International Journal of Head and Neck Surgery

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2022 | April-June | Volume 13 | Issue 2

RESEARCH ARTICLE

KU Raghavendra Prasad, PR Belure Gowda, MV Vinay Kumar, TS Ramitha

Extracranial Head and Neck Schwannomas: An Institutional Experience

[Year:2022] [Month:April-June] [Volume:13] [Number:2] [Pages:6] [Pages No:63 - 68]

Keywords: Extracranial, Nerve of origin, Schwannoma, Single institution

   DOI: 10.5005/jp-journals-10001-1535  |  Open Access |  How to cite  | 

Abstract

Extracranial schwannomas of the head and neck domain are rare neoplasms. Most of the time, these tumors occur as asymptomatic neck swellings which masquerade as cervical lymphadenopathy, carotid body tumors, bronchial cyst, and vallecular cyst. We present 10 cases of head and neck schwannomas that have been treated and followed up between June 2006 and March 2020 in the Department of Otorhinolaryngology of Hassan Institute of Medical Sciences, Hassan, Karnataka State, India. These patients have been retrospectively reviewed. The main aim of the study is to know the nerve of origin (NOO) preoperatively and on the table. Also to know the unusual sites of schwannoma in the head and neck domain. The age-group between 10 and 50 years and female predominance of 60%. Seven patients presented with neck swelling and three patients with pressure symptoms. Preoperative diagnosis is mainly on clinical suspicion. Radiological imaging like CT scan/MRI may be helpful in diagnosis. FNAC is an adjunctive tool for diagnosis. Among 10 patients NOO could make out in seven patients. Three from the sympathetic, three from the vagus, and one from the internal laryngeal nerve. In three patients, NOO could not make out. Intracapsular dissection of the tumor with preservation of the NOO is the most recent common modality of treatment. Neurological deficit after tumor excision is common in large tumor excision. Early recognition and treatment are best for the preservation of NOO.

REVIEW ARTICLE

Manu Rathee, Maqbul Alam, Sanju Malik

Role of Maxillofacial Prosthodontist as a Member of Interdisciplinary Oncology Team in Oral and Maxillofacial Rehabilitation: A Brief Review

[Year:2022] [Month:April-June] [Volume:13] [Number:2] [Pages:4] [Pages No:69 - 72]

Keywords: Head and neck cancer, Maxillofacial prosthetics, Surgical oncology

   DOI: 10.5005/jp-journals-10001-1530  |  Open Access |  How to cite  | 

Abstract

With advancements in the treatment protocol of oral cancer, the survival rate of these patients has dramatically increased. Rehabilitation for people with oral cancer extends beyond orofacial prosthesis reconstruction to include offering comprehensive care by combining specialties. In the diagnosis and treatment of patients, maxillofacial prosthodontists (MFPs) should be a part of the team of consultants. The MFP is an important member of the multidisciplinary team that coordinates the treatment. The prosthodontist must monitor the patient closely. Be conversant with the various hospital protocols and the patient's medical health. He is best qualified to assist the surgeon with prosthetics by making facial moulages and surgical stents to aid recuperation. To improve the prosthesis’ retention, stability, and support, recommendations might be made to preserve tissues or reinforce existing anatomical features. Collaboration with a speech pathologist to learn about the mechanics and physiology of speech can help in the construction of a prosthesis that meets resonance, phonation, and articulation needs.

CASE REPORT

Larissa B Zavarez

Complications of Flap Fibula Osteomyocutaneous in Pediatric Patients

[Year:2022] [Month:April-June] [Volume:13] [Number:2] [Pages:4] [Pages No:73 - 76]

Keywords: Flap fibular, Mandible, Reconstruction

   DOI: 10.5005/jp-journals-10001-1427  |  Open Access |  How to cite  | 

Abstract

Introduction: Defects in the mandible or maxilla are usually obtained from broad resections of advanced oral cancer, benign tumors of aggressive clinical course, or accidents. These defects require the replacement of tissue lost by similar characteristics tissue preserving the quality of life of patients through rehabilitation of function and esthetics. This flap provides a greater volume of bone tissue grafts from all bone and generates little morbidity in the donor site is capable of undergoing multiple osteotomies by modeling. This flap provides the greatest amount of bone tissue between all bone grafts; causes little morbidity in the donor area, lending itself also to modeling by osteotomies, allowing its adaptation to any defect. Materials and methods: A retrospective study evaluating the medical records from 1995 to 2014 the medical records of nine patients undergoing reconstructive treatment with flap fibular. Discussion: The reconstruction with microsurgical flap fibular technique used can progress to a partial or total loss of the flap, as well as an esthetic and functional sequel in the recipient area and donor, which varies with the flap selected, this study had no failure of clinical cases. Results: Complications were minimal, there were four (33%) of patients. Conclusion: Complications were of minimal complexity and resolved. There was no flap fibula rejection in any case. This shows that the protocol and the results obtained by the team in reconstructive surgery with osteomyocutaneous fibular graft are within the biological and protocol standards of service.

CASE REPORT

Satnam S Jolly

First Bite Syndrome Presenting as Initial Symptom of Soft Tissue Mass in Base of Tongue and Pharyngeal Space Lead to Diagnosis of Squamous Cell Carcinoma Invading Trachea and Esophagus: A Rare Case Report

[Year:2022] [Month:April-June] [Volume:13] [Number:2] [Pages:3] [Pages No:77 - 79]

Keywords: Carcinoma, First bite, Hypopharyngeal cancer, Neck mass, Pain, Pathology

   DOI: 10.5005/jp-journals-10001-1412  |  Open Access |  How to cite  | 

Abstract

First bite syndrome (FBS) is considered as a development of pain in the preauricular region triggered by gustatory stimuli. It has been mostly associated with surgery of the parapharyngeal space, parotid gland, and upper neck. This hypersensitivity is thought to elicit a supramaximal contraction of myoepithelial cells during the first bite of a meal that subsides with continued masticatory action. We are reporting a rare case of preauricular pain after first bite of meal that leads to the diagnosis of squamous cell carcinoma invading the trachea and esophagus.

HISTORICAL

Aishan Patil, John Paul Leach

‘All Out of Tune’: Is it Curtains for the Tuning Fork?

[Year:2022] [Month:April-June] [Volume:13] [Number:2] [Pages:2] [Pages No:80 - 81]

   DOI: 10.5005/jp-journals-10001-1528  |  Open Access |  How to cite  | 

Book Review

Christopher de Souza

Head and Neck Endocrine Surgery: A comprehensive textbook, surgical and video atlas

[Year:2022] [Month:April-June] [Volume:13] [Number:2] [Pages:1] [Pages No:82 - 82]

   DOI: 10.5005/ijhns-13-2-82  |  Open Access |  How to cite  | 

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