Browsing by Author "Regmee, P"
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Publication Assessment of Oral Mucositis among Patients Undergoing Radiotherapy for Head and Neck Cancer: An Audit(Kathmandu University, 2019) Luitel, A; Rimal, J; Maharjan, IK; Regmee, PABSTRACT Background Radiation-induced oral mucositis is one of the major ionizing radiation toxicities and normal tissue injuries resulting from radiotherapy. It occurs in up to 80% of head and neck cancer irradiated patients, reaching up to 100% in patients with altered fractionation. Objective To assess the grade of Radiation induced oral mucositis as per World Health Organization grading system among post-radiotherapy patients of Head and Neck cancer. Method World Health Organization grading for oral mucositis was done in patients reporting to Department of Radiation oncology for radiotherapy at BP Koirala Memorial Cancer Hospital, Bharatpur. A total of 71 patients in 1 month duration were included. Result Grade 2 mucositis was most common, 52.11% followed by grade 1 (22.5%), grade 3 (18.3%) and grade 4 (7.04%). There were no post-radiotherapy patients who presented without mucositis. Conclusion Radiation induced oral mucositis is a common adverse reaction of radiotherapy. With increase in dose and duration of radiotherapy, grade of mucositis was increasing. KEY WORDS Head and neck cancer, Mucositis, RadiotherapyPublication Even a Tooth Slips Sometimes(Kathmandu University, 2016) Luitel, A; Rimal, J; Maharjan, IK; Niroula, D; Regmee, PABSTRACT While impaction of a tooth or two in dentoalveolar region is common, ectopic presence of them in non-dentate area is less commonly reported. A 45-year-old female reported to the department with pain on right back teeth region since two days. On examination, grossly decayed 46, root stump 47, missing 48, with poor periodontal status were noted. Panoramic radiograph was advised for screening, which revealed an inverted impacted 48 at the right ramus just below subcondylar region. However, it was an incidental finding and the patient was asymptomatic, she was informed about the pros and the cons of her case and kept under close monitoring. KEY WORDS Ectopic, impacted tooth, panoramic radiography, tooth eruptionPublication Incidence and Pattern of Patient-Perceived Oral Medicine Emergencies during Lockdown: Experience of Tertiary Health Care Centre of Eastern Nepal(Kathmandu University, 2022) Regmee, P; Adhikari, S; Sulu, S; Rimal, J; Maharjan, IKABSTRACT Background There has been a significant drop in the number of patients seeking oral medicine care during the lockdown period. Objective To find the incidence and pattern of patient perceived oral medicine emergencies in the tertiary healthcare centre of eastern Nepal, during the lockdown period. Method The clinical profile of patients seeking oral medicine care between 30th April 2021 to 25th June 2021 (period of strict lockdown in Sunsari district) was recorded. Data were recorded in an excel sheet and transferred to Statistical Package for the Social Sciences version 11.5. Frequency and proportion were calculated. Result During the lockdown, 300 patients had visited the hospital with different oral diseases seeking the care of an oral physician. The average number of patients seeking oral medicine care per day was approximately six. Of the total patients, 110 patients had pain as their chief complaint, 48 had wound and 34 had a burning sensation in the mouth. Among them 82% perceived their complaint as an emergency. The provisional diagnosis was temporomandibular disorders in 40 patients, trigeminal neuralgia in 38 patients and 34 had carcinoma. Conclusion Patients seeking oral medicine care during the lockdown period had decreased by about one-third. Pertaining to oral medicine, pain in any orofacial area was the most common patient perceived emergency condition followed by wound and burning sensation. Maximum number of patients visiting the department perceived their complain as an emergency. KEY WORDS COVID-19, Emergency, Lockdown, Nepal, Oral medicinePublication Microinvasion: A Clinical Dilemma(Kathmandu University, 2019) Regmee, P; Rimal, J; Maharjan, IK; Shrestha, A; Niroula, D; Luitel, A; Chaudhary, SKABSTRACT Microinvasive oral squamous cell carcinoma (MIOSCC) is an early stage malignant tumour,showing invasion of the epithelial cells confined to the superficial lamina propria. This is matter of debate in respect to the clinical presentation, metastasis, therapeutic intervention and prognosis. A 32-year female reported to the department with chief complaint of wound and burning sensation in her left back region of lower gums. Clinical diagnosis of erosive oral lichen planus was made and topical steroid was started. The lesion clinically healed with the use of topical medicine. After stopping the medication the lesion recurred, following which, excisional biopsy was done. On histopathological evaluation diagnosis of microinvasive oral squamous cell carcinoma was made. Recurrence of similar symptom in the same site was seen 10 weeks later, which now showed features of moderate dysplasia. Clinical features of microinvasive oral squamous cell carcinoma resembles premalignant lesion, leading to difficulty in diagnosis, treatment and prognostic assessment. Thus, adequate representation of this entity is necessary. KEY WORDS Microinvasive oral squamous cell carcinoma, Oral lichen planus, Oral potentially malignant disorder