iosr-JDMS   Volume-19 ~ Issue-10 ~ October 2020

Abstract: A V-Y advancement flap is created by making a v-shaped incision and advancing the broad base of the V into the defect. The resulting defect is closed primarily in a Y-shape. A V-Y closure that converts the distal portion of the V-shaped distal defect into a straight-line closure.The primary goals of digital reconstruction are to preserve the length and maintain full mobility of the digit while providing adequate protective cover for this purpose, Various surgical methods are used for amputation injuries including simple revision amputation, skin grafts, local flaps, distal flaps, neurovascular island pedicle flaps even free flaps (Li 2008; Zhou 2008; Zhang 2011). The reconstructive methods for fingertips include, local homodigital advancement flaps including V-Y closure from ipsilateral or bilateral sides of the finger and volar advancement flaps (Kutler 1994; Atasoy 1970; Evance 1988; Venkataswami 1980) have been popular as they are easy to do and does not necessitate expensive........

Keywords: Atasoy flap; Fingertip injuries; V-Y flap

[1]. Abood, M.H., Daood, A.S., 2007. A comparative study of the supraperiosteal and the sub periosteal dissection in the v-y advancement (atasoy) flap for the management of fingertip injury.Bas J Surg, vol. 13, pp. 1.10.
[2]. Aboulwafa, A., Emara, S., 2013. Versatility of HomodigitalIslandized Lateral V-Y Flap for Reconstruction of Fingertips and Amputation Stumps.J. Plast.Reconstr.Surg, vol. 37, no. 1, pp. 89-96.
[3]. Atasoy, E., Loakimidis, E., Kasdan, M.L., Kutz, J,E., Kleinert, H,E., 1970. Reconstruction of the amputated fingertipwith a triangular volar flap.A new surgical procedure.J Bone Joint Surg Am, vol. 52, pp. 921-6.
[4]. Beasley R.W., 1969. Reconstruction of amputated finger tips. Plast.Reconstr. Surg., vol. 44, pp. 349.
[5]. Brown, F.E., 1996. V-Y closure fingertip injuries. In: Blair WF, Steyers CM, eds. Techniques in hand surgery. Baltimore: Williams & Wilkins, pp. 19-25

Abstract: Background: The risk of wound complications following open reduction and internal fixation is notably high owing to extensive soft tissue dissection. Alternatively, application of Ilizarov ring fixator minimizes soft tissue dissection and provides adequate fracture stabilization to allow early range of motion and correction of any mal-alignment. Knowledge of complications in treating with Ilizarov Ring Fixation in Schatzker type VI tibial plateau fracture is helpful in the treatment of such cases. Aim of the study: The aim of this study was to assess thecomplications of the patients in treating with Ilizarov ring fixation in Schatzker type VI tibial plateau fracture....

Key words: Complication, Ilizarov ring fixation, Schatzker, Tibial plateau fracture

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[2]. Ranatunga, IR &Thirumal, M 2010, "Treatment of Tibial Plateau Schatzker Type VI Fractures with the Ilizarov Technique Using Ring External Fixators Across the Knee: A Retrospective Review‟, Malaysian Orthopaedic Journal, 4:34-39.
[3]. Agnew, SG, Bernirschke, SK, Mayo, KA, Henley, MB &Santaro, VM 1991, "Open reduction and internal fixation of complex tibial plateau fractures‟, J.Orthop Trauma, 5: 236.
[4]. Mikulak, Steve, A, Gold, Stuart, M, Zinar& Daniel, M 1998, "Small wire external fixation of high energy tibial plateau fractures‟ J Orthop Trauma, 356: 230-8.
[5]. Watson, JT 1994, "High energy fractures of the tibial plateau‟, OrthopClin North Am, 25: 723-52.

Abstract: Breast carcinoma is an uncommon neoplastic condition among man, accounting for not more than 1% of all breast cancers. Intracystic papillary carcinoma in man is an extremely rare condition and represents only 5–7,5% of all male breast carcinomas. Clinical and radiological manifestations of intracystic papillary carcinomas are not specific. Pathologic diagnosis can be difficult at classical histological examination and identification of myoepithelial cells layer by immunohistochemical study can be useful. Adjuvant therapy is still controversial, and prognosis is excellent. We report a case of this rare histological type of breast cancer in 47-year-old male patient and review the literature.

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Abstract: Background Gastrointestinal perforation a common abdominal emergency treated by the general surgeon. It is a common dictum that abdomen is a Pandora's Box and gastrointestinal perforation is one such condition to prove it. There is great controversy regarding the choice of procedure for gastro intestinal perforation of patients. The purpose of this study was to compare the early outcome results of laparoscopic and open repair and to propose which risk factors influence the outcome. Methods Between January 2018 and august 2019, 20 patients underwent laparoscopic and 30 patients underwent open repair of gastro intestinal perforation.....

[1]. Samy A. Azer M.D. Ph.D., - Article on intestinal perforation, 2005.
[2]. S. Paterson – Brown – Laparotomy and intraperitoneal sepsis, Hamilton Bailey‟s Emergency Surgery, 13th Edition, 315-316.
[3]. CURRENT MANAGEMENT OFPEPTIC ULCER PERFORATION ,Menakuru SR pak j Med sci 2004;20(2);157-63
[4]. B D chourasia‟s human anatomy 5th addition 259-266
[5]. Gray‟s Anatomy, 40th edition, Chapter 67, Page No. 1116-1117

Abstract: For the implant placement bone resorption following tooth loss often limits the quantity of bone available. When resorption occurs in areas of poor bone quality and strong masticatory forces, treatment options may include augmentation procedures or the exclusive use of short implants. An implant supported prostheses maintains bone, preparation of adjacent teeth and increases survival rate of prosthesis. Clinical strategies to improve the success rate of implants placed in sites with reduced bone quantity have included the use of large-diameter implants, rough surfaced implants for greater bone-to-implant contact or simply a greater number of implants. The purpose of the present study was to evaluate the comparison of bone loss in Long &short implant ten implant placed in different length 8mm ,11.5mm,....

Key words: marginal bone loss, short implants, reduced bone height, bone loss long and short implant

[1]. Schulte.J, Flores A.M et.al.Crown-to-implant ratios of single tooth implant-supported restorations. J Prosthet Dent 2007;98:1-5
[2]. Gomez-polo M, Bartens F, Sala L, Tamini F, Celemin A, Rio JD. The correlation between crown-implant ratios and marginal bone resorption: a preliminary clinical study. Int J Prosthodont 2010; 23, 33-37.
[3]. Tawil.G, Younan. R. Clinical Evaluation of Short, Machined-Surface Implants Followed for 12 to 92 Months. Int J Oral Maxillofac Implants 2003;18: 894–901
[4]. Maior BSS, Senna MP, Influence of crown- to- implant ratio, retention system, restorative material, and occlusal loading on stress concentration in single short implant. Int J Oral Maxillofac Implants 2012; 27:e13-e13-e18.
[5]. Monje A,Fu JH,chan HL,suarezF,Moreno pg,catena A, wang HL.Do implant length and width matter for short dental implant (6-9)?a meta analysis of prospective studies.J periodont 2013.120745..

Abstract: Infants withhistory of neonatal hyperbilirubinemia candevelopmanyneurological sequelae includingsensory and motordeficits. Visual evokedpotential (VEP) provides a non-invasive and objective method to assess the functionalintegrity of visualpathway. The aim of the studyis to show whetherthereisany VEP parameter changes in infants withhistory of neonatal hyperbilirubinemia compared to agematchedcontrols and whetherthereisany inter-oculardifferences and anydifferences in the differentage groups. An observational, cross-sectionalstudywasundertakenwhere 52 Infants withhistory of neonatal hyperbilirubinemia and 30 controlsweresubjected to mono-ocular Flash VEP testingwith LED gogglesfollowing routine protocolaccording to ISCEV standards(2009).Both....

Key words: Neonatal Hyperbilirubinemia, Neonatal Jaundice, Visual Evoked Potential, P2 Latency, N2 Latency, N2-P2 Amplitude

[1]. de Steuben C. Breast-feeding and jaundice: a review. Journal of nurse-midwifery. 1992; 37(2): S59-S66.
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[3]. Barbara J, stoll and Robert M, Kilegman RM. Digestive System (newborn). In: Bherman RE, Kilegman RM, Jenson HB, editors. Nelson textbook of pediatrics. 17th ed. USA: Saunders; 2004. 592.
[4]. Bhutani VK, Stevenson DK, editors. The need for technologies to prevent bilirubin-induced neurologic dysfunction syndrome. Seminars in perinatology; 2011: Elsevier.
[5]. HankoE,Lindemann R , Hansen TWR.Spectrum of outcome in infants with extreme neonatal jaundice. Acta Paediatrica.2001; 90( 7): 782-785..

Abstract: Dental Pain is considered to be most horrifying experience by general population. Most people had a fear to face any dentist and dental related treatment for relieving of pain. But sometimes for both the dentist and patient, it becomes very annoying to recognise jaw and teeth pain if the cause of the pain in not visible inside mouth and no obvious signs and symptoms of dental and jaw pain is present. In such kind of distressful condition specialised training is required to diagnose the problem. One such condition which is not very common is Eagle's syndrome, Elongated styloid process or calcification of stylohyoid ligament. It causes recurrent throat pain, ipsilateral neck pain, dysphagia, tooth pain, foreign body sensation etc. This condition can be confused with many facial neuralgia. The definitive treatment is primarily surgical. Mainstay of diagnosis is clinical examination and radiology. In this paper presenting literature review.

[1]. Eagle WW. Elongated styloid process. Report of two cases. Arch Otolaryngol 1937; 25: 584–587.
[2]. Rechtweg JS, Wax MK. Eagle's syndrome: a review. Am J Otolaryngol 1998;19:316–321
[3]. Eagle WW. Elongated styloid process: symptoms and treatment. Arch Otolaryngol 1958;64:172–176
[4]. Keur JJ, Campbell JP, McCarthy JF, Ralph WJ. The clinical significanceof the elongated styloid process. Oral Surg Oral Med Oral Pathol 1986;61:399–404
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Abstract: Background: The article aims at giving knowledge about an encofriendly, biodegradable and most of all a biocompatible material- "Chitosan". It is obtained by the deacetylation of chitin which is a byproduct of shell fishes that go waste. Many researches are being done to explore the use of this versatile material. Recently dental material researchers have shifted their focus to a more ecofriendly and biocompatible material that can be put to use in dentistry. This is where the role of chitosan becomes important. As it has proven properties like biocompatablity and antibacterial property, makes it a center of focus in the medical and dental field in this era which focuses more on materials that are more organic and thereby reduce the pollution and harm that we cause to mother nature.

[1]. Kurita K. Chemistry and application of chitin and chitosan. Polyme Degrad Stabil 1998;59:117-120.--- 8 ref silvia1BrzDJ
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[5]. Velasquez CL. Algunos usos del quitosano en sistemas acuosos. Revista Iberoamericana de Polímeros. 2003;4(2):91–109..

Abstract: Background: Frozen Shoulder is a condition, which is an insidious onset of painful stiffness of the glenohumeral joint, also called as adhesive capsulitis or periarthritis. This condition is characterized by the development of dense adhesions, joint capsule thickening, and tissue degeneration, which lead to restricted range of motion, especially in the dependent fold of the capsule, rather than arthritic changes in the cartilage and bone. Risk factors associated with adhesive capsulitis include diabetes mellitus, thyroid disease, hypertension, hypercholesterolemia and post-operative heart diseases.
Objective: The interventional study was conducted to compare the effect of moist heat therapy with Maitland mobilization for frozen shoulder patients and ice-pack with Maitland mobilization for frozen shoulder patients.
Methodology: Sixty Patients who...

Key words: frozen shoulder, Maitland mobilization, SPADI (shoulder pain and disability index), ROM(Range of Motion)..

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[3]. Susan J. hall. Basic Biomechanics. 7th ed. McGraw-Hill education publisher; 2015. 7: The biomechanics of upper extremity; pg no.181-183.
[4]. Carolyn Kisner, Lynn Allen Colby. A textbook of therapeutic exercise: Foundation and technique. 3th edition. India: Jaypee brothers;1996.17thchapter: The shoulder and shouldergirdle;279.
[5]. Abhijit Kalita, Andrew Milton. The combined effectiveness of glenohumeral end range mobilization and contract-relax technique for glenohumeral internal rotators in subjects with adhesive capsulitis. Int J Physiother. October 2015; 2(5):691-697..