ABSTRACT
Deltopectoral flap is a widely used flap in reconstruction surgery. A patient presented with extra-oral solitary swelling on the right lower jaw and an intra-oral exophytic growth located along the lower border of right mandibular jaw. Incisional biopsy was done which revealed moderately-differentiated squamous cell carcinoma. Clinical staging was T4N1M0. Treatment plan devised was segmental mandibulectomy along with excision of involved skin, supraomohyoid neck dissection followed by reconstruction. Apron incision with lip split was used. The defect caused by the resection was closed using deltopectoral flap. Deltopectoral flap was preferred for reconstruction as it is convenient for patients with low socioeconomic status and for hospitals with less technical facilities. It can easily be raised from anterior chest area because of its pliability. This case report highlights the role of deltopectoral flap as an alternate to free flap for reconstruction
ABSTRACT
The aim of this study was to determine the mean blood glucose concentration in patients with dia-betes undergoing tooth extraction after administration of local anesthesia with or without adrenaline. A Randomized control trial [RCT] study was carried out from October 2015 to June 2016 in the De-partment of Oral and Maxillofacial Surgery of Islamic International Dental Hospital [IIDH] Islamabad on 60 diabetic patients undergoing tooth extraction requiring administration of local anesthesia. All patients were randomly divided into two equal groups that is group A [lignocaine without adrenaline] and group B [lignocaine with adrenaline]. Blood glucose concentration measurements were taken 10 minutes before, 10 minutes and 20 minutes after administration of local anesthesia. Data were analyzed through SPSS version 17.Patient's age ranged from 25-75 years. Average age of patient was 64.5+/-9.86. There were 37% males and 23% females in both groups. The mean blood glucose concentration was increased in group B when compared to group A from 154 to 163.2mg/dl at 10 minutes. This increase in blood glucose concentration was statistically not significant [P ? 0.05]. There was statistically significant [P<0.05] increase in blood glucose concentration in group B when compared to group A from 155.0 to 176.16 mg/dl at 20 minutes.It was concluded that though 2% lignocaine with adrenaline is widely used local anesthetic, it should be cautiously used in type 2 diabetics