Indian Journal of Otolaryngology and Head and Neck Surgery最新文献_第5页

A rare anatomical star shaped branching pattern of spinal accessory nerve: A case report with review of literature 解剖上罕见的脊髓副神经星形分支模式:1例报告并文献复习

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2022-10-15 DOI: 10.18231/j.ijashnb.2022.025

R. Kantharia, M. Banerjee, Shehnaz R. Kantharia, Z. Teli

{"title":"A rare anatomical star shaped branching pattern of spinal accessory nerve: A case report with review of literature","authors":"R. Kantharia, M. Banerjee, Shehnaz R. Kantharia, Z. Teli","doi":"10.18231/j.ijashnb.2022.025","DOIUrl":"https://doi.org/10.18231/j.ijashnb.2022.025","url":null,"abstract":"The spinal accessory nerve provides motor innervation to the sternocleidomastoid and trapezius muscle. It is an extremely important structure to be preserved during neck dissection to avoid sequalae related to shoulder dysfunctions. The incidence of shoulder dysfunction and morbidity can be attributed to varied anatomy and branching pattern of the nerve or the contribution by the cervical plexus to the motor innervations of the trapezius muscle. Hence it is important to have knowledge of the varied anatomy and branching pattern of the spinal accessory nerve to avoid the possible shoulder morbidity and dysfunction following neck dissections. Lanisnik B etal’s study showed that there are three recognizable branching patterns of the spinal accessory nerve for innervation of the trapezius muscle. In type 1, the SAN enters the Sternocleidomastoid muscle and a single trapezius muscle branch exits from the posterior border of the SCM after receiving communications from the cervical nerves, especially C2 and C3. In type 2, the motor branch for trapezius muscle separates from the main trunk at level II, before the nerve enters the sternocleido-mastoid muscle. In the type 3 pattern, CN XI enters the SCM in the same way as described in type 1, and the motor branch for the trapezius muscle exits from the SCM muscle behind its posterior border; however, it does not immediately travel to level V and the trapezius muscle, but instead takes a more medial course and mixes with the cervical nerves, predominantly C2 and C3. In this case report, we will discuss an unusual branching pattern of spinal accessory nerve similar to the type 3 variant as explained by Lanisnik that we have encountered during a modified radical neck dissection, in a case of Squamous cell carcinoma of right buccal mucosa.","PeriodicalId":13287,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"3 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84856260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessment of outcome in surgically treated traumatic extradural haematoma patients 外伤性硬膜外血肿手术治疗的疗效评价

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2022-10-15 DOI: 10.18231/j.ijashnb.2022.021

B. Kapoor, M. Kapoor, Parul Vaid

{"title":"Assessment of outcome in surgically treated traumatic extradural haematoma patients","authors":"B. Kapoor, M. Kapoor, Parul Vaid","doi":"10.18231/j.ijashnb.2022.021","DOIUrl":"https://doi.org/10.18231/j.ijashnb.2022.021","url":null,"abstract":"In approximately 2% of all patients with head injuries, Extradural haematoma occurs. Immediate diagnosis and surgical evacuation is usually required. Outcome in patient with EDH can be assessed using Glasgow outcome score (GOS). Five parameters of outcome we have measured in our study are - good recovery, moderate disability, severe disability, vegetative state and death. Assessment of outcome of patient by using Glasgow outcome score (GOS) and assessing the outcome with respect to the initial GCS at admission was done. Most (51.42%) of the patients were in the age group of 16-31 years. RTA was the most common (51.42%) cause for EDH occurrence. Most of the patients (57.14%) had GCS of 13-15 in our study. Majority of the patients (68.57%) had a Glasgow outcome score of 5, indicating a good outcome. 51.42% of patients having a GCS of 13-15 had a good outcome, whereas 11.42% of patients having GCS of 9-12 and 5.71% of patients having GCS of ≤ 8 had good outcome. EDH is one of the most serious complications in head injury. It requires immediate diagnosis and management. Urgent surgical intervention improves the outcome Mild head injury patients (GCS 13-15) have good outcome (GOS 5) as compared to with severe head injury (GCS ≤ 8) patients. Lower GCS patients have poor outcome.","PeriodicalId":13287,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"05 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86247147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An institutional analysis of the outcomes of endonasal endoscopic anterior skull base surgery 鼻内窥镜前颅底手术结果的机构分析

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2022-10-15 DOI: 10.18231/j.ijashnb.2022.020

R. Singh, D. Kumari, Amit Kumar Sharma, B. Kumar, Jyoti Singh, S. Jha

{"title":"An institutional analysis of the outcomes of endonasal endoscopic anterior skull base surgery","authors":"R. Singh, D. Kumari, Amit Kumar Sharma, B. Kumar, Jyoti Singh, S. Jha","doi":"10.18231/j.ijashnb.2022.020","DOIUrl":"https://doi.org/10.18231/j.ijashnb.2022.020","url":null,"abstract":"Endoscopic skull base surgery is an emerging surgical technique that recolonized the resection of skull base lesions. The present study analyzed the outcome of the endoscopic endonasal anterior skull base.A retrospective data review ofendoscopic endonasal anterior skull base surgeries performed from 2017 to 2022. Minimum follow-up was done 6 months postoperatively.: 63 cases of anterior skull base pathologies have been operated out of which 2 cases of meningioma, 3 cases of meningoencephalocele, 5 olfactory neuroblastoma, 18 angiofibroma extending till anterior skull base, 8 CSF rhinorrhea repair, 12 pituitary macroadenoma, 8 cerebral Mucormycosis and 7 sino-nasal mass with intracranial extension have been operated. Residual disease was left in 10 cases, the rest all the masses were completely removed. The overall complication rate was 28.6 percent. Three mortalities occur a few months post-operatively of which 2 were cerebral mucormycosis and one was sino-nasal malignancy with intracranial extension.Endoscopic endonasal anterior skull base surgeries are safe surgical procedure that provides a high degree of disease clearance and negligible complications.","PeriodicalId":13287,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"35 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86509080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ranula of the tongue – Recent advances in management 舌纹-管理的最新进展

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2022-10-15 DOI: 10.18231/j.ijashnb.2022.019

Kaushik Bhattacharya, N. Bhattacharya, A. Bhattacharya

引用次数: 0

A brief journey of a new institute towards fulfilling ‘National Goals’ for prevention and control of deafness 一个新机构实现预防和控制耳聋的“国家目标”的简短旅程

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2022-07-15 DOI: 10.18231/j.ijashnb.2022.011

M. Malhotra, M. Priya, A. Bhardwaj, A. Tyagi, Amit Kumar, Bhiniyaram

引用次数: 0

Comparative study of marginal mandibulectomy vs segmental or hemi- mandibulectomy in oral cavity cancers 下颌边缘切除与部分或半段切除治疗口腔癌的比较研究

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2022-07-15 DOI: 10.18231/j.ijashnb.2022.016

Shekhargouda, Digvijay B Patil

{"title":"Comparative study of marginal mandibulectomy vs segmental or hemi- mandibulectomy in oral cavity cancers","authors":"Shekhargouda, Digvijay B Patil","doi":"10.18231/j.ijashnb.2022.016","DOIUrl":"https://doi.org/10.18231/j.ijashnb.2022.016","url":null,"abstract":"Surgery is the most well-established mode of initial definitive treatment for the majority of oral cancers. The most important decision in terms of tumor ablation in oral cancers when the jaws are potentially involved is the management of the mandible. The present study was conducted at a tertiary healthcare institute among 61 patients who underwent bony resection for Squamous Cell Carcinoma (SCC) close to the mandible, adherent or directly invading this bone, from January 2021 to December 2021. Records of the patients were reviewed. The patients whose surgical resection involved a marginal or segmental mandibulectomy and with a minimum follow-up of 24 months were included in the analysis. Adequate clinical information was available in 61 patients. Size of mandibular resection greater than 4 cm and tumor infiltration beyond the resection margins are correlated with poor survival rates, but no differences between marginal or segmental mandibulectomies could be shown, as was the case in other reports. When gross bone involvement has occurred, segmental resection is the method of choice. Careful case selection will allow a favorable oncologic outcome with preservation of mandibular contour.","PeriodicalId":13287,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"81 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83943849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Role of neo-adjuvant chemotherapy in locally advanced nasopharyngeal carcinoma 新辅助化疗在局部晚期鼻咽癌中的作用

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2022-07-15 DOI: 10.18231/j.ijashnb.2022.013

Pratiksha Pawar, Pranay Bhandari, Ameya Bihani, Kunal Gupta, Taha Sethjiwala

引用次数: 0

Approach to imaging of lesions of Jaw 颌骨病变的影像学探讨

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2022-07-15 DOI: 10.18231/j.ijashnb.2022.012

A. Janu, S. Shukla, Shubham Padashetty

引用次数: 0

Tubarial salivary gland – A new kid on the block 输卵管唾液腺，新来的

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2022-07-15 DOI: 10.18231/j.ijashnb.2022.018

Kaushik Bhattacharya, N. Bhattacharya, A. Bhattacharya

引用次数: 1

Virucidal Effect of Povidone Iodine on SARS-CoV-2 in Nasopharynx: An Open-label Randomized Clinical Trial 聚维酮碘对鼻咽部SARS-CoV-2的抗病毒作用:一项开放标签随机临床试验

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2022-05-06 DOI: 10.1007/s12070-022-03106-0

Mostafa Kamal Arefin, S. S. Banu, A. K. M. Nasir Uddin, S. K. Nurul Fattah Rumi, Mala Khan, A. Kaiser, Muhammad Shaharior Arafat, Joybaer Anam Chowdhury, M. A. S. Khan, M. J. Hasan

引用次数: 1