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

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Surgical Management for Non-Traumatic Syringomyelia using Syringo-Subarachnoid Shunt “T-Tube”: An Experience of 6 Cases-Juniper publishers

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JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF HEAD NECK & SPINE SURGERY Introduction The natural history of syringomyelia is highly variable. In some cases, patients do improve or stabilize without surgery, while others deteriorate even with aggressive interventions. Various surgical procedures for the treatment of syringomyelia have been introduced, including posterior fossa decompression, syringostomy, syringoperitoneal shunting. But even though satisfactory results have been reported for most of these procedures, some authors have been critical of these techniques. Through this paper, we will try to make our contribution by reporting the results we have got after surgical management of 6 patients operated for syringomyelia by syringo-subarachnoid shunt using T-Tube. Methods Patients The mean age of our patients was 55.4 years. Etiologies of our patients’ syringomyelia are various: only one patient had post traumatic syringomyelia (6 years after trauma). ...
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Study of Laryngotracheal Stenosis and its Management in 25 Cases-Juniper publishers

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JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF HEAD NECK & SPINE SURGERY Abstract Introduction: Laryngotracheal stenosis is a complex problem resulting most often from intubation, trauma, or autoimmune disease. In this modern era, airway trauma has increased by considerable number owing to increased ventilator care in many emergency situations [ 1 ]. Anaesthetist's timely intubation saves the life of a patient but he must also be able to foresee the chaotic life of a prolongedly intubated patient who might develop stenosis. Objectives of the study: Clinical study of LTS was done to observe the various etiological causes for it and major concentration was towards the post intubational stenosis. With increasing ventilatory support for varied reasons in present day intensive care setup, the incidence of stenosis following intubation has equally increase. Management of these cases needs a great surgical expertise, due to high failure rate as well as many compli...
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Parapharyngeal Space Tumors - "A Surgical Challenge"-Juniper publishers

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JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF HEAD NECK & SPINE SURGERY Abstract Parapharyngeal space tumors are rare entity. Overall incidence is less than 0.5%. These tumors are divided into prestyloid and post styloid tumors. Salivary gland neoplasma are common in prestyloid compartment whereas Neurogenic tumors in post styloid compartment. As these tumors are painless and does not express signs and symptoms at early stage, diagnosis of such tumors needs critical evaluation. Anatomic complexity of PPS makes surgical excision more challenging. We have reported 4 cases of parapharyngeal space tumors over a period of 10 years. Keywords: Parapharyngeal; Schwannoma; Paraganglioma; Neurogenic; Transcervical Background Parapharyngeal space is an inverted pyramid from base of the skull to hyoid bone. It is bounded medially by pharynx, anteriorly pterygomandibular raphe, posterolaterally carotid sheath, posteromedially retropharyngeal space, laterally above the leve...
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