Aim: To assess the periodontal health condition and treatment needs among elderly people aged 60–85 years residing as inmates in the eight old age homes in East Godavari district, Andhra Pradesh, India. Settings and Design: A cross-sectional descriptive study was conducted to verify the oral health condition and treatment needs among elderly people aged 60–85 years. Materials and Methods: Modified World Health Organization (WHO) 2013 oral health assessment pro forma for adults was used to assess the oral health status and treatment needs, the clinical assessment of oral mucosa, loss of attachment (LOA) , community periodontal index, dentition status, and treatment need. Prosthetic status and prosthetic needs and related oral health information were obtained from WHO Oral Health Assessment Questionnaire. Statistical Analysis Used: SPSS 23 was used for statistical analysis. Chi-square test was used for age- and gender-wise comparison. P < 0.05 was considered statistically significant. Results: Among the study subjects aged 60–74 years, there were 28.1% males and 25.9% females, and in 75–85 years, 30.6% were males 15.3% were females. In terms of periodontal status (pocket scores), 66.2% of elderly people have pocket scores 6 mm or more and presence of gingival bleeding in 75.9% of study subjects. Almost 24.4% had LOA scores of 12 mm or more. Comparison of LOA scores based on age and gender was statistically significant ( P < 0.001). Of the study participants, 50.3% need prompt treatment (including scaling). Almost more than half of the study participants require one or multiunit prosthesis as only 10.93% of elderly population has ≥20 or more natural teeth present. Conclusion: The study showed poor periodontal health among institutionalized elderly inmates. Oral mucosal lesions were found to be higher and oral health status was very deprived among the study population.

Tonsillectomy is one of the most common pediatric surgeries done. Anesthesia for tonsillectomy and adenoidectomy is one of the most challenging to administer even in modern times. The types of anesthesia and drugs are usually dictated by the patient's own pathophysiology and the anesthesiologist's experience. The restricted space for working in these surgeries mandates an understanding and cooperation between the surgeon and anesthesiologist. Postoperative bleeding and airway obstruction have been leading causes of death in the postoperative period. Mortality though overall low may increase with reoperations. Most of these surgeries are carried out on ambulatory basis in modern times thus greater care has to be taken by the anesthesiologist to ensure street fitness in these patients. Even seemingly trivial issues like postoperative nausea vomiting may be of significant importance in these patients. How to cite this article Suvarna D, Fernandes S. Anesthesia Management of Adenotonsillectomy. Int J Otorhinolaryngol Clin 2015;7(1):17-21.

Introduction: Abnormal body habitus can lead to difficulties with patient positioning, tracheal intubation and regional anaesthesia. Case report: We report the anesthetic management of a 47 year old male with short stature and extreme bony deformity complaining of bilateral flank pain. Percutaneous nephrolithotomy (PCNL) under general anesthesia in prone position was done. Perioperative course was uncomplicated and patient was discharged without any untoward event on day seven. This report highlights anesthesia related issues surrounding extreme skeletal deformities and prone positioning during PCNL. Conclusion: Prone positioning is associated with physiological changes and number of complications and safe use of the prone position in this case requires an understanding of both issues. In practice providing anesthesia in such a patient even for a minimally invasive surgical intervention requires us to "think out of the box". Thus the use of modern anesthetic agents and relevant anesthesia techniques had increased the margin of safety for our patient.

No abstract

No abstract