JuniperPublishers_Head Neck & Spine Surgery

  Journal of Head Neck & Spine Surgery Juniper Publishers Author by:  Kartik Sonawane Abstract Spine surgery is associated with multiple postoperative complications, ranging from simple nausea and vomiting to devastating complications leading to postoperative morbidity or mortality. The postoperative neurological impairment, especially in the neurologically intact patient, is a dreadful event that makes it difficult for the surgeon to perform technically challenging or high-risk spine surgeries. Preoperative or intraoperative factors that can influence the postoperative neurological status include nature and the severity of the pathology, comorbid conditions of the patient, preexisting neurological symptoms, multiple levels involved, complex surgery or instrumentation, surgical blood loss, neurological monitoring, hemodynamic parameters, polypharmacy, and total duration of the surgery. In addition to several known contributing factors (fixation failure, epidural hematoma, ...

  Juniper Publishers-Open Access  Journal of                  Head Neck & Spine Surgery Tuberculosis of Cervical Spine  Authored by Amir FZ Abstract Tuberculosis (TB) of spine is part of an extrapulmonary tuberculosis manifestation and is the most common form of skeletal tuberculosis. It affects mostly at the thoracic and lumbar region owing to its blood supply but uncommonly spreads to the cervical spine. This article describes a 67-year-old lady who presented with neck pain secondary to TB of cervical spine. Keywords: Tuberculosis; Spine; Cervical Introduction Cervical TB spine is particularly rare, representing 3-5% of all spinal TB cases [ 1 ]. Mainstay treatments are usually chemotherapy with long duration of anti-tuberculosis medication. Only limited cases are indicated for surgery in which anterior approach to cervical is more favorable [ 2 ]. ...

  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 defin...

  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 complicati...

  Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Nasopharyngeal Carcinoma: Prospects of Chemo radiation and Changing Trends in Epidemiology Authored by Pradip Kumar Tiwari Abstract Introduction Aim: Study the changing trend basically in the Upper - Assam region of India and its prospects. Case setting and design: Retrospective study of patients presenting with Nasopharyngeal Carcinoma between the study period of one and a half year (Jan 2014 – Jun 2015) in the, Department of Otolaryngology and Head and Neck Surgery, Assam Medical College, Dibrugarh, Assam, India. Materials and methods: Fourteen patients were treated in the study period. Different approaches were used. Results: Nasopharyngeal carcinoma is not confined to any specific ethnic community or age, however bimodal peak was again proved and concurrent chemo-radiation therapy was better than other treatment modalities. Conclusion: Bimodal peak occurrence of the disea...

JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF HEAD NECK & SPINE SURGERY Introduction Necrotizing Fasciitis (NF) is a devastating rapidly progressive bacterial infection involving the superficial fascia leading to necrosis of overlying skin and systemic toxicity [1,2]. We present a case of periorbital NF in a chronically malnourished and unwell patient following facial trauma. Case Report A 36-year-old female presented to the emergency department following a mechanical fall with extensive left facial bruising extending to the neck and chest wall. The patient featured a complex medical history including severe anorexia nervosa. Pathology revealed significant electrolyte derangement, hypothermia, osteoporosis, bone marrow suppression and synthetic hepatic impairment. A clinical diagnosis of NF was made 6 days into her ICU admission following the development of anaesthetic, necrotic-appearing skin associated with purulent exudates from the palpebral fissure and a...