Publications by authors named "Chetan Gupta"

Necrotizing enterocolitis (NEC) remains a leading cause of morbidity in extremely low birth weight neonates. We report a complex surgical management of a 560 g preterm infant with NEC complicated by intestinal perforation, enteroatmospheric fistula, and prolonged open abdomen. Management included negative pressure wound therapy combined with stoma bag application, prolonged total parenteral nutrition, and delayed reconstruction using multiple anastomoses and tube stomas.

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Purpose: This study presents a rare case of primary tubercular osteomyelitis of the zygoma, and addresses how combined surgical and medical treatments are effective managing rare presentations of tubercular osteomyelitis in facial bones.

Methods: A 57-year-old man presented with pain and purulent discharge from the right malar region following trauma. Initial treatments with empirical antibiotics had poor response, hence further investigations were done.

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The surgical treatment of oral squamous cell carcinoma (SCC) results in tissue defects caused by the removal of the cancerous tissue. There are various reconstruction options available for lip construction. Harvesting the flap to reconstruct these defects undoubtedly results in substantial morbidity.

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Article Synopsis
  • Cherubism is a rare bone disorder mostly affecting the lower jaw (mandible) and can sometimes affect the upper jaw (maxilla), starting in kids and usually getting better as they grow up.
  • It causes the bones to swell, which can lead to problems like crooked teeth, trouble speaking, and even affects how someone feels about their looks.
  • A 20-year-old patient had surgery to fix his appearance because of cherubism, and he felt much better afterwards with more treatments to help him even more.
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Oral squamous cell carcinoma is a serious global issue, with the prognosis decreasing as the disease severity increases. The implications of this condition are so disastrous that they cause a lot of suffering for the individual. Early diagnosis has proven to improve patients' overall survival and quality of life.

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A chronic, persistent, possibly cancerous condition that mostly affects the oral cavity is called oral submucous fibrosis (OSMF) and causes severe functional impairment. Due to its complex nature, OSMF requires a comprehensive strategy that includes both surgical and medication therapies. Multidisciplinary treatment was started, which included a complete stoppage of habit, dental hygiene precautions, dietary counselling, surgical intervention, supportive medicinal therapy, and physiotherapy.

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Article Synopsis
  • Mucormycosis is a dangerous fungal infection primarily affecting individuals with weakened immune systems, like those with diabetes or on glucocorticoid therapy.
  • The article emphasizes the critical need for quick diagnosis and aggressive treatment, especially in children, to reduce the risk of death and severe complications.
  • Early identification and management of mucormycosis can significantly improve treatment outcomes, highlighting the importance of vigilance in patients at risk for fungal infections.
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Metastatic cervical carcinoma from an unknown primary source poses a diagnostic and therapeutic challenge, as it involves the spread of cancer to the neck lymph nodes without a discernible primary tumor despite thorough investigation. While the diagnosis and treatment of this uncommon condition lack definitive evidence, a review of existing literature offers some clinical guidance. A comprehensive diagnostic evaluation, which includes multiple imaging and endoscopic studies, is essential.

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Necrotizing fasciitis (NF) of the face is a rare yet serious condition requiring prompt and comprehensive management. This approach typically involves input from various medical specialties such as infectious disease specialists, critical care physicians, and surgeons. The primary goals are early recognition, aggressive surgical debridement, appropriate antibiotic therapy, and supportive care.

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Introduction: The present study was deliberated to assess the pre-emptive analgesic efficacy of diclofenac sodium and ketoprofen transdermal patches following open treatment of mandibular fractures.

Methods: The present prospective, triple-blind, randomized controlled clinical study was carried out on 50 male patients with a mean age of 30-31 years having bifocal mandibular fractures. The subjects were assigned 1:1 to two groups; group K - ketoprofen group and group D - diclofenac sodium group.

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Introduction: The lucrativeness of the frozen section for intraoperative margin assessment in head and neck squamous cell carcinoma is debatable till date. The purpose of this study was to evaluate whether surgeon's perception by gross examination (GE) of margin is an alternative to frozen section.

Aim: The aim was to compare the diagnostic accuracy (DA) of surgeon's perception of tumor-free mucosal and soft-tissue surgical margins intraoperatively assessed by GE and frozen section analysis (FSA).

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Composite flours (CF) using cereals, legumes, millets, soy-protein isolate, dairy ingredient and fruit without refined flour were used for preparing multi-nutrient biscuits. Dough and biscuits were evaluated for physical, nutritional and textural properties, particle size, colour and sensory evaluation and compared against refined-flour biscuits (C). Effect of malting and sprouting on biscuit quality were also analyzed.

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