http://dentalbooks-drbassam.blogspot.com http://dentalbooks-drbassam.blogspot.com http://dentalbooks-drbassam.blogspot.com http://dentalbooks-drbassam.blogspot.com Published by Jitendar P Vij Jaypee Brothers Medical Publishers (P) Ltd Corporate Office 4838/24 Ansari Road, Daryaganj, New Delhi - 110002, India, Phone: +91-11-43574357, Fax: +91-11-43574314 Registered Office B-3 EMCA House, 23/23B Ansari Road, Daryaganj, New Delhi - 110 002, India Phones: +91-11-23272143, +91-11-23272703, +91-11-23282021 +91-11-23245672, Rel: +91-11-32558559, Fax: +91-11-23276490, +91-11-23245683 e-mail:http://dentalbooks-drbassam.blogspot.com [email protected], Website: www.jaypeebrothers.com Offices in India • Ahmedabad, Phone: Rel: +91-79-32988717, e-mail: [email protected] • Bengaluru, Phone: Rel: +91-80-32714073, e-mail: [email protected] • Chennai, Phone: Rel: +91-44-32972089, e-mail: [email protected] • Hyderabad, Phone: Rel:+91-40-32940929, e-mail: [email protected] • Kochi, Phone: +91-484-2395740, e-mail: [email protected] • Kolkata, Phone: +91-33-22276415, e-mail: [email protected] • Lucknow, Phone: +91-522-3040554, e-mail: [email protected] • Mumbai, Phone: Rel: +91-22-32926896, e-mail: [email protected] • Nagpur, Phone: Rel: +91-712-3245220, e-mail: [email protected] Overseas Offices • North America Office, USA, Ph: 001-636-6279734, e-mail: [email protected], [email protected] • Central America Office, Panama City, Panama, Ph: 001-507-317-0160, e-mail: [email protected] Website: www.jphmedical.com Textbook of Surgery for Dental Students © 2010, Jaypee Brothers Medical Publishers All rights reserved. No part of this publication and Interactive DVD Rom should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the editor and the publisher. This book has been published in good faith that the material provided by contributors is original. Every effort is made to ensure accuracy of material, but the publisher, printer and editor will not be held responsible for any inadvertent error (s). In case of any dispute, all legal matters are to be settled under Delhi jurisdiction only. First Edition: 2010 ISBN 978-81-8448-745-9 Typeset at JPBMP typesetting unit Printed at Ajanta Offset http://dentalbooks-drbassam.blogspot.com http://dentalbooks-drbassam.blogspot.com Contributors Jasbinder Kaur MD Sham Singla MS FIAS Professor and Head of Biochemistry Senior Professor of Surgery Government Medical College Pt Bhagwat Dayal Sharma Postgraduate Chandigarh,http://dentalbooks-drbassam.blogspot.com India Institute of Medical Sciences Rohtak, Haryana Naveen Malhotra MD India Associate Professor of Anesthesia Pt Bhagwat Dayal Sharma Postgraduate Sanjay Marwah MS FIAS Institute of Medical Sciences Professor of Surgery Rohtak, Haryana, India Pt Bhagwat Dayal Sharma Postgraduate Institute of Medical Sciences Nisha Marwah MD Rohtak, Haryana Professor of Pathology India Pt Bhagwat Dayal Sharma Postgraduate Institute of Medical Sciences Virendra Singh MDS Rohtak, Haryana, India Associate Professor of Anesthesia Pt Bhagwat Dayal Sharma Postgraduate RK Karwasra MS Institute of Medical Sciences Senior Professor and Head of Surgery Rohtak, Haryana Pt Bhagwat Dayal Sharma Postgraduate India Institute of Medical Sciences Rohtak, Haryana, India http://dentalbooks-drbassam.blogspot.com Preface While teaching BDS students, I felt the need of a comprehensive and syllabus-oriented book for them. Keeping that in mind, I have written this book in a simplified manner, covering all the topics as per their revised syllabus. This textbook has primarily been directed to the students at undergraduate (BDS as well as MBBS) level. It is designedhttp://dentalbooks-drbassam.blogspot.com to be easy to read using a similar layout for each topic. The text is written in a short bulleted form with many headings so that the required information can be found readily. In addition, the text contains many boxes with salient points to assist students in quick revision at the end. A large number of colored clinical photographs have been incorporated in the text to make the subject more understandable. I have tried hard to make sure that the facts in the book are as accurate as possible, taking help from the specialists of various fields to either write or review the relevant sections. Another fact remains that the dental students are usually not exposed to routine ward procedures and minor surgical operations required as per their curriculum. For that, I have compiled a DVD covering stepwise description of these procedures hoping it will make the learning process a lot easier for the students. It has been correctly said that a textbook lives through its readership. Despite the best of my efforts, some misprints or factual errors might have crept in unnoticed. I shall be grateful to the readers for giving me suggestions for improvement and pointing out mistakes that can be corrected in future. Sanjay Marwah http://dentalbooks-drbassam.blogspot.com http://dentalbooks-drbassam.blogspot.com http://dentalbooks-drbassam.blogspot.com Contents 1. Introduction of Surgery .......................................................................................................... 1 Sanjay Marwah 2. Inflammation ......................................................................................................................... 8 http://dentalbooks-drbassam.blogspot.comNisha Marwah, Sanjay Marwah 3. Infections ............................................................................................................................ 15 Sanjay Marwah 4. Specific Infections ............................................................................................................... 22 Sanjay Marwah 5. Sinus, Ulcer and Fistula....................................................................................................... 36 Sanjay Marwah 6. Wounds ................................................................................................................................ 46 Sanjay Marwah 7. Surgical Asepsis and Antiseptic Measures ........................................................................... 54 Sanjay Marwah 8. Hemorrhage, Blood Transfusion and Bleeding Disorders ..................................................... 59 Nisha Marwah, Sanjay Marwah 9. Shock, Water-Electrolyte and Acid Base Balance ................................................................ 67 Sanjay Marwah, Jasbinder Kaur 10. Care of the Acutely Injured ..................................................................................................82 Sanjay Marwah 11. Tumors................................................................................................................................. 89 RK Karwasra, Sanjay Marwah 12. Cysts and Neck Swellings .................................................................................................. 107 Sham Singla, Sanjay Marwah 13. Diseases of Lymph Nodes and Lymphatics ......................................................................... 127 Sanjay Marwah 14. Diseases of Oral Cavity ..................................................................................................... 140 Sanjay Marwah 15. Diseases of Salivary Glands............................................................................................... 161 Sanjay Marwah 16. Diseases of the Larynx ....................................................................................................... 175 Sanjay Marwah xiv Textbook of Surgery for Dental Students 17. Head Injury and Cranial Nerves Injury ............................................................................... 184 Sanjay Marwah 18. Gangrene and Diseases of Arterial System ........................................................................ 198 Sanjay Marwah 19. Diseases of Venous System ................................................................................................ 220 Sanjay Marwah 20. Principles of Operative Surgery, Diathermy, Radiotherapy and Anesthesia ........................ 228 Sanjay Marwah, Naveen Malhotra 21. Fractures and Maxillofacial Fractures ................................................................................ 244 Sanjay Marwah, Virendra Singh 22. Cleft Lip and Cleft Palate .................................................................................................. 262 Sanjay Marwah 23. The Thyroid Gland ............................................................................................................. 267 Sham Singla, Sanjay Marwah http://dentalbooks-drbassam.blogspot.com 24. The Parathyroid and Pituitary Gland .................................................................................. 291 Nisha Marwah, Sanjay Marwah 25. Swellings of the Jaw .......................................................................................................... 299 Sanjay Marwah, Virendra Singh 26. Imaging Techniques for Head and Neck Lesions ................................................................ 315 Sanjay Marwah 27. Burns and Skin Grafting .................................................................................................... 326 Sanjay Marwah 28. Surgical Suturing ..............................................................................................................