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1.
Ann Maxillofac Surg ; 5(1): 49-54, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26389034

RESUMO

AIMS: A study was conducted to evaluate the benefits of cyanoacrylate tissue adhesive as an alternative to suturing in management of pediatric lacerations. MATERIALS AND METHODS: A total of 7 patients were evaluated and followed for 3-month. The wound was evaluated on 1(st), 3(rd), and 7(th) postoperative day for swelling, infection, gaping and pain and at 1(st) and 3(rd) postoperative month for scar evaluation. The evaluation was based on different superficial facial wound repairs (i.e., low tension) with an average length <3 cm; and if the surgeon subjectively felt that subcuticular sutures were justified to reduce wound tension, then these were used. Isoamyl 2-cyanoacrylate glue was applied over lacerated wound margins after cleaning the wound and holding together for 15 s by means of tissue holding forceps. STATISTICAL ANALYSIS: Statistical analysis was done using Chi-square test after collection of data. Mean and standard error were estimated from the sample. RESULTS: The mean total time taken for skin closure was 1-2.5 min. There was no wound infection in any of the cases; only one case showed wound dehiscence on 3rd postoperative day. The cosmetic was better as there were no suture marks. CONCLUSION: Isoamyl 2-cyanoacrylate can be considered as excellent "no needle" alternative for closure of selected pediatric lacerations, those that are short, clean and under low tension.

2.
J Indian Soc Pedod Prev Dent ; 33(2): 166-9, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25872639

RESUMO

BACKGROUND: Ankylosis of the temporomandibular joint (TMJ) is an intracapsular union of the disc-condyle complex to the temporal articular surface that restricts mandibular movements, including the fibrous adhesions or bony fusion between condyle, disc, glenoid fossa, and eminence. It is a serious and disabling condition that may cause problems in mastication, digestion, speech, appearance, and hygiene. CASE REPORT: This report describes a case of a 12-year-old girl with inability to open her mouth, diagnosed with unilateral right bony TMJ ankylosis. The surgical approach consisted of gap arthroplasty with interpositional temporalis muscle flap followed by vigorous physiotherapy. CONCLUSION: The treatment of TMJ ankylosis poses a significant challenge because of technical difficulties and a high incidence of recurrence. Its treatment includes the orthodontist, oral and maxillofacial surgeon, pediatric dentist, and psychologist and physical therapist as part of the healthcare team.


Assuntos
Anquilose/cirurgia , Transtornos da Articulação Temporomandibular/cirurgia , Anquilose/fisiopatologia , Criança , Feminino , Humanos , Modalidades de Fisioterapia , Retalhos Cirúrgicos , Músculo Temporal/transplante , Transtornos da Articulação Temporomandibular/fisiopatologia
3.
J Indian Soc Pedod Prev Dent ; 32(3): 251-4, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25001447

RESUMO

Unicystic ameloblastoma is a rare, benign, locally invasive odontogenic neoplasm of young age that shows clinical, radiographical or gross features of an odontogenic cyst, but it histologically shows typical ameloblastomatous epithelium lining part of the cyst cavity, with or without luminal and/or mural tumor growth. A case of asymptomatic unicystic ameloblastoma in an 11- year-old-female, who was treated by surgical enucleation followed by Carnoy's solution application for 5 minutes, is presented. The present case report describes the clinical and radiological behaviors, its importance and complexity of a differential diagnosis and treatment protocol of lesions in the mandibular molar-ramus area considering the special problems in children.


Assuntos
Ameloblastoma/cirurgia , Neoplasias Maxilomandibulares/cirurgia , Criança , Humanos
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