Dr Imran's dental implants and facial surgery clinic

24/07/2024

First stage ear reconstruction in a patient with microtia using autologous cartilage graft

16/02/2023

Pea nut ear
successful first stage reconstruction

09/02/2021

Spreading smiles

02/11/2020

IF YOU THOUGHT YOU SAW ALL IMPLANT COMPLICATIONS, YOU WERE WRONG.
Case report
A 55-year-old woman was referred by her dentist to the department of maxillofacial surgery, ASST Civil Hospital, Brescia, Italy. During the same afternoon, she had had sev- eral dental implants placed in the upper right maxilla. During the procedure, one of the implants was displaced into the sinus, after which the anterior wall of the maxillary sinus was opened to remove it. Unfortunately, the dental practi- tioner was not able to see or remove the implant. The patient was therefore referred to the hospital for orthopantomogra- phy, which showed the implant, but not in an optimal view. A computed tomographic (CT) scan was done and showed that the implant had completely migrated 2 cm into the intra- conal compartment of the right orbit. It was located between the posterior ocular globe, the inferior re**um, and the medial re**um, laterally to, and in contact with, the optic nerve. Superiorly, the apex of the implant was adjacent to the intraorbital vessels.
The patient did not experience any visual loss or diplopia. She had limited movement of the eye muscles, and some pain and scotoma during ocular examination. The course of treatment was planned in cooperation with the otolaryngology department, with the goal of removing the implant endoscopically to prevent infection or damage to the optic nerve.
Under general anaesthesia with orotracheal intubation, we did an antrostomy, ethmoidectomy, frontal tenotomy, and sphenoidotomy. After endoscopic inspection of the maxillary sinus, the proximal end of the implant was identified and deemed unremovable with a conservative approach. We did an enlarged endoscopic medial maxillectomy with a nasolacrimal duct resection, and removed the medial portion of the orbital floor and the lower portion of the papyrus lamina. This approach made it possible to progressively mobilise the implant and extract it with no intraconal bleeding. The postoperative course was uneventful, and she was discharged after two days.
Bocchialini, Gabriele & Negrini, S. & Villaret, A. & Pianta, Luca. (2020). Intraconal orbital displacement of a dental implant treated with an endoscopically-assisted approach. British Journal of Oral and Maxillofacial Surgery.

22/10/2020

There is a need for all hospitals in Kashmir to have a staff whose job should b to translate the consent form in local language before going for any surgery...it seems people sign the consent form without reading or understanding its contents...

21/10/2020

Columellar necrosis following CPAP ...pediatricians need to ensure proper care of infants during cpap ...fortunately the medial crura were intact and reconstruction was easier using bilateral nasal sill flaps ...

20/10/2020

A very common problem of tm joint beautifully explained

TMJ made easy. everything you need to know. This video is available for instant download licensing here: https://www.alilamedicalmedia.com/-/galleries/all-an...

26/09/2017

Augmentation genioplasty by our maxillofacial surgery team at JVC SKIMS Bemina

09/02/2016

08/07/2015

Operating a case of old cleft palate at 30 yrs of age is not d same as it is in a baby of 2 or 3 years of age ...we hv recently experienced difficulties while operating one such case ....

15/11/2013

Dr imrans dental implants and facial surgery clininic ,the only clinic of this kind were all the procedures ranging from simple dentistry to the most complex surgeries of facial region are performed.In addition some recent technologies like dental implants and orthodontic braces will be soon introduced in the hospital to fullfil the years old dreams of the people of south kashmir...