Imran Qureshi, Hamed Sultan Albusaidi Hamed, Parmanand Nathani, Fatema Mohammed Khamis Al Sadairi, Sanobar Bughio
Introduction: Introduction: Osteochondroma are benign bone tumours that often affect the metaphysical region of long bones; the scapula is rarely affected. Owing to its bulk effect, scapular osteochondroma may frequently present with symptoms. These tumours typically damage the skeleton's developing ends and stop becoming larger once the skeleton reaches maturity.Suspicion of a cancer should be raised by any increase in size. Case Report: A female patient, age 25, complained of a hard lump on her shoulder posteriorly on further imaging it was confirmed as an osteochondroma of scapula. Discussion: Osteochondromas must exhibit continuity with the underlying parent bone cortex and medullary canal. They are made up of cortical and medullary bone with an overlaying hyaline cartilage cap. They have a very minimal potential for malignancy and are often asymptomatic. Conclusion: The cases of osteochondromas in the scapula are relatively rare, it is crucial to remain vigilant and consider the possibility of malignancy if there are concerning changes in symptoms or size.
{"title":"Solitary Osteochondroma of Scapula: A Common Entity at an Uncommon Location","authors":"Imran Qureshi, Hamed Sultan Albusaidi Hamed, Parmanand Nathani, Fatema Mohammed Khamis Al Sadairi, Sanobar Bughio","doi":"10.52916/jmrs234122","DOIUrl":"https://doi.org/10.52916/jmrs234122","url":null,"abstract":"Introduction: Introduction: Osteochondroma are benign bone tumours that often affect the metaphysical region of long bones; the scapula is rarely affected. Owing to its bulk effect, scapular osteochondroma may frequently present with symptoms. These tumours typically damage the skeleton's developing ends and stop becoming larger once the skeleton reaches maturity.Suspicion of a cancer should be raised by any increase in size. Case Report: A female patient, age 25, complained of a hard lump on her shoulder posteriorly on further imaging it was confirmed as an osteochondroma of scapula. Discussion: Osteochondromas must exhibit continuity with the underlying parent bone cortex and medullary canal. They are made up of cortical and medullary bone with an overlaying hyaline cartilage cap. They have a very minimal potential for malignancy and are often asymptomatic. Conclusion: The cases of osteochondromas in the scapula are relatively rare, it is crucial to remain vigilant and consider the possibility of malignancy if there are concerning changes in symptoms or size.","PeriodicalId":73820,"journal":{"name":"Journal of medical research and surgery","volume":"172 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139010861","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}
Uzma Panhwer, Bushra Shamim, Nimra Ali, Areeba Ahmed, Rida e Zainab
Introduction: Meningiomas, tumors originating from the meninges covering the brain, are typically considered benign. They primarily develop from arachnoid cap cells within the meninges and can manifest as primary orbital meningiomas (affecting structures like the optic nerve sheath) or secondary orbital meningiomas that extend from intracranial origins, such as the sphenoid wing and rarely from frontal lobe as in our case. Case Presentation: This report documents a very rare case where a meningioma emerged in the subfrontal lobe of the brain and subsequently spread to the orbit. The presence of such malignant variants in the orbit poses unique diagnostic challenges due to their potential to compress critical adjacent brain structures. Impact on Orbital Structures: The extension of these tumors into the orbit can have significant consequences, affecting structures like the cavernous sinus, superior orbital fissure, intraorbital contents, and the optic nerve. This further complicates their surgical management, given their proximity to essential neurological systems. Conclusion: This case study underscores the atypical growth pattern of malignant meningioma and highlights the complexities associated with identifying and treating meningioma with orbital extensions. The propensity of these tumors to impact vital brain structures necessitates a comprehensive approach to their diagnosis and management.
{"title":"A Unique Case of Primary Subfrontal Lobe Meningioma with Intraorbital Extension","authors":"Uzma Panhwer, Bushra Shamim, Nimra Ali, Areeba Ahmed, Rida e Zainab","doi":"10.52916/jmrs234121","DOIUrl":"https://doi.org/10.52916/jmrs234121","url":null,"abstract":"Introduction: Meningiomas, tumors originating from the meninges covering the brain, are typically considered benign. They primarily develop from arachnoid cap cells within the meninges and can manifest as primary orbital meningiomas (affecting structures like the optic nerve sheath) or secondary orbital meningiomas that extend from intracranial origins, such as the sphenoid wing and rarely from frontal lobe as in our case. Case Presentation: This report documents a very rare case where a meningioma emerged in the subfrontal lobe of the brain and subsequently spread to the orbit. The presence of such malignant variants in the orbit poses unique diagnostic challenges due to their potential to compress critical adjacent brain structures. Impact on Orbital Structures: The extension of these tumors into the orbit can have significant consequences, affecting structures like the cavernous sinus, superior orbital fissure, intraorbital contents, and the optic nerve. This further complicates their surgical management, given their proximity to essential neurological systems. Conclusion: This case study underscores the atypical growth pattern of malignant meningioma and highlights the complexities associated with identifying and treating meningioma with orbital extensions. The propensity of these tumors to impact vital brain structures necessitates a comprehensive approach to their diagnosis and management.","PeriodicalId":73820,"journal":{"name":"Journal of medical research and surgery","volume":"193 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138984908","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}
Y. Salphale, Aman Tomar, Vikrant G. Salphale, Atharva Sharma, Gopal Shinde
Background: A unique fracture pattern involving subtrochanteric fracture associated with ipsilateral posterior dislocation of hip in a young adult male eventually having a functional hip at six year follow up following aggressive management is described. Case presentation: We present a case of a 40 year old male labourer from Central India who was admitted in our hospital within hours of a road accident he sustained in Feb 2012. Early reduction and osteosynthesis, supervised physiotherapy, and routine follow-up all contributed to the patient having an acceptable functioning hip at the six-year follow-up. Conclusion: The result at six year follow up showed complete union of fracture without any radiological signs of avascular necrosis of the femoral head which highlights the importance of team work in the management of the complex injury.
{"title":"An Unusual Combination of Subtrochanteric Fracture Associated with Ipsilateral Posterior Dislocation of Hip: A Case Report","authors":"Y. Salphale, Aman Tomar, Vikrant G. Salphale, Atharva Sharma, Gopal Shinde","doi":"10.52916/jmrs234120","DOIUrl":"https://doi.org/10.52916/jmrs234120","url":null,"abstract":"Background: A unique fracture pattern involving subtrochanteric fracture associated with ipsilateral posterior dislocation of hip in a young adult male eventually having a functional hip at six year follow up following aggressive management is described. Case presentation: We present a case of a 40 year old male labourer from Central India who was admitted in our hospital within hours of a road accident he sustained in Feb 2012. Early reduction and osteosynthesis, supervised physiotherapy, and routine follow-up all contributed to the patient having an acceptable functioning hip at the six-year follow-up. Conclusion: The result at six year follow up showed complete union of fracture without any radiological signs of avascular necrosis of the femoral head which highlights the importance of team work in the management of the complex injury.","PeriodicalId":73820,"journal":{"name":"Journal of medical research and surgery","volume":"71 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139270521","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}
Renal Cell Carcinoma (RCC) is the most lethal malignancy of urinary tract. Invasion of right lobe of liver by RCC is rare and possess a treatment challenge. Simultaneous nephrectomy with right hepatectomy has been proposed as a part of multi-modality treatment approach. We herein discuss a patient who underwent simultaneous nephrectomy with right hepatectomy along with single peritoneal metastasectomy for a huge RCC of right kidney and infiltrating the right lobe of liver. A 30- year old female was diagnosed with a right renal tumor invading into the right hepatic lobe. Post multi-disciplinary tumor board meeting she was planned for surgical intervention. Intra-operatively a single peritoneal nodule was present which came positive for malignancy on frozen section. Considering young age, good performance status and oligometastatic disease definitive procedure in the form of combined right nephrectomy and right hepatectomy was performed. She was discharged from the hospital on 6th post-operative day with an uneventful post-operative course. This type of RCC has been rarely reported and the combined nephrectomy and right hepatectomy is safe and feasible for this type of huge RCC invading right hepatic lobe.
{"title":"Liver Infiltration From a Huge Renal Cell Carcinoma: A Diagnostic and Management Enigma","authors":"Devendra Choudhary, Maktum Naik, Vageesh Bg, Anil Agarwal","doi":"10.52916/jmrs234117","DOIUrl":"https://doi.org/10.52916/jmrs234117","url":null,"abstract":"Renal Cell Carcinoma (RCC) is the most lethal malignancy of urinary tract. Invasion of right lobe of liver by RCC is rare and possess a treatment challenge. Simultaneous nephrectomy with right hepatectomy has been proposed as a part of multi-modality treatment approach. We herein discuss a patient who underwent simultaneous nephrectomy with right hepatectomy along with single peritoneal metastasectomy for a huge RCC of right kidney and infiltrating the right lobe of liver. A 30- year old female was diagnosed with a right renal tumor invading into the right hepatic lobe. Post multi-disciplinary tumor board meeting she was planned for surgical intervention. Intra-operatively a single peritoneal nodule was present which came positive for malignancy on frozen section. Considering young age, good performance status and oligometastatic disease definitive procedure in the form of combined right nephrectomy and right hepatectomy was performed. She was discharged from the hospital on 6th post-operative day with an uneventful post-operative course. This type of RCC has been rarely reported and the combined nephrectomy and right hepatectomy is safe and feasible for this type of huge RCC invading right hepatic lobe.","PeriodicalId":73820,"journal":{"name":"Journal of medical research and surgery","volume":"14 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139308334","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}
M. Rhaouti, F. Lamouime, I. Arramach, M. Lakranbi, Y. Ouadnouni, M. Smahi
The minimally invasive Nuss procedure is currently the preferred surgical approach for treatment of pectus excavatum. During this procedure, a retrosternal bar is inserted which instantly corrects the deformity. The bar typically remains in place for 2 to 3 years, during which time the chest is considered to have adopted its new shape. Removal of the bar is generally considered to be a nondemanding procedure. Notwithstanding, it is associated with rare but potentially life-threatening complications.
{"title":"Should There be a Surgical Revision of the Axillary Incisions Prior to a Nuss Bar Extraction?","authors":"M. Rhaouti, F. Lamouime, I. Arramach, M. Lakranbi, Y. Ouadnouni, M. Smahi","doi":"10.52916/jmrs234119","DOIUrl":"https://doi.org/10.52916/jmrs234119","url":null,"abstract":"The minimally invasive Nuss procedure is currently the preferred surgical approach for treatment of pectus excavatum. During this procedure, a retrosternal bar is inserted which instantly corrects the deformity. The bar typically remains in place for 2 to 3 years, during which time the chest is considered to have adopted its new shape. Removal of the bar is generally considered to be a nondemanding procedure. Notwithstanding, it is associated with rare but potentially life-threatening complications.","PeriodicalId":73820,"journal":{"name":"Journal of medical research and surgery","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139307405","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}
A. Kharbat, Drashti Patel, Kiran Sankarappan, Raja Al-Bahou, Faisal Alamri, Anjali Patel, Rajvi N. Thakkar, Ryan D. Morgan, Kishore Balasubramanian, Brandon Lucke-Wold
Traumatic brain injuries affect an estimated 69 million individuals worldwide each year. Direct head trauma can lead to traumatic brain bleeds, which carry life-threatening consequences if not promptly addressed. While the current body of research suggests utilizing antithrombotic therapy for treatment, the optimal duration of such treatment remains a subject of debate in neurosurgery. This paper critically examines recommendations for the ideal timing of antiplatelet and anticoagulant therapy in conditions such as subarachnoid hemorrhage, subdural hematoma, skull fractures, cerebral contusions, and diffuse axonal injury. Additionally, it explores the role of these medications in the context of prosthetic valves and stents and assesses their impact on bleeding time and platelet aggregation. The review underscores potential directions for future research in this area, emphasizing the limitations inherent in the current body of literature. While reinitiating appropriate AAT after an interval of cessation to mitigate the risks of ICH is the standard of care in the context of bleeds in TBI, clinicians differ on the timeline and modality of treatment. Various studies demonstrate that reinitiating AAT decreases the long-term risks of thrombotic events and ischemic stroke, but this benefit must be balanced with the risk of developing ICH if AAT is reinitiated too quickly. The timeline for AAT resumption should be based on interdisciplinary risk stratification that takes into consideration patient risk factors and comorbidities that may predispose them to the thromboembolic complications of prolonged AAT cessation.
据估计，全世界每年有 6900 万人受到脑外伤的影响。直接的头部创伤可导致创伤性脑出血，如不及时处理会危及生命。虽然目前的研究建议使用抗血栓疗法进行治疗，但这种治疗的最佳持续时间仍然是神经外科争论的焦点。本文对蛛网膜下腔出血、硬膜下血肿、颅骨骨折、脑挫伤和弥漫性轴索损伤等情况下抗血小板和抗凝治疗的理想时间建议进行了批判性研究。此外，它还探讨了这些药物在人工瓣膜和支架中的作用，并评估了它们对出血时间和血小板聚集的影响。综述强调了这一领域未来研究的潜在方向，同时强调了现有文献固有的局限性。虽然在创伤性脑损伤出血的情况下，在停药一段时间后重新启动适当的 AAT 以降低 ICH 风险是治疗标准，但临床医生在治疗的时间和方式上存在分歧。多项研究表明，重新启用 AAT 可降低血栓事件和缺血性卒中的长期风险，但这一益处必须与过快启用 AAT 所带来的 ICH 风险相平衡。恢复 AAT 的时间表应以跨学科风险分层为基础，考虑患者的风险因素和合并症，这些因素和合并症可能使患者容易因长期停止 AAT 而出现血栓栓塞并发症。
{"title":"Traumatic Brain Bleeds: Optimizing the Duration of Anticoagulant and Antiplatelet Therapy","authors":"A. Kharbat, Drashti Patel, Kiran Sankarappan, Raja Al-Bahou, Faisal Alamri, Anjali Patel, Rajvi N. Thakkar, Ryan D. Morgan, Kishore Balasubramanian, Brandon Lucke-Wold","doi":"10.52916/jmrs234118","DOIUrl":"https://doi.org/10.52916/jmrs234118","url":null,"abstract":"Traumatic brain injuries affect an estimated 69 million individuals worldwide each year. Direct head trauma can lead to traumatic brain bleeds, which carry life-threatening consequences if not promptly addressed. While the current body of research suggests utilizing antithrombotic therapy for treatment, the optimal duration of such treatment remains a subject of debate in neurosurgery. This paper critically examines recommendations for the ideal timing of antiplatelet and anticoagulant therapy in conditions such as subarachnoid hemorrhage, subdural hematoma, skull fractures, cerebral contusions, and diffuse axonal injury. Additionally, it explores the role of these medications in the context of prosthetic valves and stents and assesses their impact on bleeding time and platelet aggregation. The review underscores potential directions for future research in this area, emphasizing the limitations inherent in the current body of literature. While reinitiating appropriate AAT after an interval of cessation to mitigate the risks of ICH is the standard of care in the context of bleeds in TBI, clinicians differ on the timeline and modality of treatment. Various studies demonstrate that reinitiating AAT decreases the long-term risks of thrombotic events and ischemic stroke, but this benefit must be balanced with the risk of developing ICH if AAT is reinitiated too quickly. The timeline for AAT resumption should be based on interdisciplinary risk stratification that takes into consideration patient risk factors and comorbidities that may predispose them to the thromboembolic complications of prolonged AAT cessation.","PeriodicalId":73820,"journal":{"name":"Journal of medical research and surgery","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139311081","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}
Dr. Seyedeh Zahra Tarassoli, Dr. Farough Bahramiazar
Surgeons may now conduct complex surgeries with more precision, accuracy, and safety thanks to image-guided navigation. This article analyzes how image-guided navigation devices have changed surgical operations. Surgeons now approach procedures differently thanks to the integration of imaging modalities like Computed Tomography (CT), Magnetic Resonance Imaging (MRI), and ultrasound with surgical navigation systems. Surgeons can confidently navigate complex anatomical features and plan surgical paths using these technologies' real-time, three-dimensional anatomy visualization. Image-guided navigation has advanced with Augmented Reality (AR) and Virtual Reality (VR). Augmented Reality (AR) devices improve spatial awareness and reduce errors by superimposing patient-specific anatomical data onto the surgeon's field of view. VR allows surgeons to perform complex surgeries in a virtual environment, increasing their skills and aiding preoperative planning. Another innovation is machine learning and Artificial Intelligence (AI) algorithms in image-guided navigation systems. These algorithms evaluate massive volumes of patient data, including medical pictures, surgery plans, and results, to help surgeons make predictions and judgments. Data-driven algorithms in AI-driven navigation systems optimize surgical operations, accuracy, and patient outcomes. Miniaturized and wireless tracking systems provide less invasive image-guided navigation. Electromagnetic and optical monitoring devices allow surgeons to track surgical tools inside the patient's body, providing real-time feedback and instruction. Image-guided navigation is being used in laparoscopic, endoscopic, and robotic-assisted surgeries. Image-guided navigation still faces challenges. The incorporation of diverse imaging modalities, system accuracy, and smooth compatibility with surgical instruments are ongoing research and development. To promote widespread adoption of these technologies, cost-effectiveness, training, and regulations must be addressed. Image-guided navigation has improved surgical visualization, navigation, and decision-making. Augmented reality, virtual reality, machine learning, and tiny tracking have improved surgery and patient outcomes. Image-guided navigation could become common surgery with continued study and improvement in this sector.
{"title":"Advancements in Image-Guided Navigation for Surgical Procedures","authors":"Dr. Seyedeh Zahra Tarassoli, Dr. Farough Bahramiazar","doi":"10.52916/jmrs234116","DOIUrl":"https://doi.org/10.52916/jmrs234116","url":null,"abstract":"Surgeons may now conduct complex surgeries with more precision, accuracy, and safety thanks to image-guided navigation. This article analyzes how image-guided navigation devices have changed surgical operations. Surgeons now approach procedures differently thanks to the integration of imaging modalities like Computed Tomography (CT), Magnetic Resonance Imaging (MRI), and ultrasound with surgical navigation systems. Surgeons can confidently navigate complex anatomical features and plan surgical paths using these technologies' real-time, three-dimensional anatomy visualization. Image-guided navigation has advanced with Augmented Reality (AR) and Virtual Reality (VR). Augmented Reality (AR) devices improve spatial awareness and reduce errors by superimposing patient-specific anatomical data onto the surgeon's field of view. VR allows surgeons to perform complex surgeries in a virtual environment, increasing their skills and aiding preoperative planning. Another innovation is machine learning and Artificial Intelligence (AI) algorithms in image-guided navigation systems. These algorithms evaluate massive volumes of patient data, including medical pictures, surgery plans, and results, to help surgeons make predictions and judgments. Data-driven algorithms in AI-driven navigation systems optimize surgical operations, accuracy, and patient outcomes. Miniaturized and wireless tracking systems provide less invasive image-guided navigation. Electromagnetic and optical monitoring devices allow surgeons to track surgical tools inside the patient's body, providing real-time feedback and instruction. Image-guided navigation is being used in laparoscopic, endoscopic, and robotic-assisted surgeries. Image-guided navigation still faces challenges. The incorporation of diverse imaging modalities, system accuracy, and smooth compatibility with surgical instruments are ongoing research and development. To promote widespread adoption of these technologies, cost-effectiveness, training, and regulations must be addressed. Image-guided navigation has improved surgical visualization, navigation, and decision-making. Augmented reality, virtual reality, machine learning, and tiny tracking have improved surgery and patient outcomes. Image-guided navigation could become common surgery with continued study and improvement in this sector.","PeriodicalId":73820,"journal":{"name":"Journal of medical research and surgery","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135943744","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}
Endocervical polyp represents as a benign, exophytic lesion constituted of variable admixture of proliferating endocervical glandular epithelium and metaplastic squamous epithelium permeated with a fibro-vascular core. The commonly encountered endocervical polyp is frequently accompanied by chronic inflammation, erosion of superficial epithelial surface and reactive alterations of layering epithelium.
{"title":"The Autogenous Coelenterate-Endocervical Polyp Uterine Cervix","authors":"Anubha Bajaj","doi":"10.52916/jmrs234115","DOIUrl":"https://doi.org/10.52916/jmrs234115","url":null,"abstract":"Endocervical polyp represents as a benign, exophytic lesion constituted of variable admixture of proliferating endocervical glandular epithelium and metaplastic squamous epithelium permeated with a fibro-vascular core. The commonly encountered endocervical polyp is frequently accompanied by chronic inflammation, erosion of superficial epithelial surface and reactive alterations of layering epithelium.","PeriodicalId":73820,"journal":{"name":"Journal of medical research and surgery","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134931092","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}
Background: In gummy smile subjects with short clinical crown periodontal surgeries are the classic essential aesthetic approach. However, in gummy smile caused by vertical maxillary excess Le Fort I osteotomy, but patient refuse to go for Le Fort I osteotomy, then orthodontic treatment alone doesn’t restore the complete esthetic. Currently mini screw with orthodontic treatment is the best choice. Objective of Case Report: To determine the outcome of gummy smile managing with orthodontic treatment and mini screw. Methodology: A 35-year-old female patient with skeletal class II malocclusion, convex profile, and noticeable gummy smile. The case was treated with first premolar extraction and mini screw for intrusion and retraction. Followed by plastic periodontal surgery to increase crown length and accumulated gingival overgrowth. Conclusions: The case was completed with class I malocclusion with restoring acceptable gum visibility.
{"title":"The Management of Vertical Maxillary Excess with Orthodontic Mini Screws to Achieve a Pleasant Smile: A Two Year Follow Up Case Report","authors":"Siddharth Sonwane, Shweta Rajendra Kamble","doi":"10.52916/jmrs234114","DOIUrl":"https://doi.org/10.52916/jmrs234114","url":null,"abstract":"Background: In gummy smile subjects with short clinical crown periodontal surgeries are the classic essential aesthetic approach. However, in gummy smile caused by vertical maxillary excess Le Fort I osteotomy, but patient refuse to go for Le Fort I osteotomy, then orthodontic treatment alone doesn’t restore the complete esthetic. Currently mini screw with orthodontic treatment is the best choice. Objective of Case Report: To determine the outcome of gummy smile managing with orthodontic treatment and mini screw. Methodology: A 35-year-old female patient with skeletal class II malocclusion, convex profile, and noticeable gummy smile. The case was treated with first premolar extraction and mini screw for intrusion and retraction. Followed by plastic periodontal surgery to increase crown length and accumulated gingival overgrowth. Conclusions: The case was completed with class I malocclusion with restoring acceptable gum visibility.","PeriodicalId":73820,"journal":{"name":"Journal of medical research and surgery","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135313348","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}
Background: During growth modification, the mandible plays a crucial role in functional orthopaedic treatment. To maximize the efficacy and efficiency of functional appliance therapy, one must know when to initiate treatment. To maximize the efficacy and efficiency of functional appliance therapy, one must know when to initiate treatment. To accurately determine when to initiate functional appliance therapy, the contemporary maturity indicators utilised are subjective with poor reproducibility and validity. Quantitative cervical vertebral maturity indicators are quantitative with good reproducibility. Objective: To determine the correlation between quantitative cervical vertebral maturation and mandibular dimensional changes in 8–18-year-old growing children. Material and Method: In this prospective cross-sectional analytical study, 164 samples were employed with an age range of 8–18 years. Samples were divided into four groups as per the quantitative cervical vertebral maturity indicator. Pubertal staging was analysed utilising the Li Chang, et al. method on a lateral cephalometric radiograph, and mandibular dimensions were measured as the total mandibular length of a condylon-gnathion line, the height of the mandibular ramus from the condylon-gonion intersection line, and the length of the mandibular body from the gonion intersection-gnathion line. Statistical Analysis: The data obtained was analyzed using Statistical Package for the Social Sciences (SPSS) software; descriptive statistics, student t test and bivariant analysis were applied. Results: The mean total mandibular length was seen at its maximum in periods of high acceleration velocity. Intergroup analysis shows significant differences between the groups, and there is a strong correlation between maturational stage and mandibular dimensional change. Conclusions: During functional orthopaedic treatment planning, the mandible can be utilised as a skeletal maturity indicator.
背景：在生长发育过程中，下颌骨在功能矫形治疗中起着至关重要的作用。为了最大限度地提高功能矫治器治疗的效果和效率，必须知道何时开始治疗。为了最大限度地提高功能矫治器治疗的疗效和效率，必须知道何时开始治疗。要准确确定何时开始功能矫治器治疗，目前使用的成熟度指标都是主观性的，可重复性和有效性较差。而颈椎成熟度定量指标具有良好的可重复性。目的确定 8-18 岁发育期儿童颈椎成熟度定量指标与下颌骨尺寸变化之间的相关性。材料和方法：在这项前瞻性横断面分析研究中，采用了 164 个年龄范围为 8-18 岁的样本。根据颈椎成熟度定量指标将样本分为四组。青春期分期采用李昌等人在头颅侧位X光片上的方法进行分析，下颌骨尺寸测量为髁突-gnathion线的下颌骨总长度、从髁突-钝角交点线算起的下颌骨横突高度以及从钝角-钝角交点线算起的下颌骨体长度。统计分析：使用社会科学统计软件包（SPSS）对获得的数据进行分析；应用描述性统计、学生 t 检验和二变量分析。结果平均下颌骨总长度在高加速度时期达到最大值。组间分析表明，各组之间存在明显差异，成熟阶段与下颌骨尺寸变化之间存在密切联系。结论：在功能矫形治疗规划中，下颌骨可作为骨骼成熟度的指标。
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