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A comparison of one point versus two point fixation in the management of zygomatico-maxillary complex fractures 在治疗颧骨-下颌骨复合体骨折时采用一点固定与两点固定的比较
Pub Date : 2024-03-15 DOI: 10.18231/j.jooo.2024.004
Prajwal K Bharadwaj, A. Patel K N, Girish Gowda, P. Bhat, Sindhu Iyengar
The zygomaticomaxillary complex (ZMC) fractures are highly frequent injuries. There is a variety of operative techniques for fixation of ZMC fractures, with no consensus about the best technique. We aim to compare one-point versus two-point fixation of tripodal zygomatic fractures. This study was carried out on 34 patients admitted to the trauma unit in Sanjay Gandhi Institute of Trauma and Orthopaedics in the period from September 2022 to August 2023. Patients were divided into two groups (group 1; one-point fixation, and group 2; two- point fixation). When compared to the one-point fixation group, only 14 patients had substantial stability with a P-value of <0.05 being statistically significant. In contrast, nearly all patients in the two-point fixation group had higher stability. In the two-point fixation group, nearly all patients had a post-operative scar; in the one-point fixation group, however, only two patients had the same scar, and the mouth opening was also improved. In two-point fixation, paraesthesia was observed in nearly seven patients, while in one-point fixation, it was present in only two patients.The one-point fixation technique for tripodal ZMC fractures is considered effective as the two-point fixation technique; and it offers advantages of scarless operation, reduced operation time, fewer complications, and lower cost.
颧骨颌面复合体(ZMC)骨折是一种高发伤。目前有多种固定颧骨颌面复合体骨折的手术技术,但对最佳技术尚未达成共识。我们旨在比较三足颧骨骨折的一点固定和两点固定。这项研究的对象是 2022 年 9 月至 2023 年 8 月期间入住桑贾伊-甘地创伤和骨科研究所创伤科的 34 名患者。患者被分为两组(第一组:单点固定,第二组:两点固定)。与单点固定组相比,仅有 14 名患者具有实质性稳定性,P 值小于 0.05 具有统计学意义。相比之下,两点固定组几乎所有患者的稳定性都较高。在两点固定组中,几乎所有患者术后都有疤痕;而在一点固定组中,只有两名患者有同样的疤痕,而且张口情况也有所改善。在两点固定中,近七名患者出现了副痛,而在一点固定中,只有两名患者出现了副痛。三足颧骨骨折的一点固定技术与两点固定技术一样有效,而且具有无疤痕、手术时间短、并发症少、费用低等优点。
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引用次数: 0
Platelet rich plasma in oral mucosal lesions: A promising therapeutic frontier 富血小板血浆治疗口腔黏膜病变:前景广阔的治疗前沿
Pub Date : 2024-03-15 DOI: 10.18231/j.jooo.2024.001
S. Hasan
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引用次数: 0
Clinical and radiological assessment of open and closed reduction of inferior orbital rim fracture 眶下缘骨折切开复位术和闭合复位术的临床和放射学评估
Pub Date : 2024-03-15 DOI: 10.18231/j.jooo.2024.010
Suhas Molahally Shetty, Abhinandan Patel, Girish Gowda, P. Bhat, Y. Gowda
: In maxillofacial traumas, zygomaticomaxillary complex(ZMC) and orbital blow out fractures are commonly encountered midfacial fractures that may result in aesthetic and functional impairment. Orbital floor injuries can occur in isolation or in association with zygomaticomaxillary complex fractures. We aim to assess Clinical and radiological outcome of open and closed reduction of inferior orbital rim fracture. This study was carried out on 34 patients admitted to the trauma unit in Sanjay Gandhi Institute of Trauma and Orthopaedics in the period from September 2022 to August 2023. Patients were divided into two groups (group 1; closed reduction, and group 2; open reduction). When compared with group 1 group 2 patient had better post operative outcome. None of the the patients in group 2 complained about blurred vision, ocular motility restriction, and infra orbital nerve paraesthesia. In group 2 patients there is significant changes in orbital volume postoperatively compared to group 1. More stable fracture reduction was noted in group 2. When compared to the group1 patients, 90% of the patients had substantial stability with a P-value of <0.05 being statistically significant.Open reduction and internal fixation of inferior orbital rim has better outcome postoperatively. Apart from the inconspicuous scar in the infra orbital region, the patient had better quality of life.
:在颌面部创伤中,颧颌面复合体(ZMC)骨折和眼眶外翻骨折是常见的中面部骨折,可能导致美观和功能障碍。眶底损伤可单独发生,也可与颧颌面复合体骨折同时发生。我们旨在评估眶下缘骨折切开复位术和闭合复位术的临床和放射学效果。本研究针对 2022 年 9 月至 2023 年 8 月期间在桑杰甘地创伤和骨科研究所创伤科住院的 34 名患者进行。患者被分为两组(第一组,闭合复位;第二组,开放复位)。与第一组相比,第二组患者的术后效果更好。第二组患者无一出现视力模糊、眼球活动受限和眶下神经麻痹等症状。与第一组相比,第二组患者术后眶容积有明显变化。 第二组患者的骨折复位更稳定。 与第一组患者相比,90% 的患者骨折复位非常稳定,P 值小于 0.05 有统计学意义。除了眶下区域的疤痕不明显外,患者的生活质量也更好。
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引用次数: 0
Reactive lesions of oral cavity 口腔反应性病变
Pub Date : 2023-12-15 DOI: 10.18231/j.jooo.2023.039
Akalya Purushothaman, Sahana N S, Chandrakala Jayaram, Savita S Shiragur, Ninad V Chavan, Megha S. Kulkarni
Oral mucosa is constantly subjected to various external and internal stimuli that leads to various reactive lesions. They are non-neoplastic in nature, but clinically these lesions closely mimic benign neoplastic lesions leading the clinician to misdiagnosis and sub-optimal treatment. Reactive lesions are typically occurring as a response to chronic inflammation caused by various forms of low-grade chronic irritations to the oral mucosa such as dental plaque and calculus, sharp edges of grossly carious teeth, faulty dental restorations, chronic biting habits, ill-fitting dental/oral appliances and food impactions. This review article summarizes the various reactive lesions of oral cavity and their distinctive histopathologic features.
口腔黏膜经常受到各种内外刺激,导致各种反应性病变。这些病变本质上是非肿瘤性的,但在临床上,这些病变与良性肿瘤病变非常相似,导致临床医生误诊和治疗效果不佳。反应性病变通常是对口腔黏膜各种形式的低度慢性刺激引起的慢性炎症的反应,如牙菌斑和牙结石、严重龋齿的尖锐边缘、有缺陷的牙齿修复体、慢性咬合习惯、不合适的牙齿/口腔矫治器和食物撞击。这篇综述文章总结了口腔的各种反应性病变及其独特的组织病理学特征。
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引用次数: 0
A dentist’s perspective on scintigraphy about its applications as a diagnostic tool for a myriad of diseases affecting oral health 从牙医的角度看闪烁照相法作为一种诊断工具对影响口腔健康的多种疾病的应用
Pub Date : 2023-12-15 DOI: 10.18231/j.jooo.2023.043
Deepika Swetha Sarabu
A "branch or specialty of medicine & medical imaging that uses radionuclides and relies on the process of radioactive decay in the diagnosis and treatment of disease" is known as nuclear medicine. Assessing physiologic change, which follows biochemical changes, is made easier with the use of radionuclide imaging, which is sometimes referred to as a functional imaging approach. Scintigraphy is a diagnostic procedure used in nuclear medicine where radioisotopes are administered internally into the body in liquid or gaseous forms, and the distinctive radiation that emerges is captured by external detectors known as gamma cameras, producing two-dimensional pictures. Bone scintigraphy, lymphoscintigraphy, salivary gland scintigraphy, and radio-immuno-scintigraphy are a few examples of scintigraphy techniques.Nuclear imaging has the advantage of giving extremely high levels of diagnostic sensitivity, which is successful in identifying even the smallest pathophysiological changes that are highlighted in the process of diagnosing early-stage to progressive diseases, making it the preferred diagnostic modality.
核医学是 "使用放射性核素并依靠放射性衰变过程诊断和治疗疾病的医学和医学成像的一个分支或专科"。使用放射性核素成像(有时也称为功能成像方法)可以更容易地评估生化变化后的生理变化。闪烁照相是核医学中的一种诊断程序,将放射性同位素以液态或气态形式注入体内,然后由称为伽马相机的外部探测器捕捉出现的独特辐射,生成二维图像。骨闪烁照相、淋巴闪烁照相、唾液腺闪烁照相和放射免疫闪烁照相是闪烁照相技术的几个例子。核成像的优点是诊断灵敏度极高,在诊断早期到进展期疾病的过程中,即使是最微小的病理生理变化也能成功识别,因此成为首选的诊断方式。
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引用次数: 0
Unlocking oral submucous fibrosis: From origin to interventions 揭开口腔黏膜下纤维化的神秘面纱:从起源到干预
Pub Date : 2023-12-15 DOI: 10.18231/j.jooo.2023.040
Kanu Pandey, Vertika Dubey, M. V. Bhargava, Khushboo Chhabaria Peswani, Shahabuddin Khan, Drishti Bhatt
This article explores the conundrum of biofilm formation in orthodontics, its impact on oral health, and the role of the bonding procedure. Biofilms are resilient structures formed through stages like attachment, adhesion, growth, and maturation, with the extracellular matrix (EPS) playing a vital role. The bonding procedure unintentionally creates surfaces where bacteria thrive, leading to biofilm development. Factors like oral hygiene, diet, and bracket design influence biofilm formation. Maintaining oral hygiene during orthodontic treatment can be challenging due to food trapping and cleaning difficulties. Strategies to minimize biofilms involve patient education, improved bonding techniques, and antimicrobial agents. Biofilms can lead to dental decay, gingivitis, periodontitis, and white spot lesions. Combating biofilms requires collaboration, patient education, and ongoing research. Improved management can lead to better oral health outcomes for orthodontic patients.
本文探讨了正畸中生物膜形成的难题、其对口腔健康的影响以及粘接程序的作用。生物膜是通过附着、粘附、生长和成熟等阶段形成的弹性结构,其中细胞外基质(EPS)起着至关重要的作用。粘接过程无意中创造了细菌滋生的表面,导致生物膜的形成。口腔卫生、饮食和托槽设计等因素都会影响生物膜的形成。由于食物滞留和清洁困难,在正畸治疗期间保持口腔卫生具有挑战性。减少生物膜的策略包括患者教育、改进粘接技术和抗菌剂。生物膜可导致蛀牙、牙龈炎、牙周炎和白斑病。对抗生物膜需要合作、患者教育和持续研究。改善管理可以为正畸患者带来更好的口腔健康结果。
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引用次数: 0
Oral fibrolipoma: An uncommon occurrence. A case report 口腔纤维脂肪瘤:罕见病例病例报告
Pub Date : 2023-12-15 DOI: 10.18231/j.jooo.2023.049
Oshin Verma, Setu P Shah, Jay V Kothari
Lipomas are benign tumors, made up of mature adipocytes. They are slow in developing and there is no clear etiology. However, they are rare to occur in oral cavity and are usually present on the buccal mucosa of patients in their sixth to seventh decade. Although benign, their size can lead to functional and aesthetic problems. Therefore, it is important to differentiate an intraoral fibrolipoma from a mucocele, traumatic fibroma, pleomorphic adenoma, etc. for proper treatment and follow-up. Surgical excision is the treatment. Fibrolipoma may sometimes appear to infiltrate the adjacent tissues, which creates confusion in differential diagnosis. Hence, careful histopathological examination is mandatory and regular follow-ups.
脂肪瘤是一种良性肿瘤,由成熟的脂肪细胞组成。脂肪瘤发展缓慢,没有明确的病因。不过,脂肪瘤很少发生在口腔,通常出现在六到七十岁患者的口腔黏膜上。虽然是良性的,但其大小会导致功能和美观问题。因此,必须将口腔内纤维脂肪瘤与粘液瘤、创伤性纤维瘤、多形性腺瘤等区分开来,以便进行适当的治疗和随访。治疗方法是手术切除。纤维脂肪瘤有时会出现邻近组织浸润的情况,这给鉴别诊断带来了困惑。因此,必须进行仔细的组织病理学检查和定期随访。
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引用次数: 0
Recurrent cementoblastoma in mandibular first molar region: A case report 下颌第一磨牙区复发性骨水泥母细胞瘤:病例报告
Pub Date : 2023-12-15 DOI: 10.18231/j.jooo.2023.046
Manisha Shinde, A. Gandevivala, Shrikanth Shrivalli
Benign cementoblastoma is an infrequent tumor originating from odontogenic mesenchyme. It is distinguished by the presence of a mineralizing mass located at the apex of the tooth root. Adults and children are most commonly affected by this neoplasm. This case report presents of such a rare case of cementoblastoma in lower left molar region causing deflection of inferior alveolar nerve in a 10-year-old female patient presenting with extraoral swelling and complaining of pain in same region for which the patient had previously underwent excision of the tumor incompletely.
良性骨水泥母细胞瘤是一种源自牙源性间质的少见肿瘤。其特征是牙根顶端有矿化肿块。成人和儿童最常见于这种肿瘤。本病例报告了一例罕见的左下磨牙区骨水泥母细胞瘤病例,该病例导致下牙槽神经偏移,患者为10岁,口外肿胀,主诉同一区域疼痛,之前曾对该肿瘤进行过不完全切除。
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引用次数: 0
Efficacy of the titanium double ‘Y’- shaped mini plate compared with conventional mini plates in fixation of anterior mandibular fractures: A prospective clinical study 钛合金双 "Y "形微型钢板与传统微型钢板在下颌骨前方骨折固定中的疗效比较:前瞻性临床研究
Pub Date : 2023-12-15 DOI: 10.18231/j.jooo.2023.044
V. Naik, Gouthami G, N. Donepudi, K. Rai, Shiva Kumar H R
: Anterior mandibular fracture management is commonly dealt in oral and maxillofacial surgery and most accepted treatment modality is open reduction and internal fixation with miniplates. With ongoing research, various shapes of miniplates were tried for osteosynthesis and biomechanical properties tested in invitro studies, but they lack testing in clinical scenarios. The present study was conducted to compare clinically and radio graphically, the efficacy of double Y-shaped mini plate with two conventional 4 hole mini plates in management of anterior mandibular fractures. : Study consisted of 20 patients, 10 in each group with anterior mandibular fractures. 10 patients (group 1) were treated with double ‘Y’ shaped miniplate with bar and 10 patients (group 2) with conventional 4 hole two miniplates. Clinically post-operative Pain, edema, occlusion, neurosensory deficit and wound healing were assessed. Clinical evaluation was done at 1st postop day, 1st week, and 1st and 3rd month postoperatively. Radiographic evaluation was done to record fracture gap in both the groups and timing for plate adaptation and fixation was recorded intra-operatively. The data was recorded and statistical analysis was done.: Clinical and radiographic evaluation done for each group did not show any statistical difference at 3 months postoperatively. However significant difference was noted in time taken for adaptation and fixation of plates and screws. Double ‘Y’ shaped miniplate was found to be easier to place and required less time to adapt and fix to bone compared to 4-hole miniplates. The study concluded that the double ‘Y’ miniplate and conventional 4-hole miniplates are found to be equally effective for clinical use in treatment of anterior mandibular fractures. The double ‘Y’ miniplate were found to be superior in terms of handling characteristics, less hardware and better radiographic outcome when compared to conventional 4-hole miniplates.
:下颌骨前方骨折的治疗是口腔颌面外科的常见病,最常见的治疗方法是切开复位和使用小钢板内固定。随着研究的不断深入,人们尝试使用各种形状的小钢板进行骨合成,并在体外研究中对其生物力学特性进行了测试,但这些小钢板缺乏临床应用测试。本研究旨在比较双 Y 型微型钢板与两块传统的 4 孔微型钢板在治疗下颌骨前方骨折方面的临床疗效,并通过无线电图谱进行比较。 研究包括 20 名下颌骨前方骨折患者,每组 10 人。10 名患者(第 1 组)使用带横杆的双 "Y "形微型钢板治疗,10 名患者(第 2 组)使用传统的 4 孔双微型钢板治疗。临床上对术后疼痛、水肿、闭塞、神经感觉缺失和伤口愈合情况进行评估。临床评估在术后第 1 天、第 1 周、第 1 个月和第 3 个月进行。对两组患者的骨折间隙进行影像学评估,并在术中记录钢板适应和固定的时间。记录数据并进行统计分析:术后 3 个月时,各组的临床和放射学评估均未显示出任何统计学差异。然而,在钢板和螺钉的适应和固定时间上却有明显差异。与四孔小钢板相比,双 "Y "形小钢板更容易放置,适应和固定到骨头上所需的时间也更短。研究得出结论,双 "Y "型小钢板和传统的四孔小钢板在治疗下颌骨前方骨折的临床应用中同样有效。与传统的 4 孔微型钢板相比,双 "Y "型微型钢板在操作特性、硬件数量和放射成像效果方面更胜一筹。
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引用次数: 0
Need for dental radiology regulatory board (DRRB) 设立牙科放射学监管委员会(DRRB)的必要性
Pub Date : 2023-12-15 DOI: 10.18231/j.jooo.2023.038
Pawan C Motghare, Sonal P Motghare
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引用次数: 0
期刊
Journal of Oral Medicine, Oral Surgery, Oral Pathology and Oral Radiology
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