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  • Nepal Journals Online (JOL)  (2)
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  • Nepal Journals Online (JOL)  (2)
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  • 1
    Online Resource
    Online Resource
    Indications and Complications Associated with Coronal Approach to Upper Midface Fracture
    Nepal Journals Online (JOL) ; 2019
    In:  Journal of College of Medical Sciences-Nepal Vol. 15, No. 4 ( 2019-12-31), p. 239-243
    Details
    In: Journal of College of Medical Sciences-Nepal, Nepal Journals Online (JOL), Vol. 15, No. 4 ( 2019-12-31), p. 239-243
    Abstract: Background: Coronal approach has been widely used by maxillofacial surgeons around the world for wide exposure and fixation of upper midface fractures. Coronal approach hides the scar in hair and completely avoids any incisions on face thus providing better aesthetic outcome. Our aim was to describe the data on indications and complications associated with coronal approach in our patient population. Methods: Prospective longitudinal study was planned and data was collected from a study population of all patients treated with coronal approach for facial fractures from January 2016 to June 2019. Demographic variables, Type of fracture, hemicoronal or bicoronal approach used and early complications of hematoma, infection and dehiscence were recorded. Delayed complications of neurosensory disturbances, facial nerve weakness, temporal hollowing and alopecia scar in hair bearing area was recorded. Results: Isolated zygomatic arch fracture was most common indication with 14 cases followed by ZMC fractures with 12 cases, NOE fracture with 7 cases, Lefort III with 6 cases and Frontal bone fracture with 2 cases. Hematoma was not observed in any of our cases. Infection was observed in 2 cases (4.8%), Dehiscence was observed in 5 cases (11.9%), Neurosensory disturbance was observed in 12 cases (28.6%). Permanent neurosensory changes beyond 6 months of follow up was not observed. Alopecia scar was seen in 7 cases (16.7%) and Facial nerve weakness was observed in 4 cases (9.5%). Conclusions: Coronal approach is best approach in terms of exposure provided to upper midface fractures and can be safely performed with minimal complications. Keywords: complications; coronal approach; upper midface fractures.
    Type of Medium: Online Resource
    ISSN: 2091-0673 , 2091-0657
    URL: Article
    DOI: 10.3126/jcmsn.v15i4.24933
    Language: Unknown
    Publisher: Nepal Journals Online (JOL)
    Publication Date: 2019
    Location Call Number Limitation Availability
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    Online Resource
  • 2
    Online Resource
    Online Resource
    Pattern of Impacted Mandibular Third Molar in Patients Presenting to Tertiary Care Hospital in Chitwan, Nepal
    Nepal Journals Online (JOL) ; 2019
    In:  Orthodontic Journal of Nepal Vol. 9, No. 2 ( 2019-12-31), p. 38-42
    Details
    In: Orthodontic Journal of Nepal, Nepal Journals Online (JOL), Vol. 9, No. 2 ( 2019-12-31), p. 38-42
    Abstract: Introduction: Impacted third molars are a major cause of visit to the oral surgeon and are associated with various complications like pain, inflammation of associated soft tissue and trismus leading to a need for their surgical removal. They are widely classified on the basis of angulation, depth and position as evident from orthopantomogram however they present in a diverse panorama of patterns each presenting different level of difficulty and different techniques for their removal. Our study describes different pattern of impacted lower third molars and perform brief literature review of dental and skeletal implications of impacted third molars. Materials & Method: A retrospective study was designed in which 401 orthopantomogram were examined and the sex of patient, side of impaction and winters angulation based classification, depth and position classification as given by Pell and Gregory were recorded. Descriptive data analysis was performed with SPSS version 24 software. Result: Out of total number of impactions 191(47.6%) were in females and 210(52.4%) were in males. Right sided impaction was seen in 199(49.6%) cases and 202(50.4%) were seen on left side. Mesioangular impaction was most common 203(50.6%) followed by distoangular 97(24.2%), horizontal 51(12.7%) and vertical 17(4.2%). Most common depth level of impaction was level I with 203(50.6%) followed by level II 178(44.4%) and level III 20(5%). Most common position was position B 355(88.5%) followed by position A 43(10.7%) and position C 3(0.7%). The most common pattern was IB (n=170) and IIB (n=166). Conclusion: The most common impaction is mesioangular followed by distoangular and horizontal. Most of the impacted third molars are in moderately difficult position.
    Type of Medium: Online Resource
    ISSN: 2091-1335 , 2091-1327
    URL: Article
    DOI: 10.3126/ojn.v9i2.28412
    Language: Unknown
    Publisher: Nepal Journals Online (JOL)
    Publication Date: 2019
    Location Call Number Limitation Availability
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    Online Resource
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