Background: Surgical defects of oral cavity and orofacial region are challenging because of the aesthetic and functional demands and dynamic nature of the area. A multitude of reconstructive options are available and with the advent of musculocutaneous flaps and free microvascular tissue transfer, orofacial reconstruction has entered an era of sophistication whereby repair of defects of all types and sizes has become possible. Objectives: This study was conducted to evaluate the functional outcome, surface texture and complications of nasolabial flap for reconstruction in the buccal mucosal defects. Materials and Methods: A cross-sectional observational study was conducted 20 patients with clinical histological diagnosed squamous cell carcinoma (SCC;T1-T3 ) involving buccal mucosa attending in the Oral and Maxillofacial Surgery department of Dhaka Dental College and Hospital during this study period were included purposively in the study. All patients were treated by excision of the lesion and subsequent reconstruction of the defect by nasolabial flap. If indicated then patients received adjuvant radiotherapy. They were examined preoperatively, immediate postoperatively, on discharge and 3 months after operation. Data were analyzed by SPSS statistics (version 20) software. To find out the significance of the result one way ANOVA was conducted and the Post Hoc Test was done by LSD. Results: Among 20 patients 15% (3) patients developed infection, 15% (3) patients developed dehiscence. Trismus occurred in 5% (1) patient. In assessment of interincisal opening of the patients, 90% (18) presented with adequate interincisal opening but it has been reduced in 10% (2) patients after radiotherapy. In 90% (18) patients surface texture of the flap were smooth and in 10% (2) were partially smooth. Conclusion:The nasolabial flap has proved to be a useful and reliable option for reconstruction of defects of the buccal mucosa in order to allow wound closure without tension and maintain oral function. KYAMC Journal Vol. 10, No.-1, April 2019, Page 48-53

Background: Throughout the world, a demographic revolution is underway. The proportion of older people is growing faster than any other group. A growth spurt in the number of elderly persons has resulted from improvements in both social living conditions and medical care. This poses tremendous challenges to health and social policy planners, particularly because disease patterns will shift concurrently.Objectives: The present study was planned and carried out with the aim of assessment of the oral hygiene practice and oral health status among geriatric population.Materials & Methods: This cross sectional study was done among the geriatric population with a view to assess their oral hygiene practice and oral health status. Purposively selected 26 geriatric peoples were interviewed through a structured closed end questionnaire followed by a observational checklist.Results: In this study, it is found that most (84.6%) respondents brush their teeth regularly; more than half (57.7%) respondents brush their teeth twice; most (53.8%) of respondents brush their teeth after awake at morning, and 30.8% respondents brush 2-3 min; half of respondents use tooth brush and tooth paste. In this study, it is found that, respondents aged 70 years have Decayed Missed Filled Teeth (DMFT) (mean ± SD) 5.20 5.72, OHI (mean ± SD) 2.56 01.87. We also found that, respondents have Plaque Index (PI) (mean ± SD) 1.29 1.50, and GI (mean ± SD) 0.20 0.44.Conclusion: Oral health is one of the important components of aging; due to the presence of oral disease, it can affect general health and quality of life of elderly people.KYAMC Journal Vol. 9, No.-2, July 2018, Page 48-52

Целью данного исследования была оценка клинико-рентгенологических исходов высокой медиальной открытоугольной остеотомии большеберцовой кости (ВМООБК) по Илизарову у пациентов с остеоартрозом коленного сустава. Материалы и методы. ВМООБК была выполнена на 25 коленных суставах 24 последовательных пациентов. При рентгенологическом исследовании ось оценивали по бедреннотибитальному углу (БТУ). Измеряли также угол наклона заднего отдела большеберцовой кости и индекс Инсалл-Сальвати (ИИС). Результаты. Значительное улучшение показателей отмечали по визуальной аналоговой шкале (ВАШ) (P < 0,001 для всех значений). Общее среднее значение БФУ при варусном отклонении составило 4,60 ± 4,30º до оперативного вмешательства; при последнем контрольном осмотре это значение было равно 8,40 ± 2,0º вальгусной ориентации. Средний угол коррекции составил 08,1 ± 2,0º. Угол наклона заднего отдела большеберцовой кости был значительно увеличен (P < 0,01) и отмечалось значительное уменьшение ИИС. Заключение. Метод Илизарова с использованием шарниров позволяет осуществить точную коррекцию и обеспечить стабильность до окончательной регенерации и консолидации кости на уровне остеотомии. Фиксация аппаратом Илизарова способствует увеличению угла наклона заднего отдела большеберцовой кости. Ключевые слова: высокая остеотомия голени, медиальная открытоугольная остеотомия, остеоартроз коленного сустава, варусная деформация, аппарат Илизарова Purpose The aim of this study was to evaluate the clinical and radiographic outcomes after medial open wedge high tibial osteotomy (MOWHTO) using Ilizarov fixator. Materials and Methods MOWHTO was performed on 25 knees of 24 consecutive patients. Upon radiographic assessment, alignment was shown as the femoral tibial angle (FTA). The posterior tibial slope (PTS) and the Insall-Salvati Index (ISI) were also measured. Results A visual analogue scale (VAS) improved significantly upon follow up (P < 0,001 for all). The overall mean FTA was 4.60 ± 4.30º varus preoperatively; at the last postoperative follow up, the value was 8.40 ± 2.0º valgus. The mean correction angle was 08.1 ± 2.0º. A significant increase in PTS was evident (P<0.01) as was a significant decrease in the ISI. Conclusion The Ilizarov technique with hinges gives accurate correction and maintains stability until the osteotomy gap is completely regenerated and healed. The Ilizarov fixator increased PTS.

Background: Third molar is the most commonly impacted tooth in the oral cavity and accounts for large of all impactions. The most common complication in the extraction of the third mandibular molars is nerve and vessels damage. Therefore, thorough radiographic assessment is a necessary to avoid these surgical complications. Objective: The purpose of this study was to evaluate the frequency, angulation, depth of the impacted mandibular third molars and its relationship with ramus on radiographs. Materials and Methods: This study comprised 800 orthopantomograms (OPGs) of patients attending different dental clinics and hospitals in Rangpur region, Bangladesh between June 2014 to May 2015. Panoromic Radiographic assessment was carried out to evaluate the pattern of third molar impaction in terms of age, gender, angulation of impaction, level of eruption and available retromolar space using panoramic radiographs and Pell & Gregory classification. Results: A total of 314 radiographic third molar areas were found in this study, out of them 137 belong to male patients and 177 belong to the female patients. The mesio angular types of angulation was most prevalent (46%) whereas distoangular was rare (5%) in our study. In relation to anterior border of the ramus of mandible Level B 52% and Class II 59% were the most common pattern of impaction. The female tends to be dominant as compared to male & the maximum number (35%) of impacted third molars are found in an age group of 38 years and above. Conclusion: Panoramic radiographs can be used as reliable investigation for evaluation of impacted mandibular third molar. KYAMC Journal.2021;12(01): 08-13

Background & objective: Road traffic accident (RTA), now a days, has become a common event worldwide. As face is the most exposed part of the body, is most at risk of sustaining trauma in RTA. However, there is paucity of information regarding the relationship between head injuries and facial trauma. A number of reviews have looked at brain injuries in patients with facial fractures. But these reviews failed to differentiate between major and minor brain injuries. Moreover, most studies were retrospective and based upon large trauma registries, which tend to preselect patients with multiple trauma and capture only major brain injuries. The incidence of minor brain injuries and concussion in this population is thus overlooked. This study was aimed to find the proportion of major and minor brain injuries in patients with facial bone fracture. Materials & Methods: This cross-sectional study was carried out in patients with facial bone fractures who attended at outpatient clinic, hospital ward of the Department of Oral and Maxillofacial Surgery, Dhaka Dental College Hospital, Dhaka, Neurosurgery Department, Emergency Department of Intensive Care Unit of Dhaka Medical College Hospital, Dhaka over a period of 2 years from January 2012 to December 2013. Only the patients of first encounters were included in the study. Patients referred from other centers with facial bone fracture were excluded. A total of 150 such patients were enrolled in the study. To assess and communicate the extent of an unconscious patient’s injury rapidly Glasgow Coma Scale (GCS) was used. The outcome variable was brain injury (major and minor). Result: Majority (80%) of the patients was male with mean age of the patients being 25 years (range: from 4 – 80 years). The most common mechanism of injury in the present study was road-traffic accident (60%), followed by assault (20%), fall from height (12%), crash (6%) and blast trauma (2%). Nearly half (46%) of the patients had multiple facial bone fractures. Over 10% of the patients received Zygomatico-maxillary complex fracture. Mandible fracture and frontal bone fracture each accounted for 7.3%. Nasal bone fracture was 6.7%, isolated maxilla fracture was 5.3%, Le Fort I fracture was 4.7% and orbital floor fracture was 4.0%. The Glasgow coma score 12 or below 12 was found in 52% cases and loss of consciousness and perievent amenesia were observed in 54% and 56% cases respectively. The major and minor brain injuries were found in 52% and 32% cases respectively together comprising an occurrence of 84% in facial bone fractures. Male patients, receiving trauma through RTA and multiple facial bones fractures were significantly associated with brain injury (p = 0.019, p < 0.001, p = 0.001 respectively). However, mandible and nasal bone fractures were less prone to be associated with brain injury in (p = 0.001 and p < 0.001 respectively). Conclusion: The study concluded that majority of the patients with facial bone fractures have had concomitant brain injuries. Male patients, receiving trauma through RTA and multiple fractures of the facial bones are more prone to be associated with brain injury than females, receiving injury through mechanisms other than RTA and isolated facial bone fractures. Ibrahim Card Med J 2016; 6 (1&2): 33-40