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Rehabilitation of a Patient with Partial Maxillectomy: A Case Report
Get PDFThe loss of maxillary bone is accompanied by severe functional, aesthetic, psychological, and social problems. The maxillofacial obturator prosthesis remains a therapeutic tool that improves aesthetics and restores the functions of chewing, swallowing, and phonation. A close collaboration between the maxillofacial surgeon and the dentist is essential to obtain an optimal prosthesis both functionally and aesthetically, thus allowing a socio-professional reintegration of the patient. There are three stages to rehabilitating a maxillary defect and a partially edentulous patient. First, an immediate obturator prosthesis is realized, then the secondary obturator prosthesis accompanies the healing process, and finally, the definitive obturator prosthesis is achieved. This article is a clinical report of different steps to fabricate a partial denture with an obturator in a partially edentulous patient with a maxillary defect
Ectopic Pleural Thymoma Discovered by COVID-19 : A Case Report
No full textEctopic pleural thymoma is a rare entity. In this paper, we present the case of ectopic pleural thymoma discovered in a patient with COVID-19.A case of 49-year-old man with COVID-19 pneumonia had a constant right pleural mass during her hospitalization that was finally diagnosed as ectopic pleural thymoma.Complete surgical resection was achieved after recovery of a patient from COVID-19 and a postoperative diagnosis of WHO type AB, modified Masaoka stage I tumor was attained.Ectopic pleural thymoma is an uncommon neoplasm., that is likely to be discovered by COVID-19. Complete surgical resection is the key to the best prognosis
Pediatric Tuberculosis at Moulay Youssef University Hopsital – Morocco
Get PDFBackground: There are few studies on presentations, treatment, and outcomes of pediatric tuberculosis in Morocco. This study aimed to describe clinico-epidemiological profiles, laboratory findings, treatment, and outcomes of pediatric tuberculosis (TB) in a tertiary care hospital in Morocco.Materials and Methods: This is a prospective, descriptive study undertaken in children diagnosed with TB between June 2011 and May 2012. Clinico-pidemiologicalprofiles, laboratory findings, treatment, and outcome of patients were recorded. Statistical significance of category variables was evaluated. Analysis was done on the SPSS package. Results were expressed as rates and proportions. The Chi-square test was used to test for statistical significance. Results: 53 children aged 2 to 16 years (mean age of 9±3.2) with TB diagnosis were enrolled in our study. 33 (62%) of patients were female. Common symptoms were fever, cough, chest pain, dyspnea, decreased appetite, and weight loss. The types of TB were: pulmonary TB (32, 60%), and extrapulmonary TB (21, 39.6%). The sites of pediatric extrapulmonary tuberculosis (EPTB) were: lymph nodes (7, 13.2%), peritoneal (6, 11.3%), meningeal (4, 7.5%) and osteoarticular (4, 7.5%). 24 (45,3%) of the patients had positive Calmette-Guérin vaccine scar, and 42(79.2%) of the patients had a positive tuberculin skin test. An adult TB contact was identified in 19 (35.8%) of the cases. On direct microscopy, acid-fast bacilli were found in 3 (5.6%) patients and positive cul¬ture for Mycobacterium tuberculosis was found in 2 (3.7%). Drug mono- or multi-resistance was not detected.Conclusion: Paediatric TB in both pulmonary and extrapulmonary forms is a challenging diagnosis, and is a common occurrence in our setting. The diagnosis was based on a combination of epidemiological and clinical suspicion supported by the results of various investigations
Non Surgical Desmoid Tumor with Pulmonary and Scapular Localization: A Case Report
No full textBackground: Desmoid tumors are rare and represent 0.03% of all solid tumors. Their histology is benign but they are willingly aggressive with significant locoregional invasions and frequent recurrences.Case presentation: We report the case of a 52-year-old patient who presented with a scapular and pulmonary localization of this tumor, but was stable over time. In view of potentially delaying surgery and stability of the lesions, simple monitoring was decided. The lesions are currently stable, two years after diagnosis. We discuss the clinical, radiological, and therapeutic characteristics of this type of tumor, in the light of data from the literature.Conclusion: Desmoid tumors are rare, benign but aggressive. Surgery is the main treatment but is often decaying. Simple monitoring can be scheduled in case of less aggressive tumors
Prediction of COVID-19 Dynamics in Kuwait using SIRD Model
No full textCOVID-19 infectious started on 24 February 2020 with 5 patients returning to Kuwait. The ministry of health (MOH) has reported a total of 26,192 patients with 10,156 recovered, 15,831 under treatment, 205 deceased, 206 critical, and 23 quarantined in Kuwait on 30 May 2020. Accurate prediction of the number of expected infected patients, patients under treatment, patients in critical condition, and death will assist health authorities for better planning and the government policymakers a better approach to reduce the number of susceptible people to COVID-19. In this study, a modified SIR model is used to determine COVID-19 dynamics in Kuwait. COVID-19 data for 97 days consist of infectious, recovered, and deceased cases are used to study the SIRD model and to obtain the re-production number and the total susceptible (Sus) population. The accuracy of the fitted model is assessed using the coefficient of determination (R2). The re-production of the total susceptible (predicted) population of 123,102 is obtained to assess the dynamics of COVID-19 in Kuwait. It is predicted that the peak of COVID-19 infectious will be around 23 June 2020 with total infected cases of 56,533. However, a maximum of 26,039 people in the need of hospitals may be accelerated on 10 June 2020 and will quickly drop on 2 July 2020 to only 377 people. The total deceased cases will be 1,169 on this date; although, the death tolls may continue to the total value of 2,667 by the end of the pandemic.
A Study to Estimate the Variations in Management of Malignant Otitis Externa at Two Different Socio-Economic Hospitals: A Clinical Dilemma
No full textIntroduction: Malignant otitis externa is an aggressive and potentially fatal infection of ear and skull base. Few studies have attempted to frame a protocol for management of this condition. However, the applicability of protocols involving radionuclide investigations in rural areas with restricted access is a challenge. Also, treatment with oral quinolones has since been threatened as their use has become widespread and indiscriminate. Objective: Owing to lack of standardized diagnostic criterion and treatment regimes, and growing concerns regarding quinolone resistance, we reviewed cases of malignant otitis externa treated across two different socio-economic centres to identify diagnostic and management difficulties. Methods: A retrospective data analysis of patients with malignant otitis externa managed in a tertiary and primary care hospital was done between December 2017 and November 2018. All relevant data was retrieved for assessment. Results: 43 patients were identified, out of these 19 were at the private institute and 24 at the charitable institute. Otalgia was the predominant symptom among all. Pseudomonas aeruginosa was the most commonly isolated organism (81% of patients). Ciprofloxacin resistance reported was 38%. The tertiary care institute used CT and Gallium scans for diagnosis, whereas primary centre employed clinical parameters and CT only. Treatment included Meropenem, Ceftazidime, Amikacin at tertiary centre and Ciprofloxacin and Streptomycin at primary centre. Conclusions: Incidence of Ciprofloxacin resistance was high in our study confirming the growing concern documented in other studies. Access to higher antibiotics was restricted in rural areas where Streptomycin was used in combination with other drugs with promising results
Pre-prosthetic Orthodontic Implant for an Aesthetic Rehabilitation : A Case Report
No full textA combination of dental problems such as missing teeth, proclination of teeth and occlusal problems cannot be satisfactorily treated by prosthodontic approach alone. The rehabilitation of patients requiring an esthetic smile demands the collaboration of multiple dental specialists. the need for orthodontic tooth movement prior to restorative treatment is necessary for some patients, in order to optimize both esthetic and functional aspects of dental treatment.The present case report achieved successful implant based oral rehabilitation in a patient with absence of the right maxillary central incisor utilizing a preprosthetic orthodontic implant site preparation for the purpose of space gain
Bilateral Spontaneous Pneumothorax: A Rare Clinical Presentation of Pulmonary Metastases of Synovialosarcoma
No full textBilateral spontaneous pneumothorax is a very rare condition that occurs mainly in patients with underlying lung disease. We present the case of spontaneous bilateral pneumothorax in a young patient treated for a synovial sarcoma of the right foot
Spontaneous Hemothorax Revealing a Bronchial Carcinoid Tumor
No full textIntroduction: Spontaneous hemothorax is an uncommon pathology. The majority of hemothorax is a result of open or closed thoracic traumas. Thus, spontaneous hemothorax caused by a carcinoid tumor is an exceptional case that has only been reported once in the literature.Case report: We report the case of a 58 years old Moroccan male patient. The patient was admitted to the emergency room for a sudden left chest pain associated with dyspnea and low abundance hemoptysis. The chest radiography revealed an opacity of the left lower lobe. Chest CT scan revealed an effusion of an average abundance mottled with pulmonary atelectasis. Flexible bronchoscopy was not conclusive. After the thoracentesis failure, a thoracotomy exploration was decided. Spontaneous hemothorax and the presence of a 5cm tumor etiology were intraoperative. Two surgical biopsies were performed with inconclusive extemporaneous readings. A left pneumonectomy with lymphadenectomy was decided to ensure both hemostasis and oncologic resection. The results of histological examination and immune-histo-chemical study were in favor of a carcinoid tumor. The post-operative results were simple.Conclusion: Spontaneous hemothorax due to the atypical carcinoid tumor is an extremely seldom situation making this case only the second one to be reported in the literature. The peripheral location of the tumor, and the presence of passive pulmonary atelectasis and blood clots, were the factors that made the diagnosis difficult
Surgical Management of Bilateral Maxillary Buccal Exostosis in a Patient with Polydactyly and Distomolars - A Rare Case Report
No full textIntroduction: Buccal exostosis is bony prominence located on the buccal side of the alveolar ridge of the maxilla or mandible. It is commonly seen in the maxilla than mandible, whereas the etiology remains unclear. This article presents a rare case of bilateral maxillary buccal exostosis, distomolars, and polydactyly along with surgical management of exostosis.Case Report: A 39-year-old Yemeni male patient came to the dental OPD with a chief complaint of swelling in the right and left-back region of the upper jaw from 12 years, which was a cosmetic concern to the patient. The patient was medically healthy with no familial history of gingival overgrowth. On examination, patient had polydactyly and bilateral mandibular distomolars. These isolated findings couldn’t be related to any syndrome after a thorough examination and medical consultation. Finally, the treatment plan consisted of, oral hygiene instructions, mechanical debridement, and periodontal resective osseous surgery, so as to reduce gingival inflammation and improve esthetic by removing the exostosis. Nonsurgical periodontal therapy alone did not reduce the gingival enlargement because of the bony nature of enlargement, thus necessitating surgical intervention.Conclusion: Postoperative evaluation at 1, 3, and 12 months revealed uneventful healing and no sign of recurrence at surgical sites