Pub Date : 2022-01-01DOI: 10.4103/jhnps.jhnps_11_22
Nitin Sharma, S. Malhotra, Manu Narayan
Introduction: Childhood dental caries can have a negative impact on the oral health of both children and their caregivers. The purpose of this research was to assess the severity of dental caries and other covariates such as age and gender and affected the oral health-related quality of life of preschool children and their parents. Materials and Methods: 1110 preschool children aged 4–6 years attending both public and private schools of Kanpur city were studied. dmft index was used for quantifying dental caries. Oral Health-related Quality of LifeScale (OHRQoL) questionnaire of Michigan OHRQoL–Child Version and parent version was used to assess OHRQoL. Chi-square test was run for analyzing the relationship of OHRQoL with dental caries, age and gender. P < 0.05 was considered to be statistically significant. Results: Children with higher caries experience reported with compromised OHRQoL in each domains of “Pain/discomfort,” “Temperomandibular joint disorders,” “Consequences of poor oral health” and “Psychological/Esthetic domain.” OHRQoL exhibiting no difference between males and females in each domains of “Pain/discomfort,” “Temperomandibular joint disorders,” “Consequences of poor oral health” and “Psychological/Esthetic domain.” The younger age Group i.e., 4 year old reported with worse OHRQoL as compared to 5-year-old and 6 year old in each domains of “Pain/discomfort,” “Temperomandibular joint disorders,” “Consequences of poor oral health” and “Psychological/Esthetic domain.” Parent's perception of OHRQoL was high when compared to their children's OHRQoL. Conclusion: In the sample of preschool children evaluated, the overall influence of dental caries prevalence on OHRQoL was rather significant. Longitudinal analyses should be used in future studies to measure risk markers.
{"title":"The impact of dental caries on the oral health related quality of life in children in Kanpur City, North India","authors":"Nitin Sharma, S. Malhotra, Manu Narayan","doi":"10.4103/jhnps.jhnps_11_22","DOIUrl":"https://doi.org/10.4103/jhnps.jhnps_11_22","url":null,"abstract":"Introduction: Childhood dental caries can have a negative impact on the oral health of both children and their caregivers. The purpose of this research was to assess the severity of dental caries and other covariates such as age and gender and affected the oral health-related quality of life of preschool children and their parents. Materials and Methods: 1110 preschool children aged 4–6 years attending both public and private schools of Kanpur city were studied. dmft index was used for quantifying dental caries. Oral Health-related Quality of LifeScale (OHRQoL) questionnaire of Michigan OHRQoL–Child Version and parent version was used to assess OHRQoL. Chi-square test was run for analyzing the relationship of OHRQoL with dental caries, age and gender. P < 0.05 was considered to be statistically significant. Results: Children with higher caries experience reported with compromised OHRQoL in each domains of “Pain/discomfort,” “Temperomandibular joint disorders,” “Consequences of poor oral health” and “Psychological/Esthetic domain.” OHRQoL exhibiting no difference between males and females in each domains of “Pain/discomfort,” “Temperomandibular joint disorders,” “Consequences of poor oral health” and “Psychological/Esthetic domain.” The younger age Group i.e., 4 year old reported with worse OHRQoL as compared to 5-year-old and 6 year old in each domains of “Pain/discomfort,” “Temperomandibular joint disorders,” “Consequences of poor oral health” and “Psychological/Esthetic domain.” Parent's perception of OHRQoL was high when compared to their children's OHRQoL. Conclusion: In the sample of preschool children evaluated, the overall influence of dental caries prevalence on OHRQoL was rather significant. Longitudinal analyses should be used in future studies to measure risk markers.","PeriodicalId":41774,"journal":{"name":"Journal of Head & Neck Physicians and Surgeons","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43877262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4103/jhnps.jhnps_9_22
Nikhil Thorat, S. Sahana, N. Chauhan, T. Singh, A. Khare
Musculoskeletal disorders (MSDs) are the most common occupational illnesses in the world. Dental professionals are more prone to injuries and pain in their muscles, tendons, nerves, and joints, which are known as MSDs. Prolonged static postures, repeated actions, workplace designs, poor alignment, genetic predisposition, mental stress, physical conditioning, age, and nonwork activities are all factors that might contribute to musculoskeletal pain (MSP). This systematic review and meta-analysis was based on Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines, and the articles were retrieved from the search engines such as PubMed, Google Scholar, and Web of Science after fulfilling the eligibility criteria. After screening, a final of ten articles were included in the final analysis. This systematic and meta-analysis follows the PRISMA checklist. Medcalc software was used in order to find the significance of the prevalence of lower back pain, followed by neck pain, upper back pain, shoulder pain, and hand and wrist pain in dental practitioners. Significant differences were considered at P < 0.05. A total of ten studies were included, of which six studies met the criteria for the meta-analysis. The prevalence rates of musculoskeletal diseases were high. The lower back was the region most affected (47.753%, 95% confidence interval [CI]: 45.007–50.509), followed by the upper back body region (44.167%, 95% CI: 41.300–47.063%), neck pain (41.633%, 95% CI: 39.066%–44.234%), shoulder pain (33.608%, 95% CI: 31.222%–36.058% and 18.656%), and hand/wrist pain (95% CI: 16.359%–21.128%). Work-related MSP is the major health problem among dental professionals. Working posture of dental professionals is important and has been identified as a major risk factor for the development of work-related MSDs. A proper ergonomic design and posture can reduce the MSP. Therefore, further research is needed on possible ergonomics needed for preventing MSDs.
{"title":"Prevalence of musculoskeletal pain in dentists; A systematic review and meta-analysis","authors":"Nikhil Thorat, S. Sahana, N. Chauhan, T. Singh, A. Khare","doi":"10.4103/jhnps.jhnps_9_22","DOIUrl":"https://doi.org/10.4103/jhnps.jhnps_9_22","url":null,"abstract":"Musculoskeletal disorders (MSDs) are the most common occupational illnesses in the world. Dental professionals are more prone to injuries and pain in their muscles, tendons, nerves, and joints, which are known as MSDs. Prolonged static postures, repeated actions, workplace designs, poor alignment, genetic predisposition, mental stress, physical conditioning, age, and nonwork activities are all factors that might contribute to musculoskeletal pain (MSP). This systematic review and meta-analysis was based on Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines, and the articles were retrieved from the search engines such as PubMed, Google Scholar, and Web of Science after fulfilling the eligibility criteria. After screening, a final of ten articles were included in the final analysis. This systematic and meta-analysis follows the PRISMA checklist. Medcalc software was used in order to find the significance of the prevalence of lower back pain, followed by neck pain, upper back pain, shoulder pain, and hand and wrist pain in dental practitioners. Significant differences were considered at P < 0.05. A total of ten studies were included, of which six studies met the criteria for the meta-analysis. The prevalence rates of musculoskeletal diseases were high. The lower back was the region most affected (47.753%, 95% confidence interval [CI]: 45.007–50.509), followed by the upper back body region (44.167%, 95% CI: 41.300–47.063%), neck pain (41.633%, 95% CI: 39.066%–44.234%), shoulder pain (33.608%, 95% CI: 31.222%–36.058% and 18.656%), and hand/wrist pain (95% CI: 16.359%–21.128%). Work-related MSP is the major health problem among dental professionals. Working posture of dental professionals is important and has been identified as a major risk factor for the development of work-related MSDs. A proper ergonomic design and posture can reduce the MSP. Therefore, further research is needed on possible ergonomics needed for preventing MSDs.","PeriodicalId":41774,"journal":{"name":"Journal of Head & Neck Physicians and Surgeons","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48985484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4103/jhnps.jhnps_10_22
Anjuna Reghunath, M. Mittal, B. Thukral, M. Sinha
The complex anatomy and exposure to various potential carcinogens lead to the development of tumors and tumor-like pathologies of the nose and paranasal sinuses. Delays in the diagnosis of sinonasal masses are common, leading to significant morbidity and mortality. Often the radiologist is the first person to recognize a neoplasm in a suspected inflammatory condition. Computed tomography and magnetic resonance imaging play a synergistic role in the assessment of pathologies in the sinonasal region, and their importance has become increasingly prevalent in the current scenario of coronavirus disease 2019 associated mucormycosis. Besides, imaging is essential for mapping the exact extent of the pathology and delineating vascular supply of hypervascular masses, thus facilitating the operating surgeon and interventional radiologist in management. The cases presented in this article have been accrued over the past three decades and analyzed as a retrospective observational study, with clinical, radiological, and pathological data having been extracted from the existing database in the institution. We present the imaging spectrum of sinonasal masses in the pediatric and adult population, highlight the key radiological features of the common pathologies and discuss an imaging template for reporting these masses, with special focus on the surgically relevant points to be included in the report. The educational goal of this review is to explore a meticulous and systematic imaging approach toward soft tissue lesions in the sinonasal region, which would enable the radiologist to reach a diagnosis or point toward the possible etiology and nature of the lesions.
{"title":"Approach to sinonasal masses: A comprehensive review","authors":"Anjuna Reghunath, M. Mittal, B. Thukral, M. Sinha","doi":"10.4103/jhnps.jhnps_10_22","DOIUrl":"https://doi.org/10.4103/jhnps.jhnps_10_22","url":null,"abstract":"The complex anatomy and exposure to various potential carcinogens lead to the development of tumors and tumor-like pathologies of the nose and paranasal sinuses. Delays in the diagnosis of sinonasal masses are common, leading to significant morbidity and mortality. Often the radiologist is the first person to recognize a neoplasm in a suspected inflammatory condition. Computed tomography and magnetic resonance imaging play a synergistic role in the assessment of pathologies in the sinonasal region, and their importance has become increasingly prevalent in the current scenario of coronavirus disease 2019 associated mucormycosis. Besides, imaging is essential for mapping the exact extent of the pathology and delineating vascular supply of hypervascular masses, thus facilitating the operating surgeon and interventional radiologist in management. The cases presented in this article have been accrued over the past three decades and analyzed as a retrospective observational study, with clinical, radiological, and pathological data having been extracted from the existing database in the institution. We present the imaging spectrum of sinonasal masses in the pediatric and adult population, highlight the key radiological features of the common pathologies and discuss an imaging template for reporting these masses, with special focus on the surgically relevant points to be included in the report. The educational goal of this review is to explore a meticulous and systematic imaging approach toward soft tissue lesions in the sinonasal region, which would enable the radiologist to reach a diagnosis or point toward the possible etiology and nature of the lesions.","PeriodicalId":41774,"journal":{"name":"Journal of Head & Neck Physicians and Surgeons","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48535661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4103/jhnps.jhnps_7_22
N. Reddy, S. Thakur, B. Joshna, K. Kumar, A. Kudpaje, U. V. Vishal Rao
Introduction: Follow-up care and monitoring of survivorship are key aspects of head and neck cancer management. The unprecedented COVID-19 pandemic has posed an unforeseen challenge before head and neck surgeons and has created an urgent need for deploying processes for triaging patients. This study evaluates the effectiveness of a 3-tiered protocol incorporating principles of “mhealth” proposed by WHO and telemedicine to monitor recurrence, maintain compliance, and address pressing issues in follow-up head and neck cancer patients. Materials and Methods: One hundred and one head and neck cancer patients who have undergone surgery and/or completed chemoradiation between the years 2015 and 2020 were selected. Details of patients who were on regular follow-up until March 2020 were obtained. A 3-tier screening protocol including a telephonic questionnaire, video consultation, and visit to primary care center was utilized to triage patients. Results: Fifty-seven percent of the patients did not require any intervention and were managed through video consultation with specialists. 38% of the patients needed a visit to a nearby health care worker or primary physician along with rehabilitation services. Only 5% of them needed a visit to a tertiary healthcare center for specialist care. The overall dropout from follow-up in this study was 19.8%. There was no significant difference of scores noted between oral cavity and nonoral cavity cancer groups (z = 1.17, P = 0.24, Mann–Whitney Test). Conclusion: The proposed 3-tier screening protocol using telemedicine is a feasible, cost-effective, and time-efficient tool to overcome the negative impact of COVID-19 on follow-up care.
{"title":"The utility of telemedicine for postoperative follow-up care in head and neck cancer patients during the COVID-19 pandemic","authors":"N. Reddy, S. Thakur, B. Joshna, K. Kumar, A. Kudpaje, U. V. Vishal Rao","doi":"10.4103/jhnps.jhnps_7_22","DOIUrl":"https://doi.org/10.4103/jhnps.jhnps_7_22","url":null,"abstract":"Introduction: Follow-up care and monitoring of survivorship are key aspects of head and neck cancer management. The unprecedented COVID-19 pandemic has posed an unforeseen challenge before head and neck surgeons and has created an urgent need for deploying processes for triaging patients. This study evaluates the effectiveness of a 3-tiered protocol incorporating principles of “mhealth” proposed by WHO and telemedicine to monitor recurrence, maintain compliance, and address pressing issues in follow-up head and neck cancer patients. Materials and Methods: One hundred and one head and neck cancer patients who have undergone surgery and/or completed chemoradiation between the years 2015 and 2020 were selected. Details of patients who were on regular follow-up until March 2020 were obtained. A 3-tier screening protocol including a telephonic questionnaire, video consultation, and visit to primary care center was utilized to triage patients. Results: Fifty-seven percent of the patients did not require any intervention and were managed through video consultation with specialists. 38% of the patients needed a visit to a nearby health care worker or primary physician along with rehabilitation services. Only 5% of them needed a visit to a tertiary healthcare center for specialist care. The overall dropout from follow-up in this study was 19.8%. There was no significant difference of scores noted between oral cavity and nonoral cavity cancer groups (z = 1.17, P = 0.24, Mann–Whitney Test). Conclusion: The proposed 3-tier screening protocol using telemedicine is a feasible, cost-effective, and time-efficient tool to overcome the negative impact of COVID-19 on follow-up care.","PeriodicalId":41774,"journal":{"name":"Journal of Head & Neck Physicians and Surgeons","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41254762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4103/jhnps.jhnps_2_22
Lalitha Sree, S. Pinki, Felix Vinod, Senthilkumar Niharika
Nasopharyngeal swab collection procedure has been used as a part of COVID-19 testing. Few cases of cerebrospinal fluid (CSF) leak following nasopharyngeal swab have been reported so far. Here, we report an interesting case of CSF leak following nasopharyngeal swab for COVID testing which we repaired using platelet-rich fibrin as an outpatient department procedure.
{"title":"Platelet rich fibrin for post covid nasal swab cerebrospinal fluid leak","authors":"Lalitha Sree, S. Pinki, Felix Vinod, Senthilkumar Niharika","doi":"10.4103/jhnps.jhnps_2_22","DOIUrl":"https://doi.org/10.4103/jhnps.jhnps_2_22","url":null,"abstract":"Nasopharyngeal swab collection procedure has been used as a part of COVID-19 testing. Few cases of cerebrospinal fluid (CSF) leak following nasopharyngeal swab have been reported so far. Here, we report an interesting case of CSF leak following nasopharyngeal swab for COVID testing which we repaired using platelet-rich fibrin as an outpatient department procedure.","PeriodicalId":41774,"journal":{"name":"Journal of Head & Neck Physicians and Surgeons","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47761965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4103/jhnps.jhnps_14_22
S. Yalçıntepe, H. Guler, Drenushe Zhuri, D. Eker, H. Gurkan
Microcephaly is a rare neurological condition, and it is characterized by a smaller head than other children of the same age and sex. Microcephaly with or without chorioretinopathy, lymphedema, or mental retardation (MLCRD) is a syndrome with a varying spectrum that occurs as a result of variants of KIF11 gene. A 3-year-old girl was presented to our clinic with microcephaly; she had no motor or growth retardation except microcephaly. After obtaining a normal karyotype and microarray result, Trusight One-Expanded Panel analysis showed NM_004523.4 (KIF11): c. 2409dupA (p. Leu804Thrfs Ter13) heterozygous pathogenic novel variant. Patients who have KIF11 mutation often also have different clinical features; in our case, the motor development is consistent with its peers and has a history of prenatal and postnatal microcephaly. Microcephaly can be caused by a variety of genetic mutations. In our case, firstly we identify the association of a novel de novo KIF11 gene duplication variant related to isolated microcephaly.
{"title":"Identification of a novel KIF11 variant p.(Leu804Thrfs Ter13) in a case with isolated microcephaly","authors":"S. Yalçıntepe, H. Guler, Drenushe Zhuri, D. Eker, H. Gurkan","doi":"10.4103/jhnps.jhnps_14_22","DOIUrl":"https://doi.org/10.4103/jhnps.jhnps_14_22","url":null,"abstract":"Microcephaly is a rare neurological condition, and it is characterized by a smaller head than other children of the same age and sex. Microcephaly with or without chorioretinopathy, lymphedema, or mental retardation (MLCRD) is a syndrome with a varying spectrum that occurs as a result of variants of KIF11 gene. A 3-year-old girl was presented to our clinic with microcephaly; she had no motor or growth retardation except microcephaly. After obtaining a normal karyotype and microarray result, Trusight One-Expanded Panel analysis showed NM_004523.4 (KIF11): c. 2409dupA (p. Leu804Thrfs Ter13) heterozygous pathogenic novel variant. Patients who have KIF11 mutation often also have different clinical features; in our case, the motor development is consistent with its peers and has a history of prenatal and postnatal microcephaly. Microcephaly can be caused by a variety of genetic mutations. In our case, firstly we identify the association of a novel de novo KIF11 gene duplication variant related to isolated microcephaly.","PeriodicalId":41774,"journal":{"name":"Journal of Head & Neck Physicians and Surgeons","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41898917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4103/jhnps.jhnps_8_22
Kaustubh D. Patel, D. Mandlik, A. Joshipura, K. Gupta
Though the incidence of anaplastic thyroid cancer (ATC) is minimal amongst thyroid cancers, the outcomes have remained dismal. As significant advances have happened after the 2012 guidelines, American Thyroid Association (ATA)-is a leading body, has recently released updated evidence-based guidelines of ATC in 2021. A need to interpret this guideline in the Indian context was perceived. The 2021 ATC guidelines by ATA, with relevant literature, were reviewed. The recommendations for specific subcategories were compiled. Relevant information pertaining to the Indian scenario was discussed with specific subcategories with Indian evidence. Future direction observations were shared. ATA has provided practical and updated guidelines for ATC. There are some region-specific considerations in the implementation of recommendations. A well-organized research approach and resource allocation are required to optimize ATC management in India.
{"title":"Utility of American Thyroid Association Guidelines 2021 for management of anaplastic thyroid carcinoma in Indian setting","authors":"Kaustubh D. Patel, D. Mandlik, A. Joshipura, K. Gupta","doi":"10.4103/jhnps.jhnps_8_22","DOIUrl":"https://doi.org/10.4103/jhnps.jhnps_8_22","url":null,"abstract":"Though the incidence of anaplastic thyroid cancer (ATC) is minimal amongst thyroid cancers, the outcomes have remained dismal. As significant advances have happened after the 2012 guidelines, American Thyroid Association (ATA)-is a leading body, has recently released updated evidence-based guidelines of ATC in 2021. A need to interpret this guideline in the Indian context was perceived. The 2021 ATC guidelines by ATA, with relevant literature, were reviewed. The recommendations for specific subcategories were compiled. Relevant information pertaining to the Indian scenario was discussed with specific subcategories with Indian evidence. Future direction observations were shared. ATA has provided practical and updated guidelines for ATC. There are some region-specific considerations in the implementation of recommendations. A well-organized research approach and resource allocation are required to optimize ATC management in India.","PeriodicalId":41774,"journal":{"name":"Journal of Head & Neck Physicians and Surgeons","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45694523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4103/jhnps.jhnps_6_22
Dhanushya Gohil, D. Mandlik, Y. Mistry, Purvi S. Patel, A. Joshipura, Gurpreet Kaur, Kaustubh D. Patel
Introduction: Free radial artery forearm flap is a feasible reconstructive option for small defects in the head and neck. However, one of the major drawbacks is covering of the donor site with split-thickness graft, which leads to donor site morbidity, in terms of compromised cosmesis. An alternative strategy to close this defect primarily, utilizing native skin, can be helpful to mitigate this issue. Materials and Methods: We have described a technique of primary closure of donor site defect of the radial forearm flap using a transposition flap in 24 patients. The principle used is to transpose the ulnar skin flap which derives its blood supply from the perforators of the ulnar artery. The efficacy and complications were recorded and described. Results: We were able to close defects of up to 8 cm × 5 cm using this technique. No major complications were reported in any patients. Seven (29.1%) patients had small areas of necrosis at the tri-pointer area and skin edge. All of them healed using conservative measures by secondary intention except one case which required a secondary skin grafting procedure. Hypertrophic scarring was seen in three patients. Conclusions: This technique has many advantages over traditional skin grafting such as improved cosmesis, avoidance of a secondary donor site, and skin graft-associated complications. Further studies to prove the efficacy of this technique with objective function evaluation over a larger cohort are desirable.
{"title":"A technique for primary closure of the free radial artery forearm flap donor site – Early results","authors":"Dhanushya Gohil, D. Mandlik, Y. Mistry, Purvi S. Patel, A. Joshipura, Gurpreet Kaur, Kaustubh D. Patel","doi":"10.4103/jhnps.jhnps_6_22","DOIUrl":"https://doi.org/10.4103/jhnps.jhnps_6_22","url":null,"abstract":"Introduction: Free radial artery forearm flap is a feasible reconstructive option for small defects in the head and neck. However, one of the major drawbacks is covering of the donor site with split-thickness graft, which leads to donor site morbidity, in terms of compromised cosmesis. An alternative strategy to close this defect primarily, utilizing native skin, can be helpful to mitigate this issue. Materials and Methods: We have described a technique of primary closure of donor site defect of the radial forearm flap using a transposition flap in 24 patients. The principle used is to transpose the ulnar skin flap which derives its blood supply from the perforators of the ulnar artery. The efficacy and complications were recorded and described. Results: We were able to close defects of up to 8 cm × 5 cm using this technique. No major complications were reported in any patients. Seven (29.1%) patients had small areas of necrosis at the tri-pointer area and skin edge. All of them healed using conservative measures by secondary intention except one case which required a secondary skin grafting procedure. Hypertrophic scarring was seen in three patients. Conclusions: This technique has many advantages over traditional skin grafting such as improved cosmesis, avoidance of a secondary donor site, and skin graft-associated complications. Further studies to prove the efficacy of this technique with objective function evaluation over a larger cohort are desirable.","PeriodicalId":41774,"journal":{"name":"Journal of Head & Neck Physicians and Surgeons","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43431544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4103/jhnps.jhnps_31_22
K. Ganesan
{"title":"Depth of invasion in oral cavity squamous cell carcinomas: A radiologist's perspective","authors":"K. Ganesan","doi":"10.4103/jhnps.jhnps_31_22","DOIUrl":"https://doi.org/10.4103/jhnps.jhnps_31_22","url":null,"abstract":"","PeriodicalId":41774,"journal":{"name":"Journal of Head & Neck Physicians and Surgeons","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45831834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.4103/jhnps.jhnps_70_21
H. Singhavi, A. Pai, Aysha Khan, Hardik Patel, Namita Nandakumar, A. Heroor
Oral cavity cancer (OCC) treatment is associated with functional defects, morbidity, and significant chances of recurrence. Functional defect in terms of restriction of movement, reduced mouth opening, dysphagia, difficulty in speech results in poor quality of life (QoL). However, with timely physiotherapy majority of the functional loss can be rehabilitated. Training of physiotherapy needs to be started from preoperative time period setting up the mindset for postoperative rehabilitation. Literature lacks the robust data on the effects of physiotherapy for each step of cancer management (pretreatment, perioperative, and postoperative stage). In this systematic narrative review, we lay down the available evidence through extensive search of the available literature on the role of timely physical therapy in improving QoL in oral submucous fibrosis, preoperative and perioperative setting in OCC patients. The reviewed articles also shed light on perioperative role of physiotherapy in tracheostomy care, chest physiotherapy, prevention of deep vein thrombosis, speech, swallowing function, neck, shoulder movement, donor site hand, and leg mobility is highlighted. The review also highlights post-treatment management of trismus, dysphagia, lymphedema, and its recent advances.
{"title":"Role of physiotherapy in rehabilitation of oral potentially malignant disorder (OPMD) and oral cavity cancers: Systematic review of literature","authors":"H. Singhavi, A. Pai, Aysha Khan, Hardik Patel, Namita Nandakumar, A. Heroor","doi":"10.4103/jhnps.jhnps_70_21","DOIUrl":"https://doi.org/10.4103/jhnps.jhnps_70_21","url":null,"abstract":"Oral cavity cancer (OCC) treatment is associated with functional defects, morbidity, and significant chances of recurrence. Functional defect in terms of restriction of movement, reduced mouth opening, dysphagia, difficulty in speech results in poor quality of life (QoL). However, with timely physiotherapy majority of the functional loss can be rehabilitated. Training of physiotherapy needs to be started from preoperative time period setting up the mindset for postoperative rehabilitation. Literature lacks the robust data on the effects of physiotherapy for each step of cancer management (pretreatment, perioperative, and postoperative stage). In this systematic narrative review, we lay down the available evidence through extensive search of the available literature on the role of timely physical therapy in improving QoL in oral submucous fibrosis, preoperative and perioperative setting in OCC patients. The reviewed articles also shed light on perioperative role of physiotherapy in tracheostomy care, chest physiotherapy, prevention of deep vein thrombosis, speech, swallowing function, neck, shoulder movement, donor site hand, and leg mobility is highlighted. The review also highlights post-treatment management of trismus, dysphagia, lymphedema, and its recent advances.","PeriodicalId":41774,"journal":{"name":"Journal of Head & Neck Physicians and Surgeons","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47532096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：