Marsupialization as a treatment option of a large Odontogenic keratocyst: A case report with the review of literature.

The Odontogenic keratocyst (OKC) is classified as a developmental epithelial cyst and comprises approximately 11% of all cysts of the jaws. The most characteristic clinical feature of OKC is the high recurrence rate. It is because of this characteristic that a variety of treatment modalities has been suggested for this cyst. Many of the surgeons prefer a more aggressive treatment, like resection. We have tried a more conservative approach in managing a patient with a large OKC of the mandible and have had an excellent result. We would like to suggest that marsupialization can be a definitive treatment option for large OKC’s.

Use of Nasolabial Flap in the Management of Oral Submucous Fibrosis – A Clinical Study.

Oral submucous fibrosis is a chronic debilitating disease associated with restricted mouth opening and poor oral hygiene. The treatment aims at good release of fibrosis and to provide long term results in terms of mouth opening. Various local grafts have been used to cover the buccal mucosal defects after the fibrotic bands are released in oral submucous fibrosis. Successful use of inferiorly based nasolabial flaps in the management of oral submucous fibrosis is projected. A total of 10 histologically proven cases of oral submucous fibrosis having a mouth opening of less than 20 mm were surgically treated .The procedure involved (1) bilateral release of fibrotic bands (2) measurement of intra-operative interincisal distance (greater than 35 mm achieved in all patients after release of bands) (3) covering the defects with inferiorly based nasolabial flap. All patients had post-operative physiotherapy, and were followed up regularly for one year. All flaps healed without evidence of infection, dehiscence, or necrosis. Results were assessed by comparing the pre-operative & pos-toperative maximum mouth opening. The inferiorly based nasolabial “islanded” flaps provide reliable coverage of defects of the buccal mucosa and improves mouth opening.

Salivary gland lithotripsy: a non-invasive alternative.

Shock wave lithotripsy is minimally invasive & alternative to surgery for treatment of symptomatic salivary stones. Lithotripsy uses shock waves generated outside the body to pulverize or crush the stone inside the body. The purpose of this treatment is to disintegrate the salivary stone into concentration smaller than 2mm to permit spontaneous or induced salivation to flush it out. The aim of this article is to throw light on salivary gland lithotripsy procedure.