Online ISSN: 2515-8260

Keywords : Swelling

Assessment of outcome of management of varicose veins

Dr Sandeep Shrivastava

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 2882-2885

Background: Visible varicose veins of the leg affect approximately 25–30 per cent of adult women and 15 per cent of men. The present study assessed outcome of management of varicose veins.
Materials & Methods: 84 cases of varicose veins of both genderscomprises of conservative (Group I) and surgical procedures (Group II). Venous clinical severity score [VCSS] and venous disability score [VDS] were assessed.
Results: Out of 84 patients, males were 44 and females were 40. Side involved was left was 15, right side in 16 and both in 10 cases in group I and 11, 18 and 12 in group II. Duration of hospital stay was 5-10 days in 41, 10-15 days in 0, 15-20 days in 0 in group I and in 34, 4 and 3 days in group II. VCSS was mild in 14, moderate in 16 and severe in 11 cases in group I and 10, 22 and 9 in group II. VRS was mild in 15, moderate in 14 and severe in 12 patients in group I and 11, 16 and 14 in group II respectively. The difference was significant (P< 0.05). Aching was absent in 16 in group I and 21 in group II, heaviness in 18 in group I and 23 in group II, itching 19 in group I and 25 in group II and swelling 17 in group I and 28 in group II. The difference was significant (P< 0.05).
Conclusion: Surgical management found to be effective as compared to conservative management in patients with varicose veins. 

Traumatic Fibroma: A Case Report

Dr. Ruchika Vasant Lulla; Dr. Priyanka Jaiswal

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 1653-1660

Background: Irritational / traumatic fibroma is a reactive lesion that represents most common oral lesions of the soft-tissue, caused by local traumas or plaque-induced inflammation, calculus, overhanging margins and restorations, which may lead to esthetic and functional problems. It can occur at any age group from almost any soft‑tissue site, buccal mucosa tongue, gingiva. However, the buccal mucosa is more commonly involved.
Case presentation: The article presents the case of a 30-year-old female patient with an intraoral swelling at the right side of the cheek mucosa since 4 months. On examining the lesion clinically, it was found to be a well circumscribed, smooth, slightly tender, firm and lobulated pink swelling measuring approx. 3 cm × 3 cm in its greatest diameter in relation to right cheek mucosa near mandibular premolar region. The swelling was associated with traumatic occlusion. The cause of the trauma as well as management of the lesion along with clinico-histological diagnosis is addressed. Complete surgical excision of the lesion was planned. Laser was used for excision of the lesion and the excised lesion as it is comparatively less invasive, easy, the relatively simple and safe method with easy handling of the tissues without any bleeding or scarring. The excised lesion was then sent to histopathology for diagnosis. The case was diagnosed as irritational fibroma after the clinical findings and histological evaluations.
Conclusion: Proper evaluation of the case with careful clinical and histological diagnosis is essential for the management of irritational fibroma. Lasers provide a non-invasive and effective treatment modality for the management of the such lesions.