JuniperPublishers_Head Neck & Spine Surgery

  Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery   Symptomatic Outcomes of FESS Authored by Mohammed Humaam Ansari Abstract The term 'sinusitis’ refers to a group of disorders characterized by inflammation of the mucosa of theparanasal sinuses. Because the inflammation nearly always also involves the nose, it is now generally accepted that ‘rhinosinusitis’ is the preferred term to describe this inflammation of the nose and paranasal sinuses. Presently, functional endoscopic sinus surgery (FESS) is the standard treatment of chronic rhinosinusitis (CRS) and in sinonasal polyposis. The endoscopic procedure is based on the principles introduced by Messerklinger, which prioritize both the function and the permeability of pre-ethmoidal spaces. In 1985, Kennedy described this technique and popularized the term “Functional Endoscopic Sinus Surgery - FESS”. Keywords: FESS; Chronic; Rhinosinusitis; Polyp Abbreviation: FESS: Functional end...

  Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Incidence and Prognostic Factors in Distant Metastasis from Primary Head and Neck Cancer-An Institutional Experience Authored by Gauri Kokane Abstract Introduction: Distant metastases adversely affect treatment planning as well as the overall prognosis of patient. The incidence of distant metastases is less in primary head and neck malignancy than other malignancies. objective of to calculate the median interval and to identify the frequency of occurrence as well as various risk factors for distant metastases in patients with head and neck squamous cell carcinomas. Materials and Methods: Retrospective data of 500 patients operated at HCG Manavata cancer centre, Nashik for head and neck cancer was obtained from hospital management software system from year 2010 to 2014 with follow up of at least 2.5 year. The following variables were evaluated in relation to distant metastases: age, gen...

  Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery   An Unusual Accident during a Molar Extraction: A Rare Case Report Breakage of Surgical Instrument an Uncommon Intra-Operative Complication  Authored by Ajit Joshi Abstract Background: Fracture of Surgical Instruments is an unusual intraoperative complication. Inappropriate handling of a surgical instrument or poor tools may lead to breakage of the instrument. This article presents a case of a dental elevator fracture during extraction of mandibular molar. Case report: A 35 year-old male patient reported to the Department of Oral & Maxillofacial Surgery at Swargiya Dadasaheb Kalmegh Smruti Dental College & Hospital, Nagpur with chief complaint of pain in lower left back region of jaw since 1 month. But, it was observed that the dental elevator tip had broken during extraction by operator. The metallic fragment was removed to assure it completed the whole missing part...

Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Intervertebral Disc Aging, Degeneration, and Associated Potential Molecular Mechanisms  Authored by Qiuqian Wu Abstract Intervertebral disc degeneration is a major cause of neck and back pain, a very common clinical problem. However, no effective treatment is available, which is largely due to the lack of understanding of molecular mechanisms underlying disc degeneration. Here, we briefly described the process of intervertebral disc aging and degeneration and summarized major findings in molecular signaling pathways implicated in disc aging and degeneration. Keywords: Intervertebral disc degeneration; Aging; Senescence; Neck and back pain Mini Review An intervertebral disc consists of an annulus fibrosus ring, a nucleus pulposus core, and two cartilaginous superior and inferior endplates. The outer annulus is made up of highly ordered collagen lamellae in which type I collagen fibers are aligne...

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  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” erosi...

  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 c...