iosr-JDMS   Volume-16 ~ Issue-4 ~ April-2017

Abstract: The incidence and prevalence of chronic renal disease is increasing worldwide. The incidence of new end stage renal disease in India is 100 per million population per year ( Gedela1). In India Diabetes mellitus, hypertension, glomerulonephritis and chronic interstitial nephritis are the leading causes of chronic kidney diseases. The hematological profile has a major impact on the quality of life of patients with chronic renal disease. Anemia is seen consistently in these patients contributing morbidity and mortality. Leucocyte and platelet disorder have also been described in cases of renal failure.5 Managing these co-morbid conditions can improve the quality of life in these cases. The present study was done to assess hematological parameters in case of chronic renal disease in a tertiary care hospital.

[1]. Gedela SR, VarmaPP, BaligaKV, Chawala ML, Rai R.Renal replacement therapy: its status in India, Medicine update 2004; 451-56.
[2]. Levey AS,Coresh J. The NationalKidney Foundation: the K/DOQI clinical practice guidelines for chronic kidney diseases: evaluation, classification and stratification. Am J Kidney Dis 2002; 39:66.
[3]. Sakhuja V, Sud K. End stage renal disease in India and Pakistan: the burden of the disease and management issues. Kidney Int Suppl 2003; 63 S83; 115-8.
[4]. Means RTjr, Greer JP, Foerster J, Rodgers MG, et al. Anemia of chronic renal insufficiency. In wintrobe's clinical hematology.12th ed. Philadelphia:lipincott-williams & wilkins;2009.Vol 1.1225-9
[5]. Macdougall IC, Eckardt KU. Oxford textbook of clinical nephrology. 3rd ed.2008.Vol 3.1806-27.

Abstract: Introduction: Open reduction and internal fixation is a standard modality of treatment in widely displaced midshaft fractures of clavicle in adults. We report the result of a prospective study of thirty two patients, who were treated by open reduction and internal fixation. Methodology: In a prospective study, 32 cases of displaced fractures in adults were treated with open reduction and internal fixation. The age group of the patients were above 16 years. Cases were followed up for an average of eight months post operatively.............

Keywords: Clavicle fractures, open reduction, functional outcome.

[1]. Michael D. McKee. Clavicle fractures. In Heckman JD, Court-Brown CM. Rockwood and Green's Fractures in Adults. 8th edition, vol 1:1427-1474.
[2]. Seo GS, Aoki J, Karakida O, et al. Nonunion of a medical clavicular fracture following radical neck dissection: MRI diagnosis. Orthopedics. 1999;22(10):985–986.
[3]. Neer CS. Fractures of the Clavicle. In: Rockwood CA, Green DP, eds. Fractures in Adults. 2nd ed. Philadelphia, PA: JB Lippincott; 1984:707–713.
[4]. Gossard JM. Closed treatment of displaced middle-third fractures of the clavicle gives poor results [Letter to the editor]. J Bone Joint Surg Br. 1998;80(3):558.
[5]. Canadian Orthopaedic Trauma Society. Nonoperative treatment compared with plate fixation of displaced midshaft fractures. A multicenter, randomized clinical trial. J Bone Joint Surg Am. 2007;89(1):1–10.

Abstract: Objective: To study clinical features among the patients of acute spontaneous intra cranial haemorrhage (ASICH). Methods: This was a cross-section observational study. The study included 75 patients of ASICH belonging to different age groups and both sexes. A detailed history of all the patients was taken. The signs and symptoms elaborated were: headache, nausea/vomiting, altered sensorium, convulsion, neorological deficit etc. Computed tomography (CT) of head including plain and contrast was done in all the patients. Results: Out of the total 75 of ASICH patients, 56% were males and 44% were females. The most affected age groups was 51-60 years (44%). Headache was the most common symptom (81.3%) among the patients. Nausea/vomiting was the second most common...........

Keywords: Intra cranial haemorrhage, Clinical profile, Computed tomography

[1]. Sacco RL. Risk factors, outcomes, and stroke subtypes for ischemic stroke. Neurology. 1997;49:S39–44.
[2]. Asuman Celikbilek, Basak Karakurum Goksel, Gokmen Zararsiz, and Sibel Benli. Spontaneous intra-cerebral hemorrhage: A
retrospective study of risk factors and outcome in a Turkish population. J Neurosci Rural Pract. 2013 Jul-Sep; 4(3): 271–277.
[3]. Fernandes HM, Gregson B, Siddique S, Mendelow AD. Surgery in intracerebral hemorrhage. The uncertainty continues. Stroke
2000;31:2511-6.
[4]. Mendelow AD, Gregson BA, Fernandes HM, Murray GD, Teasdale GM, Hope DT, et al. Early surgery versus initial conservative
treatment in patients with spontaneous supratentorial intracerebral haematomas in the international surgical trial in intracerebral
haemorrhage (STICH): A randomised trial. Lancet 2005;365:387-97.
[5]. Mendelow AD, Gregson BA, Rowan EN, Murray GD, Gholkar A, Mitchell PM; STICH II Investigators. Early surgery versus initial conservative treatment in patients with spontaneous supratentorial lobar intracerebral haematomas (STICH II): A randomised trial. Lancet 2013;382:397-408.

Abstract: Aims and Objective: (1)To record the colposcopic and cytological findings of the cases and to compare it with each other in detecting premalignant lesions of cervix taking histopathology as gold standard.(2)To correlate the findings of cytology and colposcopy with histopathology in detecting premalignant lesions of cervix. Materials and Methods: This was a hospital based cross-sectional study conducted at HIMS,Barabanki.The study period was of one year.The study included pap smear samples,colposcopy reports and colposcopy guided cervical biopsy samples of 208 sexually active rural female patients of reproductive age group. Results: Majority of the women were between 31-40 years(59.6%).On PAP smear,ASC-US was found in 5.8% of women,ASC-H in 1.4% of women,LSIL in 6.7% of women and HSIL in 6.2% of women.On colposcopy,LSIL was seen in 26.4% of women and HSIL in 17.8% of women................

Keywords: Premalignant Lesions of Cervix,Cytology,Colposcopy, Histopathology.

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[2]. Shrivastava S, Mahantshetty U, Engineer R, Tongaonkar H, Kulkarni J, et al. (2013) Treatment and outcome in cancer cervix
patients treated between 1979 and 1994: a single institutional experience. J Cancer Res Ther 9: 672-679.
[3]. Ferlay J SI, Ervik M, Dikshit R, Eser S, Mathers C, et al. (2013) Cancer Incidence and Mortality Worldwide: IARC CancerBase
No. 11 [Internet]. Lyon, France: International Agency for Research on Cancer: 2012.
[4]. Nandakumar A, Ramnath T, Chaturvedi M. The magnitude of cancer cervix in India. Indian J Med Res. 2009;130(3):219–221
[5]. Nayar R,Wilbur DC,eds. The Bethesda System for Reporting Cervical Cytology. Definitions, Criteria and Explanatory Notes.3rd ed. Springer;2015.

Abstract: Introduction: Supracondylar Fracture Humerus Is One Of The Most Common Fracture Seen In Orthopaedic Clinics. Here We Report The Outcome Of Gartlands Type 2 And 3 Supracondylar Fracture In Children By Closed Reduction And Percutaneous Pinning. Methodology: 50 Cases Of Gartlands Type 2 And 3 Supracondylar Fracture Humerus Were Treated By Closed Reduction And Percutaneous K Wire Fixation. Children From Ages 2 To 10 Were Included In The Study. Statistical Analysis Used: Student T Test..............

Keywords: Supracondylar Fractures, Percutaneous Pinning, Functional Outcome.

[1]. Otsuka NY, Kasser JR: Supracondylar fractures of the humerus in children. J Am Acad Orthop Surg 1997,5:19-26.
[2]. Beaty JH, Kasser JR: Fractures about the elbow. Instr Course Lect 1995,44:199-215.
[3]. Boyd HB, Altenberg AR. Fractures about the elbow in children. Arch Surg 1944;49:213.
[4]. Casiano E: Reduction and fixation by pinning "banderillero" style fractures of the humerus at the elbow in children. Mil Med 1960,
125:262-264.
[5]. Flynn JC., Mathews JG. and Benoit RL. "Blind pinning of displaced supracondylar fractures of the humerus in children". J Bone &
Joint Surg (Am),/974;56A: 263-272.

Abstract: Testicular cancers account for around 1-1.5% of male neoplasms. A vast majority are germ cell tumours (more than 90%) followed by lymphomas (around 5%) and interstitial tumours (around 2%). Carcinoid tumour of the testis is a rare tumour accounting for less than 1% of all testicular tumours. It is usually confined to the testis. Fewer than 100 cases have been reported in the literature.

Keywords: Carcinoid, Testis

[1]. T. Hayashi, S. Iida, J. Taguchi et al., "Primary carcinoid of the testis associated with carcinoid syndrome," International Journal of Urology, vol. 8, no. 9, pp. 522–524, 2001.
[2]. Stroosma OB, Delaere KPJ. Carcinoid tumours of the testis. Br J Urol. 2008; 101(9): 1101-5.
[3]. Abbosh PH, Zhang S, Maclennan GT, et al: Germ cell origin of testicular carcinoid tumors. Clin Cancer Res 14:1393-1396, 2008
[4]. Mai KT, Park PC, Yazdi HM, Carlier M. Leydig cell origin of testicular carcinoid tumour: immunohistochemical and electron microscopic evidence. Histopathology. 2006; 49(5): 548-58.
[5]. Wolf M, Wunderlich H, Hindermann W, Gajda M, Schreiber G, Schubert J. Case report: Primary carcinoid tumour of the testicle without metastases in combination with testicular atrophy and testosterone deficiency. Int Urol Nephrol. 2006; 38(3-4):625-8.

Abstract: Background: Type 2 diabetes mellitus is an endocrine as well as a metabolic disorder. Obesity is not only the most common cause of insulin resistance, but also a growing health concern in its own right. There are a number of conventional methods to assess obesity with neck circumference being a relatively newer method. Objective: The present study was aimed at evaluating the correlation of the neck circumference with other anthropometric parameters in patients of type 2 diabetes mellitus. Methodology: A cross-sectional study was carried out in 100 patients of type 2 diabetes mellitus to investigate the correlation of the neck circumference with BMI, WC, and W/H ratio...............

Keywords: Type 2 diabetes mellitus, Neck circumference, waist circumference, obesity

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840–46.
[4]. Goyal R, Faizy AF, Siddiqui SS, Singhai M. Evaluation of TNF‑α and IL‑6 levels in obese and non‑obese diabetics: Pre‑.and
postinsulin effects. N Am J Med Sci 2012;4:180‑4.
[5]. Chan DC, Watts GF, Barrett PH, Burke V. Waist circumference, waist-to-hip ratio and body mass index as predictors of adipose
tissue compartments in men. QJM. 2003 Jun;96(6):441-7.

Abstract: Introduction: Chronic renal failure (CRF) affects every organ including eye. The prevalence is increasing all over world. Retinal changes were blamed to be the main culprit responsible for deterioration of vision in CRF patients. Aim: We aimed to prospectively analyse the retinal changes among CRF patients. It is intended to screen patients for any visual threat so that necessary advise can be given before they become visually impaired. Subjects and Methods: The present study was done from October 2016 to March 2017 on 60 consecutive patients who were admitted in Nephrology ward G.M.C /GGH, Guntur. Patients were staged using Cockcrouft-Gault formula into stage 1-5...............

Keywords: Retinopathy, chronic renal failure,diabetes mellitus, hypertension

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[4]. Grossmann A, Gioberge S, Moeller S ,et al. ESRD patients in 2004.global overview of patient numbers, treatment modalities and
associated trends. Nephrol Dial Transplant . 2005;20(12):2587-93.
[5]. Reddy KS, Shah B, Varghese C, Ramadass A. Responding to the threat of chronic diseases in India. Lancet 2005;366:1744-1749.

Abstract: Antibiotics are commonly used in dental practice. Many dental practitioners prescribe the antibiotics to prevent possible development of pain and swelling. This is being done more out of tradition rather than any sound scientific base. This overuse of antibiotics which is leading to the emergence of antibiotic resistant bacterial strains is a global concern. Being an Endodontist or even a Dental Surgeon, it is imperative that one must stress the importance of appropriate endodontic intervention in all the involved cases, with oral antibiotic administration used only as an adjunct............

Keywords : Antibiotics, endodontic intervention

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[2]. Gopikrishna and Parmeshwaran. Role of antibiotics in Endodontics J. Ind. Dent. Assoc. 2001:69-71

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Abstract: Objective: This study of Esophageal foreign bodies presenting at casualty, E.N.T. and Pediatrics Departments Govt. General Hospital, Guntur from 2012 to 2015 was conducted to know the epidemiology, clinical features, diagnosis, different techniques of foreign body removal and complications during their removal and management. Material And Methods: A total of 50 patients with a clear history of foreign body ingestion with chief complaint of dysphagia and /or odynophagia were admitted and treated in Govt. General Hospital, Guntur during the period from 2012 to 2015..............

Keywords: FB (foreign body), oesophagoscopy, oesophagotomy.

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41:914-918.
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K, Gerazounis M, Metaxas E,
[4]. Silverberg M, Tillotson R. Esophageal foreign body mistaken for impacted button battery. Pediatric Emergency Care 2006; 22: 262-
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[5]. Abdullah BJ, Teong LK, Mahadevan J, et al. Dental Prosthesis ingested and impacted in the esophagus and orolaryngopharynx. J
Otolaryngol.1998; 27:190-4.

Abstract: Abstract Introduction: Olecranon fractures are frequently encountered in the practice of orthopaedic surgery with a prevalence of 60% among patients with a fracture of the proximal ulna. Generally the treatment of choice for displaced olecranon fracture is open reduction and internal fixation. We report the result of a prospective Randomised Control Trial of Forty patients, who were treated either by Tension Band Wiring or Olecranon Lock Plate. Methodology: In a prospective controlled study, 20 cases each of transverse olecranon fractures were treated with Tension Band Wiring and Olecranon Lock Plate respectively. The age group of the patients is 18 to 70 years, The surgery and follow-up..............

Keywords: Olecranon, Tension Band Wiring, Lock Plate

[1]. Rommens PM, Schneider RU, Reuter M. Functional results after operative treatment of olecranon fractures. Acta Chir Belg. 2004;104(2):191-7.
[2]. Matthews LS, Green CA, Goldstein SA. The thermal effects of skeletal fixation-pin insertion in bone. J Bone Joint Surg [Am] 1984;66:1077-1083.
[3]. Court-Brown CM, Koval KJ. The Epidemiology of Fractures. In: Bucholz RW, Heckman JD, Court- Brown C, editors. Rockwood and Green's Fractures in Adults. 6th ed. Lippincott, Williams & Wilkins; 2005. p.95-144.
[4]. Pun WK, Chow SP, So YC, Luk KD, Ip FK, Chan KC, Ngai WK, Crosby C, Ng C. A prospective study on 284 digital fractures of the hand. J Hand Surg [Am]1989;14:474-481.
[5]. Iannuzzi N, Dahners L. Excision and advancement in the treatment of comminuted olecranon fractures. J Orthop Trauma.2009;23(3):226-8.

Abstract: Invasive cervical resorption (ICR) is an uncommon form of external root resorption that is often aggressive in nature and often leads to loss of the tooth. This case report describes the successful management of external inflammatory ICR which occurred following trauma to the permanent dentition using cone-beam computed tomography (CBCT) and mineral trioxide aggregate (MTA).

Keywords: Invasive cervical resorption (ICR), Cone Beam Computed Tomography (CBCT), Mineral Trioxide Aggregate (MTA).

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resorption. Dent Traumatol; 2007 Apr;23(2):105–13.

Abstract: Introduction and objectives: positive correlation have been seen between high salivary calcium content and periodontal disease. This study was designed to compare inorganic salivary calcium, phosphate, flow rate and ph, of paraffin wax stimulated saliva of patients with gingivitis; mild periodontitis; moderate periodontitis; severe periodontitis. Methods: the present study consisted of 125 patients aged between 28-42 years and were divided into five groups; control, gingivitis, mild periodontitis; moderate periodontitis and severe periodontitis. Plaque index, gingival index, clinical attachment loss and orthopentomogram scores were recorded. Salivary calcium; salivary phosphate; ph and flow rate was also observed............

Keywords: Periodontitis; Salivary calcium; Salivary phosphate; Ph; Flow rate, Dentistry .

[1]. Mandel ID. The diagnostic uses of saliva. J Oral Pathol Med 1990;19(3):119-25.
[2]. Mordohai N, Reshad M, Jivraj S, Chee W. Factors that affect individual tooth prognosis and choices in contemporary treatment
planning. Br Dent J. 2007;202:63–72
[3]. Kaufman E, Lamster IB. Analysis of saliva for periodontal diagnosis: A review. J Clin Periodontol 2000;27:453-65.

Abstract: When multiple recession defects affecting adjacent teeth in aesthetic areas of the mouth are present , patient related considerations suggest the selection of the surgical techniques that allow all gingival defects to be simultaneously corrected with the soft tissue close to the defects themselves.The present case report highlights the effectiveness of Zucchelli's modified coronally advanced flap with envelope technique for the treatment of multiple recession defects in patients with aesthetics demands.

Keywords: Aesthetics; gingival recession; root coverage; surgery

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periodontics. Ann periodontal 1996;1:702-706.
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Abstract: The sale of over the counter (OTC) medicines can help individuals to self-manage symptoms. However some OTC may be abuse with over use. There is an example of such a otc drug who was suffering from a dermatological condition and was given steroids to relive his symptoms and it really worked amazingly so he started using it continually for a period of 4 yrs. which landed him into various other problems like Cushing syndrome and ophthalmological problems like steroid induced glaucoma and cataract formation

Keywords: Cataract,otver the counter drug, steroid induced glaucoma

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corticosteroid therapy in patients withrheumatoid arthritis and related conditions. Br J Ophthalmol 1969; 53: 361-372.
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Abstract: Aims: To study effect of Pancatikta-Basti in Abhishyanda-Pradhan-Prameha. Settings and Design: Panchatikta-Niruha-Basti(medicated enema) has been administered in a dose of 430 ml for 4 consecutive days and on fifth day Sarshapa-Taila(Mustard-oil) 60ml Anuvasan given which is least amount of Sneha(oil).(4+1=1cycle x 3cycle). Methods and Material: 30 patients were selected for the study. Pachana medicine i.e. Hingvashtak-Churna is given 1gm with lukewarm water, just before 2meals/day for 5days. Purvakarma:- Snehana- Bahya-Sarvang with Tila-taila and Svedana(sudation): Bashpa Peti (Mild). Panchatikta-Niruha-Basti has been administered accordingly..............

Keywords: Abhishyanda, Basti , Prameha, Panchatikta-Basti.

[1]. Agnivesha, Charaka, Dridhabala, Charaka Samhita, Chikitsa Sthana, Prameha Chikitsa, 6/4, Brahmanand Tripathi editor. Reprint
ed. Chaukhamba Surbharati Prakashan, Varanasi, 2006; 279
[2]. Chakrapanidutta, Commnetator. Charaka Samhita, Sutra Sthana, Sneha Adhyaya, 13/55-56, Reprint ed. Jadavaji Trikamji Acharya,
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[4]. Indu commentator , Ashtangsangraha, Chikitsa Sthana, Prameha Chikitsa 14/2, Dr.jyotimitra Acharya,editor- Dr Shivprasad
Sharma. 3rd ed. Chowkhamba Sanskrit series, Varanasi, 2008; 512.
[5]. Ibidem, Charaka Samhita, Siddhi Sthana, Panchakarmiya siddhi Adhyaya, 2/17; 1184.

Abstract: Introduction: HTN is a sustained elevation of systemic arterial pressure. Elevated blood pressure is defined as systolic blood pressure >l40mmHg and/or diastolic blood pressure >90 mmHg. Method: We studied 100 patients of age more than 25 years who were diagnosed as Hypertension with or without other conditions as outdoor and indoor of Hospital..............

Keywords: Hypertension, Hyperurecemia

[1]. A. Breckenridge ―Hypertension and Hyperuricemia‖ The Lancet 1966:287; 15-18.
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Abstract: Concrescence is union of two adjacent teeth by cementum alone without confluence of the underlying dentin. The incidence of concrescence teeth is reported to be highest in the posterior maxilla. The presence of concrescence teeth may influence teeth extraction as well as periodontal, endodontic, orthodontic and even prosthodontic diagnosis and treatment planning. Unexpected complications arising from this condition may lead to legal complications. Therefore, consideration should be given to the possible occurrence, recognition, and implications of this anomaly in diagnosis and treatment planning. The rationale of this article is to report a case of teeth concrescence between an impacted third molar and an erupted second molar with that was identified post-extraction, with a review of literature

Keywords: Concrescence, impacted third molar

[1]. Denise Foran et al; Concrescence of permanent maxillary second and third molars: case report of non-surgical root canal treatment; Journal of Oral Science, Vol. 54, No. 1, 133-136, 2012
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Abstract: Background: A little detail is known about the geographical catchment area of dental hospitals. With no previous literature of this kind, information on dental demographic, dental needs, dental providers and the distance from the closest dental institution is necessary to plan for effective delivery of public oral health services. Objectives: To assess the geographical distribution of patients attending the institution to define the catchment zones and to investigate the changes in the pattern of geographic distribution of patients Methodology: New patients visiting SDM College of Dental Sciences and Hospital in the randomly selected months of March and September in the calendar year 2012, 2013 and 2014 meeting the inclusion criteria were included in the sample. Demographic details along with their location of residence were recorded..............

Keywords: Geographic distribution, geographic information system, GIS, density mapping, dental hospital, catchment area

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[3]. Hyndman, J.C.G. and Holman, C.D. (2001): Accessibility and spatial distribution of general practice services in an Australian city by levels of social disadvantage. Social Science & Medicine 53, 1599
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Abstract: Objective: To know about the pattern of presentation of Uveitis, its clinical course and management of the cases of Uveitis at Govt..General Hospital ,Department of Ophthalmology, Guntur, Andhra Pradesh.. Materials And Methods: The prospective study of uveitis is made on 60 cases of uveitis attending the Department of Ophthalmology , Govt. General Hospital, Guntur during the period from April,2016 to March,2017 Detailed history regarding ocular disease has been elicited in every case , about onset and symptomatology of the disease and relevant investigations done...............

Keywords: Granulomatous Uveitis , Non granulomatous Uveitis, Idiopathic Uveitis.

[1]. Gholam A.Peymann:Clinical Ophthalmology
[2]. Stephen J.H.Miller :Parson's diseases of the Eye,21st edition
[3]. Jack J.Kanski:Clinical Ophthalmology,8th edition
[4]. Sir Stwqard Dike-Elder :System of Ophthalmology – Diseases of Uveal tract, vol-ix
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Abstract: As per as facial attractiveness is concerned facial symmetry has a prime importance. Nasal osteotomy also known as rhinoplasty is an aesthetic procedure a surgeon can perform to enhance patient's appearance and give them a new acceptable and aesthetic look. This procedure can be done in the patients have facial asymmetry or patients who are willing to have a new look are the indications due to various reasons such as traumatic injuries, genetic abnormalities etc. Crooked nose has always been a surgical challenge for surgeons. It is of cardinal importance to achieve both functional and esthetic improvements. Deformities of the deviated nose can differ from patient to patient..............

Keywords: Esthetic surgery, Crooked nose, Facial asymmetry, Nasal trauma

[1]. W.K.A. Hussein et al; Crooked nose: The asymmetric face; Egyptian Journal of Ear, Nose, Throat and Allied Sciences (2015) 16, 237–242
[2]. W.K.A. Hussein; Crooked nose: An update of management strategies; Egyptian Journal of Ear, Nose, Throat and Allied Sciences (2015) 16, 1–7
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[4]. Ghassemi et al; Lateral nasal osteotomy: a comparative study between the use of osteotome and a diamond surgical burr - a cadaver study; Head & Face Medicine 2013, 9:41
[5]. Chatrath P, De Cordova J, Nouraei SA, Ahmed J, Saleh HA. Objective assessment of facial asymmetry in rhinoplasty patients. Arch Facial Plast Surg. 2007; 9:184–187.

Abstract: Malaria has been among the most common infectious diseases in India. The causative microorganism belongs to the Plasmodiumfamily. The four common species that are encountered are Plasmodium falciparum, P. vivax, P. malariaeand P. ovale. Plasmodium falciparuminfection carries more risk of complications such as cerebral malaria, acute renal failure, liver damage, collapse etc. Plasmodium vivaxis considered to be benign but spleniccomplications are more common with P. vivaxinfections2. Spontaneous rupture of malarial spleen is uncommon even in the endemic regions of malaria. This may lead to delayed or missed diagnosis of splenicrupture which may be life threatening3. Very few case reports are available in literature documenting spontaneous rupture of malarial spleen3. We are reporting one such instance of malarial splenicrupture encountered in our department.

[1]. Choudhury J, Uttam KG, Mukhopadhyay M:
[2]. Spontaneous rupture of malarial spleen. Indian Pediatric, 2008; 45: 327–28
[3]. 2. Strickland GT: Malaria. In: Strickland, G.T
[4]. (Ed.), Hunter's Tropical Medicine, seventh ed.
[5]. Saunders, Philadelphia, PA, 1991; 586–617
[6]. 3. World Health Organization Action

Abstract: It has been well documented that anterior ridge defects present in a patient are challenging to treat (especially aesthetically).To treat such defects when edentulous anterior portion of maxillary ridge has both inadequate height and width, the conventional options of fixed partial dentures or implant supported fixed partial dentures are not enough. In cases where replacement of teeth along with the supporting structures is necessary for aesthetics Andrew's Bridge"is an option.The Andrew's bridge tends to be the best treatment plan for cleft palate patients with congenital or acquired ridge defect. This is designed to meet the requirements for esthetics, comfort,phonetics,oral hygiene and stress distribution to abutments and soft tissues.

Keywords: Andrew's bridge, anterior ridge defect, cleft palate, fixed-removable partial denture

[1]. Dr Priyanka Gubrellay et al, Andrews Bridge System – A literature Review International Journal Of Research In Dentistry 2014;4(3):59–62.
[2]. Pragati Kaurani, Rupandeep Kaur Samra, Mayank Kaurani, Narendra Padiyar Prosthodontic Rehabilitation Of A Case With An Anterior Ridge Defect Using Andrews Bridge Indian Journal of Dental Sciences. 2013;(2):100–3.
[3]. Seibert JS. Reconstruction of deformed, partially edentulous ridges, using full thickness onlay grafts. Part I. Technique and wound healing. Compend Contin Educ Dent. 1983;4(5):437-53
[4]. Vaswani P, sanyal P, kore A, prajapati A. Prosthodontic Rehabilitation of Anterior Bony Defect with Fixed Removable Bridge System: - A Claspless Approach. J Oral Bio. 2016; 3(1): 4
[5]. Kolaganti PK, Joshi S, Shalini BN, Kolaganti S, Jesudass G. Achieving Esthetics with Andrew's Bridge. Int J Prosthodont Restor Dent 2014;4(4):127-130.

Abstract: Osteomyelitis of the jaws was once a common and dreadful disease because of its long course and associated agony to the patient, but with advent of dental care and use of antibiotics along with improved nutrition and health education, , incidence of osteomyelitis of facial bones has decreased. Osteomyelitis of maxilla is less prevalent as compared to mandible as a result of abundant blood supply & porous bone structure of maxilla leaving it less vulnerable to chronic infection. The uncontrolled diabetes, a polygenic disorder, is a quick growing epidemic in India.............

Keywords: Osteomyelitis, Maxilla, Necrosis, CBCT

[1]. Topazian, Richard G., Morton H. Goldberg, and James R. Hupp, eds. Oral and maxillofacial infections. Saunders, 2002. [2]. Yeoh, S. C., S. MacMahon, and M. Schifter. "Chronic suppurative osteomyelitis of the mandible: case report." Australian dental journal 50.3 (2005): 200-203.
[3]. Koorbusch GF, Fotos P, Goll KT. Retrospective assessment of osteomyelitis: Etiology, demographics, risk factors, and management in 35 cases. Oral Surg Oral Med Oral Pathol. 1992;74:149-154. [4]. Burket, Lester William, et al. Burket's oral medicine. PMPH-USA, 2008.
[5]. Whiting DR, Guariguata L, Weil C, Shaw J (2011) IDF diabetes atlas: global estimates of the prevalence of diabetes for 2011 and 2030. Diabetes Res Clin

Abstract: Objective: To compare the efficacy of coblation and conventional tonsillectomy in the same patient. To compare morbidity and complications associated with these procedures by each method in the same patient. Materials and Methods: 50 patients aged 3 to 30 years with chronic tonsillitis who underwent tonsillectomy surgery from march 2016 to march 2017 in Coimbatore medical College and Government hospital were be included in the study, after obtaining the ethical committee clearance.. Chronic tonsillitis patients with adenoid hypertrophy and serous otitis media were excluded by diagnostic nasal endoscopy, imaging and impedence audiogram. Chronic tonsillitis patients identified as candidates for tonsillectomy were selected randomly and one tonsil was removed using coblation and the other by conventional dissection method...............

Keywords: Coblation,VAS Scale,tonsillectomy,tonsillar fossa, conventional technique

[1]. Mohammadreza Omrani, et al Coblation versus traditional tonsillectomy: A double blind randomized controlled trail 2012; 17(1): 45-50
[2]. Singh Rakesh et al A Prospective, Randomized, Doubl-Blind Study of Coblation versus Dissection Tonsillectomy in Adult Patients Indian Journal Otolaryngology , Head and Neck Surgery (July-September 2012) 64(3):290- 294
[3]. Dempster JH Post – tonsillectomy analegesia: the use of benzocaine lozenges. Journal Laryngology, Otology 1988 102: 813-814

[4]. Baily BJ Tonsils and adenoids: snapshots from the laryngoscope scrapbook. Laryngoscope 1997 107: 301-306
[5]. Philpott, C.M.et al, A double-blinded randomized controlled trial of coblation versus conventional dissection tonsillectomy on postoperative symptoms Clinical. Otolaryngology. 2005, 30, 143-148

Abstract: Purpose: To compare the efficacy and safety of combination of Tamsulosin and Solifenacin with Tamsulosin alone in improving the lower urinary tract symptoms of patients with indwelling double-J ureteral stents (DJS). Materials and Methods: A total of 70 patients with DJS were randomly divided into 2 groups. In group I (𝑛 = 35), all patients received combination of both tamsulosin 0.4 mg and solifenacin 10 mg daily and in group II (𝑛 = 35) all patients received tamsulosin 0.4 mg daily. All patients completed the International Prostate Symptom Score (IPSS), quality of life component of the IPSS (IPSS/Qol) and Visual Analogue Pain Scale (VAPS) questionnaire, before insertion, at 3rd day of stenting and at 2 weeks after stenting. Urine for Routine and microscopic examination and culture and sensitivity were sent on 3rd postoperative day or before the discharge of patient and sexual discomfort was assessed after 2 weeks of stent insertion...............

Keywords: Double-J stent, UTI, IPSS, QoL, VAPS

[1]. BEIKO, D. T., WATTERSON, J. D., KNUDSEN, B. E., NOTT, L., PAUTLER, S. E., BROCK, G. B., RAZVI, H. & DENSTEDT, J. D. (2004) Double-blind randomized controlled trial assessing the safety and efficacy of intravesical agents for ureteral stent symptoms after extracorporeal shockwave lithotripsy. J Endourol, 18, 723-30.
[2]. CHEW, B. H., KNUDSEN, B. E. & DENSTEDT, J. D. (2004) The use of stents in contemporary urology. Curr Opin Urol, 14, 111-5.
[3]. CHOO, M. S., LEE, J. Z., LEE, J. B., KIM, Y. H., JUNG, H. C., LEE, K. S., KIM, J. C., SEO, J. T., PAICK, J. S., KIM, H. J., NA, Y. G. & LEE, J. G. (2008) Efficacy and safety of solifenacin succinate in Korean patients with overactive bladder: a randomised, prospective, double-blind, multicentre study. Int J Clin Pract, 62, 1675-83.
[4]. DAMIANO, R., AUTORINO, R., DE SIO, M., GIACOBBE, A., PALUMBO, I. M. & D'ARMIENTO, M. (2008) Effect of tamsulosin in preventing ureteral stent-related morbidity: a prospective study. J Endourol, 22, 651-6.
[5]. DENSTEDT, J. D., WOLLIN, T. A., SOFER, M., NOTT, L., WEIR, M. & RJ, D. A. H. 2001. A prospective randomized controlled trial comparing nonstented versus stented ureteroscopic lithotripsy. J Urol, 165, 1419-22.