Anteromedial fracture dislocation of the mandibular condyle is common but a superolateral dislocation of an intact condyle is quite rare. Only 19 cases of such dislocation have been reported in the world English literature. This type of dislocation is often misdiagnosed or completely overlooked and hence inadequately addressed. A case of superolateral dislocation of the condyle associated with a symphyseal fracture is presented. We discuss the dynamics, diagnostic features and clinical management of such dislocations with the review of literature and propose a modification in the existing classification.
The amniotic membrane is the innermost layer of fetal membrane and is attached to the chorion in the placenta. This membrane has been used for nearly a century in varied fields such as ophthalmology, reconstructive surgery, and burn treatment. In this case report, we used a human amniotic membrane to repair an iatrogenic oroantral communication that occurred during the extraction of the patient's right upper second molar. A splint was given after the perforation was covered with human amniotic membrane and healing was clinically evaluated at various intervals. The outcome of the study revealed that the human amniotic membrane was an efficient graft material for repairing the defect caused by an iatrogenic oroantral communication following tooth extraction.
Aim: This prospective study aim to determine the incidence and pattern of recovery of IAN and LN decits
after surgery while comparing which nerve, site, side, age group and type of impaction was most likely to
suffer from neurosensory disturbances and to evaluate the risk factors such as duration of surgery, proximity to inferior alveolar
canal, excessive hemorrhage, clinical observation of neurovascular bundle, contributing to these postoperative neurosensory
decits.
Materials&Methods: This study was conducted on 30 patients who underwent surgical removal of impacted mandibular third
molar between 2017-2019 in the Department of Oral and Maxillofacial Surgery, College of Dental Sciences, Davangere.
Clinically, all the patients underwent objective evaluation by using pin prick test, two-point discrimination and blunt test.
Sensory function was evaluated 1 week, 1, 3 and 6 months post-operatively. The areas that were evaluated are those supplied
by IAN and LN.
Result: The incidence of NSD in our study was 10%, the IAN 6.7% and LN decit 3.3%. No permanent NSD was observed in this
study. Statistically signicant association was found between excessive hemorrhage from the socket and NSD (p=0.009). No
signicant association was found between gender, age, side, type, difculty score and duration, observation of neurovascular
bundle during surgery and proximity of roots to the inferior alveolar canal with NSD.
Hyponatremia secondary to malignancy is a rare finding. Syndrome of inappropriate ADH secretion in head and neck cancer patient can be a serious comorbidity leading to decline in the survival rate. However, most of the time it goes undetected at the outset. And the pathophysiology of this link is not clarified. This article highlights a case of SIADH developed in 40-yr-old man with oral cancer. Also, focusses on the importance of diagnosing it and rendering treatment at the earliest.
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