iosr-JDMS   Volume-15 ~ Issue-2 ~ February-2016

Abstract:Non smoking and non drinking patients with oral squamous cell carcinoma has been identified as a unique and growing subgroup in the literature. In this article we describe a case of squamous cell carcinoma of right maxillary alveolus in an elderly male with no associated traditional risk factors like tobacco and alcohol. Patient had no family history of oral cancer and no environmental exposure of confounding factors like second hand smoke. Tumour was managed by surgical and adjuvant radiotherapy and is under follow up. Further investigations and genetic analysis are required to delineate the etiology of these carcinomas as treatment algorithm may be different for such patients. Thus identification of risk factors in such cases still remains an active area of clinical research.

[1]. Dahlstrom KR, Little JA, Zafereo ME, Lung M, Wei Q, Sturgis EM. Squamous cell carcinoma of the head and neck in never
smoker never drinkers: a descriptive epidemiologic study. Head Neck 2008;30:75–84.
[2]. Farshadpour F, Hordijk GJ, Koole R, Slootweg PJ. Non-smoking and non-drinking patients with head and neck squamous cell
carcinoma: a distinct population. Oral Dis 2007;13:239–43.
[3]. Harris SL, Kimple RJ, Hayes DN, Couch ME, Rosenman JG. Never-smokers, never drinkers: unique clinical subgroup of young
patients with head and neck squamous cellcancers. Head Neck 2010;32:499–503.
[4]. Cancela MC, Ramadas K, Fayette JM, et al. Alcohol intake and oral cavity cancerrisk among men in a prospective study in Kerala,
India. Community Dent Oral Epidemiol 2009;37:342–9.

Abstract:In India, there is increased proportion of Dengue cases with severe disease and all forms of serotypes are circulating in the community. Of those with DHF, 90% are children less than 15 years of age. Early recognition and prompt initiation of appropriate treatment are vital to reduce disease related morbidity and mortality. Additional data about the disease leads to implementation or alteration in public health programs. An attempt is made to study the clinical profile and outcome during August to November of 2011 in hospitalized Dengue fever cases.

[1]. Cobra C, Rigau-Perez JG, Kuno G, Vorndam V. Symptoms of dengue fever in relation to host immunologic response and virus
serotype, Puerto Rico, 1990-1991. Am J Epidemiol 1995; 142.
[2]. Pinheiro FP, Corber SJ. Global situation of dengue and dengue haemorrhagic fever and its emergence in the Americas. World
Health Stat Q1997;50:161–8.
[3]. World Health Organisation. Prevention and control of dengue and dengue haemorrhagic fever: comprehensive guidelines. WHO
Regional publication, SEARO, No 29, 1999.
[4]. Halstead SB, Nimmanitya S, Cohen SN. Observations related to pathogenesis of dengue haemorrhagic fever: I, relation of disease
severity to antibody response and virus recovered. Yale Journal Biol Med 1970;42: 311-28.
[5]. Morens DM. Antibody-dependent enhancement of infection and the pathogenesis of viral disease. Clinical Infectious Disease 1994;
19: 500-12.

Abstract:Diabetes mellitus is a group of metabolic disorder carbohydrate metabolism in which glucose is under used producing hyperglycemia. As the disease progresses patients are at increased risk of development of specific complications including retinopathy, leading to blindness, nephropathy leading to renal failure, neuropathy, and atherosclerosis. Present study planned to review the degree of association in NIDDM patients with Micro albuminuria & other parameters like T.cholesterol and Triglycerides, HDL cholesterol.

[1]. David B Sack's introduction of diabetes mellitus-Teitz textbook of clinical chemistry 3rd edition
[2]. Pamela C.Champe; Insulin resistance and obesity in Type11 DM-Lippincott Illustrated Reviews 3rd Edition
[3]. American Diabetes Association; position statement diabetic nephropathy, standards of medical care for patients with Diabetes
mellitus, Diabetes care Vol 21
[4]. Monica Nanni pierri; increased capillary escape rate of Albumin in Micro albuminuria type11 Diabetic patients; Diabetes care Vol-
18
[5]. Trinder P.Annals clinical biochemistry 6, 24, 29.Bergmayer.H.V (1974) Estimation of blood glucose, enzymatic analysis

Abstract:Non-Hodgkin's lymphomas (NHL) are a diverse group of cancers which arise from lymphocytes. The gastrointestinal tract is the predominant site for extranodal NHL. The incidence of NHL is 2.8% of all cancers worldwide. Here we report a case of a 53 year old male patient who presented with a huge lump in the right half of the abdomen since 7 months which was evaluated by several doctors outside but weren't able to come to a conclusive diagnosis, was operated here and eventually diagnosed as Diffuse NHL of the Colon.
Key words: Cancer, Colon, Gastrointestinal Tract, Lymphoma, NHL (Non – Hodgkin's Lymphoma),

[1]. World Cancer Research Fund International, http://www.wcrf.org/cancer_statistics/world_cancer_statistics.php
[2]. Wong MT, Eu KW. Primary colorectal lymphomas. Colorectal Dis. 2006; 8:586–91.
[3]. Bairey O, Ruchlemer R, Shpilberg O. Non-Hodgkin's lymphomas of the colon. Isr Med Assoc J.2006; 8:832–5.
[4]. Doolabh N, Anthony T, Simmang C, Bieligk S, Lee E, Huber P, et al. Primary colonic lymphoma. J SurgOncol. 2000; 74:257–62.
[5]. Gonzalez QH, Heslin MJ, Davila-Cervantes A, Alvarez –Tostado J, de los Monteros AE, Shore G, et al.Primary colonic lymphoma.
Am Surg. 2008; 74:214–6.
[6]. Zinzani PL, Magagnoli M, Pagliani G, Bendandi M, Gherlinzoni F, Merla E, et al. Primary intestinal lymphoma: Clinical and
therapeutic features of 32 patients. Haematologica. 1997; 82:305–8.

Abstract:Wandering spleen is a rare condition characterized by the absence or underdevelopment of one or all of the ligaments that hold the spleen in its normal position in the left upper quadrant of the abdomen. It is an uncommon clinical entity that mainly affects children. Among adults it most frequently affects women of reproductive age, in whom acquired laxity of the splenic ligaments is usually the cause. Patients with a wandering spleen may be asymptomatic, present with a movable mass in the abdomen, or have chronic or
intermittent abdominal pain because of partial torsion and spontaneous detorsion of the spleen.

[1]. Liu HT, Lau KK. Wandering spleen: an unusual association with gastric volvulus. AJR Am J Roentgenol. 2007 Apr;188(4):328–30.
[2]. Chawla S, Boal DK, Dillon PW, Grenko RT. Splenic torsion. Radiographics. 2003 Mar-Apr;23(2):305–8.
[3]. Stringel G, Soucy P, Mercer S. Torsion of the wandering spleen: splenectomy or splenopexy. J Pediatr Surg. 1982 Aug;17(4):373–
5.
[4]. El Bouhaddouti H, Lamrani J, Louchi A, El Yousfi M. Torsion of a Wandering Spleen. Saudi J Gastroenterol. 2010 Oct-
Dec;16(4):288–91.
[5]. Kapan M, Gumus M, Onder A, Gumus H. A wandering spleen presenting as an acute abdomen Case report. J Emerg Med. 2010
Sep 18;
[6]. Misawa T, Yoshida K, Shiba H, Kobayashi S, Yanaga K. Wandering spleen with chronic torsion. Am J Surg. 2008
Apr;195(4):504–5.

Abstract:To determine the proportion and the distribution of concha bullosa in patients with Chronic sinusitis and to determine the relationship between concha bullosa and age, sex, laterality, symptoms, mucosal changes and others. Design: Retrospective study.
Setting: Otorhinolaryngology, head and neck surgery department.

[1] Anand K. Devaiah. Adult chronic rhinosinusitis: diagnosis and dilemmas. Otolaryngologic Clinics of North America 2004; 37: 243
[2] Mamatha H, Shamasundar NM, Bharathi, et al. Variations of Osteomeatal Complex and Its Applied Anatomy: A CT scan Study.
Indian J Sci Technol 2010; 3(8): 904-7.
[3] Vincent TE, Gendeh BS. The Association of Concha Bullosa and Deviated Nasal Septum with Chronic Rhinosinusitis in Functional
Endoscopic Sinus Surgery Patients. Med J Malaysia 2010; 65(2): 108-11.
[4] Lam WW, Liang EY, Woo JK, et al. The Etiological Role of Concha Bullosa in Chronic Sinusitis. Eur Radiol 1996; 6(4): 550-2.
[5] Bolger WE, Butzin CA, Parsons DS. Paranasal sinus bont anatomic variations and mucosal abnormalities: CT analysis for
endoscopic sinus surgery. Laryngoscope 1991; 101: 56-64.

Abstract: to assess accuracy of modified Alvarado score along with aid of ultrasonography in the pre-operative diagnosis of acute appendicitis to decrease the negative appendicectomy rate. Methods-A consecutive series of 100 patients who came to emergency opd with provisional diagnosis of acute appendicitis was evaluated with modified Alvarado score and subjected to ultrasonography ,diagnosis was confirmed by histopathology.

[1]. Morrow SE, Newman KD. Current management of appendicitis. Sem ped Surg 2007; 16:34-40
[2]. Sarin YK, Puri AS, Sengar M, Sinha A, Gupta K. Use of Vascularised appendiceal graft for Biliary tract replacement in a case of choledochal cyst. J Ind assoc ped Surg 2007; 12(2) : 80-2.
[3]. Mitrofanoff P. Appendicovesicostomy with gastric augmentation. In. Frank Hinman Jr. Editor. Atlas of Urologic surgery. 2nd ed. Vol.1, USA; Saunders W.B:1998. p. 762.
[4]. Kalan M, Talbot D, Cunliffe WJ, Rich AJ. Evaluation of the modified alvarado score in the diagnosis of acute appendicitis : a prospective study: Ann Rcoll surg Eng. 1994; 76 : 418-19.
[5]. Owen TD, Williams H, stiff G, Jenkinson LR, Rees BI. Evaluation of Alvarado score in acute appendicitis. Journal of the Royal society of medicine 1992; vol. 85 : 87-8.
[6]. Sudhir Kumar Mohanty, Kaushik Sil. Evaluation of modified alvarado score in decreasing negative appendicectomy rate – our experience. IJS 2000; 62(5): 342-3.

Abstract: Males also play a very important role in population control. Vasectomy is permanent contraceptive method for the males. In populous country like India, Vasectomy needs to be promoted like Tubectomy Aim and objective: To know the acceptance of NSV, To identify the social background of the patients

[1] Interagency Gender Working Group/U.S. Agency for InternationalDevelopment (USAID), Reaching Men to Improve Reproductive Health for All: Implementation Guide, Baltimore, MD, USA: John HopkinsBloomberg School of Public Health/Center for CommunicationPrograms, 2003.
[2] Family Health International, Involving men, Network, 2004, Vol. 23,No. 3, pp. 29–30.
[3] Wright AK, Best K & Sokal D, Recent developments in vasectomy,BMJ, 2005, 330(7486):296–299.
[4] Pollack A, Carignan C & Jacobstein R, Female and male sterilization,in: Hatcher R et al., eds., Contraceptive Technology, 18th ed., NewYork: Ardent Media, 2004, pp. 531–573

Abstract: Most of the surgeries are now-a-days performed laproscopically. Early ambulation, less infections, cosmetic effects, minimal surgical pain are some of the advantages of laproscopic surgeries over open surgeries. General anesthesia is usually used to prevent aspiration and respiratory compromise seen secondary to pneumoperitoneum created in laproscopic surgeries. But general anesthesia does not provide post-operative analgesia. Also, general anesthesia has disadvantage of decreasing FRC and TV. Regional anesthesia provides good postoperative analgesia, anti-emesis with minimal respiratory and cardiovascular changes. In regional anesthesia patient is awake and oriented during surgery, also problems like oral or theeth injury during laryngoscopy, sore throat and stomach inflation seen in general anesthesia can be avoided. Regional anesthesia is safe and cost effective as compared to general anesthesia.

[1]. Hajong R, Khariong PD et al. Laparoscopic cholecystectomy under epidural anesthesia: a feasibility study. N Am J Med Sci. 2014 Nov; 6(11):566-9
[2]. V K Pujari et al. Laparoscopic Cholecystectomy Under Spinal Anaesthesia vs. General Anaesthesia: A Prospective Randomised Study. J Clin Diagn Res. 2014 Aug; 8(8):NC01-4
[3]. Vretzakis G et al. Regional anesthesia for laparoscopic surgery: a narrative review. J Anesth. 2014 Jun; 28(3):429-46
[4]. Luchette FA. Commentary on "Spinal versus general anesthesia for day-case laparoscopic cholecystectomy: a prospective randomized study". J Laparoendosc Adv Surg Tech A. 2012 Jul-Aug; 22(6):556
[5]. Chowbey PK et al. Exraperitoneal endoscopic groin hernia repairunder epidural anesthesia. Surg Laparosc Endosc Percutan Tech 2003; 13:185-90.

Abstract: Pyogenic granuloma represents an over-exuberant tissue reaction to some known stimuli or injuries. It is a distinctive clinical entity originating as a response of the tissues to a non-specific infection. The term "Pyogenic Granuloma is misnomer since the condition is not associated with pus formation. Pyogenic granuloma mostly occurs in relation to the gingiva. Other mucosal sites are rarely involved. Female in second decades of life mostly suffers due to vascular effects of female hormone. Here we report about Pyogenic granuloma in a 4year girl patient in ventral (inferior) surface of the tongue which is a rare presentation . Keywords: Pyogenic granuloma, Tongue,Ventral (inferior) surface.

[1]. Swati kejriwal, Rahul Bhandary, Biju Thomas. Oral pyogenic granuloma: A Case Report. Nitte University of Journal Health Science Vol. 4, No.1, March 2014, ISSN 2249-7110
[2]. Shafer, Hine & Levy(2006). Textbook of oral pathology;6th ed;Elsevier.
[3]. Swapan Kumar purkait(2011). Textbook of essentials of oral pathology;third ed; Jaypee.
[4]. Hamid Jafarzadeh, Majid Sanatkhani, Nooshin Mohatasam.Oral Pyogenic Granuloma: A review. Journal of oral science, vol 48, No. 4, 167-175, 2006.
[5]. Sonam Sharma, Amita Sharma, Ashok Kumar, Shivani Kalhan, Jasmine Kaur. Pyogenic granuloma of tongue – A rare case report. Asian Journal of Medical Sciences | May-Jun 2015 | Vol 6 | Issue 3.

Abstract: Background:Cerebral palsy is a non-progressive neurological disorder with motor disability, speech and auditory impairment and mental retardation. Objectives:The main aim of the study is to evaluate the efficacy of Siropichu(instillation of oil on the scalp) and abhyanga ( whole body oil massage)with Dhanwantaram thailam in cerebral palsy in children up to the age of eight years.The study is also aimed at assessing the stability of the effect of the procedure suggested.

[1]. Achar's text book of pediatrics, 4th edition. Swarna rekha bhat(Ed).(universities press(India) Pvt limited.himayatnagar, Hyderabad)
[2]. Acharya Charaka. Charaka Samhita,chikitsa sthan 28/75,76. (Chaukambha surbharati prakashan9 oriental publishers and distributer Varanasi)
[3]. Achraya vaghbhat. Astangha hriday,chikitsasthan 21/81. (Chaukambha surbharati prakashan9 oriental publishers and distributers Varanasi)
[4]. Acharya vaghbhat .Astanga hriday chikitsasthan 21/17 (Chaukambha surbharati prakashan9 oriental publishers and distributers Varanasi)

Abstract: Gingival recession is the apical migration of the gingival margin beyond the cemento-enameljunction (CEJ).Gingival recession is a common occurrence and its prevalence increases with age .The recession of the gingival, either localized or generalized, may be associated with one or more surfaces, resulting in attachment loss and root exposure, which can lead to clinical problems such as root surface hypersensitivity, root caries,cervical root abrasions, difficult plaque control, and diminished cosmetic appeal and aesthetic concern. Marginal gingival recession, therefore, can cause major functional and aesthetic problems, and should not be viewed as merely a soft tissue defect, but rather as the destruction of both the soft and hard tissue.

[1.] Serino G, Wennström JL, Lindhe J, Eneroth L. The prevalence and distribution of gingival recession in subjects with a high standard of oral hygiene. J ClinPeriodontol 1994;21(1):57-63.
[2.] Reddy S, Prasad MJS, Agnihotri J, Amudha D, Singh S, Krishnanand P. Management of multiple recession defect using modified coronally advanced flap alone or with PRF. Int J Health Sci Res 2013;3:133-138.
[3.] 3.Kassab MM, Cohen RE. The etiology and prevalence of gingival recession. J Am Dent Assoc 2003;134(2):220-225.
[4.] 4.Zadeh HH. Minimally invasive treatment of maxillary anterior gingival recession defects by vestibular incision subperiosteal tunnel access and platelet-derived growth factor BB. Int J Periodontics RestorativeDent 2011;31:653-660.
[5.] 5.Healing of gingival recession using collagen membrane with a demeneralizedxenograft,aRCT.DanieleCardaropoli,Giuseppe,int.j periodontics restorative dentistry 2009,29;59-68.

Abstract: Myiasis is the infestation of dipterian larvae in the human and other vertebrate animals. Oral cavity is a relatively rare site for wound myiasis. This disease mainly affects the old age group because of lack of geriatric care. The reasons are altered medical status, lack of proper oral and personal hygiene and neglect in maintaining a clean and tidy environment for the old. Here we present a case of oral myiasis in a 76 year old bed ridden lady and discuss what is available in literature about oral myiasis and its management.

Keywords: myiasis, oral myiais, wound myiasis.

[1] Antonio Azoubel Antunes, Thiago de Santana Santos, Rafael Linard Avelar, Evandro Carneiro Martins Neto, Bruno Macedo Neres and José Rodrigues Laureano Filho, Oral and maxillofacial myiasis: a case series and literature Review, Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2011;112:e81-e85.

[2] Jennifer A. Villwock and Tucker M Harris, Head and neck myiasis, cutaneous malignancy, and infection: a case Series and review of the literature, The Journal of Emergency Medicine, Vol. 47, No. 2, pp. e37–e41, 2014.

[3] D. Bablani, R. Desai, S. Kulkarni, S. Shetty, S. Bansal, S. Popli, Oral myiasis in an elderly debilitated patient, European Geriatric Medicine, 2 (2011) 371–372.

Abstract:Background: Unanticipated difficult tracheal intubation remains a primary concern of anaesthesiologists. The aim of the present study was to compare upper-lip bite test (ULBT) with other four predictors namely modified Mallampati Test (MMT), Thyro-mental distance (TMD), Sterno Mental distance (SMD) and Inter Incisor Distance (IID) for predicting difficulty in intubation. Methods: Airway assessment indices were evaluated and compared in 60 American Society of Anesthesiologists physical Status Grade I and II patients undergoing general anaesthesia at a tertiary care teaching hospital in South India. The cut-off points for defining the difficult intubation (DI) were as follows: for ULBT, Class III; MMT, Classes 3 and 4; TMD <6 cm; SMD <11 cm and IID <3.5 cm. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) were calculated for each of the predictive tests. Results: DI was observed.......

Keywords: Airway predictors, difficult airway, modified Mallampati test, upper-lip bite test

[1]. Bellhouse CP. An angulated laryngoscope for routine and difficult tracheal intubation. Anesthesiology 1988;69:1269.
[2]. Benumof JL, Scheller MS. The importance of transtracheal jet ventilation in the management of the difficult airway. Anesthesiology 1989;71:76978.
[3]. Cormack RS, Lehane J. Difficult tracheal intubation in obstetrics. Anaesthesia 1984;39:110511.
[4]. Samsoon GL, Young JR. Difficult tracheal intubation: A retrospective study. Anaesthesia 1987;42:48790.
[5]. Mallampati SR, Gatt SP, Gugino LD, Desai SP, Waraksa B, Freiberger D. A clinical sign to predict difficult tracheal intubation: A prospective study. Can Anaesth Soc J 1985;32:42934..