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All Journal Indian Journal of Forensic Medicine & Toxicology
Saif Saadedeen Abdulrazaq
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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.
Presentation and Sources of Pediatric Odontogenic Infection Sahar Abdualkader Ismaeel; Saif Saadedeen Abdulrazaq; Reem Fadhil Abbas
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.v15i4.17056

Abstract

Background and Objectives: The causes, clinical presentation and management of the odontogenicinfection in children during the mixed and premixed dentition period should be thoroughly studied as itdiffers from that of adults. The study aimed to identify the common sources and presentation of dentalinfection in those children.Methods: The selected cases were 122 (54 females and 68 males). All cases presented with odontogenicinfection, examined meticulously to diagnose the source of infection.Results: The mean age was 6.5 years old (The age range was 3-10 years). The most common source ofinfection in primary teeth was the second primary molars (38 cases; 31.1%). The most common source ofinfection in permanent teeth was the first permanent lower molars (30 cases; 24.6%). The most commonpresentation was vestibular swelling (56 cases; 45.9%).Conclusion: Dental care should be provided early especially to the permanent first molars in children toavoid losing them. Teamwork between the oral surgeon and the general pediatrician is necessary for bettermanagement.
Co-Authors Ahmad Naeem Mahdi Reem Fadhil Abbas Sabah Abdulaziz Issa Sahar Abdualkader Ismaeel