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All Journal Indian Journal of Forensic Medicine & Toxicology
Sabah Abdulaziz Issa
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Public Health

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Efficacy of Clinical Palpation to Detect Cervical Lymph Node Metastasis of Oropharyngeal Cancer Ahmad Naeem Mahdi; Sabah Abdulaziz Issa; Saif Saadedeen Abdulrazaq
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i4.16715

Abstract

Background and Objectives: Before excision of the primary tumor in oropharyngealcancer, a decisionmust be made to treat the cervical lymph nodes (LN) or not. The study aimed to assess the role of clinicalpalpation (CP) for preoperative detection of LN metastasis.Methods: Twenty patients withoropharyngeal squamous cell carcinoma (OSCC), managed by excision of theprimary tumor andneck dissection. The histopathological examination results compared to the preoperativeassessment of the nodes by CP.Results: There were 20 patients involved, 11 males and nine females. The mean age was 54.5 years. Twentyneck dissections were performed; there was 14 LN metastasis as proved by histopathological examination.On CP, true positive was 12, false negative was two, true negative was two and false positive was four.Conclusion: Clinical palpation performed preoperatively is highly advised as it has high diagnosticcapabilities to reach a decision to do neck dissection or not.
Outcome of Using Medical Grade Calcium Sulfate Hemihydrate (DentoGen) in Unilateral Alveolar Cleft Repair Haidar Mohammed Al-Jwboory; Sabah Abdulaziz Issa
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.15532

Abstract

Objectives: The aim of this prospective study was to evaluate the efficacy of fast setting (DentoGen) bonesubstitute for secondary alveolar cleft repair.Materials and Methods: Ten patients with complete unilateral cleft lip and palate were included for alveolarcleft repair with fast setting (DentoGen) without autogenous bone graft in 2017 and 2018. Pre-operation and6 months post-operation CBCT were used for measurement of bone density and bone volume in cleft site.The data was analyzed by using Pearson’s correlation coefficient test and paired sample t-test via SPSSsoftware version 24.Results: The mean age of patients in this study was 10.4±2.657 years. The pre-operative mean alveolar cleftvolume was 0.8996±0.117cm3. Six months after grafting with fast setting (DentoGen) graft, satisfactorybone formation was observed in all patients except two patients. The mean bone density of cleft site was303±42.843 HU which was significantly lower than the non-cleft side, and the mean percentage of new boneformation was 64.74±10.290% compared with original cleft volume.Conclusion: Calcium sulfate hemihydrate (DentoGen) can represent a promising alternative to autogenousbone graft in repairing small unilateral alveolar cleft during mixed dentition.
Co-Authors Ahmad Naeem Mahdi Haidar Mohammed Al-Jwboory Saif Saadedeen Abdulrazaq