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Archive for July, 2014

Complex composite odontoma and World Record teeth

24 Jul, 14 | by Dr Dean Jenkins

The case of Ashik Gavai from India has been widely reported in the press.

India doctors remove 232 teeth from boy’s mouth (BBC News)

The Indian boy who had a ‘world record’ 232 teeth (Washington Post)

Chew on that. 232 teeth removed from boy’s mouth (Mumbai Mirror)

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Image of Odontoma from BMJ Case Reports 2012

He presented with a rare condition called complex composite odontoma and the photographs accompanying the news reports highlight the surgical findings and the bloody result of the marathon extraction of multiple ‘teeth’.

The usual presentation is by the odontoma being picked up on a routine X-ray but on this occasion the young Indian boy presented with gross swelling of the jaw.

Learn more about them at BMJ Case Reports

Astekar M, Manjunatha BS, Kaur P, Singh J. Histopathological insight of complex odontoma associated with a dentigerous cyst. BMJ Case Rep. 2014 Jan 31;2014. pii: bcr2013200316. doi: 10.1136/bcr-2013-200316.

Agrawal B, Gharote H, Nair P, Shrivastav S. Infected complex odontoma: an unusual presentation. BMJ Case Rep. 2012 Aug 24;2012. pii: bcr2012006493. doi: 10.1136/bcr-2012-006493.

Gupta A, Vij H, Vij R, Malhotra R. An erupted compound odontoma. BMJ Case Rep. 2014 Apr 12;2014. pii: bcr2013201820. doi: 10.1136/bcr-2013-201820.

The case of the brachial plexus injury

18 Jul, 14 | by Kristy Ebanks

Acromioclavicular joint dislocation with associated brachial plexus injury

We have some very interesting images for you but, can you answer the questions below?

Case_Study_Figure_4 Case_Study_Figure_3 Case_Study_Figure_2 Case_Study_Figure_1

1. How is the diagnosis of AC joint dislocation made?
2. What are the features shown in Figures 1 and 2?
3. What are the principles of effective surgical management?

If you don’t know the answers or want to know more read ’Acromioclavicular joint dislocation with associated brachial plexus injury

The case of the resistant temporomandibular joint pain

10 Jul, 14 | by Kristy Ebanks

Successful use of stellate ganglion block and a new centrally acting analgesic with dual mode of action

We have a very interesting case for you but, can you answer the questions below?

1. What are the options for managing neuropathic pain?
2. What combination therapies are available?
3. What are the indications for stellate ganglion block?

If you don’t know the answers or want to know more read ’Successful use of stellate ganglion block and a new centrally acting analgesic with dual mode of action in a resistant temporomandibular joint pain

The case of endometrioma

4 Jul, 14 | by Kristy Ebanks

Endometrioma within the broad ligament

We have some very interesting images for you but, can you answer the questions below?

Figure_4 (3) Figure_3 (1) Figure_2 (6) Figure_1 (20)

1. How common is endometriosis?
2. How is the diagnosis made?
3. What exactly is an endometrioma?

If you don’t know the answers or want to know more read ’Endometrioma contained within the broad ligament

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