iosr-JDMS   Volume-20 ~ Issue-10 ~ Oct. 2021

Abstract: Bone tumours and tumour-like lesions are frequently encountered by radiologists. Although radiographs are the primary screening technique, magnetic resonance imaging (MRI) can help narrow the differential or make a specific diagnosis when a lesion is indeterminate or shows signs of aggressiveness. MRI can extend the diagnostic evaluation by demonstrating several tissue components. MRI is superior to the other imaging modalities in detecting bone marrow lesions and tumoral tissue (faint lytic/sclerotic bone lesions can be......

Key words: Magnetic resonance imaging . Bone neoplasms . Diagnosis . Neoplasm staging . Follow-up.

[1]. Miller TT: Bone tumors and tumorlike conditions: analysis with conventional radiography. Radiology 246(3), 662674 (2008).
[2]. BaurMelnyk A, Buhmann S, Becker C et al.: Wholebody MRI versus wholebody MDCT for staging of multiple myeloma. AJR Am. J Roentgenol. 190, 1097–1104 (2008).
[3]. Saifuddin A: The accuracy of imaging in the local staging of appendicular osteosarcoma. Skeletal Radiol. 31, 19201 (2002).
[4]. Bäuerle T, Hillengass J, Fechtner K et al.: Multiple myeloma and monoclonal gammopathy of undetermined significance: importance of whole body versus spinal MR imaging. Radiology 252, 477–485 (2009).
[5]. James SLJ, Panicek DM, Davies AM: Bone marrow oedema associated with benign and malignant bone tumors. Eur. J. Radiol. 67, 11–21 (2008).

Abstract: AIM OF THE STUDY To compare the effect of addition of magnesium sulfate with Ropivacaine versus plain Ropivacaine under ultrasound guided supraclavicular block for patients undergoing elective upperlimb surgeries a randomized control study MATERIALS AND METHODS: A total of 40 patients, divided randomly by computer allocated numbers into two equal groups. Group I receiving 20 ml of 0.75% Ropivacaine + 0.5 ml Magnesium sulphate Group II receiving 20 ml of 0.75% Ropivacaine + 0.5 ml saline. These patients were.....

Key Word: Ropivacaine, MgSO4 adjuvant, USG guided supraclavicular block duration

[1]. Versha Verma and Shelly Rana. A dose-finding randomised controlled trial of magnesium sulphate as an adjuvant in ultrasound-guided supraclavicular brachial plexus block. Indian J Anaesth 2017; 61: 250-5.
[2]. M.Abdelfatah and Ahmed N. Elshaer. The effect of adding magnesium sulphate to lidocaine in an interscalene plexus block for shoulder arthroscopic acromioplasty. Ain- Shams journal of Anaesthesiology2014, 07:59-64.
[3]. Lella Nageswar Rao and V.Jeyalakshmi. The effect of magnesium sulphate as an adjuvant to 0.5% bupivacaine on motor and sensory supraclavicular brachial plexus blockade. Int J Basic clin Pharmacol 2015;4:317-21.
[4]. Reza Akhondzade and Sholeh Nesioonpour. The effect of magnesium sulphate on post operative pain in upper limb surgeries by supraclavicular Block under Ultrasound Guidance. Anaesth Pain Med. 2017 June; 7(3): e14232.
[5]. Ponnambala Namasivayam and Namasivayam. A Randomized controlled study comparing USG guided supraclavicular vs.infraclavicular brachial plexus block for upper limb surgeries. University J of Surg and Surgical Specialities; vol 1 issue 1: 2015..

Abstract: The management of head and neck cancer involves multidisciplinary evaluation and treatment, in which surgery, radiation therapy, and chemotherapy are included. There are various approaches to surgical resection and tissue reconstruction, the types of neck dissection, different radiation therapy techniques, and the addition of concurrent and neo-adjuvant chemotherapy regimens may complicate imaging findings after treatment........

[1]. Som PM, Lawson W, Genden EM. The posttreatment neck: clinical and imaging considerations. In: Som PM, Curtin HD, eds. Head and neck imaging. 5th ed. St Louis, Mo: Mosby, 2011; 2771–2822.
[2]. Mukherji SK, Wolf GT. Evaluation of head and neck squamous cell carcinoma after treatment. AJNR Am J Neuroradiol 2003;24(9):1743–1746.
[3]. Manikantan K, Khode S, Dwivedi RC, et al. Making sense of post-treatment surveillance in head and neck cancer: when and what of follow-up. Cancer Treat Rev 2009;35(8):744–753.
[4]. de Bree R, van der Putten L, Brouwer J, Castelijns JA, Hoekstra OS, Leemans CR. Detection of locoregional recurrent head and neck cancer after (chemo) radiotherapy using modern imaging. Oral Oncol 2009;45(4-5):386–393.
[5]. Burri RJ, Kao J, Navada S, Packer S. Nonsurgical treatment of head and neck cancer. In: Som PM, Curtin HD, eds. Head and neck imaging. 5th ed. St Louis, Mo: Mosby, 2011; 2893–2914.

Abstract: Many a times clinical presentation of brain tumors mimics that of the stroke and vice versa when patient present with acute neurological manifestations, differentiation of which is very necessary due to their completely different management. • In such critical cases , diffusion-weighted imaging provides information about the physiological properties of the lesion that have been linked to cellularity, structural integrity, and necrotic transformation of brain lesion and thus help us in differentiating stroke from the tumor.

[1]. Chang SC, Lai PH, Chen WL, Weng HH, Ho JT, Wang JS et al. Diffusion weighted MRI features of brain abscess and cystic or necrotic tumors – comparison with conventional MRI. Clinical imaging 2002 july;26(4):227-236.
[2]. Karaarslan E, Arslan A. Diffusion weighted MRI in non infarct lesions of the brain. European journal of radiology 2008;65:402-416.
[3]. K Rima, G Rohit, P Anjali, C Veena. Role of diffusion weighted MR imaging in early diagnosis of cerebral infarction. Ind J Radiol Imag 2003;3(2):213-217.
[4]. Gonzalez RG, Schaefer PW, Buonanno FS, et al. Diffusion-weighted MR imaging: diagnostic accuracy in patients imaged within 6 hours of stroke symptom onset. Radiology 1999;210:155-162.
[5]. Fu JH, Xue XD, Mao J, Chen LY, Wang XM. Early assessment of severe hypoxic-ischemic encephalopathy in neonates by diffusion-weighted magnetic resonance imaging techniques and its significance. Zonghua er ke za zhi 2007 Nov;45(11):843-847.

Abstract: AIM- Management of Ellis Class III tooth fracture with reattachment of the fractured segment. METHODS AND MATERIALS- Coronal fractures of the anterior teeth are common sequelae of dental trauma. In case of complicated fractures, where the fractured segment is available, root canal treatment followed by reattachment of the fractured segment with fiber post reinforcement is simple, aesthetic, economic and long lasting while maintain original morphology, colour and texture. Moreover, it needs less chair-side time as compared to many conventional methods.....

Key Word: Ellis Class III, Fiber post, Fractured segment, Post and Core, Reattachment

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Abstract: Cardiac amyloidosis results in a restrictive cardiomyopathy caused by extracellular deposition of proteins in the myocardium. The proteins have an unstable structure that causes them to misfold, aggregate, and deposit as amyloid fibrils This deposition causes diastolic dysfunction and can lead to diastolic heart failure.

Key Word: Amyloidosis; diastolic dysfunction; diastolic hear failure; multiple myeloma; restrictive cardiomyopathy.

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[2]. Donnelly JP, Hanna M. Cardiac amyloidosis: An update on diagnosis and treatment. Cleve Clin J Med 2017; 84: 12-26 [PMID: 29257735 DOI: 10.3949/ccjm.84.s3.02]
[3]. Sipe JD, Benson MD, Buxbaum JN, Ikeda S, Merlini G, Saraiva MJ, Westermark P; Nomenclature Committee of the International Society of Amyloidosis. Amyloid fibril protein nomenclature: 2012 recommendations from the Nomenclature Committee of the International Society of Amyloidosis. Amyloid 2012; 19: 167-170 [PMID: 23113696 DOI: 10.3109/13506129.2012.734345]
[4]. Maleszewski JJ. Cardiac amyloidosis: pathology, nomenclature, and typing. Cardiovasc Pathol 2015; 24: 343-350 [PMID: 26361138 DOI: 10.1016/j.carpath.2015.07.008]
[5]. Gertz MA, Dispenzieri A, Sher T. Pathophysiology and treatment of cardiac amyloidosis. Nat Rev Cardiol 2015; 12: 91-102 [PMID: 25311231 DOI: 10.1038/nrcardio.2014.165].

Abstract: Routine root canal treatment protocols to clean and obturate teeth with open apex cannot be adequately performed because of immature roots. The absence of apical seal predisposes the apical extrusion of irrigants and filling materials. Biomechanical instrumentation in such teeth with wide apical anatomy and thin dentinal walls may further compromise the strength of the root. Also the forces generated during obturation, especially by lateral condensation technique may also fracture the root. The treatment of teeth with blunderbuss anatomy presents unique endodontic and restorative challenges and requires careful assessment and treatment planning. Various treatment modalities are recommended for the management of such cases which include long term apexification with calcium hydroxide, retrograde root end filling using various restorative materials, formation of apical plug using tricalcium phosphate, mineral trioxide aggregate and more recently the pulp revascularisation.

Key Word: Open apex, vital pulp therapy, apexification, pulpotomy, pulp revascularization.

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Abstract: La formation médicale continue est une nécessité pour tout professionnel de santé. Au Maroc, il n'y a pas de code de déontologie stipulant cette notion. A l'échelon national, il existe peu de centres de brûlés, ce qui impose la nécessité d'une maitrise de la pathologie par les différents médecins travaillant aux services des urgences, que ce soit en périphérie ou dans les centres hospitaliers universitaires. L'objectif de ce travail est d'identifier de façon préliminaire les besoins en formation en matière de brulure afin de pouvoir déterminer les lacunes et les objectifs d'enseignements pour harmoniser cette formation hétérogène.....

[1]. A.Lakhel, J-P. Pradier, M. Brachet, A. Duhoux, P.Duhamel, S. Fossat, E.Bey. Chirurgie des brulures grave au stade aigue. 2008 Elseiver masson
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Abstract: Introduction: Osteoid osteoma is a benign bone tumor involving almost any bone but half of the cases involve femur or tibia which accounts for 10% of all benign tumour with male preponderance (2:1). Involvement of Scapula is a rare tumor with only 19 reported cases in the literature. Case Report: We present a case of osteoid osteoma over lateral border of right scapula in a 24- year male. He had right shoulder pain and increasing at night for 1 year. He had multiple visits to various health care providers, underwent many radiological investigations......

Key Word: Osteoid osteoma , scapula,beningn Tumour

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Abstract: PURPOSE: To evaluate risk factors associated with retinal vein occlusion in Indian population. METHOD: A prospective observational study was conducted on 52 eyes of 52 patients who presented in OPD of Department of Ophthalmology, J.L.N. Medical College, Ajmer (Raj). Patients were investigated for risk factors of RVOs. RESULT: RVOs were more common in males (55.77%) of 41-60 yr age group. There were 27(51.92%) cases of BRVO, 22(42.31%) cases of CRVO & 3(5.77) case of Hemiretinal vein occlusion. Among all cases, 29(55.77%) had hypertension, 18(34.62%) had hyperlipidemia, 8(15.38%) had diabetes mellitus & 5(9.62%)case had deranged RFT. Seru.....

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Abstract: Purpose: During the recent decade, there is a broader application of multivisceral resections in patients with locally advanced colorectal cancer worldwide. The aim of our investigation was to share our eight-year experience with multivisceral resection applications in patients diagnosed with locally advanced colorectal cancer. Material/methods: Our study covered 79 patients at a mean age of 61.2±9.7 years (range, 38-87 years), 48 males and 31 females, undergoing multivisceral resection on the occasion of colon, rectum or rectosigmoid junction cancer between January 1, 2013 and December 31, 2020 in the Complex Oncology Centre of Shumen. There were 54 patients with colon cancer, 15 patients with rectosigmoid junction cancer and ten patients with rectum cancer. Most patients were with TNM-stage III colorectal cancer. Results: The most common......

Key Word: locally advanced colorectal cancer, multivisceral resection, low anterior resection, total pelvic evisceration, survival rate

[1]. Horvath P, Königsrainer A. Multiviszerale Resektionen mit und ohne HIPEC in der Karzinomchirurgie. Chirurg. 2019 Feb; 90(2):87-93. [PubMed].
[2]. Lau YC, Brown KGM, Lee P. Pelvic exenteration for locally advanced and recurrent rectal cancer - how much more? J Gastrointest Oncol. 2019 Dec; 10(6):1207-14. [PubMed].
[3]. Chang TP, Chok AY, Tan D, Rogers A, Rasheed S, Tekkis P, et al. The emerging role of robotics in pelvic exenteration surgery for locally advanced rectal cancer: a narrative review. J Clin Med. 2021 Apr 5;10(7):1518. [PubMed].
[4]. Piccoli M, Esposito S, Pecchini F, Francescato A, Colli F, Gozzo D, et al. Full robotic multivisceral resections: the Modena experience and literature review. Updates Surg. 2021 Jun ;73(3):1177-87. [PubMed].
[5]. Rohila J, Kammar P, Pachaury A, de'Souza A, Saklani A. Evolution of robotic surgery in a colorectal cancer unit in India. Indian J Surg Oncol. 2020 Dec; 11(4):633-41. [PubMed].

Abstract: Giant Cell Tumour (GCT) which is a locally aggressive benign bone tumour with malignant potential rarely occurs in metatarsal. We present a case of GCT of first metatarsal bone in a 26 year old fefemale with incidentally diagnosed diabetes mellitus. She was treated with excision of entire first metatarsal and reconstruction of the defect with freshly harvested autogenous ipsilateral fibula graft and its arthrodesis with medial cuneiform proximally & proximal phalanx distally. Regular follow up shows incorporation of fibular graft with good functional outcome of foot and no recurrence.

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