A 31-year-old female patient came to the Department of Oral Medicine and Radiology, with a complaint of painless swelling in the right mandibular posterior region since six months. She went to a local doctor who prescribed her medicines. History revealed that the patient noticed a small swelling six months back, which slowly increased to the present size. She did not had any pain, tenderness or discharge associated with the swelling. She did not had any difficulty in mouth opening, but had slight discomfort while mastication and the swelling did not subsided on taking medications. On clinical examination, a solitary oval painless swelling measuring about 2cm x 3cm, was found in right retromaolar area [Table/ Fig-1].The growth extended from occlusal surface of 18 region to the occlusal surface of 48 region superio-inferiorly and from mesial of 48 to the anterior faucial piller posteriorly. No visible pulsations were seen and the mucosa over the growth appeared to be normal. There was no discharge from the swelling. On palpation the growth was movable, firm in consistency and non tender. It was not fixed to the underlying structures, non reducable and no pulsations were felt. Teeth in the vicinity of the swelling were not mobile. The regional lymph nodes were non palpable. There was no history of trauma, fever, past and family history was not significant. Radiographs and all the haematological investigations revealed normal values. Based on the history and correlating with the clinical findings, a provisional diagnosis of benign minor salivary gland tumour was given and differential diagnosis of fibroma, lipoma, neurilemmoma, mucocele and malignant salivary gland lesions (mucoepidermoid carcinoma) was made. Treatment of the lesion was planned in the surgery department as surgical excision. After explaining the procedure to the patient and his relatives consent was taken and, the lesion was totally excised with safety margins under local anaesthesia. After administering inferior alveolar nerve block an intraoral vertical incision was given in retromolar trigone area extending from retro molar area to 47. With help of dissecting scissors the mucosal tissue was undermined. The tumour was visualized and the surface of the tumour was firm in consistency. The complete tumour along with capsule was excised cautiously by holding it with curved artery mosquito forceps and surgical site was irrigated with 10% betadine mixed with normal saline in 1:1 ratio. After excision haemostasis was achieved [Table/ Fig-2]. Closure was done by giving interrupted sutures with 3-0 black braided silk sutures. After surgery, antibiotics {augmentin 625 mg (500 mg amoxicillin and 125 mg clavulanic acid)} were prescribed twice a day for five days, and the sutures were removed after one week. The excised tumour mass was sent for histopathological evaluation. Among all neoplasms affecting head and neck region, salivary gland neoplasms are rare. Pleomorphic adenomas are the most common benign salivary gland tumours making up to 50% of major and m...

Though the post operative infection was slightly more in Group B compared to Group A, 1 day antibiotic regimen was found to be equally effective when compared to 5 day regimen and helps in reducing the after effects, superinfection and antibiotic resistance. It has better patient compliance and is cost effective.

Aim:The aim of this study was to evaluate the efficacy and reliability of fracture management in the anterior mandible using miniplates (MPs), lag screws (LSs), three-dimensional (3D) plates, and Herbert screws. Materials and Methods: The study consists of forty patients randomly divided into four groups of ten, undergoing open reduction internal fixation of anterior mandible fractures using MPs, LSs, 3D plates, or Herbert screw. All the patients were evaluated for stability of fracture fragments, duration of procedure, requirement of maxillomandibular fixation, and other associated complications. Results: The results of this study showed that each fixation device has its own merits and demerits. The rectangular plates achieved good stability, but its placement and adaptation was challenging in certain clinical scenarios when the anterior mandibular height was less, especially in females and in situations where the fracture line was in close proximity to the mental foramen. The placement of LS and Herbert screw was technique sensitive but did achieve good initial stability in addition to shortening the procedure time. The MPs were more versatile but required more operating time and hardware for the management of the anterior mandibular fractures. Conclusion: All of these modalities were able to achieve satisfactory final outcome. The rigid fixation techniques achieved similar results with less hardware and required lesser times. The MP fixation techniques, on the other hand, are more versatile and less technique sensitive.

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