iosr-JDMS   Volume-22 ~ Issue-12 ~ December 2023

Abstract: Background: Oral squamous cell carcinoma (OSCC) is a prevalent oral malignancy with a high propensity for local recurrence, posing a significant clinical challenge. Understanding the factors contributing to recurrence, particularly in the complex anatomical location of the retromolar trigone, is crucial for improving patient outcomes.
Aim of the study: To enhance the understanding of local recurrence in retromolar trigone OSCC, providing clinicians with valuable insights to refine treatment strategies and ultimately improve the prognosis for individuals diagnosed with this challenging malignancy......

Keywords: Retromolar trigone OSCC, Local recurrence, Advanced clinical and pathological stages, Lymph node metastasis, Radiotherapy

[1]. Ernani V, Saba NF. Oral Cavity Cancer: Risk Factors, Pathology, And Management. Oncol. 2015;89(4):187-95.
[2]. Demir UL, Ozturk Yanasma H. Treatment Outcomes For Proimary Retromolar Trigone Carcinoma: A Single Institution Experience. Turkish Arch Otorhinolaryngol. 2020;58(2):87-92
[3]. De Paz D, Kao HK, Huang Y, Chang KP. Prognostic Stratification Of Patients With Advanced Oral Cavity Squamous Cell Carcinoma. Curr Oncol Rep. 2017;19(10)
[4]. Yao CMKL, Chang EL, Lai Sy. Contemporary Approach To Locally Advanced Oral Cavity Squamous Cell Carcinoma. Curr Oncol Rep. 2019;21()11:1-9
[5]. Yanamoto S, Yamada S, Takahashi H, Yoshitomi I, Kawasaki G, Ikeda H, Et Al. Clinicopathological Risk Factors For Local Recurrence In Oral Squamous Cell Carcinoma. Int J Oral Mazillofac Surg [Internet]. 2012;41(10):1195-200. Available From: Http://Dx.Doi.Org/10.1016/J.Iiom.2012.07.011

Abstract: Diaphragmatic injuries are rare consequences of thoracoabdominal trauma and they often occur in association with multiorgan injuries. The diaphragm is a difficult anatomical structure to study with common imaging instruments due to its physiological movement. Thus, diaphragmatic injuries can often be misunderstood and diagnosed only during surgical procedures. Diagnostic delay results in a high rate of mortality. Combined penetrating injuries of the thorax and abdomen carry high morbidity and mortality compared to injuries inside a single cavity. Object(s).....

Key Word: Stab Wounds, Diaphragmatic injury , Diaphragmatic repair, Stomach perforation

[1]. Antonino Agrusa, Giorgio Romano, Daniela Chianetta, Giovanni De Vita, Giuseppe Frazzetta, Giuseppe Di Buono, Vincenzo Sorce & Gaspare Gulotta . Right Diaphragmatic Injury And Lacerated Liver During A Penetrating Abdominal Trauma: Case Report And Brief Literature Review. World Journal Of Emergency Surgery Volume 9, Article Number: 33 (2014).
[2]. Antonino Agrusa*, Giorgio Romano, Daniela Chianetta, Giovanni De Vita, Giuseppe Frazzetta, Giuseppe Di Buono, Vincenzo Sorce And Gaspare Gulotta. Right Diaphragmatic Injury And Lacerated Liver During A Penetrating Abdominal Trauma: Case Report And Brief Literature Review. Agrusa Et Al. World Journal Of Emergency Surgery 2014, 9:33 Page 2 Of 5
Http://Www.Wjes.Org/Content/9/1/33.
[3]. Duzgun AP, Ozmen MM, Saylam B, Coskun F: Factors Influencing Mortality In Traumatic Ruptures Of Diaphragm. Ulus Travma Acil Cerrahi Derg 2008, 14(2):132–138.
[4]. Lewis JD, Starnes SL, Pandalai PK, Huffman LC, Bulcao CF, Pritts TA, Reed MF: Traumatic Diaphragmatic Injury: Experience From A Level I Trauma Center. Surgery 2009, 146(4):578–584.
[5]. Bosanquet D, Farboud A, Lunckraz H: A Review Of Diaphragmatic Hernia.Resp Med CME 2009, 2:1–6.

Abstract: Struma ovarii is a rare Dermoid tumor that consists of more than 50% thyroid tissue. The incidence of Struma ovarii is reported to be 1% of all ovarian tumors and 2-5% of all ovarian Teratomas. Struma ovarii is a rare ovarian lesion which characterized by the presence of thyroid tissue in at least half of the overall ovarian mass . Ovarian tumors presented with ovarian mass in childhood and adolescence are uncommon but an important part of gynecological cases. In this case we report a rare ovarian tumor in rare decades of life for this kind of tumor and handle the patient. The treatment of Struma ovaries is excision and following with pathologic results.

Key Word:Struma ovaries - Ovarian tumor- Case report ,Surgery

[1]. Kurman Robert J, C Maria Luisa, Simon Herrington C., Young Robert H. WHO Classification Of Tumors Of Female Reproductive Organs. 4th Ed. International Agency For Research On Cancer; Lyon: 2014. Tumors Of The Ovary: Germ Cell Tumors; P. 57
[2]. Zhang X, Axiotis C: Thyroid-Type Carcinoma Of Struma Ovarii. Arch Pathol Lab Med. 2010, 134:786-91. 10.5858/134.5.786
[3]. K. Botros, N. Noor Chelsea, J. Bermingham Struma Ovarii: A Thyroxine-Producing Ovarian Tumor In Pregnancy
Cureus, 13 (9) (2021 Sep 26), Article E18292, 10.7759/Cureus.18292 Ecollection 2021 Sep.
[4]. Yasutake N.A, Noguchi H.B, Ibayashi Y.C, Nakamura H.D, Tateishi K.D, Yuki K.A, Et Al. The Smallest Reported Malignant Struma Ovarii: A Case Report. Case Rep Oncol. 2018;11:693–698
[5]. A. Podfigurna, A. Szeliga, P. Horwat, M. Maciejewska-Jeske, B. Meczekalski Gynecol. Endocrinol., 37 (12) (2021 Dec), Pp. 1143-1150.

Abstract: Zirconia has seen widespread use in recent years because of its superior mechanical qualities. Due to the opaque tint of the zirconia core, the veneering layer was applied to improve the aesthetics of the restoration.[2,3] But this could also lead to the veneering layer's failure (cohesive or sticky).[4] By skipping the veneering porcelain layer, monolithic zirconia restorations can be used successfully in a variety of clinical settings.[5] Since the clinical guidelines are still based on those for all-ceramic and metal-ceramic crowns, the suggestion of the margin design for high strength ceramic materials, such as zirconia, is not obvious.[.6] Monolithic zirconia restorations are effective in clinical settings,.....

[1]. Denry I, Kelly JR. State Of The Art Of Zirconia For Dental Applications. Dent Mater 2008;24(3):299–307
[2]. Zhang Y. Making Yttria-Stabilized Tetragonal Zirconia Translucent. Dent Mater 2014;30(10):1195–1203
[3]. Rashid H, Sheikh Z, Misbahuddin S, Kazmi MR, Qureshi S, Uddin MZ. Advancements In All-Ceramics For Dental Restorations And Their Effect On The Wear Of Opposing Dentition. Eur J Dent 2016;10(4):583–588
[4]. Church TD, Jessup JP, Guillory VL, Vandewalle KS. Translucency And Strength Of High-Translucency Monolithic Zirconium Oxide Materials. Gen Dent 2017;65(1):48–52
[5]. Mitov G, Anastassova-Yoshida Y, Nothdurft FP, Von See C, Pospiech P. Influence Of The Preparation Design And Artificial Aging On The Fracture Resistance Of Monolithic Zirconia Crowns.J Adv Prosthodont 2016;8(1):30–36

Abstract: Two primary classifications that have gained prominence in the constantly changing diabetes landscape are Type-1 and Type-2. Over the years, research, education, and public health campaigns have focused on these classifications due to their unique features and approaches to management. However, Type-3C Diabetes Mellitus, a condition that is less well-known and frequently misinterpreted, has long been overlooked in favor of its more well-known counterparts. The first step in treating Type-3C Diabetes Mellitus is understanding that it is a unique condition......

Key Word:Chronic Pancreatitis (CP), Diabetes Mellitus, Hyperglycemia, Type 3c Diabetes Mellitus

[1]. Diabetes Quick Facts | Basics | Diabetes | CDC. (N.D.). Https://Www.Cdc.Gov/Diabetes/Basics/Quick-Facts.Html.
[2]. Chakravarthy MD, Thangaraj P, Saraswathi S. Missed Case Of Pancreatogenic Diabetes Diagnosed Using Ultrasound. J Med Ultrasound. 2021; 29: 218-20.
[3]. Centers For Disease Control And Prevention: National Diabetes Statistics Report: Estimates Of Diabetes And Its Burden In The United States, 2014. Available At: Https://Www.Cdc.Gov/Diabetes/Data/Statistics-Report/Index.Html
[4]. Talukdar R, Sarkar P, Jakkampudi A, Sarkar S, Aslam M, Jandhyala M, Et Al. The Gut Microbiome In Pancreatogenic Diabetes Differs From That Of Type 1 And Type 2 Diabetes. Scientific Reports. 2021; 11(1). Https://Doi.Org/10.1038/S41598-021-90024-W
[5]. Sinha S K, Kochhar R. Is The Profile Of Chronic Pancreatitis In India Changing? Indian J Gastroenterol. 2014; 33: 216–218. Https://Doi.Org/10.1007/S12664-014-0455-1.

Abstract: Background : The aim of the study was to evaluate the outcome of Pulpotomy in vital permanent teeth using l ow level d iode laser versus traditional method Materials and Methods: Forty-six mature permanent molar teeth with carious exposures with symptoms indicative of irreversible pulpitis were randomly allocated equally into two groups according to the pulpotomy technique used Group P1 :( Traditional Pulpotomy procedures). And Group P2 :( Diode laser Pulpotomy procedures). T he tooth was anesthetized, isolated using rubber dam and disinfected with 2% chlorhexidine before caries excavation . In traditional pulpotomy......

Key Word: full pulpotomy, low-level diode laser, RetroMTA

[1]. Ricucci D, Loghin S, Siqueira Jr Jfjjoe. Correlation Between Clinical And Histologic Pulp Diagnoses. Journal Of Endodontics. 2014;40(12):1932-9.
[2]. Cushley S, Duncan HF, Lappin MJ, Tomson PL, Lundy FT, Cooper P, Et Al. Pulpotomy For Mature Carious Teeth With Symptoms Of Irreversible Pulpitis: A Systematic Review. Journal Of Dentistry. 2019;88:103158[3].
Hakami AH, Alobaysi AI, Almazyad AY, Al Aswad NA. Pulpotomy Success In Permanent Mature Teeth With Irreversible Pulpitis: A Systematic Review. IJMDC. 2020;4(3):560-6.
[4]. Tzanetakis GN, Koletsi D, Georgopoulou MJIEJ. Treatment Outcome Of Partial Pulpotomy Using Two Different Calcium Silicate Materials In Mature Permanent Teeth With Symptoms Of Irreversible Pulpitis. A Randomized Clinical Trial. 2023.
[5]. Ismail HH, Obeid M, Hassanien EJCOI. Efficiency Of Diode Laser In Control Of Post-Endodontic Pain: A Randomized Controlled Trial. Clinical Oral Investigations. 2023:1-8.

Abstract: Microbial keratitis in Keratoconus patients after corneal collagen cross linking: a case series Corneal collagen cross linking (C3R) has emerged as an effective treatment in patients with Keratoconus. Although a safe procedure, complications, including infections have been known to occur which may adversely impact the post-operative outcomes in these patients. A retrospective analysis of one year data revealed three patients with microbial keratitis. One patient had undergone hypotonic C3R and remaining had isotonic C3R. Corneal scraping for Gram and KOH.....

Key Word: Corneal collagen cross-linking; Microbial Keratitis; Keratoconus

[1]. Shetty, Rohit, Et Al. "Profile Of Microbial Keratitis After Corneal Collagen Cross-Linking." Biomed Research International 2014 (2014): 1–7. Https://Doi.Org/10.1155/2014/340509.
[2]. Rajaraman, Revathi, Et Al. "Management Of Acanthamoeba Keratitis After Collagen Cross Linking For Keratoconus - A Rare And Challenging Case" 1, No. 3 (2017): 3.
[3]. Pérez-Santonja, Juan J., Et Al. "Microbial Keratitis After Corneal Collagen Crosslinking." Journal Of Cataract & Refractive Surgery 35, No. 6 (June 2009): 1138–40. Https://Doi.Org/10.1016/J.Jcrs.2009.01.036.
[4]. Kodavoor SK, Et Al. Microbial Keratitis Following Accelerated Corneal Collagen Cross-Linking. Oman J Ophthalmol. 2015;8(2):111–113. Doi:10.4103/0974-620X.159259
[5]. Zamora, Katherine V, And John J Males. "Polymicrobial Keratitis After A Collagen Cross-Linking Procedure With Postoperative Use Of A Contact Lens: A Case Report." Cornea 28, No. 4 (2009)..

Abstract: Background: Surgical Site Infections(SSI) represent one of the most severe complications in women undergoing cesarean surgery; our establishment is committed to setting up an epidemiological monitoring system in the maternity department. The main objective is to determine the evolving trend of SSI between 2014 and 2019, identify the risk factors and the responsible germs. Materials and Methods: This is a descriptive cohort study with analytical purposes carried out between 2014 and 2019. The recruitment of parturients took place between February and April of each year with the establishment of a "care-bundle" for the prevention......

Key Word: Caesarean section, Surgical site infection, risk factors, ASA Score, incidence rate

[1]. Awadalla SG, Perkins RP, Mercer LJ. Significance Of Endometrial Cultures Performed At Cesarean Section. Obstet Gynecol. 1986 Aug; 68(2):220-5. PMID: 3737038 [Pubmed]
[2]. Watts DH1, Krohn MA, Hillier SL, Eschenbach DA Bacterial Vaginosis As A Risk Factor For Post-Cesarean Endometritis. Obstet Gynecol. 1990 Jan; 75(1):52-8. PMID: 2296423 [Pubmed]
[3]. Vermillion ST, Lamoutte C, Soper DE, Verdeja A. Wound Infection After Cesarean: Effect Of Subcutaneous Tissue Thickness. Obstet Gynecol 2000; 95: 923-6
[4]. Son Tran T, Jamulitrat S, Chongsuvivatwong V, Geater A. Risk Factors For Postcesarean Surgical Site Infection. Obstet Gynecol 2000; 95: 367-71.
[5]. Martens MG, Kolrud BL, Faro S, Maccato M, Hammill H. Development Of Wound Infection Or Separation After Cesarean Delivery. J Reprod Med 1995; 40: 171-5.

Abstract: Emergence from general anaesthesia is the final stage of anaesthesia featuring the transition from unconsciousness to complete wakefulness and recovery of consciousness and complete wakefulness.[1] Emergence from General Anaesthesia can be an extremely challenging event. It involves cessation of drug administration, reversal of paralysis, extubation and sometimes occurrence of emergence phenomenon. Emergence phenomena may be accompanied by cough, agitation, hypertension, tachycardia and shivering. During this phase, patients may also demonstrate hemodynamic instability, retching, vomiting, respiratory compromise and occasionally, uncooperative or frankly.....

[1] Hight DF, Dadok VM, Szeri AJ, García PS, Voss L, Sleigh JW. Emergence From General Anesthesia And The Sleep-Manifold .Front Syst Neurosci. 2014; 8: 146.
[2] Buggy DJ, Crossley AW.Thermoregulation, Mild Perioperative Hypothermia And Post Anesthetic Shivering. Br J Anaesth.2000; 84:615–628.
[3] Viajkovic GP, Sindjectic RP. Emergence Delirium In Children: Many Questions Few Answers .Anesth Analg.2007; 104:84-91.
[4] Lepouse C, Lauter CA, Liu L, Gomes P, Leon A. Emergence Delirium In Adults In The Post Anesthesia Care Unit.Br J Anasth.2006; 96:747-53.
[5] Yu D, Chai W, Sun X, Yao L. Emergence Agitation In Adult's .Risk Factor In 2000 Patients. Can J Anaesth. 2010; 57: 843-8.