iosr-JDMS   Volume-17 ~ Issue-4 ~ April-2018

Abstract: Among jaw cysts, OKC accounts for third most common jaw cysts after periapical and dentigerous cysts. Most common location of OKC is mandible and is mostly found in second to fourth decade of life. Occurence of OKC in maxilla is rare. If it occurs ,it is commonly seen in older age group.OKC is known for its aggressive and infiltrative behaviour and its extreme reccurence rate. This case report describes the occurrence of this lesion in maxilla especially in a paediatric patient.

Key words: OKC, maxilla, Young patient

[1]. Fries G, Board FR, Woodburn RL, Service IR. D e n t i s t r y &. 2003;134(February):877–83.
[2]. Maurette PE, Jorge J, De Moraes M. Conservative treatment protocol of odontogenic keratocyst: A preliminary study. J Oral Maxillofac Surg. 2006;64(3):379–83.
[3]. Madras J, Lapointe H, Frcd C. Keratocystic Odontogenic Tumour : Reclassification of the Odontogenic Keratocyst. 2008;74(2).
[4]. Warburton G, Shihabi A, Ord RA. Keratocystic Odontogenic Tumor ( KCOT / OKC )— Clinical Guidelines for Resection. J Maxillofac Oral Surg [Internet]. Springer India; 2015;14(3):558–64. Available from: http://dx.doi.org/10.1007/s12663-014-0732-7
[5]. Report C. CASE REPORT A radiolucent lesion crossing the midline in maxilla : a rare presentation of odontogenic keratocyst in young patient. 2010;9(1):102–4.

Abstract: Middle Cerebral Artery Aneurysm (MCAA) Accounts For Approximately 18-20 Percent Of All Intracranial Aneurysms. These Aneurysms Are Divided Into Three Categories According To Their Origin: Proximal Aneurysms, Which Are Located On The Main Trunk, M1 Segment (10-15%); Bifurcation Aneurysms, Which Are Located At The First Major Bifurcation Or Trifurcation (80-85%); And Distal Aneurysms Which Are Located Beyond The Major Bifurcation (5%). In Our Series Of 45 Patients, Total 52 Aneurysms Were Seen. Out Of Them, 12 Aneurysms Were Small Sized (2-7mm); 27 Aneurysms Were Medium Sized; 12 Aneurysms Were Large (15-25mm) Sized And 1(1.92%) Was Giant Aneurysm .We have treated all by surgical clipping of aneurysm. METHOD: Data Was Collected From The Admission Record Of The Patients Of Middle Cerebral Artery Aneurysms, Presented To The Department.......

Key Words: MCAA -Middle Cerebral Artery Aneurysm ,H&H-Hunt and Hess,DSA- Digital Substraction Angiography, Glasgow Outcome Scale, Glasgow Coma Scale

[1]. Roberto C, Michael JF: Surgical Management of Middle Cerebral Artery Aneurysms. Neurosurgery 48 No 4: April 2001.
[2]. Rinne J, Hernesniemi J, Niskanen M, Valapathi M: Analysis of 561 patients with 690 middle cerebral artery aneurysms: Anatomic and clinical features as correlated to management outcome. Neurosurgery 38: 2-11, 1996.
[3]. Ronkainen J: Familial subarachnoid hemorrhage in East Finland 1977-1990.Neurosurgery 33:787-797, 1993.
[4]. Juvela S, Porras M, Poussa K: Natural hiatory of unruptured intracranial aneurysm: Risks for aneurysm formation, growth and rupture. Acta Neurochirurgica (supp.)87:27-30, 2002.
[5]. B.G. Shin, Kim JS, Hong SC: Single stage operation for bilateral middle cerebral artery aneurysm. Acta Neurochirurgica 147:33-38, 2005.

Abstract: Introduction : Tennis Elbow is a commonly diagnosed condition of elbow in middle age group. The optimum treatment for Recalcitrant Tennis Elbow remains controversial. In the present prospective study we evaluated the outcome of Local injection of Autologous Blood for treatment of recalcitrant Tennis Elbow not responding to conservative management. Materials and methods: This study was conducted on 19 patients having recalcitrant Tennis Elbow not responding to conservative management treated with local autologous blood injection. Patients of recalcitrant Tennis Elbow associated with any underlying comorbid condition or elbow joint pathology were excluded from the study............

[1]. Peerbooms JC, Sluimer J, Bruijn DJ, Gosens T (2010) Positive effect of an autologous platelet concentrate in lateral epicondylitis in a double-blind randomized controlled trial: plateletrich plasma versus corticosteroid injection with a 1 year followup. Am J Sports Med 38(2):255–262
[2]. Mishra A, Pavelko T. Treatment of chronic elbow tendinosis with buffered platelet-rich plasma. Am J Sports Med 2006;34:1774-8. [3]. Dorf ER, Chhabra AB, Golish SR. et al. Effect of elbow position on grip strength in the evaluation of lateral epicondylitis. J Hand Surg[Am] 2007;32:882–886. doi: 10.1016/j.jhsa.2007.04.010. [4]. Nirschl RP. In: Repetitive motion disorders of the upper extremity. Gordon SL, Blair SJ, Fine LJ, editor. Rosemont, IL: American Academy of Orthopaedic Surgeons; 1995. Tennis elbow tendinosis: pathoanatomy, nonsurgical and surgical management; pp. 467–479.
[5]. Mishra AK, Skrepnik NV, Edwards SG, Jones GL, Sampson S, Vermillion DA, Ramsey ML, Karli DC, Rettig AC (2014) Efficacy of platelet-rich plasma for chronic tennis elbow: a doubleblind, prospective, multicenter, randomized controlled trial of 230 patients. Am J Sports Med 42(2):463–471...

Abstract: Background: Development of right ventricular hypertrophy and eventual right side heart failure is common in patients with chronic obstructive pulmonary disease (COPD). However, some disturbance in left ventricular (LV) function has been observed among such patients. The co-existence between chronic obstructive pulmonary disease (COPD) and heart failure has been previously described. However, the co-existence between COPD and subclinical LV dysfunction, without the presence of heart failure symptoms, is less well understood. The aim of the study:.......

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[3]. J.A. Barbera, I. Blanco. Pulmonary hypertension in patients with chronic obstructive pulmonary disease: advances in pathophysiology and management. Drugs.2009; 69 (9): 1153–1171.
[4]. W. MacNee.Pathophysiology of corpulmonale in chronic obstructive pulmonary disease. Am. J. Respir. Crit. Care Med.1994; 150:833–852.
[5]. J.A. Barbera , V.I. Peinado, S. Santos. Pulmonary hypertension in chronic obstructive pulmonary disease. Eur. Respir. J.2003; 21:892–905.

Abstract: Aim: To assess ideal height of tri-cortical iliac crest graft and size of plate in anterior cervical decompression and fusion surgery. Materials and methods: 30 patients were included in this study. All of them underwentanterior cervical decompression and fusion surgery for traumatic and other differentdegenerative cervical spine pathologies. Intra-operative size of tri-cortical iliac crest graft and plate were measured using calibrated measuring caliper. Result: In our study, 15 patient undergone anterior cervical discectomy and fusion (ACDF) for discal and retro-discal pathologies, while same number (15) of patient undergone anterior corpectomy and fusion (ACCF) with vertebral and retro-vertebral pathologies. Average height of graft was 7.4 mm (range 6-10 mm); while mean size of cervical plate was.............

Key words: Cervical, Decompression, Fusion, Height, Graft

[1] Robinson RA, Smith GW. Anterolateral cervical disc removal and interbody fusion for cervicaldisc syndrome.Bull Johns Hopkins Hosp 1955;96:223-4.
[2] Bayley JC, Yoo JU, Kruger DM, et al.The role of distraction in improving the space availablefor the cord in cervical spondylosis. Spine 1995;20:771-5
[3] Pal GP, Sherk HH. The vertical stability of cervical spine. Spine 1998;13:447-9
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[5] Raghu N, Natrajan RN, Chen BH, et al. Anterior cervical fusion: A finite element model ofstudy on motion segment stability including the effect of osteoporosis, Spine 2000;25:955-61.

Abstract: Background: Incidence Of Shaft Of Humerus Fracture Is 1- 3% Of All Fractures In The Human Body And 20% Of All Fractures Of Humerus. There Are Many Treatment Modalities For This Fracture Depending On The Age, Fracture Pattern, Soft Tissue Condition, Bone Quality And Associated Complications . Treatment Options Include Conservative And Operative Treatment. The Present Study Is To Evaluate The Outcome Of Management Of Humerus Shaft Fracture Treated By Medial LCP. Objectives: To Evaluate The Functional And Radiological Outcome, And Complications Of Humeral Shaft Fracture Treated By Medial LCP. Methods: Prospective Study Involving 35 Patients Who Were Selected By Consecutive Sampling Within The Age 20-60 Years With Shaft Of...........

Key words: Shaft Humerus Fracture, Medial LCP, Complications, Prospective Study.

[1]. Ward EF, Savoie FH, Hughes JL. Fractures Of The Diaphyseal Humerus. In: Skeletal Trauma: Fractures, Dislocation, Ligamentous Injuries. Vol. 2. Philadelphia: Saunders, 1998:1523-47.
[2]. Mann RJ, Neal EG. Fractures Of The Shaft Of The Humerus In Adults. South Med J 1965;58:264-8.
[3]. Balfour GW, Mooney V, Ashby ME. Diaphyseal Fractures Of The Humerus Treated With A Ready-Made Fracture Brace. J Bone Joint Surg [Am] 1982;64-A:11-13.
[4]. Rose SH, Melton LJ 3rd, Morrey BF, Ilstrup DM, Riggs BL. Epidemiologic Features Of Humeral Fractures. Clin Orthop 1982;168:24-30.
[5]. Sarmiento A, Kinman PB, Galvin EG. Functional Bracing Of Fractures Of The Shaft Of The Humerus. J Bone Joint Surg Am. 1977;59(5):596–601.

Abstract: Introduction: Solitary thyroid nodule is commonly encountered clinical problem. Now a days its incidence raised because of advanced imaging techniques. Thyroid nodules present a challenge in their diagnosis, evaluation and management. Aims and Objectives: The aim of the study is to evaluate nodules whether they are benign or malignant and various treatment modalities to decrease morbidity. Material and Methods: The evaluation begins with demographic factors, physical examination, appropriate investigations, cytological and histopathological correlation. 33 patients of all ages and sexes with clinical diagnosis of solitary thyroid nodule admitted in teritiary health care centre were studied. Results: Out of 33 patients, 26 were female and 7 were male patients. Fnac was done in all 33 cases, out of 33 cases, 10 cases were diagnosed as Adenomatoid nodule, 18 cases as colloid nodule, 1 case as lymphocytic thyroiditis, 3 as follicular neoplasm/...........

Key words: Cytology, Histopathology, Solitary Thyroid Nodule, Thyroidectomy, Ultrasound Examination

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[3]. tumors in a solitary thyroid nodule. Int J Res Med Sci. 2013 Nov;1(4):429-434. Ashcraft MW, Van HerleAJ. Management of thyroid nodules.II: Scanning techniques, Thyroid suppressive therapy, & Fine needle aspiration. Head & Neck surgery. 1981;3:297-322.
[4]. Maria T. Rojeski, M.D., Hossein Gharib, M.D. Nodular Thyroid Disease:Evaluation & Management .New England Journal of Medicine 1985; 313:428.
[5]. Tarrar AM, Khan OU, Wahla MS. Solitary thyroid nodule; frequency of malignancy at combined military hospital Rawalpindi. Professional Med J Dec 2010; 17(4): 598-602.

Abstract: Moyamoya Disease Is A Rare Progressive Vasoocclusive Disorder Of An Unknown Etiology. It Is Characterized By Progressive Stenosis Of Terminal Portions Of Internal Carotid Arteries Bilaterally, And The Main Trunks Of Anterior And Middle Cerebral Artery, And Is Associated With Collateral Vessels At The Base Of The Brain ('Moyamoya' Vessels). The Term Moyamoya Is A Japanese Word Which Means "A Puff Of Smoke". It Was Coined By Suzuki And Takaku In 1969 To Describe The Angiographic Appearance Of The Collateral Vessels At The Base Of Brain In A Group Of 21 Patients With Internal Carotid Arterial Occlusion.......

[1]. Aylett SE, Britton JA, De Sousa CMCP: Down syndrome and moyamoyadisease:Presentation withsubarachnoid hemorrhage. PediatrNeurol 14: 259 261, 1996 -
[2]. Borota L, Marinkovic S, Bajic R, Prstojevic B,Kovagevic M: Moyamoya disease in Yugoslavia:Angiographic study. Neurol Med Chir (Tokyo) 37:512-524,1997
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[4]. Fukada N, Sugita K, Ishibashi T: [Intracerebralhemorrhage associated with moyamoya disease. Acase of familial occurrence of moyamoya disease]. Saitama NoshinkeigekaIkaiho 23: 4, 1985 (Jpn)
[5]. Fukuyama Y, Kawai M: [A pedigree analysis of newlyregistered patients with idiopathic occlusion of thecircle of Willis (“Moyamdoisyeaase&rdquino:; )]A, nnualReport (1987) of the Research Committee on Spontaneous Occlusion of the Circle of Willis (Moyamoya Dis ease) of the Ministry of Health and Welfare, Japan. 1988, pp 22-23 (Jpn, with Eng abstract).

Abstract: Background:Febrile seizures are the most common seizures in children. Incidence is around 2-5% among children of age group 5-60 months. There is variable association between febrile convulsions and hematological parameters associated with iron deficiency anemia in children. Iron deficiency is also associated with many of the behavioural disorders in children. Objective: To study the role of iron deficiency as a riskfactor for simple febrile seizures. Design: Prospective Case control study. Setting: Pediatric department of a tertiary care teachinghospital. Participants: 60 cases and 60 controls were includedin the study. Consecutive cases and concurrent controlswere selected. Cases were children of age group 6 monthsto 60 months presenting with 1st episode simple febrile seizures. Controlswere...........

[1]. Kliegman RM, Stanton B, Geme J, Schor NF, Behrman RE. Nelson Textbook of Pediatrics. 19 edition, Philadelphia: Suarders company, 2011.
[2]. Leung AK. Febrile seizures. J Pediatr Health Care. 2007; 21(4): 250-55.
[3]. Jones T, Jacobsen SJ. Childhood febrile seizures: overview and implications. Int J Med Sci. 2007; 4(2): 110-14.
[4]. Waruiru C, Appleton R. Febrile seizures: an update. Arch Dis Child. 2004; 89(8): 751-6.
[5]. Abuexteish F, Daoud As, Alsheyyab M, Non'man M. Demographic characteristics and risk factor of first febrile seizure: a Jordanian experience.J Trop Doct. 2000; 30(1) :25-7.

Abstract: Background: Various simple bedside preoperative anaesthetic airway assessment can be performed to predict difficult intubation. The present study was aimed to compare the predictive value of modified mallampati test (MMT) with upper lip bite test (ULBT) and ratio of patient's height to thyromental distance (RHTMD) for difficult laryngoscopy and airway. Methods: 65 patients aged 18-65 years of either sex, ASA grade I and II undergoing elective surgery under general anaesthesia were assessed and graded for ULBT, RHTMD and MMT according to standard methods and correlated with the Cormack and Lehane grading. Sensitivity, specificity, positive and negative predictive value, Receiver operating characteristic (ROC) Curve and the area under ROC curve (AUC) for each airway predictor in isolation were determined. Results: RHTMD has higher sensitivity, specificity, better positive............

Key words: Airway assessment, prediction of difficult intubation, MMT, ULBT and RHTMD

[1]. Mohan K, Mohan RL. Comparison of upper lip bite test with thyromental distance for predicting difficult endotracheal intubation. Asian Journal of Biomedical and Pharmaceutical Sciences 2013;3(22):62-5.
[2]. Posner KL, Caplan RA. In; Hagherg CA, editors. Benumoufs Airway Management Principles And practice. 2nd ed. Philadelphia: Mosby Elsevier; 2007.
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Abstract: Background- Thyroid disorders constitute one of the most common endocrine disorders in pregnancy. It is associated with adverse maternal outcomes including eclampsia, pre-eclampsia, placental abnormalities, miscarriages, pre-term labor, and low birth weights. Material and Methods-The present study was carried out on the pregnant women in their second and third trimesters attending outpatient department of obstetric and gynaecology from October2012 to September2014. 100 Preeclamptic women were included in the study group and 50 normotensive women were included in the control group. Both groups were screened for hypothyroidism and were followed through their antenatal, intranatal and postnatal period...........

Key words: Preeclampsia,thyroid stimulating hormone,pregnancy , birth weight

[1]. Arulkumaran, N.; Lightstone, L. (December 2013). "Severe pre-eclampsia and hypertensive crises". Best Practice & Research Clinical Obstetrics & Gynaecology27 (6): 877–884. doi:10.1016/j.bpobgyn.2013.07.003.
[2]. Al-Jameil (2013). "A Brief Overview of Preeclampsia". Journal of Clinical Medicine Research. doi:10.4021/jocmr1682w
[3]. Abalovich M ,Amino n, Barbour LA, et al. Management of thyroid dysfunction during pregnancy and postpartum.an endocrine society clinical practice guideline. J Clin Endocrinal Metab. 2007;92 (8);1-47.
[4]. A. Stagnaro-Green, S. H. Roman, R. H. Cobin, E. El-Harazy, S. Wallenstein, and T. F. Davies, ―A prospective study of lymphocyte-initiated immunosuppression in normal pregnancy: evidence of a T-cell etiology for postpartum thyroid dysfunction,‖ Journal of Clinical Endocrinology and Metabolism, vol. 74, no. 3, pp. 645–653, 1992.
[5]. A. Stagnaro-Green, ―Overt hyperthyroidism and hypothyroidism during pregnancy,‖ Clinical Obstetrics and Gynecology, vol. 54, no. 3, pp. 478–487, 2011.

Abstract: Early childhood caries (ECC) is a serious, painful dental disease affecting the infants and children. It is one of the most chronic disease of childhood and it is five times more prevalent than asthma. It is of multifactorial etiology. Children affected by ECC have compromised function and esthetics. Management of ECC consists of multidisciplinary approach involving pedodontists, paediatricians, dietician and a counsellor. This paper describes the comprehensive management of a four year old child with severe ECC

Key words: Dental caries, esthetics, gropper's appliance, space maintainer

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[3]. Prabhakar M, Simrit Kaur M. Prosthetic Replacement Options For Premature Loss of Deciduous Anterior Teeth. Ind J Dent Sci 2014;6(4):55-7.

[4]. Waggoner WF, Kupietzky A. Anterior esthetic fixed appliances for the preschooler: considerations and a technique for placement. Pediatr Dent 2001;23(2):147-50.
[5]. Kennedy DB, Pediatric Operative Dentistry, Chicago: Year book Medical Publishers. 1979; pp 3-4..

Abstract: This prospective study was conducted on 60 patients upto 14 years of age who presented with head and neck masses in the Department of Otorhinolaryngology& Head and Neck Surgery, Govt. Medical College Jammu for a period of one year from November 2011 to October 2012. The aim of the study was to find the age and sex distribution, frequency of occurrence and the site of presentation of various head and neck masses in children. In this study, it was found that maximum number of cases (25%) were in the age group of 6 to 9 years. Out of 60 cases, 33 (55%) were males while 27 (45%) were females. Inflammatory swellings formed the largest group (66.6%) followed by congenital lesions (18.3%), benign neoplasms (11.7%), malignant neoplasms (1.7%) and non inflammatory benign lesion (1.7%). Majority of the masses (38, 63.3%)were situated in the anterior triangle of neck followed by posterior triangle (16.6%), both anterior and posterior triangles (11.7%), cheek , preauricular region and nose.

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