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Thirunelveli, India

Richardson S.,Dr Jeyashekaran Center for Cleft Care | Seelan N.S.,Richardsons Dental and Craniofacial Hospital | Selvaraj D.,Rajas Dental College and Hospital | Khandeparker R.V.,Richardsons Dental and Craniofacial Hospital | Gnanamony S.,Dr Jeyashekaran Hospital
Journal of Oral and Maxillofacial Surgery | Year: 2016

Purpose To assess speech outcomes after anterior maxillary distraction (AMD) in patients with cleft-related maxillary hypoplasia. Materials and Methods Fifty-eight patients at least 10 years old with cleft-related maxillary hypoplasia were included in this study irrespective of gender, type of cleft lip and palate, and amount of required advancement. AMD was carried out in all patients using a tooth-borne palatal distractor by a single oral and maxillofacial surgeon. Perceptual speech assessment was performed by 2 speech language pathologists preoperatively, before placement of the distractor device, and 6 months postoperatively using the scoring system of Perkins et al (Plast Reconstr Surg 116:72, 2005); the system evaluates velopharyngeal insufficiency (VPI), resonance, nasal air emission, articulation errors, and intelligibility. The data obtained were tabulated and subjected to statistical analysis using Wilcoxon signed rank test. A P value less than.05 was considered significant. Results Eight patients were lost to follow-up. At 6-month follow-up, improvements of 62% (n = 31), 64% (n = 32), 50% (n = 25), 68% (n = 34), and 70% (n = 35) in VPI, resonance, nasal air emission, articulation, and intelligibility, respectively, were observed, with worsening of all parameters in 1 patient (2%). The results for all tested parameters were highly significant (P ≤.001). Conclusion AMD offers a substantial improvement in speech for all 5 parameters of perceptual speech assessment. © 2016 The American Association of Oral and Maxillofacial Surgeons. Source


Sathiasekar A.C.,Rajas Dental College and Hospital | Deepthi D.A.,King Khalid University | Sekar G.S.S.,Consultant in Dental and Orthodontic Care
Journal of Pharmacy and Bioallied Sciences | Year: 2015

Drug-induced thrombocytopenic purpura is a skin condition result from a low platelet count due to drug-induced anti-platelet antibodies caused by drugs. Drug-induced thrombocytopenic purpura should be suspected when a patient, child or adult, has sudden, severe thrombocytopenia. Drug-induced thrombocytopenic purpura is even more strongly suspected when a patient has repeated episodes of sudden, severe thrombocytopenia. © 2015 Journal of Pharmacy And Bioallied Sciences | Published by Wolters Kluwer - Medknow. Source


Tania S.D.M.,Rajas Dental College and Hospital | Sathiasekar C.,Rajas Dental College and Hospital | Anison J.J.,Tagore Dental College and Hospital | Reddy B.V.S.,Dr Sudha And Nageswara Rao Siddartha Institute Of Dental Science
Journal of Pharmacy and Bioallied Sciences | Year: 2015

Since the introduction of lasers in dentistry in the mid-1990's, research in laser supported dental therapies is progressing at a rapid pace. Orthodontics is no exception. In orthodontics, lasers have many diagnostic, therapeutic, and biomodulating applications. To update the various applications of lasers in orthodontics. Lasers work by delivering energy in the form of light. Laser, striking the biological tissues can either get reflected, absorbed or scattered depending on several factors. Depending on the fate of the emitted laser, it can be applied for different diagnostic, therapeutic and surgical procedures. The knowledge and understanding of different types of lasers and its specific applications is a prerequisite before it can be applied beneficially. In Orthodontics, the versatility of laser has expanded into bonding, curing, debonding, imaging, growth modification, pain reduction, etc. Definitely laser has extended its tentacles from diagnosis to treatment in orthodontics. © 2015 Journal of Pharmacy And Bioallied Sciences | Published by Wolters Kluwer - Medknow. Source


Chandrashekar P.,Rajas Dental College and Hospital | Sathiasekar A.C.,Rajas Dental College and Hospital | Namaratha K.,Yenepoya Dental College | Singarayan J.L.M.,Rajas Dental College and Hospital | Gnanam A.P.A.,Rajas Dental College and Hospital
Journal of Pharmacy and Bioallied Sciences | Year: 2015

Mumps is a relatively mild short-term viral infection of the salivary glands that usually occurs during childhood. Meningitis/encephalitis is a well-known complication of mumps, but involvement and infection of the testis in adolescent boys and adult men are rare. We report a case of an 18-year-old male patient with mumps associated epididymo-orchitis on the left side. The diagnosis was confirmed clinically and serologically by IgG and IgM titers. The symptoms were resolved after the administration of anti-inflammatory and pain medications with bed rest and ice packs applied to the area. © 2015 Journal of Pharmacy And Bioallied Sciences | Published by Wolters Kluwer - Medknow. Source


Baskaran M.,Rajas Dental College and Hospital | Packiaraj I.,Rajas Dental College and Hospital | Arularasan S.,Rajas Dental College and Hospital | Divakar T.K.,Rajas Dental College and Hospital
Journal of Pharmacy and Bioallied Sciences | Year: 2015

It is universally accepted that correction of cleft lip nose deformity remains a formidable challenge for any cleft surgeon. The nose is a prominent part of the face, and hence a masterly executed cleft lip repair directs the beholders' eyes from the deformed lip to the deformed nose. A deformed nose that results from unilateral cleft of the lip and palate is likened to a tent whose one side is depressed. Many investigators believe that the deformity of the nose is produced by the malpositioning of essentially normal structures, on the other hand some cleft surgeons contend that it is the intrinsic defects in nasal structures that result in cleft nasal deformity. Depressed and hypoplastic bony scaffolding is the most important aspect of cleft nose deformity and addressing this aspect of cleft nose deformity is the secret of success of a perfect secondary rhinoplasty. Controversy still exists on timing of cleft nasal deformity. Proponents of delayed nasal repair suggest that altering the cartilages in early nasal repair at the time of lip repair would complicate future corrective nasal surgeries if the primary repair would prove unsatisfactory. The correction of nasal deformity could be performed with closed or open technique. This paper highlights one such challenging unilateral cleft lip nasal deformity in a adult patient treated by secondary rhinoplasty by open technique. © 2015 Journal of Pharmacy And Bioallied Sciences | Published by Wolters Kluwer - Medknow. Source

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