International Journal of Head and Neck Surgery

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2013 | September-December | Volume 4 | Issue 3

EDITORIAL

Editorial

[Year:2013] [Month:September-December] [Volume:4] [Number:3] [Pages:1] [Pages No:0 - 0]

PDF  |  DOI: 10.5005/ijhns-4-3-v  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

Pankaj Chaturvedi, Poonam Joshi

Partial Bipaddling of PMMC Flap in Full Thickness Cheek Defects involving Lip Commissure: A Novel Technique

[Year:2013] [Month:September-December] [Volume:4] [Number:3] [Pages:2] [Pages No:113 - 114]

PDF  |  DOI: 10.5005/jp-journals-10001-1155  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Chaturvedi P, Joshi P. Partial Bipaddling of PMMC Flap in Full Thickness Cheek Defects involving Lip Commissure: A Novel Technique. Int J Head Neck Surg 2013;4(3):113-114.

RESEARCH ARTICLE

Gauri G Dhumal, Prakash C Gupta

Assessment of Gutka Ban in Maharashtra: Findings from a Focus Group Discussion

[Year:2013] [Month:September-December] [Volume:4] [Number:3] [Pages:4] [Pages No:115 - 118]

PDF  |  DOI: 10.5005/jp-journals-10001-1156  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Dhumal GG, Gupta PC. Assessment of Gutka Ban in Maharashtra: Findings from a Focus Group Discussion. Int J Head Neck Surg 2013;4(3):115-118.

RESEARCH ARTICLE

Maniyar U Amit, Harshid Laxmanbhai Patel, BH Parmar

Study of Cytodiagnosis of Head and Neck Neoplastic Lesions and Comparison with Histopathology

[Year:2013] [Month:September-December] [Volume:4] [Number:3] [Pages:4] [Pages No:119 - 122]

PDF  |  DOI: 10.5005/jp-journals-10001-1157  |  Open Access |  How to cite  | 

Abstract

Introduction

The development of aspiration cytology is one of the biggest advances in anatomic pathology. Cancer has become one of the 10 leading causes of death in India. Head and neck neoplasia is a major form of cancer in India, accounting for 23% of all cancers in males and 6% in females. The advantages of fine needle aspiration cytology (FNAC) are: it is safe, sensitive and specific for the diagnosis of malignancy, gives a rapid report, requires little equipment, causes minimal discomfort to the patient, is an out patient procedure, repeatable and cost effective avoids the use of frozen section, reduces the rate of exploratory procedures and allows a definitive diagnosis of inoperable cases. FNAC is of particular relevance in head and neck lesions because of easy assessibility, excellent patient compliance, minimally invasive nature of procedure and helping to avoid surgery in non-neoplastic lesions, inflammatory conditions and also some tumors.

Aims and objectives

To test the utility of FNAC, to establish the diagnostic accuracy of cytology by comparison with histopathology diagnosis and to establish the sensitivity and specificity of this technique in head and neck neoplastic lesion.

Materials and methods

The present study was undertaken in the Department of Pathology, Government Medical College and Hospital, Nashik, between January 2008 and June 2009.

Results

In the present study, maximum number of aspirates from head and neck neoplastic lesions were found to be of lymph nodes (56.37%). Of the total 378 cases, 71.69% were malignant. 6th decade was the most common age group affected (26.46%). Mean age group was found to be 45.84 years. Males were more commonly affected (65.34%). The male to female ratio was 1.8:1. Out of 92 cases available for follow-up, 85.87% of the cases were same as histopathological diagnosis.

Summary and conclusion

Excisional biopsy remains the gold standard for diagnosis of head and neck neoplastic lesion, cytological study can establish the diagnosis of the majority of head and neck neoplastic lesions and can be recommended as an adjunct to histopathology.

How to cite this article

Amit MU, Patel HL, Parmar BH. Study of Cytodiagnosis of Head and Neck Neoplastic Lesions and Comparison with Histopathology. Int J Head Neck Surg 2013; 4(3):119-122.

CASE REPORT

Aradhana Mishra, V Jayalakshmi, Nitin P Chikhale, Richa D Patel, Susan Cherian, Uma Pankaj Chaturvedi

Neurilemmoma of the Hard Palate: Report of a Case and Review of Literature

[Year:2013] [Month:September-December] [Volume:4] [Number:3] [Pages:3] [Pages No:123 - 125]

PDF  |  DOI: 10.5005/jp-journals-10001-1158  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Chikhale NP, Mishra A, Patel RD, Chaturvedi UP, Jayalakshmi V, Cherian S. Neurilemmoma of the Hard Palate: Report of a Case and Review of Literature. Int J Head Neck Surg 2013;4(3):123-125.

CASE REPORT

Anirudh Kaul, Parmod Kalsotra

Extranodal B Cell Lymphoma Spreading from Skin to Oral Cavity

[Year:2013] [Month:September-December] [Volume:4] [Number:3] [Pages:3] [Pages No:126 - 128]

PDF  |  DOI: 10.5005/jp-journals-10001-1159  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Kaul A, Kalsotra P. Extranodal B Cell Lymphoma Spreading from Skin to Oral Cavity. Int J Head Neck Surg 2013;4(3):126-128.

CASE REPORT

KJ Shinde

Complete Second Branchial Fistula: A Study of Four Cases

[Year:2013] [Month:September-December] [Volume:4] [Number:3] [Pages:4] [Pages No:129 - 132]

PDF  |  DOI: 10.5005/jp-journals-10001-1160  |  Open Access |  How to cite  | 

Abstract

Objective

Complete branchial cleft fistulae are rare anomalies of branchial cleft apparatus. Incomplete fistulae are more common to occur which may not be symptomatic at all and neglected as it do not give rise to recurrent infection. W hile complete brancial fistula gives persistent symptom of discharge from the fistula. This is a report of four cases of complete branchial fistulae which were diagnosed and treated surgically in a span of 2 years in the Department of ENT, Head and Neck Surgery, Rural Medical College and Pravara Rural Hospital, Loni. The main objective of this report is the use of fistulogram for the diagnosis and complete excision of fistula including the both inner and outer ends of fistulae.

Case report

Four cases were reported in the age group between 11 and 22 years who presented with an intermittent mucoid discharge from an external opening in the neck since birth with right to left ratio being 4:1 and male:female ratio being 1:1 and were diagnosed to have a second branchial cleft fistula. A preoperative fistulogram revealed the tracts up to the tonsillar fossa with connection over the skin surface in the neck. Complete excision of the tracts were done by a two-step or step ladder neck incision.

Conclusion

Though second branchial fistulae are common, complete fistulae are rare with its complete excision. The report also stresses on the importance of a preoperative fistulogram for the preoperative diagnosis and correct complete surgical treatment.

How to cite this article

Shinde KJ. Complete Second Branchial Fistula: A Study of Four Cases. Int J Head Neck Surg 2013;4(3):129-132.

CASE REPORT

Hitendra Prakash Singh, SP Agarwal, Nidhi Verma, Madhukar Vashistha, Amit Chaddha, Suresh Babu

Schwannoma Base of Tongue: Report of a Rare Case and Review of Literature

[Year:2013] [Month:September-December] [Volume:4] [Number:3] [Pages:3] [Pages No:133 - 135]

PDF  |  DOI: 10.5005/jp-journals-10001-1161  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Singh HP, Kumar S, Verma N, Vashistha M, Chaddha A, Agarwal SP, Babu S. Schwannoma Base of Tongue: Report of a Rare Case and Review of Literature. Int J Head Neck Surg 2013;4(3):133-135.

CASE REPORT

Srijon Mukherji, Hemant Aggarwal

A Simple Technique of preventing Pressure Sores of the Nasal Ala during Prolonged Nasoendotracheal Intubation with Armored Tube

[Year:2013] [Month:September-December] [Volume:4] [Number:3] [Pages:1] [Pages No:136 - 136]

PDF  |  DOI: 10.5005/jp-journals-10001-1162  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Mukherji S, Aggarwal H. A Simple Technique of preventing Pressure Sores of the Nasal Ala during Prolonged Nasoendotracheal Intubation with Armored Tube. Int J Head Neck Surg 2013;4(3):136.

CASE REPORT

Philip John Kottaram, S Vinayababu, Khaji Mohammed Tanveer

Diphtheria Resurgence: Where did We fail?

[Year:2013] [Month:September-December] [Volume:4] [Number:3] [Pages:3] [Pages No:137 - 139]

PDF  |  DOI: 10.5005/jp-journals-10001-1163  |  Open Access |  How to cite  | 

Abstract

Objective

This report aims at highlighting the persistence of diphtheria in India and the need for better vaccine coverage of both primary as well as booster doses and accessibility of antidiphtheric serum (ADS) at all tertiary medical centers.

Case report

An 11-year-old girl, previously unimmunized against diphtheria, presented with history of fever, cough, difficulty in swallowing and change in voice within 1 week duration. Examination revealed bilaterally enlarged tonsils with a grayish white patch over them. A provisional diagnosis of faucial diphtheria and the patient was started on antibiotics.

Next day, child developed respiratory distress and generalized swelling over the neck. An emergency tracheotomy was performed, and shifted to a center where ADS was available. She received 5 doses of ADS but succumbed to myocarditis 5 days later. Membranous patches removed from the trachea were positive for Corynebacterium diphtheriae and the diagnosis was confirmed by culture.

Conclusion

Vaccination coverage for both primary as well as boosters should be improved, so as to reach coverage advocated by WHO. All tertiary hospitals should have ADS. Health care personal should be sensitized to maintain a high degree of suspicion when presented with a patch over the tonsil.

How to cite this article

Chandrakala S, Vinayababu S, Kottaram PJ, Tanveer KM. Diphtheria Resurgence: Where did We fail? Int J Head Neck Surg 2013;4(3):137-139.

CASE REPORT

BD Krishnappa

Endoscopic Removal of an Unusual Foreign Body in the Nasopharynx in a 3-Year-Old Child

[Year:2013] [Month:September-December] [Volume:4] [Number:3] [Pages:2] [Pages No:140 - 141]

PDF  |  DOI: 10.5005/jp-journals-10001-1164  |  Open Access |  How to cite  | 

Abstract

Objective

Reporting a rare case of impacted foreign body (wood piece) in the nasopharynx in a 3-year-old female child of 6 cm size and its endoscopic removal.

Case report

A 3-year-old female child was brought by her parents with history of purulent right nasal discharge, nasal obstruction and fever for the past 3 months. Anterior rhinoscopic examination shows purulent right nasal discharge. Diagnostic endoscopy showed a foreign body in the nasopharynx. Under GA using nasal endoscope a foreign body was found to be wooden piece and the same was removed. The removed foreign bo dy was measu red and fou nd to be of 6 c m in size. Postoperative period was uneventful.

Conclusion

Foreign body of 6 cm size in the nasopharynx in a 3-year-old child has not been reported in ‘world medical literature’. This case has been reported due to its rarity, difficulty in diagnosis and removal.

How to cite this article

Krishnappa BD. Endoscopic Removal of an Unusual Foreign Body in the Nasopharynx in a 3-Year-Old Child. Int J Head Neck Surg 2013;4(3):140-141.

CASE REPORT

Ravi Meher, Kanika Rana, Eishaan Kamta Bhargava

Foreign Body Pyriform Sinus: A Rare Presentation

[Year:2013] [Month:September-December] [Volume:4] [Number:3] [Pages:3] [Pages No:142 - 144]

PDF  |  DOI: 10.5005/jp-journals-10001-1165  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Rana K, Meher R, W adhwa V, Bhargava EK. Foreign Body Pyriform Sinus: A Rare Presentation. Int J Head Neck Surg 2013;4(3):142-144.

CASE REPORT

Abhishek Vaidya, Anup Sunil Tamhankar

A Rare Presentation of Euthyroid Orbitopathy in Papillary Thyroid Carcinoma

[Year:2013] [Month:September-December] [Volume:4] [Number:3] [Pages:3] [Pages No:145 - 147]

PDF  |  DOI: 10.5005/jp-journals-10001-1166  |  Open Access |  How to cite  | 

Abstract

Key message

Its important to rule out coexisting thyroid cancer in patient presenting with orbitopathy even if euthyroid. Orbitopathy may regress after thyroidectomy. Association of thyroid cancer, autoimmunity and orbitopathy is still to be proven due to lack of large case series.

How to cite this article

Chaturvedi P, Vaidya A, Tamhankar AS. A Rare Presentation of Euthyroid Orbitopathy in Papillary Thyroid Carcinoma. Int J Head Neck Surg 2013;4(3):145-147.

CASE REPORT

Prabodh Karnik, Anuja Santosh Kulkarni, Uma Nataraj

Post-traumatic Immediate onset Facial Palsy-delayed Exploration with Complete Recovery

[Year:2013] [Month:September-December] [Volume:4] [Number:3] [Pages:4] [Pages No:148 - 151]

PDF  |  DOI: 10.5005/jp-journals-10001-1167  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Kulkarni AS, Karnik P, Nataraj U. Post-traumatic Immediate onset Facial Palsy-delayed Exploration with Complete Recovery. Int J Head Neck Surg 2013;4(3):148-151.

CASE REPORT

Asif Loya, Imrana Tanvir, Sabiha Riaz, Haseeb Ahmed Khan, Khubaib Shahid

Mesenchymal Chondrosarcoma arising in the Central Nervous System: A Diagnostic Pitfall

[Year:2013] [Month:September-December] [Volume:4] [Number:3] [Pages:4] [Pages No:152 - 155]

PDF  |  DOI: 10.5005/jp-journals-10001-1168  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Tanvir I, Riaz S, Khan HA, Loya A, Shahid K. Mesenchymal Chondrosarcoma arising in the Central Nervous System: A Diagnostic Pitfall. Int J Head Neck Surg 2013;4(3):152-155.

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