[Show abstract][Hide abstract] ABSTRACT: The aim of the present study was to determine the effect of saline mouth rinse on postoperative complications following routine dental extractions. Patients aged ≥16 years, who were referred to the oral surgery clinic with an indication for non-surgical extraction of pathologic teeth, were prospectively and uniformly randomized into three groups. Group A (n=40) were instructed to gargle six times daily with warm saline and group B (n=40) twice daily; group C (n=40) were not instructed to gargle with warm saline and served as controls. Information on demographic characteristics, indications for extraction, and the development of complications, such as alveolar osteitis, acute inflamed socket, and acute infected socket, was obtained and analyzed. There were no significant differences between patients who gargled six times daily with warm saline and those who gargled twice daily with reference to either alveolar osteitis or acute inflamed socket (P>0.05). However saline mouth rinses at either frequency were beneficial in the prevention of alveolar osteitis in comparison with those who did not rinse. A twice-daily saline mouth rinse regimen is more convenient, and patient compliance may be better than with a six times daily rinse regimen.
No preview · Article · Dec 2013 · International Journal of Oral and Maxillofacial Surgery
[Show abstract][Hide abstract] ABSTRACT: Alloplastic materials are increasingly being used in augmentation of craniofacial defects because of its ready availability, good aesthetic outcome and absence of donor site morbidity. This paper highlights experience in the use of heat-cured acrylic in augmentation cranioplasty.
The management of three patients with anterior skull defect who presented at the Dental and Maxillofacial Surgery Clinic of the Aminu Kano Teaching Hospital over a five-year period is presented.
There was good aesthetic outcome in all the patients and no complications were recorded.
Augmentation of craniofacial defects using customized prefabricated heat-cured acrylic provides patients with a durable, stable and structural repair of craniofacial defects with good aesthetic outcome.
No preview · Article · Sep 2013 · The West Indian medical journal
[Show abstract][Hide abstract] ABSTRACT: Background/objective:
To review cleft lip and palate procedures over a three-year (2008-2010) partnership between the smile train and our organization, the Grasssroot Smile Initiative (GSI).
A three-year retrospective study (2008-2010) involving 79 adult patients with clefts.
Seventy nine (14.4%) of 550 patients with orofacial clefts seen and treated within a three-year period were adults with age range of 17 to 81 years; mean 31.45 ± 13.09. Majority were between 20 and 39 years. There were 54 (68.4%) males and 25 (31.6%) females, with the male:female ratio of 2.2:1. Analysis of the cleft types/site revealed 35 (44.3%) lip alone, 22 (27.8%) lip and alveolus, 7 (8.9%) lip and palate and 15 (19%) palate alone. Seven (8.9%) of these patients had other relatives with clefts. Sources of information were friends and relatives; 33 (41.8%), radio; 18 (22.8%), charity organization/NGO; 13 (16.5%), hospitals/physicians; 5 (6.3%), and others; 10 (12.7%). 57 patients with lip clefts had surgery under local anesthesia while the remaining 22 patients were done under general anesthesia. All clefts of the lip were repaired using the Millard advancement rotational flap for complete cleft, simple straight line closure for incomplete and double layer closure for the palate.
The incidence of adult patients with orofacial cleft is not rare in our community, probably due to limited access to specialized health care facilities, poverty and ignorance. Furthermore, some of these patients are not aware that these facial defects can be repaired. The advent of the smile train organization and free services has resulted in this harvesting phenomenon.
[Show abstract][Hide abstract] ABSTRACT: Abstract:
Aims and Objective: To highlight the value of case profiling in the management of penetrating craniofacial arrow injuries
Materials and Methods: This is a prospective analytical study of fourteen cases using case scenarios ,cadaveric skull and sample arrows
Results:This showed that the most important factor in the determination of morbidity was the anatomical site of injury. The depth of penetration was characteristically determined by the density of impact tissue. There is however, anecdotal evidence that a high depth of penetration may not present morbidity without a trajectory that favors it. The orbit was the most frequent site of penetration accounting for 5 cases.
Conclusion:Profiling of craniomaxillofacial arrow wounds is vital to maximizing the goal of management which ,is a morbidity free outcome of definitive care.
[Show abstract][Hide abstract] ABSTRACT: Squamous Odontogenic tumor (SOT) is an uncommon benign tumor believed to originate from the epithelial root sheath of Hertwig. This paper reports SOT in a 50-year-old man who presented to the Maxillofacial Unit of the Aminu Kano Teaching Hospital with a 2-year history of an extensive swelling of the left half of the maxilla.
Both incisional biopsy and histology of the final tissue specimen were reported as SOT despite the different radiographic features commonly associated with the lesion. In view of the large and extensive nature of this tumor, and its rarity in scientific literature, this case is being presented to add to literature.
[Show abstract][Hide abstract] ABSTRACT: The aim of this prospective randomized study was to evaluate the effect of not using sutures on postoperative pain, swelling and trismus after lower third molar surgery. 80 patients with impacted lower third molars were referred for surgical extraction (42 males; 38 females; aged 18-38 years). The patients were randomly divided into two equal groups (sutures n=40; suture-less n=40). In the experimental group, the flaps were replaced without suturing. The control group was selected using the same criteria and treated under the same surgical protocol as the experimental group, except that the flaps were apposed using multiple sutures. Pain, swelling and trismus were evaluated at 24 h, 48 h and 1 week postoperatively in both groups. The operation time was found to be significantly longer in the multiple sutures group (p<0.05). There was significantly less pain, swelling and trismus at 24 h and 48 h, respectively, in the suture-less group (p<0.05). There was no significant difference between the two treatment groups in terms of pain, swelling and trismus, at 1 week postoperatively (p>0.05). There is less postoperative pain, swelling and trismus with the suture-less technique in third molar surgery.
Full-text · Article · May 2012 · International Journal of Oral and Maxillofacial Surgery
[Show abstract][Hide abstract] ABSTRACT: Pain, swelling and trismus are common complications associated with third molar surgery. These complications have been reported to have an adverse effect on the quality of life of patients undergoing third molar surgery.
To review the different modalities of minimizing inflammatory complications in third molar surgery.
A medline literature search was performed to identify articles on management of inflammatory complications in third molar surgery. Standard textbooks of Oral and Maxillofacial Surgery were also consulted and some local scientific publications on the subject were reviewed.
Methods ranges from surgical closure techniques, use of drains, physical therapy and pharmacological means. Studies reviewed have shown that no single modality effectively minimizes postoperative pain, swelling and trismus without undesirable effects.
Inflammatory complications after third molar surgery still remains an important factor in quality of life of patients at the early postoperative periods. Oral surgeons should be aware of the different modalities of alleviation of these complications to make postoperative recovery more comfortable for patients.
Full-text · Article · Sep 2011 · African health sciences
[Show abstract][Hide abstract] ABSTRACT: Pain, swelling, and trismus are the most common complications associated with third molar surgery. Several methods of alleviation of these complications have been described. The effect of single and multiple suture techniques on these complications was compared in the present study.
All consecutive patients 18 years of age or older who had been referred for surgical extraction of their impacted teeth between January and December 2007 at the maxillofacial unit of the Aminu Kano Teaching Hospital were recruited and randomized into 2 groups. All selected participants underwent surgical extraction of their impacted teeth by the same surgeon under local anesthesia. The flaps in 1 group were closed by multiple sutures and those in the second group were closed by a single suture. Pain, swelling, and trismus were evaluated at postoperative days 1, 2, 3, 5, and 7. Descriptive and comparative statistical analyses were performed, and the results are presented. Significance was set at P < .05.
A total of 50 subjects participated in the present study. Both groups were comparable in terms of the age distribution (multiple suture group, 26.0 ± 4.73 years; single suture group, 25.8 ± 4.28 years, P = .755), difficulty index (multiple suture group, 5.0 ± 1.68; single suture group, 4.9 ± 4.79; P = .935), duration of surgery (multiple suture group, 29. 7 ± 6.11 minutes; single suture group, 30.0 ± 6.04 minutes; P = .835), and baseline parameters such as facial width (multiple suture group, 10.0 ± 1.32 cm; single suture group, 9.8 ± 0.37 cm; P = .115), mouth opening (multiple suture group, 4.5 ± 1.32 cm, single suture group, 4.8 ± 0.26 cm; P = .165), and preoperative pain, which was 0 in both groups. Other comparable variables included impaction type (P = .210) and indication for surgery (P = .278). A statistically significant difference was found in the level of pain at postoperative days 1, 2, and 3 (P < .05). A similar significant difference was found in swelling and trismus (P < .05). At days 5 and 7, no significant differences were found between the 2 groups for all parameters of pain, swelling, and trismus (P > .05).
Our study had a comparable distribution of age, gender, and operative variables, such as the pattern of impaction, preoperative difficulty index, and operative time between patients undergoing the 2 methods of closure. With that, our results have shown that the single suture closure technique was better than the multiple suture technique with regard to postoperative pain, swelling, and trismus.
No preview · Article · Oct 2010 · Journal of oral and maxillofacial surgery: official journal of the American Association of Oral and Maxillofacial Surgeons
[Show abstract][Hide abstract] ABSTRACT: The goal of the maxillofacial surgeon is to correct facial deformity while eradicating surgical diseases, prevent recurrence or complication and restore function. The aim of this paper is to review the surgical procedures carried out in a new tertiary teaching hospital. A retrospective study of patients with maxillofacial surgical diseases seen at the Department of Dental and Maxillofacial Surgery, Aminu Kano Teaching Hospital, Kano, Nigeria, between 2001 and 2003, was conducted. A total of 87 patients had various (primary and secondary) surgical procedures during the period under review. There were 51 males and 36 females, a male to female ratio of 1:0.61 with an age range of 3 days to 90 years and a mean age of 34.5 years. The majority of the patients were in the lower socio-economic group. Reduction and immobilization of the jaw fractures (n = 21, 23.3%) was the most common, followed by transosseous wiring (n = 12, 13.3%). The most common complications were malocclusion (n = 14, 29.8%) and facial defects (n = 12, 25.5%). Reduction and immobilization, and tumour surgery of the jaws seem to be the most common surgical procedures while osteotomy was the least. Reduction and immobilization with simple arch bars appeared to be very effective, more so when the patients could not afford more modern methods of treatment. Reconstructive surgeries of ablated jaws are advocated in view of the devastating aesthetic and psychosocial effects that these have on the patients.
No preview · Article · Nov 2005 · The West Indian medical journal
[Show abstract][Hide abstract] ABSTRACT: Background: Orofacial tumours are known to exhibit geographic variations in prevalence and pattern due to cultural, social, occupational or climatic factors.
Method: A retrospective study of orofacial tumours presenting in a new maxillofacial centre in Nigeria between March 2001 and August 2002.
Result: A total of 342 patients attended the maxillofacial clinic within the 18-month period out of which 69(20.2%) had orofacial tumours. Only 55 case notes made up of
29(52.7%) males and 26(47.3%) females (M: F=1.1:1) were retrievable. The mean age was 37.1years(S.D: +/-18.5) with a range of 1 - 70 years .The peak age incidence was in the sixth decade for all tumours, third decade for benign and sixth decade for malignant tumours. The most prevalent tumours were squamous cell carcinoma (46% of malignant lesions) and ameloblastoma (31% of benign lesions) the mandible (38.2%) and the maxilla (23.6%) were the most commonly affected sites. Patients usually delayed before seeking treatment and the mean duration of tumours was 30 months (range=3 weeks - 40 years). More than a third (36.4%) of the patients could not afford cost of treatment and defaulted after diagnosis. Fifteen (27.3%) were referred for palliative radiotherapy due to advanced state of tumour. Out of the 14 (25.5%) treated, 4 had hemimandibulectomy, 1 subtotal mandibulectomy, 2 hemimandibulectomy and radiotherapy, 1 segmental resection and radiotherapy and 6 excisions. Follow-up records were scanty as patients tended to default shortly after treatment. The mean Follow-up period was 4.7 weeks (range= 1 - 22 weeks). Problems associated with management included late presentation resulting in advanced tumours, inability to pay for treatment due to poverty, difficulty in reconstruction and rehabilitation due to cost, size of tumour and non-availability of suitable materials for reconstruction.
Conclusion: Orofacial tumours and tumour-like conditions are commonly seen in our environment but usually present late.
Preview · Article · Jun 2004 · Nigerian Journal of Surgical Research