Pub Date : 2021-01-01DOI: 10.4103/jhnps.jhnps_64_20
G. Pendyala, S. Joshi, A. Mani, Viddyasagar Mopagar, Preeti Kale
Background: Motivational interviewing (MI), a patient-centered therapeutic approach, has demonstrated to be effective for a wide range of health behaviors including dentistry. It resolves patient's ambivalence by evoking their own motivation to change, thereby improving clinical outcomes and enhancing clinician patient relationship. Objective: The aim of this study is to evaluate the knowledge and awareness of dental clinicians about MI and predict the likelihood of their use of the MI approach. Methodology: A cross-sectional survey was used to collect data. In total, a purposive sample of 600 dentists including dental professionals, postgraduate students, and interns inclusive of both genders participated in the study. Results: The results of this study indicated that dentists had inadequate knowledge about MI and also their practical implication was less. Conclusion: The results of this study may contribute to positive social change by supporting the development of effective training for dental clinicians as MI is helpful in enhancing patient awareness and obedience leading to better therapy outcomes.
{"title":"The nescience of the art of conversing and making the shift happen","authors":"G. Pendyala, S. Joshi, A. Mani, Viddyasagar Mopagar, Preeti Kale","doi":"10.4103/jhnps.jhnps_64_20","DOIUrl":"https://doi.org/10.4103/jhnps.jhnps_64_20","url":null,"abstract":"Background: Motivational interviewing (MI), a patient-centered therapeutic approach, has demonstrated to be effective for a wide range of health behaviors including dentistry. It resolves patient's ambivalence by evoking their own motivation to change, thereby improving clinical outcomes and enhancing clinician patient relationship. Objective: The aim of this study is to evaluate the knowledge and awareness of dental clinicians about MI and predict the likelihood of their use of the MI approach. Methodology: A cross-sectional survey was used to collect data. In total, a purposive sample of 600 dentists including dental professionals, postgraduate students, and interns inclusive of both genders participated in the study. Results: The results of this study indicated that dentists had inadequate knowledge about MI and also their practical implication was less. Conclusion: The results of this study may contribute to positive social change by supporting the development of effective training for dental clinicians as MI is helpful in enhancing patient awareness and obedience leading to better therapy outcomes.","PeriodicalId":41774,"journal":{"name":"Journal of Head & Neck Physicians and Surgeons","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43795025","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 : 2021-01-01DOI: 10.4103/jhnps.jhnps_60_20
H. Saluja, Shivani Sachdeva, Kirti Chawla, S. Mohammadi
Background: Wrong side surgery (WSS) has gained national attention now. These errors are as terrifying as these involve patients who have undergone surgery on the wrong body part, undergone wrong procedure, or had a procedure intended for another patient. Materials and Methods: A questionnaire survey dealing with WSS was prepared, and 300 dental professionals were randomly mailed. All responses were gathered in Excel and analyzed using software SPSS version 19. Results: In the present study, the 213 dental professionals working in dental colleges in Ahmednagar gave the feedback, 29 of them had attempted WSS. The study was carried out on in two groups. The first comprised students undergoing bachelors in dentistry and other group was with professionals completed their bachelors in dentistry. The results were highly significant in those undergoing bachelors in dentistry with more incidence of WSS. Conclusion: The Joint Commission on Accreditation of Healthcare Organizations (JCAHOs) found WSSs as the 3rd highest event. The data are definitely more than that recorded in literature but due to fear clutched at the throat people do not disclose their mistakes though it happens.
背景:侧错手术(WSS)已引起全国的广泛关注。这些错误与那些在错误的身体部位做了手术的病人、做了错误的手术或为其他病人做了手术的病人一样可怕。材料与方法:编制问卷调查，随机邮寄300名牙科专业人员。所有的回答在Excel中汇总，并使用SPSS version 19软件进行分析。结果:本研究对艾哈迈德纳格尔市牙科院校的213名牙科专业人员进行了反馈，其中29人曾尝试过WSS。这项研究分为两组进行。第一组由正在攻读牙科学士学位的学生组成，另一组由完成牙科学士学位的专业人士组成。这些结果在牙科学士学位的患者中非常显著，WSS发生率较高。结论:医疗机构认证联合委员会(JCAHOs)发现wss是第三高的事件。这些数据肯定比文献中记录的要多，但由于恐惧，即使发生了错误，人们也不会透露。
{"title":"Evaluation of incidence and reasons of wrong side dental surgery in central Maharashtra","authors":"H. Saluja, Shivani Sachdeva, Kirti Chawla, S. Mohammadi","doi":"10.4103/jhnps.jhnps_60_20","DOIUrl":"https://doi.org/10.4103/jhnps.jhnps_60_20","url":null,"abstract":"Background: Wrong side surgery (WSS) has gained national attention now. These errors are as terrifying as these involve patients who have undergone surgery on the wrong body part, undergone wrong procedure, or had a procedure intended for another patient. Materials and Methods: A questionnaire survey dealing with WSS was prepared, and 300 dental professionals were randomly mailed. All responses were gathered in Excel and analyzed using software SPSS version 19. Results: In the present study, the 213 dental professionals working in dental colleges in Ahmednagar gave the feedback, 29 of them had attempted WSS. The study was carried out on in two groups. The first comprised students undergoing bachelors in dentistry and other group was with professionals completed their bachelors in dentistry. The results were highly significant in those undergoing bachelors in dentistry with more incidence of WSS. Conclusion: The Joint Commission on Accreditation of Healthcare Organizations (JCAHOs) found WSSs as the 3rd highest event. The data are definitely more than that recorded in literature but due to fear clutched at the throat people do not disclose their mistakes though it happens.","PeriodicalId":41774,"journal":{"name":"Journal of Head & Neck Physicians and Surgeons","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42249139","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 : 2021-01-01DOI: 10.4103/jhnps.jhnps_11_21
Wadie Gilada, A. Abuaffan, M. Hamid
Background: With the recent global increase in the number of adult patients seeking orthodontic treatment in general and orthognathic surgery in specific, the need for population-specific cephalometric norms emerges. This is essential in diagnosing and formulating more optimum treatment plans. Aim: To establish orthognathic cephalometric standard values for an sample of Sudanese Adults. Design: Cross-sectional observational analytical study. Materials and Methods: A total of 106 cephalometric radiographs of Sudanese adults aged between 17 and 25 years (48 males and 58 females) were digitally traced and analyzed using Burstone's Cephalometric for Orthognathic Surgery analysis (COGS). Statistical Analysis: Descriptive statistics, means, and standard deviations were used to present Sudanese standard values. Paired sample t-test was used to test for significant differences between Sudanese and Caucasian norms. Results: When compared to European–Americans, Sudanese adults, in general, had a shorter cranial base, lower values of some vertical height measurements, shorter maxillae, and larger mandibular plane angle. In addition, Sudanese females had a more convex profile and more protrusive maxillae in comparison to their European–Americans counterparts. Regarding dental measurements, Sudanese males had statistically significant lower values of upper and lower anterior and posterior dental heights, steeper occlusal plane, and more proclined incisors. Moreover, Sudanese females had steeper occlusal plane as well as more proclination of the anterior teeth when compared to their European–American counterparts. Conclusions: Considerable differences in skeletal and dental configuration exist between Sudanese and European-American adults. These variations must be considered during treatment planning. This study can provide a useful database for orthognathic surgery treatment planning for Sudanese adults.
背景:随着全球范围内寻求普通正畸治疗和特殊正颌手术的成年患者数量的增加，需要针对人群的头颅测量规范。这对于诊断和制定更优化的治疗方案至关重要。目的:建立苏丹成年人正颌头颅测量标准值。设计:横断面观察性分析研究。材料和方法:使用Burstone's cephalometric for Orthognathic Surgery analysis (COGS)对年龄在17至25岁之间的苏丹成年人(48名男性和58名女性)的106张头颅x线片进行数字追踪和分析。统计分析:使用描述性统计、均值和标准差来表示苏丹标准值。配对样本t检验用于检验苏丹和高加索规范之间的显著差异。结果:与欧美人相比，苏丹成年人的颅底较短，某些垂直高度测量值较低，上颌较短，下颌平面角较大。此外，与欧美女性相比，苏丹女性的轮廓更凸，上颌骨更突出。在牙齿测量方面，苏丹男性的上下前后牙高较低，咬合平面较陡，门牙较前倾，具有统计学意义。此外，与欧美女性相比，苏丹女性的咬合平面更陡，前牙更前倾。结论:苏丹和欧美成年人在骨骼和牙齿结构上存在相当大的差异。在制定治疗计划时必须考虑到这些变化。本研究可为苏丹成人正颌手术治疗计划提供有用的数据库。
{"title":"Orthognathic cephalometric norms for a sample of Sudanese adults","authors":"Wadie Gilada, A. Abuaffan, M. Hamid","doi":"10.4103/jhnps.jhnps_11_21","DOIUrl":"https://doi.org/10.4103/jhnps.jhnps_11_21","url":null,"abstract":"Background: With the recent global increase in the number of adult patients seeking orthodontic treatment in general and orthognathic surgery in specific, the need for population-specific cephalometric norms emerges. This is essential in diagnosing and formulating more optimum treatment plans. Aim: To establish orthognathic cephalometric standard values for an sample of Sudanese Adults. Design: Cross-sectional observational analytical study. Materials and Methods: A total of 106 cephalometric radiographs of Sudanese adults aged between 17 and 25 years (48 males and 58 females) were digitally traced and analyzed using Burstone's Cephalometric for Orthognathic Surgery analysis (COGS). Statistical Analysis: Descriptive statistics, means, and standard deviations were used to present Sudanese standard values. Paired sample t-test was used to test for significant differences between Sudanese and Caucasian norms. Results: When compared to European–Americans, Sudanese adults, in general, had a shorter cranial base, lower values of some vertical height measurements, shorter maxillae, and larger mandibular plane angle. In addition, Sudanese females had a more convex profile and more protrusive maxillae in comparison to their European–Americans counterparts. Regarding dental measurements, Sudanese males had statistically significant lower values of upper and lower anterior and posterior dental heights, steeper occlusal plane, and more proclined incisors. Moreover, Sudanese females had steeper occlusal plane as well as more proclination of the anterior teeth when compared to their European–American counterparts. Conclusions: Considerable differences in skeletal and dental configuration exist between Sudanese and European-American adults. These variations must be considered during treatment planning. This study can provide a useful database for orthognathic surgery treatment planning for Sudanese adults.","PeriodicalId":41774,"journal":{"name":"Journal of Head & Neck Physicians and Surgeons","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45014716","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 : 2021-01-01DOI: 10.4103/jhnps.jhnps_1_21
M. Bharathi, B. Rakesh, B. Rudrappa, N. Aggarwal, K. De
Context: Neurogenic tumors are the second most common parapharyngeal space (PPS) lesions, with schwannoma being the most common neurogenic tumor seen. PPS tumors account for 0.5% of all head-and-neck masses, and most surgeons might not encounter it in their lifetime. Anatomical complexity and histological diversity of PPS pose various diagnostic and treatment challenges. Relevant literature about lesions of this space is growing but is still limited. Aims: The aim of our study was to evaluate neurogenic tumors of PPS and their management over a period of 5 years. Settings and Design: A retrospective study was conducted in our institution for a duration of 5 years from January 2014 to December 2018. Materials and Methods: Clinical features were analyzed. All patients were subjected to radio imaging-contrast-enhanced computerized tomography and contrast magnetic resonance imaging, and findings were noted. After imaging, patients were subject to fine-needle aspiration cytology. Transcervical approach was used for 11 cases and endoscopic-assisted transoral transpharyngeal approach (EATA) used for 4 cases. Results: A total of 27 patients with PPS tumors were evaluated and treated. The incidence of neurogenic tumors was 55.5% (15 cases). Out of the 15 patients with neurogenic tumors, 11 cases were schwannomas, 1 case was vagal neurofibroma, and 3 cases were paragangliomas from the carotid body. Conclusions: Neurogenic tumors of PPS are more common than traditionally thought. Neck swellings and oropharyngeal masses are the most common presenting features. FNAC is a very useful tool to establish a preoperative cytological diagnosis. Both external approach and EATA are effective approaches, provided that careful patient selection is done.
{"title":"Neurogenic tumors of parapharyngeal space – Clinical evaluation and management: Our experience","authors":"M. Bharathi, B. Rakesh, B. Rudrappa, N. Aggarwal, K. De","doi":"10.4103/jhnps.jhnps_1_21","DOIUrl":"https://doi.org/10.4103/jhnps.jhnps_1_21","url":null,"abstract":"Context: Neurogenic tumors are the second most common parapharyngeal space (PPS) lesions, with schwannoma being the most common neurogenic tumor seen. PPS tumors account for 0.5% of all head-and-neck masses, and most surgeons might not encounter it in their lifetime. Anatomical complexity and histological diversity of PPS pose various diagnostic and treatment challenges. Relevant literature about lesions of this space is growing but is still limited. Aims: The aim of our study was to evaluate neurogenic tumors of PPS and their management over a period of 5 years. Settings and Design: A retrospective study was conducted in our institution for a duration of 5 years from January 2014 to December 2018. Materials and Methods: Clinical features were analyzed. All patients were subjected to radio imaging-contrast-enhanced computerized tomography and contrast magnetic resonance imaging, and findings were noted. After imaging, patients were subject to fine-needle aspiration cytology. Transcervical approach was used for 11 cases and endoscopic-assisted transoral transpharyngeal approach (EATA) used for 4 cases. Results: A total of 27 patients with PPS tumors were evaluated and treated. The incidence of neurogenic tumors was 55.5% (15 cases). Out of the 15 patients with neurogenic tumors, 11 cases were schwannomas, 1 case was vagal neurofibroma, and 3 cases were paragangliomas from the carotid body. Conclusions: Neurogenic tumors of PPS are more common than traditionally thought. Neck swellings and oropharyngeal masses are the most common presenting features. FNAC is a very useful tool to establish a preoperative cytological diagnosis. Both external approach and EATA are effective approaches, provided that careful patient selection is done.","PeriodicalId":41774,"journal":{"name":"Journal of Head & Neck Physicians and Surgeons","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42218163","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 : 2021-01-01DOI: 10.4103/jhnps.jhnps_61_20
S. Sujatha, V. Shwetha, P. Vaishnavi, P. Sreekanth, Ravleen Nagi
Background: During the COVID-19 pandemic, millions of Indians were self-quarantined generating exceptional challenges and stress for all people and more so among regular tobacco users. Tobacco use is known to be detrimental to lung and immune function, thus suppressing the body's ability to combat infections including the novel coronavirus, COVID-19. This study was intended at surveying the stress, tobacco consumption patterns, and the coping behavior during the COVID-19 pandemic. Methodology: Seven hundred and twenty-nine current tobacco users aged 18 years and above participated in the questionnaire study on stress due to COVID-19, tobacco consumption patterns during lockdown, years of tobacco use, prior quit attempts, thoughts of quitting currently, and means of purchasing and coping behavior. The data were subjected to statistical analysis. Results: The average Fagerström Test for Nicotine Dependence score was 6, and males had higher scores than females. 68.4% of tobacco users reported increased use, 5.07% decreased use, and 26.4% no change in tobacco use during the lockdown. Causes for increased tobacco use were stress (62.1%), being alone and restrictions in movement (21.6%), and boredom (16.3%), while the fear of contracting COVID infection and becoming severely ill has motivated few (31.6%) to decrease tobacco use. 50.9% wanted to quit, the thought of quitting tobacco was more among men (54%) as compared to women and was higher among smokers as compared to smokeless tobacco users. Conclusion: Tobacco users appear to be affected by stress related to the COVID-19 pandemic, with majority of them increasing the consumption.
{"title":"Tobacco consumption patterns and coping behavior during the COVID-19 Lockdown","authors":"S. Sujatha, V. Shwetha, P. Vaishnavi, P. Sreekanth, Ravleen Nagi","doi":"10.4103/jhnps.jhnps_61_20","DOIUrl":"https://doi.org/10.4103/jhnps.jhnps_61_20","url":null,"abstract":"Background: During the COVID-19 pandemic, millions of Indians were self-quarantined generating exceptional challenges and stress for all people and more so among regular tobacco users. Tobacco use is known to be detrimental to lung and immune function, thus suppressing the body's ability to combat infections including the novel coronavirus, COVID-19. This study was intended at surveying the stress, tobacco consumption patterns, and the coping behavior during the COVID-19 pandemic. Methodology: Seven hundred and twenty-nine current tobacco users aged 18 years and above participated in the questionnaire study on stress due to COVID-19, tobacco consumption patterns during lockdown, years of tobacco use, prior quit attempts, thoughts of quitting currently, and means of purchasing and coping behavior. The data were subjected to statistical analysis. Results: The average Fagerström Test for Nicotine Dependence score was 6, and males had higher scores than females. 68.4% of tobacco users reported increased use, 5.07% decreased use, and 26.4% no change in tobacco use during the lockdown. Causes for increased tobacco use were stress (62.1%), being alone and restrictions in movement (21.6%), and boredom (16.3%), while the fear of contracting COVID infection and becoming severely ill has motivated few (31.6%) to decrease tobacco use. 50.9% wanted to quit, the thought of quitting tobacco was more among men (54%) as compared to women and was higher among smokers as compared to smokeless tobacco users. Conclusion: Tobacco users appear to be affected by stress related to the COVID-19 pandemic, with majority of them increasing the consumption.","PeriodicalId":41774,"journal":{"name":"Journal of Head & Neck Physicians and Surgeons","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47528236","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 : 2021-01-01DOI: 10.4103/jhnps.jhnps_65_20
Preeti Kale, A. Mani, Raju Anarthe, G. Pendyala, Pranay Thakkur, Anuraga Sekharamantri
Replacement of missing teeth with dental implant is now preferred treatment option for edentulous space. Treatment with dental implants has evolved much in recent times and has good success rates which have sometimes led to unfortunate outcomes during procedure or after procedure. The present review gives insight about complications of dental implants associated with surgical procedures and its management in brief.
{"title":"Management of surgical complication during dental implant placement","authors":"Preeti Kale, A. Mani, Raju Anarthe, G. Pendyala, Pranay Thakkur, Anuraga Sekharamantri","doi":"10.4103/jhnps.jhnps_65_20","DOIUrl":"https://doi.org/10.4103/jhnps.jhnps_65_20","url":null,"abstract":"Replacement of missing teeth with dental implant is now preferred treatment option for edentulous space. Treatment with dental implants has evolved much in recent times and has good success rates which have sometimes led to unfortunate outcomes during procedure or after procedure. The present review gives insight about complications of dental implants associated with surgical procedures and its management in brief.","PeriodicalId":41774,"journal":{"name":"Journal of Head & Neck Physicians and Surgeons","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42405924","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 : 2021-01-01DOI: 10.4103/jhnps.jhnps_62_20
D. Kannan, G. Rajan, V. Narendrakumar, Arya N Baby
Background: Despite advances in surgical technique, postoperative hemorrhage remains a common cause of morbidity and mortality for patients following tonsillectomy. Attempts to reduce the morbidity of tonsillectomy have included changes to the surgical techniques and perioperative medications to reduce the risk of bleeding. Here, we did a decade study about ligature technique in tonsillectomy for the achievement of hemostasis and its effectiveness in controlling morbidity. Aim: The aim of this study was to analyze the posttonsillectomy hemorrhage rate when we use ligature technique in tonsillectomy procedure. Materials and Methods: We retrospectively reviewed data of all patients who underwent tonsillectomy by dissection and snare method in the ENT Department, Chengalpattu Medical College and Hospital, Tamil Nadu, between March 1, 2010, and February 29, 2020. The rate of postoperative hemorrhage after using ligature technique was measured and compared with other methods used in other studies. Results: Totally 12,536 patients who underwent tonsillectomy were analyzed in this study. Posttonsillectomy hemorrhage occurred only in 62 patients (0.494%). Only 14 (0.001)) patients required re-intubation and correction procedure. The hemorrhage rate was very minimal when compared with other techniques in other studies. Conclusion: We conclude that the ligature technique used in tonsillectomy for hemostasis remains one of the best methods even though it is an ancient method.
{"title":"Dissection and snare method of tonsillectomy, hemostasis by ligature technique in a tertiary care center: A decade study","authors":"D. Kannan, G. Rajan, V. Narendrakumar, Arya N Baby","doi":"10.4103/jhnps.jhnps_62_20","DOIUrl":"https://doi.org/10.4103/jhnps.jhnps_62_20","url":null,"abstract":"Background: Despite advances in surgical technique, postoperative hemorrhage remains a common cause of morbidity and mortality for patients following tonsillectomy. Attempts to reduce the morbidity of tonsillectomy have included changes to the surgical techniques and perioperative medications to reduce the risk of bleeding. Here, we did a decade study about ligature technique in tonsillectomy for the achievement of hemostasis and its effectiveness in controlling morbidity. Aim: The aim of this study was to analyze the posttonsillectomy hemorrhage rate when we use ligature technique in tonsillectomy procedure. Materials and Methods: We retrospectively reviewed data of all patients who underwent tonsillectomy by dissection and snare method in the ENT Department, Chengalpattu Medical College and Hospital, Tamil Nadu, between March 1, 2010, and February 29, 2020. The rate of postoperative hemorrhage after using ligature technique was measured and compared with other methods used in other studies. Results: Totally 12,536 patients who underwent tonsillectomy were analyzed in this study. Posttonsillectomy hemorrhage occurred only in 62 patients (0.494%). Only 14 (0.001)) patients required re-intubation and correction procedure. The hemorrhage rate was very minimal when compared with other techniques in other studies. Conclusion: We conclude that the ligature technique used in tonsillectomy for hemostasis remains one of the best methods even though it is an ancient method.","PeriodicalId":41774,"journal":{"name":"Journal of Head & Neck Physicians and Surgeons","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43626913","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 : 2021-01-01DOI: 10.4103/jhnps.jhnps_63_20
K. Aithal, U. Jena, Sravya Vasireddy, Sravani Muddada, P. Sudhakar
Introduction: Electrical burn injury in India comprises a fair percentage of overall burn injuries, and they cause significant morbidity. Reconstruction of scalp defects often poses challenges to the plastic surgeon regarding the timing of surgery, choice of reconstruction, and postoperative management. The objective of this article is to throw light on various options for reconstruction of scalp defects as the involvement leads to significant morbidity. Materials and Methods: The study was conducted at a tertiary burn care unit. The period of this study was from 2016 to 2019. Retrospective analysis was done. Results: In this study, retrospective analysis of 40 cases of scalp burns was evaluated from 2016 to 2019. Out of these, 6 patients were managed with primary suturing, 8 patients underwent split-thickness skin graft, 24 patients required local flaps, and 2 patients were managed with extracorporeal radial forearm flap. There were no major complications. Minor complications like wound infection were seen in five of the local flap patients which were managed with antibiotics and regular dressing. Two patients had partial flap loss which was revised and managed conservatively. All flaps healed well. There was hair loss patch evident in patients where split-thickness graft was used. Conclusion: Thorough debridement of the wound is necessary in electrical burns. Smaller scalp wounds can be managed with split-thickness skin graft and local flaps, but larger defects should be managed with distant flaps and free flaps. This study shows that local flaps are the ideal choice for reconstruction of scalp defects due to their easy availability, minimal complications, and acceptable cosmesis.
{"title":"Reconstruction of scalp defects in electrical burns: Challenges and options","authors":"K. Aithal, U. Jena, Sravya Vasireddy, Sravani Muddada, P. Sudhakar","doi":"10.4103/jhnps.jhnps_63_20","DOIUrl":"https://doi.org/10.4103/jhnps.jhnps_63_20","url":null,"abstract":"Introduction: Electrical burn injury in India comprises a fair percentage of overall burn injuries, and they cause significant morbidity. Reconstruction of scalp defects often poses challenges to the plastic surgeon regarding the timing of surgery, choice of reconstruction, and postoperative management. The objective of this article is to throw light on various options for reconstruction of scalp defects as the involvement leads to significant morbidity. Materials and Methods: The study was conducted at a tertiary burn care unit. The period of this study was from 2016 to 2019. Retrospective analysis was done. Results: In this study, retrospective analysis of 40 cases of scalp burns was evaluated from 2016 to 2019. Out of these, 6 patients were managed with primary suturing, 8 patients underwent split-thickness skin graft, 24 patients required local flaps, and 2 patients were managed with extracorporeal radial forearm flap. There were no major complications. Minor complications like wound infection were seen in five of the local flap patients which were managed with antibiotics and regular dressing. Two patients had partial flap loss which was revised and managed conservatively. All flaps healed well. There was hair loss patch evident in patients where split-thickness graft was used. Conclusion: Thorough debridement of the wound is necessary in electrical burns. Smaller scalp wounds can be managed with split-thickness skin graft and local flaps, but larger defects should be managed with distant flaps and free flaps. This study shows that local flaps are the ideal choice for reconstruction of scalp defects due to their easy availability, minimal complications, and acceptable cosmesis.","PeriodicalId":41774,"journal":{"name":"Journal of Head & Neck Physicians and Surgeons","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42833361","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 : 2021-01-01DOI: 10.4103/jhnps.jhnps_21_21
T. Gupta, J. Agarwal
{"title":"Progress in head-and-neck cancer: Promise versus reality","authors":"T. Gupta, J. Agarwal","doi":"10.4103/jhnps.jhnps_21_21","DOIUrl":"https://doi.org/10.4103/jhnps.jhnps_21_21","url":null,"abstract":"","PeriodicalId":41774,"journal":{"name":"Journal of Head & Neck Physicians and Surgeons","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47598620","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 : 2021-01-01DOI: 10.4103/jhnps.jhnps_16_21
S. Chandanwale, R. Khan, Arpana A. Dharwadkar, Ruchi Randive
Lipomatous lesions are very commonly encountered in clinical practice. Although they are commonly encountered in the third and fourth decades, they can occur at any age. Clinically, they present as slowly painless growing mass commonly in subcutaneous tissues. Clinically and radiologically, they are difficult to differentiate from other lipomatous lesions. The four morphological variants have been identified. Hibernoma cells are key to diagnosis. Hibernomas do not have malignant potential or metastatic ability. However, local recurrence is known to occur and is extremely rare. Wide local excision with negative margins is the key to prevent further recurrence.
{"title":"A recurrent hibernoma in neck: An extremely rare entity","authors":"S. Chandanwale, R. Khan, Arpana A. Dharwadkar, Ruchi Randive","doi":"10.4103/jhnps.jhnps_16_21","DOIUrl":"https://doi.org/10.4103/jhnps.jhnps_16_21","url":null,"abstract":"Lipomatous lesions are very commonly encountered in clinical practice. Although they are commonly encountered in the third and fourth decades, they can occur at any age. Clinically, they present as slowly painless growing mass commonly in subcutaneous tissues. Clinically and radiologically, they are difficult to differentiate from other lipomatous lesions. The four morphological variants have been identified. Hibernoma cells are key to diagnosis. Hibernomas do not have malignant potential or metastatic ability. However, local recurrence is known to occur and is extremely rare. Wide local excision with negative margins is the key to prevent further recurrence.","PeriodicalId":41774,"journal":{"name":"Journal of Head & Neck Physicians and Surgeons","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48695997","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}
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