Neck Surgery versus Neck Immunology-Juniper publishers
Juniper publishers-Journal of Head Neck
Opinion
Smart Surgeon [1] should be smart anatomist and smart
physiologist. This theme seems to be deficient unless immunologist
similarly should have good knowledge in anatomy and physiology. The link
between surgeon and immunologist is through the anatomy and physiology.
Hence the trigon of head neck and spine surgery appeared to be linked
to immunology through anatomy and physiology. Among this trigon neck
perceive my personal attention, since it got several biologic bearings
like terato-biology, structural and functional immunology (Table 1-3)
[2-5]. So far the structural immunologic aspects is concerned it served
as a niche for tonsils, cervical lymph node and passage way for cervical
lymphatics .While for functional immunology it served as stage for
natural immune drain for microbial invadors coming from mouth,
oropharynx and dental infections as well as tonsils. The draining lymph
nodes also drain aberrant overgrowing cancer cells arisen in the neck
area.
Neck surgeon inter played real important roles for
the immune state of neck area including removal of neoplasms of lymphoid
tissues, infective granulomas, chronic cervical lymphadenopathy and
space occupying lesions and performing eligible tissue grafting. While
the interplay roles of immunologist for the neck region furnishing the
basics for mucosal immune function [6], tissue transplantation,
immunology of granuloma,
immune diagnosis for disorders, mechanisms of natural immune drainage of
invaders (Table 2-4).
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