Various surgical modalities to treat Bells Palsy

Various surgical modalities to treat Bells Palsy

1098 Poster approach. A 53 year old gentleman was referred to us by the Spinal Surgeons to provide access to the Anterior Cervical Spine. He had sig...

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approach. A 53 year old gentleman was referred to us by the Spinal Surgeons to provide access to the Anterior Cervical Spine. He had significant foraminal stenosis bilaterally at multiple levels which had to be decompressed to prevent worsening pain and loss of function of his upper limb. His history of Radio Isotope ablation of his thyroid for a thyroid cancer made the access surgery and mobilization of the tissues more difficult. In this poster, we present the technique involved in providing access for bilateral foraminal decompression and the difficulties encountered in mobilizing the tissues to provide a good access. doi:10.1016/j.ijom.2007.09.078

P78 Various surgical modalities to treat Bells Palsy T. Satinder*, M. Kohli, R. S. Neelakandan, P. Wadhwani Department of Oral and Maxillofacial Surgery, Saraswati Dental College, Lucknow, India The various surgical modalities to treat Bells Palsy can be broadly divided into static and dynamic procedures. This poster highlights the various surgical treatment modalities and emphasizes a relatively newer procedure of Galea Aponeurotica Temporalis Muscle transfer as a management of Bells Palsy. doi:10.1016/j.ijom.2007.09.079

P79 Unusual foreign body in frontal sinus L. Kamaraj*, G. Paul Sharan Cancer Centre, Salem, India The presence of foreign bodies in maxillary sinus is not a rare finding. Various instances have been reported earlier citing cases of tooth, dental amalgam, pellets etc. in the maxillary sinus. Although, a number of case reports of foreign bodies in the maxillary sinus have been reported, fronto-orbital foreign bodies have been rare. The various foreign bodies reported in the frontal sinus include stones, glass particles, gunshot pellets and other metallic foreign bodies. We report a patient with traumatic inclusion of an incisor tooth in the frontal sinus. Radiographic investigations demonstrated the tooth in the frontal sinus. Surprisingly the patient was com-

pletely dentulous. So, from where did the tooth come. The tooth is from the copassenger travelling facing each other who had collision due to sudden deceleration. doi:10.1016/j.ijom.2007.09.080

P80 Pleomorphic adenoma of parotid gland – a rare case report M. Ummar Department of Maxillofacial surgery, AlShifa hospital, Perinthalmanna, Kerala, India A 60-year-old man reported with a massive painless swelling in the left pre-auricular area with a duration of 15 years. According to the patient it was a small nodular growth to begin with and slowly growing. It was painless and non-tender. At the time of surgery the size was about 10 cms/5 cms.The tumour extended from Tragus to the angle of mandible and to the mastoid area posteriorly. It was well circumscribed with multiple nodules on the surface. Firm in consistency with no involvement of skin and there was no regional lymphadenopathy. Intraorally the overlying mucosa was normal. Routine blood and urine investigation was found to be with in normal limits. FNAC revealed pleomorphic adenoma of parotid. C.T Scan was evident of a large homogeneously enhancing mixed density lesion in the left parotid region reaching the deep lobe. A total parotedectomy was planned and performed under general anaesthesia. Patient was reviewed periodically for the last 5years.There was no recurrence. The facial nerve function was intact postoperatively. doi:10.1016/j.ijom.2007.09.081

P81 Blood transfusion and national blood policy S. Sharma Mahatma Gandhi Dental College, Jaipur, India Blood transfusion is a vital component of any surgical practice. An integrated strategy for blood safety is required for elimination of transfusion transmitted infections and for provision of safe and adequate blood transfusion services to the patients. The main component of an integrated strategy includes, collection of blood from voluntary blood Donors,

screening from all transfusion transmitted infections & reduction of unnecessary transfusions. The blood transfusion service in the country is highly decentralized & lacks many vital resources. The blood component production & utilization is extremely limited. Thus, a need for modification & change in the blood transfusion service has necessitated formulation of a national blood policy & development of a national blood programme. doi:10.1016/j.ijom.2007.09.082

P82 Mandibular osteotomy for access to retromaxillary lesions M. Sheikh*, K. Nayak, S. Nair Bangalore Institute of Dental Sciences, Bangalore, India Retromaxillary lesions are a challenging pathology to be treated in terms of access/ approach to the Lesion. Maxillofacial surgeons have over the years used osteotomy as an approach, the commonest being mandibular osteotomy. Our experience with the mandibular osteotomy using approach for a series of patients with retromaxillary tumors will be observed. doi:10.1016/j.ijom.2007.09.083

P83 Hyperplasia of temporal fat pad – a rare case report A. S. Dadhich*, B. Praveen Reddy, R. Desai, S. Manjunath, S. Shubhalakshmi, K. V. Umashankar College of Dental Sciences, Davangere, Karnataka, India The temporal region consist of two distinct fat pads: the superficial temporal fat pad and deep temporal fat pad or temporal extension of buccal fat pad. The superficial and deep temporal fat pads are separated by deep layer of deep temporal fascia. Superficial temporal fat pad lies above the zygomatic arch and between superficial and deep layer of deep temporal fascia, average value of superficial temporal fat pad in normal patients as measured by 3D CT scan is 4.3  2.4 cc. Although few cases of hyperplasia of temporal fat pad have been reported in literature in cases of Apert’s syndrome along with its classical features like complete synostosis of coronal sutures, flattening of occiput, tall forehead, shallow orbits with hypertelorism midfacial retrusion