ABSTRACT
Human bite injuries of the eyelids are particularly rare. In most reported cases of human bites to the eyelids associated with tissue loss, the avulsed tissue was viable and available for reconstruction. Herein we reported successful reconstruction of eyelid defect due to human bite injury in which the avulsed eyelid tissue was not available for reconstruction
ABSTRACT
Background: Dental extraction is the removal of a tooth from the oral cavity and is the most common procedure performed in oral surgery. Conventional exodontia tends to cause unnecessary trauma leading to postoperative pain, loss of tissue and stress for the patient. ‘Atraumatic’ dental extraction techniques have nowadays gained popularity and in such case, physics forceps can be helpful in achieving such results. The aim of the study was to evaluate and compare efficacy of physics forceps versus conventional forceps in therapeutic extraction of premolars.Methods: A total of 35 patients requiring extraction of premolars in maxillary or mandibular arch or both arches for orthodontic treatment purpose were included and divided into groups A and B wherein right sided extractions performed with physics forceps were compared with left sided extractions carried out using conventional forceps in terms of time taken for extraction, bone and soft tissue injury, success score and pain assessment.Results: The present study suggested statistically significant difference between both the groups. Time taken for extraction, trauma to gingival tissue, bone loss, and visual analogue scale (VAS) score was significantly lesser with physics forceps group, when compared to conventional forceps group. Moreover no significant difference in success score was noted between both the groups.Conclusions: Physics forceps are comparatively superior to conventional extraction forceps in terms of lesser time taken for the procedure, lesser tendency to induce trauma to both hard and soft tissue and have been found to induce comparatively lesser pain post extraction.
ABSTRACT
PURPOSE: To determine the long-term outcomes of patients with diabetes mellitus (DM) and tissue loss who have undergone infrainguinal bypass surgery (IBS). METHODS: We retrospectively reviewed the medical records of 91 patients with DM and tissue loss who underwent IBS between July 2003 and December 2013. We determined the rates of overall survival (OS), amputation-free survival (AFS), limb salvage (LS), and graft patency (GP). In addition, we evaluated data to identify risk factors that affected long-term outcomes. RESULTS: The mean age of patients was 66 +/- 8 years, and 78 patients (85.7%) were men. The locations of tissue loss were toe on 76 limbs (71.6%), heel on 6 limbs (5.7%) and others on 24 limbs (22.6%). Single lesions were found in 81 limbs (76.4%). According to categorization by distal anastomosis artery, there were 57 popliteal (53.8%) and 49 infrapopliteal bypasses (46.2%). Among infrapopliteal bypasses, 5 cases (10.2%) were sequential bypasses. The OS at 1, 3, and 5 years was 90.5%, 70.9%, and 44.2%, respectively. At 1, 3, and 5 years, the LS was 92.1%, 88.9%, 88.9%, respectively; and AFS was 84.4%, 67.6%, 45.7%, respectively. At 1, 3, and 5 years, the GP was 84.8%, 74.5%, and 69.8%, respectively. Renal failure was a negative predictor for OS, and female gender was a negative predictor for GP. CONCLUSION: IBS for patients with DM and tissue loss led to acceptable OS, AFS, LS, and GP. Active revascularization for patients with DM and tissue loss can reduce the risk of major amputation.