Treatment of oroantral fistula - a study

The aim of this study was to evaluate and analyze the occurrence, characteristics and treatment outcome of oroantral fistula in 29 patients from Sept 2004 to Nov 2009. These patients were examined both clinically and radio-logically for oroantral fistula. Data regarding the age, gender, cause and site of fistula and treatment outcome was evaluated and reviewed. The age range was 18-60 years with high frequency occurring in 31-40 years. Male outnumbered female. The common cause of OAF was extraction of teeth [n=25, 86.5%] followed by cysts [n=2, 6.7%]. The most common involved tooth in the causation of OAF was upper first molar [n=13, 52%]. Surgical technique used to close the fistula was buccal advancement flap. Recurrence of fistula occurred in 2 patients [6.7%] and were re-operated using the palatal flap. The merits and demerits of the procedure are discussed

Impacted mandibular third molars: pattern of presentation and postoperative complications

The purpose of this prospective study was to evaluate the occurrence, characteristics and postoperative complications of impacted mandibular third molars in 260 patients from Oct 2008 to July 2010. Clinical and radiographic examinations were carried out. Data regarding the age, gender, angulations type, depth and width of impactions and postoperative complications were evaluated and analyzed. The age ranged from 17 to 59 years with high frequency occurring in 3rd decade. The common cause for extraction was pericoronitis. Mesioangular impaction was most common [n=124, 48%] followed by vertical [n=90, 34%]. Majority of the patients presented with Class IIA [n=84, 32.3%] followed by IA [n=61, 23.5%]. Postoperative complications included persistent pain and swelling [16.5%] followed by dry socket [4.2%] and trismus [4.2%]. There was a greater risk of developing complications in horizontal and distoangular types, and in Class IIIC and IIIA impactions

Complications of conventional sclera buckling occurring during and after treatment of rhegmatogenous retinal detachment

To identify and determine the frequency of the intra-operative and early postoperative compkicaitons of Cinventional Scieral Buckling [CSB] ans the primary surgical intervention in patients with Phegmatogenous Retinal Detachment [RRD]. A quasi-interventional study. Khyber Institute of Ophthalmic Medicl Sciences [KIOMS], Postgraduate Medical Institute [PGMI], Hayatabad Medical Complex [HMC], Peshawar, from April 2005 to June 2006. Fifty consecutive patients who underwent CSB and fulfilled the inclusion criteria, were included in the study. Operative details and any intra-operative complications were noted. The patients underwent another detailed clinical examination and pain assessment on the first postoperative day. All the patients were followed-up minimum for 3 months. Postoperative complications were identified and recorded. The data was analyzed on SPSS 120 for measures of central tendency and dispersion. There were 36 males and 14 female subjects. Mean age was 37.18 +/- 20.145 years. Encirclement [56%] was the most frequently used CSB technique, sixteen [32%] patients had at least one intra-operative complication. Intra-operative complications were iatrogenic sclera break [2%], accidental Sub Retinal Fluid [SRF] drainage [8%], choroidal haemorrhage [2%], subretinal haemorrhage [14%], retinal incarceration [2%], vitreous haemorrhage [6%], raised [4%] or very low [2%], intra-operative IOP and hyphema [2%]. Postoperative complications included systemic complications [24%], choroidal detachment [8%], vitreous haemorrahge [16%], raised IOP [22%], angle closure [2%] and explants exposure [6%]. Mean refractive change in spherical equivalent was -1.478 +/- 0.698 D. final re-attachment rate was [82%] and final BCVA of > 6/60 was achieved in 62% of the subjects in the treated eyes. CSB is a safe and effective option for treating uncomplicated RRD, but it is associated with certain complications. Sub-retinal bleed was the most common intra-operative complication. Raised IOP was most the common early postoperative complication followed by choroidal detachment

Odontogenic keratocysts: a clinical and radiographic study

This descriptive study was carried out, at Khyber College of Dentistry, Peshawar from Sept 2005 to Jan 2007, on 40 patients having histopathologically confirmed odontogenic keratocysts.. Maximum patients [62.5%] presented in the 2nd and 3rd decades. 21 were male while 19 were female. Seventy five percent cases occurred in the mandible, with the posterior region involved in maximum number of cases in both the jaws. Facial asymmetry, pain and cheesy aspirate were 75%, 50% and 82.5% respectively. Radiographic findings were well defined borders, multilocularity, impacted tooth and root resorption, in 45%, 55%, 50% and 7.5% of cases respectively. The objective of the study was to list the common modes of presentations of odontogenic keratocysts and educate the general dental practitioners about the aggressive nature of this lesion. As a prophylactic measure, routine dental check up will help a lot in the prevention and timely diagnosis of odontogenic keratocysts

Occurrence and characteristics of maxillofacial injuries - a study

This descriptive study was undertaken to evaluate and analyze the pattern of maxillofacial fractures in 340 patients reported to the Department of Oral and Maxillofacial Surgery, Khyber College of Dentistry, Peshawar from Oct 2005 to May 2007. These patients were examined both clinically and radiologically for maxillofacial fractures. Data regarding the age, gender, cause of fracture and site of fracture were evaluated and reviewed. The age range was 2-28 years [mean 25 +/- 16.4years] with high frequency occurring in 21-30 years age group. The male to female ratio was 3:1. The leading cause of maxillofacial fracture was road traffic accident [RTA [n=154; 45.2%]], followed by accidental fall [n=101; 29.7%] and firearm injury [FAI [n=49; 14.4%]]. It was noted that road traffic accident and fall caused most of the parasymphyseal [n=90] and condylar fractures [n=65] in mandible, while firearm injury and assault caused more body [n=18] and angle [n=20] fractures. Maxillary bone fractures [55.5%] were common followed by zygomatic bone [38.8%]. This study can guide us to formulate strategies and policies to prevent maxillofacial fractures

comparative analysis of rigid and non rigid fixation in mandibular fractures: a prospective study

The aim of this prospective study was to compare the postoperative outcome in 80 mandibular fractures patients, treated by open reduction and internal fixation [ORIF] and intermaxillary fixation [IMF] at Oral and Maxillofacial Surgery Unit, Khyber College of Dentistry, Peshawar from 10th February 2006 to 9th February 2007. The most common age group involved was 21-30 years and the common cause of fractures was road traffic accidents [38.75%], followed by fall [31.25%]. Most common site of fractures was parasymphysis [41.24%] followed by angle [25%]. Patients were divided in two treatment groups, having 40 patients in each group. Rigid internal fixation was assigned as group A and intermaxillary fixation as group B. Data regarding the study was evaluated and reviewed. Two patient groups were not significantly different in relation to postoperative normal occlusion [p=0.45], malocclusion [p=0.45], mAl union [p=0.45], delayed union [p=0.07], non union, infection [p=0.28] and sensory disturbances [p=0.07]. The result was significant in relation to mouth opening [p=0.0001]. This study will help us regarding the measures to be taken in prevention of postoperative complications

Outcome of rigid internal fixation of mandibular fractures: a prospective study

This prospective study was undertaken to analyze the postoperative outcome in 80 mandibular fracture patients treated by open reduction and internal fixation at Oral and Maxillofacial Surgery Unit, Khyber College of Dentistry, Peshawar from Jan 2006 to June 2007. Data regarding the pattern of fracture and postoperative outcome was evaluated and reviewed. The most common cause of fracture was road traffic accident and common site was parasymphysis. Sixty two patients [n=62; 77%] had successful uneventful postoperative outcome. Infection was the common complication [n=7; 8.7%] followed by malocclusion [n=5; 6.2%]

Pattern of mandibular fractures: a study

This descriptive study was conducted to evaluate and analyze the pattern of mandibular fractures in 150 patients treated in the Department of Oral and Maxillofacial Surgery, Khyber College of Dentistry, Peshawar from 1[st] Sep 2004 to 31[st] Dec 2005. These patients were examined both clinically and radiologically for mandibular fractures. Data concerning age, gender, causes of fracture and sites of fracture were evaluated and reviewed. The age range was 2-78 years [mean 24 years] with high frequency occurring in 21-30 years age group. The male to female ratio was 4.1:1. The leading cause of mandibular fracture was road traffic accident [RTA [n=64; 42.6%]], followed by accidental fall [n= 42; 28%], firearm injury [FAI [N=25; 16.6%]], assault [n=7; 4.6%], sports [n=5; 3.3%], industrial accidents [n=3; 2%] while 4 cases were associated with other causes such as bomb blasts and animal injury. The most common site was parasymphysis [n= 47; 27.4%] followed by angle [n=40; 23.3%] and body [n=38; 22.2%]. This study can guide us to formulate strategies and policies to prevent and treat mandibular fractures