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Excision of arteriovenous malformation of lower lip without embolisation
248 Excision of arteriovenous malformation of lower lip without embolisation
The same incision can be used for any other pathology in neck with minimal acceptable scar.
S. Peter ∗ , Z.A.A. Rahman
http://dx.doi.org/10.1016/j.ijom.2017.02.837
University of Malaya, Kuala Lumpur, Malaysia
Comparison of single versus double noncompression miniplates in the management of subcondylar fracture of the mandible
Generally, vascular malformations can be categorised into lowflow lesions and high-flow lesions according to their blood flow volume. Arteriovenous malformations in the extracranial region are rare, and haemodynamically they are generally high-flow lesions. Presently, the mainstay of treatment of an arteriovenous malformation are embolisation, surgical excision or a combination of both. Preoperative endovascular embolisation is widely accepted, but there are limitations to the treatment. Severe haemorrhage as well as difficult reconstruction is frequently encountered. We reported a case of arteriovenous malformation of the lower lip, which was empirically removed by complete excision and reconstruction with a nasolabial flap without preoperative embolisation in a 52-year-old woman. There were no procedure related complications and morbidity. Lip functions were preserved and cosmetic results were excellent. Our opinion is that these lesions can be excised without preoperative angiogram and/or embolisation as long as they are accessible with predictable haemostasis control, well circumscribed and do not have clinical evidence of extensive collaterals. http://dx.doi.org/10.1016/j.ijom.2017.02.836 Versatility of modified neck incision S.K. Prabakaran Thumbay Hospital, Gulf Medical University, Dubai, United Arab Emirates
H.U. Rehman ∗ , A. Shaheen, A. Anwar, S. Ali Dow University of Health Sciences, Dow International Dental College, Karachi, Pakistan Objective: To compare the functions and complications of subcondylar fracture after fixation with single and two noncompression miniplates. Methods: Total 30 patients who required open reduction of a subcondylar fracture of mandible were selected in the study. Randomly divided into two groups of 15 patients each. Group A for single plate and Group B for two plates. The patients were assessed for malocclusion, lateral deviation, mouth opening, infection, plate bending, plate removal, facial nerve function and time taken in the surgery. All parameters were statistically using Chi squared test. Result: Of the 30 patients inadequate reduction was noticed in one patient in Group A. In Group A, screw loosing occurred in one patient followed by infection and need for removal of the plate. Plate bending occurred in one case in Group A. When two plates were used no screw loosing or plate bending was observed in Group B. Conclusion: Two plates for subcondylar fracture represent the best solution to obtain osteosynthesis but needs further evaluation as our number of patients and follow-up period was short in our study. http://dx.doi.org/10.1016/j.ijom.2017.02.838
Background: Neck incisions has undergone various. All the modifications where done to improve the exposure of surgical field as well to reduce the complication rates. The rationale for neck dissection has undergone a major change reducing it to selective levels based on the primary tumour. Based on this rationale modified neck incision can be used in various situations. Objective: To discuss the versatility of modified apron incision with its advantages and applications. Methods: The modified apron incision was used for all the patients undergoing neck dissection for clearance of metastatic lymph nodes up to level 4. The lymph nodes were staged and removed from level 1 to level 4 in descending order. The same incision was used in a case of carotid body tumour. Findings: The exposure of the surgical field was good enough and wound healing was uneventful in all the cases. Wound complications where very minimal limited to scar which is aesthetically acceptable and hidden. Even in post-irradiated neck the wound healing was uneventful. Above all the incision closure was rapid and time saving. Conclusion: Modified apron incision is a highly versatile approach for neck dissection especially for staged neck dissections. Even if combined with other incisions of face the vascularity is not compromised and wound dehiscence is nil in our experience.
Effect of application of honey in chemoradiation-induced mucositis and to assess its clinical benefits in improving quality of life in patients of head and neck cancer V. Singh K.G. Medical University, India Background: The cytotoxic effects of chemoradiation, in addition to their intended effects on cancer cells, unfortunately extents to normal tissue as well, such as gastrointestinal mucosa and bone marrow. This is mainly brought about by the oxidative damage caused by the generation of free radicals. For the head and neck cancer patient, the most crippling illeffect of chemoradiation is oral mucositis. In addition to being a potentially dose limiting complication of chemoradiation, oral mucositis lends a devastating blow to patient’s daily activities and brings about marked reduction in their quality of life (QoL). Resurgence in the use of honey for wound management coupled with research into its excellent antioxidant and antiseptic profile has urged some researchers to investigate its role in amelioration of radiation mucositis. Investigation into the viability of honey as a therapeutic agent for chemoradiation-induced mucositis and to find whether it
The same incision can be used for any other pathology in neck with minimal acceptable scar.
S. Peter ∗ , Z.A.A. Rahman
http://dx.doi.org/10.1016/j.ijom.2017.02.837
University of Malaya, Kuala Lumpur, Malaysia
Comparison of single versus double noncompression miniplates in the management of subcondylar fracture of the mandible
Generally, vascular malformations can be categorised into lowflow lesions and high-flow lesions according to their blood flow volume. Arteriovenous malformations in the extracranial region are rare, and haemodynamically they are generally high-flow lesions. Presently, the mainstay of treatment of an arteriovenous malformation are embolisation, surgical excision or a combination of both. Preoperative endovascular embolisation is widely accepted, but there are limitations to the treatment. Severe haemorrhage as well as difficult reconstruction is frequently encountered. We reported a case of arteriovenous malformation of the lower lip, which was empirically removed by complete excision and reconstruction with a nasolabial flap without preoperative embolisation in a 52-year-old woman. There were no procedure related complications and morbidity. Lip functions were preserved and cosmetic results were excellent. Our opinion is that these lesions can be excised without preoperative angiogram and/or embolisation as long as they are accessible with predictable haemostasis control, well circumscribed and do not have clinical evidence of extensive collaterals. http://dx.doi.org/10.1016/j.ijom.2017.02.836 Versatility of modified neck incision S.K. Prabakaran Thumbay Hospital, Gulf Medical University, Dubai, United Arab Emirates
H.U. Rehman ∗ , A. Shaheen, A. Anwar, S. Ali Dow University of Health Sciences, Dow International Dental College, Karachi, Pakistan Objective: To compare the functions and complications of subcondylar fracture after fixation with single and two noncompression miniplates. Methods: Total 30 patients who required open reduction of a subcondylar fracture of mandible were selected in the study. Randomly divided into two groups of 15 patients each. Group A for single plate and Group B for two plates. The patients were assessed for malocclusion, lateral deviation, mouth opening, infection, plate bending, plate removal, facial nerve function and time taken in the surgery. All parameters were statistically using Chi squared test. Result: Of the 30 patients inadequate reduction was noticed in one patient in Group A. In Group A, screw loosing occurred in one patient followed by infection and need for removal of the plate. Plate bending occurred in one case in Group A. When two plates were used no screw loosing or plate bending was observed in Group B. Conclusion: Two plates for subcondylar fracture represent the best solution to obtain osteosynthesis but needs further evaluation as our number of patients and follow-up period was short in our study. http://dx.doi.org/10.1016/j.ijom.2017.02.838
Background: Neck incisions has undergone various. All the modifications where done to improve the exposure of surgical field as well to reduce the complication rates. The rationale for neck dissection has undergone a major change reducing it to selective levels based on the primary tumour. Based on this rationale modified neck incision can be used in various situations. Objective: To discuss the versatility of modified apron incision with its advantages and applications. Methods: The modified apron incision was used for all the patients undergoing neck dissection for clearance of metastatic lymph nodes up to level 4. The lymph nodes were staged and removed from level 1 to level 4 in descending order. The same incision was used in a case of carotid body tumour. Findings: The exposure of the surgical field was good enough and wound healing was uneventful in all the cases. Wound complications where very minimal limited to scar which is aesthetically acceptable and hidden. Even in post-irradiated neck the wound healing was uneventful. Above all the incision closure was rapid and time saving. Conclusion: Modified apron incision is a highly versatile approach for neck dissection especially for staged neck dissections. Even if combined with other incisions of face the vascularity is not compromised and wound dehiscence is nil in our experience.
Effect of application of honey in chemoradiation-induced mucositis and to assess its clinical benefits in improving quality of life in patients of head and neck cancer V. Singh K.G. Medical University, India Background: The cytotoxic effects of chemoradiation, in addition to their intended effects on cancer cells, unfortunately extents to normal tissue as well, such as gastrointestinal mucosa and bone marrow. This is mainly brought about by the oxidative damage caused by the generation of free radicals. For the head and neck cancer patient, the most crippling illeffect of chemoradiation is oral mucositis. In addition to being a potentially dose limiting complication of chemoradiation, oral mucositis lends a devastating blow to patient’s daily activities and brings about marked reduction in their quality of life (QoL). Resurgence in the use of honey for wound management coupled with research into its excellent antioxidant and antiseptic profile has urged some researchers to investigate its role in amelioration of radiation mucositis. Investigation into the viability of honey as a therapeutic agent for chemoradiation-induced mucositis and to find whether it