Publications by authors named "Vivek Narayanan"

Aim: The aim of this research is to analyse and assess the anatomical variability of the infraorbital canal, groove, and foramen using high-resolution CT images of the Indian population using mimics software.

Materials And Methods: A total of 100 high-resolution CT (HRCT) data (200 hemi-faces) with a range of 18-65 years in Digital Imaging and Communication in Medicine (DICOM) format was incorporated in mimics software. Infraorbital foramen (IOF), infraorbital groove (IOG), and infraorbital canal (IOC) were evaluated retrospectively using seven parameters.

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A 22-year-old male patient reported swelling in relation to the right eye and developed recurrent purulent discharge and epiphora following a reconstructive traumatic orbital floor fracture repair two years ago. Radiographic investigation and surgical exploration reveal obstruction of the lacrimal apparatus at the lacrimal sac level due to over-extension/migration of the orbital floor mesh. The migration of the mesh was probably due to the extension of the mesh medially into the paranasal region.

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Article Synopsis
  • The oral cavity can exhibit a wide range of lesions, and Central Giant Cell Granuloma (CGCG) is one of the rare findings.
  • The cause of CGCG is debated, with views ranging from it being a reparative lesion to a mesenchymal proliferative jaw lesion.
  • CGCG usually shows up as a slow-growing swelling and is most frequently seen in younger females, particularly in the mandible, illustrated by a case of a 31-year-old female.
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Introduction: Dental extraction is a common oral surgery procedure, but it can lead to unpredictable changes in alveolar bone structure, which can complicate future rehabilitation with prostheses. Socket preservation aims to reduce bone and soft tissue loss after extraction and involves various techniques using different materials. Autogenous bone is considered the gold standard for grafts, while autologous platelet concentrates like platelet-rich fibrin (PRF) have been used for tissue healing.

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Background: Head and neck are a site of numerous pathologies with different aetiologies and presentations. Rare pathologies, although infrequent still do exist. Diagnostic dilemma in maxillofacial pathologies can be the most challenging situation.

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Purpose: To evaluate and compare the perioperative wound management and healing of intraoral surgical incisions between the conventional and knotless barbed Polydioxanone suture materials.

Materials And Methods: A Randomized Controlled Trial was conducted with well-constructed inclusion and exclusion criteria. 46 participants were allotted into the control and test groups based on a computer-generated randomization sequence.

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Bone is a unique nanocomposite tissue composed of organic and inorganic materials. Bone grafting is a common surgical method used to improve bone regeneration in dentistry and orthopedic surgery. Because standard therapies have substantial drawbacks, nanomaterials provide alternative options for bone repair.

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Purpose: The treatment of mandibular angle fractures ranges from observation to closed reduction with maxillomandibular fixation to open reduction and internal fixation. The study aims to compare the effectiveness of three different techniques (transoral, transbuccal, and right-angled fixation technique) for single adaptational monocortical upper border plating in mandibular angle fracture.

Methods: The study conducted at our center was a prospective randomized study.

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The aim of this study is to devise and summarize a classification of fracture patterns involving multiple anatomical sites of the mandible. A retrospective study was conducted by reviewing clinical case records, imaging records, and the surgical management of patients presenting with mandibular fracture. Demographic data were collected and causes of the fractures were studied.

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Purpose: The aim of this retrospective study is to analyze the demographic factors, different patterns, complications, and clinical outcomes based on various ancillary surgical procedures performed during the management of panfacial fractures.

Materials And Methods: Patients diagnosed with panfacial fractures, who underwent surgical management from 2011 to 2020 were included. The predictor variable was five ancillary surgical procedures, orbital reconstruction with autogenous bone graft, primary nasal bone grafting, open reduction and internal fixation or custom-made palatal splint for palatal fractures, ORIF for zygomatic arch fractures, and reattachment of Medical Canthal Ligament.

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Despite being one of the most common mesenchymal benign tumors in the body, lipomas in the oral cavity constitute only 1-4% of all benign neoplasm. Buccal mucosa is the most common anatomic site within the oral cavity which is followed by tongue, lips, floor of the mouth, palate, vestibule, retromolar area and gingiva. The average tumor size ranges from 10 to 30mm.

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Bone is an amazing nanocomposite tissue made of both organic (primarily collagen) and inorganic (primarily nano-hydroxyapatite [n-HA]) elements. Bone grafting is a widely used surgical technique in dental and orthopedic surgeries to enhance bone regeneration. In view of the significant drawbacks of traditional treatments, nanomaterials offer new strategies for bone regeneration.

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Objective: Surgical management of condylar head is largely deferred due to the lack of appropriate armamentarium or instrumentation, restricted surgical access and risk of iatrogenic complications. Here we delineate open reduction internal fixation of condylar head fracture with various fixation modalities using specialized instrumentation for visualization and providing access for reduction with minimal complications.

Methods: A total of 21 patients were reported with condylar head fracture of mandible to the Department of Oral and Maxillofacial Surgery from January 2017 to June 2018.

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Article Synopsis
  • The study examined the impact of heartfulness meditation on anxiety and pain perception in patients undergoing impacted third molar surgery (ITMS), hypothesizing that meditation would lower these levels.
  • Sixty participants were divided into two groups: one receiving heartfulness meditation prior to surgery and the other serving as a control group, with anxiety assessed using various standardized scales.
  • Results showed that the meditation group experienced significantly lower intraoperative anxiety but did not demonstrate notable differences in dental anxiety or pain perception compared to the control group.
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This retrospective study aims to evaluate the correlation between the shape of the mandibular condylar head and the incidence of unilateral condylar fracture using computed tomography. Medical records of patients diagnosed with unilateral condylar fractures from the year 2012-2019 were reviewed. The shape of the condylar head on the non - fractured side was analysed using a Radiant Dicom Viewer.

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Objective: In panfacial fracture management, the controversy still exists in the sequencing of fixation. The purpose of this systematic review is to establish the best sequence pattern which assists in achieving definite facial width, vertical height and anteroposterior projection.

Methods: The review was conducted according to the "Preferred Reporting Items for Systematic Reviews and Meta-Analyses" (PRISMA) guidelines.

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Purpose: The management of the condyle fractures continue to be a source of perineal controversy in the field of oral and maxillofacial trauma. The aim of this study was to compare the surgical feasibility, functional outcome, and stability of fixation between the conventional miniplate and 3-dimensional plate in the management of adult mandibular unilateral subcondylar fractures.

Materials And Methods: A prospective randomized clinical study with well-structured inclusion and exclusion criteria was carried out.

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Objective: The purpose is to determine the comprehensive review and the current concepts on the management of vascular malformation and to evaluate the long term outcomes, recurrence and complication rate.

Methods: This systematic review followed PRISMA guidelines and registered in PROSPERO (CRD42020173735). The PUBMED, EBSCO, SCOPUS and NDH databases were used to perform a comprehensive search of articles published up until July 2020.

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Aim: To assess the feasibility and the outcome of endoscopically assisted repair of zygomatico-maxillary complex orbital fractures in a tertiary care hospital.

Materials And Methods: A descriptive study was carried out over a period of 2 years (01. 11.

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Purpose: Orbital trapdoor fractures can constitute a relative surgical emergency. The reason for poor surgical outcomes in ocular motility disturbances and diplopia is not apparent in these fractures. The purpose of this retrospective study was to analyze the possibility of ischemic necrosis of the orbital contents in linear trapdoor fracture of the orbital floor and to evaluate the recovery period of trapdoor fractures.

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Introduction: Alveolar bone resorption is a significant clinical problem. Bone loss in third molar region following extraction or surgical removal not only leads to periodontal problems in second molar region but also it may lead to some serious problems like increased incidence of angle fractures. In order to reduce the risks following third molar surgery, the socket should be augmented with bone grafts.

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Background: Promoter hypermethylation mediated gene silencing of tumor suppressor genes is considered as most frequent mechanism than genetic aberrations such as mutations in the development of cancers. BRD7 is a single bromodomain containing protein that functions as a subunit of SWI/SNF chromatin-remodeling complex to regulate transcription. It also interacts with the well know tumor suppressor protein p53 to trans- activate genes involved in cell cycle arrest.

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Background: Epigenetic silencing of tumor suppressor genes due to promoter hypermethylation is one of the frequent mechanisms observed in cancers. Hypermethylation of several tumor suppressor genes involved in cell cycle regulation has been reported in many types of tumors including oral squamous cell carcinomas. LATS1 (Large Tumor Suppressor, isoform 1) is a novel tumor suppressor gene that regulates cell cycle progression by forming complexes with the cyclin dependent kinase, CDK1.

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Lymphangioma is a benign hamartomatous tumor of lymphatic vessels. This lymphatic malformation is characterized by an abnormal proliferation of lymphatic vessels. Extra-oral lymphangiomas occur more frequently in the neck region predominantly in the posterior triangle, while intra-oral lymphangiomas are commonly seen in the tongue mainly on the dorsum surface.

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