JuniperPublishers_Head Neck & Spine Surgery

  Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Submental Endotracheal Intubation: A Useful Alternative Authored by  Kanwaldeep Singh Soodan Abstract Submental endotracheal intubation is a simple, useful and safe technique in maxillofacial trauma when oral and nasal endotracheal intubation cannot be performed. It prevents need for tracheostomy and its consequent morbidity. Airway management in patients with panfacial trauma is challenging due to disruption of components of upper airway. Most patients have associated nasal fractures where use of nasal route of intubation contra-indicated. Intermittent intra-operative dental occlusion is needed to check alignment of the fracture fragments, which contraindicates the use of orotracheal intubation. The anesthesiologist has to share the airway with the surgeons. Submental intubation provides intra-operative airway control, avoids use of oral and nasal route, with minimal complications. Submental in

  Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Parapharyngeal Space Tumors - "A Surgical Challenge" Authored by Gauri Kokane 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

    Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Did Randomized Clinical Trials (RCT) and Continually are Contributing Evidence for Progress in Radiation Oncology Authored by Bogusław Maciejewski Abstract Since clinical trials have been advocated as evidence based guidelines for radiotherapy many RCTs were carried out. Can they be considered compared with empirical studies, as a milestone progress in radiation oncology. Large heterogenous tumor sites and stages were enrolled into the trials on hyperoxygen therapy, radiosensitizers and altered fractionations raise some uncertainties and criticism regarding therapeutic gain usually reported as median end-points. Local tumor control rates have been and still are related to the tumor TNM status, but almost never to initial tumor volume (number of initial cancer stem cells) whereas the effect of irradiation is cell killing, not tumor stage killing. Many RCTs became disappointing or at least therape

  Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Pre-operative Hook-wire Localization of Thoracic Spinal Level for Intraspinal Pathology Requiring a Single Level Laminectomy Authored by Kalai Arasu Muthusamy Abstract The accurate localisation of the levels of the thoracic spine is important to minimise surgical trauma to the spine and soft tissue, as well reduce the possibility of spinal instability especially if bone is removed extensively to enable better exposure. The availability of techniques to minimise the need for exploration of multiple levels would go a long way in overcoming these problems. We reviewed other presently employed methods of localisation such as traditional intraoperative fluoroscopy, skin marking using radio-opaque material and dye, and computed tomography (CT) or magnetic resonance imaging (MRI) based spinal navigation system. We describe here a method of pre-operative marking of thoracic spinal level using hook-wire un

  Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Cervicalgia and its Relation to Stress in the Population of a Doctor'�'s Office Authored by Elizabeth Prendes Lago Abstract Introduction: Neck pain increases its frequency in medical consultation. It has been published that about 50% of general population has neck pain at any time and the presence of stress in our life is becoming increasingly frequent. Objective: To determine the relation of neck pain with risk factors such as stress, the posture and the perception of risk in patients, in population older than 15 years. Method: A, transversal, retrospective and descriptive study was made to a representative sample of 557 persons; a questionnaire of 10 questions was applied that included general data with the presence of neck pain and the relation of the stress with this pain as causal factors. Results: 58.5% of the patients (326) reported neck pain at any time and 73.3% has stress and