International Journal of Oral and Facial Surgery

Treatment Modalities of Unicystic Ameloblastoma - A Case Series

Anmol Agarwal — 2019-01-25

Unicystic ameloblastoma is a unique variant of conventional ameloblastoma which has considerably less recurrence rate than its counterpart. Unlike conventional ameloblastoma which mostly requires aggressive management, unicystic ameloblastoma has different treatment modalities which can be conservative or aggressive depending upon the histological nature of the tumor. We report five cases of unicystic ameloblastoma with different treatment modalities with long term follow up and satisfactory results.

Nasopalatine duct cyst: A Series of 5 cases

Gaurav Mittal — 2019-02-03

Nasopalatine duct cyst (NPDC) also known as nasopalatine cyst is a developmental, epithelial, non-neoplastic cyst, which is considered to be one of the most common developmental cysts in oral and maxillofacial region. It is considered as the most common non odontogenic cyst of the oral cavity. Nasopalatine cysts are asymptomatic usually but may be discovered during routine clinical or radiological examination. Five cases of nasopalatine duct cysts are reported (2 females and 3 males) between the period of 2017-18, were diagnosed and treated at the department of oral and maxillofacial surgery. This article reports five cases presenting NPDC as a viable diagnosis considering swellings of anterior maxilla which is managed by enucleation and placement of PRF mixed with alloplastic graft with no recurrence during follow-ups till 1 year.

Adenoid cystic carcinoma of the buccal mucosa: A rare clinical presentation

Anisha Perepa — 2019-02-10

Of malignant tumors with a propensity to invade the perineural space, adenoid cystic carcinoma of the salivary glands is perhaps a well-known entity. Adenoid cystic carcinoma (ACC) is a rare, slow growing malignant salivary gland tumor that is characterized by indolent, locally invasive growth with high propensity for local recurrence and distant metastasis. Upto 50% of these tumors occur in the intraoral minor salivary glands usually in the hard palate. Buccal mucosal tumors are relatively rare. The purpose of this article is to discuss an unusual case of adenoid cystic carcinoma of the buccal mucosa and review the pertinent literature.

A quest for measuring intra operative blood loss in Maxillofacial surgery

Anisha Perepa — 2019-04-09

Aim: To find out a simple, standardized method to measure intra-operative blood loss during major oral surgical procedures which alerts the clinicians to manage untoward outcomes in time.

Materials & Method: Patients who underwent surgical intervention for various dentofacial deformities, maxillofacial pathologies, maxillofacial trauma under general anesthesia via an intra oral approach from Jan 2014 – Aug 2015 were included in the study. Thirty such patients belonging to the above entities were randomly categorized into 2 groups of 15 each based on the method of measuring the intra op blood loss. In Group A the blood loss was measured by Sahlis method and in Group B, the blood loss was measured by cyanomethemoglobin method. All the procedures were performed via an intra oral approach under general anesthesia.

Results: The amount of intra operative blood loss measured through Sahli’s method appeared to be insensitive and not standardized. However, the one measured through Cyanomethemoglobin method was more accurate, standardized and easy to perform.

Conclusion: Cyanomethemoglobin method is an accurate, reliable, chair side, inexpensive, easy to perform, standardized technique to measure the intra operative blood loss in the recent times.