Journal of Head & Neck Physicians and Surgeons最新文献_第9页

Flaps based on facial arteriovenous system for the reconstruction of head-and-neck cancer defects 基于面部动静脉系统的皮瓣重建癌症头颈部缺损

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Journal of Head & Neck Physicians and Surgeons Pub Date : 2020-07-01 DOI: 10.4103/jhnps.jhnps_56_20

Nageswara R. Noothanapati, Krishnakumar Thankappan, N. Akali, T. Patel, D. Balasubramanian, S. Iyer

引用次数: 2

Transoral surgery: The developing paradigm of minimally invasive organ and function preserving surgery 经口外科：微创器官和功能保留外科的发展范式

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Journal of Head & Neck Physicians and Surgeons Pub Date : 2020-07-01 DOI: 10.4103/jhnps.jhnps_50_20

A. Thakar

引用次数: 0

Multidisciplinary Approach for Vision Recovery after a Diving Accident with a Needlefish in Cancun 坎昆针鱼潜水事故后视力恢复的多学科方法

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Journal of Head & Neck Physicians and Surgeons Pub Date : 2020-07-01 DOI: 10.4103/jhnps.jhnps_18_20

M. Garcia, S. Vallejo, Natalia Haro, Rogelio Martínez-Wagner

{"title":"Multidisciplinary Approach for Vision Recovery after a Diving Accident with a Needlefish in Cancun","authors":"M. Garcia, S. Vallejo, Natalia Haro, Rogelio Martínez-Wagner","doi":"10.4103/jhnps.jhnps_18_20","DOIUrl":"https://doi.org/10.4103/jhnps.jhnps_18_20","url":null,"abstract":"Needlefish (Strongylura Notata) are known to cause painful injuries in humans. There are several reports of serious puncture wounds to the chest, abdomen, neck, and extremities. In this report, we describe an impressive puncture lesion to the face that resulted in unilateral partial loss of vision with perforation of the cranial vault secondary to an encounter with a fish while diving. A 39-year-old female presented to the emergency department 1 week after a diving trip to Cancun with pain and swelling in the right orbital region. She had associated right-sided partial vision loss and a puncture wound on the right malar region. Computed tomography scan of the head showed two foreign bodies; one which crossed the orbit from the inferior lateral side displacing medially the optic nerve and into the cranial cavity. The second foreign body was located in the inferolateral side of the malar bone. Multidisciplinary surgical removal of the objects resulted in complete resolution of visual acuity deficits as well as total recovery of her diplopia. Fortunately, minimal limitation in the abduction of the right eye persisted.","PeriodicalId":41774,"journal":{"name":"Journal of Head & Neck Physicians and Surgeons","volume":"8 1","pages":"137 - 140"},"PeriodicalIF":0.1,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48532403","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

Non-small Cell Lung Cancer Presenting as Parotid and Scalp Swellings: A Rare Clinical Presentation 以腮腺和头皮肿胀为表现的非小细胞肺癌:一种罕见的临床表现

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Journal of Head & Neck Physicians and Surgeons Pub Date : 2020-07-01 DOI: 10.4103/jhnps.jhnps_10_20

Sankalp Singh, N. Bisht, A. Sarin, P. Mishra, A. Kapoor

引用次数: 1

Tracheostomy Experience among Indian Otolaryngology-Head and Neck Surgery Residents – A Survey 印度耳鼻咽喉头颈外科住院患者的气管造口术经验——一项调查

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Journal of Head & Neck Physicians and Surgeons Pub Date : 2020-07-01 DOI: 10.4103/jhnps.jhnps_31_20

S. Sanyal, R. Raychowdhury

{"title":"Tracheostomy Experience among Indian Otolaryngology-Head and Neck Surgery Residents – A Survey","authors":"S. Sanyal, R. Raychowdhury","doi":"10.4103/jhnps.jhnps_31_20","DOIUrl":"https://doi.org/10.4103/jhnps.jhnps_31_20","url":null,"abstract":"Background: Tracheostomy is a common surgical procedure which otolaryngology-head and neck surgery (ORL-HNS) trainees are expected to perform in both emergency and elective settings. Few papers deal specifically with resident training in this procedure. we surveyed the standard of training in the Indian context. Materials and Methods: A questionnaire-based survey was conducted among residents attending the annual national conference of the Association of Otolaryngologists of India. The results of the survey were tabulated using Microsoft Excel. Results: Ninety questionnaires were circulated among postgraduate trainees in their 1st, 2nd, or 3rd year of training (P-1, P-2, and P-3) as well as senior residents (SR). The response rate was 47%. The majority of the respondents (51%) were P-2. The distribution between elective and emergency tracheostomy was variable. The most common indication for tracheostomy in our survey was prolonged Intensive Therapy Unit (ITU) ventilation (42%). In elective tracheostomy, the primary surgeon was either an SR or P-3 (60%) and used a horizontal incision (52%). In emergencies, the primary surgeon was either an SR or P-3 and preferred a vertical incision (65%). Most trainees exposed the trachea by layer dissection; only 6% used monopolar diathermy. Entry through vertical incision and dilator was the preferred method (51%). The first tube change was performed at 72 h by 49% of the respondents. Eighty-four percent of the trainees were confident of performing emergency tracheostomies independently. Conclusions: ORL-HNS trainees should be competent in tracheostomy. The lack of supervision by faculty, variation in steps, and postoperative management all impact the outcome. A standardized technique and faculty supervision are vital for optimum training.","PeriodicalId":41774,"journal":{"name":"Journal of Head & Neck Physicians and Surgeons","volume":"8 1","pages":"102 - 108"},"PeriodicalIF":0.1,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43010680","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

Primary squamous cell carcinoma thyroid: A rare case 原发性甲状腺鳞状细胞癌1例

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Journal of Head & Neck Physicians and Surgeons Pub Date : 2020-01-01 DOI: 10.4103/jhnps.jhnps_36_17

Nitin Khunteta, S. Tewari

引用次数: 0

Minimally invasive retroauricular approaches to the neck: A paradigm shift 颈部微创耳后入路：范式转变

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Journal of Head & Neck Physicians and Surgeons Pub Date : 2020-01-01 DOI: 10.4103/jhnps.jhnps_7_20

P. Chakraborty, P. Arun, K. Manikantan, Jain Vijay, R. Sharan

引用次数: 0

The use of hyperbaric oxygen therapy in head-and-neck conditions 高压氧治疗头颈部疾病的应用

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Journal of Head & Neck Physicians and Surgeons Pub Date : 2020-01-01 DOI: 10.4103/jhnps.jhnps_16_20

S. Nabil, R. Nordin, F. Hariri, Ahmad Mohamad Bustaman, Sharifah Syed Zainal, Divya Panicker, A. Nazimi

{"title":"The use of hyperbaric oxygen therapy in head-and-neck conditions","authors":"S. Nabil, R. Nordin, F. Hariri, Ahmad Mohamad Bustaman, Sharifah Syed Zainal, Divya Panicker, A. Nazimi","doi":"10.4103/jhnps.jhnps_16_20","DOIUrl":"https://doi.org/10.4103/jhnps.jhnps_16_20","url":null,"abstract":"Introduction: Hyperbaric oxygen therapy (HBOT) has been suggested to be beneficial in managing compromised acute and chronic wounds. To shed some light on its effectiveness in head-and-neck wounds, a retrospective review on the use of HBOT was done. Materials and Methods: The medical records of patients receiving HBOT for head-and-neck conditions were reviewed. The demographics and clinical data were collected. Results: Seventeen patients were identified. Four major indications for therapy were identified being osteoradionecrosis (ORN) treatment, ORN prophylaxis, treatment of compromised flaps/grafts, and treatment of medication-related osteonecrosis of the jaw. Favorable outcome following HBOT was seen in 77% of patients. In the treatment of ORN, 56% cases treated were successful. In the remaining groups, 100% success rates were obtained. The majority of patients had HBOT as an adjunctive treatment. HBOT as an adjunct was successful in 71% of patients, while prophylactic HBOT were successful in all patients. Complications including ear barotrauma and sinus squeeze were seen in 24% of patients. Conclusions: HBOT can be successfully used in various head-and-neck conditions, especially when used in cases with compromised flaps/graft or ORN prophylaxis. It is well tolerated and thus provides a valid adjunctive therapy in the management of tissue with compromised healing capability in the head-and-neck region.","PeriodicalId":41774,"journal":{"name":"Journal of Head & Neck Physicians and Surgeons","volume":"8 1","pages":"27 - 33"},"PeriodicalIF":0.1,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49087411","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

Ten-year review of facial bone fractures in rural population at a teaching institute in Central India (Maharashtra) 印度中部（马哈拉施特拉邦）一所教学机构对农村人口面部骨折的十年回顾

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Journal of Head & Neck Physicians and Surgeons Pub Date : 2020-01-01 DOI: 10.4103/jhnps.jhnps_22_20

H. Saluja, Shivani Sachdeva, Seemit Shah, A. Dadhich, Mukund Singh, Sumeet Mishra

{"title":"Ten-year review of facial bone fractures in rural population at a teaching institute in Central India (Maharashtra)","authors":"H. Saluja, Shivani Sachdeva, Seemit Shah, A. Dadhich, Mukund Singh, Sumeet Mishra","doi":"10.4103/jhnps.jhnps_22_20","DOIUrl":"https://doi.org/10.4103/jhnps.jhnps_22_20","url":null,"abstract":"Objective: The purpose of this study was to review the incidence and characteristics of maxillofacial fractures in Loni (rural population) and compare them with the existing literature. Materials and Methods: A retrospective study of patients' records and radiographs was reviewed during the 10-year period between 2007 and 2017. Statistical analysis was carried out according to age, gender, cause of accident, and fracture site. Results: A total of 1943 cases with 2470 injuries were reviewed during the 10-year period. The age of patients ranged from 0 to 70 years. The ratio of men to women was 3.5:1. Most fractures were caused by road traffic accident (44.12%), followed by fall (26.76%), assault (25.06%), and animal injuries (4.06%). The prevalent anatomic regions of isolated fractures were the mandible (50.64%), followed by Zygomatic complex (ZMC) (9.26%), Le Fort II (4.07%), Le Fort I (3.50%), orbital floor (3.07%), Le Fort III (2.23%), dentoalveolar (1.39%), zygomatic arch (1.13%), and nasal bone (0.77%). In combination fractures, the most common were the midface combinations (12.55%), followed by mandibular and midface combinations (6.13%), mandibular combination fractures (3.25%), and midface and frontal bone fractures (1.444%). Conclusion: The findings of this study compared with similar studies reported in literature support the view that the cause and incidence of maxillofacial injuries vary from one country to another. Animal injury was one of the causes for maxillofacial trauma because of rural location of our center.","PeriodicalId":41774,"journal":{"name":"Journal of Head & Neck Physicians and Surgeons","volume":"8 1","pages":"23 - 26"},"PeriodicalIF":0.1,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47817536","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

Microvascular reconstruction for tumors of the head and neck in the pediatric population 小儿头颈部肿瘤的微血管重建

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Journal of Head & Neck Physicians and Surgeons Pub Date : 2020-01-01 DOI: 10.4103/jhnps.jhnps_37_19

D. Balasubramanian, N. Subramaniam, Janarthanan Ramu, R. Sood, Mohit Sharma, Jimmy Mathew, Krishnakumar Thankappan, Pramod Subhash, A. Krishnadas, S. Iyer

{"title":"Microvascular reconstruction for tumors of the head and neck in the pediatric population","authors":"D. Balasubramanian, N. Subramaniam, Janarthanan Ramu, R. Sood, Mohit Sharma, Jimmy Mathew, Krishnakumar Thankappan, Pramod Subhash, A. Krishnadas, S. Iyer","doi":"10.4103/jhnps.jhnps_37_19","DOIUrl":"https://doi.org/10.4103/jhnps.jhnps_37_19","url":null,"abstract":"Introduction: Microsurgical tissue transfer in the pediatric population is challenging for several reasons– small vessel diameter, flap size, difficulties with postoperative flap monitoring, and difficulty in anticipating tissue growth and remodeling. In addition, head-and-neck reconstruction is uniquely difficult due to the functional deficits after ablative surgery. We present our series of microvascular reconstruction for tumors of the head and neck in the pediatric population. Materials and Methods: Retrospective review of microvascular reconstruction performed in our institution for benign and malignant tumors of the head and neck for patients aged <10 years of age between 2004 and 2016. Demographic and treatment details were analyzed, and descriptive statistics were performed. Results: The flaps used for reconstruction were anterolateral thigh flap (n = 5), fibula free flap (n = 4), scapular free flap (n = 2), radial forearm free flap (n = 1), and sixth rib with serratus anterior and latissimus dorsi (growth center transfer) (n = 1). Rapid prototyping models and inverse planning were used for bony reconstruction in seven cases. The flap success rate was 100%. The average operating time was 130 min. There were no major intraoperative or postoperative complications. Conclusion: Microvascular reconstruction for head-and-neck tumors in the pediatric age group is safe and is associated with good functional and esthetic outcomes. The anterolateral thigh flap and the fibula flap are the flaps of choice in a majority of cases. Preoperative planning, especially in complex bony reconstruction, is important to maximize outcomes and minimize the operative time. Multidisciplinary care is essential to ensure rapid rehabilitation in the postoperative period.","PeriodicalId":41774,"journal":{"name":"Journal of Head & Neck Physicians and Surgeons","volume":"8 1","pages":"12 - 16"},"PeriodicalIF":0.1,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42295736","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