JuniperPublishers_Head Neck & Spine Surgery

  May this year bring new happiness, new goals, new achievements, and a lot of new inspirations on your life. Wishing you a year fully loaded with happiness.

  Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery   Oromaxillofacial Diagnosis…….. Authored by Suraj Agarwal Opinion “Learn to see, learn to hear, learn to feel, learn to smell, and know that by practice alone canyou become an expert. ” Sir William Osler Diagnosis is the bridge between the study of disease and the treatment of illness. Making a distinction between disease and illness appears redundant because the words frequently are used interchangeably. However, diseases of the oral cavity and related structures may have profound physical and emotional effects on a patient, and a holistic approach to patient care makes this distinction significant. In oral pathology one studies disease; in clinical dentistry one treats illness. For example, necrotizing ulcerative gingivitis may be defined with special emphasis on the microbiological aspects of the disease, or one may speak of an inflammatory reaction featuring “punched-out” erosions of the int

  Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery The Headache of Back Pain Authored by Dick J Zeilstra Short Communication Patients presenting with pure low back pain are among the most challenging problems to deal with for a spine surgeon. In many cases it already becomes clear that there are no surgical options for a particular patient and they are referred to (often once again) physical therapy, cognitive training, pain clinics etc. But in a small number of patients the spine surgeon’s attention gets caught by some characteristic features in the patient’s history and images. These are usually patients of around 40 years of age presenting with a single level discopathy and a history of “mechanical back pain”. Discogenic pain is assumed to originate from nerve in growth into the innermost disc mediated by proinflammatory cytokines [1,2]. Although surgery in these patients is still under heavy debate there are many surgeons who would consider a

  May the peace and hope fill your life throughout the year. We wish you a glittery, sparkly joyous Christmas and New year.

  Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Platysmal Myocutaneous Flap for Reconstruction of T1,T2 Tongue Cancer: Functional Assessment Authored by Anshuman Kumar Introduction The platysma myocutaneous flap (PMF) was first used for intraoral reconstruction in 1978 by Futrell (Futrell et al., 1978) [1]. A platysma myocutaneous flap is a versatile, easy-to-perform, one-stage procedure, and the outcome is best in adequately selected patients, with minimum donor site morbidity. It is large enough to close most head and neck ablative skin or mucosal defects up to 70cm2 and no special equipment is required (Koch, 2002) [2]. The PMF is also an excellent alternative choice to microvascular flaps, especially in patients who are medically unfit for prolonged surgery [3]. But PMF is not as popular as other options of head and neck reconstructive, because of different reasons. The main limitations are lack of bulk, problematic blood supply and unreliabi

Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Spontaneous Regression of a Large Symptomatic Calcified Central Thoracic Disc Herniation: A Case Report with a Review of the Literature Authored by Manuel R Pinto Abstract Disc herniations in the thoracic spine are rare and the incidence of symptomatic thoracic disc herniation (TDH) is 1 in a million. The incidence of asymptomatic TDH varies from 11-13%. They are classified as small (≤10%), medium (11-20%), large (21-40%), or giant (≥41%) based on the extent of canal compromise on advanced imaging. The large symptomatic calcified central TDHs are best treated operatively, as the disc fragment could be adherent to the dura or remain intra-dural [1]. We hereby report a case of one such large central calcified TDH at the T7-T8 level in a 46 year old gentleman who presented with axial mid-thoracic back pain and right-sided radicular symptoms along the intercostal nerve distribution, in addition to tingli

Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Attention to C-Spine in Craniofacial Trauma-An Update Authored by Deepak Bhimana Abstract The evolution of research and techniques in management of a trauma patient has reduced the mortality rate significantly in the golden hour. Severe maxillofacial and neck trauma exposes patients to life threatening complications such as airway compromise and hemorrhagic shock. These conditions require rapid actions (diagnosis and management) and a strong interplay between first level health care providers, surgeons and anesthesiologists. The cases with pan facial trauma need at most scrutiny due to proximity to cranial and cervical structures. In this article an insight into the C-spine injuries in a pan facial trauma patient has been discussed. Keywords: C-spine injury; Craniofacial trauma Introduction Maxillofacial injuries are

Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Image Gently...... Authored by Suraj Agarwal Short Communication As John Dryden said, “He who would search for pearls must dive below”. The dental professional is committed to delivering the highest quality of care to each of its individual patients & applying advancements in technology and science to continually improve the oral health status of the patient. Radiographs can help the dental practitioner evaluate and definitely diagnose many oral diseases & conditions. Radiographic examinations can be performed using digital imaging or conventional film. Digital imaging may offer reduced radiation exposure & the advantage of image analysis that may enhance sensitivity & reduce error introduced by subjective analysis. Once a decision to obtain radiographs is made, it is the dentist’s responsibility to follow the ALARA Principle (As low as Reasonable Achievable) to minimize

  Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Benign Paroxysmal Positional Vertigo (BPPV)   Authored by  Keerthi Kumar Patangay Introduction BPPV is often misdiagnosed, mistrited and subjected to expensive investigations such as ME brain and Petrous bone. Even otologists are not aware of this condition. Like all cases of vertigo are treated with beta histine, cinnarazine, Nootropil etc. BPPV is common condition in both the sexes in age group of 40-70 years. The classical symptoms of BPPV of Posterior semicircular canal (PSCC) is precipitation of rotary vertigo on co change of position on affending side in recumbent position. Pt may get awakened from sleep when gets into offending position. Vertigo in BPPV of PSCC is commonly precipitated when patient tries to get up from the bed. Vertigo may be associated with naussea and vomitting or sweating. It can also precipitate on looking up. BPPV of PSCC is only treated by various definitive head position

  Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery How to Prevent the Development of Purulent Complications of Acute Pneumonia Authored by  Igor Klepikov Introduction Treatment of acute pneumonia (АР) in recent decades focused solely on antibiotic therapy, does not include pathogenetic, specific methods of assistance and repeats the principles of treatment of other inflammatory diseases. Moreover, according to existing therapeutic and preventive recommendations, it is possible to assume that the АP is a specific form of inflammation. Existing approaches to the treatment of АP are in stark contrast with the following well known facts. АP is not contagious specific disease. Approval, the priority role of specific pathogens in the etiology of AP have no absolute evidence, for the vast majority of these patients were cured and cure without clarifying the etiology of the disease. Cause a significant increase in septic complications AP, contr

  Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery   Long-Term Results of Mandibular Reconstruction with Autogenous Bone Grafts and Oral Implants Authored by Brajpal Singh Tyagi Abstract The reconstruction of mandibular defects after tumor resection is a challenging problems faced by Head and neck oncosurgeons. The mandible bone is known to play an important role in upper and lower airway protection and supporting of the musculature of tongue and dentition, as well as the muscles of floor of mouth, thus permitting the various physiologic acts of mastication, articulation, deglutition, and respiration. It is also known to provide for the contour of the lower face. Any interruption of mandible therefore produces both cosmetic and functional deformity. Resection of the mandible results in its deviation toward the resected side due to the unopposed pull of remaining muscles of mastication and scar formation. There is also limitations in movements of the