Browsing by Author "Dhiman, Neeraj Kumar"

Now showing 1 - 3 of 3
  • Thumbnail Image
    Publication
    COVID-19-associated Mucormycosis: A clinico-epidemiological study
    (Elsevier Inc., 2022) Chakravarty, Jaya; Gupta, Munesh Kumar; Tilak, Ragini; kumar, Rajesh; Maurya, Rajendra Prakash; Kumar, Nilesh; Aggarwal, Susheel Kumar; S, Shiva; Sharma, Naresh Kumar; Dhiman, Neeraj Kumar; chaubey, Manaswi; Singh, Vishambhar; verma, Ashish; Banerjee, Tuhina; Agrawal, Neeraj Kumar; Prasad, Ravi Shankar
    Background: There was an unprecedented increase in COVID-19-associated-Mucormycosis (CAM) cases during the second pandemic wave in India. Methods: This observational study was done to know the epidemiological profile of CAM cases andincluded all patients admitted with mucormycosis between May 2021 and July 2021. Results: Out of the enrolled 208 CAM cases (either SARS-CoV-2 RT-PCR or serology positive), 204, three and one had rhino-orbital-cerebral, pulmonary and gastrointestinal mucormycosis, respectively. 95.7 % of the patients had diabetes, out of which 42.3 % were recently diagnosed. Mean HbA1c was 10.16 � 2.56 %. 82.5 % of the patients were unvaccinated. During their COVID-19 illness, 86.5 % were prescribed antibiotics, 84.6 % zinc preparations, 76.4 % ivermectin, and 64.9 % steroids, while only 39.5 % required oxygen therapy. The frequency of blood groups A, B, O and AB in our CAM patients was 29.5 %, 18.9 %, 38.9 % &12.6 %, respectively. At three months follow up, 60 (28.8 %) patients died, four (1.9 %) stopped antifungal treatment, and 144(69.23 %) were on antifungal treatment. 55 % (n = 33) of deaths occurred within 15 days of admission. Mortality was significantly associated with higher age, RT-PCR positive for SARS-CoV-2, raised serum creatinine and alkaline phosphatase during treatment. At 6 months follow-up, eight more patients died, three due to chronic kidney disease, four patients who had stopped treatment and one patient who was on a ventilator due to COVID-19 associated pneumonia and the rest 140(67.3 %) survived. Conclusion: Uncontrolled hyperglycemia, SARS-CoV-2 infection, rampant use of antibiotics, zinc supplementation and steroids were some of the risk factors for mucormycosis. Despite the overwhelming number of patients with an uncommon disease like mucormycosis, the six months mortality was much lower than expected. � 2022
  • Thumbnail Image
    Publication
    Orthodontic-surgical management of severe skeletal class iii malocclusion: A case report
    (Wolters Kluwer Medknow Publications, 2023) Sahoo, Rojalin; Sharma, Vipul Kumar; Singh, Sneha; Dhiman, Neeraj Kumar
    Skeletal Class III malocclusion possess a difficult challenge to treat for clinicians. They are multifactorial and include genetic and environmental factors. Early intervention of Class III needs orthopedic correction, whereas, in adults, orthodontic camouflage can be done to treat mild cases while severe skeletal discrepancies demand orthognathic surgery along with orthodontic therapy. In this case report, a case of mandibular prognathism with Bilateral Sagittal Split Osteotomy (BSSO) setback was presented. � 2023 National Journal of Maxillofacial Surgery.
  • Thumbnail Image
    Publication
    Temporomandibular joint ankylosis: A tertiary center-based epidemiological study
    (Wolters Kluwer Medknow Publications, 2021) Mishra, Nitesh; Sharma, Naresh Kumar; Dhiman, Neeraj Kumar; Jaiswara, Chandresh; Tiwari, Preeti; Singh, Akhilesh Kumar
    Introduction: Limitation of mouth opening can be caused by bony or fibrous ankylosis of the temporomandibular joint (TMJ) as a sequel to trauma, infection, or autoimmune diseases. The incidence of TMJ ankylosis differs significantly in different parts of the world. The purpose of this study was to analyze the etiological incidence of TMJ ankylosis at our tertiary-level center, which covers a huge population from parts of Bihar and eastern Uttar Pradesh. Materials and Methods: This study was conducted from July 2016 to April 2019, and a total of 1607 children were screened in the duration of 33 months. Participants were included in this study as per the inclusion and exclusion criteria. Results: After screening of the 1607 children, 128 TMJ ankylosis cases were identified. Out of the 128 cases of TMJ ankylosis, 33 cases were bilateral and 95 cases were unilateral (48 left sided and 47 right sided). Most of the patients (83.5%) were in the 10�15-year-old age group (mean age was 12.1 � 2.83 years). There was a female preponderance, and the male-to-female ratio was 7:10. Overall, the most common cause of ankylosis was found to be childhood trauma. Conclusion: The major etiologic factor of TMJ ankylosis was found to be birth/childhood trauma. TMJ ankylosis cases were detected in significant numbers in this study. This increased prevalence may be due to the lack of knowledge about this pathological entity among the general population and health-care professionals at primary level, which leads to poor initial management. � 2021 National Journal of Maxillofacial Surgery.