JuniperPublishers_Head Neck & Spine Surgery

Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Valuable Information for Orthopedic and Neurosurgeons Authored by Nelson Hendler Research Researchers from Johns Hopkins Hospital have published information which reports: a. 40%-80% of chronic pain patients are misdiagnosed [1-5] Most are told they have sprains and strains when they actually have surgically correctable lesions [1,2,5]. For CRPS (RSD) 71%-80% of patients really have nerve entrapment, which responded to peripheral nerve decompression [3,4]. b. Doctors order the wrong tests and don’t spend enough time taking a careful history. A Wall Street Journal article quotes medical research which says the two leading causes of misdiagnosis are i. Ordering the wrong diagnostic test (57%) and ii. Poor history taking (56%) [6]. c. MRIs miss damaged discs 76%-78% of the time, and CTs miss bony lesions detected by 3D-CT 56% of the time [7,8]. d. Once a thorough history is taken, and the proper tests are...

Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Neck Surgery versus Neck Immunology Authored by  Ibrahim M S A W Shnawa 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, oro...

Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Early Intervention of Cleft Lip and Palate: Current Issues Practices and Protocol Authored by   Lalsa SP Introduction The most important step towards the treatment of a child with any disorder is early identification. Early identification helps in early intervention of a disorder Early identification Is a system of coordinated services Promotes the child’s growth and development Supports families during the critical early years Designed to enhance the development of at-risk infants and toddlers (birth to 3 years of age) Prevents speech and language delay Provides an access to cheap and best treatment Helps the child attend school like any other child. Major benefits of early intervention Early learning forms the basis for complex levels of performance. Maximize a child’s developmental capabilities. ...

Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Dysphagia: Approach to Assessment and Treatment Authored by  Lalsa Shilpa Perepa Introduction Dysphagia is a medical term used to describe a swallowing disorder. It may refer to a swallowing disorder involving any one of the 3 stages of swallowing: oral, pharyngeal, esophageal. It is not a primary medical diagnosis, but a symptom of a disease, & therefore is described most often by its clinical characteristics. Dysphagia is delay in or misdirection of a fluid or solid bolus as it moves from mouth to the stomach. Delay in or misdirection of the food bolus may interfere with functional oral intake. The nature of dysphagia Aspiration occurs whenever food enters the airway below the true vocal folds. Aspiration can occur before, during, or after the swallow. Aspiration before the swallow Aspiration occurs before the swallow in the case of a delayed or absent swallow initiation....