RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES

KARNATAKA, BANGALORE.

ANNEXURE- II

PROFORMA FOR REGISTRATION OF SUBJECTS FOR DISSERTATION

1 / Name of the candidate and address ( in block letters ) / DR. APOORVE SHARMA
P. G. STUDENT,
DEPARTMENT OF ORAL & MAXILLOFACIAL SURGERY,
THE OXFORD DENTAL COLLEGE,
BOMMANAHALLI,
HOSUR ROAD,
BANGALORE- 560068.
2 / Name of the institution / THE OXFORD DENTAL COLLEGE,
HOSPITAL AND RESEARCH CENTER,
BANGALORE- 560068.
3 / Course of the study and subject / MASTER OF DENTAL SURGERY,
ORAL & MAXILLOFACIAL SURGERY
4 / Date of admission to course / 4TH MAY 2009
5. / Title of the topic:
THE USE OF ULTRASONOGRAPHY AS A DIAGNOSTIC TOOL FOR SUPERFICIAL FASCIAL SPACE INFECTIONS
BRIEF RESUME OF THE INTENDED WORK
6.1 Need for the study:
It is an examination of the diagnostic value of ultrasonograph as a tool in the treatment of superficial odontogenic space infections.
In cases of odontogenic infections the oral and maxillofacial surgeon needs to know wether the inflammatory process is in the stage of abscess formation requiring primary evacuation of the pus and administration of antibiotics or a cellulitis that can generally be treated with antibiotics alone.
It is often difficult to diagnose the stage of infection and to define its exact anatomical location, plain radiographs, computed tomography scan, magnetic resonance imaging are valuable diagnostic aids however both scans are expensive and also expose the patient to relative large doses of radiation, and MRI is time consuming moreover not suitable for every patient.
An alternative diagnostic tool that is widely available, relatively inexpensive and non invasive is ultrasonography.
Very few studies have been conducted regarding the treatment of odontogenic space infections in Indian population and very few literatures are available regarding the same.
6.2 Review of literature:
In cases of acute odontogenic infections the oral and maxillofacial surgean needs to know wether the inflammatory process is is stage of abscess formation requiring primary evacuation of puss and administration of antibiotics or a cellulitis that generally treated with antibiotics alone it is often difficult to diagnose the stage of infection and to define its exact anatomical location, ultrasonography is an effective diagnostic tool to confirm abscess formation in the superficial facial spaces and is highly predictable in detecting the stage of infection1
Due to the complicated anatomic structure of the head and neck, fascial space infections are often difficult to be determined by clinical examinations. Ultrasonography could be considered to be an effective method in detecting and staging spread of odontogenic infections2
Peritonsillar abscess can be a life threatening disease and may lead to significant complications without drainage. Ultrasonography is helpful in evaluation of peritonsillar abscess and ultrasonography peri tonsillar abscess drainage.4
Cervical lipomatosis is also clearly delineated. Sonography is the first imaging method in cervical swelling or lesions; therefore, knowledge of the sonomorphology of fatty tumors is mandatory. Cervical lipomas have a fairly typical sonomorphology, but it is not as pathognomonic as the density values are by means of CT.5
Peritonsillar abscess, the most common deep infection of the head and neck that
occurs in adults, is typically formed by a combination of aerobic and anaerobic bacteria.The presenting symptoms include fever, throat pain, and trismus. Ultrasonography and computed tomographic scanning are useful in confirming a diagnosis.
6.3 Objectives of the study:
The primary objective of the study is to diagnose the stage of infection and to define its anatomical location through ultrasonography
MATERIALS AND METHODS
7.1 Source of data:
All the cases filed in the department of oral maxillofacial surgery & oral medicine & rradiology in the Oxford dental college & research institute bangalore
7.2 Method of collection of data:
The study will consist of a group of 100 patient with odontogenic infections of the superficial facial spaces which are going to be treated in our department , after the meticulous clinical & radiographic examination with periapical radiographs and ultrasonographic examination of the infected area will be performed to determine the presence & absence of fluid & and its location
.
7.3 Instruments:
Ultrasonograph
7.4 Does the study require any investigation or intervention to be conducted on patients or other humans or animals?
7.5 Has ethical clearance been obtained from your institution?
LIST OF REFERENCES:
The use of ultrasonography as a diagnostic tool for superficial facial space infections; Michael peleg zahava heyman leon ardekian shlomo taicher; journal of oral maxillofacial surgery 1998,56,1129-1131
Exploration of ultrasonography in assessment of facial space spread of odontogenic infections, oral surg oral med oral pathol oral radiol endod 2009;107:861-869
Intraoral ultrasound in the diagnosis and treatment of suspected peritonsillar abscess in the emergency department, Academic Emergency Medicine; jan 2005; 12,1
sonography and computed tomography in deep cervical lipomas and lipomatosis of the neck; N. Gritzmann, M. Schratter, M. Traxler and M. Helmer; Journal of Ultrasound in Medicine, Vol 7, Issue 8 451-456
Peritonsillar Abscess:diagnosis and Treatment; Terrence E. Steyer, M.D;
American Academy of Family Physicians; 2002;65:93-6
9 / Signature of the candidate
10 / Remarks of the guide / Study useful for clinical practice
11 / Name and designation of
( in block letters)
11.1  Guide
11.2  Signature
11.3  Co- guide
11.4  Signature
11.5  Head of the department
11.6 Signature / DR. SANJAY MOHAN CHANDRA
PROFESSOR DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY,OXFORD DENTAL COLLEGE HOSPITAL AND RESEARCH CENTRE,BANGALORE-560068
DR. JAY PRASAD.N. SHETTY
PROFESSOR & HEAD OF THE DEPARTMENT
DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY,OXFORD DENTAL COLLEGE HOSPITAL AND RESEARCH CENTRE,BANGALORE-560068
12 / 12.1  Remarks of the chairman and principal
12.2  Signature