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Tuberculosis (TB) is a significant health problem and mortality in most developing countries. It is a chronic granulomatous disease caused by Mycobacterium tuberculosis and M. tuberculosis complex . It can be pulmonary form or Extra pulmonary form. Extrapulmonary tuberculosis involving temporomandibular joint is infrequent presentation of Skeletal TB. Here we present a rare case of extrapulmonary tuberculosis that was initially misdiagnosed as a parotid lesion due to atypical signs and symptoms and multiple in-conclusive FNAC reports. The final diagnosis was established by histopathological report.

The diagnosis and treatment of deep neck infections is still an enigma for surgeons and physicians. Because of the complexity and the deep location of this region, the diagnosis and treatment in this area is difficult. The anatomy of deep neck spaces is highly complex and therefore precise localization of infections in this region is very difficult. The diagnoses of deep neck space infection (DNSI) are difficult because of the deep location of these spaces and are usually covered by substantial amount of normal superficial soft tissue. Access: To gain surgical access to the deep neck spaces, the superficial tissues must be crossed with the risk of injury to the neurovascular structures in the neck. Neural dysfunction, vascular erosion or thrombosis, and osteomyelitis are some of the complications of DNSI because of the proximity of nerves, vessels, bones, and other soft tissues. Deep neck spaces are communicated with each other and infections from one space can spread to adjacent space. DNSI, if not diagnosed early and promptly, may result in serious consequences even mortality. The treatment of DNSI with antibiotic therapy and drainage is most often definitive and recurrence of these cases is rare.

Background Condylar process fracture is one of the most common mandibular fractures. Approximately 11–16% of all facial fractures and 30–40% of all mandibular fractures are fractures of the mandibular condyle. Treatment can broadly be divided into open or closed, but there are no clear criteria to determine the choice between them. Sagittal split fracture of the mandibular condyle is rare and can be easily missed on conventional radiographs, like OPG and multiple standard films, but because of the high incidence of subsequent ankylosis is an important entity. So a CT scan with axial and coronal cuts is advisable in high condylar or intracapsular fractures of mandibular condyle. Purpose The hypothesis in this study is that open reduction and internal fixation (ORIF) of sagittal split mandibular condylar fractures with two lag screws is more stable and there is no rotation of the medial fractured segment of condyle. Methods In this prospective clinical trial, ORIF of four patients with sagittal split fracture of mandibular condyle was done using two lag screws. In all the patients, pre-op and post-op clinical and radiological findings were evaluated, with a follow-up of two years. Results All the patients were evaluated postoperatively at periodical interval with various clinical parameters, viz. mouth opening, occlusion, pain, deviation of mandible while opening, other complaints (like clicking, tenderness), and radiologically with CT scans. All patients showed good occlusion and adequate mouth opening postoperatively. In this series, there was no pain, deviation of mandible while opening and other complaints like tenderness and clicking. In CT scan, the medial fragment was reduced anatomically in position and the lag screws were not protruding in the TM joint space. Conclusion Use of two lag screws for ORIF of sagittal split mandibular condylar fractures is recommended to prevent the rotation of fractured medial condylar segment and for more stable fixation.

Complete failure of eruption leads to impaction. Impacted teeth are more common in maxilla as compare to mandible. The impaction of permanent dentition is not uncommon but out of them, few permanent teeth are rarely impacted such as maxillary first molars. Etiology behind this can be multifactorial. Here, we report two rare cases of impacted maxillary first molars which require very technique sensitive surgical removal so as to minimize risks of injury to adjacent teeth and other adjacent structures. Follow-up was made first day, third day, seventh day, and 1 month with no complication.

Introduction Mucormycosis is an aggressive, life-threatening infection that requires prompt diagnosis and early treatment. Depending on the severity of the disease, rhinomaxillary mucormycosis (RMM) may necessitate maxillectomy, ranging from partial to total removal. The implementation of primary closure leads to improved functional ability by creating a separation between the oral and nasal cavities, which facilitates oral intake and reduces the duration of nasogastric feeding. This, in turn, enhances the patients' quality of life. The objective of this study was to evaluate the effectiveness of primary closure using palatal mucosa (PM) following maxillectomy in patients with RMM. Methodology We conducted a retroprospective study to analyze the outcomes of 32 operated cases of rhinomaxillary mucormycosis (RMM). After maxillectomy, we preserved highly vascular uninfected palatal mucosa to close the maxillary defect. The study spanned 4 months, encompassing 4 months of retrospective data collection and 3 months of prospective data collection. Results During the 3rd month follow-up, complete closure and uptake of the flap were observed in 22 patients. At the 6-month follow-up, 28 participants exhibited total uptake of PM, with no oro-antral/nasal communication. Conclusion This study concludes that in most circumstances, employing a PM flap to close the defect after maxillectomy and surgical debridement is a successful approach as it reduces the occurrence of oro-antral/oro-nasal communication.

The distractor was activated using the activator intra-operatively, and the skin was found to be under tension causing extensive folding/rolling of skin; the skin tension was also found to be obstructing the activation of device (Fig. 1). Compliance with Ethical Standards Conflict of interest All authors declare that they have no conflict of interest. Ethical Approval All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Rare case of Ewing’s Sarcoma of maxilla managed with newly proposed multimodalityapproach in which First neo-adjuvant chemotherapy was done to shrink the size oftumor mass and control possible occult distant metastasis and in the second phase surgical management that is followed by adjuvant chemotherapy was done. During Surgical phase, instead of doing a complete surgical resection, we have decided intraoperatively and performed only curettage of the tumor mass left after shrinkage of the tumor mass post chemotherapy phase. This concludes that there is the scope of trying newer ideas for management and, thus, more contemporary approaches for this rare entity. Like in our case, curettage of the tumor rather than radical resection as a part of multimodality approach also gave optimal outcome.