Raquel Levy, M. Goycoolea, Byanka Cagnacci, Catherine Catenacci, J. Rufs, Maricarmen Andrade, Jacqueline Scherpenisse
{"title":"Return of Sounds at almost 100 Years of Age: Which will be the Limit?","authors":"Raquel Levy, M. Goycoolea, Byanka Cagnacci, Catherine Catenacci, J. Rufs, Maricarmen Andrade, Jacqueline Scherpenisse","doi":"10.5005/JP-JOURNALS-10001-1408","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10001-1408","url":null,"abstract":"Ab s t r Ac t Introduction: Cochlear implant (IC) is the standard treatment for profound deafness in children and adults. In the elderly, this indication is becoming more common every day. Aims and objectives: To describe the medical and the surgical approaches to be considered while operating a cochlear implant in an elderly patient. Materials and methods (clinical case): An approach to cochlear implants in the elderly is described, using as a common thread, the case of a 98-year and 9-month-old woman with severe bilateral gradually progressive sensorineural hearing loss who did not benefit from her hearing aids. She underwent comprehensive multispecialty medical evaluation including otolaryngology neurology, cardiology, and anesthesiology. She underwent cochlear implantation under local anesthesia and sedation. Results: No intraor postoperative complications occurred. Recovery was quick and she was discharged on the second postoperative day. The device was activated at 1 month post-surgery and all electrodes were active. Free field thresholds for pure tones were 25 dB HL PTA 4 and discrimination in silence with IC in left ear and hearing aid in right ear for sentences were 76% and for familiar words 100%. Conclusion: Cochlear implantation resulted in an adequate alternative for this elderly patient, possibly the oldest or one of the oldest implanted individuals in the world. Cochlear implantation should be considered a reasonable alternative for elderly patients with profound hearing loss. The surgical decision should focus more on the general health conditions than on the chronological age.","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":"12 1","pages":"79-82"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42367540","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}
Anupama Satpathy, Arjun Dasgupta, Chirajit Dutta, N. Mohan
{"title":"Recurrent Laryngeal Hamartoma—An Unusual Cause of Apneic Spells: Case Report and Review of Literature","authors":"Anupama Satpathy, Arjun Dasgupta, Chirajit Dutta, N. Mohan","doi":"10.5005/JP-JOURNALS-10001-1415","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10001-1415","url":null,"abstract":"","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":"12 1","pages":"83-85"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43048428","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}
{"title":"Preliminary Analysis of CyberKnife Stereotactic Radiotherapy for Primary and Recurrent Head and Neck Cancers: A Delicate Balance","authors":"S. Goyal, T. Kataria, D. Gupta, T. Basu","doi":"10.5005/JP-JOURNALS-10001-1425","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10001-1425","url":null,"abstract":"","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":"12 1","pages":"43-47"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42149060","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}
V. Rao, R. Nayar, Richitha V. Pandit, Mithua Ghosh, Sataksi Chatterjee
{"title":"Genomics Testing in Head and Neck Cancers: Is there a Benefit?","authors":"V. Rao, R. Nayar, Richitha V. Pandit, Mithua Ghosh, Sataksi Chatterjee","doi":"10.5005/JP-JOURNALS-10001-1420","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10001-1420","url":null,"abstract":"Ab s t r Ac t Introduction: Elucidation of the genomic basis of head and neck cancers (HNCs) may help in reducing cancer-related mortality and morbidity. This is because prognostication by predicting disease course and treatment response will help to individualize treatment protocols. Materials and methods: This prospective pilot study used a 48-gene mutation panel on tumor tissue samples obtained from 18 patients suffering from HNCs. The clinical significance of these mutations was analyzed in terms of treatment resistance, presence of distant metastasis, family history, and disease recurrence. Results: Two patients carried germline mutations, nine carried somatic mutations and seven samples had no mutation detected on the 48-gene panel. The genomic studies detected germline mutations in BRCA and AIP, and somatic mutations in TP53, phosphatase and tensin homolog (PTEN), RB1, STK11, GNA11, and HRAS. Conclusion: The study appears to validate early genomic testing of HNC cases to modify treatment protocols and offers more specific and personalized treatment options to patients. Clinical significance: The study demonstrates the potential benefit of integrating genomic data with clinical details to map out a tailored treatment plan to benefit individual patients.","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46000329","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}
T. Chitrambalam, Sidhu Sekhar, Preetham Anguraj, K. M. Panicker
{"title":"An Interesting Case of Hodgkin's Lymphoma Presenting as Salivary Gland Tumor","authors":"T. Chitrambalam, Sidhu Sekhar, Preetham Anguraj, K. M. Panicker","doi":"10.5005/JP-JOURNALS-10001-1421","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10001-1421","url":null,"abstract":"","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":"12 1","pages":"89-91"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47408188","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}
{"title":"Pathophysiology of Obstructive Sleep Apnea: The Role of Physiologic Phenotypes","authors":"A. Abreu, A. Ramos, S. Dib, C. Torre, A. Chediak","doi":"10.5005/JP-JOURNALS-10001-1428","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10001-1428","url":null,"abstract":"","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":"12 1","pages":"71-73"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43494331","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}
{"title":"The Membranous Labyrinth in vivo from High-Resolution Temporal Bone CT Data","authors":"Tanioka Hisaya, Tanioka Sayaka","doi":"10.36959/605/558","DOIUrl":"https://doi.org/10.36959/605/558","url":null,"abstract":"appearance surface rendering, helps complex 3D Abstract Purpose: A prerequisite for the modeling and understanding of the inner ear mechanics needs the accurate created membranous labyrinth. We will present a semi-automated methodology for accurate reconstruction of the membranous labyrinth in the cochlea from high-resolution temporal bone CT data. Method: We created the new imaging technique which was combined with the segmentation methodology, transparent, Thresholding, and opacity curve algorithms. This technique allowed the simultaneous multiple images creating without any overlapping regions in the inner ear has been developed from temporal bone CT data. Results: The reconstructed 3D images improved the in vivo cochlear membranous labyrinth geometry to realistically rep resented physiologic dimensions. These generated membranous structures were in good agreement with the previously published ones, while this approach was the most realistic in terms of the membranous labyrinth in the cochlea. Conclusions: The precise volume rendering depends on proprietary algorithms so that different results can be obtained, and the images appear qualitatively different. For each anatomical question, a different visualization technique should be used to obtain an optimal result. All researchers can create the in vivo 3D membranous labyrinth in the cochlea in real-time like a retinal camera. This technique will be applied to a cone-beam CT dataset.","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74359944","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}
{"title":"Cervical Transverse Mega-apophysis: A Rare Cause of Plexopathy","authors":"P. Ferrer, A. Álvarez, J. R. Penanes","doi":"10.5005/JP-JOURNALS-10001-1418","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10001-1418","url":null,"abstract":"Ab s t r Ac t Aim: This article aims to describe the case of a 43-year-old male with a neurogenic thoracic outlet syndrome caused by a C7 transverse mega-apophysis. Background: Cervical transverse mega-apophysis, transverse apophysomegaly, or elongation of the transverse vertebral process represents a variation of normal skeletal anatomy. This variation has been little studied and its prevalence in the population is unknown because it often exists without symptoms. It is estimated that less than 10% of cases are symptomatic. Case description: We present a rare case of a man with a neurogenic thoracic outlet syndrome (in this case, a left plexopathy) caused by a cervical transverse mega-apophysis. After surgical intervention, the patient improved and after a 1-year follow-up, he remained asymptomatic. Conclusion: Even though some authors describe cervical pain associated with this condition, we found very few data regarding plexopathy or other neurological symptoms caused by a cervical transverse apophysomegaly.","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":"12 1","pages":"40-42"},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42609917","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}
{"title":"Use of Fenestrated Tracheostomy Tubes: A Comparative Study","authors":"S. Lakshmanan, S. Jeyabalakrishnan, P. Saravanam","doi":"10.5005/JP-JOURNALS-10001-1419","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10001-1419","url":null,"abstract":"Ab s t r Ac t Introduction: Tracheostomy is commonly performed in patients requiring long-term ventilator support. There are many types of tracheostomy tubes like fenestrated and non-fenestrated tubes. This study is to compare the types of fenestrated tubes. Type I is a fenestrated tube with multiple small fenestrae and type II is a fenestrated tracheostomy tube with a single large fenestra. Materials and methods: A total of 87 patients who underwent tracheostomy due to prolonged ventilation from January 2015 to January 2016 were included in the study. Type I tube was used in 40 patients and type II tube was used in 47 patients. Tube change was done on the 10th day, at the end of 1 month, and at the end of 3 months. Flexible laryngoscopy is done during every tube change to assess the airway. Results: Two groups were compared in terms of granulation through fenestra, stomal granulation, frequency of suctioning, and inner tube block. Statistical analysis was done and the values were compared. A p value <0.05 was considered to be statistically significant. There was a statistically significant difference between both groups in terms of less incidence of granulation through the fenestra and stomal granulation in type II tube. Conclusion: Type II tubes are more patient compliant. The incidence of inner tube block is comparatively less which makes it safe to use and avoid life-threatening situations. Decannulation can be done earlier and without complications in patients with type II tubes due to the less incidence of stomal granulation. Thus, type II tube is safer to use and has minimal complications.","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":"12 1","pages":"15-18"},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47472285","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}
S. Mohanty, Vinoth Manimaran, Tejasvi Vemuru, S. Priya
{"title":"Clinical Outcomes of Salivary Gland Tumor Surgery: A 10-year-chart View","authors":"S. Mohanty, Vinoth Manimaran, Tejasvi Vemuru, S. Priya","doi":"10.5005/jp-journals-10001-1414","DOIUrl":"https://doi.org/10.5005/jp-journals-10001-1414","url":null,"abstract":"\u0000\u0000\u0000Salivary gland tumors constitute about 3% of all head and neck tumors. We present a series of 104 cases of various salivary gland pathologies and the various modalities of surgeries done between January 2007 and July 2017.\u0000\u0000\u0000\u0000Total 104 patients with salivary gland tumors were included in this study, of which 76 patients had parotid tumors and 28 were submandibular gland tumors. The presence or absence of coexisting salivary gland stones, involvement or noninvolvement of ducts were all considered. Preoperatively, patients underwent fine needle aspiration cytology (FNAC) and imaging studies along with routine blood investigations.\u0000\u0000\u0000\u0000All patients underwent surgery and subsequent histopathological examination (HPE). The preoperative FNAC and postoperative HPE were not correlating in 6.5% of parotid tumors and in 3.5% of submandibular gland tumor. Anomalies in the fasciovenous planes were seen in 3% of the patients, which caused intraoperative difficulties. Postoperatively, five patients had salivary leak and three patients had neuropraxia, which was managed conservatively and the patients recovered subsequently between 3 months and 6 months postoperatively.\u0000\u0000\u0000\u0000Surgery for salivary gland tumors has its own threats due to the close proximity of nerve, vessels, and ducts. Postoperative complications like nerve palsy is seen more common in malignant tumors in both parotid and submandibular gland tumors. A proper methodical assessment and awareness of the various anatomical anomalies intraoperatively may give good surgical outcomes in surgeries of salivary gland tumors. In our study, various anomalies were encountered and dealt appropriately.\u0000\u0000Vemuru T, Mohanty S, Manimaran V, et al. Clinical Outcomes of Salivary Gland Tumor Surgery: A 10-year-chart View. Int J Head Neck Surg 2021;12(1):11–14.\u0000","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43340343","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}