Osteoblastoma is a rare entity encountered as a benign osseous tumor with the propensity of occurrence towards the vertebral column and long bones. Commonly occurs in young middle-aged males with mandible as a site of predilection in the facial skeleton. Differential diagnosis of osteoblastoma holds a challenge in attaining a final diagnosis. Osteoid osteoma, cementoblastoma, osteosarcoma, aggressive fibrous dysplasia, and ossifying fibroma share a similar clinical behavior, radiological and histological behavior. This article aims to report a case of osteoblastoma of an aggressive variety appearing in the maxilla. It aims to gain a better understanding of the clinical, histological, radiological, and differential diagnosis of osteoblastoma. A review of English language literature in 2006 revealed 43 previously reported cases of osteoblastoma appearing in the maxilla and mandible since 1967. 16 cases including this one are added to the previous well-documented review of literature by Jones where he included additional 24 cases to the previously reported 43 cases. Brief discussion and review on treatment modalities are analyzed.
Facial beauty has always been of prime importance among all beauty parameters since ages. All human beings especially young generation want themselves to look good. Acne is the commonest skin problem affecting facial beauty in adolescents and young individuals. In Ayurveda symptoms of a disease named as Mukhadushika can be correlated to Acne vulgaris. In the present study 30 patients of Mukhadushika were treated with Ayurvedic medicines. The drugs chosen were Varnya Mahakashayaghana Vati for oral ad-ministration and Shalmalyadi lepa for local application. The medicines were found to be significantly ef-fective in Mukhdushika.
Trigeminal Neuralgia is a painful condition of the oro-facial structures. The diagnostic criteria are based upon the patient's history, examination and clinical evaluation. In the course of the disease patients experience dull, aching, throbbing or burning, constant pain in the same distribution as the paroxysms. A long interval between the attacks is often described as a period of increasing paresthesias in the nerve distribution. The trigger stimulus, applied to the "trigger zone", often arouses intense pain in divisions beyond the one stimulated. Treatment involves the medicinal as well as surgical procedures. Medicinal therapy is usually first to start. With time patient became refractive to medicinal therapy. Under this condition, surgical treatment is recommended. This paper focus particularly on the surgical aspect of this painful condition.
Trigeminal neuralgia has been considered as a painful condition since long time. Pain is perceived in one or more divisions of the trigeminal nerve, mostly unilaterally. Pain is shooting, lancinating, sharp, agonizing and described as an electric shock. Usually lasts seconds to minutes with repetitive bursts every few seconds. The patient is symptom-free between the attacks. Common evidence can be the trigger effect of some routinely actions involving territories innervated by the affected root, such as speaking, swallowing, chewing, brushing the teeth, or sensitive stimuli applied in these regions like simple light touch, cold, or an air blow. Medicinal therapy is the main stay of treatment in trigeminal neuralgia. This review focuses on the drug therapy in neuralgic patients.
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