DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY CLINICAL CASE DISCUSSIONS
IN THE DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY, WE ARE PERFORMING ALL TYPE OF SURGICAL PROCEDURES STARTING FROM MINOR SURGERIES LIKE IMPACTION, INCISION AND DRAINAGE ETC TO MAJOR SURGERIES LIKE TRAUMA MANAGEMENT, TMJ SURGERIES, CLEFT LIP AND PALATE, ORTHOGNATHIC SURGERIES AND CANCER SURGERIES. HERE, WE PRESENT SOME CASES TREATED IN OUR DEPARTMENT
CASE REPORT 1
A 3 ½ YEAR OLD MALE CHILD REPORTED TO THE DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY WITH THE CHIEF COMPLAINT OF SWELLING IN LEFT SIDE OF THE FACE IN MIDDLE 1/3RD REGION SINCE 2 1/2 YEARS. THE PARENTS OF THE CHILD GAVE A HISTORY OF HIM BEING APPARENTLY NORMAL TILL THE AGE OF 1 YEAR. FOLLOWING THIS, THE PARENTS NOTICED A SMALL PAINLESS SWELLING IN THE UPPER LEFT BACK REGION OF JAW. THEY APPLIED SOME LOCAL HERBAL MEDICATION ON THE SWELLING AND THERE WAS TEMPORARY RELIEF. HOWEVER, THE SWELLING CONTINUED TO INCREASE IN SIZE. THE CHILD WAS THEN REFERRED FROM MEWAD HOSPITAL TO THE DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY, SGT DENTAL COLLEGE AND HOSPITAL FOR FURTHER MANAGEMENT.
CASE REPORT 2
A 36 YEAR OLD MALE PATIENT REPORTED TO THE DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY WITH THE CHIEF COMPLAINT OF INABILITY TO OPEN AND CLOSE THE MOUTH AND DIFFICULTY IN CHEWING FOOD. HE GAVE A HISTORY OF ROAD TRAFFIC ACCIDENT 2 MONTHS BACK IN WHICH HE HAD LOST HIS RIGHT SIDE MAXILLA AND WAS TREATED FOR FRACTURE OF RIGHT ZMC BY ORIF UNDER G.A IN A PRIVATE HOSPITAL.
CASE REPORT 3
A 20 YEAR OLD FEMALE PATIENT REPORTED TO SGT DENTAL COLLEGE WITH THE CHIEF COMPLAINT OF BACKWARDLY PLACED LOWER JAW AND WANTED CORRECTION FOR THE SAME. SHE WAS DIAGNOSED WITH RETROGNATHIC MANDIBLE CLASS II. AFTER THE PREOPERATIVE ORTHODONTIC PHASE IN THE DEPARTMENT OF ORTHODONTICS , THE PATIENT WAS REFERRED FOR THE SURGICAL PHASE TO THE DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY.
CASE REPORT 4
A PATIENT NAMED KOMAL , 21 YEARS FEMALE REPORTED TO THE OUTPATIENT DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY OF FACULTY OF DENTAL SCIENCES, SGT UNIVERSITY GURGAON WITH A CHIEF COMPLAINT OF EXCESSIVELY PROMINENT CHIN AND PROTRUDED LOWER LIP SINCE LAST 6 YEARS. EXTRAORAL EXAMINATION REVEALED MESOCEPHALIC HEAD AND MESOPROSOPIC FACIAL FORM WITH A CONCAVE FACIAL PROFILE. THE PATIENT PRESENTED WITH A GROSS FACIAL ASYMMETRY WITH SUNKEN CHEEKS, REDUCED MALAR PROMINENCE, A DEEP MENTOLABIAL SULCUS AND AN ANTERIORLY DIVERGENT FACE.
CASE REPORT 5
A PATIENT NAMED DINESH , 19 YEARS MALE REPORTED TO THE OUTPATIENT DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY FACULTY OF DENTAL SCIENCES SGT UNIVERSITY WITH A CHIEF COMPLAINT OF FORWARD PLACED LOWER JAW SINCE LAST 10 YEARS. HISTORY OF PATIENT REVEALED TREATED BILATERAL CLEFT LIP AND PALATE ALONG WITH ALVEOLUS. EXTRAORAL EXAMINATION REVEALED A CONCAVE FACIAL PROFILE WITH RETRUDED MAXILLA, BILATERAL SCAR OF OPERATED CLEFT LIP.
CASE REPORT 6
A PATIENT NAMED TARAMANI 47 YEARS OLD FEMALE REPORTED TO THE OUTPATIENT DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY FACULTY OF DENTAL SCIENCES SGT UNIVERSITY WITH A CHIEF COMPLAINT OF MILD PAIN & SOUR TASTE COMING FROM THE LEFT LOWER SIDE OF THE MOUTH SINCE 3 MONTHS. INCISIONAL BIOPSY REVEALED OF ODONTOGENIC CYST WITH AMELOBLASTOMA PROLIFERATION. ON RADIOGRAPHIC EXAMINATION EXTENT OF THE LESION WAS EXTENDING WHOLE OF THE RIGHT BODY, ANGLE, RAMUS REPLACING THE CORONOID AND THE CONDYLAR PROCESS AND ANTERIORLY DISTALLY UPTO THE CANINE OF THE THIRD QUADRANT.
CASE REPORT 7
A PATIENT NAMED RIZWAN, 19 YEAR MALE REPORTED TO THE OUTPATIENT DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY FACULTY OF DENTAL SCIENCES WITH A CHIEF COMPLAINT OF ASYMMETRY OF FACE SINCE 18 YEARS. PATIENT HAD A HISTORY OF ANKYLOSIS OF RIGHT SIDE TEMPOROMANDIBULAR JOINT WHICH WAS TREATED IN OUR DEPARTMENT A YEAR AGO BY GAP ARTHROPLASTY ALONG WITH RECONSTRUCTION OF TEMPOROMANDIBULAR JOINT USING STERNOCLAVICULAR GRAFT. NOW EXTRA ORAL EXAMINATON REVEALED FACIAL FULLNESS OF RIGHT SIDE, FLATNESS ON LEFT SIDE AND RETRUDED AND HYPLOPLASTIC CHIN. PATIENT WAS DIAGNOSED AS POST ANKYLOSIS FACIAL ASYMMETRY.
