Aims and Objectives:The aim is to study the effectiveness of 2 mm three-dimensional (3D) titanium miniplates and 2 mm conventional titanium miniplates in osteosynthesis of mandibular fractures by comparing the change in bite force.Methodology:The study comprised forty patients of age group 20–40 years, weighing 55–75 kg having mandibular fractures. Patients were randomly divided into two equal groups In Group A, twenty patients underwent osteosynthesis using 3D titanium miniplates (2.0 mm system), whereas in Group B, twenty patients underwent osteosynthesis using conventional titanium miniplates (2.0 mm system). After fixation of fracture segments with miniplates, the patients were assessed on the basis of evaluation of bite force at incisor, right molar and left molar region after 1, 3, 6 , and 8 weeks. Comparison of change in bite force was done between Group A and Group B at different follow-ups at incisor, right molar, and left molar.Results:Bite force recordings showed increasing values at subsequent follow-ups, corresponding to the healing of the fracture in both groups. At follow-up III (6 weeks) and IV (8 weeks), bite force values reached near to those in healthy individuals. A significant difference was observed in change in bite force of Group A and Group B at incisor left molar and right molar on subsequent followups. 3D titanium miniplate requires less surgical exposure of the underlying fracture site, with a minimal traction of the surrounding soft tissue.Interpretation and Conclusion:3D miniplates in mandibular fractures are efficacious enough to bear masticatory loads during the osteosynthesis of fractures. It gives the advantage of greater stability, increased bite force, reduced implant material, and 3D stability.

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations.IJCRI publishes Review Articles, Case Series, Case Reports, Case in Images, Clinical Images and Letters to Editor. Website: www.ijcasereportsandimages.com Neurilemmoma of the tongue: A case reportPallav Kumar Kinra, Jayakumar K, Manoj Joseph Michael ABSTRACT Introduction: Neurilemmomas, also referred to as schwannomas or neurinomas, are benign encapsulated nerve sheath tumors composed of Schwann cells. Neurilemmomas arise when proliferating schwann cells form a tumor mass of unknown etiology encompassing motor and sensory peripheral nerves. We report a rare case of neurilemmoma over the ventral surface of the tongue. Case Report: A 15-year-old child came to our Department of oral and maxillofacial surgery, Govt. Dental College, Kozhikode complains of swelling over ventral surface of tongue since two years. The lesion was freely moveable and asymptomatic. Clinically, the lesion appeared to be a benign soft tissue neoplasm. Excisional biopsy of the lesion was done under local anesthesia and tissue was sent for histopathological examination. Diagnosis is made by histological examination of the lesion. The treatment is surgical excision of the lesion. They do not show recurrence after complete excision. Conclusion: As neurilemmoma is a benign neoplasm, surgical excision is the treatment of choice. The prognosis of neurilemmoma is usually excellent after adequate excision. This case showed no recurrence after the treatment and malignant transformation of a previously benign neurilemmoma is exceedingly rare.

Objectives: Fracture of the mandible may affect a single anatomic site or frequently several sites concurrently and road traffic accidents (RTA) play a prominent role. The aim of this study was to analyze the patient demographics, etiology, pattern, and types of mandibular fractures in three northern districts of Kerala. Methodology: 81 patients with sustaining mandibular fractures who visited the Emergency Department of the Oral and Maxillofacial Surgery, Government Dental College, Thrissur, Kerala were recruited and evaluated retrospectively. The variables analyzed in the study were age, gender, etiology, fracture site, pattern, and types of fractures. The data were statistically analyzed using the Chi-square test to determine the association between the variables. Results: The study included 104 fractures in 81 patients. The ratio of males to females was 7.1:1. The highest fracture prevalence were observed in adults (88.9%) and the least in children under 12 years of age. RTA was the common cause (60.5%) followed by assault (27.2%). The most commonly reported fracture site was parasymphysis (24%), and the condyle (20.2%). The compound fractures were frequently observed (72%) and comminuted fractures (4%) were the least. A highly significant association was identified between the anatomic site and the severity of fracture types.

International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. It is characterized as a type of overgrowth that can occur in any bone where cartilage forms bone. It is uncommon in this part of body because of intramembranous origin of craniofacial bones. Osteochondromas do not result from any injury and the exact cause remains unknown. Recent research has indicated that multiple osteochondromas is an autosomal dominant inherited disease. The treatment choice for osteochondroma is surgical removal of solitary lesion or partial excision of the outgrowth when symptoms cause motion limitations or nerve and blood vessel impingements. Osteochondroma of the mandibular condyle is extremely rare. Case Report: A 45-year-old female presented to our department with diffuse swelling in her left side of face and pain in her left ear while opening the mouth since last six months. Clinically, mouth opening was limited with deviation of mandible towards right side while opening mouth. There was unilateral posterior crossbite on the right side. Protrusive movement and lateral excursions of mandible were restricted. The lesion appeared to be benign bony lesion and complete surgical excision of the whole tumor mass along with condylectomy was performed under general anesthesia. Conclusion: As osteochondroma is a benign neoplasm, various treatment modalities include resection of tumor along with condylectomy, condylectomy with reconstruction of the resected condyle if indicated or selected tumor removal without condylectomy. The prognosis of osteochondroma is usually excellent after adequate excision. This case showed no recurrence after the treatment. Malignant transformation of the lesion is exceedingly rare.