Ramadi Teaching Hospital Research Articles

Diagnosis and Surgical Management of Nasopalatine Duct Cysts

Nasopalatine duct cyst also known as nasopalatine cyst is a developmental, epithelial, non-neoplastic cyst that is considered to be the most common nonodontogenic cyst in the maxillofacial region. It is one of the many pathologic processes that may occur within the jaw bones, but it is unique in that it develops in only a single location--in the midline anterior maxilla. Nasopalatine cysts are usually asymptomatic and may be discovered during routine clinical and/or radiologic examination. The current study reports 18 cases of nasopalatine duct cyst that were diagnosed and treated at the Department of Oral and Maxillofacial Surgery at Ramadi Teaching Hospital, Anbar Province, Iraq. A correct diagnosis can only be made after proper clinical, radiographic, and histopathologic examination.

Management of nasal bone fractures

Management of nasal bone fractures is a complex and challenging task to maxillofacial surgeons. Incorrect and inappropriate treatment of nasal bone fractures will end with secondary deformity that is very difficult to correct. All patients with nasal bone fractures were seen at Maxillofacial Surgery Department at Ramadi Teaching Hospital and Maxillofacial Surgery Department at Karkh General Hospital during the period of December 2009 till October 2010. Age, sex, etiology, associated injuries, pattern of fractures and treatments were reviewed and a radiographic study has been achieved to analyze and diagnose nasal bone fractures clinically and radiographically.

Surgical Management of Maxillofacial Injuries in Iraq

Background: One of the most demanding aspects of emergency medicine is the management of patients who have suffered facial trauma. Difficult circumstances such as the high number of casualties, severity of the facial wounds, coupled with the limited number of operating rooms and hospital beds, were a constant challenge to the surgeons. Aims of Study: This study discusses types of maxillofacial injuries and their surgical managements. Materials & methods: The following study focuses on maxillofacial injuries that were treated at Maxillofacial Unit, Ramadi Teaching Hospital and Department of Oral & Maxillofacial Surgery, College of Dentistry, Anbar University, Iraq. Total of (518) cases were chosen on the basis of them being only oral and maxillofacial injuries including 325 males and 193 females with age range from 8 to 75 years old. Results & conclusions: Most cases were in the age group (20-29) years, 312 (60.2%) patients were injured with missile fragments, isolated soft tissue injuries were found in 56 (10.8%) while, skeletal injuries were found in 462 (89.2%),facial nerve injuries which found in 57 (11%) patients, 119 (40%) patients had mandibular fractures were treated conservatively and 179 (60%) patients were treated by direct skeletal fixation.

Detection of 16S r RNA gene of Helicobacter pylori in patients with peptic ulcer and gastric carcinoma: molecular and bacteriological study

Objective and background: It is well document Helicobacter pylori, has been a major causes of peptic ulcer, gastric ulcer, duodenal ulcer disease and is an early risk factor for gastric carcinoma. This study has been undertaken forisolation of Helicobacter pylori form clinical specimens using culture technique and detection the role of this technique in the investigation of H. pylori infection. Also detection of anti -H. pylori IgG using enzyme linked immune sorbent assay (ELISA), further molecular detection of H. pylori genome by amplification of 16s r-ribonucleic acid gene with 520 pb by polymerase chain reaction PCR. Patients and Methods: Atotal of Eighty five adult patient attending the gastro endoscopy unit of Al- Ramadi Teaching Hospital to undergo selective esophageal gastroduodenoscopy (OGD) were studied. They were all suffering from clinical manifestation of duodenal ulcer (DU), gastric ulcer (GU), peptic ulcer (PU) and nonulcer dyspepsia (NUD). Culture and ELISA technique were used. Further molecular detect of 16 s r RNA gene was performed by PCR. Results: A total 7(8.23%) with GU, 5 (5.91%) with PU, 10 (11.75%) with DU and 28 (32.94%) patients with NUD were positive by urease test (UT). A total 3 (3.52%) patients with GU, 4 (4.71%) patients with PU and 3 (3.52%) patients with DU were positive by culture while no one of the patients of NUD was positive by culture. By using ELISA technique 18 (21.2%) patients were positive by ELISA. In the present study, the presence of Helicobacter DNA was investigated using a Helicobacter species-specific 16srRNA PCR amplification.DNA extracted from human blood and bacterial colonies. PCR showed 20(100%) of cases positive result from human blood while 6 (60%) of cases were positive result of PCR from bacterial colonies. Conclusions: The study concludedthat urease test was useful as preliminary screening test and important in give indicate for H. pylori presence. Further, the role of culture was very important in the detection of H. pylori in clinical samples. Furthermore, the immunologically bases serological test, detection of anti-H pyloriIgG by ELISA technique was undependable serological test. It can be used as preliminary screening test for detection of H. pylori in association with the other tests. FurtherPCR was sensitive and specific test for diagnosis of H. pyloriinfection.

New Maneuver for Fixation of Pediatric Nasal Bone Fracture

Surgical treatment of nasal bone fractures in children is a complex and challenging task not only to maxillofacial surgeons but exceeding to ears, nose, and throat and plastic surgeons. Twelve child patients including 9 boys (75%) and 3 girls (25%) with nasal bone fractures were seen at the Maxillofacial Surgery Department at Ramadi Teaching Hospital during the period of December 2009 to December 2010. Fractured nasal bone is reduced to its anatomic position with Walsham forceps, and the dislocated or disrupted nasal septum with Asch forceps. The most common cause of the injury was road traffic accident and motorcycle accident 5 (42%); nasal deviation was found in 9 cases (75%), and depression in 2 (17%). In 9 patients (75%), injuries were isolated, and 3 (25%) were associated with other facial bone fractures. Significant advances have been made in the management of these injuries, decreasing the incidence of secondary deformities.