ABSTRACT
Recurrence is a major problem following the treatment of aggressive central giant cell granuloma (CGCG). The aim of this study was to compare the frequency of recurrence between patients who received calcitonin nasal spray after curettage of CGCGs and those who did not. A double-blind clinical trial was designed. Patients were allocated to one of two groups: those in the calcitonin group underwent curettage and received calcitonin salmon nasal spray 200IU/day once a day for 3 months after surgery; those in the control group underwent curettage of CGCGs and received a placebo once a day for 3 months after surgery. All patients were followed for 5 years after surgery. Twenty-four patients were treated in the two groups. There was no difference in age, sex, tumour size, or tumour location between the two groups (P>0.05). Eight of the 24 patients (33.3%) had recurrences during the follow-up period: one in the calcitonin group (9.1%) and seven in the control group (53.8%). Analysis of the data demonstrated a significant difference between the two study groups (P=0.033). It appears that calcitonin nasal spray may reduce the frequency of recurrence in aggressive CGCGs in the mandible and maxilla.
Subject(s)
Bone Density Conservation Agents/administration & dosage , Calcitonin/administration & dosage , Granuloma, Giant Cell/prevention & control , Mandibular Diseases/prevention & control , Maxillary Diseases/prevention & control , Secondary Prevention/methods , Adolescent , Adult , Double-Blind Method , Female , Granuloma, Giant Cell/surgery , Humans , Male , Mandibular Diseases/surgery , Maxillary Diseases/surgery , Nasal Sprays , RecurrenceABSTRACT
The dynamics of the dispersion of a fixed mass of the buoyant fuel, methane, when exposed with a negligible pressure difference to overlaying air within vertical cylindrical enclosures open to the atmosphere is investigated. Features of the formation and dispersion of flammable mixtures created by the gas dissipation were examined using a 3D CFD model. For the cases considered, the lean-flammable mixture boundary appears to travel mainly at a near constant rate while the rich limit front shows a more chaotic behaviour. The corresponding simulation using an axis-symmetrical 2D model tended to under-predict the dynamics of the lean and rich boundaries, for the cases considered.
