iosr-JDMS   Volume-23 ~ Issue-12 ~ December 2024

Abstract: Morgagni hernias are a rare form of congenital diaphragmatic hernias that account for 2-3 % of all types of diaphragmatic hernias 1. The herniation occurs through a defect in the Morgagni foramen, situated in the anterior part of the diaphragm 2. The contents of the abdomen herniate through this foramen. Usually, Morgagni hernia occurs very early in life, either a few hours after birth or during the antenatal period 3. Diagnosis of this condition is rare in the case of adults. We report a case of a 55-year-old female with a 6-month history of chronic recurrent cough and dyspnoea who has been treated with multiple courses of antibiotics for pneumonia but was later diagnosed with Morgagni hernia and treated accordingly.

Key Words: Morgagni hernia, Diaphragmatic hernia, Adult onset diaphragmatic hernia. Congenital diaphragmatic hernia.

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[5] An Incidental Discovery Of Morgagni Hernia In An Elderly Patient. Kim Dk, Moon Hs, Jung Hy, Sung Jk, Gang Sh, Kim Mh. Korean J Gastroenterol. 2017;69:68–73. Doi: 10.4166/Kjg.2017.69.1.68..

Abstract: Introduction: Diabetic foot ulcers (DFUs) are a common and challenging complication in patients with diabetes, often leading to pain, delayed wound healing, and in severe cases, limb amputation. This study aimed to assess the impact of platelet-rich plasma therapy on claudication pain and wound healing in diabetic patients with peripheral arterial disease. Methods: This single-center, observational study investigated the effects of autologous platelet-rich plasma (PRP) on pain reduction and wound healing in diabetic patients with peripheral arterial disease (PAD) and foot ulcers. The study took........

Key Word: Platelet-Rich Plasma, Claudication Pain, Wound Healing, Peripheral Arterial Disease

[1] Norgren L, Hiatt Wr, Dormandy Ja, Nehler Mr, Harris Ka, Fowkes Fg, Tasc Ii Working Group. Inter-Society Consensus For The Management Of Peripheral Arterial Disease (Tasc Ii). Journal Of Vascular Surgery. 2007 Jan 1;45(1):S5-67.
[2] Hirsch At, Haskal Zj, Hertzer Nr, Bakal Cw, Creager Ma, Halperin Jl, Hiratzka Lf, Murphy Wr, Olin Jw, Puschett Jb, Rosenfield Ka. Acc/Aha 2005 Practice Guidelines For The Management Of Patients With Peripheral Arterial Disease (Lower Extremity, Renal, Mesenteric, And Abdominal Aortic) A Collaborative Report From The American Association For Vascular Surgery/Society For Vascular Surgery,* Society For Cardiovascular Angiography And Interventions, Society For Vascular Medicine And Biology, Society Of Interventional Radiology, And The Acc/Aha Task Force On Practice Guidelines (Writing Committee To Develop Guidelines For The Management .... Circulation. 2006 Mar 21;113(11):E463-654.
[3] Andia I, Sánchez M, Maffulli N. Platelet-Rich Plasma Therapies For Sports Muscle Injuries: Any Evidence Behind Clinical Practice? Expert Opinion On Biological Therapy. 2011 Apr 1;11(4):509-18.
[4] Zhao P, Zhou G, Jiang J, Li H, Xiang X. Platelet-Rich Plasma (Prp) In The Treatment Of Diabetic Foot Ulcers And Its Regulation Of Autophagy. The International Journal Of Lower Extremity Wounds. 2023 Jan 18:15347346221144937.
[5] Mastrogiacomo M, Nardini M, Collina Mc, Di Campli C, Filaci G, Cancedda R, Odorisio T. Innovative Cell And Platelet-Rich Plasma Therapies For Diabetic Foot Ulcer Treatment: The Allogeneic Approach. Frontiers In Bioengineering And Biotechnology. 2022 May 2;10:869408

Abstract: Introduction: Acute coronary syndrome (ACS) is a leading cause of morbidity and mortality worldwide, with its prevalence rising among younger adults. While traditionally considered a condition affecting older individuals, recent studies have highlighted an increasing incidence of ACS in younger populations, emphasizing the importance of identifying early risk factors. This study aimed to assess the prevalence of risk factors of ACS in young adults.....

Keywords: Acute Coronary Syndrome (ACS), Young adults, Risk factors, Hypertension

[1] Lloyd-Jones Dm, Nam Bh, D'agostino Sr Rb, Levy D, Murabito Jm, Wang Tj, Et Al. Parental Cardiovascular Disease As A Risk Factor For Cardiovascular Disease In Middle-Aged Adults: A Prospective Study Of Parents And Offspring. Jama. 2004;291(18):2204–11.
[2] Gooding Hc, Gidding Ss, Moran Ae, Redmond N, Allen Nb, Bacha F, Et Al. Challenges And Opportunities For The Prevention And Treatment Of Cardiovascular Disease Among Young Adults: Report From A National Heart, Lung, And Blood Institute Working Group. J Am Heart Assoc. 2020 Oct 6;9(19):E016115.
[3] Duncan Ms, Freiberg Ms, Greevy Ra, Kundu S, Vasan Rs, Tindle Ha. Association Of Smoking Cessation With Subsequent Risk Of Cardiovascular Disease. Jama. 2019;322(7):642–50.
[4] Arnett Dk, Blumenthal Rs, Albert Ma, Buroker Ab, Goldberger Zd, Hahn Ej, Et Al. 2019 Acc/Aha Guideline On The Primary Prevention Of Cardiovascular Disease: A Report Of The American College Of Cardiology/American Heart Association Task Force On Clinical Practice Guidelines. Circulation [Internet]. 2019 Sep 10 [Cited 2024 Nov 20];140(11). Available From: Https://Www.Ahajournals.Org/Doi/10.1161/Cir.0000000000000678
[5] Pearson Ta, Mensah Ga, Alexander Rw, Anderson Jl, Cannon Ro, Criqui M, Et Al. Markers Of Inflammation And Cardiovascular

Abstract: Objective: Weaning from mechanical ventilation (MV) requires a multidisciplinary care team. The Integrative Weaning Index (IWI) is a more objective measure compared to conventional methods, considering multiple system functions simultaneously. This study investigates the role of IWI in predicting successful weaning from MV. Material and Methods: This prospective observational study was conducted over twelve months at the Department of Anesthesia, Analgesia and Intensive Care Medicine, Bangabandhu Sheikh Mujib Medical University (BSMMU),:.....

Keywords: Weaning Index, Mechanical Ventilation, Predictive Value, Intensive Care, Respiratory Mechanics

[1] Baptistella Ar, Mantelli Lm, Matte L, Carvalho Me Da Ru, Fortunatti Ja, Costa Iz, Et Al. Prediction Of Extubation Outcome In Mechanically Ventilated Patients: Development And Validation Of The Extubation Predictive Score (Expres). Plos One. 2021;16(3):E0248868.
[2] Leonov Y, Kisil I, Perlov A, Stoichev V, Ginzburg Y, Nazarenko A, Et Al. Predictors Of Successful Weaning In Patients Requiring Extremely Prolonged Mechanical Ventilation. Adv Respir Med. 2020;88(6):477–84.
[3] Frutos-Vivar F, Ferguson Nd, Esteban A, Epstein Sk, Arabi Y, Apezteguía C, Et Al. Risk Factors For Extubation Failure In Patients Following A Successful Spontaneous Breathing Trial. Chest. 2006;130(6):1664–71.
[4] Mabrouk Aa, Mansour Of, Abd El-Aziz Aa, Elhabashy Mm, Alasdoudy Aa. Evaluation Of Some Predictors For Successful Weaning From Mechanical Ventilation. Egypt J Chest Dis Tuberc. 2015;64(3):703–7.
[5] Nemer Sn, Barbas Cs, Caldeira Jb, Cárias Tc, Santos Rg, Almeida Lc, Et Al. A New Integrative Weaning Index Of Discontinuation From Mechanical Ventilation. Crit Care. 2009 Sep 22;13(5):R152

Abstract: Introduction: Sino-nasal tumors, a diverse group of neoplasms affecting the nasal cavity and paranasal sinuses, present varying clinical and demographic characteristics. This study aimed to assess the frequency of malignancy in sino-nasal tumors concerning age and gender. Methods: This cross-sectional observational study was conducted at the ENT and Head-Neck Surgery department, Rajshahi Medical College Hospital, Rajshahi, from June 2014 to November 2014. A total of 60 patients presenting with sinonasal.....

Key Word: Sino-nasal tumors, Malignant, Benign, Age, Gender

[1] Lund Vj, Stammberger H, Nicolai P, Castelnuovo P, Beal T, Beham A, Bernal-Sprekelsen M, Braun H, Cappabianca P, Carrau R, Cavallo L. European Position Paper On Endoscopic Management Of Tumors Of The Nose, Paranasal Sinuses, And Skull Base. Rhinology. Supplement. 2010; 22:1-43.
[2] Dulguerov P, Jacobsen Ms, Allal As, Lehmann W, Calcaterra T. Nasal And Paranasal Sinus Carcinoma: Are We Making Progress? A Series Of 220 Patients And A Systematic Review. Cancer: Interdisciplinary International Journal Of The American Cancer Society. 2001 Dec 15;92(12):3012-29.
[3] International Agency For Research On Cancer. Iarc Monographs On The Evaluation Of Carcinogenic Risks To Humans. Iarc Sci Publ. 2012; 100:385.
[4] Bhatia Ks, King Ad. Neck Nodal Disease. Head And Neck Cancer Imaging. 2021:405-40.
[5] Patel Sg, Singh B, Polluri A, Bridger Pg, Cantu G, Cheesman Ad, Desa Gm, Donald P, Fliss D, Gullane P, Janecka I. Craniofacial Surgery For Malignant Skull Base Tumors: Report Of An International Collaborative Study. Cancer: Interdisciplinary International Journal Of The American Cancer Society. 2003 Sep 15;98(6):1179-87.

Abstract: Surgical removal of impacted teeth in the nasal floor poses a unique challenge due to their close proximity to vital structures. This case report describes the successful surgical removal of an impacted maxillary incisor from the nasal floor using a transoral approach. An 18-year-old male presented with missing right maxillary central incisor. Imaging studies revealed an obliquely impacted maxillary right central incisor crown appears to be placed labially in relation to upper right central incisor region extending beyond the floor of nasal cavity. The surgical procedure involved a transoral approach to access and remove the impacted maxillary incisor from the nasal floor. Intraoperative findings, technique, and postoperative care are detailed in the case report.

Key Word: Impacted maxillary central incisor, nasal floor, nasopalatine canal proximity, intraoral approach

[1] Nawaz Mkk, Sivaraman Gs, Santham K: Surgical Management Of An Inverted And Impacted Maxillary Central Incisor - Case Report. Journal Of The West African College Of Surgeons. 2015;5(3):84-89.
[2] Grover Ps, Lorton L. The Incidence Of Unerupted Permanent Teeth And Related Clinical Cases. Oral Surgery, Oral Medicine, And Oral Pathology. 1985 Apr;59(4):420-425.
[3] Mockutė G, Klimaitė G, Smailienė D. The Morphology Of Impacted Maxillary Central Incisors: A Systematic Review. Medicina. 2022; 58(4):462.
[4] Bernal Bg, Coronado Jea, Soto Jms, Nájera Ris. Supernumerary Tooth Impacted Close To The Nasal Cavity: Case Report. International Journal Of Applied Dental Sciences. 2023;9(2):216-218.
[5] Sharifi R, Shafiei S, Moslemi H, Mohammadi Khah M. Intraoral Transnasal Approach For Surgical Extraction Of Bilateral Deeply Impacted Mesiodens: A Case Report. Clin Case Rep. 2021;9:E05037.

Abstract: Odontogenic cutaneous sinus tracts occurring in the facial and neck areas are uncommon and pose a diagnostic difficulty for clinicians due to their potential association with various conditions. This case report details the successful management of a non-healing odontogenic sinus tract in the chin area, which had previously been histopathologically diagnosed and treated as chromoblastomycosis. The patient was presented with a persistent sinus tract with purulent discharge that had not responded to previous treatments. A thorough clinical examination and.....

Key Word: Odontogenic cutaneous sinus tract, Chromoblastomycosis, Comprehensive approach

[1] Kallel I, Moussaoui E, Kharret I, Saad A, Douki N. Management Of Cutaneous Sinus Tract Of Odontogenic Origin: Eighteen Months Follow-Up. J Conserv Dent. 2021 Mar-Apr;24(2):223-227.
[2] Latifa H, Dorsaf T, Amira K, Karim J, Nabiha D. Surgical Management Of An Odontogenic Cutaneous Sinus Tract Misdiagnosed For 4 Years. Clin Case Rep. 2022; 10:E05333.
[3] Chkoura A, Elwady W, Taleb B. Surgical Management Of A Cu Taneous Sinus Tract: A Case Report And Review Of The Literature. J Contemp Dent Pract. 2010;11(5):49- 55.
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[5] Mcwalter Gm, Alexander Jb, Del Rio Ce, Knott Jw. Cutaneous Sinus Tracts Of Dental Etiology. Oral Surg Oral Med Oral Pathol. 1988;66(5):608- 614.