To propose an operation similar to selective neck dissection (levels II, III and IV) as a method of successful management of second arch branchial anomalies.

We did a prospective study on patients with branchial arch anomalies from the years 2009 to 2013. They underwent minimal radiological workup. All of them underwent a novel surgical procedure similar to selective neck dissection (levels II, III, IV) that lead to excision of the tract. Patients were followed up for an average period of 2 years.

We had seven patients which included two branchial sinus, three cysts and two fistulae. All of them were operated and the tract was identified and completely excised by the above approach. None of them had any complications or recurrence on follow-up.

Branchial arch anomalies are rare congenital problems posing a significant challenge to an ENT surgeon. Inadequate and inappropriate surgeries resulting in recurrences are quite common. Attempts to get either a sinogram or fistulogram are often a failure and cumbersome.

Selective neck dissection from levels II to IV is a surgical maneuver which allows access to the involved anatomical segment of the neck. Thus, it is a structured and methodical approach that comprehensively leads to excision of the complete tract. It also reduces the chances of complications. Recurrences are rare with this technique.

Merchant S, Mohiyuddin A, Deo RP, Raj S, Nawaz S, Mohammadi K. Selective Neck Dissection: A Novel Technique for Second Branchial Arch Anomalies. Int J Head Neck Surg 2014;5(2):57-60.

Thakkar SH, Padhye M, Kini Y, Desai R, Shah V, Pawar S, Shevale V, Mehta F. Arthrocentesis: A Minimally Invasive Approach for Temporomandibular Joint Pain. Int J Head Neck Surg 2014;5(2):61-65.

Mechanical prosthetic valve rehabili tation after total laryngectomy have a success rates of 90% in restoring voice. The effective speech is achieved better with mechanical voice prosthesis when compared to esophageal speech and electrolarynx. Candidal growth and tubal blockage are the commonest cause of peri and endotubal leakage causing prosthesis failure.

A 50-year-old male who had undergone wide field laryngectomy with primary tracheoesophageal puncture (TEP) with voice prosthesis 18 months back complained of blocked voice prosthesis and peritubal leakage. The tip of the cleaning brush which had blocked the opening was removed in the outpa tients under topical anesthesia and the peritubal block reduced.

Mechanical valve prosthesis rehabilitation after primary tracheoesophageal puncture is the standard voice rehabilitation of laryngectomized patients. Patient education regarding maintenance of the prosthesis and the care for the tracheostoma is important in reducing the complications.

Halkud R, Shenoy AM, Sunil KC, Samskruthi M, Sarvadyna J, Biswas S, Chavan P, Siddappa KT, Shivappa A, Naik SM. Blocked voice Prosthesis: A Common Complication Reducing the Prosthesis Longevity. Int J Head Neck Surg 2014;5(2):66-71.

Myoepithelial carcinomas are uncommon neoplasms that account for about 10% of all myoepitheliomas. The invasiveness varies from a locally aggressive to highly metastatic tumor which may arise de novo or in a pleomorphic adenoma. Myoepitheliomas arise from myoepithelial cells lacking ductal differentiation which exhibit both epithelial and smooth muscle cell elements.

We report a case of palatal swelling excised 4 years back, as pleomorphic adenoma, which later recurred as malignant myoepithelial carcinoma expleomorphic adenoma of the palate. CECT of the paranasal air sinuses did not show any bony invasion of the hard palate. So he was given radical radiotherapy with concurrent chemotherapy but after 3 years developed recurnce and metastasis to the skin and the lungs. The patient was referred to oral chemotherapy on a palliative basis.

Malignant myoepithelial carcinoma expleomorphic adenoma of the hard palate is a highly aggressive rare tumor of the hard palate. Radical management with surgery and adjuvant chemoradiotherapy improves survival in these patients. Followup with metastatic workup should be accurate as the tumor is highly aggressive with poor prognosis.

Shenoy AM, Halkud R, Shivappa A, Chavan p, Sunil KC, Sarvadyna J, Samskruthi M, Siddappa KT, Biswas S, Naik SM. Malignant Myoepithelial Carcinoma Expleomorphic Adenoma of the Hard palate: An Aggressive Tumor with Diagnostic Dilemma. Int J Head Neck Surg 2014;5(2):72-77.

Kaur M. Targeting Angiogenesis. Int J Head Neck Surg 2014;5(2):78-86.

Mittal M, Oronasal Bleed: A Rare Case of Carotid Cavernous Sinus Fistula. Int J Head Neck Surg 2014;5(2):87-88.

Thyroidea ima artery, although a rare arterial variation, a thorough regional anatomic knowledge and meticulous dissection will not only help us in identifying such a vascular variation, also help us in preventing an accidental injury.

Raj S, Mohiyuddin A, Merchant S, Jayaraju RM, Sasidharan B. Thyroidea Ima Artery: A Report of Two Cases. Int J Head Neck Surg 2014;5(2):89-90.

Divya GM, Muhammad H, Ramachandran KC, Shiji K. Vertical Cricoid Lamina Ossification: A Rare Pitfall in the Diagnosis of Extraluminal Foreign Body. Int J Head Neck Surg 2014;5(2):91-93.

Arora N, Brar T, Passey JC, Agarwal AK. Oropharyngeal Tuberculosis—Mimicking Oral Cavity Carcinoma. Int J Head Neck Surg 2014;5(2):9495.

Rangappa VB, Soumya MS, Sreenivas V. Salivary Fistula with a Calculus!! Int J Head Neck Surg 2014;5(2):96-98.