Background:A prospective analysis was carried out over a 1-year period to assess gloves used during 100 major and 100 minor oral surgical procedures to test for efficacy of double gloving in oral surgical procedures.Purpose:The purpose of this study was to assess the efficacy of double gloving technique in preventing cross infection in both major and minor oral surgical procedures.Materials and Methods:Gloves used during 100 major and 100 minor oral surgical procedures were analyzed to check for glove perforations and skin punctures. 100 sterile gloves were tested as control.Statistical Analysis Used:Chi-square test was used to determine whether there was any difference between the expected and observed values in various categories.Results:A higher number of glove perforations was seen in minor oral surgical procedures compared with major surgeries, dominant hand compared with the nondominant, outer gloves compared with the inner, in procedures which took a longer duration of time to complete, in procedures involving wiring and in the index finger followed by the thumb and the palm.Conclusion:Double gloving technique using sterile gloves can be used as an effective means of infection control for all major and minor surgical procedures, especially high-risk procedures involving patients who maybe suffering from or carriers of blood-borne infections.
Cystadenomas are rare salivary gland tumours characterised by prominent epithelium-lined papillary projections into the cystic spaces. A 37 year-old female, presented with a swelling on the right side of the hard palate. Clinically, the swelling was soft, fluctuant, sessile and non-tender measuring 2.5 9 2 cm in diameter. Excisional biopsy was performed. The histopathological and immunohistochemical features were characteristic of mucinous cystadenoma. There has been no recurrence over a 2-year follow up period. The article highlights its clinical, histopathological, immunohistochemical features and differential diagnosis along with review of literature. Cystadenoma of the palate is rare, papillary variety being more common than mucinous with very few cases reported in literature.
Introduction: Aneurysmal bone cysts recognized since 1893 was described as an ossifying hematoma by Van Arsdale before being recognized by Jaffe and Lichtenstein as an intraosseous, osteolytic lesion in 1942. Bernier and Bhaskar described the first case of ABC in the craniofacial region in 1958. Aims: To find close follow-up is essential to prevent recurrent and relapse. Case Report: It is a benign blood-filled bony lesion affecting the long bones of the human skeleton. They manifest rarely in the head and neck region. They often lead to a delay in diagnosis due to the ambiguity of symptomatology and their rare occurence. Discussion: They should therefore be considered in differential diagnosis of bony, vascular lesions of the head and neck region. Conclusion: Since ABCs can be rare, expansile, rapidly growing and destructive and to make clinicians aware for accurate diagnosis and treatment, we present a case of a mandibular aneurysmal cyst and its management
Purpose: This study aims to derive a series of biometric measurements using cone-beam computed tomography (CBCT) from a cross sectional group of population to help the surgeon accurately locate the mandibular foramen and the mental foramen during mandibular osteotomies. Methods: CBCT images of 800 subjects were evaluated. Various measurements were noted and compared between the two sides of the mandible in and between the sexes. Result: Statistically significant values were noted between the right and left sides of Line X to Point A in female subjects, Line Z & Line B only in male subjects and Line X’ in both male and female subjects. However, Line Y was found to be significant when comparing both sides in both males and females and also on correlation between the genders. Conclusion: Although the identification of the mandibular lingula and anatomical landmarks is an important step during mandibular osteotomies, the position of one side, however, cannot be blindly extrapolated to the contra lateral side. Also, pre operative CBCT is a useful tool to derive measurements which when transferred clinically during the surgery gives an accurate and safe approach for localisation of lingula, thus reducing the incidence of post operative neurologic morbidities.
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