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  • ISSN: 2379-948X
    Volume 3, Issue 10
    Case Report
    Badr Eldin Mostafa* and Lobna El Fiky
    Abstract:
    Benign fibro-osseous lesions are common in the maxillofacial skeleton. However, their incidence in the temporal bone is rare. They are usually silent but may mimic other temporal bone pathologies. The radiographic features suggest the diagnosis. In some cases, histological confirmation may be needed. Fibro-osseous lesions of the temporal bone should be considered in the differential diagnosis of lesions with atypical otological presentations. In most cases no intervention is planned except when there is a functional deficit. This paper reviews this condition with a presentation of three cases.
    Literature Review
    Saad Al-Almaie*
    Abstract:
    Rehabilitation of the atrophied edentulous maxilla is complicated. Often the residual bone height is insufficient for implant placement due to crestal bone resorption and pneumatization of the sinus.The meticulous management of the available residual bone, the atraumatic sinus lifting procedure, and the proper selection of the implants are the keys to successful dental implantation in resorbed alveolar alveolar bone. Today, one of the most common ways to compensate for inadequate vertical bone height is to elevate the sinus floor by tenting of the schneiderian membrane by the implant which is guided by itself eliminating the need for bone graft. The Osteotome sinus-floor elevation in conjunction with implant placement is also possible in severely resorbed alveolar bone. Extensive and traumatic conventional lateral approach for the sinus lifting and the grafting procedures can be avoided even in the highly resorbed alveolar bone by using Osteotome technique. This paper consists of a review of the literature available on sinus membrane elevation with simultaneous implant placement without the use of grafting materials. This review shows that grafting materials are not necessary to achieve a high implant survival rate. Some advantages with the less invasive non-grafting method are a decreased patient discomfort and a shorter treatment time.
    Research Article
    LaízaMohana Pinheiro Duarte*, Priscila Leite da Silveia, Alexandre Scalli Mathias Duarte, Vanessa Gonçalves Silva, Eduardo George Baptista Carvalho, Edilson Zancanella, and AgrícioNubiato Crespo
    Abstract:
    Introduction: Obstructive Sleep Apnea Syndrome (OSAS) is a chronic, multifactorial disorder which affects 4% men and 2% women in middle aged adults. It is featured by episodes of partial or total obstruction of the upper airway during sleep, which results in oxygen desaturation and micro-awakenings.
    Objective: Associate anthroprometric data, otolaryngological exam and comorbidities with OSAS severity assessed by sleep apnea-hypopnea index (AHI).
    Methods: We analyzed 350 medical records from patients with sleep disorders from tertiary hospital, (June/2007 to May/2012). Incomplete records excluded. Patients were divided into 4 groups according to AHI: snoring, mild apnea, moderate apnea and severe apnea. Variables analysed: age, sex, the Epworth Sleepiness Daytime Scale (ESS), comorbidities, body mass index(BMI), neck circumference(NC), Brodsky Palatine Tonsil classification, Modified Mallampati(MM) score and the Friedman index. Data was analysed statistically.
    Results: 249 patients evaluated, 129 men/120 women, mean age 50.9 years. 28/snoring, 45/mild, 73/moderate and 103/severe apnea. Systemic Arterial Hypertension was more prevalent in severe OSAS (p=0.045). BMI, NC, MM scores and Friedman presented higher values with worsening AHI(p<0.05). ESS, tonsil classification and other comorbidities did not present correlation with OSAS severity.
    Conclusion: OSAS severity showed a association with BMI, neck circumference, the Friedman index, the modified Mallampati classification and with the prevalence of arterial hypertension.>
    Amar Bhochhibhoya*, Suraj Mathema and Brijesh Maskey
    Abstract:
    Maxillary defects resulting from resection involving the maxilla pose unique surgical and prosthetic rehabilitation challenges. Such defects occur as a consequence of congenital malformations, trauma or surgical resection of tumors. Surgical reconstruction of large maxillary defect is seldom tried. The obturator is a prosthesis used to close maxillary defects to restore masticatory and phonetic functions. This clinical report describes prosthodontic management of a maxillectomy defect with obturator prosthesis.
    Review Article
    Ozan Gokdogan*, and Fikret Ileri
    Abstract:
    Introduction: Epistaxis is one of the most frequent problems in otorhinolaryngology practice and emergency medicine which occurs in up to 60% of the general population. Several risk factors are associated with epistaxis.
    Objective: To review the anatomy of the anterior part of the nose and also discuss etiology and management of epistaxis.
    Conclusion: Although most cases do not need any intervention, epistaxis may result in severe consequences. Every otorhinolaryngologist and emergency doctor must know etiology and management of epistaxis.
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