The intracranial arterial or AVMs most commonly present in the head and neck region are usually overlooked when present at birth owing to their innocent appearance. Associated important clinical signs are warmth a palpable thrill and a bruit. They may also be associated with complications, like ischemic changes, indolent ulceration, pain and bleeding. Here, we present a case of AVM of tongue in a 27-year-old male patient which was diagnosed based upon his oral lesions.
Aim and objective:The aim of the study is to compare clinical and magnetic resonance imaging diagnosis of the temporomandibular joint internal derangement, and to assess various other magnetic resonance imaging changes associated with internal derangement.
Methods:The study group consists of 30 temporomandibular joints in 15 patients out of which 11 were females and 4 were males. These patients were within the age groups of 20 to 40 years with a mean age of 30.5 years.
Result:The kappa statistical analysis for comparison of clinical and magnetic resonance imaging diagnosis of internal derangement was κ = 0.80 which reveals substantial agreement and was statistically significant. Thus, the study shows that the clinical diagnosis of temporomandibular joint internal derangement correlated well with the magnetic resonance imaging diagnosis.
Conclusion:This present study concludes that the diagnosis of temporomandibular joint internal derangement can be reliably made with appropriate patient history and clinical examination. Even though magnetic resonance imaging play a significant role in the diagnosis.
Ossifying fibroma mostly occurs in the craniofacial bones and is generally categorized into two types, namely, central and peripheral ossifying fibroma. The peripheral type occurs solely on the soft tissue overlying the alveolar process and is 'nonneoplastic'. It is a common gingival growth that usually arises from the interdental papilla. The etiology and pathogenesis of peripheral ossifying fibroma (POF) is unclear. It is thought to arise from the cells in the periodontal ligament. Trauma or local irritation, such as dental plaque, calculus, ill-fitting dental appliances and poor-quality dental restorations are all known to precipitate in the development of POF. Clinically, differential diagnosis includes peripheral giant cell granuloma, pyogenic granuloma, fibroma and peripheral fibroma. Treatment of POF consists of elimination of etiological factors, scaling and root planing of involved teeth and total aggressive surgical excision. Another option available in place of the conventional surgical excision is the excision using lasers. A new addition to this generation of lasers is Er,Cr:YSGG laser. The aim of this paper is to analyze the effectiveness of Er,Cr:YSGG laser in the treatment of POF. The outcome in this case was painless experience to the patient, minimal intraoperative bleeding in the surgical field and excellent healing of the operated area in 1 week period, concluding as one of the best treatment option available for excision of POF.
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