Buccal exostoses are benign, broad-based surface masses of the outer or facial aspect of the maxilla and less commonly, the mandible. They begin to develop in early adulthood and may very slowly enlarge over the years. They are painless and self-limiting, but occasionally may become several centimeters across and then contribute to periodontal disease of the adjacent teeth by forcing food during chewing in toward the teeth instead of away from them, as is normally the case. The following paper presents a very rare case of buccal-sided mandibular angle exoxtosis and its management with surgical exploration.
The objective of this study is to estimate the serum magnesium levels in seizure disorders and its possible association with the occurrence of seizures. Blood sample for serum magnesium and other electrolytes (blood glucose, potassium, sodium, calcium, chloride) were taken during the period from the onset of seizures up to 72 hours. DESIGN: The present study is a prospective study carried out at King George Hospital, Visakhapatnam. MATERIALS & METHODS: The present study was carried out on 50 subjects diagnosed as seizures (Generalized Tonic Clonic Seizures) in the age group of 20 to 60 years. The study also included 50 healthy subjects who are matched with cases. STATISTICLE ANALYSIS: The analysis was done using MS Office, Excel Sheet 2007 Software. RESULTS: Serum magnesium levels decreased significantly in patients with seizure disorders when compared to controls. (Mean values for Serum, Magnesium in cases vs. controls 0.964 vs. 2.038 mg/DL. The mean value for serum magnesium is lower when time elapsed after last seizure is shorter. CONCLUSION: Magnesium levels decreased in patients with seizure disorders and the mean values were lower when time elapsed since onset of seizure is shorter indicating the role of magnesium in the pathophysiology of seizures.
Surgery of temporomandibular joint ankylosis under general anesthesia poses a great challenge to anesthesiologists. This surgery falls in the category of difficult intubation as direct vocal cord visualization is difficult due to an inability to open the mouth. The present case report suggests that the fiberoptic intubation has become an essential skill for anesthetists dealing with patients in whom orotracheal intubation is anatomically difficult.
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