Oral cancer: One of the leading malignancies in Bangladesh

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Effectiveness of Sclerotherapy with Ethanol Amine Oleate in Benign Oral and Perioral Vascular Lesions

Background: Vascular lesions presentation very with age & anatomical location. There are no parameters to assess its therapeutic efficacy. Objective: This prospective experimental study was designed to find out the effectiveness of Sclerotherapy with Ethanol Amine Oleate in the treatment of Benign Oral and Perioral Vascular Lesions. Methods: In this study, 32 patients, aged 1½ to 40 years with oral and perioral vascular lesions were included. Diagnosis was made by accurate history, clinical examination and in some cases Color Doppler examination, MRI and/or Angiogram were done for confirmation. Intralesional injection of Ethanol Amine Oleate was given at an interval of 2weeks between each session. Photographs were also taken during subsequent session to document the effect of injection. Results: At 8weeks after the final Sclerotherapeutic session, the results were graded as: Excellent: for extinguished and symmetrical appearance obtained; Good: for definitive reduction obtained; Fair: for slight reduction obtained and Poor: for lesion unchanged or worsened. Results with grades, excellent and good are considered effective. The efficacy of the treatment was evaluated 8 weeks after the final Sclerotherapeutic session. Out of 32 patients, 34.4% had excellent result, 53.1% had good result, 6.3% had fair result and 6.3% had poor result. Conclusion: Sclerotherapy with Ethanol Amine Oleate is a safe and less invasive method with minimal risk to the patient. It can be the treatment of choice for symptomatic Vascular lesions. Key words: Vascular Lesions (VLs); Sclerotherapy; Ethanol Amine Oleate (EAO). DOI: http://dx.doi.org/10.3329/bsmmuj.v4i2.8641 BSMMU J 2011; 4(2):110-11

Extraction of Asymptomatic Tooth With And Without Antibiotic Therapy

Background: Extraction of asymptomatic tooth constitutes a large proportion of maxillofacial surgery procedure and antibiotics are indiscriminately prescribed before and after tooth extraction in Bangladesh. Objectives: This cross sectional study was designed to evaluate the efficacy of postoperative antibiotic therapy in reducing postoperative morbidity in two groups following extraction of asymptomatic tooth. Methods: A total of 112 patients, 54 Female and 58 Male, aged 16 to 35 years comprised the study materials. Diagnosis was made by accurate history, clinical examination and radiographs. Clinical examination was done to assess the presence or absence of local infection, pain, swelling and mucosal coverage whereas Orthopantomogram (OPG) and Intraoral Periapical (IOPA) radiographs were taken to assess the angulations, position and bony coverage. Tooth extraction was performed with buccal guttering technique after adequate elevation and reflection of full thickness mucoperiosteal flap. The Control Group was given Cap. Amoxicillin 500mg, orally daily for 5 days postoperatively. The Study Group was not given antibiotics. Pain, swelling and trismus were evaluated preoperatively and on 2nd, 7th and 14th postoperative day. Data was processed and analyzed using SPSS version 16.0 for windows and was compiled and test of significance was done using Chi square (x²) test and unpairedt test. Results: Statistical analysis of the data indicated that pain and swelling was significantly reduced and significant maximum mouth opening was achieved, when preoperative and postoperative results were compared, in both the groups P > 0.05, statistically not significant. Conclusion: There were no significant differences among the groups in the incidence of postoperative morbidity (pain, swelling and trismus).DOI: http://dx.doi.org/10.3329/bsmmuj.v5i1.10996 BSMMU J 2012; 5(1):24-2

Extraction of Asymptomatic Tooth With And Without Antibiotic Therapy

Background: Extraction of asymptomatic tooth constitutes a large proportion of maxillofacial surgery procedure and antibiotics are indiscriminately prescribed before and after tooth extraction in Bangladesh. Objectives: This cross sectional study was designed to evaluate the efficacy of postoperative antibiotic therapy in reducing postoperative morbidity in two groups following extraction of asymptomatic tooth. Methods: A total of 112 patients, 54 Female and 58 Male, aged 16 to 35 years comprised the study materials. Diagnosis was made by accurate history, clinical examination and radiographs. Clinical examination was done to assess the presence or absence of local infection, pain, swelling and mucosal coverage whereas Orthopantomogram (OPG) and Intraoral Periapical (IOPA) radiographs were taken to assess the angulations, position and bony coverage. Tooth extraction was performed with buccal guttering technique after adequate elevation and reflection of full thickness mucoperiosteal flap. The Control Group was given Cap. Amoxicillin 500mg, orally daily for 5 days postoperatively. The Study Group was not given antibiotics. Pain, swelling and trismus were evaluated preoperatively and on 2nd, 7th and 14th postoperative day. Data was processed and analyzed using SPSS version 16.0 for windows and was compiled and test of significance was done using Chi square (x²) test and unpairedt test. Results: Statistical analysis of the data indicated that pain and swelling was significantly reduced and significant maximum mouth opening was achieved, when preoperative and postoperative results were compared, in both the groups P > 0.05, statistically not significant. Conclusion: There were no significant differences among the groups in the incidence of postoperative morbidity (pain, swelling and trismus).DOI: http://dx.doi.org/10.3329/bsmmuj.v5i1.10996 BSMMU J 2012; 5(1):24-2

A Study to Detect Sentinel Lymph Node by Methylene Blue Dye and Histopathological Confirmation of Metastasis in Oral Squamous Cell Carcinoma Patient

Background: Oral Squamous Cell Carcinoma (OSCC) first metastasizes via lymphatic route and the first draining lymph node is Sentinel Lymph Node (SLN). SLN is identified by combine use of nuclear imaging and dye method, as nuclear imaging facility is expensive, not easily available and radioactive materials have more potential complications so dye alone can be an alternative.Aims: To assess the feasibility of using methylene blue dye (MBD) for detection of SLN in OSCC patient and using frozen section analysis to analyze metastatic status of SLN.Method: 20 patients with the histopathological diagnosis of OSCC, irrespective of stage underwent SLN identification by using a peritumoral injection of MBD. Surgery of neck was done first with reflection of subplatysmal flap to identify blue-stained node as SLN in the neck region and sent for frozen section analysis. Surgery was completed with primary resection and neck dissection. Histopathological analysis of SLN was done later.Results: SLN was identified in level Ib and II in 18 cases (identification rate=90%). The accuracy, sensitivity, specificity, PPV and NPV of SLN biopsy with frozen section analysis were 94%, 92.3%, 100%, 100%, 83.3% respectively.Conclusion: Methylene blue dye alone can be successfully used to detect sentinel lymph node in OSCC patient. SLN biopsy with frozen section analysis is sensitive enough to detect the metastatic status of regional lymph node

Reconstruction of Mandibular Defect by Free Re-Vascularized Fibula Graft: A Case Report

Background: In maxillofacial surgery tumor ablation often causes continuity defect of mandible which results anatomical and functional morbidity of the patient. The reconstruction of the mandibular defect is mandatory to restore the oral function and speech. Various methods of immediate reconstruction are implemented by different authors time to time including autogenous non vascularized bone graft, allogenic bone graft , auto frozen mandible or reconstruction plates and others. Each has its own advantages and disadvantages including donor site morbidity, failure and others. The purpose of the present case report is to establish micorvascular free fiblula is as a better option to other methods in immediate reconstruction of mandibular continuity defect. Objective: Anatomical, functional and esthetic rehabilitation of patients after mandibular resection Method: Revascularization of free fibula graft by microvascular anastomosis of paroneal artery with facial artery at the segmental defect site of mandible. Result: Remarkable contour, cosmesis and early functional rehabilatation of the patient. Conclusion: Microvascular reconstruction with fibula is the better option for defect correction and early rehabilitation in patients with mandibular continuity defect. Key words: Mandible, defect; reconstruction; microvascular technique; fibula graftDOI: 10.3329/bsmmuj.v1i1.3698 BSMMU J 2008; 1(1): 35-3

Effect of age on immediate postoperative tissue reaction following surgical extraction of impacted mandibular third molar

Background: Postoperative morbidity following third molar surgery is affected by a number of factors. The aim of this study was to determine the effect of age on immediate postoperative tissue reactions following mandibular impacted third molar surgery. Objectives: To assess the discomforts after impacted mandibular third molar extraction in different aged patient. Methods: 100 patients, 54 Female and 46 male, aged 18 to 42 years comprised the study materials. Tooth extrac­tion was performed with buccal guttering technique after adequate elevation and reflection of full thickness mucoperiosteal flap. Pain, swelling and trismus were evaluated preoperatively and on 2nd POD and 7th POD. Data was processed and analyzed using SPSS and was compiled and test of significance was done using Chi square (x2) test and un-paired 't' test. Results: Statistical analysis of the data indicated that pain and swelling was significantly less and significant maximum mouth opening was achieved in early aged patient than late age when preoperative and postoperative results were compared. Conclusion: As postoperative immediate tissue reactions are more in late aged patient than younger so impacted mandibular third molar should extract in early age

Correction of Anterior Open Bite and Facial Profile by Orthognathic Surgery A Case Report

This case report describes the treatment of a severe anterior open bite, Class III malocclusion with a history of digitsucking. An 18 years-old male presented with a significant anteroposterior and vertical discrepancy of face. The patient’sface was concave with procumbent lips. He had an anterior open bite of 11 mm, a reverse overjet of 8 mm, and atransverse maxillary deficiency on right side. The orthognathic surgery was elected as an option of treatment to correctthe anterior open bite with improvement of facial profile.Keywords: Anterior open bite; Transverse maxillary deficiency; Vertical excess; Orthognathic surgery.DOI: 10.3329/bsmmuj.v3i1.5512BSMMU J 2010; 3(1): 31-3

Outcome of surgically resected mandibular ameloblastoma

Ameloblastoma is a slowly growing locally invasive benign tumor of the jaw. Only account for 1% of all tumors of maxillofacial region and 11% of all odontogenic tumors. The Aim of the study was to establis

Outcome of surgically resected mandibular ameloblastoma

Ameloblastoma is a slowly growing locally invasive benign tumor of the jaw. Only account for 1% of all tumors of maxillofacial region and 11% of all odontogenic tumors. The Aim of the study was to establis