Ranjeet Bodh’s research while affiliated with Maulana Azad Institute of Dental Sciences and other places

A wide variety of odontogenic cysts and tumors are seen in human jaw as a result of complex interaction between diverse cellular elements of embryogenesis. Calcifying ghost cell odontogenic tumor (CGCOT) and odontome are benign odontogenic tumors and constitutes 0.37–2.1% and 4–67% of all odontogenic tumors respectively. The most notable features of this pathologic entity are histopathological features, which include a cystic lining demonstrating characteristic “Ghost” epithelial cells with a propensity to calcify. Here we report a unique and probably the first case of concomitant occurrence of CGCOT with odontome and compound composite odontome at two different site of same jaw (mandible) with brief clinical, radiological and histological study along with a brief review of literature.

Objective Oronasal fistula (ONF) is an abnormal communication between the oral and nasal cavity. It may arise in consequence to iatrogenic injury, neoplasms, trauma or following cleft palate repair. Closure of palatal fistula can be achieved by local and regional flaps. These procedures are often cumbersome and leave a raw nasal/oral surface which may increase the incidence of postoperative problems. The reported recurrence rate of the fistula is between 37% - 65%. The present paper demonstrates the versatility of the rhomboid flap in the closure of ONF in a two-layered fashion to avoid recurrence and donor site morbidity. Methods Seven patients (male, 6; female, 1) underwent reconstruction with Limberg flap for traumatic oronasal fistula of size less than 15 mm in its greatest dimension. The mucoperiosteum was first elevated gently and inverted to close the nasal side as a hinged flap, followed by the Limberg rhomboid flap, raised from one corner of the defect to provide tension-free closure of the oral surface. Results The fistula was completely closed in all cases at the first attempt, without any peri- operative complications. All fistulas successively healed, and none of our patients developed any significant postoperative bleeding, infection or fistula recurrence during the entire follow-up period of 6-9 months. Conclusion This study elucidates that Limberg flap procedure can be performed for managing oronasal fistula with a low complication rate, short hospital stays, and good long-term results. It can be used as an alternative to the existing conventional techniques in the closure of ONF.

Ectopic occurrence of mandibular third molar is a rare incidence. Usually found along with a cystic lesion or diagnosed incidentally during routine check-up. Owing to the rarity, only few cases were reported in the literature. The common site is the mandibular condyle followed by sigmoid notch, and often found in females. The frequent symptoms are obscure facial pain, trismus or the symptoms of the associated pathology like dentigerous cyst. The etiopathogenesis is uncertain and optimal management is still unclear. The symptomatic tooth should be removed either intraorally or extraorally. Here we report a case of ectopic mandibular third molar in ramus region surgically removed intra orally by high lingual split access osteotomy.