JuniperPublishers_Head Neck & Spine Surgery

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 ti...

  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 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....