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Nonsyndromic Hypodontia: A Case Report 非综合征性下牙:1例报告
Pub Date : 2020-12-22 DOI: 10.5005/jp-journals-10057-0111
Shantanu Jain, Unnat Dhanwani, Nikita Sobti, Anjali Uttwani
Hypodontia is the most common anomaly in human dentition associated with number that develops in the initiation stage of tooth morphogenesis. It is characterized by tooth agenesis of two to six teeth, may or may not be associated with a syndrome, and is controlled by a combination of genetic and environmental factors. Mutations in the genes MSX 1 and PAX 9 , which are the main genes responsible for odontogenesis, are responsible for the development of nonsyndromic hypodontia. In this case report, a 13-year-old girl reported to the Department of Pediatric and Preventive Dentistry with the complaint of midline diastema. On clinical and radiographic examination, she was diagnosed with this condition and was explained about the treatment prospects.
牙下畸形是人类牙列中最常见的与数量有关的畸形,发生在牙齿形态发生的起始阶段。它的特点是两到六颗牙齿发育不全,可能与综合症有关,也可能与综合症无关,并由遗传和环境因素共同控制。msx1和PAX 9基因的突变是负责牙形成的主要基因,也是导致非综合征性牙缺损的原因。在这个病例报告中,一名13岁的女孩向儿科和预防牙科科报告了中线膈肌的主诉。经临床及影像学检查,诊断为此病,并说明治疗前景。
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引用次数: 0
S-clasp with Apron Spring: A Single Tooth Crossbite Correction in Mandibular Arch 带围裙弹簧的s型卡环:下颌弓单牙交叉咬合矫正
Pub Date : 2020-12-22 DOI: 10.5005/jp-journals-10057-0113
K. Mittal, K. Bajaj, Siddharth Mehta, Esha Nagpal, Lakshay Mihani, Vidur Goyal
Posterior crossbite is one of the most prevalent malocclusions in the primary and early mixed dentition. Different techniques have been used to correct anterior and posterior crossbites in maxillary arch, for example quad helix and removable appliance with expansion screw. This article aims at correcting the single tooth crossbite in mandibular arch in cases where the mandibular molar is buccally positioned by a modified appliance, which includes a modified clasp and an apron spring that helps in correcting the abovementioned problem.
后牙合是初级和早期混合牙列最常见的错牙合之一。上颌弓前、后交叉咬合的矫治方法有四螺旋矫治器和带扩展螺钉的可移动矫治器等。本文的目的是纠正单牙交叉咬在下颌弓的情况下,下颌磨牙是由改良的器具,其中包括一个改良的卡环和一个围裙弹簧,以帮助纠正上述问题。
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引用次数: 0
Influence of Maternal Oral Health Knowledge and Practices on the Child's Oral Health 母亲口腔卫生知识与实践对儿童口腔健康的影响
Pub Date : 2020-12-22 DOI: 10.5005/jp-journals-10057-0109
N. Marwah, Renuka P Chinchalkar, Fnu Thejavinuo, Shavan K Yadav
Ab s t r Ac t Introduction: Children younger than 7 years of age spend most of their time with parents and guardians, especially mothers. Maternal oral health knowledge, belief, and attitudes influence the oral health maintenance, dietary habits, and healthy behavior of their children. The aim of this study was to assess the impact of mother’s oral healthcare knowledge on the oral health status of their child. Materials and methods: A total of 100 mothers and children visiting the department of pedodontics and preventive dentistry were randomly selected. A questionnaire, including parent’s name, age, literacy levels, socioeconomic status, dietary practices, and oral hygiene practices, was designed to assess the knowledge of the mothers regarding oral health of themselves and their child. Later the child’s oral health status was examined. Results and conclusion: The results were statistically analyzed, and it was concluded that there is a significant influence of mother’s oral health knowledge and practices on the child’s oral health.
导读:7岁以下的孩子大部分时间是和父母、监护人,尤其是妈妈在一起。母亲的口腔卫生知识、信念和态度影响其子女的口腔卫生维护、饮食习惯和健康行为。本研究的目的是评估母亲口腔保健知识对孩子口腔健康状况的影响。材料与方法:随机抽取在儿科和预防牙科就诊的母亲和儿童100例。设计了一份问卷,包括父母的姓名、年龄、文化水平、社会经济地位、饮食习惯和口腔卫生习惯,以评估母亲对自己和孩子口腔健康的了解。随后对儿童的口腔健康状况进行了检查。结果与结论:对调查结果进行统计分析,得出母亲口腔卫生知识和行为对儿童口腔健康有显著影响的结论。
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引用次数: 0
Comparison of Temporalis Myofascial Flap vs Dermal Graft as an Interpositional Material in Treatment of Temporomandibular Joint Ankylosis: A Case Series 颞肌筋膜瓣与真皮移植物间置治疗颞下颌关节强直的比较:一个病例系列
Pub Date : 2020-12-22 DOI: 10.5005/jp-journals-10057-0116
Ruchika Tiwari, Amit Bhamboo, Alankrita Sisodia, V. Singh, Yashpal Gurjar, Sonal Mishra
Temporomandibular ankylosis is a condition that affects the function and esthetics of a person. Various options are available as interpositional grafts to prevent recurrence of ankylosis, e.g., meniscus, dura skin, fascia, fat, muscle, cartilage, alloplastic materials, and xenografts. The merits and demerits of the dermal fat graft as an interpositional material following gap arthroplasty were compared with temporalis fascia interposition in this study. Twenty patients with TMJ ankylosis (three patients had bilateral TMJ ankylosis) were randomly divided into two groups of 10 patients each; in group I, interposition with the dermis-fat graft that was taken from the suprapubic region was done. Patients in the control group had an interposition with temporalis fascia and muscle from the same surgical site. All the patients were evaluated by age, sex, clinical features, etiology, and postsurgical complications. The age of all the patients was between 2 years and 11 years. Postoperatively and during follow-up, the interincisal mouth opening was adequate with proper healing of the donor site. Conclusion states that the use of the dermal fat graft shows minimum donor site morbidity and proves to be an effective interposition material to prevent recurrence of TMJ ankylosis.
颞下颌强直是一种影响人的功能和审美的疾病。为防止强直复发,有多种选择,如半月板、硬脑膜、筋膜、脂肪、肌肉、软骨、同种异体材料和异种移植物。本研究比较了真皮脂肪移植物作为间隙关节置换术后的间质材料与颞筋膜间质材料的优缺点。选取20例颞下颌关节强直患者(其中3例为双侧颞下颌关节强直),随机分为两组,每组10例;第一组采用耻骨上区真皮脂肪移植物置入。对照组患者的颞筋膜与同一手术部位的肌肉间置。根据年龄、性别、临床特征、病因和术后并发症对所有患者进行评估。所有患者年龄在2 ~ 11岁之间。术后和随访期间,供区适当愈合,内脏开口足够。结论真皮脂肪移植物供区发病率最低,是预防颞下颌关节强直复发的有效植入材料。
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引用次数: 1
To Analyze Patients of Post-cholecystectomy Symptoms after Cholecystectomy 分析胆囊切除术后患者胆囊切除术后症状
Pub Date : 2020-12-01 DOI: 10.5005/JP-JOURNALS-10057-0136
Shavan K Yadav, K. Patel, J. Mangtani, Neelkamal Gupta
Introduction: Post-cholecystectomy syndrome (PCS) comprises a group of abdominal symptoms that occur after cholecystectomy. Post- cholecystectomy syndrome is defined as a group of heterogeneous symptoms. It consists of upper abdominal pain, vomiting, and dyspepsia, which occur after cholecystectomy. Although this term is not accurate, it comprises biliary and non-biliary disorders, possibly not related to cholecystectomy. Aim: To analyze the clinical evaluation for post-cholecystectomy symptoms. Objectives: To identify the causes for post-cholecystectomy symptoms. To identify preoperative factors (h/o endoscopic retrograde cholangiopancreatography (ERCP), attacks of cholecystitis) associated with post-cholecystectomy symptoms. Materials and methods: A prospective clinical hospital-based study was done on 100 patients at a tertiary care referral hospital in the department of general surgery. All cases of post-cholecystectomy who had clinical symptoms of PCS cases in which follow-up ultrasonography (USG) and liver function test (LFT) were done. Results: In our study, 100 patients were taken who developed PCS after cholecystectomy. Among all patients, 16% patients developed PCS due to biliary etiology. Among 16% of patients, the most common cause is recurrent common bile duct (CBD) stone (6%) and the second most common cause is retained CBD stone (3%) and sphincter of Oddi dysfunction (3%). Discussion: This analysis provides a qualitative overview of etiologies of abdominal symptoms after cholecystectomy. Based on the etiologies of persistent and incident symptoms after cholecystectomy provided in this review, we identified the cause of long-term symptoms after cholecystectomy. Conclusion: In our study, PCS developed mainly due to non-biliary etiology considered 84% and biliary etiology considered only 16%. Female has a higher risk to developing post-cholecystectomy symptoms compared to male after cholecystectomy.
简介:胆囊切除术后综合征(PCS)包括胆囊切除术后出现的一组腹部症状。胆囊切除术后综合征被定义为一组异质性症状。它包括胆囊切除术后出现的上腹部疼痛、呕吐和消化不良。虽然这个术语并不准确,但它包括胆道和非胆道疾病,可能与胆囊切除术无关。目的:分析胆囊切除术后症状的临床评价。目的:探讨胆囊切除术后症状的原因。确定术前因素(h/o内镜逆行胆管造影(ERCP)、胆囊炎发作)与胆囊切除术后症状的相关性。材料和方法:对一家三级转诊医院普通外科的100名患者进行了一项前瞻性临床医院研究。所有胆囊切除术后出现PCS临床症状的病例均行随访超声检查(USG)和肝功能检查(LFT)。结果:本研究共收集胆囊切除术后发生PCS的患者100例。在所有患者中,16%的患者因胆道病因而发生PCS。在16%的患者中,最常见的原因是复发性胆总管结石(6%),第二常见的原因是保留的胆总管结石(3%)和Oddi括约肌功能障碍(3%)。讨论:本分析提供了胆囊切除术后腹部症状病因的定性概述。根据本综述提供的胆囊切除术后持续和偶发症状的病因,我们确定了胆囊切除术后长期症状的原因。结论:在我们的研究中,PCS主要由非胆道病因引起,占84%,胆道病因仅占16%。与男性相比,女性胆囊切除术后出现症状的风险更高。
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引用次数: 0
A Rare Case of “Symptomatic Bilateral Adrenal Myelolipoma” 罕见的双侧肾上腺骨髓瘤1例
Pub Date : 2020-12-01 DOI: 10.5005/jp-journals-10057-0127
M. Yadav, N. Jain, P. Gautam, Abha Mathur
Ab s t r Ac t Introduction: Adrenal myelolipoma is a benign neoplasm composed of mature adipose tissue and scattered islands of hematopoietic elements. Although the true incidence of these tumors is unknown, the incidence estimated to be is quite less. These lesions are usually unilateral and asymptomatic and are very rarely found as bilateral tumors. Aims and objectives: To present a rare case of “Symptomatic Bilateral Adrenal Myelolipoma”. Materials and methods: A 53-year-old woman presented with complaints of pain abdomen for 6 months. Physical examination was unremarkable. Computed tomography (CT) scan of the abdomen revealed a well-defined, round lesion bilaterally with heterogeneous attenuation suggesting the possibility of myelolipoma. The patient was subjected to bilateral adrenalectomy and the bilateral adrenal masses were sent for histopathological examination. Results: The histopathological evaluation of masses confirmed the diagnosis of bilateral adrenal myelolipoma. Conclusion: Although mostly discovered as an “incidentaloma”, the diagnosis of adrenal myelolipoma warrants through diagnostic study. Surgical resection is the mainstay as it prevents complications, such as spontaneous rupture and hemorrhage of the mass.
简介:肾上腺髓磷脂瘤是一种由成熟脂肪组织和分散的造血因子岛组成的良性肿瘤。虽然这些肿瘤的真实发病率是未知的,但估计的发病率是相当少的。这些病变通常是单侧和无症状的,很少发现为双侧肿瘤。目的:报告一例罕见的“双侧肾上腺骨髓瘤”。材料与方法:女性,53岁,主诉腹部疼痛6个月。体格检查无明显异常。腹部计算机断层扫描(CT)显示一个明确的圆形病灶,双侧呈不均匀衰减,提示可能是骨髓瘤。患者行双侧肾上腺切除术,双侧肾上腺肿物行组织病理学检查。结果:肿块的组织病理学检查证实双侧肾上腺骨髓瘤的诊断。结论:肾上腺骨髓瘤虽多为“偶发瘤”,但其诊断仍需通过诊断研究。手术切除是主要的,因为它可以防止并发症,如自发破裂和出血的肿块。
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引用次数: 0
Primary Intraosseous Carcinoma Arising in a Mandibular Keratocystic Odontogenic Tumor: A Case Report 下颌骨角化囊性牙源性肿瘤并发原发性骨内癌1例
Pub Date : 2020-12-01 DOI: 10.5005/jp-journals-10057-0126
Harshdeep Dhaliwal, S. Yadav, Vikram Sharma
Primary intraosseous carcinoma (PIOC) is a rare squamous cell carcinoma (SCC) arising within the jaw, which has no initial connection with the oral mucosa, overlying skin, antral or nasal mucosa. Primary intraosseous carcinoma is also designated as odontogenic carcinoma because it is considered to develop from the epithelium involved in odontogenesis. It is considered a rare lesion, but may not be as rare as commonly believed. It may arise de novo or as a consequence of malignant transformation of a benign cyst or tumor. It is locally aggressive with a poor prognosis. A case of primary intraosseous SCC of the mandible, with evidence of origin in an odontogenic cyst, is presented.
原发性骨内癌(PIOC)是一种罕见的发生在颌骨的鳞状细胞癌(SCC),它最初与口腔黏膜、覆盖的皮肤、上颌或鼻黏膜没有联系。原发性骨内癌也被称为牙源性癌,因为它被认为是从参与牙形成的上皮细胞发展而来的。它被认为是一种罕见的病变,但可能不像通常认为的那样罕见。它可能是新生的,也可能是良性囊肿或肿瘤恶性转化的结果。它是局部侵袭性的,预后不良。一例原发性骨内鳞状细胞癌的下颌骨,与证据的起源在牙源性囊肿,提出。
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引用次数: 0
Persistent Trigeminal Artery: A Case Report 三叉动脉顽固性1例
Pub Date : 2020-10-15 DOI: 10.5005/jp-journals-10057-0097
H. Mishra, S. Kumari, Vipasha Singh, Jai Choudhary
Persistence of fetal vessel in adulthood, joining the carotid and vertebrobasilar systems in fetal period apart from the posterior communicating artery, is rare. 1 This communication is called carotid-vertebrobasilar anastomosis, which includes trigeminal, otic, hypoglossal, and proatlantal arteries. A case of a persistent trigeminal artery (PTA) with carotid–vertebrobasilar junction anomaly is found in a young male is reported. Here, PTA arises from cavernous portion of the right inferior cerebellar artery and traveled posteriorly to join basilar artery and terminates and corresponds to TA type II of Saltzman’s classification. It is also associated with basilar invagination and cervical cord myelomalacia.
除了后交通动脉外,胎儿血管在成年后持续连接颈动脉和椎基底动脉系统是罕见的。这种连接称为颈动脉-椎基底动脉吻合,包括三叉动脉、耳动脉、舌下动脉和寰动脉。本文报告一位年轻男性的持续性三叉动脉(PTA)伴颈动脉-椎基底动脉连接处异常。此处,PTA起源于右侧小脑下动脉海绵状部分,后向连接基底动脉并终止,对应Saltzman分类的TA II型。它也与颅底内陷和颈脊髓软化症有关。
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引用次数: 0
Urethral Stricture Reconstruction by Buccal Mucosal Graft Technique 口腔黏膜移植技术重建尿道狭窄
Pub Date : 2020-10-15 DOI: 10.5005/jp-journals-10057-0091
Sandeep K Mehla
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引用次数: 0
Endoscopic Tympanoplasty: Is it Better than Microscopic Tympanoplasty? Our Experience 内窥镜鼓室成形术:是否优于显微鼓室成形术?我们的经验
Pub Date : 2020-10-15 DOI: 10.5005/jp-journals-10057-0104
Vipasha Yogi, K. Sharma, T. Ojha, Anuj Kansara
Ab s t r Ac t Objective: To evaluate the efficacy and compare the results of conventional tympanoplasty with endoscopic tympanoplasty. Materials and methods: In this study, patients with clinically diagnosed chronic suppurative otitis media with dry central perforation were included. A total of 200 cases were selected of which 100 cases underwent conventional microscopic tympanoplasty and 100 cases underwent endoscopic tympanoplasty. Follow-up of all patients were done on postoperative day 7, 30, and third month of surgery. Comparison of postoperative complications, graft uptake, and average gain in hearing was done. Results: Success rate of graft uptake was 96% (96/100) in conventional microscopic group of tympanoplasty, 92% (92/100) in endoscopic group of tympanoplasty with average hearing gain of 13.96 dB in conventional group and 15.03 dB in endoscopic group. Conclusion: The surgical outcome of endoscope-assisted tympanoplasty was comparable to the conventional microscope-assisted tympanoplasty in terms of graft uptake and hearing improvement. In endoscopic tympanoplasty group, patients had better results in terms of cosmesis and postoperative recovery. Endoscopic tympanoplasty approach can be used as a good alternative.
目的:评价常规鼓室成形术与内镜鼓室成形术的疗效并进行比较。材料和方法:本研究纳入临床诊断为慢性化脓性中耳炎伴干性中央穿孔的患者。选取200例,其中常规内镜下鼓室成形术100例,内镜下鼓室成形术100例。所有患者于术后第7天、第30天和第3个月进行随访。比较术后并发症、移植物吸收和平均听力增益。结果:常规显微鼓室成形术组植片吸收成功率为96%(96/100),内镜下成形术组植片吸收成功率为92%(92/100),常规组平均听力增益为13.96 dB,内镜组平均听力增益为15.03 dB。结论:内窥镜辅助鼓室成形术在移植物吸收和听力改善方面与常规显微镜辅助鼓室成形术相当。内窥镜鼓室成形术组患者在美容和术后恢复方面均有较好的效果。内窥镜鼓室成形术是一种很好的替代方法。
{"title":"Endoscopic Tympanoplasty: Is it Better than Microscopic Tympanoplasty? Our Experience","authors":"Vipasha Yogi, K. Sharma, T. Ojha, Anuj Kansara","doi":"10.5005/jp-journals-10057-0104","DOIUrl":"https://doi.org/10.5005/jp-journals-10057-0104","url":null,"abstract":"Ab s t r Ac t Objective: To evaluate the efficacy and compare the results of conventional tympanoplasty with endoscopic tympanoplasty. Materials and methods: In this study, patients with clinically diagnosed chronic suppurative otitis media with dry central perforation were included. A total of 200 cases were selected of which 100 cases underwent conventional microscopic tympanoplasty and 100 cases underwent endoscopic tympanoplasty. Follow-up of all patients were done on postoperative day 7, 30, and third month of surgery. Comparison of postoperative complications, graft uptake, and average gain in hearing was done. Results: Success rate of graft uptake was 96% (96/100) in conventional microscopic group of tympanoplasty, 92% (92/100) in endoscopic group of tympanoplasty with average hearing gain of 13.96 dB in conventional group and 15.03 dB in endoscopic group. Conclusion: The surgical outcome of endoscope-assisted tympanoplasty was comparable to the conventional microscope-assisted tympanoplasty in terms of graft uptake and hearing improvement. In endoscopic tympanoplasty group, patients had better results in terms of cosmesis and postoperative recovery. Endoscopic tympanoplasty approach can be used as a good alternative.","PeriodicalId":16223,"journal":{"name":"Journal of Mahatma Gandhi University of Medical Sciences and Technology","volume":"56 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80068078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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Journal of Mahatma Gandhi University of Medical Sciences and Technology
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