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JAYPEE JOURNALS
International Scientific Journals from Jaypee
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List of All Articles
1.  REVIEW ARTICLE
A Practical Approach for Learning Rhinoplasty Surgery
Lee J Kaplowitz, Eric M Joseph
[Year:2016] [Month:January-March] [Volume:7 ] [Number:1] [Pages:56] [Pages No:33-46] [No of Hits : 2269]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10001-1262 | FREE

ABSTRACT

Rhinoplasty surgery is a procedure well suited for otolaryngology residents to incorporate in their training and subsequent practices of medicine. We detail a practical approach for learning rhinoplasty which may commence during residency. The resident learns to conduct a proper consultation, preoperative evaluation, surgical procedure, and follow-up care for the prospective rhinoplasty patient. The history of rhinoplasty, and modern rhinoplasty techniques is discussed, and suggestions are made for residents to successfully incorporate learning rhinoplasty surgery during their otolaryngology training.

Keywords: Otolaryngology, Residency, Rhinoplasty.

How to cite this article: Kaplowitz LJ, Joseph EM. A Practical Approach for Learning Rhinoplasty Surgery. Int J Head Neck Surg 2016;7(1):33-46.

Source of support: Nil

Conflict of interest: None

 
2.  REVIEW ARTICLE
Tonsillectomy and Adenoidectomy: Current Techniques and Outcomes
Saurabh Sharma, Steven Andreoli, Gary D Josephson
[Year:2016] [Month:April-June] [Volume:7 ] [Number:2] [Pages:91] [Pages No:104-108] [No of Hits : 650]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10001-1273 | FREE

ABSTRACT

Tonsillectomy and Adenoidectomy continues to be one of the most commonly performed surgical procedures in the pediatric population with over 500,000 procedures performed annually. Decreasing pain, maintaining hydration, and minimizing the risk of post operative hemorrhage has brought attention to novel surgical technique and instrumentation. Electro-cautery remains the most common technique used across the United States, however newer technologies have evolved claiming improved recovery with expedited return to normal activity and diet. The current literature remains of significant debate as to the modality that offers the best outcomes. In this review, we describe some of the newer technologies and more common modalities used in practice and discuss the current literature findings.

Keywords: Adenoidectomy, Hemorrhage, Pain, Tonsillectomy.

How to cite this article: Sharma S, Andreoli S, Josephson GD. Tonsillectomy and Adenoidectomy: Current Techniques and Outcomes. Int J Head Neck Surg 2016;7(2):104-108.

Source of support: Nil

Conflict of interest: None

 
3.  ORIGINAL ARTICLE
Surgical Planning for Resection and Reconstruction of Facial Cutaneous Malignancies
Evren Erkul, Krishna G Patel, Terry Day
[Year:2016] [Month:July-September] [Volume:7 ] [Number:3] [Pages:42] [Pages No:149-164] [No of Hits : 561]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10001-1281 | FREE

ABSTRACT

Skin cancer can be categorized into cutaneous melanoma and nonmelanoma skin cancer (NMSC). The latter includes such histologies as Merkel cell carcinoma (MCC), basal cell carcinoma (BCC), and squamous cell carcinoma (SCC). Of these, BCC and SCC are the most common skin cancers of the head and neck while malignant melanoma is the most aggressive. Sunscreen protection and early evaluation of suspicious areas remain the first line of defense against all skin cancers. When prevention fails, the gold standard of skin cancer management involves a multidisciplinary approach which takes into account tumor location, stage and biology of disease, and availability of resources. Proper diagnosis, staging, and treatment planning must all be addressed prior to initiating interventions. When surgery is indicated, facial reconstruction is a key aspect of the overall treatment plan and requires informed forethought as well as experience and skill. Here, we present an overview of surgical reconstruction recommendations and considerations for the subsites involved in head and neck skin cancer.

Keywords: Cutaneous, Facial, Reconstruction, Skin cancer, Surgical, Treatment.

How to cite this article: Erkul E, Patel KG, Day T. Surgical Planning for Resection and Reconstruction of Facial Cutaneous Malignancies. Int J Head Neck Surg 2016;7(3):149-164.

Source of support: Nil

Conflict of interest: None

 
4.  ORIGINAL ARTICLE
Management of the Crooked Nose
Jessica W Scordino, Frederick J Stucker
[Year:2016] [Month:July-September] [Volume:7 ] [Number:3] [Pages:42] [Pages No:168-172] [No of Hits : 526]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10001-1283 | FREE

ABSTRACT

Aim: To describe an approach for the diagnosis and management of patients presenting with crooked nose.

Background: Patients with crooked nose suffer from functional ailments, most significant nasal obstruction, as well as esthetic concerns which may impact their self-image as well as others’ perception of them. As such, management of the crooked nose is an especially challenging task in that it demands careful attention to both nasal function and appearance. There are a plethora of surgical techniques which may be utilized, and the surgeon’s approach must be tailored to each individual patient’s presentation.

Technique: Accurate diagnosis is imperative for a successful outcome and relies on a thorough history and careful physical examination. Surgical intervention may be addressed by either an endonasal or open approach based on the location and severity of the deformity. It is helpful to break down the nose in vertical thirds when planning your surgical approach. Different techniques are used to address the upper third comprising the nasal bones, middle third composed of the upper lateral cartilages and septum, and the lower third composed of the lower lateral cartilages and caudal septum.

Conclusion: Management of the crooked nose is a technically challenging endeavor that highlights the need to address both form and function for a successful outcome. Effective treatment can significantly improve a patient’s quality of life leading to a high level of satisfaction for both the patient and the surgeon.

Keywords: Crooked nose, Deviated nose, Nasal trauma, Rhinoplasty.

How to cite this article: Scordino JW, Stucker FJ. Management of the Crooked Nose. Int J Head Neck Surg 2016;7(3):168-172.

Source of support: Nil

Conflict of interest: None

 
5.  Case Report
Oral Commissure Defect Reconstruction with Modified Biflanged Submental Artery Island Flap
Anju Mathai, Satheesan Balasubramanian, Sajith Babu
[Year:2015] [Month:January-March] [Volume:6 ] [Number:1] [Pages:44] [Pages No:38-40] [No of Hits : 1101]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10001-1218 | FREE

ABSTRACT

Reconstruction of defects in the commissure region with buccal and lip defects is difficult to reconstruct with regional flap. A case report of a case reconstructed with a new design of the submental flap is described with its advantages.

Keywords: Oral cancer, Commissure, Submental flap.

How to cite this article: Mathai A, Balasubramanian S, Babu S. Oral Commissure Defect Reconstruction with Modified Biflanged Submental Artery Island Flap. Int J Head Neck Surg 2015;6(1):38-40.

Source of support: Nil

Conflict of interest: None

 
6.  Research Article
Alteration in Activation Pattern of Neck Muscles in Patients with Chronic Neck Pain
Rajwant Kaur Chahal, Pravin Kumar
[Year:2015] [Month:January-March] [Volume:6 ] [Number:1] [Pages:44] [Pages No:1-7] [No of Hits : 1100]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10001-1207 | FREE

ABSTRACT

Objective: The aim of this study was to investigate activation pattern of neck muscles in patients with chronic neck pain of nontraumatic origin during static tasks.

Materials and methods: Fifteen normal subjects were taken in group A and 15 patients with chronic neck pain of nontraumatic origin were taken in group B. Electromyography (EMG) activity was recorded from the sternocleidomastoid, anterior scalene, levator scapulae and upper trapezius muscles. Percentage maximum voluntary isometric contraction were calculated during static tasks, which included shoulder abduction to 90° and hold, shrug and hold, craniocervical flexion and hold.

Results: There was no significant (p > 0.05) difference found in activation pattern of neck muscles when we compared right and left sides within groups A and B. But when we compared between groups, group B showed a significant (p < 0.05) increased activation pattern in anterior scalene, sternocleidomastoid, upper trapezius compared to normal subject’s neck muscles except levator scapulae which shows no significant difference between groups.

Conclusion: It is concluded from the study that, in patient of nontraumatic origin of chronic neck pain, all the patients showed a significant increased level of EMG activity in neck muscles during performance of static activities as compared to asymptomatic controls.

Keywords: EMG, Cervical muscles, Cervical radiculopathy, Movement dysfunction.

How to cite this article: Chahal RK, Kumar P. Alteration in Activation Pattern of Neck Muscles in Patients with Chronic Neck Pain. Int J Head Neck Surg 2015;6(1):1-7.

Source of support: Nil

Conflict of interest: None

 
7.  Case Report
Unusual Presentation of Papillary Thyroid Carcinoma
Marina Saldanha, K Biniyam, Harish S Permi, Vadisha Srinivas Bhat
[Year:2015] [Month:January-March] [Volume:6 ] [Number:1] [Pages:44] [Pages No:32-34] [No of Hits : 1061]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10001-1216 | FREE

ABSTRACT

Papillary thyroid carcinoma (PTC) has the highest incidence of cervical lymph node metastasis among thyroid malignancies. Lateral neck swelling as the only manifestation of PTC in the absence of palpable thyroid lesion is not common. Here, we report a case of an adult female who presented with right cervical mass and excision biopsy revealed metastatic papillary carcinoma of thyroid. Total thyroidectomy with central compartment neck dissection was performed, and histopathology showed multifocal PTC.

Keywords: Papillary carcinoma, Thyroid, Cervical lymph node, Metastasis.

How to cite this article: Saldanha M, Biniyam K, Permi HS, Bhat VS. Unusual Presentation of Papillary Thyroid Carcinoma. Int J Head Neck Surg 2015;6(1):32-34.

Source of support: Nil

Conflict of interest: None

 
8.  Case Report
Lingual Hematoma: A Rare Cause of Upper Airway Obstruction
Eurico Costa, Hugo Estibeiro, Miguel Magalhaes
[Year:2015] [Month:January-March] [Volume:6 ] [Number:1] [Pages:44] [Pages No:41-44] [No of Hits : 1032]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10001-1219 | FREE

ABSTRACT

Introduction: The authors present a case report of a patient with a lingual hematoma treated in the otolaryngology department of portuguese institute of oncology, lisbon, followed by a brief literature review.

Case report: A case of a 43 years old female with a diagnosis of acute lymphoblastic leukemia since 2007, submitted to allograft bone marrow transplantation in 2008 at the Portuguese Oncology Institute, Lisbon. With diagnosis of recurrence since May 2011, she was hospitalized in October 2011, due to a lower gastrointestinal bleeding in the context of a cytomegalovirus colitis associated with pancytopenia. During hospitalization, the patient experienced a tonic-clonic seizure. Less than 12 hours after this episode, the patient developed a massive lingual hematoma. Despite exuberant macroglossia and tongue proptosis, the patient showed no signs of active bleeding or severe dyspnea and was submitted to conservative medical treatment.

Discussion: Lingual hematoma has many causes, being trauma and hemorrhagic dyscrasias among the most frequent. The first therapeutic objective should be evaluated and guaranted upper airway patency. Once the airway is secured, hemorrhage and hematoma should be treated according to its etiology. This can be achieved with conservative medical therapy, intervention radiology or surgery.

Conclusion: Lingual hematoma is as rare as potentially fatal. Prompt recognition and management is critical for a favorable outcome.

Keywords: Lingual hematoma, Upper airway obstruction, Causes, Clinical management.

How to cite this article: Costa E, Estibeiro H, Magalhães M. Lingual Hematoma: A Rare Cause of Upper Airway Obstruction. Int J Head Neck Surg 2015;6(1):41-44.

Source of support: Nil

Conflict of interest: None

 
9.  ORIGINAL RESEARCH
Synovial Sarcoma of the Floor of the Mouth: A Rare Clinical Entity with Review of Literature
A Nanjundappa, Sudhir M Naik, Rajshekar Halkud, Purshottam Chavan, KT Siddappa, Siddharth Biswas
[Year:2015] [Month:April-June] [Volume:6 ] [Number:2] [Pages:57] [Pages No:49-52] [No of Hits : 1014]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10001-1221 | FREE

ABSTRACT

Background: Head and neck synovial sarcoma (SS) amounts to 6.8% of all total body SS, with high incidences in the hypopharynx, postpharyngeal region and the parapharyngeal space. Also, incidences of SS in the tongue, soft palate, mandible, buccal mucosa, floor of the mouth, lungs, thymus, trunk and posterior peritoneum are reported.

Case report: We report a case of 12-year-old girl with swelling in the floor of the mouth for 2 months. The patient had difficulty in speech, tongue movements, poor oral hygiene due to food residue collecting around the tumor in the floor of the mouth. A smooth 4 × 4 cm globular mass arising from the floor of the mouth with the fine needle aspiration cytology (FNAC) as spindle cell neoplasm. Wide excision and immunohistology confirmed it as calcified synovial sarcoma, hence postoperative chemotherapy was given. There is no recurrence for the past 3 years.

Conclusion: Synovial sarcoma is a rare tumor in the oral cavity, which is slow growing and of variable aggressiveness. Immunohistological analysis confirming the diagnosis and wide surgical excision with adjuvant chemotherapy is the modality preferred in these cases. Recurrence is common in the first 2 years of therapy but can occur later also.

Keywords: floor of the mouth, metastasis, recurrence, Synovial sarcoma.

How to cite this article: Nanjundappa A, Naik SM, Halkud R, Chavan P, Siddappa KT, Biswas S. Synovial Sarcoma of the Floor of the Mouth: A Rare Clinical Entity with Review of Literature. Int J Head Neck Surg 2015;6(2):49-52.

Source of support: Nil

Conflict of interest: None

 
10.  Case Report
Castleman's Disease: An Orphan Lymphoproliferative Disorder
Pratik Dipak Shah, Yogendra Chauhan, Srijon Mukherji
[Year:2015] [Month:January-March] [Volume:6 ] [Number:1] [Pages:44] [Pages No:20-22] [No of Hits : 909]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10001-1212 | FREE

ABSTRACT

Castleman’s disease (CD) is a rare, benign disease of unknown cause that induces reactive lymph node hyperplasia. The disease was first defined by Dr Benjamin Castleman. It is an unusual cause of a neck mass. The goal of this paper is to report a rare case of Castleman’s disease at unusual site (level IB) and discuss its management.

Keywords: Castleman’s disease, Benign, Lymph node, Hyperplasia.

How to cite this article: Shah PD, Chauhan Y, Mukherji s. Castleman’s Disease: An Orphan Lymphoproliferative Disorder. Int J Head Neck Surg 2015;6(1):20-22.

Source of support: Nil

Conflict of interest: None

 
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