shanthosh kanna - Academia.edu (original) (raw)

Uploads

Papers by shanthosh kanna

The traumaxilla, Jun 27, 2022

Introduction: The World Health Organization in 1971 first classified fibro-osseous lesions (FOLs)... more Introduction: The World Health Organization in 1971 first classified fibro-osseous lesions (FOLs) as cementum forming tumors of jaws as ossifying fibroma (OF), cement-osseous dysplasia, and fibrous dysplasia. Various theories have been put forward regarding the origin of cemento-ossifying fibroma (COF) but current interests are oriented toward traumatic and developmental etiologies. The COFs are a slow-growing osteoexpansile tumor which grows to a considerable size. The tumor usually arises from tooth bearing and periodontal ligament region basically of odontogenic origin. Background: An inordinate, bony hard swelling, present united in both the jaws showing radiopaque-radiolucent mass, corticated margins, with expansion of buccal as well as lingual cortex gives a delusional image for the provisional diagnosis for surgeon, particularly to decide the surgical approach. These traits showing similarity with FOLs, more particularly cemento-OF, owing to its odontogenic or periodontal origin. Case Report: In this case, a 42-year-old female presented with abovementioned features was first taken for biopsy and then planned for simultaneous surgical resection of pathology for both jaws, from an intraoral approach giving a scar-free result. Preclusion of immediate complications was dealt with reconstruction of mandible with 2.5-mm titanium reconstruction plate. Conclusion: The diagnosis of cement-OF is based on clinical-radiographic-histopathologic evaluation. If remain untreated, these tumor can grow up to an average size of 80 mm, therefore, demanding an early surgical intervention. In our case, intraoral approach leads to almost no residual fibrosed tissue. The patient is further being planned for rehabilitation with either free fibula graft or 3-dimensional mandibular prosthesis.

The traumaxilla, Dec 1, 2020

Introduction: The COVID-19 pandemic triggered unprecedented nationwide regulations aimed primaril... more Introduction: The COVID-19 pandemic triggered unprecedented nationwide regulations aimed primarily at slowing the spread of the virus. The objective of this study was to describe the effect of these regulations on the number and natures of trauma presentations to oral and maxillofacial department of level I trauma center in the city of Lucknow, Uttar Pradesh. Methods: A retrospective cohort study of the triage register at Trauma Centre of King George Medical University, Lucknow was conducted, comparing all trauma presentations from March 23, 2020 to July 31, 2020 with those from the preceding 5 months. The number of patients, mechanism of trauma, and severity of illness was recorded and compared. Results: A reduction in the number of trauma cases was recorded for the particular period. The statistical analysis was done with SPSS software (version 1.1). The incidence of maxillofacial trauma was more in males than females. During the study period, data shows that road traffic accidents (91.68%) was the most common cause of trauma followed by fall from height (4.06%) and physical assault (2.34%), respectively. The most common injury was soft tissue lacerations (38.07%), followed by hard tissue injury (LeFort: 20.6%, zygomaticomaxillary complex fractures: 9.44%, parasymphysis: 8.02%), respectively. Conclusion: This study shows that the burden of trauma presenting to the emergency department was decreased during lockdown period by the regulations implemented in response to the COVID-19 pandemic.

The traumaxilla, Dec 1, 2020

Background and Introduction:Maxillofacial fractures are less common in children. Mandibular fract... more Background and Introduction:Maxillofacial fractures are less common in children. Mandibular fractures are less in children because of the protective anatomy in them. Management of the pediatric fracture depends on the type and severity of the fracture displacement. It can vary from conservative management with acrylic splint and arch bar fixation to surgical exposure of the fracture site with internal fixation. Special consideration is needed in children for the interferences of growth and developing tooth buds while going for the surgical management. The hardware for internal fixation can be made up of either titanium or bioresorbable material.Case Presentation:Here is the presentation of a case of a 7-year-old male patient who had a history of trauma because of falling from a tractor while playing, 2 days back from reporting. He had multiple mandibular fractures with extensive soft tissue laceration. Following the emergency tracheostomy, he was managed with open reduction and internal fixation of the compound mandibular fracture.Conclusion:Displaced mandibular fractures require open reduction and internal fixation of the fractured fragments with either titanium or biodegradable hardware. Open reduction also shortens the period of intermaxillary fixation and hence reduces the possibility of the development of temporomandibular joint (TMJ) ankylosis.

National journal of maxillofacial surgery, Aug 1, 2022

Oral submucous fibrosis is a chronic debilitating premalignant condition with progressive stiffen... more Oral submucous fibrosis is a chronic debilitating premalignant condition with progressive stiffening of oral mucosa ultimately ending in trismus most commonly from substance abuse. The most common etiological factor is the consumption of areca nut. Patients usually report to us when the mouth opening is almost nil. Various grafts have been used in the reconstruction of buccal defects after fiberotomy, the most popular being the buccal fat pad. We present the case of a 34-year-old man presenting with the complaint of reduced mouth opening and burning sensation in the mouth for 8 months. The patient is a poor candidate for buccal fat grafting as the patient body type being ectomorphic. The patient had a stigma of scar in the abdomen; hence, the possibility of an abdominal fat graft was out of the equation. Therefore, dermal fat is was harvested from the lateral thigh and reconstructed into the defect. The patient had a favorable outcome with good healing. Further studies are required to assess the quality, microscopic features of the adipose tissue, and the fate of dermal fat from the anterolateral thigh region.

The Traumaxilla

Introduction: The COVID-19 pandemic triggered unprecedented nationwide regulations aimed primaril... more Introduction: The COVID-19 pandemic triggered unprecedented nationwide regulations aimed primarily at slowing the spread of the virus. The objective of this study was to describe the effect of these regulations on the number and natures of trauma presentations to oral and maxillofacial department of level I trauma center in the city of Lucknow, Uttar Pradesh. Methods: A retrospective cohort study of the triage register at Trauma Centre of King George Medical University, Lucknow was conducted, comparing all trauma presentations from March 23, 2020 to July 31, 2020 with those from the preceding 5 months. The number of patients, mechanism of trauma, and severity of illness was recorded and compared. Results: A reduction in the number of trauma cases was recorded for the particular period. The statistical analysis was done with SPSS software (version 1.1). The incidence of maxillofacial trauma was more in males than females. During the study period, data shows that road traffic accident...

The traumaxilla, Jun 27, 2022

The Traumaxilla

Background and Introduction: Maxillofacial fractures are less common in children. Mandibular frac... more Background and Introduction: Maxillofacial fractures are less common in children. Mandibular fractures are less in children because of the protective anatomy in them. Management of the pediatric fracture depends on the type and severity of the fracture displacement. It can vary from conservative management with acrylic splint and arch bar fixation to surgical exposure of the fracture site with internal fixation. Special consideration is needed in children for the interferences of growth and developing tooth buds while going for the surgical management. The hardware for internal fixation can be made up of either titanium or bioresorbable material. Case Presentation: Here is the presentation of a case of a 7-year-old male patient who had a history of trauma because of falling from a tractor while playing, 2 days back from reporting. He had multiple mandibular fractures with extensive soft tissue laceration. Following the emergency tracheostomy, he was managed with open reduction and i...

INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH, 2022

INTRODUCTION:There are no evidence base data recommended that every plate should be remove just a... more INTRODUCTION:There are no evidence base data recommended that every plate should be remove just after bone healing but the study reported 8,9,10 that with many reasons the plate removal cannot be avoid and its removal range varies from 7% to 33.8% PURPOSE: The purpose of this study was to observe the plate removal incidence at our centre and to nd out that if this is within an acceptable range? METHODS:We observed the operation theatre record and recorded the incidence of plate xation and plate removal within 1 year period. RESULTS: We found that 261 trauma patients operated by open reduction and xation by using miniplates. In which only 5 patients were female. In the same way we also observed that 56 (21.4 %) male and 3 (1.14 %) female and total 59 (22.6 %) patients and 86 sites operated for plate removal in the same time period. CONCLUSION: Although removal rate at our centre is within acceptable range, even then we recommend adherent to strict infection control program to furt...

The traumaxilla, Jun 27, 2022

Introduction: The World Health Organization in 1971 first classified fibro-osseous lesions (FOLs)... more Introduction: The World Health Organization in 1971 first classified fibro-osseous lesions (FOLs) as cementum forming tumors of jaws as ossifying fibroma (OF), cement-osseous dysplasia, and fibrous dysplasia. Various theories have been put forward regarding the origin of cemento-ossifying fibroma (COF) but current interests are oriented toward traumatic and developmental etiologies. The COFs are a slow-growing osteoexpansile tumor which grows to a considerable size. The tumor usually arises from tooth bearing and periodontal ligament region basically of odontogenic origin. Background: An inordinate, bony hard swelling, present united in both the jaws showing radiopaque-radiolucent mass, corticated margins, with expansion of buccal as well as lingual cortex gives a delusional image for the provisional diagnosis for surgeon, particularly to decide the surgical approach. These traits showing similarity with FOLs, more particularly cemento-OF, owing to its odontogenic or periodontal origin. Case Report: In this case, a 42-year-old female presented with abovementioned features was first taken for biopsy and then planned for simultaneous surgical resection of pathology for both jaws, from an intraoral approach giving a scar-free result. Preclusion of immediate complications was dealt with reconstruction of mandible with 2.5-mm titanium reconstruction plate. Conclusion: The diagnosis of cement-OF is based on clinical-radiographic-histopathologic evaluation. If remain untreated, these tumor can grow up to an average size of 80 mm, therefore, demanding an early surgical intervention. In our case, intraoral approach leads to almost no residual fibrosed tissue. The patient is further being planned for rehabilitation with either free fibula graft or 3-dimensional mandibular prosthesis.

The traumaxilla, Dec 1, 2020

Introduction: The COVID-19 pandemic triggered unprecedented nationwide regulations aimed primaril... more Introduction: The COVID-19 pandemic triggered unprecedented nationwide regulations aimed primarily at slowing the spread of the virus. The objective of this study was to describe the effect of these regulations on the number and natures of trauma presentations to oral and maxillofacial department of level I trauma center in the city of Lucknow, Uttar Pradesh. Methods: A retrospective cohort study of the triage register at Trauma Centre of King George Medical University, Lucknow was conducted, comparing all trauma presentations from March 23, 2020 to July 31, 2020 with those from the preceding 5 months. The number of patients, mechanism of trauma, and severity of illness was recorded and compared. Results: A reduction in the number of trauma cases was recorded for the particular period. The statistical analysis was done with SPSS software (version 1.1). The incidence of maxillofacial trauma was more in males than females. During the study period, data shows that road traffic accidents (91.68%) was the most common cause of trauma followed by fall from height (4.06%) and physical assault (2.34%), respectively. The most common injury was soft tissue lacerations (38.07%), followed by hard tissue injury (LeFort: 20.6%, zygomaticomaxillary complex fractures: 9.44%, parasymphysis: 8.02%), respectively. Conclusion: This study shows that the burden of trauma presenting to the emergency department was decreased during lockdown period by the regulations implemented in response to the COVID-19 pandemic.

The traumaxilla, Dec 1, 2020

Background and Introduction:Maxillofacial fractures are less common in children. Mandibular fract... more Background and Introduction:Maxillofacial fractures are less common in children. Mandibular fractures are less in children because of the protective anatomy in them. Management of the pediatric fracture depends on the type and severity of the fracture displacement. It can vary from conservative management with acrylic splint and arch bar fixation to surgical exposure of the fracture site with internal fixation. Special consideration is needed in children for the interferences of growth and developing tooth buds while going for the surgical management. The hardware for internal fixation can be made up of either titanium or bioresorbable material.Case Presentation:Here is the presentation of a case of a 7-year-old male patient who had a history of trauma because of falling from a tractor while playing, 2 days back from reporting. He had multiple mandibular fractures with extensive soft tissue laceration. Following the emergency tracheostomy, he was managed with open reduction and internal fixation of the compound mandibular fracture.Conclusion:Displaced mandibular fractures require open reduction and internal fixation of the fractured fragments with either titanium or biodegradable hardware. Open reduction also shortens the period of intermaxillary fixation and hence reduces the possibility of the development of temporomandibular joint (TMJ) ankylosis.

National journal of maxillofacial surgery, Aug 1, 2022

Oral submucous fibrosis is a chronic debilitating premalignant condition with progressive stiffen... more Oral submucous fibrosis is a chronic debilitating premalignant condition with progressive stiffening of oral mucosa ultimately ending in trismus most commonly from substance abuse. The most common etiological factor is the consumption of areca nut. Patients usually report to us when the mouth opening is almost nil. Various grafts have been used in the reconstruction of buccal defects after fiberotomy, the most popular being the buccal fat pad. We present the case of a 34-year-old man presenting with the complaint of reduced mouth opening and burning sensation in the mouth for 8 months. The patient is a poor candidate for buccal fat grafting as the patient body type being ectomorphic. The patient had a stigma of scar in the abdomen; hence, the possibility of an abdominal fat graft was out of the equation. Therefore, dermal fat is was harvested from the lateral thigh and reconstructed into the defect. The patient had a favorable outcome with good healing. Further studies are required to assess the quality, microscopic features of the adipose tissue, and the fate of dermal fat from the anterolateral thigh region.

The Traumaxilla

Introduction: The COVID-19 pandemic triggered unprecedented nationwide regulations aimed primaril... more Introduction: The COVID-19 pandemic triggered unprecedented nationwide regulations aimed primarily at slowing the spread of the virus. The objective of this study was to describe the effect of these regulations on the number and natures of trauma presentations to oral and maxillofacial department of level I trauma center in the city of Lucknow, Uttar Pradesh. Methods: A retrospective cohort study of the triage register at Trauma Centre of King George Medical University, Lucknow was conducted, comparing all trauma presentations from March 23, 2020 to July 31, 2020 with those from the preceding 5 months. The number of patients, mechanism of trauma, and severity of illness was recorded and compared. Results: A reduction in the number of trauma cases was recorded for the particular period. The statistical analysis was done with SPSS software (version 1.1). The incidence of maxillofacial trauma was more in males than females. During the study period, data shows that road traffic accident...

The traumaxilla, Jun 27, 2022

The Traumaxilla

Background and Introduction: Maxillofacial fractures are less common in children. Mandibular frac... more Background and Introduction: Maxillofacial fractures are less common in children. Mandibular fractures are less in children because of the protective anatomy in them. Management of the pediatric fracture depends on the type and severity of the fracture displacement. It can vary from conservative management with acrylic splint and arch bar fixation to surgical exposure of the fracture site with internal fixation. Special consideration is needed in children for the interferences of growth and developing tooth buds while going for the surgical management. The hardware for internal fixation can be made up of either titanium or bioresorbable material. Case Presentation: Here is the presentation of a case of a 7-year-old male patient who had a history of trauma because of falling from a tractor while playing, 2 days back from reporting. He had multiple mandibular fractures with extensive soft tissue laceration. Following the emergency tracheostomy, he was managed with open reduction and i...

INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH, 2022

INTRODUCTION:There are no evidence base data recommended that every plate should be remove just a... more INTRODUCTION:There are no evidence base data recommended that every plate should be remove just after bone healing but the study reported 8,9,10 that with many reasons the plate removal cannot be avoid and its removal range varies from 7% to 33.8% PURPOSE: The purpose of this study was to observe the plate removal incidence at our centre and to nd out that if this is within an acceptable range? METHODS:We observed the operation theatre record and recorded the incidence of plate xation and plate removal within 1 year period. RESULTS: We found that 261 trauma patients operated by open reduction and xation by using miniplates. In which only 5 patients were female. In the same way we also observed that 56 (21.4 %) male and 3 (1.14 %) female and total 59 (22.6 %) patients and 86 sites operated for plate removal in the same time period. CONCLUSION: Although removal rate at our centre is within acceptable range, even then we recommend adherent to strict infection control program to furt...