Online ISSN: 2515-8260

Author : Balakrishnan, Dr.


ARTHROCENTESIS LYSIS AND LAVAGE OF TEMPOROMANDIBULAR JOINT -REVIEW.

Dr.Vijay Ebenezer; Dr. Balakrishnan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 3, Pages 1854-1860

Temperomandibular joint pain and its disc disorder are the quite difficult in diagnosis and treatment planning where the pathological variation of the temporomandibular space infection varies from one region to the other. the adhesion of the temporomandibular joint space can be treated with arthrocentesis which was earlier done arthroscopy by ohinski and niten et al over 1991 in tmj.

COMPARITIVE STUDY OF CONVENTIONAL ARTHEROCENTESIS WITH DOUBLE NEEDLE CANNULA ARTHEROCENTESIS FOR TMJ LYSIS AND LAVAGE - A PROSPECTIVE STUDY

Dr.Tharani. P; Dr.Vijay Ebenezer; Dr. Balakrishnan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 3, Pages 1873-1884

Background: Temporomandibular joint arthrocentesis represents a form of minimally invasive surgical treatment in patients suffering from internal derangement of temporomandibular joint which is a simple, inexpensive and highly efficient procedure.
Arthrocentesis changes the synovial fluid viscosity contributing to the translation of the disc and mandibular head complex.Drug is instlledunder pressure directly on to the TMJ to breakdown early adhesion generating shear free jaw movements.thus mouth opening is improved, pain is decreased as proinflammatory mediators are washed out.
Material and methods: The present study was carried out in the department of oral and maxillofacial surgery at sree balaji dental college and hospital ethical committee clearence was obtained prior to study .the patients were informed about the surgical procedure the risk associated and informed consent was obtained from all the patients.
Conclusion: The lysis of adhesion of adhesion is achieved by intermittent distension of the joint space by momentary blocking of the outflow needle and injection under pressure during lavage using both SPA and DPA

FREE FLAPS IN HEAD AND NECK REGION – LITERATURE REVIEW

Dr.Vijay Ebenezer; Dr. Balakrishnan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 3, Pages 1913-1921

Background: highly defected area or an infected area where required for the reconstruction of the structure .when the local flap or an regional flap are unsupported or insufficient for the reconstruct the area. free flap are used for the reconstruction . the donar and the recipient area are far away from the region of reconstruction . various type of reconstructive free flaps are available in the reconstruction of head and neck region with numerous advantages and disadvantages. The article is an literature review of free flap in head and neck region .
Material and methods: Over 12 articles where selected for review following comprehensive search of the literature from pubmed central.
Conclusion: free flap are used in the reconstruction of the head and neck region the success rate of the free flap are depends on the vitality and the vascularity of the donar and the recepient area will varies from region to region. Successive reconstruction of the recipient site by preventive necrosis therapy .