In Memory and Celebration: Dr. James J. Lee

Abstract

We come together to mourn the untimely passing of Dr. James (Jamie) J. Lee, Professor of Biochemistry and Molecular Biology in the Division of Pulmonary Medicine at Mayo Clinic Arizona. A leading scientist, talented teacher, prominent role model, and Eosino-philosopher-in-Chief, Jamie's many enthusiasms and joy for science inspired us all. Together with his wife and research partner, Dr. Nancy Lee, Jamie's academic career was dedicated to improving our understanding of eosinophils and to exploring their contributions to chronic respiratory diseases and cancer.

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Maggots in the management of ulcer care

Description

An elderly man was admitted to the hospital with right leg mixed aetiology ulcers and superadded cellulitis, which had been unresponsive to several weeks of oral antibiotic therapy (figure 1). He was an ex-smoker with a medical history of hypertension, atrial fibrillation and previous cerebrovascular event and was treated with intravenous antibiotics for superadded infection. Surgical debridement was undertaken with little success (figure 2). He was offered biological debridement therapy using contained maggots, to which he responded very well and was discharged home after 1 month. (figures 3 and 4)

Figure 1

Image showing right leg mixed aetiology ulcers and superadded cellulitis.

Figure 2

Image showing right leg postsurgical debridement therapy.

Figure 3

Image showing right leg postbiological maggot debridement therapy.

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EACMFS Prizes and Awards

The Council of EACMFS wishes to ensure that all members of the Association are aware of the current awards and prizes that are available. These are designed to provide educational support and also to allow the opportunity for trainees and those who have recently achieved specialist status to visit units outside their own departments.

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Editorial Board

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Announcements

Dear Colleagues,

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International Journal of Head and Neck Surgery

Table of Contents   1. Editorial Editorial Abhishek Vaidya v Full Text PDF | Abstract |FREE   2. ORIGINCAL ARTICLE A Clinical Approach to the Parapharyngeal Space Praveen D Shivanandappa, Veena P Doddamane, KS Munish, BS Yogeesha, AM Shivakumar 1-4 Full Text PDF | Abstract | 10.5005/jp-journals-10001-1296 |FREE 3. ORIGINCAL ARTICLE A Study of Clinical Profile of Intracerebral Hemorrhage and ENT Manifestations and its Outcome. Vishwanath Sidram, PC Chandra Kumar, Bellara Raghavendra 5-10 Full Text PDF | Abstract | 10.5005/jp-journals-10001-1297 |FREE 4. ORIGINCAL ARTICLE Ludwig's Angina: Report of 40 Cases and Review of Current Concepts in Emergency Management in a Rural Tertiary Facility Teaching Hospital. M Ambikavathy, S Kumar 11-14 Full Text PDF | Abstract | 10.5005/jp-journals-10001-1298 |FREE 5. RESEARCH ARTICLE Transoral Laser Microsurgery vs Radiotherapy for Early Glottic Cancer: Study at Tertiary Care Center in India Ashok M Shenoy, Vikas Sharma, Purushottam Chavan, Rajshekar Halkud, Namrata Ranganath, Tanvir Pasha, Poornima Shenoy, B Ravikumar, Suma M Narayana, Muhammed I Sharif, CR Vijay 15-20 Full Text PDF | Abstract | 10.5005/jp-journals-10001-1299 |FREE 6. RESEARCH ARTICLE Validation of the Invasive Pattern Grade Score as an Independent Prognostic Factor in Oral Squamous Cell Cancers Ranganath R, Shweta Sethi, Bhulaxmi Madur 21-24 Full Text PDF | Abstract | 10.5005/jp-journals-10001-1300 |FREE 7. CASE REPORT Congenital Midline Cervical Cleft: A Case Report with Review of Literature Ashwin A Jaiswal, Bikram K Behera, Ravindranath Membally, Manoj K Mohanty 25-30 Full Text PDF | Abstract | 10.5005/jp-journals-10001-1301 |FREE 8. CASE REPORT Giant Keratoacanthoma of Pinna: A Rare Presentation Sandhya Chauhan, Kuldeep Thakur, Ashok Garg, Geeta R Tegta, Pooja Chauhan 31-33 Full Text PDF | Abstract | 10.5005/jp-journals-10001-1302 |FREE 9. CASE REPORT Nasopharyngeal Carcinoma with an uncommon Presentation Rajeev Gupta, Nariender K Mohindroo, Ramesh Azad 34-36 Full Text PDF | Abstract | 10.5005/jp-journals-10001-1303 |FREE

Alexandros Sfakianakis
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Infiltrative local anesthesia with articaine is equally as effective as inferior alveolar nerve block with lidocaine for the removal of erupted molars

Abstract

Aim

The aim of this study is to assess the efficacy of 4% articaine with 1:100,000 adrenaline given as buccal and lingual infiltration in adult patients undergoing erupted mandibular first and second molar teeth extraction versus inferior alveolar nerve block technique using 2% lignocaine with 1:80,000 adrenaline.

Materials and methods

A total of 100 patients undergoing extraction of mandibular posterior teeth were divided into two equally matched groups for the study, out of which 50 patients were given 4% articaine with 1:100,000 adrenaline as buccal and lingual infiltration and 50 patients were given 2% lignocaine with 1:80,000 adrenaline using classic direct inferior alveolar nerve block with lingual and buccal nerve block. Efficacy of anesthesia was determined using a numeric analog scale (NAS) ranging from 0 indicating no pain to 10 indicating the worst pain imaginable. The NAS was taken by a different operator to avoid bias.

Results

The pain scores in both groups were analyzed using the Mann–Whitney U test, and a p value of 0.338 was obtained which is not statistically significant. Hence, no significant difference in the pain score was established between both groups. The adverse effects of both the local anesthetics if any were noted.

Conclusion

From this study, we concluded that the use of 4% articaine with 1:100,000 adrenaline is as effective as inferior alveolar nerve block with lignocaine but without the risk of attendant adverse effects of inferior alveolar nerve block technique.

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