- Facial Trauma and Fracture Management
- Oral and Maxillofacial Pathology
- Traumatic Ocular and Foreign Body Injuries
- Temporomandibular Joint Disorders
- Airway Management and Intubation Techniques
- Tracheal and airway disorders
- Cancer and Skin Lesions
- Bone Tumor Diagnosis and Treatments
- Corporate Governance and Law
- Soft tissue tumors and treatment
- Dental Trauma and Treatments
- Cancer Diagnosis and Treatment
- Cutaneous Melanoma Detection and Management
- Cardiac tumors and thrombi
- Voice and Speech Disorders
- Oropharyngeal Anatomy and Pathologies
- Oral and gingival health research
- Corporate Insolvency and Governance
- Craniofacial Disorders and Treatments
- Osteomyelitis and Bone Disorders Research
- Research on Leishmaniasis Studies
- Child Abuse and Related Trauma
- Genital Health and Disease
- Head and Neck Surgical Oncology
- Cervical and Thoracic Myelopathy
Northwick Park Hospital
2013-2016
London North West Healthcare NHS Trust
2013-2015
Iowa State University
1983
Congenital temporomandibular joint (TMJ) ankylosis is an uncommon condition that presents itself at or soon after birth in the absence of acquired factors could have contributed to such as infection and trauma. The experience managing one case reported light a review literature on this condition. Key management principles include adequate removal ankylotic mass, costochondral grafting, post-op physiotherapy. Most patients with experienced relapse. This echoes our own where there was...
Ludwig's angina was first detailed by the German surgeon Wilhelm Friedrich von Ludwig in 1836. We present a case which needed awake fibreoptic intubation due to severe trismus and prolonged period intubated Intensive Care Unit after incision drainage of neck spaces removal his lower wisdom teeth. He finally discharged week admission followed up outpatient clinic. The is presented with clinical photographs video illustrate airway.
A detailed clinical and mycological study of horse infections with Histoplasma farciminosum was conducted for the first time in Middle East. The disease seems to prevail endemic form region. In all cases studied infection involved only cutaneous lymphatics skin tissue extension regional draining lymph glands. impose serious economic impact infected areas. Full description thorough characterization both mycelial yeast phase causative fungus were made.
Leishmaniasis is a disease that caused by protozoa of the genus Leishmania, which prevalent in tropical and subtropical areas. Clinical forms leishmaniasis are particularly diverse representing complex diseases. We present case lingual an immunocompetent man. The lesions were Leishmania donovani/infantum species. patient responded excellently to miltefosine treatment, with no reactivation during followup. To authors' knowledge, it first such successful treatment this unusual variant...
The common sites for metastasis of renal cell carcinoma are lung, kidney, adrenal glands, liver, and contralateral kidney. We report an unusual case cutaneous in a 68-year-old woman who was treated with partial right nephrectomy multikinase angiogenesis inhibitor (sunitinib) 10 years ago.
Key Clinical Message Ohnishi in 1975 first described temporomandibular joint ( TMJ ) arthroscopy. Along with its extensive use, a range of complications has emerged. We describe patient who experienced parapharyngeal swelling after undergoing Prolonged intubation up to 1 hour postoperatively was required. The resolved completely over 6 h without further intervention.
Background. Merkel cell carcinoma of the head and neck is a rare aggressive malignant tumour. Both dermatological surgical colleagues should be aware this entity as lesions usually present on sun exposed areas skin such neck. Main Observation Treatment. A 69-year-old male originally presented to maxillofacial surgery department with growing lesion left eyebrow. Histological analysis confirmed consequently excision was carried out. follow-up PET/CT scan 2 years later demonstrated hotspot in...
The routine way to access the uncomplicated airway is via direct laryngoscopy. When this not possible, there are a number of other techniques help visualization such as video These require degree mouth opening. With almost complete trismus, clinician should resort awake fibreoptic nasal intubation secure airway.
Key Clinical Message Facial Trauma is common. The emergency physician should conduct a thorough examination of the oral tissues. A laceration in palate can be easily missed and elicited. Failure to identify split result severe dentofacial deformity.
The paediatric orbital fracture should always raise alarm bells to all clinicians working in an emergency department. A delay or failure diagnosis and appropriate referral can result rapidly developing profound complications. We present a boy of childhood age who sustained trauma his eye during bicycle injury. Acceptance the was based on no signs; however, examination our unit had reduction visual acuity, pupillary reaction, ophthalmoplegia. CT scan suggested bone impinging globe child...
We report a case of patient with 9-day history trismus measured at 9 mm (figure 1). The occurred immediately after an alleged assault punch injuries to the face. Note flattening malar process on left hand side X-rays facial bones showed depressed fracture zygomatic arch medial rotation complex 2). Orthopantogram X-ray clearly …
A 32 year woman presented to our maxillofacial department with temporomandibular dysfunction⇑. On further questioning she had signs …
Not all orbital fractures are associated with clinical signs of swelling, ecchymosis, and subconjunctival hemorrhage. The "white-eyed" blowout fracture is more commonly seen in children entrapment the extraocular muscles. Early surgical intervention indicated it must have been differential diagnosis head injury patient opthalmoplegia.
Introduction: Malignant lymphomas of a salivary gland originate from either lymph node (nodal) or the parenchymal tissue lymphoid organ (extranodal). Primary glands are rare in nature, accounting for 1.7–7.4% all tumor