Background: Oral Squamous Cell Carcinoma is the most prevalent malignancies affecting the oral cavity. Despite progress in studies and treatment options its outlook remains grim with survival prospects greatly affected by demographic and clinical factors. Precisely predicting survival rates and prognosis plays a role in making treatment choices for the best achievable overall health outcomes.
View Article and Find Full Text PDFJ West Afr Coll Surg
November 2022
Introduction: The risk of exposure to infections during surgery is partly mitigated by gloving. However, perforation can reduce the effectiveness of gloving as a barrier to exposure. This study aimed at investigating the frequency of surgical glove perforation and factors predictive of these in our oral and maxillofacial surgical practice.
View Article and Find Full Text PDFBackground: Survival times of oral cancer are poorly documented in Nigeria. This is partly due to poor documentation and limited investigations to elicit sufficient prognostic factors. In this study, we applied a new statistical model for survival times of oral cancer patients considering limited prognostic factors.
View Article and Find Full Text PDFIntroduction: The risk of exposure of either the patient or the surgeon to pathogens when the surgical glove is perforated is significant. This is particularly so in jaw fractures when intermaxillary fixation is done with the stainless-steel wire as many perforations also result in percutaneous injury.
Material And Method: This study was carried out in two tertiary Hospitals in Abuja, Nigeria.
Background: The impact of the COVID-19 pandemic on the world is unprecedented, posing greater threats to vulnerable healthcare systems, especially in developing countries. This study aimed to assess the knowledge of dental healthcare providers in Nigeria about the disease and evaluate their responses to the preventive measures necessitated by COVID-19.
Methods: This was an online self-administered questionnaire-based study conducted among dentists practicing in Nigeria.
Int J Oral Maxillofac Surg
April 2020
Syngnathia is a rare congenital anomaly that presents as fusion of the jaws. The aims of this study were to review the clinical profile of reported cases of syngnathia available in the literature with a view to suggesting a classification that may simplify the understanding of syngnathia and to propose an appropriate management protocol. A PubMed database search of articles published in English was conducted.
View Article and Find Full Text PDFBackground: Noma is a spreading and fulminant disease believed to be native to Sub-Saharan Africa over the last decade and associated with low socioeconomic status of citizens of the region. Within this noma belt, most epidemiological reports regarding the disease have emanated from the north western region of Nigeria. However, our indigenous surgical mission encountered a substantial number of cases of noma and post-noma defects noteworthy of epidemiological representation across north central Nigeria.
View Article and Find Full Text PDFUnlabelled: Background: Walking is the most basic form of mobility and forms an important part of daily activities; however, walking could often be associated with risks. This is more so when pedestrians share a common space with motorized vehicles especially in developing countries. Despite the frequency of road traffic crashes (RTC) related pedestrian injuries in many developing countries, there is a dearth of documentation of maxillofacial injuries in victims of pedestrian road traffic crashes.
View Article and Find Full Text PDFNiger J Clin Pract
August 2015
Background: Oral and maxillofacial surgery is still evolving, with the scope of practice in Nigeria inadequately determined.
Aims And Objectives: This study aims to ascertain the level of practice in various parts of the country vis-a-vis the global trend and factors influencing the scope in Nigeria.
Design Of The Study: Cross-sectional.
Background: Different surgical procedures are utilized for treatment of various diseases of the posterior mandible depending on the type of disease, site, duration and age of the patient. A thorough knowledge of the anatomical relations of structures and adequate surgical skills are needed to minimize complications. The purpose of this study was to evaluate the indications and outcome of surgical techniques for diseases affecting the condyle and ramus of the mandibles.
View Article and Find Full Text PDFJ Maxillofac Oral Surg
December 2012
Surgical correction of congenital and acquired facial deformities has transcended the primitive era of using non biologic materials to current attempts at own face growing through biotechnology. A summative account of this trend is still lacking in the literature. The objective of this article is to present an update on current knowledge in the strides to achieve functionally and aesthetically perfect facial reconstruction.
View Article and Find Full Text PDFNiger J Med
February 2013
Background: There appears to be a gradual relegation of maxillo-mandibular fixation (MMF) from the frontline of oral and maxillofacial surgical techniques because of the evolution and increasing sophistication of rigid internal fixation techniques, efficiency.
Aim: To highlight the residual relevance, utility, and current techniques of achieving MMF in modern practice.
Methods: A rigorous search of the maxillofacial literature was undertaken to identify recent articles that discuss the techniques, usefulness, limitations, merits, demerits and cost effectiveness of MMF.
Background: Road traffic crashes related maxillofacial injuries constitute a major part of the trauma workload of the maxillofacial surgeon. These injuries are sometimes fatal and may be associated with long term psychosocial sequelae. Several devices have been designed to reduce the severity of these injuries and therefore diminish the associated morbidity and mortality.
View Article and Find Full Text PDFAnn Ib Postgrad Med
December 2012
Objective: The study was to appraise the level of expertise in the management of Naso-Orbito-Ethmoid (NOE) fractures and to provide recommendation for necessary improvement in an African population.
Materials And Methods: A questionnaire was designed and electronically mailed to Nigerian Oral & Maxillofacial surgeons, Plastic and Reconstructive surgeons, and Ear, Nose and Throat surgeons to assess their perspectives and practices in the diagnosis and management of NOE fractures. Further administration of questionnaire was done at the AO (Association of Osteosynthesis) principle course in Lagos, January, 2010.
J West Afr Coll Surg
July 2012
Background: Accurate identification and interpretation of plain maxillofacial radiographs is key to making correct clinical decision.
Objective: To assess the ability of junior dental trainees to correctly identify and adequately interpret oral and maxillofacial plain radiographs.
Study Design: Comparative analysis Setting: University of Port Harcourt Teaching Hospital, Port Harcourt and University College Hospital, Ibadan.
Dev World Bioeth
December 2013
The aim of the study was to determine the acceptance and perception of Nigerian patients to medical photography. A self-administered questionnaire was distributed among Nigerian patients attending oral and maxillofacial surgery and plastic surgery clinics of 3 tertiary health institutions. Information requested included patients' opinion about consent process, capturing equipment, distribution and accessibility of medical photographs.
View Article and Find Full Text PDFWe report a case of tongue swelling resulting from ectopic osseous proliferation within a pseudocystic stroma in a 24 year old healthy female. The patient presented a history of dull pain and gradual onset of a swelling at the ventral aspect of the tongue. The lesion had a mixed consistency with areas of sponginess andfluctuancy interspersed with nodular bony hardness and yielded a sanguinous aspirate.
View Article and Find Full Text PDFPolymorphous low grade adenocarcinoma (PLGA) is an uncommon tumour that affects minor salivary glands mainly. It was known to be clinically benign and histologically polymorphic; sometimes misdiagnosed as pleomorphic adenomas, monomorphic adenomas, malignant pleomorphic adenomas, adenoid cystic carcinomas and adenocarcinoma not otherwise specified. More information about PLGA is cumulating in the current literature with new evidences suggesting that the tumour may not be as indolent as it was previously thought.
View Article and Find Full Text PDFExcessive enlargement of the tongue, macroglossia, is a well-recognised clinical condition which can pose significant social and health problems. We report a case of a neonate who was born with a tongue grossly enlarged to the point of inability to feed and deformation of the jaw. Despite surgical reduction of the tongue to normal size, there was a persistent nonocclusion of the mouth, making sucking impossible.
View Article and Find Full Text PDFAim: The purpose of this study was to assess the attitude of patients towards anterior teeth extraction and prosthetic replacement of same at the Dental center of the University of Port Harcourt Teaching Hospital (UPTH).
Methods: A retrospective review of the data of patients who presented for anterior teeth extraction and prosthetic replacement or anterior teeth extraction only over a two-year period was done using the records of the oral surgery and prosthetic clinics of UPTH Dental centre. Demographic and clinical information were retrieved and analyzed using the SPSS version 15.
Int J Oral Maxillofac Surg
July 2011
This systematic review assessed the diagnostic value of ultrasonography in maxillofacial fractures. A computerized literature search of MEDLINE, PubMed and GoogleMed databases was conducted for publications on diagnostic ultrasound and maxillofacial fractures in English. Search phrases were 'maxillofacial fractures' or 'midfacial fractures' or 'zygomatic complex fractures' or 'nasal bone fractures' or 'orbital fractures' or 'mandibular fractures' combined with 'ultrasound' or 'ultrasonography'.
View Article and Find Full Text PDFBackground: Evidence-based dentistry (EBD) is becoming popular all over the world with the increasing global involvement of dental practitioners in the debates on the relevance or otherwise of EBD. However, very little has been known on the evolutionary trend of EBD in the developing countries of the world.
Aims And Objectives: This pilot study was designed to assess the state of EBD in the accredited dental schools in Nigeria as an example of a developing economy.
Background: The inferioralveolar (IAN), lingual (LN) and long buccal nerves (LBN)are the three terminal branches of the trigeminal nerve which are susceptible to injury during surgical extraction of impacted mandibular third molars. While it is not always possible to accurately predict the patients that will be affected with these complications, understanding and identifying the risk factors may allow the adoption of appropriate technique and expertise for specific cases. We embarked on this study to document the incidence and duration of injury to the inferior alveolar nerve (IAN), lingual nerve (LN) and long buccal nerve (LBN) following the operative removal of impacted mandibular third molars and to identify the associated radiographic and operative risk factors.
View Article and Find Full Text PDFAim: This study was intended to assess the clinical reliability of the Pederson index as an instrument for preoperative determination of surgical difficulty in third molar surgery.
Methods: Pederson index was used to predict the difficulty of 79 cases of impacted mandibular third molar extractions. The predictions were compared with actual surgical difficulty determined by operation time.
J Maxillofac Oral Surg
June 2009
Many factors affect the difficulty of endotracheal intubation some of which are related to the condition of the patients. A few assessment tools have been developed to predict intubation difficulty but none is all inclusive thereby being inadequate for comprehensive and accurate evaluation. We assessed the usefulness of four categories of predictive variables namely; the LEMON score, Demographic indices, Tumour site and Intraoral Position of tumour (IOP), in predicting intubation difficulty among a group of patients with orofacial tumours.
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