International Journal of Head and Neck Surgery

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2014 | January-April | Volume 5 | Issue 1

EDITORIAL

Apurva Garg

Editorial

[Year:2014] [Month:January-April] [Volume:5] [Number:1] [Pages:1] [Pages No:0 - 0]

PDF  |  DOI: 10.5005/ijhns-5-1-v  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

Tahir Hussain

Effectiveness of Local Hemostatic Agents in Epistaxis

[Year:2014] [Month:January-April] [Volume:5] [Number:1] [Pages:5] [Pages No:1 - 5]

PDF  |  DOI: 10.5005/jp-journals-10001-1169  |  Open Access |  How to cite  | 

Abstract

Background

Epistaxis is the commonest otorhinolaryngological emergency affecting up to 60% of the population in their lifetime with 6% requiring medical attention.

Objective

The aim of this study was to find out the epidemiological profile of epistaxis in our area and to find out the effectiveness of various available eight treatment options.

Materials and methods

This study was conducted to describe the etiological profile and treatment outcome of epistaxis. This was a prospective study of the cases of epistaxis from July 2012 to May 2013. Till date, the data regarding the management of epistaxis in our setting was not available. The purpose was to evaluate the clinical and management options for epistaxis in our settings.

Results

A total of 100 patients with epistaxis were studied. Males were affected twice more than the females (2.6:1). Their mean age was 48.63 years (4-82 years). The commonest cause of epistaxis was idiopathic (33%) followed by trauma (21%) and hypertension (18%). Nonsurgical measures, such as light packing with cotton gauze soaked with local hemostatic (hemocoagulase) and antiseptic/antibiotic (36%), silver nitrate cauterization 20 (16%) and anterior nasal packing (15%) and observation alone (11%) were the main intervention methods in 78% of cases. Surgical measures mainly intranasal tumor resection was carried out in 3% of cases.

Conclusion

The most common etiological factor for epistaxis is idiopathic. Most cases were successfully managed with conservative treatment alone and surgical intervention may not be necessary in most cases and should be the last resort.

How to cite this article

Hussain T. Effectiveness of Local Hemostatic Agents in Epistaxis. Int J Head Neck Surg 2014;5(1):1-5.

RESEARCH ARTICLE

Rahil Muzaffar, Owais Mattoo, Raja Salman Khurshid, Shafqat Islam

Criteria for Defining ‘Severe Septal Deviation’

[Year:2014] [Month:January-April] [Volume:5] [Number:1] [Pages:3] [Pages No:6 - 8]

PDF  |  DOI: 10.5005/jp-journals-10001-1170  |  Open Access |  How to cite  | 

Abstract

Objective

Criteria for defining ‘severe septal deviation’ and to describe the clinical profile of the same.

Study

Retrospective study.

Materials and methods

Hundred patients who were diagnosed with severe DNS and treated with extracorporeal septoplasty (ECSP) from September 2010 to December 2012, were retrospectively evaluated for this study. A review of their clinical charts formed the basis of this study.

Results

In this study, majority of patients (96%) had nasal obstruction as their prime symptom followed by postnasal discharge in 60% cases, headache in 40% cases and anterior nasal discharge in 30% cases. External nasal deformity was reported by 22 patients. Snoring was seen in 24% of patients with same percentage complaining of altered sense of smell and throat discomfort. Epistaxis, sneezing and facial pain were seen in 14% patients. Epiphora was complained by only 8% of patients.

In this study, nasal endoscopy/anterior rhinoscopy was used to type the septal deformity. The commonest septal deviation was C-shaped cephalocaudal (48%), followed by S-shaped cephalocaudal (18%), C-shaped AP (16%), S-shaped AP (12%) and sharp septal deviation/angulation in 6% cases.

All but three patients (6%) had deviated nasal septum involving multiple Cottle's areas. These three patients had sharp septal angulation involving Cottle's area 2 only.

In this study, most common region involving DNS was area 1 + 2 + 3 (48%) followed by area 2 + 4 + 5 (28%) and 1 + 2 + 3 + 4 (18%).

Area 2 was invariably involved in 100% of cases.

NOSE (nasal obstruction symptom evaluation) scores.

Preoperatively, mean NOSE score was 67.60 ± 5.26 (65.34-72.86).

NSS (nasal symptoms score):

– Preoperatively, mean NSS was –5.08 ± 0.38 (–5.46-–4.70).

Conclusion

A septal deviation is regarded as ‘severe’ if patient satisfies all of the below-mentioned criteria:

– Preoperatively, mean NOSE score should be 65.34 or more.

Preoperatively, mean NSS should be –4.70 or more negative.

The septal deviation must cause significant obstruction to Cottle's area 2 or nasal valve area.

Patients of severe septal deviation report significantly higher rates of snoring (24% in our study) and PND (60% in our study) when compared with mild/moderate cases.

All severe septal deviations display significant obstruction of Cottle's area 2/nasal valve area and it is thus concluded that a severe septal deviation must cause significant obstruction of area 2/nasal valve.

How to cite this article

Mattoo O, Muzaffar R, Khurshid RS, Islam S. Criteria for Defining ‘Severe Septal Deviation’. Int J Head Neck Surg 2014;5(1):6-8.

REVIEW ARTICLE

Rachna Sharma, Varun Rastogi, Naveen Puri, Satyaranjan Mishra, Lalita Yadav, Robin Sabharwal

Dilemmas in Grading Epidermoid Carcinoma

[Year:2014] [Month:January-April] [Volume:5] [Number:1] [Pages:6] [Pages No:9 - 14]

PDF  |  DOI: 10.5005/jp-journals-10001-1171  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Rastogi V, Puri N, Mishra S, Sharma R, Yadav L, Sabharwal R. Dilemmas in Grading Epidermoid Carcinoma. Int J Head Neck Surg 2014;5(1):9-14.

REVIEW ARTICLE

Sonal Pratapsingh Vahanwala, Soumyo Mukherji

Utilization of Saliva as a Diagnostic Fluid in Determination of Oral Cancer

[Year:2014] [Month:January-April] [Volume:5] [Number:1] [Pages:7] [Pages No:15 - 21]

PDF  |  DOI: 10.5005/jp-journals-10001-1172  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Vahanwala SP, Mukherji S. Utilization of Saliva as a Diagnostic Fluid in Determination of Oral Cancer. Int J Head Neck Surg 2014;5(1):15-21.

RESEARCH ARTICLE

Jay Goswamy, Praduman Murthy

The Modified Hockey-Stick Incision for Neck Dissection

[Year:2014] [Month:January-April] [Volume:5] [Number:1] [Pages:3] [Pages No:22 - 24]

PDF  |  DOI: 10.5005/jp-journals-10001-1173  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Goswamy J, Murthy P. The Modified Hockey-Stick Incision for Neck Dissection. Int J Head Neck Surg 2014;5(1):22-24.

CASE REPORT

Sunil Kumar, Ashwini Sethi, Satwinder Pal Singh

Oncocytoma Parotid Gland: A Case Report and Brief Review of Literature

[Year:2014] [Month:January-April] [Volume:5] [Number:1] [Pages:3] [Pages No:25 - 27]

PDF  |  DOI: 10.5005/jp-journals-10001-1174  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Kumar S, Sethi A, Singh SP, Sharma V. Oncocytoma Parotid Gland: A Case Report and Brief Review of Literature. Int J Head Neck Surg 2014;5(1):25-27.

CASE REPORT

Kavita Rao, NS Priya, Lakshmi Shantharam, KG Somashekara

Lymphoepithelial Cyst of Tonsil

[Year:2014] [Month:January-April] [Volume:5] [Number:1] [Pages:3] [Pages No:28 - 30]

PDF  |  DOI: 10.5005/jp-journals-10001-1175  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Somashekara KG, Priya NS, Rao K, Shantharam L. Lymphoepithelial Cyst of Tonsil. Int J Head Neck Surg 2014;5(1):28-30.

CASE REPORT

Srijon Mukherji, Yogendra Singh Chauhan, Niladri Sekhar Bakshi

A Giant Undifferentiated Sarcoma of Parotid Gland: A Case Report and Review of Literature

[Year:2014] [Month:January-April] [Volume:5] [Number:1] [Pages:4] [Pages No:31 - 34]

PDF  |  DOI: 10.5005/jp-journals-10001-1176  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Chauhan Y, Mukherji S, Bakshi NS. A Giant Undifferentiated Sarcoma of Parotid Gland: A Case Report and Review of Literature. Int J Head Neck Surg 2014;5(1):31-34.

CASE REPORT

Shahanavaj Imam Husen Khaji

Antihistamines in Clinical Dentistry offering a Choice for Second Possibility in Reported Cases of Allergy to Local Anesthetics: Report of Two Cases and Literature Review

[Year:2014] [Month:January-April] [Volume:5] [Number:1] [Pages:4] [Pages No:35 - 38]

PDF  |  DOI: 10.5005/jp-journals-10001-1177  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Khaji SIH. Antihistamines in Clinical Dentistry offering a Choice for Second Possibility in Reported Cases of Allergy to Local Anesthetics: Report of Two Cases and Literature Review. Int J Head Neck Surg 2014;5(1):35-38.

CASE REPORT

Shahanavaj Imam Husen Khaji, Gayathri H Kulkarni, Harish S Kulkarni, Suryakant B Metkari, Reshma Kulkarni

Multiple Keratocysts of the Mandible in Association with Multiple Basal Epithelioma, Jaw Cysts and Bifid Rib Syndrome: A Rare Case Report

[Year:2014] [Month:January-April] [Volume:5] [Number:1] [Pages:3] [Pages No:39 - 41]

PDF  |  DOI: 10.5005/jp-journals-10001-1178  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Kulkarni GH, Khaji SI, Kulkarni HS, Metkari SB, Kulkarni R. Multiple Keratocysts of the Mandible in Association with Multiple Basal Epithelioma, Jaw Cysts and Bifid Rib Syndrome: A Rare Case Report. Int J Head Neck Surg 2014;5(1):39-41.

CASE REPORT

Jay Kantilal Kotecha

Fish Bone Migrating into the Thyroid Gland

[Year:2014] [Month:January-April] [Volume:5] [Number:1] [Pages:3] [Pages No:42 - 44]

PDF  |  DOI: 10.5005/jp-journals-10001-1179  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Kotecha JK. Fish Bone migrating into the Thyroid Gland. Int J Head Neck Surg 2014;5(1):42-44.

CASE REPORT

Priti Rakesh Dhoke, Nitin Vasant Deosthale, Sonali Prabhakar Khadakkar, Kanchan Sandeep Dhote, Vivek Vishwas Harkare, Bhanupratap Surendrakumar Singh

A Giant Combined Laryngomucocele

[Year:2014] [Month:January-April] [Volume:5] [Number:1] [Pages:3] [Pages No:45 - 47]

PDF  |  DOI: 10.5005/jp-journals-10001-1180  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Harkare VV, Dhote KS, Deosthale NV, Khadakkar SP, Dhoke PR, Singh BS. A Giant Combined Laryngomucocele. Int J Head Neck Surg 2014;5(1):45-47.

CASE REPORT

Suha Nafea Aloosi

Maneuvers in Regional Flap Use in Reconstruction of Primary Defects in Head and Neck Cancer Patients: Presentation of Three Cases

[Year:2014] [Month:January-April] [Volume:5] [Number:1] [Pages:8] [Pages No:48 - 55]

PDF  |  DOI: 10.5005/jp-journals-10001-1181  |  Open Access |  How to cite  | 

Abstract

Aim and objective

This article is done in an attempt for encouraging for more introduction of these three flaps in head and neck reconstruction practice, and to encourage more studies be done to describe skin territory of cervical flap.

Materials and methods

Three patients presented to oral and maxillofacial department, diagnosed as having different kinds of cancer. All were managed according to the evidence-based guideline of head and neck cancer management, including the work up, diagnosis, TNM classification, surgical treatment, adjuvant treatment and follow-up. In all the three cases, regional flaps were used to close the primary defect. For the first patient, transverse cervical flap was used, the sternocleidomastoid flap in the second and submental flap in the third one.

Results

All flaps were easy to be harvested, in term of time and technique, and successful in term of viability, extension and in achieving the functional and cosmetic aim of reconstruction, with minimum donor site morbidity, all the patient are enjoying good quality of life.

Conclusion and recommendations

The regional flaps have their place to overcome limitation of free flaps due to the shortage in the armamentarium available in the hospital, especially in low resources regions, or limitations related to patients general condition, in addition, regional flaps are the best option available in case of failed free flap, or when free flap failure is anticipated and avoided. Highlighting the different maneuvers in harvesting and using regional pedicled flaps for further extensions widens the scope of indications and giving the reconstructive surgeon variability of options in reconstruction, obviates the need for special microvascular expertise in free flaps with comparable results and relatively less complication.

How to cite this article

Aloosi SN. Maneuvers in Regional Flap Use in Reconstruction of Primary Defects in Head and Neck Cancer Patients: Presentation of Three Cases. Int J Head Neck Surg 2014;5(1):48-55.

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