Objective: Submandibular Gland (SG) Located in Level ΙB Region of Neck. During neck dissection, it is routinely removed along with level ΙB lymph nodes. Less data is available to represent SMG involvement in oral squamous cell carcinoma (OSCC). Main objectives of systemic Review are to establish the rate, pattern and pathways of SMG involvement in OSCC. Data Sources: A systematic review of related article were analyzed and articles recognized through  PubMed, Scopus, Medline and Cochrane library were studied until November 2019. Review Methods: Explanatory features of main primary tumours, key management modalities, rate, pattern and pathway of SMG involvement, existence results. If existent were conveyed, subsequent PRISMA guidelines. Results: The collected information were investigated and produced 259 articles, 19 out of 259 fulfil the inclusion criteria. 2699 patients in that 3235 SMG resections is selected out of 19 articles. Sixty-four glands (1.97%) had tumour participation. direct SMG infiltration by primary tumour was most common pathway (48 of 64, 1.4%). The subsequent usual method of SMG invasion was from involved peri-glandular lymph nodes (12 of 64, 0.3%). Only 3 resected SMG out of 3235 (0.1%) had metastatic parenchymal involvement from primary tumor. Conclusion: Scarcity of SMG involvement in OSCC, SMG protection could be practicable in some patients. Decision regarding resection of submandibular glands should be done after visual examination during surgery instead of pre-planned resection. Though, extra analyses is required to assess the function of retained SMGs amongst patients who received postoperative radiotherapy.

We describe a case of a 50-year-old man with alcohol cirrhosis status post transjugular intrahepatic portosystemic shunt (TIPS) who presented with dyspnea, refractory hepatic hydrothorax (HH), and no ascites who subsequently developed acute tension hydrothorax (TH). Urgent ultrasound-guided thoracentesis was performed with a significant improvement of symptoms. Further management consisted of a chest tube placement, subsequently removed with a plan for intermittent thoracentesis as needed, diuretic therapy, and salt restriction. HH occurs in 5%-10% of patients with cirrhosis, and TH in these patients is a rare entity that requires prompt recognition and drainage as it may be life-threatening.

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In the contemporary surgical scenario, there is no consensus amongst practitioners regarding management of Odontogenic infection in Hemophilia patients and proper treatment is not administered often in fear of bleeding. We report successful management of a case of Severe Hemophilia A with buccal space infection based on protocol designed by Ansari MK, et al. [1] for managing space infection in Hemophilia patient.

Background: Halitosis is one of the most frequent complaints while a patient visits to a dentist. It has negative impact on the psychology of the individuals because of the social stigma related to it. Halitosis can produce by the degrading action of gram-negative anaerobic bacteria on sulfur containing substance such as debris and plaque. In majority of cases the source of halitosis is oral cavity. Methods: A total of 300 patients were selected from the OPD of department of Periodontics. Out of all, 166 were male and 134 were female. Organoleptic scoring system was used to detect the grade of halitosis. Complete dental checkup of the patients were performed to find out the possible cause of malodor. Results: Prevalence of halitosis in the given population was 63% (n=188). Out of total subjects with halitosis, 62 subjects (32%) presented with grade-I, 46 subjects (24%) with grade-II, 38 subjects (20%) with grade-III, 24 subjects (13%) with grade-IV and 18 subjects (11%) with grade-V. Strongest correlation was found between tongue coating and prevalence of halitosis. Other causes reported was, dental caries, periodontal disease, smoking, tobacco chewing, and pericoronitis. Conclusion: Prevalence of halitosis in the given population was 63%. Men had significantly greater prevalence of halitosis compared to women. The major reported etiological factor for halitosis was tongue coating.