iosr-JDMS   Volume-24 ~ Issue-7 ~ July 2025

Abstract: Reconstruction of soft tissue defects around the posterior upper trunk and cervico-thoracic spinal regions is a difficult problem to the reconstructive surgeon. The trapezius muscle and myocutaneous flap is a versatile flap allowing for reconstruction of multiple head and neck surgical defects. The trapezius flap is harvested based on the dorsal scapular artery or on the superficial cervical artery based on the orientation of the flap desired and the length of pedicle necessary. Variations in the vascular anatomy of the trapezius muscle flap are uncommon, but when present, such variations......

Key Word: Trapezius flap; myocutaneous flap; Scapular defect; Aesthetic outcome.

[1]. Zenga J, Sharon JD, Santiago P, et al. Lower trapezius flap for reconstruction of posterior scalp and neck defects after complex occipital-cervical surgeries. J Neurol Surg B Skull Base 2015;76(5):397–408
[2]. Nakajima H, Fujino T. Island fasciocutaneous flaps of dorsal trunk and their application to myocutaneous flap. Keio J Med. 1984;33:59–82.
[3]. Hyakusoku H, Yoshida H, Okubo M, et al. Superficial cervical artery skin flaps. Plast Reconstr Surg. 1990;86:33–38.
[4]. Hyakusoku H, Takizawa Y, Murakami M, et al. Versatility of the free or pedicled superficial cervical artery skin flaps in head and neck burns. Burns. 1993;19:168–173.
[5]. Ugurlu K, Ozcelik D, Huthut I, et al. Extended vertical trapezius myocutaneous flap in head and neck reconstruction as a salvage procedure. Plast Reconstr Surg. 2004;114:339–350.

Abstract: Background: Precise knowledge of mandibular anatomical landmarks is essential in clinical dentistry and forensic science. Variations in the mental foramen location, condylar head, and sigmoid notch morphology influence surgical safety, diagnostic accuracy, and identification reliability. Aim: To assess the location of the mental foramen and morphological patterns of the condylar head and sigmoid notch in the Western Maharashtra population using orthopantomographs.......

Keywords: Mental foramen, Condylar head, Sigmoid notch, Mandibular morphology, Orthopantomograph, Western Maharashtra

[1]. Ngeow WC, Yuzawati Y. The location of the mental foramen in a selected Malay population. J Oral Sci. 2003;45(3):171–5.
[2]. Apinhasmit W, Chompoopong S, Methathrathip D, Sansuk R, Phetphunphiphat W. Mental foramen in Thais: an anatomical variation related to gender and side. Surg Radiol Anat. 2006;28(5):529–33.
[3]. Al-Khateeb T, Hamasha AA, Ababneh KT. Position of the mental foramen in a northern regional Jordanian population. Surg Radiol Anat. 2007;29(3):231–7.
[4]. Al-Koshab M, Nambiar P, John J. Assessment of condylar morphology using orthopantomograms in Malaysian population. Saudi Dent J. 2015;27(1):30–5.
[5]. Tadej G, Englaro A, Gaspersic D. Radiographic analysis of the mandibular condyle in the adult population. Coll Antropol. 2003;27(2):567–73..

Abstract: Introduction: Elastography is a newly developed dynamic technique that uses ultrasound to provide an estimation of tissue stiffness by measuring the degree of distortion under the application of an external force. Ultrasound elastography has been applied to differentiate malignant from benign lesions.
Materials and Methods: This study included 53 consecutive patients with thyroid nodules. High resolution ultrasound elastography examination, scoring and further fine needle aspiration cytology was done in all of the cases. Tissue stiffness on ultrasound elastography was scored from on (greatest elastic strain) to five (no strain).......

Key Word: ultrasound elastography, thyroid nodules

[1]. Sun J, Cai J, Wang X : Real-time Ultrasound Elastography for differentiation of Benign and Malignant Thyroid Nodules. J Ultrasound Med 2014; 33:495–502
[2]. Zhang Y, He Y, Xu HX, Lui C, Guo LH, Lui LN et al: Virtual Touch Tissue Imaging on Acoustic Radiation Force Impulse Elastography. J Ultrasound Med 2014; 33:585–95
[3]. Wang Y, Dan H-J, Dan H-Y, Li T, Hu : Differential Diagnosis of Small Single Solid Thyroid Nodules using real time ultrasound elastography. Journal of International Medical Research 2010; 38:466
[4]. Rago T, Scutari M, Santini F, Loiacono V, Raggi P, Coscio G et al : Real-Time Elastosonography: Useful Tool for Refining the Presurgical Diagnosis in Thyroid Nodules with Indeterminate or Non diagnostic Cytology. J Clin Endocrinol Metab, December 2010;95:5274–80
[5]. Rago T, Santini F et al. Elastography: New Developments in Ultrasound for Predicting Malignancy in Thyroid Nodules. The Journal of Clinical Endocrinology & Metabolism 2007;92:2917–2922.

Abstract: This dissertation explores the critical factors influencing esthetic outcomes in dental implant therapy, focusing on both surgical and prosthetic considerations. Emphasis is placed on soft tissue management, implant positioning, and the role of biomaterials in achieving natural-looking results. A combination of clinical case studies and literature review highlights best practices for optimizing esthetics in the anterior region. The findings underscore the importance of a multidisciplinary approach to meet patient expectations for function and appearance. Ultimately, the study offers guidelines to enhance predictability and success in esthetically demanding implant cases.

Key Word: Esthetic, esthetics, dental midline, ala-tragal line

[1]. Garber DA. The esthetic dental implant: letting restoration be the guide. The Journal of the American Dental Association. 1995 Mar 1;126(3):319-25.
[2]. Testori T, Weinstein T, Scutellà F, Wang HL, Zucchelli G. Implant placement in the esthetic area: criteria for positioning single and multiple implants. Periodontology 2000. 2018 Jun;77(1):176-96.
[3]. Zucchelli G, Sharma P, Mounssif I. Esthetics in periodontics and implantology. Periodontology 2000. 2018 Jun;77(1):7-18.
[4]. El Askary AES. Multifaceted Aspects of Implant Esthetics: The Anterior Maxilla. Implant Dentistry. 2001 Sep;10(3):182–91.
[5]. Holst S, Blatz MB, Hegenbarth E, Wichmann M, Eitner S. Prosthodontic considerations for predictable single-implant esthetics in the anterior maxilla. Journal of oral and maxillofacial surgery. 2005 Sep 1;63(9):89-96.

Abstract: Acute appendicitis remains the most common cause of emergency abdominal surgery. Despite its relatively straightforward treatment, the diagnosis can often be challenging due to anatomical variations in the position of the vermiform appendix. These variations can result in atypical clinical presentations, potentially delaying diagnosis and increasing morbidity. This study was designed to correlate the anatomical positions of the appendix with clinical presentation and intra-operative.......

[1]. Wakeley CPG. The position of the vermiform appendix. J Anat. 1933;67:277–283.
[2]. Collins DC. The length and position of the vermiform appendix. Ann Surg. 1932;96:1044–1048.
[3]. Paulson EK, Kaleya RN. Appendicitis: Clinical evaluation and CT correlation. Radiology. 1998.
[4]. O’Connell PR. The vermiform appendix. In: Bailey and Love’s Short Practice of Surgery.
[5]. Maingot's Abdominal Operations, 11th Ed., McGraw Hill.

Abstract: The values of mass attenuation coefficient for ordinary concrete have been simulated using the
software packages GEANT4 and XCOM for gamma rays whose energies range from 10 keV to 100 MeV. Both
the GEANT4 simulated data, the XCOM simulated data and the theoretical prediction were in agreement. The
total mass attenuation coefficient corresponds to the sum of the mass attenuation coefficients from the individual
interaction processes, namely, the photoelectric effect, the Compton effect and the electron-positron pair
production. The result......

Key Word: GEANT4; XCOM.

[1]. Martin, J. E. (2006). Physics for Radiation Protection. WileyVCH: Weinheim, Germany.
[2]. Knoll, F. (2000). Radiation Detection and Measurement (3rd ed.). Wiley: New York, U.S.A.
[3]. Price B.T., Horton C.C., Spinney K.T. 1957. Radiation shielding, Pergamon Press Inc., London.
[4]. Woods J. 1982. Computational methods in reactor shielding, Pergamon Press Inc., New York.
[5]. Morabad R.B.; Kerur B.R. (2010). Mass attenuation coefficients of X-rays in different medicinal plants. Applied Radiation and
Isotopes, 68: 271-274

Abstract: RESUME : La pré-éclampsie sévère est un problème de santé publique. L'atteinte oculaire est une de ses nombreuses complications. Le but de notre observation était de décrire les atteintes oculaires chez les patientes présentant une pré-éclampsie et/ou éclampsie afin de contribuer à leur meilleure prise en charge. Il s’agit d’une femme de 34 ans enceinte à 36 SA, sans antécédents pathologies particuliers. Admise aux urgences d’ophtalmologie pour baisse brutale de l’acuité visuelle. L’examen ophtalmologique trouve une acuité visuelle à 1/10 au niveau de l’OD et 2/10 au niveau......

[1]. Epidemiological and clinical aspects of ocular manifestations of pre-eclampsia and eclampsia in Antananarivo. R A RAJAONA (1)*, E C RASOLONJATOVO (2), V RASOANIRINA (1), L RAOBELA (1) , V RASOAVELONORO ANDRIANTSOA (1), R ANDRIANAMPANALINARIVO HERY (3) [2]. Aspect epidemio-clinique des atteintes oculaires chez les pré-éclamptiques et/ou éclamptiques à l’hôpital Sominé Dolo de Mopti
[3]. BILATERAL CHOROIDAL ISCHEMIA DURING SEVERE PRE-ECLAMPSIA / ECLAMPSIA: A REPORT ABOUT 6 CASES. JW DIALLO¹, N MÉDA², A AHNOUX-ZABSONRɲ, A YANOGO¹, SJB TOUGOUMA¹, S OUATTARA¹, J SANOU², M DOLO¹.
[4]. Les manifestations oculaires au cours de la pré-éclampsie sévère ou l’éclampsie au Centre Hospitalier Universitaire Sourô Sanou de Bobo Dioulasso Jean Wenceslas Diallo1,&, Nonfounikoun Méda2 , Ahgbatouhabéba Ahnoux-Zabsonré2 , Souleymane Ouattara1 , Armande Yanogo1 , Somnoma Jean Baptiste Tougouma1 , Der Somé1 , Jérôme Sanou2 , Mariam Dolo1

Abstract: The long-term success of a fixed partial denture depends on its occlusion. Dental occlusion is the culmination of several components, which include the teeth, the periodontium, the tongue and the supporting oral tissues. The main question that arises is whether the patient’s oral condition or state is good enough to receive a fixed partial denture. In this article, we are going to discuss occlusion in fixed partial dentures, their evolution, concepts, occlusal interferences and treatment.

Key Word: Occlusion, FPD, Determinants, Concepts, Interferences, Implant supported prosthesis

[1]. The Glossary of Prosthodontic Terms 2023. The Journal of Prosthetic Dentistry. 2023 Oct;130(4):e1–3.
[2]. Shillingburg HT, Sather DA, editors. Fundamentals of fixed prosthodontics. Fourth edition. Chicago Berlin Tokyo: Quintessence Pulishing Co, Inc; 2012. 1 p. (STAT!Ref electronic medical library).
[3]. Rangarajan V, Gajapathi B, Yogesh PB, Ibrahim MM, Kumar RG, Karthik P. Concepts of occlusion in prosthodontics: A literature review, part I. The Journal of Indian Prosthodontic Society. 2015;15(3).
[4]. Occlusion in Fixed Partial Denture Understanding the Key before Designing the Lock.pdf.
[5]. Zarina, Rita & Jaini, JL & Raj, Rajan. (2017). A Systematic Approach for Rehabilitation of Occlusion in Fixed Partial Denture. International Journal of Preventive and Clinical Dental Research. 4. 136-141. 10.5005/jp-journals-10052-0097.

Abstract: A collision tumor occurs when two adjacent but histologically different neoplasms coexist in the same organ without any mixing. The ovary is rarely affected (<1%) by collision tumors, however they have been documented in the gastrointestinal tract, lung, skin, adrenal glands, central nervous system, lymph nodes, and uterine. Here, we describe a case of a 22-year-old female patient who had both a benign teratoma and mucinous cystadenoma in the same ovary. Since both conditions have a significant impact.....

Key Word: Collision tumor, benign teratoma, Mucinous cystadenoma

[1]. Kalonia T, Kumari N, Malik A, Kumar A, Bahadur A, Kishore S. A rare combination of Dermoid cyst and Cystadenoma: Are collision tumors in the ovary a real entity?. Autops Case Rep 2021;11:e2021249. https://doi.org/10.4322/acr.2021.249
[2]. Ravikanth R. A rare case of collision tumor: Massive mucinous cystadenoma and benign mature cystic teratoma arising in the same ovary. Chrismed J Health Res 2017;4:201-3.
[3]. Bostanci MS, Yildirim OK, Yildirim G, Bakacak M, Ekinci ID, et al. Collision Tumor: Dermoid Cysts and Mucinous Cystadenoma in the Same Ovary and a Review of the Literature. Obstet Gynecol Cases Rev 2015;2:031.
[4]. Al-Zuheiri, Shatha TS, Fwakhrji SA. Ovarian mucinous cystadenoma arising from a mature cystic teratoma-a case report. Hamdan Med J 2017;10(4):257–60. http://dx.doi.org/10.7707/hmj. 649

Abstract: Background- Temporomandibular joint disorders (TMDs) are musculoskeletal and neuromuscular conditions affecting the temporomandibular joint, masticatory muscles, and associated structures. They are often underdiagnosed due to their multifactorial origin, involving stress, bruxism, occlusal imbalances, and postural issues. These disorders can significantly affect quality of life and are often overlooked, especially in populations with limited health awareness. This study aimed to evaluate the prevalence and severity of TMDs among individuals from varying educational.....

Key Word: Temporomandibular Joint Disorders (TMD), Severity, mastication, bruxism, occlusion.

[1]. Okeson JP. Management of Temporomandibular Disorders and Occlusion. 8th ed. Elsevier; 2020.
[2]. de Leeuw R, Klasser GD. Orofacial Pain: Guidelines for Assessment, Diagnosis, and Management. Quintessence Publishing; 2018.
[3]. Fonseca DM, Bonfante G, Valle AL, Freitas SFT. Diagnóstico pela anamnese da disfunção craniomandibular. Rev Gaucha Odontol. 1994;42(1):23–8.[4]. Gauer RL, Semidey MJ. Diagnosis and treatment of temporomandibular disorders. Am Fam Physician. 2015;91(6):378–386.
[5]. Bertoli E, de Leeuw R, Schmidt JE, Okeson JP. Prevalence of diagnosed temporomandibular disorders in patients referred for dental treatment at a university hospital. J Orofac Pain. 2007;21(1):37–42.

Abstract: Background: Pyogenic infections are a significant clinical concern, often caused by a variety of multidrug-resistant organisms, particularly in hospitalized patients.The increasing trend of resistance in P. aeruginosa and other Gram-negative organisms highlights the need for updated local susceptibility data to guide empirical therapy......

[1]. Murugesan K, Radha RS, Vijayan H. Study on Antibiotic Susceptibility Testing against Pyogenic Organisms from Wound Infections. Int J Pharm Sci Rev Res. 2017;45(1):262–5.
[2]. Bindu D, Chitralekhasaikumar, Kiran M, Praveena R, Illamani V. Bacterial Profile and Antibiotic Resistance Pattern of Aerobic Gram Positive Bacteria Isolated From Pus Sample. Res J Pharm, Biol Chem Sci. 2014;5(5):643–6.
[3]. Gomatheswari SN, Jeyamurugan T. Bacteriological Profile and the Antibiotic Susceptibility Pattern of Microorganisms Isolated from Pus/Wound Swab Isolates in Patients Attending a Tertiary Care Hospital in South India. Int J Curr Microbiol Appl Sci. 2017;6(10):1405–13.
[4]. Mantravadi H, Chinthaparthi M, Shravani V. Aerobic isolates in pus and their antibiotic sensitivity pattern: a study conducted in a teaching hospital in Andhra Pradesh. Int J Med Sci Public Health. 2015;4(8):1076–9.
[5]. Muluye D, Wondimeneh Y, Ferede G, Nega T, Adane K, et al. Bacterial isolates and their antibiotic susceptibility patterns among patients with pus and/or wound discharge at Gondar university hospital. BMC Res Notes. 2014;7(1):619.

Abstract: Foot traumas are prone to infections due to wound contamination.1 We present a rare case of Raoultella ornithinolytica infection following a road traffic accident. A 30-year-old gentleman sustained a right foot injury with an open wound. He was initially given wound care and empirical antibiotics. However, persistent wound infection necessitated surgical exploration, which showed retained rubber fragments. Microbiological analysis identified Raoultella ornithinolytica, an environmental Gram-negative bacillus, as the causative agent. Two pus samples from different sites grew the same organism, confirming the diagnosis. A third sample, collected postoperatively from a.......

[1]. DJ., Baumgardner. n.d. “Soil-related bacterial and fungal infections.” J Am Board Fam Med. 2012 Sep-Oct;25(5):734-44. doi: 10.3122/jabfm.2012.05.110226.
[2]. Hajjar R, Ambaraghassi G, Sebajang H, Schwenter F, Su SH. Raoultella ornithinolytica: Emergence and Resistance. Infect Drug Resist. 2020 Apr 15;13:1091-1104. doi: 10.2147/IDR.S191387. PMID: 32346300; PMCID: PMC7167274.
[3]. Seng P, Boushab BM, Romain F, et al. Emerging role of Raoultella ornithinolytica in human infections: A series of cases and review of the literature. International Journal of Infectious Diseases. 2016;45:65-71. doi:10.1016/j.ijid.2016.02.014
[4]. Goodman DT, Murphy D, Dorairaj J. Case Study: Soft tissue infection with Raoultella ornithinolytica. JPRAS Open. 2022;33:17-20. doi:10.1016/j.jpra.2022.04.004
[5]. Salimiyan K, Farsiani H. Raoultella Infections from Clinical to Laboratory-Update & Literature Review. Vol 9.; 2022. http://rcm.mums.ac.ir.