Online ISSN: 2515-8260

Author : Ebenezer, Dr. Vijay


TEMPOROMANDIBULAR JOINT TOTAL REPLACEMENT-REVIEW OF LITERATURE

Dr. Vijay Ebenezer; Dr. Balakrishnan Ramalingam

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 4, Pages 1596-1601

Patients with ankylosis, post-traumatic condylar destruction, advanced degenerative disease and multi-operated patients are those who require joint replacement. Rise in development of biocompatible materials, improved designs for patient-fitted prostheses have been made with emerging advances. These devices can be used to treat internal derangement cases with history of multiple surgical and nonsurgical treatment failures, as well as restoring form and function following the removal of failed Vitek Proplast-Teflon containing temporomandibular joint implants. This paper will provide an insight related to treatment modality in debilitated, functionless temporomandibular joint (TMJ) patients.

FACIAL REANIMATION THROUGH NERVE REPAIR: A REVIEW LITERATURE

Dr. Vijay Ebenezer; Dr. Shanmuga priyan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 4, Pages 1499-1504

AIM- To discuss the various available methods for facial nerve repair for facial reanimation
BODY- Our face acts like a window to the world. It helps us to communicate. It helps us to express our emotions. Disorders of the face, involving the ones that disrupt facial movements, cause severe negative psychosocial impact on an individual. It is thus of utmost importance that this facial movement be restored, irrespective of the age or gender of the individual. Many different techniques have thus been devised in order to reanimate the face, which involve nerve repair and functional muscle grafts or transfers. In this review literature we shall delve into the various ways the facial nerve can be repaired.
CONCLUSION- All these techniques, however effective may they be, create certain morbid conditions. Thus, it is imperative to do more research in order to devise such a technique which produces great results in reanimation of the face without inducing morbidity.

MANAGEMENT OF LE FORT II FRACTURE FRACTURE – A CASE REPORT

Dr. Vijay Ebenezer; Dr. Shanmuga priyan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 4, Pages 1559-1564

Lefort classification is the historic classification which is widely used to classify mid facial fractures. The lefort classification was given by Rene Lefort ,who classified mid facial fracture into Lefort I , II and III. Lefort 2 fracture is referred as ‘ PYRAMIDAL or SUBZYGOMATIC FRACTURE .’ Lefort 2 is a floating maxilla which runs from the thin middle area of the nasal bones down either side , crossing the frontal processes of the maxilla into the medial wall of each orbit . Within the orbit , the fracture line runs across the lacrimal bone behind the lacrimal sac to cross the infra orbital margin medial to or through the infra orbital foramen . Extends downwards & backwards across the lateral wall of the antrum below the zygomaticomaxillary suture & divides the ptyergyoid laminae .Le fort fractures are blunt trauma facial fractures which involves specific pattern of facial bones injury. Pterygoid process of sphenoid bones is involved in all Le fort fractures. Lefort fractures are classified further depending upon the involvement of zygomatic, nasal and maxillary bones. Blunt facial traumas due to motor vehicle collision, assault, falls or sports injury are the most common causes. In our case, Le fort 2 fracture resulted from motor vehicle collision.

Surgical management of oro antral fistula : A review literature

Dr. Vijay Ebenezer; Dr. Wasim ahamed

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 4, Pages 1587-1592

Oro-antral communication and fistula can occur as a result of inadequate and improper treatment. Inadvertent communication with the maxillary sinus can occur during certain surgical procedures in the maxillary posterior region. Though, spontaneous healing may occur in defects which are smaller than 2 mm but larger communications require immediate attention and should be treated without delay, in order to avoid sinusitis and further complications leading to patient discomfort

MATERIALS FOR ORBITAL FLOOR RECONSTRUCTION POST TRAUMA: A REVIEW LITERATURE

Dr. Vijay Ebenezer; Dr. Rakesh mohan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 4, Pages 1565-1569

AIM: TO REVIEW THE VARIOUS MATERIALS USED FOR RECONSTRUCTION OF THE ORBIT IN MAXILLOFACIAL TRAUMA CASES.
BODY: Orbital bone fractures are in fact very often associated with trauma to the maxillofacial region due to road traffic accidents, assaults, war injuries, resulting in either a blowout fracture or a blow in fracture of the floor, fracture of the lateral wall of orbit, medial wall of orbit, posterior wall of orbit, roof of orbit, infraorbital and supraorbital rim of orbit. These defects cause various forms of morbidity to the patients and thus need to repaired without much complications. There are various materials that have come to be in use in the reconstruction of the orbit which fall into the three main categories of autologous, allogenic and alloplastic materials. We shall in this review literature delve into the deeper aspects of most of the commonly available and some of the newer materials being used, so as to understand the benefits and complications of using them.
CONCLUSION: We can conclude that there is no single grafting material which is suitable for all cases every time without any complications. Thus, traditional materials are to be used until a more viable material is found

RETROBULBAR HEMORRHAGE - A LITERATURE REVIEW

Dr. Vijay Ebenezer; Dr. Balakrishnan Ramalingam

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 4, Pages 1570-1573

Retrobulbar hemorrhage (RBH), sudden space occupying or expanding intraorbital lesions, herniation, or swelling lead to decrease in visual acuity secondary to orbital trauma. RBH must be diagnosed and treated as early as possible without delay. The purpose of this article is to give a insight on various treatment options for RBH. MEDLINE database was used to perform literature review. RBH patients are classified into RBH classes I to III according to three different clinical and radiological manifestations of acute RBH. Three categories of manifestations of acute RBH serve as a diagnostic tool that may help in the determination of treatment options.

PAN FACIAL FRACTURE – A CASE REPORT

Dr. Vijay Ebenezer; Dr. Rakesh mohan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 4, Pages 1505-1508

Pan facial fractures are complex to treat and hence have to be systematically managed . Several authors have quoted several principles regarding the repair of pan facial fractures in a stepwise fashion . The most important goal is to restore the occlusal relationship at the beginning of the treatment , so that all the other structures get aligned . The folllowing is a case of a traumatic pan facial fracture and its surgical management

RECONSTRUCTION OF ORBITAL FLOOR FRACTURE– A CASE REPORT

Dr. Vijay Ebenezer; Dr. Wasim Ahamed

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 4, Pages 1614-1618

Orbit is a conical cavity in which the base lies anteriorly and the apex directed at Optic Foramen .By Age of 5 years orbital growth is 85% complete, finalized between 7 years of age. Orbit is formed from 7 bones (Maxillary, Zygomatic, Frontal, Ethmoid, Larimal, Palatine, and Sphenoid ). It consists of Four Walls – roof, lateral, medial, floor .Medial wall and floor are thin ,While Lateral wall and Roof are Stronger. Floor of orbit is weakened due to infraorbtal Canal passing through it. In Pure blowout fracture one orbit wall is affected, without involving orbital rims. The inferior and medial walls are affected most frequently. Clinical features are diplopia, infraorbital nerve paresthesia , entrapment of soft tissue within the maxillary sinus, restriction of ocular movements and enophthalmos. CT scan is most helpful method for diagnosis of orbital fracture. For orbit reconstruction, natural and synthetic materials are available. We report a case of 21 years old man, diagnosed with orbital floor fracture after slip and fall from his two wheeler The surgical treatment involved orbital floor reconstruction with titanium mesh under general anesthesia. The outcome was satisfactory and during followup visual disturbances or paresthesia was not present.

SURGICAL MANAGEMENT OF RADICULAR CYST – A CASE REPORT

Dr. Vijay Ebenezer; Dr. Vigil dev asir

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 4, Pages 1556-1558

Radicular cyst is derived from the epithelial cell rests of Malassez. The associated tooth is nonvital, usually asymptomatic, and may result in swelling, tenderness, tooth mobility, or other problems with rare possibility of neoplastic transformation of its epithelial lining. The treatment options include endodontic procedure, extraction of offending tooth, enucleation with primary closure, and marsupialization. The present report describes the case of a radicular cyst of anterior maxillary region in a 60‐year‐old male patient, with radiographic and clinical findings.

EFFICACY OF LATERAL ANTROSTOMY AND CRESTAL APPROACH IN MAXILLARY SINUS LIFT

Dr. Vijay Ebenezer; Dr. Balakrishnan Ramalingam

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 4, Pages 1574-1577

In this article a review of maxillary sinus anatomy and techniques for floor elevation which is considered a vital part of restoring the posterior maxilla is discussed. Tatum is the pioneer for lateral antrostomy which is being practised till date for sinus lift. Crestal approach which is a conservative
method, proposed by Summers, provides another effective way of placing implant fixture in the atrophic maxilla