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Medicine and Dentistry >
Medicine and Dentistry (General)
Indian Journal of Anatomy and Surgery of Head, Neck and Brain
Editor in chief:Dr. Brijendra Singh
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A Rare Case Of Oral Carcinoma In A Patient Of Paediatric Age Group
Author:Mohd Athar, Anupama Singh, Sanjay Kala, Ashish Chaudhary, Manoj Srivastava, Vardan Pandey
Volume: 2 | Issue no: 3-2016 | Pagination: 83-87
Squamous cell carcinoma of the gingiva make up a significant percentage of oral squamous cell carcinoma in adult age group and one of the most common causes of death worldwide in adult age group. Cancers of the gingiva often escape early detection, and hence an early intervention, since their initial signs and symptoms resemble common dental and periodontal infections. Oral cavity squamous cell carcinoma (OCSCC) is rare in paediatric patients (defined by the American Academy of Paediatrics as patients under age 21), accounting for approximately 1 in 1,000 cases. OCSCC in paediatric patients is believed to be etiologically distinct from adult OCSCC, because the usual risk factors such as tobacco and alcohol exposure are typically absent. This article presents a case of a 13-year-old female patient who presented with a non-healing ulcer intra orally and a discharging sinus over left side of chin extra orally about 4 months after teeth extraction. The patient was advised a complete haemogram, orthopantomograph, and intra-oral periapical radiograph of the extraction socket. Radiographs revealed extensive bone loss, and the biopsy report confirmed the diagnosis of squamous cell carcinoma grade 2 of the alveolus. Carcinoma of the gingiva often mimics inflammatory lesions and hence is often misdiagnosed.
Study Of Wormian Bones On Dry Human Skull And Its Sexual Dimorphism In The Region Of Andhra Pradesh
Author:Shone Vasudeo Durge
Volume: 2 | Issue no: 3-2016 | Pagination: 79-82
This study was aimed at identifying the wormian bone and their overall incidence in respect to their number and location in the region of Andhra Pradesh. Overall incidence of wormian bones was more in female (47.72%) than in male skulls (41.66%). They occurred more frequently at lambdoid suture (38%). Wormian bones along the coronal suture, Bregma and Asterion were seen only in male skulls, while intra-orbital wormian bones and wormian bones at Pterion were seen only in female skulls. This study concludes by stating that, there exists a moderate degree of sexual dimorphism among the wormian bones with respect to overall incidence, number and location.
?A Study On Fate Of Traumatic Tympanic Membrane Perforation?
Author:Ram Raj, Shamendra Kumar Meena, Deepti Ramchandra Meena, Muniram Meena
Volume: 2 | Issue no: 3-2016 | Pagination: 76-78
TTMF is very common in daily day to day life & highest incidence occur by slap injury (by teacher to student, wife to her husband etc.) & also age group 20-30 years old male, by teachers 5-15 years, by husband 25-35 years females. In these type of injuries mild conductive hearing loss most commonly found, in some cases SNHL also finding- blast injury, sports injury or RTA. The prognosis of tm perforation is excellent either certainty of time with variation of 45-90 days. Keywords- Road traffic accident, Sensory neural hearing loss, Conductive hearing loss, Traumatic tympanic membrane perforation, Tympanic membrane, External auditory canal.
The ?Tuberculosis? In Otorhinolarygology As Extrapulmonary Sites
Author:Ramraj Meena, Shamendra Kumar Meena, Deepti Ramchandra Meena, Muniram Meena
Volume: 2 | Issue no: 3-2016 | Pagination: 73-75
TB is a disease with a very long history and one which has sprung up again and been affecting various countries. Among the factors responsible for this resurgence, HIV should be mentioned. HIV has been regarded as responsible for changing the characteristics of TB, such as its epidemiology, natural history, clinical presentation, and resistance to drugs. The manifestations of TB in cervico-cephalic regions are frequent and have aroused interest. TB may present in Ear, Nose, Larynx, Pharynx and also in neck any part of the body.
?Nasogastric Tube Insertion Comparison In Sitting Or Supine Position-100 Cases?
Author:Shamendra Kumar Meena, Deepti Ramchandra Meena, Ram Raj Meena, Muni Ram Meena
Volume: 2 | Issue no: 3-2016 | Pagination: 70-72
RTF is generally comes use for children or old age. RT insertion is simple and easy method. Nasogastric tube insertion in an unconscious or intubated patients may be difficult as they cannot follow instructions, So many doctors have history of high first attempt failure. The use of nasogastric tube is desirable for some surgical procedures to keep stomach deflated (like laparoscopic surgeries) or for the short term administration of feeds post-operatively. Sometime we needed NGT under vision with help of magill?s forcep, Basically NGT insertion is a blind nasal procedure.
?Comparative Study On Start Oral Intake After Tonsillectomy By Pretonsillectomy Peritonsillar Infiltration Various Agents?
Author:Shamendra Kumar Meena, Raj Kumar Jain, Vijay Kumar Meena, Deepti Ramchandra Meena
Volume: 2 | Issue no: 3-2016 | Pagination: 65-69
The time of oral intake depends on pain which occurs after tonsillectomy. Oral intake starts early if analgesics injected in peritonsillar space preoperatively. This time depends upon efficacy of analgesic drugs if analgesic effect good, oral intake starts earlier and if it is less then duration is more. Preincisional infiltrations of various agents are effective method to reduce posttonsillectomy pain. This method also effective for earlier start of oral feeding and discharge from the hospital. We recommend the routine use of pre incisional peritonsillar infiltration of various agents in all tonsillectomy cases, irrespective of the age of the patient to reduce the post-tonsillectomy pain and other morbidities.
Basilar Artery Aneurysm- A Case Report
Author:Sathia Lakshmi V, Rajesh Ranjan, Sujatha. N, Swayam Jothi. S..
Volume: 2 | Issue no: 2-2016 | Pagination: 63-64
A case report of Basilar artery aneurysm identified in the outpatient department of SSSMC & RI. This case presentation is to bring to light that simple symptoms like head ache and neck pain cannot be taken light as they may lead to big catastrophes and also to share the knowledge of modern advancement in technology treating such cases. A 60yrs old lady attended ortho -OP with the complaints of severe head ache followed by neck pain .Since the patient happened to be a doctor anticipated it to be cervical spondylitis. Later the neck pain turned out to be neck rigidity and she was referred for investigation to rule out cerebro-vascular accident. CT scan of brain revealed a Berry aneurysm of Basilar artery tip near its bifurcation with mild subarachnoid haemorrhage. Except for the pain, patient did not complain of anything else. MRI and angiographic studies were carried out. It confirmed the diagnosis. Later patient was hospitalized for interventional therapy. She was on treatment for hypertension Coil embolisation was done and after 5days patient was discharged without any sequelae.
Extraskeletal Ewing Sarcoma In A 62years Old Male Smoker: A Rare Case Presentation
Author:Sonia Jindal, Ramesh Kadela, Pooja Arya, Deepchand, Niranjan Nagaraj.
Volume: 2 | Issue no: 2-2016 | Pagination: 60-62
Extraskeletal Ewing Sarcoma is rarely found in Head and Neck region. Its extraskeletal morphology is similar to the Ewing Sarcoma originating from the bone. Its occurrence in head and neck as a primary tumor is very unusual. We report a Case of Ewing Sarcoma in 62 years old male in Nasopharynx who has been a chronic smoker. It occurs predominantly in adolescents and young adults between 10-30 years of age and it follows an aggressive course with a high rate of recurrence.
Unusual Presentation Of Head And Neck Swellings-A Case Series
Author:Shruthi. H. S., Chidananda R Devasamudra, Manjunath. G. A.
Volume: 2 | Issue no: 2-2016 | Pagination: 53-59
Head and neck is the site of numerous swellings of different etiology and presentations. This article will describe various head and neck swellings with unusual presentation. 4 cases were evaluated i.e. lipoma of the tongue, lipoma as midline neck swelling, infected ranula, epidermal inclusion cyst. All these swellings were presented unusually because of their site, size and inflamed skin over the swelling. To conclude, few head and neck swellings will show unusual presentation. So, each head and neck swelling case needs systematic evaluation for accurate diagnosis and treatment.
Clinical Study Of Correlation Between Preoperative Ctscan Findings With Intra-Operative Findings In Cases Of Chronic Rhinosinusitis
Author:Shrutih Satyanarayana Handanakere, Chidananda Ramappa Devasanudra.
Volume: 2 | Issue no: 2-2016 | Pagination: 49-52
Introduction: Chronic rhino sinusitis (CRS) is one of the most common chronic diseases and affects nearly 50 million individuals every year world over. The advent of CT scan in the delineation of the sinonasal pathology and anatomical variations has proven invaluable to the otolaryngologists in the pre-operative planning but CT scan is not always accurate in depicting the disease and anatomical variants. These discrepancies though minor, need further evaluation and correlation of CT scan findings to that of findings observed during Functional endoscopic sinus surgery. Methods: 30 adult patients with chronic rhino sinusitis were studied for one Year CT scan findings were correlated with intraoperative findings during endoscopic surgery. Result: There was excellent correlation >90% between preoperative CT scan and Endoscopic Sinus Surgery in cases of osteomeatal complex widening, anterior ethmoidal polypoidal change. Correlation was good >80% for posterior ethmoidal polypoidal change. Correlation was not good but acceptable >70% for polypoidal changes in nasal cavity and sinuses. The correlation was poor >60% in cases of osteomeatal complex total and partial occlusion, mucosal thickening in nasal cavity and polypoidal change in maxillary and frontal sinuses. P value was significant in all parameters.
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