Bayo Aluko-olokun - Academia.edu (original) (raw)
Papers by Bayo Aluko-olokun
Journal of Craniofacial Surgery, Nov 1, 2018
Abstract This study aimed to assess the outcome of our novel free-hand approach. Numerous cleft l... more Abstract This study aimed to assess the outcome of our novel free-hand approach. Numerous cleft lip repair techniques exist, all of which involve incisions on skin and excision of tissue. Unilateral cleft lip is the result of failure of migration of orofacial tissues in-utero. Cleft lip repair should ideally involve an approach that simulates nature by avoiding skin incision and tissue excision, as these are not known to occur in the normal natural sequence of events. Without incising skin or excising any tissue, vermillion flaps were raised exposing the muscular layer and edges of skin and mucosa. Similar tissue types were advanced and sutured across the cleft, replicating what should have occurred normally. All 28 patients (100%) treated using our technique had competent lips. Acceptable symmetry of the vermillion was achieved in 24 (85.7%) of the patients. Lip symmetry was judged to be acceptable in 22 (78.6%). Symmetry of the nose was acceptable in 18 (64.3%) of patients. The Olokun-Olaitan vermillion flap approach proved effective in the repair of unilateral cleft lip, as it compared very favorably with results obtained using Millard's technique.
International Journal of Oral and Maxillofacial Surgery, Oct 1, 2015
Craniomaxillofacial Trauma & Reconstruction, 2021
Study Design This is a multi-centre retrospective study. Objective To determine the prevalence of... more Study Design This is a multi-centre retrospective study. Objective To determine the prevalence of blindness and pattern of facial trauma associated with blindness among Nigerians. Methods A multi-centre retrospective study of all patients with facial trauma resulting in blindness, that were co-managed by maxillofacial surgeons and ophthalmologists in 4 Nigerian public tertiary hospitals between January 2010 and December 2019 was undertaken. Data was analysed by IBM SPSS Statistics (version 21.0 for windows, IBM© Inc, Chicago, IL). Results Of 2070 patients who presented with major facial injuries during the study period, 61 eyes of 56 (2.7%) patients were blind. Blindness was bilateral and unilateral in 5 (8.9%) and 51 (92.1%) patients, respectively. The mean age (SD) at presentation was 36.2 (16.6) years, and 47 (83.9%) of these patients were males. Road traffic accident (n = 27; 48%) was the commonest mechanism of facial trauma, the cheek (n = 18; 40.9%) was the commonest site of a...
International Journal of Oral and Maxillofacial Surgery, 2013
ntroduction: While many report success ith microvascular free tissue transfer, few im to stratify... more ntroduction: While many report success ith microvascular free tissue transfer, few im to stratify postoperative morbidity. ostoperative complications vary from the nsignificant to the life threatening, and ay in rare circumstances result in morality. Aims: To evaluate the application of n established postoperative complicaion classification system used in general urgery to head and neck oncology patients Patients and methods: A prospective ohort study has been undertaken on a conecutive series of head and neck oncology atients that were undergoing ablative and icrovascular reconstruction surgery in a ingle maxillofacial unit. Patients treated etween August 2009 and February 2011 ere evaluated, and complications were cored based on an established classificaion system (Clavien). Results: 130 patients were evaluted and postoperative complications were raded. Severity of complications was ompared to preoperative medical comoridity, nutritional status, operative time and erioperative steroid and blood products se. Conclusions: A classification of postperative surgical complications can be pplied to head and neck cancer patients nd allows meaningful conclusions to be rawn from postoperative analytical studes. While larger patient populations still eed to be investigated, this study offers nsight to severity of complications and ow best to provide quality assurance to ur patients. Conflict of interest: None declared.
International Journal of Oral and Maxillofacial Surgery, 2013
ntroduction: While many report success ith microvascular free tissue transfer, few im to stratify... more ntroduction: While many report success ith microvascular free tissue transfer, few im to stratify postoperative morbidity. ostoperative complications vary from the nsignificant to the life threatening, and ay in rare circumstances result in morality. Aims: To evaluate the application of n established postoperative complicaion classification system used in general urgery to head and neck oncology patients Patients and methods: A prospective ohort study has been undertaken on a conecutive series of head and neck oncology atients that were undergoing ablative and icrovascular reconstruction surgery in a ingle maxillofacial unit. Patients treated etween August 2009 and February 2011 ere evaluated, and complications were cored based on an established classificaion system (Clavien). Results: 130 patients were evaluted and postoperative complications were raded. Severity of complications was ompared to preoperative medical comoridity, nutritional status, operative time and erioperative steroid and blood products se. Conclusions: A classification of postperative surgical complications can be pplied to head and neck cancer patients nd allows meaningful conclusions to be rawn from postoperative analytical studes. While larger patient populations still eed to be investigated, this study offers nsight to severity of complications and ow best to provide quality assurance to ur patients. Conflict of interest: None declared.
HIV & AIDS Review, 2016
Abstract Background Albinos are predisposed to poverty as a result of inability to compete econom... more Abstract Background Albinos are predisposed to poverty as a result of inability to compete economically due to low education, caused by poor eye sight. Besides stigmatization and discrimination, albinos are specific sexual targets of HIV sufferers. This study investigates the relationship between HIV prevalence and socio-economic status among albinos in a tertiary hospital in Abuja, Nigeria. Method Bio-data (age, sex, and marital status) and socio-economic status (monthly income in US Dollars at time of presentation, level of education, and employment status) of all consecutive adult albino and normal-pigmented patients who underwent surgery were collected and analyzed. All consenting patients were tested for HIV and included in the study. The study population was divided into four groups comprising of (1) HIV positive albino patients, (2) HIV positive normal-pigmented patients, (3) HIV negative albino patients, and (4) HIV negative normal-pigmented patients. Socio-economic status of these groups was compared. Results A total of 198 adult patients were included in the study. 20 (20.2%) albino patients tested positive for HIV, out of which 4 had exposure to post-high school education, while 3 (3.03%) normal-pigmented patients tested positive for the virus, with 2 having had exposure to post-high school education. 21 out of 79 HIV negative albinos had exposure to post-high school education, while 73 of 96 normal-pigmented patients had such exposure. HIV positive albino patients earned an average of 0.70 dollars per day, while HIV negative patients earned 1.97 dollars per day. Normal-pigmented HIV positive patients earned an average of 9.00 dollars per day, while those who tested negative earned 13.79 dollars per day. Conclusion There is an association between national HIV prevalence values in Africa and socio-economic status of their albino populations. It shows poverty-stricken African albinos to be apparently more likely to be HIV positive than their normal-pigmented counterparts. Neglecting the special educational needs of this group exposes the general society to danger.
Nigerian Quarterly Journal of Hospital Medicine
Injury is the leading cause of death and disability and the third most common cause of death Litt... more Injury is the leading cause of death and disability and the third most common cause of death Little attention has been given to the concomitant injuries associated with maxillofacial fractures in scientific literatures. For effective planning and efficient management of the patients, there is need to study the pattern ofthese injuries. Consecutive patients who sustained one or more facial bone fractures over a period of 2 years were prospectively studied. There were 103 patients out of which 96 sustained concomitant injuries giving an incidence of 93.2%.There were 75 (78.1%) males and 21 (21.9%) females with a M:F of 3.6:1. The mean + (SD) age was 30.8 +13.0 with a range of 2.0 to 68.0 years. Road Traffic Crashes was the commonest (n = 81, 84.4%) cause of injury. Soft tissue of the face, with an incidence of 62.1% (n = 64) was the commonest concomitant injury. It was followed by neurologic injury (n = 51, 49.5%) and ophthalmic injury (n = 38, 36.9%) while abdominal injury (n = 2, 1....
The Journal of craniofacial surgery, 2016
The literature on keloids is replete with authors expressing frustration with treatment results. ... more The literature on keloids is replete with authors expressing frustration with treatment results. Triamcinolone is effective in shrinking keloids and preventing their recurrence following excision, if delivered successfully. Strategies for effective delivery of drug are presented: recommended needle size, use of metal syringe, slow injection to avoid skin rupture, and delayed withdrawal of needle after injection. The futility of expecting pedunculated keloids to be completely flattened by steroid injection alone is mentioned.
Craniomaxillofacial Trauma & Reconstruction
Study Design This is a multi-centre retrospective study. Objective To determine the prevalence of... more Study Design This is a multi-centre retrospective study. Objective To determine the prevalence of blindness and pattern of facial trauma associated with blindness among Nigerians. Methods A multi-centre retrospective study of all patients with facial trauma resulting in blindness, that were co-managed by maxillofacial surgeons and ophthalmologists in 4 Nigerian public tertiary hospitals between January 2010 and December 2019 was undertaken. Data was analysed by IBM SPSS Statistics (version 21.0 for windows, IBM© Inc, Chicago, IL). Results Of 2070 patients who presented with major facial injuries during the study period, 61 eyes of 56 (2.7%) patients were blind. Blindness was bilateral and unilateral in 5 (8.9%) and 51 (92.1%) patients, respectively. The mean age (SD) at presentation was 36.2 (16.6) years, and 47 (83.9%) of these patients were males. Road traffic accident (n = 27; 48%) was the commonest mechanism of facial trauma, the cheek (n = 18; 40.9%) was the commonest site of a...
Journal of Craniofacial Surgery
Journal of Craniofacial Surgery
Journal of Craniofacial Surgery
Health is wealth. Economics is creation of wealth. There is a direct relationship between health ... more Health is wealth. Economics is creation of wealth. There is a direct relationship between health and economics. Noma, associated with extreme poverty, can be used as an economic index.
Journal of Maxillofacial and Oral Surgery, 2016
Mandibulectomy with disarticulation is usually carried out without reconstruction in Low-Income-C... more Mandibulectomy with disarticulation is usually carried out without reconstruction in Low-Income-Countries. Lower standards of living are usually acceptable and adapted to, in poor societies. This study compares patient's self-assessment of social approval among reconstructed and non-reconstructed cases of mandibulectomy with disarticulation in a resource-poor African setting. This questionnaire-based study documented patient's self-assessment of social approval of themselves following mandibulectomy with disarticulation. 12 derived queries were administered on each patient, to test what they perceived of social acceptability of their facial features following mandibulectomy. All 10 patients who underwent mandibular reconstruction reported that they felt confident engaging in all forms of social activity, while all 10 who had resection without reconstruction did not. The low social approval perceived by patients who have undergone mandibulectomy with disarticulation without reconstruction necessitates that surgeons must strive to reconstruct this anatomical region even under circumstances of severe resource-constraint. The culture in the third-world is not supportive of patients who have not undergone reconstruction following resection, in spite of being victims of all-pervading poverty. Level IV, investigative study.
Journal of Craniofacial Surgery, 2016
Journal of Craniofacial Surgery, 2016
The literature on keloids is replete with authors expressing frustration with treatment results. ... more The literature on keloids is replete with authors expressing frustration with treatment results. Triamcinolone is effective in shrinking keloids and preventing their recurrence following excision, if delivered successfully. Strategies for effective delivery of drug are presented: recommended needle size, use of metal syringe, slow injection to avoid skin rupture, and delayed withdrawal of needle after injection. The futility of expecting pedunculated keloids to be completely flattened by steroid injection alone is mentioned.
Oral and Maxillofacial Surgery, 2016
This study analyzed the cosmetic and functional outcome of cases involving reconstruction of toot... more This study analyzed the cosmetic and functional outcome of cases involving reconstruction of tooth-bearing portion of the lower jaw, using a polyglactin 910 suture for fixation. This prospective intervention study documented the treatment outcome in 25 consecutive adult patients, who underwent immediate mandibular reconstruction following segmental resection of tooth-bearing portion of mandible. Cortico-cancellous bone graft was taken from the inner table of iliac bone, sparing the crest. Use of post-surgical inter-maxillary fixation was avoided. Twenty-five patients were recruited for the study. Seventeen were males and eight were females. Their ages ranged from 18 to 50 years, with a mean of 30.0 years. Average length of grafted bone was 9.8 cm. Following surgery, all 25 (100%) patients were judged to have satisfactory facial symmetry. One (4.0 %) had altered dental occlusion. Twenty-five (100%) had satisfactory bone union. All of the patients claimed to masticate satisfactorily. Assessment was carried out at the last post-operative follow-up visit for each patient who ranged between 22 and 83 months. Use of polyglactin 910 suture material for fixation in mandibular reconstruction following segmental resection of tooth-bearing portion has proven to be a cosmetic and functional success. It may serve as alternative for those among whom conventional treatment methods may be contraindicated. This method of bone fixation may serve as a reliable and much cheaper alternative in low-income countries. Level IV, therapeutic study.
Journal of Maxillofacial and Oral Surgery, 2016
A ranula is a cystic lesion in the floor of the mouth, formed either as a retention cyst or pseud... more A ranula is a cystic lesion in the floor of the mouth, formed either as a retention cyst or pseudocyst as a result of extravasation of mucus in the surrounding tissue. It may be treated by micro-marsupialization, marsupialization or excision of lesion with or without the associated salivary gland. Marsupialization is usually achieved by cutting a slit and thereafter stitching the edges such that the epithelium of the exterior becomes continuous with that of the interior of a cyst. A stitch-and-stab technique of achieving patency of the created slit of marsupialized ranula is hereby presented. A stitch and stab technique using four parallel consecutive strokes of the needle with attached polyglactin 910 suture material in alternately opposing directions was employed in treatment of 31 consecutive ranula patients. 100 % success was achieved using this technique in 31 ranulas. This stitch-and-stab technique for marsupialization has proven to be very successful. It is recommended for use by the general medical community, as it requires the Clinician to possess only minimal surgical skills. Bartholin's cyst can be so treated.
International Journal of Oral and Maxillofacial Surgery, 2011
Objective: Evidence of mosquito bite is often seen on the face of children in the Third World. Th... more Objective: Evidence of mosquito bite is often seen on the face of children in the Third World. This is rarely seen in adults. Adults produce copious facial skin sebum, in contradistinction to children. Adult human facial oil was investigated for mosquito repellent properties.
Journal of Craniofacial Surgery, Nov 1, 2018
Abstract This study aimed to assess the outcome of our novel free-hand approach. Numerous cleft l... more Abstract This study aimed to assess the outcome of our novel free-hand approach. Numerous cleft lip repair techniques exist, all of which involve incisions on skin and excision of tissue. Unilateral cleft lip is the result of failure of migration of orofacial tissues in-utero. Cleft lip repair should ideally involve an approach that simulates nature by avoiding skin incision and tissue excision, as these are not known to occur in the normal natural sequence of events. Without incising skin or excising any tissue, vermillion flaps were raised exposing the muscular layer and edges of skin and mucosa. Similar tissue types were advanced and sutured across the cleft, replicating what should have occurred normally. All 28 patients (100%) treated using our technique had competent lips. Acceptable symmetry of the vermillion was achieved in 24 (85.7%) of the patients. Lip symmetry was judged to be acceptable in 22 (78.6%). Symmetry of the nose was acceptable in 18 (64.3%) of patients. The Olokun-Olaitan vermillion flap approach proved effective in the repair of unilateral cleft lip, as it compared very favorably with results obtained using Millard's technique.
International Journal of Oral and Maxillofacial Surgery, Oct 1, 2015
Craniomaxillofacial Trauma & Reconstruction, 2021
Study Design This is a multi-centre retrospective study. Objective To determine the prevalence of... more Study Design This is a multi-centre retrospective study. Objective To determine the prevalence of blindness and pattern of facial trauma associated with blindness among Nigerians. Methods A multi-centre retrospective study of all patients with facial trauma resulting in blindness, that were co-managed by maxillofacial surgeons and ophthalmologists in 4 Nigerian public tertiary hospitals between January 2010 and December 2019 was undertaken. Data was analysed by IBM SPSS Statistics (version 21.0 for windows, IBM© Inc, Chicago, IL). Results Of 2070 patients who presented with major facial injuries during the study period, 61 eyes of 56 (2.7%) patients were blind. Blindness was bilateral and unilateral in 5 (8.9%) and 51 (92.1%) patients, respectively. The mean age (SD) at presentation was 36.2 (16.6) years, and 47 (83.9%) of these patients were males. Road traffic accident (n = 27; 48%) was the commonest mechanism of facial trauma, the cheek (n = 18; 40.9%) was the commonest site of a...
International Journal of Oral and Maxillofacial Surgery, 2013
ntroduction: While many report success ith microvascular free tissue transfer, few im to stratify... more ntroduction: While many report success ith microvascular free tissue transfer, few im to stratify postoperative morbidity. ostoperative complications vary from the nsignificant to the life threatening, and ay in rare circumstances result in morality. Aims: To evaluate the application of n established postoperative complicaion classification system used in general urgery to head and neck oncology patients Patients and methods: A prospective ohort study has been undertaken on a conecutive series of head and neck oncology atients that were undergoing ablative and icrovascular reconstruction surgery in a ingle maxillofacial unit. Patients treated etween August 2009 and February 2011 ere evaluated, and complications were cored based on an established classificaion system (Clavien). Results: 130 patients were evaluted and postoperative complications were raded. Severity of complications was ompared to preoperative medical comoridity, nutritional status, operative time and erioperative steroid and blood products se. Conclusions: A classification of postperative surgical complications can be pplied to head and neck cancer patients nd allows meaningful conclusions to be rawn from postoperative analytical studes. While larger patient populations still eed to be investigated, this study offers nsight to severity of complications and ow best to provide quality assurance to ur patients. Conflict of interest: None declared.
International Journal of Oral and Maxillofacial Surgery, 2013
ntroduction: While many report success ith microvascular free tissue transfer, few im to stratify... more ntroduction: While many report success ith microvascular free tissue transfer, few im to stratify postoperative morbidity. ostoperative complications vary from the nsignificant to the life threatening, and ay in rare circumstances result in morality. Aims: To evaluate the application of n established postoperative complicaion classification system used in general urgery to head and neck oncology patients Patients and methods: A prospective ohort study has been undertaken on a conecutive series of head and neck oncology atients that were undergoing ablative and icrovascular reconstruction surgery in a ingle maxillofacial unit. Patients treated etween August 2009 and February 2011 ere evaluated, and complications were cored based on an established classificaion system (Clavien). Results: 130 patients were evaluted and postoperative complications were raded. Severity of complications was ompared to preoperative medical comoridity, nutritional status, operative time and erioperative steroid and blood products se. Conclusions: A classification of postperative surgical complications can be pplied to head and neck cancer patients nd allows meaningful conclusions to be rawn from postoperative analytical studes. While larger patient populations still eed to be investigated, this study offers nsight to severity of complications and ow best to provide quality assurance to ur patients. Conflict of interest: None declared.
HIV & AIDS Review, 2016
Abstract Background Albinos are predisposed to poverty as a result of inability to compete econom... more Abstract Background Albinos are predisposed to poverty as a result of inability to compete economically due to low education, caused by poor eye sight. Besides stigmatization and discrimination, albinos are specific sexual targets of HIV sufferers. This study investigates the relationship between HIV prevalence and socio-economic status among albinos in a tertiary hospital in Abuja, Nigeria. Method Bio-data (age, sex, and marital status) and socio-economic status (monthly income in US Dollars at time of presentation, level of education, and employment status) of all consecutive adult albino and normal-pigmented patients who underwent surgery were collected and analyzed. All consenting patients were tested for HIV and included in the study. The study population was divided into four groups comprising of (1) HIV positive albino patients, (2) HIV positive normal-pigmented patients, (3) HIV negative albino patients, and (4) HIV negative normal-pigmented patients. Socio-economic status of these groups was compared. Results A total of 198 adult patients were included in the study. 20 (20.2%) albino patients tested positive for HIV, out of which 4 had exposure to post-high school education, while 3 (3.03%) normal-pigmented patients tested positive for the virus, with 2 having had exposure to post-high school education. 21 out of 79 HIV negative albinos had exposure to post-high school education, while 73 of 96 normal-pigmented patients had such exposure. HIV positive albino patients earned an average of 0.70 dollars per day, while HIV negative patients earned 1.97 dollars per day. Normal-pigmented HIV positive patients earned an average of 9.00 dollars per day, while those who tested negative earned 13.79 dollars per day. Conclusion There is an association between national HIV prevalence values in Africa and socio-economic status of their albino populations. It shows poverty-stricken African albinos to be apparently more likely to be HIV positive than their normal-pigmented counterparts. Neglecting the special educational needs of this group exposes the general society to danger.
Nigerian Quarterly Journal of Hospital Medicine
Injury is the leading cause of death and disability and the third most common cause of death Litt... more Injury is the leading cause of death and disability and the third most common cause of death Little attention has been given to the concomitant injuries associated with maxillofacial fractures in scientific literatures. For effective planning and efficient management of the patients, there is need to study the pattern ofthese injuries. Consecutive patients who sustained one or more facial bone fractures over a period of 2 years were prospectively studied. There were 103 patients out of which 96 sustained concomitant injuries giving an incidence of 93.2%.There were 75 (78.1%) males and 21 (21.9%) females with a M:F of 3.6:1. The mean + (SD) age was 30.8 +13.0 with a range of 2.0 to 68.0 years. Road Traffic Crashes was the commonest (n = 81, 84.4%) cause of injury. Soft tissue of the face, with an incidence of 62.1% (n = 64) was the commonest concomitant injury. It was followed by neurologic injury (n = 51, 49.5%) and ophthalmic injury (n = 38, 36.9%) while abdominal injury (n = 2, 1....
The Journal of craniofacial surgery, 2016
The literature on keloids is replete with authors expressing frustration with treatment results. ... more The literature on keloids is replete with authors expressing frustration with treatment results. Triamcinolone is effective in shrinking keloids and preventing their recurrence following excision, if delivered successfully. Strategies for effective delivery of drug are presented: recommended needle size, use of metal syringe, slow injection to avoid skin rupture, and delayed withdrawal of needle after injection. The futility of expecting pedunculated keloids to be completely flattened by steroid injection alone is mentioned.
Craniomaxillofacial Trauma & Reconstruction
Study Design This is a multi-centre retrospective study. Objective To determine the prevalence of... more Study Design This is a multi-centre retrospective study. Objective To determine the prevalence of blindness and pattern of facial trauma associated with blindness among Nigerians. Methods A multi-centre retrospective study of all patients with facial trauma resulting in blindness, that were co-managed by maxillofacial surgeons and ophthalmologists in 4 Nigerian public tertiary hospitals between January 2010 and December 2019 was undertaken. Data was analysed by IBM SPSS Statistics (version 21.0 for windows, IBM© Inc, Chicago, IL). Results Of 2070 patients who presented with major facial injuries during the study period, 61 eyes of 56 (2.7%) patients were blind. Blindness was bilateral and unilateral in 5 (8.9%) and 51 (92.1%) patients, respectively. The mean age (SD) at presentation was 36.2 (16.6) years, and 47 (83.9%) of these patients were males. Road traffic accident (n = 27; 48%) was the commonest mechanism of facial trauma, the cheek (n = 18; 40.9%) was the commonest site of a...
Journal of Craniofacial Surgery
Journal of Craniofacial Surgery
Journal of Craniofacial Surgery
Health is wealth. Economics is creation of wealth. There is a direct relationship between health ... more Health is wealth. Economics is creation of wealth. There is a direct relationship between health and economics. Noma, associated with extreme poverty, can be used as an economic index.
Journal of Maxillofacial and Oral Surgery, 2016
Mandibulectomy with disarticulation is usually carried out without reconstruction in Low-Income-C... more Mandibulectomy with disarticulation is usually carried out without reconstruction in Low-Income-Countries. Lower standards of living are usually acceptable and adapted to, in poor societies. This study compares patient's self-assessment of social approval among reconstructed and non-reconstructed cases of mandibulectomy with disarticulation in a resource-poor African setting. This questionnaire-based study documented patient's self-assessment of social approval of themselves following mandibulectomy with disarticulation. 12 derived queries were administered on each patient, to test what they perceived of social acceptability of their facial features following mandibulectomy. All 10 patients who underwent mandibular reconstruction reported that they felt confident engaging in all forms of social activity, while all 10 who had resection without reconstruction did not. The low social approval perceived by patients who have undergone mandibulectomy with disarticulation without reconstruction necessitates that surgeons must strive to reconstruct this anatomical region even under circumstances of severe resource-constraint. The culture in the third-world is not supportive of patients who have not undergone reconstruction following resection, in spite of being victims of all-pervading poverty. Level IV, investigative study.
Journal of Craniofacial Surgery, 2016
Journal of Craniofacial Surgery, 2016
The literature on keloids is replete with authors expressing frustration with treatment results. ... more The literature on keloids is replete with authors expressing frustration with treatment results. Triamcinolone is effective in shrinking keloids and preventing their recurrence following excision, if delivered successfully. Strategies for effective delivery of drug are presented: recommended needle size, use of metal syringe, slow injection to avoid skin rupture, and delayed withdrawal of needle after injection. The futility of expecting pedunculated keloids to be completely flattened by steroid injection alone is mentioned.
Oral and Maxillofacial Surgery, 2016
This study analyzed the cosmetic and functional outcome of cases involving reconstruction of toot... more This study analyzed the cosmetic and functional outcome of cases involving reconstruction of tooth-bearing portion of the lower jaw, using a polyglactin 910 suture for fixation. This prospective intervention study documented the treatment outcome in 25 consecutive adult patients, who underwent immediate mandibular reconstruction following segmental resection of tooth-bearing portion of mandible. Cortico-cancellous bone graft was taken from the inner table of iliac bone, sparing the crest. Use of post-surgical inter-maxillary fixation was avoided. Twenty-five patients were recruited for the study. Seventeen were males and eight were females. Their ages ranged from 18 to 50 years, with a mean of 30.0 years. Average length of grafted bone was 9.8 cm. Following surgery, all 25 (100%) patients were judged to have satisfactory facial symmetry. One (4.0 %) had altered dental occlusion. Twenty-five (100%) had satisfactory bone union. All of the patients claimed to masticate satisfactorily. Assessment was carried out at the last post-operative follow-up visit for each patient who ranged between 22 and 83 months. Use of polyglactin 910 suture material for fixation in mandibular reconstruction following segmental resection of tooth-bearing portion has proven to be a cosmetic and functional success. It may serve as alternative for those among whom conventional treatment methods may be contraindicated. This method of bone fixation may serve as a reliable and much cheaper alternative in low-income countries. Level IV, therapeutic study.
Journal of Maxillofacial and Oral Surgery, 2016
A ranula is a cystic lesion in the floor of the mouth, formed either as a retention cyst or pseud... more A ranula is a cystic lesion in the floor of the mouth, formed either as a retention cyst or pseudocyst as a result of extravasation of mucus in the surrounding tissue. It may be treated by micro-marsupialization, marsupialization or excision of lesion with or without the associated salivary gland. Marsupialization is usually achieved by cutting a slit and thereafter stitching the edges such that the epithelium of the exterior becomes continuous with that of the interior of a cyst. A stitch-and-stab technique of achieving patency of the created slit of marsupialized ranula is hereby presented. A stitch and stab technique using four parallel consecutive strokes of the needle with attached polyglactin 910 suture material in alternately opposing directions was employed in treatment of 31 consecutive ranula patients. 100 % success was achieved using this technique in 31 ranulas. This stitch-and-stab technique for marsupialization has proven to be very successful. It is recommended for use by the general medical community, as it requires the Clinician to possess only minimal surgical skills. Bartholin's cyst can be so treated.
International Journal of Oral and Maxillofacial Surgery, 2011
Objective: Evidence of mosquito bite is often seen on the face of children in the Third World. Th... more Objective: Evidence of mosquito bite is often seen on the face of children in the Third World. This is rarely seen in adults. Adults produce copious facial skin sebum, in contradistinction to children. Adult human facial oil was investigated for mosquito repellent properties.