Aim: To describe the clinic-o-pathological pattern of patients presented with salivary gland tumors at Department of Maxillofacial surgery Mayo hospital Lahore during time period of one year from 1st January 2019 to 31st December 2019. Methods: This was a retrospective cross-sectional study conducted at Department of Oral and Maxillofacial Surgery, Mayo Hospital Lahore. 75 cases of Salivary gland tumors in the head and neck region were identified. Patient’s medical record and pathology reports were retrieved and carefully reviewed by a senior doctor to collect basic demographic data as well as tumor related information. Data entry and analysis was done with the help of SPSS version-26. Chi Square Test/Fisher exact test was applied to see the association between qualitative variables. Results: In this study Mean age of patients in this study was 40.45±13.18. Male patients were predominant as compared to female patients; Male 53.3% & Female 46.7%.The most frequent tumor among patients was Pleomorphic Adenoma (61.3%) followed by Adenoid Cystic Carcinoma (17.3%), Mucoepidermoid Carcinoma (13.3%), Warthin’s Tumor (4%), Squamous cell Carcinoma of Parotid (2.7%) and adenocarcinoma (1.3%) respectively. However no significant association was seen between salivary gland tumors with age and gender of patients (p-value=0.521). Conclusion: Among the benign salivary gland tumors pleomorphic adenoma is the most common tumor whereas among malignant salivary gland tumors adenoid cystic carcinoma is the most frequent occurring tumor. Keywords: Salivary gland Tumors, Maxillofacial Surgery, Pathological Pattern,
Temporomandibular joint ankylosis is the most common cause of facial deformity.1-4The main etiology of TMJ ankylosis include trauma and infection3,5.TraditionallyTemporomandibular joint Ankylosis patients had been managed with different treatment options including Gap arthoplasty6,Interpositiongap arthroplasty ,distraction osteogenesis and total joint replacement.To prevent reankylosis interposition of fascia or muscle had been documented and if reconstruction of the joint was needed Alloplastic(sialistic)or Autogenous graft ( Costochondral bone graft) had been used.6, 7,8,9 Costochondral graft is preferred for reconstruction because morphological it is similar to the condyle of mandibleandhas agrowth capacity.9But thisgraft is unpredictable in nature and different results are reported and documented including facial asymmetry, over growth, graft resorption, graft failure and even reankylosis.9 Distraction osteogenesis is a recent treatment method for the correction of hypo plastic mandible in Temporomandibular joint ankylosis patients. By using distraction osteogenesislarge skeletal movements are possible with little or no relapse commonly seen in other orthognathic corrections. In this study of 30 patients all patients were treated with TMJ Interposition gap arthoplasty (interposition of temporalis fascia) followed by the application of distractors at ramus of mandible. Mean age was14.96±4.17 years. Patient’s minimum and maximum age was 8 and 24 years respectively. Gender distribution shows that 15(50%) of the patients were male and 15(50%) were females. Male to female ratio was 1:1.Mean ramus length before distraction was 38.70±7.28 mm with 28-52 mm range. Mean ramus length after distraction osteogenesis was 49.00±8.01 mm. Mean increase in vertical ramus length was 10.26±2.86 mm. Minimum increase was 5mm and maximum increase in vertical ramus length was 15 mm respectively. In this study we were able to achieve increase in ramus length in all patient and only patient require reoperation due to failure of distractor appliance which was replaced successfully.
Background: Oral Lichen Planus (OLP) is a relatively common chronic inflammatory mucocutaneous disorder. WHO considers OLP a premalignant lesion. This makes management of OLP important to avoid its malignant transformation. Corticosteroids are considered as the first-line of treatment. Different other treatment modalities are also in use for OLP. But there is no statistically significant data available for a particular therapy. The recent evidences suggest methotrexate may effectively be used in low dose in the treatment of OLP. Aim: To compare the frequency of complete resolution of mucosal lesions of oral lichen planus with low dose oral methotrexate versus systemic corticosteroids. Methods: It was a randomized control trial conducted at Oral & Maxillofacial Surgery Department, King Edward Medical University/Mayo Hospital Lahore in six months. A sample of 60 patients was divided into two sub groups namely Group -A (methotrexate) and Group - B (corticosteroid) using lottery method. More than 75% resolution of mucosal lesions clinically was considered as complete resolution at the end of 8th week. Results: The mean age of the patients was 44.55±12.38 years. On 8th week, frequency of complete resolution of mucosal lesions was 73.3% in Group A and 60% in Group B with an insignificant difference (p-value<0.05). Conclusion: Methotrexate group A showed more complete resolution of mucosal lesions than corticosteroid group B with insignificant statistical difference. Keywords: Oral Lichen Planus, Mucosal lesions, Malignant transformation, Methotrexate, Corticosteroids
Objective: To inquire the oral cancer awareness among general medical and general dental professionalsand their knowledge of early detection and prevention of oral squamous cell carcinoma. Study design: cross sectional study Place and duration of study: Oral and maxillofacial surgery Department King Edward Medical University from 5th November 2019 to 5th February 2020. Methodology: A questionnaire was given to dental and medical practitioners and their responses were included in the results. This study was done in three months’ period from 5th November 2019 to 5th February 2020 after ethical approval from institutional review board. Results:The questions were given back by 57 general medical practitioners and by 40 general dental practitioners, producing return rates of 38% GMPs and 26.66% GDPs respectively. The questions were answered by 93 GMPs and by 110 GDPs producing rates of 62% GMPs and 73.33% GDPs respectively. Conclusion: Patients suffering from oral pathologies often go to their general medical practitioner and dental practitioners. The number of patientsof squamous cell carcinoma of oral cavity are rising in the Pakistan, hence general medical and general dental practitioners need to play significant role. This study talks mainly about the on the need for improvement in awareness about oral squamous cell carcinoma. Keywords: oral cancer, awareness, risk factors
Background: Outcome of treatment of orbital floor defects with titanium mesh in zygomatic complex fractures. Eye trauma results in significant aesthetic and functional problems. Rehabilitation necessitates a grasp of the orbit's altered structure and function, as well as the materials and procedures used in its restoration. Study design: Descriptive case series Study duration: 1 year.22 December 2018 to 21 December 2019. Study place: Allama Iqbal Teaching Hospital, Kh. Muhammad Safdar Medical College, Sialkot Results: This study was carried on 150 patients over a period of 6 months from January 1st 2013 to June 30th 2013 at the department of Oral & Maxillofacial Surgery PIMS Hospital Islamabad. 135/150(82.75%) patients were male and 15/150(17.24%) patients were female. The mean average age of the male patients was 30.02 years + 10.26 and the mean average age of the female patients was 29.90 years + 10.53. In our study 82.8% were males and 17.8 were females. Conclusion: The conclusion of study is titanium mesh isa better treatment option in management of complex orbito-zygomatico complex fractures, Diplopia is initially present but eventually resolve within 3 month. Keywords: Titanium mesh, zygomatic complex fracture
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