Aims and objective Among the various exposure technique used in total knee arthroplasty (TKA); th... more Aims and objective Among the various exposure technique used in total knee arthroplasty (TKA); the midline medial parapatellar knee approach is most commonly performed; which require mobilisation of patella for adequate surgical exposure. In this study, we compare the effect of patellar eversion with lateral retraction in simultaneous bilateral TKA to find out difference in postoperative clinical outcome between the two patellar mobilisation techniques. Methods We enrolled 41 patients who underwent bilateral simultaneous TKR (82 knees) from Nov 2016 to Dec 2018. During surgery patellar eversion was done in one knee and lateral retraction was done in other knee selecting them randomly to reduce the bias. During the follow up period achieving unassisted active straight leg raise (SLR), 90 flexion and complications were recorded. Measurement of Oxford knee society score (OKSS), American knee society score (AKSS), Visual Analogue Scale (VAS) score, and quadriceps strength (measured by handheld dynamometer) was done daily up to one week, 1 month, 3 months, 6 months, and 1 year postoperatively. Results The time of achieving active SLR and 90∗ flexion postoperatively was quicker in the lateral retraction group with a statistically significant difference. VAS pain score at 1 week and 1 month along with quadriceps strength in 1-month had statistically significant favourable outcomes in the lateral retraction group. Throughout the follow up lateral retraction group had better Oxford and American knee score but the difference being statistically insignificant. No significant difference was found on the complication rate. Conclusion In comparison to lateral retraction, patellar eversion has an adverse effect in early knee functional recovery after TKA; it delays achieving active SLR, 90∗ flexion and has unfavourable outcome in functional scores, quadriceps strength, and postoperative pain relief. However it has minimal effects on long term functional outcomes.
Central giant cell granuloma (CGCG) is a benign, non-odontogenic bone lesion of jaw. The conditio... more Central giant cell granuloma (CGCG) is a benign, non-odontogenic bone lesion of jaw. The condition is relatively infrequent and affects mainly children and young adults with a certain predominance among females and exhibits variable aggressiveness. Giant cell lesion associated with hyperparathyroidism is known as Brown tumor. Brown tumor is one of the bony complications of hyperparathyroidism. It is a giant cell granuloma which occurs in osteitis fibrosis cystica. It represents the terminal stage of the bone remodelling processes occurring as a result of peritrabecular fibrosis and osteoclastic activity. The mandible is the predominantly affected site in the maxillofacial area. Maxillary involvement is rare. The incidence of Brown tumor associated with hyperparathyroidism is rare (0.1%). Here, an extremely rare case of a 20 year old female patient with Brown tumor in her maxilla and mandible associated with primary hyperparathyroidism was presented. A thorough diagnostic work up sho...
Mandibular Reconstruction-Current concepts Reconstruction of mandibular defects after trauma or t... more Mandibular Reconstruction-Current concepts Reconstruction of mandibular defects after trauma or tumor resection is one of the most challenging problems facing reconstructive surgeons. Defects created in the mandible and midface after ablative procedures for neoplasia or traumatic injuries are often functionally and esthetically debilitating for the patient. Resection without bony reconstruction results in highly visible and often incapacitating deformities. The goal of reconstructive surgery in these cases is to replace the bone and soft tissue components of the defect in a way that approximates the normal facial structure as closely as possible. Shouvik Chowdhury Dr. Shouvik Chowdhury has completed his postgraduation in the speciality of Oral & Maxillofacial surgery and Fellowship in Advance Maxillofacial Surgery & Implantology. He has several national & International publication in his credit. He is currently working as Assistant Professor in Institute Of Dental Sciences, Bareilly...
Research into regenerative dentistry has contributed momentum to the field of molecular biology. ... more Research into regenerative dentistry has contributed momentum to the field of molecular biology. Periapical surgery aims at removing periapical pathology to achieve complete wound healing and regeneration of bone and periodontal tissue. Regenerative endodontic procedures are widely being added to the current armamentarium of pulp therapy procedures. The regenerative potential of platelets has been deliberated. Platelet-rich fibrin (PRF) is a wonderful tissue-engineering product and has recently gained much popularity due its promising results in wound healing bone induction. The features of this product are an attribute of platelets which, after cellular interactions, release growth factors and have shown application in diverse disciplines of dentistry. This paper is intended to shed light onto the various prospects of PRF and to provide clinical insight into regenerative endodontic therapy.
Botox is a highly purified protein, presynaptic neuromuscular blocking agent extracted from Clost... more Botox is a highly purified protein, presynaptic neuromuscular blocking agent extracted from Clostridium Botulinum bacteria. Since 1989, this toxin is used in treatment of strabismus, hemifacial spasm, blepharospasm, cervical dystonia. It is also used in cosmetic application mainly for dynamic wrinkles and glabellar lines. Nowadays, this toxin has become the most widely known use in various chronic pain syndromes. Due to relative safety, potency and reversibility of its effects, this toxin has become an attractive treatment option. In this review, we discuss the role of Botulinum neurotoxins in management of different pain conditions. KEYWORDS: Botox; Myofacial pain; Neurotoxin INTRODUCTION Since the discovery, the use of botulinum toxins has gone from deadly poison to versatile therapeutic agent. In 1897, Van Ermangen, identified the toxin as the offending agent that caused a fatal food poisoning, botulism. In 1949, it was shown that Botulinum toxin type A blocked transmission at th...
In oral and maxillofacial surgery, local anesthesia is used in exodontia, minor oral surgical pro... more In oral and maxillofacial surgery, local anesthesia is used in exodontia, minor oral surgical procedures and in some major surgical procedures.Without vasoconstrictors local anesthetic agents can produce vasodilatation and increases rate of absorption of local anesthetics from injection site. Vasoconstrictors are added to local anesthesia to reduce bleeding from surgical site and to increase the duration of action of local anesthetics. Clonidine has been widely used, for a variety of purposes including withdrawing from long term abuse of drugs or alcohol, as well as to reduce perioperative stress in patients who are at risk of perioperative ischaemia. Clonidine has also proved to be a clinically useful adjunct in clinical anesthetic practice as well as in chronic pain therapy. Shouvik Chowdhury Dr.Shouvik Chowdhury has completed his Post Graduation in the speciality of Oral & Maxillofacial Surgery and Fellowship in Advance Maxillofacial Surgery & Implantology. He is currently workin...
Aims and objective Among the various exposure technique used in total knee arthroplasty (TKA); th... more Aims and objective Among the various exposure technique used in total knee arthroplasty (TKA); the midline medial parapatellar knee approach is most commonly performed; which require mobilisation of patella for adequate surgical exposure. In this study, we compare the effect of patellar eversion with lateral retraction in simultaneous bilateral TKA to find out difference in postoperative clinical outcome between the two patellar mobilisation techniques. Methods We enrolled 41 patients who underwent bilateral simultaneous TKR (82 knees) from Nov 2016 to Dec 2018. During surgery patellar eversion was done in one knee and lateral retraction was done in other knee selecting them randomly to reduce the bias. During the follow up period achieving unassisted active straight leg raise (SLR), 90 flexion and complications were recorded. Measurement of Oxford knee society score (OKSS), American knee society score (AKSS), Visual Analogue Scale (VAS) score, and quadriceps strength (measured by handheld dynamometer) was done daily up to one week, 1 month, 3 months, 6 months, and 1 year postoperatively. Results The time of achieving active SLR and 90∗ flexion postoperatively was quicker in the lateral retraction group with a statistically significant difference. VAS pain score at 1 week and 1 month along with quadriceps strength in 1-month had statistically significant favourable outcomes in the lateral retraction group. Throughout the follow up lateral retraction group had better Oxford and American knee score but the difference being statistically insignificant. No significant difference was found on the complication rate. Conclusion In comparison to lateral retraction, patellar eversion has an adverse effect in early knee functional recovery after TKA; it delays achieving active SLR, 90∗ flexion and has unfavourable outcome in functional scores, quadriceps strength, and postoperative pain relief. However it has minimal effects on long term functional outcomes.
Central giant cell granuloma (CGCG) is a benign, non-odontogenic bone lesion of jaw. The conditio... more Central giant cell granuloma (CGCG) is a benign, non-odontogenic bone lesion of jaw. The condition is relatively infrequent and affects mainly children and young adults with a certain predominance among females and exhibits variable aggressiveness. Giant cell lesion associated with hyperparathyroidism is known as Brown tumor. Brown tumor is one of the bony complications of hyperparathyroidism. It is a giant cell granuloma which occurs in osteitis fibrosis cystica. It represents the terminal stage of the bone remodelling processes occurring as a result of peritrabecular fibrosis and osteoclastic activity. The mandible is the predominantly affected site in the maxillofacial area. Maxillary involvement is rare. The incidence of Brown tumor associated with hyperparathyroidism is rare (0.1%). Here, an extremely rare case of a 20 year old female patient with Brown tumor in her maxilla and mandible associated with primary hyperparathyroidism was presented. A thorough diagnostic work up sho...
Mandibular Reconstruction-Current concepts Reconstruction of mandibular defects after trauma or t... more Mandibular Reconstruction-Current concepts Reconstruction of mandibular defects after trauma or tumor resection is one of the most challenging problems facing reconstructive surgeons. Defects created in the mandible and midface after ablative procedures for neoplasia or traumatic injuries are often functionally and esthetically debilitating for the patient. Resection without bony reconstruction results in highly visible and often incapacitating deformities. The goal of reconstructive surgery in these cases is to replace the bone and soft tissue components of the defect in a way that approximates the normal facial structure as closely as possible. Shouvik Chowdhury Dr. Shouvik Chowdhury has completed his postgraduation in the speciality of Oral & Maxillofacial surgery and Fellowship in Advance Maxillofacial Surgery & Implantology. He has several national & International publication in his credit. He is currently working as Assistant Professor in Institute Of Dental Sciences, Bareilly...
Research into regenerative dentistry has contributed momentum to the field of molecular biology. ... more Research into regenerative dentistry has contributed momentum to the field of molecular biology. Periapical surgery aims at removing periapical pathology to achieve complete wound healing and regeneration of bone and periodontal tissue. Regenerative endodontic procedures are widely being added to the current armamentarium of pulp therapy procedures. The regenerative potential of platelets has been deliberated. Platelet-rich fibrin (PRF) is a wonderful tissue-engineering product and has recently gained much popularity due its promising results in wound healing bone induction. The features of this product are an attribute of platelets which, after cellular interactions, release growth factors and have shown application in diverse disciplines of dentistry. This paper is intended to shed light onto the various prospects of PRF and to provide clinical insight into regenerative endodontic therapy.
Botox is a highly purified protein, presynaptic neuromuscular blocking agent extracted from Clost... more Botox is a highly purified protein, presynaptic neuromuscular blocking agent extracted from Clostridium Botulinum bacteria. Since 1989, this toxin is used in treatment of strabismus, hemifacial spasm, blepharospasm, cervical dystonia. It is also used in cosmetic application mainly for dynamic wrinkles and glabellar lines. Nowadays, this toxin has become the most widely known use in various chronic pain syndromes. Due to relative safety, potency and reversibility of its effects, this toxin has become an attractive treatment option. In this review, we discuss the role of Botulinum neurotoxins in management of different pain conditions. KEYWORDS: Botox; Myofacial pain; Neurotoxin INTRODUCTION Since the discovery, the use of botulinum toxins has gone from deadly poison to versatile therapeutic agent. In 1897, Van Ermangen, identified the toxin as the offending agent that caused a fatal food poisoning, botulism. In 1949, it was shown that Botulinum toxin type A blocked transmission at th...
In oral and maxillofacial surgery, local anesthesia is used in exodontia, minor oral surgical pro... more In oral and maxillofacial surgery, local anesthesia is used in exodontia, minor oral surgical procedures and in some major surgical procedures.Without vasoconstrictors local anesthetic agents can produce vasodilatation and increases rate of absorption of local anesthetics from injection site. Vasoconstrictors are added to local anesthesia to reduce bleeding from surgical site and to increase the duration of action of local anesthetics. Clonidine has been widely used, for a variety of purposes including withdrawing from long term abuse of drugs or alcohol, as well as to reduce perioperative stress in patients who are at risk of perioperative ischaemia. Clonidine has also proved to be a clinically useful adjunct in clinical anesthetic practice as well as in chronic pain therapy. Shouvik Chowdhury Dr.Shouvik Chowdhury has completed his Post Graduation in the speciality of Oral & Maxillofacial Surgery and Fellowship in Advance Maxillofacial Surgery & Implantology. He is currently workin...
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