, Mahmoud AbdelAziz, Hend El-Messiry, Ramy M Gaber","doi":"10.4103/ams.ams_165_23","DOIUrl":"https://doi.org/10.4103/ams.ams_165_23","url":null,"abstract":"\u0000 \u0000 \u0000 Early dental implant failure (EDIF) can occur even when optimal materials are used, surgical protocols are strictly followed and the quantity and quality of bone at the recipient site are sufficient. The existence of specific patient-related risk factors require an investigation into the regulatory mechanisms controlling bone metabolism, bone remodelling and bone turnover as well as serum Vitamin D. The implant stability quotient is used as a prognostic indicator for possible implant failure. The aim of the study is to investigate the relationship between serum Vitamin D levels and EDIF.\u0000 \u0000 \u0000 \u0000 A total of 143 implant placement sites were identified in 53 patients enrolled in this study. All patients had the assessments of serum Vitamin D levels side by side with assessments of primary and secondary implant stability at proposed implant sites at the time of implant placement and after 12 weeks using a resonance frequency analysis device.\u0000 \u0000 \u0000 \u0000 Ten early failures (7%) were recorded. There was no correlation between gender, age, smoking, hyperglycaemia or an increased incidence of early failures. Statistical analysis reported two early failures (4.5%) in patients with serum levels of Vitamin D >30 ng/mL, two early failures (2.3%) in patients with levels between 10 and 30 ng/mL and six early failures (46.2%) in patients with levels <10 ng/mL.\u0000 \u0000 \u0000 \u0000 The role of Vitamin D as a risk factor for early implant failure should be considered in patients with Vitamin D deficiency. The incidence of early implant failures was higher in patients with low serum levels of Vitamin D. Patients with low serum Vitamin D levels had a greater rate of early implant failure.\u0000","PeriodicalId":7972,"journal":{"name":"Annals of Maxillofacial Surgery","volume":"233 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139799498","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

Is Vitamin D Deficiency a Risk Factor for Osseointegration of Dental Implants - A Prospective Study 维生素 D 缺乏是否是牙科植入物骨结合的风险因素 - 一项前瞻性研究

Annals of Maxillofacial Surgery Pub Date : 2024-02-06 DOI: 10.4103/ams.ams_165_23

Karim Abdel Mohsen, Mona Nady AbdEl-Raouf, Kirolos Makram, Marwa Elkassaby, Maggie A Khairy, Mahmoud AbdelAziz, Hend El-Messiry, Ramy M Gaber

{"title":"Is Vitamin D Deficiency a Risk Factor for Osseointegration of Dental Implants - A Prospective Study","authors":"Karim Abdel Mohsen, Mona Nady AbdEl-Raouf, Kirolos Makram, Marwa Elkassaby, Maggie A Khairy, Mahmoud AbdelAziz, Hend El-Messiry, Ramy M Gaber","doi":"10.4103/ams.ams_165_23","DOIUrl":"https://doi.org/10.4103/ams.ams_165_23","url":null,"abstract":"\u0000 \u0000 \u0000 Early dental implant failure (EDIF) can occur even when optimal materials are used, surgical protocols are strictly followed and the quantity and quality of bone at the recipient site are sufficient. The existence of specific patient-related risk factors require an investigation into the regulatory mechanisms controlling bone metabolism, bone remodelling and bone turnover as well as serum Vitamin D. The implant stability quotient is used as a prognostic indicator for possible implant failure. The aim of the study is to investigate the relationship between serum Vitamin D levels and EDIF.\u0000 \u0000 \u0000 \u0000 A total of 143 implant placement sites were identified in 53 patients enrolled in this study. All patients had the assessments of serum Vitamin D levels side by side with assessments of primary and secondary implant stability at proposed implant sites at the time of implant placement and after 12 weeks using a resonance frequency analysis device.\u0000 \u0000 \u0000 \u0000 Ten early failures (7%) were recorded. There was no correlation between gender, age, smoking, hyperglycaemia or an increased incidence of early failures. Statistical analysis reported two early failures (4.5%) in patients with serum levels of Vitamin D >30 ng/mL, two early failures (2.3%) in patients with levels between 10 and 30 ng/mL and six early failures (46.2%) in patients with levels <10 ng/mL.\u0000 \u0000 \u0000 \u0000 The role of Vitamin D as a risk factor for early implant failure should be considered in patients with Vitamin D deficiency. The incidence of early implant failures was higher in patients with low serum levels of Vitamin D. Patients with low serum Vitamin D levels had a greater rate of early implant failure.\u0000","PeriodicalId":7972,"journal":{"name":"Annals of Maxillofacial Surgery","volume":"159 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139859366","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

An Audit of Histopathological Pattern of Peripheral Giant Cell Granuloma - A Retrospective Study. 外周巨细胞肉芽肿组织病理学模式审计--一项回顾性研究。

Annals of Maxillofacial Surgery Pub Date : 2024-01-01 Epub Date: 2024-07-19 DOI: 10.4103/ams.ams_20_24

Nanda Kishore Sahoo, Apoorva Mowar, Prajesh Dubey, Isha Maheshwari

{"title":"An Audit of Histopathological Pattern of Peripheral Giant Cell Granuloma - A Retrospective Study.","authors":"Nanda Kishore Sahoo, Apoorva Mowar, Prajesh Dubey, Isha Maheshwari","doi":"10.4103/ams.ams_20_24","DOIUrl":"10.4103/ams.ams_20_24","url":null,"abstract":"Introduction: Peripheral giant cell granuloma (PGCG) is a type of reactive hyperplastic lesion in the oral cavity that develops due to local irritation or chronic trauma, originating from the periosteum or periodontal membrane. It primarily affects the alveolar mucosa of the posterior mandibular region and has a peak incidence in the age range of the fourth to sixth decades of life, with a 2:1 female predilection. The aim of the study was to analyse the histopathological pattern of peripheral giant cell granuloma.Materials and methods: This retrospective study was conducted at a tertiary care teaching hospital from 2018 to 2023 after obtaining the required institutional ethical board approval (SMC/UECM/2023/627/296). All the cases of maxillofacial lesions referred/reported to and which conformed to the set inclusion and exclusion criteria were included. Data were analysed by calculating the percentage of the variables. IBM SPSS version 20 software was used to analyse the descriptive data.Results: Out of 12 patients, four were males and eight were females. The age ranged from 20 to 60 years with an average age of 40 years. All the patients included in the study showed multinucleated giant cells and inflammatory cells, 83.3% showed fibrous stroma and 50% showed para-keratinisation and haemosiderin pigments.Discussion: PGCG, a reparative lesion, seems to occur mostly in the 40-60 years of life with female predilection and commonly seen histopathological features included multinuclear giant cells, inflammatory cells in all cases, 83.3% fibrous stroma and 50% both para-keratinisation and haemosiderin pigments.","PeriodicalId":7972,"journal":{"name":"Annals of Maxillofacial Surgery","volume":"14 1","pages":"62-65"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11340838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142054638","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}

引用次数: 0

Comparative Evaluation of the Aesthetic Outcomes of Octyl-2-Cyanoacrylate Skin Adhesive and Ethilon Suture in Maxillofacial Surgery - A Randomised Clinical Study. 2-Cyanoacrylate 辛基皮肤粘合剂和 Ethilon 缝合线在颌面外科手术中的美学效果比较评估 - 一项随机临床研究。

Annals of Maxillofacial Surgery Pub Date : 2024-01-01 Epub Date: 2024-07-19 DOI: 10.4103/ams.ams_182_23

Ruchita Balkawade, Usha Asnani, Srivalli Natarajan, Padmakar Baviskar, Suraj Ahuja, Nitesh Patkar

{"title":"Comparative Evaluation of the Aesthetic Outcomes of Octyl-2-Cyanoacrylate Skin Adhesive and Ethilon Suture in Maxillofacial Surgery - A Randomised Clinical Study.","authors":"Ruchita Balkawade, Usha Asnani, Srivalli Natarajan, Padmakar Baviskar, Suraj Ahuja, Nitesh Patkar","doi":"10.4103/ams.ams_182_23","DOIUrl":"10.4103/ams.ams_182_23","url":null,"abstract":"Introduction: Wound closure methods have evolved, attributed to the armamentarium including the synthetic sutures, staples, surgical adhesive tapes and, most recently, the cyanoacrylate tissue adhesives. Cyanoacrylates have shown promising results in terms of aesthetic outcomes in other fields of surgery. The aim of this study is to compare the aesthetic value of Dermabond over Ethilon suture when used in case of facial surgical incisions. The purpose of this study was to demonstrate the efficacy of Dermabond for wound closure in the head-and-neck region.Materials and methods: This study involved 20 subjects undergoing maxillofacial surgery. In 10 subjects, skin closure was done with conventional suturing (Ethilon) and other 10 subjects with tissue glue (2-octyl cyanoacrylate). Observations regarding skin closure time and scar assessment were made, and their results were compared.Results: The mean time for closure in the Dermabond group was 217.2 ± 42.0 s and for Ethilon suture group was 383.3 ± 140.2 s. Dermabond was significantly better than Ethilon sutures at both 1 month and 3 months with P = 0.001 and P < 0.001, respectively. For Dermabond, the average score improved from 8.2 ± 2.5 at 1 month to 6.1 ± 1.6 at the 3rd month. The improvement was statistically significant (P = 0.001) for Ethilon sutures; the average score improved from 12.0 ± 1.2 at 1 month to 10.2 ± 2.0 at 3rd month. The improvement was statistically significant (P = 0.038).Discussion: Adhesive glue appears to be superior to conventional suturing in clean elective surgeries. It is a safe and effective method of skin closure with less operative time and better cosmesis of the scar.","PeriodicalId":7972,"journal":{"name":"Annals of Maxillofacial Surgery","volume":"14 1","pages":"10-14"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11340837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142054640","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}

引用次数: 0

Evaluation of Surgical Outcomes of Zygomatic Implant-Supported Rehabilitation of Atrophic Maxillary Arches - A Prospective Study. 前瞻性研究：颧骨植入物支持的萎缩性上颌颏弓修复手术效果评估。

Annals of Maxillofacial Surgery Pub Date : 2024-01-01 Epub Date: 2024-07-19 DOI: 10.4103/ams.ams_32_23

Vaishali Venkatachalam, Rajesh Pandiarajan, Alagappan Meyappan, Harushi Anbukkarasu

{"title":"Evaluation of Surgical Outcomes of Zygomatic Implant-Supported Rehabilitation of Atrophic Maxillary Arches - A Prospective Study.","authors":"Vaishali Venkatachalam, Rajesh Pandiarajan, Alagappan Meyappan, Harushi Anbukkarasu","doi":"10.4103/ams.ams_32_23","DOIUrl":"10.4103/ams.ams_32_23","url":null,"abstract":"Introduction: Prosthetic rehabilitation with implants in the atrophic edentulous maxilla often requires a bone augmentation procedure to enable implant placement and integration. However, rigid anchorage can also be achieved using long zygomatic implants. The aim of this study was to evaluate the surgical outcomes of rehabilitation of atrophic posterior maxillary ridges with zygomatic implants using the zygomatic success code (ZSC) and derive the success grade for the procedure based on the observed results.Materials and methods: A total of eight implants were placed in an extrasinus technique based on the zygomatic anatomy-guided approach. The following were evaluated postoperatively - primary stability, maxillary sinus pathology, soft-tissue healing and prosthetic offset. The ZSC score was calculated, and success grading was given with ZSC based on Aparacio et al.,'s guidelines.Results: One implant had Grade 1 mobility and partial maxillary sinus opacification, 25% (n = 2) revealed a mild recession exposing the implant head and 12.5% (n = 1) showed significant recession up to 7 mm. The prosthetic offset of zygomatic implants was scored -1 for all eight implants. Five implants were given a success code of 1/1/1/1 and a success grade of Grade I, two implants were given code 1/1/2/1 with Grade II and one implant 2/2/3/1 and grade III. The results imply that zygomatic implants can be a successful option in maxillary rehabilitation.Discussion: The zygomatic implants, as a graft less and promising solution to the rehabilitation of atrophied maxillary arches, have excellent surgical outcomes with varied advantages.","PeriodicalId":7972,"journal":{"name":"Annals of Maxillofacial Surgery","volume":"14 1","pages":"27-32"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11340836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142054712","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}

引用次数: 0

Perioperative Patient Perspectives on Orthognathic Surgery - A Prospective Study. 围手术期患者对正颌外科手术的看法--一项前瞻性研究。

Annals of Maxillofacial Surgery Pub Date : 2024-01-01 Epub Date: 2024-07-19 DOI: 10.4103/ams.ams_240_23

Umair Hussain Ansari, Amy Gray Mcneilage, Claire Elizabeth Ashton-James, Jake Campbell, Eugene Wong, Lydia Lim

{"title":"Perioperative Patient Perspectives on Orthognathic Surgery - A Prospective Study.","authors":"Umair Hussain Ansari, Amy Gray Mcneilage, Claire Elizabeth Ashton-James, Jake Campbell, Eugene Wong, Lydia Lim","doi":"10.4103/ams.ams_240_23","DOIUrl":"10.4103/ams.ams_240_23","url":null,"abstract":"Introduction: Understanding patient motivations and expectations of orthognathic surgery are critical aspects of the perioperative assessment, as these factors have been demonstrated to influence patient satisfaction with surgical outcomes.Materials and methods: Consecutive patients undergoing orthognathic surgery by a tertiary oral and maxillofacial surgeon underwent two structured interviews to explore their pre-operative motivations for orthognathic surgery, their post-operative reflections on the surgery and their outcomes. Interviews were transcribed verbatim and analysed using thematic analysis.Results: Eighteen patients were recruited and interviewed preoperatively, and seven completed interviews postoperatively. Pre-operative themes describe patient hopes for aesthetic improvements, socio-emotional improvements, functional improvements and reduced pain, as well as fears about surgical risks, surgical recovery and changing appearance. Post-operative themes describe the challenging recovery process, the absence of regrets and functional, aesthetic and socio-emotional improvements.Discussion: Orthognathic surgery patients may be motivated by functional, aesthetic and socio-emotional improvements before surgery.","PeriodicalId":7972,"journal":{"name":"Annals of Maxillofacial Surgery","volume":"14 1","pages":"46-51"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11340829/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142054716","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}

引用次数: 0

Tissue Necrosis as a Rare Complication of Local Anaesthesia - A Case Series. 局部麻醉的罕见并发症--组织坏死病例系列。

Annals of Maxillofacial Surgery Pub Date : 2024-01-01 Epub Date: 2024-07-19 DOI: 10.4103/ams.ams_27_24

Ramita Vijaybhushan Sood, Anupama Bashishth Chauhan, Ragini R Tiwari, Mustafa Kausar Kurani, Nisarg Rakesh Trivedi, Mauli Gaurangkumar Bhatt

{"title":"Tissue Necrosis as a Rare Complication of Local Anaesthesia - A Case Series.","authors":"Ramita Vijaybhushan Sood, Anupama Bashishth Chauhan, Ragini R Tiwari, Mustafa Kausar Kurani, Nisarg Rakesh Trivedi, Mauli Gaurangkumar Bhatt","doi":"10.4103/ams.ams_27_24","DOIUrl":"10.4103/ams.ams_27_24","url":null,"abstract":"Rationale: Lignocaine, amongst all the local anaesthetic agents, is the most common agent used in dentistry and in the field of oral surgery. Local anaesthesia is very effective, safe and simple to use. Rare complications related to it are reported.Patient concerns: We present a case series of patients with sloughing and necrosis of tissue allegedly caused due to administration of contaminated local anaesthesia. All the patients had a history of extraction by same practitioner at same time duration and centre.Diagnosis: The patient was diagnosed with post-anaesthetic tissue necrosis.Treatment: All the cases presented in this report were managed conservatively.Outcomes: On 2-month follow-up, the lesion healed and was replaced by healthy tissue.Take-away lesson: Risk factors should be well assessed and precautions must be taken before administration of lignocaine to avoid the adverse outcome.","PeriodicalId":7972,"journal":{"name":"Annals of Maxillofacial Surgery","volume":"14 1","pages":"120-123"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11340848/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142054718","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}

引用次数: 0

Unravelling the Complexity of Mucormycosis-A Rare Case Report. 揭开粘孢子菌病的复杂面纱--罕见病例报告

Annals of Maxillofacial Surgery Pub Date : 2024-01-01 Epub Date: 2024-07-19 DOI: 10.4103/ams.ams_204_23

N Deenadayalan, P Deepak Abraham Pandyan, C Satheesh, M Aparnaa, George Stephenson Samyo

{"title":"Unravelling the Complexity of Mucormycosis-A Rare Case Report.","authors":"N Deenadayalan, P Deepak Abraham Pandyan, C Satheesh, M Aparnaa, George Stephenson Samyo","doi":"10.4103/ams.ams_204_23","DOIUrl":"10.4103/ams.ams_204_23","url":null,"abstract":"Rationale: Mucormycosis is a rare, life-threatening, invasive fungal infection often referred to as black fungus. It has gained significant attention due to its increasing incidence during the coronavirus pandemic of 2019.Patient concern: An 8-month-old child, whose identity is being withheld, arrived at our clinic with her parents with the chief complaint of swelling in the upper lip and cheek.Diagnosis: Various laboratory procedures, including blood cultures and imaging scans were performed to determine the presence of mucormycosis.Treatment: Under general anaesthesia, decortication and resection was done surgically, followed by an intraoral elastomeric impression made over the resected region. Soft silicone splints as oral seals for the suckling reflex were made postoperatively within a week. Immediate post-operative therapeutic low-level laser therapy was done.Outcome: Wound healing has been achieved.Take-away lessons: Multidisciplinary intervention provides the best outcomes for the successful treatment and rehabilitation of paediatric patients with mucormycosis of the facial region.","PeriodicalId":7972,"journal":{"name":"Annals of Maxillofacial Surgery","volume":"14 1","pages":"96-98"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11340844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142054729","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}

引用次数: 0