Evaluation of Cephalometric Changes and Its Relation to Changes in Patients' Quality of Life After Mandibular Setback Surgery.

Purpose: To find out if a relationship exists between the different cephalometric changes and the perception of patients before and after Bilateral Sagittal Split Osteotomy (BSSO) setback surgery. Patients and Methods: Sample consisted of 28 patients (mean age 23.78 ± 1.36 years), Male:Female = 1:1.3, with a median follow-up of 10 ± 1.8 months, with skeletal class III malocclusion treated with BSSO setback surgery. Pre- and post-surgery lateral cephalograms were analysed. The Oral Health Impact Profile (OHIP) questionnaire was used to assess the patients' quality of life after surgery. Cephalometric data were then correlated with the questionnaire results. Results: The psychological and social aspects of OHIP questionnaire were most affected. The most significant correlation between OHIP score change and cephalometric parameters was found with reduction of 'lower lip protrusion'; and significantly positive correlations were with increase in ANB angle and reduction in values of SND angle, N-B distance, lower lip length, lower facial height, mentolabial angle and angle of facial convexity. Conclusions: A significant relationship exists between the subjective and objective parameters which should be considered while planning for orthognathic surgery. Results of this study could be beneficial, helping the clinicians, to emphasise on specific cephalometric variable with the patient-specific expectations.

"Gigantic aggressive angiomyxoma" of the jaws: A rare case report.

Angiomyxomas are a group of rare myxoid benign mesenchymal tumors prone to local recurrences. Two types of angiomyxomas are well recognized in the literature: superficial and aggressive angiomyxoma. Aggressive angiomyxomas are relatively uncommon, poorly circumscribed, locally infiltrative myofibroblastic tumors with a specific predilection for the perineal regions and exceedingly rare in the head and neck region. To the best of our knowledge, we report the first case of a gigantic aggressive angiomyxoma occurring in both the maxilla and mandible in a 30-year-old male patient. Clinicians should carefully evaluate the clinical, radiological and histological data to derive the correct diagnosis of this myxoid intraoral soft-tissue neoplasm.

Intraoperative Image-Guided Retrieval of Foreign Body from Infratemporal Fossa: A Rare Case Report.

Entrapped foreign bodies in the head and neck region pose a challenge for surgeons, especially when present in areas like infratemporal space. In this case report, a bomb splinter entered through skin below the right infraorbital rim, traversed the maxillary antrum and got entrapped in the infratemporal fossa of the patient, which was initially localized using preoperative two-dimensional and three-dimensional radiographs. The foreign body was exposed via Alkayat Bramley approach and finally retrieved with the help of intraoperative C-arm fluoroscopy.

Effect of Diagnosis by Two-Dimensional Radiography Versus CBCT on Surgical Aspects of Transmigrated Impacted Mandibular Canines.

PURPOSE: The transmigration of mandibular canines is a rare clinical finding. The present study aimed to compare the effect of diagnosis by two-dimensional radiography and cone beam computed tomography on surgical aspects of transmigrated impacted mandibular canines. PATIENTS AND METHODS: A total of 20 patients (mean age 20.18 ± 3.36 years; male/female = 1.5:1), reporting to the Department of Oral and Maxillofacial Surgery with transmigrated impacted mandibular canines and planned for surgical removal, were randomly divided into two groups of ten patients each. Group A patients were diagnosed using 2D radiographs (orthopantomograms and occlusal view radiographs), and Group B patients were diagnosed using CBCT scans. The effects of the diagnosis on surgical aspects were compared in both the groups using various intraoperative and post-operative parameters. RESULTS: The operating surgeons experienced lesser operating time and more accuracy in terms of prediction of surgical approach in Group B patients than in Group A. Post-operative complications, including post-operative vitality of the adjacent tooth and lower lip paraesthesia, were seen to be more in Group A patients than in Group B. CONCLUSION: Increased precision in localization of transmigrated impacted mandibular canines was seen by using CBCT, leading to better surgical experience and lesser post-operative complications.

Bilateral hamartoma of tonsils bearing ectopic teeth: a case report.

Ectopic teeth presenting in bath the tonsils with hatnartomatous lesion has not been reported earlier. We present here a case of benign hamartoma of both the tonsils bearing 7 teeth in a 13 year old girl and also discuss about unusual Ectopic sites of tooth eruption as well as benign lesions of tonsil.