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Article ; Online: Do we have the resources and right ecosystem to channel the Indian work force to accelerate research and innovation?

Chigurupati, Radhika

Indian journal of dental research : official publication of Indian Society for Dental Research

2015 Volume 26, Issue 4, Page(s) 337–338

MeSH term(s)	Biomedical Research/manpower ; Humans ; India ; Inventions
Language	English
Publishing date	2015-07
Publishing country	India
Document type	Editorial
ZDB-ID	1354886-4
ISSN	1998-3603 ; 0970-9290
ISSN (online)	1998-3603
ISSN	0970-9290
DOI	10.4103/0970-9290.167637
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Article ; Online: Do we have the resources and right ecosystem to channel the Indian work force to accelerate research and innovation?

Radhika Chigurupati

Indian Journal of Dental Research, Vol 26, Iss 4, Pp 337-

2015 Volume 338

Keywords	Dentistry ; RK1-715 ; Medicine ; R
Language	English
Publishing date	2015-01-01T00:00:00Z
Publisher	Medknow Publications
Document type	Article ; Online
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Article ; Online: Surgical Management of Idiopathic Condylar Resorption: Orthognathic Surgery Versus Temporomandibular Total Joint Replacement.

Chigurupati, Radhika / Mehra, Pushkar

Oral and maxillofacial surgery clinics of North America

2018 Volume 30, Issue 3, Page(s) 355–367

Abstract: Young females with retruded and hyperdivergent mandibles, class II openbite malocclusions, and steep occlusal planes with or without TMJ symptoms are at higher risk for Idiopathic Condylar Resorption (ICR). Such patients undergoing orthodontic and /or ... ...

Abstract	Young females with retruded and hyperdivergent mandibles, class II openbite malocclusions, and steep occlusal planes with or without TMJ symptoms are at higher risk for Idiopathic Condylar Resorption (ICR). Such patients undergoing orthodontic and /or surgical treatment should be informed of possible relapse due to ICR. Orthognathic Surgery with Total joint replacement or Orthognathic surgery alone may both be acceptable options for management of the facial deformity and the malocclusion that ensues from ICR. Proper patient selection is key to achieving a successful outcome. Current trends and the evidence in the literature suggest that orthognathic surgery with alloplastic joint replacement may be the preferred approach.
MeSH term(s)	Arthroplasty, Replacement/methods ; Bone Resorption/pathology ; Bone Resorption/surgery ; Humans ; Joint Prosthesis ; Mandibular Condyle/pathology ; Mandibular Condyle/surgery ; Orthognathic Surgical Procedures/methods ; Temporomandibular Joint Disorders/pathology ; Temporomandibular Joint Disorders/surgery
Language	English
Publishing date	2018-07-05
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	1316546-x
ISSN	1558-1365 ; 1042-3699
ISSN (online)	1558-1365
ISSN	1042-3699
DOI	10.1016/j.coms.2018.05.004
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Article ; Online: Treatment of tophaceous pseudogout in the temporomandibular joint with resection and alloplastic reconstruction: a single-staged approach.

Dang, Rushil R / Noonan, Vikki / Chigurupati, Radhika / Henry, Andrew

Oral and maxillofacial surgery

2021 Volume 26, Issue 3, Page(s) 505–509

Abstract: Tophaceous pseudogout is a rare variant of the calcium pyrophosphate dihydrate (CPPD) disorder, with predilection for the TMJ. It is characterized by calcific deposits composed of rhomboid- or rectangular-shaped crystals that exhibit birefringence when ... ...

Abstract	Tophaceous pseudogout is a rare variant of the calcium pyrophosphate dihydrate (CPPD) disorder, with predilection for the TMJ. It is characterized by calcific deposits composed of rhomboid- or rectangular-shaped crystals that exhibit birefringence when examined under polarized light. We hereby present a case of a 65-year-old man with left pre-auricular tenderness and malocclusion. CT imaging was notable for a left TMJ mineralized mass with erosion of the condylar head. Treatment involved excision of the mass with eminectomy, condylectomy, and a stock total TMJ reconstruction. In this report, important considerations for diagnosis, biopsy, and surgical treatment with emphasis on reconstruction for tophaceous pseudogout of the TMJ have been highlighted by the authors.
MeSH term(s)	Aged ; Biopsy ; Chondrocalcinosis/diagnostic imaging ; Chondrocalcinosis/surgery ; Humans ; Male ; Temporomandibular Joint/diagnostic imaging ; Temporomandibular Joint/pathology ; Temporomandibular Joint/surgery
Language	English
Publishing date	2021-10-01
Publishing country	Germany
Document type	Case Reports ; Journal Article
ZDB-ID	2406731-3
ISSN	1865-1569 ; 1865-1550
ISSN (online)	1865-1569
ISSN	1865-1550
DOI	10.1007/s10006-021-01013-2
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Zs.A 4767: Show issues

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Article ; Online: A survey assessing the early effects of COVID-19 pandemic on oral and maxillofacial surgery training programs.

Brar, Branden / Bayoumy, Mohamed / Salama, Andrew / Henry, Andrew / Chigurupati, Radhika

Oral surgery, oral medicine, oral pathology and oral radiology

2020 Volume 131, Issue 1, Page(s) 27–42

Abstract: Objective: The coronavirus disease 2019 (COVID-19) pandemic has specific implications for oral and maxillofacial surgeons because of an increased risk of exposure to the virus during surgical procedures involving the aerodigestive tract. The objective ... ...

Abstract	Objective: The coronavirus disease 2019 (COVID-19) pandemic has specific implications for oral and maxillofacial surgeons because of an increased risk of exposure to the virus during surgical procedures involving the aerodigestive tract. The objective of this survey was to evaluate how the COVID-19 pandemic affected oral and maxillofacial surgery (OMFS) training programs during the early phase of the pandemic. Study design: During the period April 3 to May 6, 2020, a cross-sectional survey was sent to the program directors of 95 of the 101 accredited OMFS training programs in the United States. The 35-question survey, designed by using Qualtrics software, aimed to elicit information about the impact of the COVID-19 pandemic on OMFS residency programs and the resulting specific modifications made to clinical care, PPE, and resident training/wellness. Results: The survey response rate from OMFS program directors was 35% (33 of 95), with most responses from the states with a high incidence of COVID-19. All OMFS programs (100%) implemented guidelines to suspend elective and nonurgent surgical procedures and limited ambulatory clinic visits by third week of March, with the average date being March 16, 2020 (date range March 8-23). The programs used telemedicine (40%) and modified in-person visit (51%) protocols for dental and maxillofacial emergency triage to minimize the risk of exposure of HCP to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Shortage of personal protective equipment (PPE) was experienced by 51% of the programs. Almost two-thirds (63%) of the respondents recommended the use of a filtered respirator (i.e., N95 respirator) with full-face shield and stated that it was their preferred PPE, whereas 21% recommended the use of powered air-purifying respirators (PAPRs) during OMFS procedures. Only (73%) of the programs had resources for resident wellness and stress reduction. Virtual didactic training sessions conducted on digital platforms, most commonly Zoom, formed a major part of education for all programs. Conclusions: All programs promptly responded to the pandemic by making appropriate changes, including suspending elective surgery and limiting patient care to emergent and urgent services. OMFS training programs should give more consideration to providing residents with adequate stress reduction resources to maintain their well-being and training and to minimize exposure risk during an evolving global epidemic.
MeSH term(s)	COVID-19 ; Cross-Sectional Studies ; Humans ; Pandemics/prevention & control ; SARS-CoV-2 ; Surgery, Oral ; Surveys and Questionnaires ; United States/epidemiology
Keywords	covid19
Language	English
Publishing date	2020-08-18
Publishing country	United States
Document type	Journal Article
ZDB-ID	2650843-6
ISSN	2212-4411 ; 2212-4403
ISSN (online)	2212-4411
ISSN	2212-4403
DOI	10.1016/j.oooo.2020.08.012
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Article ; Online: Treatment Algorithm for Intracranial Intrusion Injuries of the Mandibular Condyle.

Arya, Varun / Chigurupati, Radhika

Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons

2016 Volume 74, Issue 3, Page(s) 569–581

Abstract: Purpose: Traumatic injuries of the mandible resulting in intrusion of the condyle into the middle cranial fossa are rare and treatment is often based on anecdotal experience. The objective of this study was to develop an algorithm for the management of ... ...

Abstract	Purpose: Traumatic injuries of the mandible resulting in intrusion of the condyle into the middle cranial fossa are rare and treatment is often based on anecdotal experience. The objective of this study was to develop an algorithm for the management of condylar intrusion injuries by identifying factors that influenced the treatment decision of closed versus open reduction of the condyle. Materials and methods: This study was a systematic review of the literature on intracranial intrusion injuries of the mandibular condyle. A thorough search of the PubMed and Cochrane databases and individual maxillofacial and craniofacial journal databases was conducted using the Medical Subject Heading terms condylar impaction, condylar dislocation, condylar intrusion, and middle cranial fossa and condyle without date and language restriction. Quantitative data on the patient's age, gender, etiology of injury, and time from injury to diagnosis were analyzed using descriptive statistics. The authors studied how the predictor variables of age, etiology, time from injury to diagnosis, and associated neurologic injuries influenced the outcome variable of closed versus open reduction of the condyle. Results: Forty-eight of the 62 retrieved case reports, case series, and review articles were published in the English-language literature from 1963 to 2015. Data on 51 patients with these injuries showed that 38 (75%) were female and younger than 30 years. The most common etiology of injury was motor vehicular accidents, occurring in 25 of 51 patients (49%). The mean time from injury to diagnosis was 31.2 days (0 to 106.4 days). Forty of the 51 patients (78%) were diagnosed within the first 2 weeks of injury. A good proportion of patients underwent open reduction (63%) and 18 of the 51 of patients (35%) underwent closed reduction. Conclusions: Predictor variables that influenced the treatment decision of open versus closed reduction were age of the patient, etiology of injury, and time from injury to diagnosis. Based on the present results, younger patients (0 to 15 yr old), patients who sustain condylar intrusion injuries from bicycle accidents, and those diagnosed within the first 2 weeks of injury are more likely to benefit from closed reduction. The treatment algorithm emphasizes the importance of assessment of associated neurologic injuries and an interdisciplinary approach for the management of these injuries.
MeSH term(s)	Accidents, Traffic ; Age Factors ; Algorithms ; Brain Injuries/diagnosis ; Clinical Protocols ; Cranial Fossa, Middle/injuries ; Cranial Fossa, Middle/surgery ; Decision Making ; Early Diagnosis ; Humans ; Joint Dislocations/surgery ; Joint Dislocations/therapy ; Mandibular Condyle/injuries ; Mandibular Condyle/surgery ; Mandibular Fractures/surgery ; Mandibular Fractures/therapy
Language	English
Publishing date	2016-03
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	392404-x
ISSN	1531-5053 ; 0278-2391
ISSN (online)	1531-5053
ISSN	0278-2391
DOI	10.1016/j.joms.2015.09.033
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Article ; Online: Postoperative Pain and Opioid Analgesic Requirements After Orthognathic Surgery.

Mobini, Ashkan / Mehra, Pushkar / Chigurupati, Radhika

Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons

2018 Volume 76, Issue 11, Page(s) 2285–2295

Abstract: Purpose: The purpose of this study was to determine the effect of individual characteristics, such as age, gender, and type of surgery, on postoperative pain intensity and opioid analgesic consumption after orthognathic surgery.: Patients and methods!# ...

Abstract	Purpose: The purpose of this study was to determine the effect of individual characteristics, such as age, gender, and type of surgery, on postoperative pain intensity and opioid analgesic consumption after orthognathic surgery. Patients and methods: This prospective observational study was conducted at a single academic medical center during a 12-month period from 2015 to 2016. Thirty of 125 patients 18 to 65 years of age who had American Society of Anesthesiologists status I and II and were admitted to the hospital after orthognathic surgery were recruited. The main outcome variable was opioid analgesic consumption measured in morphine milligram equivalents (MME) during the patients' hospital stay. Secondary outcome variables were postoperative pain intensity measured using the numeric rating scale (0 to 10) and length of hospital stay. Data on age, gender, type of surgery, postoperative pain intensity, and opioid and nonopioid analgesic consumption for each 24-hour period during hospitalization were collected. The analgesic regimen consisted of oxycodone, hydromorphone, and acetaminophen. Differences in postoperative pain and opioid requirements between men and women, older and younger, and 1- and 2-jaw surgery were assessed using unpaired Student t test for statistical analysis. A P value less than .05 was considered statistically significant. Results: Thirty patients (14 men, 16 women) with an average age of 26.3 years (18 to 50 yr) were admitted to the hospital for an average of 61 hours (24 to 170 hours) after orthognathic surgery. Twenty-three of 30 patients (77%) had bimaxillary surgery. The average postoperative pain score was 6.0 (2 to 8.5) on a scale of 0 to 10 and average opioid consumption was 106 MME (range, 0 to 407 MME). Women reported more postoperative pain (6.3 vs 5.3) and consumed more opioid analgesic than men (131 vs 78 MME). Patients younger than 25 years required 112 MME of opioid compared with 98 MME for those older than 25 years, although the 2 age groups reported similar pain scores. Patients who had 2-jaw surgery and mandibular (1-jaw) surgery reported more pain and required more opioid analgesics than those who had only maxillary surgery. Conclusion: Based on these study results, there appears to be a trend for increased opioid analgesic requirement in women and younger patients during the immediate postoperative period after orthognathic surgery.
MeSH term(s)	Acetaminophen/administration & dosage ; Adolescent ; Adult ; Age Factors ; Aged ; Analgesics, Non-Narcotic/administration & dosage ; Analgesics, Opioid/administration & dosage ; Female ; Humans ; Length of Stay/statistics & numerical data ; Male ; Middle Aged ; Orthognathic Surgery/methods ; Oxycodone/administration & dosage ; Pain Measurement ; Pain, Postoperative/drug therapy ; Pain, Postoperative/prevention & control ; Prospective Studies ; Sex Factors ; Treatment Outcome
Chemical Substances	Analgesics, Non-Narcotic ; Analgesics, Opioid ; Acetaminophen (362O9ITL9D) ; Oxycodone (CD35PMG570)
Language	English
Publishing date	2018-05-19
Publishing country	United States
Document type	Journal Article ; Observational Study
ZDB-ID	392404-x
ISSN	1531-5053 ; 0278-2391
ISSN (online)	1531-5053
ISSN	0278-2391
DOI	10.1016/j.joms.2018.05.014
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Article ; Online: A survey assessing the early effects of COVID-19 pandemic on oral and maxillofacial surgery training programs

Brar, Branden / Bayoumy, Mohamed / Salama, Andrew / Henry, Andrew / Chigurupati, Radhika

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology ; ISSN 2212-4403

2020

Keywords	Pathology and Forensic Medicine ; Surgery ; Oral Surgery ; Dentistry (miscellaneous) ; Radiology Nuclear Medicine and imaging ; covid19
Language	English
Publisher	Elsevier BV
Publishing country	us
Document type	Article ; Online
DOI	10.1016/j.oooo.2020.08.012
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Article ; Online: A Multidisciplinary Approach and Review of Safety Recommendations for Plastic Surgeons during the COVID-19 Pandemic: Are N95 Masks Enough?

Jalisi, Scharukh / Chen, Austin D / Gomez, Ernest / Chigurupati, Radhika / Cauley, Ryan / Olbricht, Suzanne / Lee, Bernard T / Lin, Samuel J

Plastic and reconstructive surgery

2021 Volume 148, Issue 2, Page(s) 467–474

Abstract: Summary: The novel coronavirus disease of 2019 pandemic presents a unique challenge to the field of plastic and reconstructive surgery. Although plastic surgeons may be postponing elective operations, there are still a number of emergent or urgent ... ...

Abstract	Summary: The novel coronavirus disease of 2019 pandemic presents a unique challenge to the field of plastic and reconstructive surgery. Although plastic surgeons may be postponing elective operations, there are still a number of emergent or urgent procedures that may need to be performed, and surgeons may be facing the reality of returning to a new normalcy of operating with coronavirus disease of 2019. These procedures, consisting of those such as head and neck reconstruction or maxillofacial trauma, largely require a multidisciplinary approach and may be considered of higher risk to health care workers because of the involvement of areas of the body identified as sources for viral transmission. Moreover, viral transmission may potentially extend beyond respiratory secretions, which has been the main focus of most safety precautions. The authors aim to present the scope of these procedures and the means of viral transmission, and to provide safety precaution recommendations for plastic surgery and its related disciplines.
MeSH term(s)	COVID-19/diagnosis ; COVID-19/prevention & control ; COVID-19/transmission ; Emergencies ; Humans ; N95 Respirators ; Occupational Health/standards ; Patient Care Team ; Plastic Surgery Procedures ; Surgery, Plastic
Language	English
Publishing date	2021-08-18
Publishing country	United States
Document type	Journal Article
ZDB-ID	208012-6
ISSN	1529-4242 ; 0032-1052 ; 0096-8501
ISSN (online)	1529-4242
ISSN	0032-1052 ; 0096-8501
DOI	10.1097/PRS.0000000000008177
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Article: Orthognathic surgery for secondary cleft and craniofacial deformities.

Chigurupati, Radhika

Oral and maxillofacial surgery clinics of North America

2005 Volume 17, Issue 4, Page(s) 503–517

Abstract: Orthognathic surgery is a critical component of surgical management of craniofacial deformities such as cleft lip and palate, craniofacial dysostoses, and mandibulofacial dysostoses. These operations can correct discrepancy in jaw relationship and ... ...

Abstract	Orthognathic surgery is a critical component of surgical management of craniofacial deformities such as cleft lip and palate, craniofacial dysostoses, and mandibulofacial dysostoses. These operations can correct discrepancy in jaw relationship and malocclusion, relieve airway obstruction, correct facial asymmetry, optimize facial aesthetics, improve speech articulation, improve ability to masticate, and enhance psychological development and social interaction. Oral and maxillofacial surgeons who treat these deformities should be part of a craniofacial team to provide interdisciplinary care for patients. Distraction osteogenesis is a useful technique in the management of severe craniofacial deformities but does not replace conventional orthognathic surgery, which is safe and predictable. Recent advances in three-dimensional imaging and planning tools have made it possible to plan surgery more accurately and predictably.
Language	English
Publishing date	2005-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	1316546-x
ISSN	1558-1365 ; 1042-3699
ISSN (online)	1558-1365
ISSN	1042-3699
DOI	10.1016/j.coms.2005.08.001
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