ABSTRACT
Background: Multitudes of options are available for reconstruction of functional and cosmetic defects of the mandible, caused by various ailments. At the present time, autogenous bone grafting is the gold standard by which all other techniques of reconstruction of the mandible can be judged. The purpose of this study was to evaluate the outcome of different osseous reconstruction options using autogenous bone grafts for mandibular reconstruction. Methods: This Interventional study was conducted at Department of Oral and Maxillofacial Surgery, King Edward Medical University/Mayo Hospital Lahore, from January 2008 to July 2009 including one year follow-up. The study was carried out on thirty patients having bony mandibular defects. They were reconstructed with the autogenous bone grafts from different graft donor sites. On post-operative visits they were evaluated for outcome variables. Results: Success rate of autogenous bone grafts in this study was 90%. Only 10% of the cases showed poor results regarding infection, resorption and graft failure. Conclusion: Autogenous bone grafts, non-vascularised or vascularised, are a reliable treatment modality for the reconstruction of the bony mandibular defects with predictable functional and aesthetic outcome
ABSTRACT
To determine the hospital based prevalence of hepatitis B and C in elective surgical patients of Gynaecology and Obstetrics. A descriptive study. The study was conducted in Military Hospital Rawalpindi from 25 Aug 2004 to 19 Dec 2005. A total of 1502 patients ranging from 20 to 70 years [Mean age 37 SD +/- 12], admitted for elective surgery in Gynaecology department, were screened for hepatitis B and C. Hepatitis C was positive in 156[10.39%] patients, while hepatitis B was positive in only 20 [1.33%] patients and both hepatitis B and C were positive in 5 [0.33%] patients. Overall hepatitis viruses were positive in 181[12.5%] patients. Conclusion: Seroprevalence of hepatitis, especially hepatitis C is high in Gynaecology/obstetric patients. All patients undergoing surgical/invasive procedure should be screened for Hepatitis B and C