Posterior Subaxial Cervical Approach and Stabilization

2018 ◽  
pp. 129-140
Author(s):  
Daniel L. Shepherd ◽  
Michelle J. Clarke
Keyword(s):  
Cervical Approach

SPINDLE CELL LIPOMA MASQUERADING AS MIXED PYOLARYNGOCELE : A RARE CASE REPORT

2020 ◽  
Vol VOLUME 8 (ISSUE 1) ◽  
pp. 47-51
Author(s):  
Vineet Narula
Keyword(s):  
Rare Case ◽  
Spindle Cell ◽  
Spindle Cell Lipoma ◽  
Computed Tomographic ◽  
Contrast Enhanced ◽  
Rare Case Report ◽  
Shoulder Region ◽  
Cervical Approach ◽  
Posterior Neck ◽  
Keywords Lipoma

ABSTRACT Spindle Cell Lipoma (SCL) is an uncommon benign tumor of adipose tissue that is usually super􀃶cially located in the posterior neck, back and shoulder region. We report a rare case of SCL in a 39 years old male presenting as neck swelling with c/o stridor and dysphagia. The contrast enhanced computed tomographic scan of neck showed an external and internal part of the swelling traversing through the thyrohyoid membrane suggestive of Mixed Pyolaryngocele. The tumor was excised by a trans-cervical approach but the post operative histopathology was found to be spindle cell Lipoma. We report this case due to its atypical presentation and location. Keywords: Lipoma, Spindle cell, Pyolaryngocele

Eagle Syndrome: an underdiagnosed cause of orofacial pain

2021 ◽  
Vol 14 (1) ◽  
pp. e238161
Author(s):  
João Ferreira de Barros ◽  
Maria Vieira Rodrigues ◽  
Leonor Aurélio Barroso ◽  
Isabel Cruz Amado
Keyword(s):  
Orofacial Pain ◽  
Rare Condition ◽  
Styloid Process ◽  
High Clinical Suspicion ◽  
Body Sensation ◽  
Cervical Approach ◽  
Considerable Length ◽  
Eagle Syndrome

Eagle Syndrome (ES), also termed stylohyoid syndrome or styloid syndrome, is a rare condition characterised by a cluster of symptoms related to an elongation of the styloid process (SP) of the temporal bone. These may range from mild pharyngeal foreign body sensation and dysphagia to severe orofacial pain. High clinical suspicion is necessary owing to the unspecific clinical picture and limited diagnostic clues. Until a definitive diagnosis is achieved, these patients may develop symptoms which significantly impact their quality of life. The aim of this article is to report a case of ES in which a considerable length of SP was documented. Diagnosis was made years after the initial complaints and several medical workups by different specialties. Surgical resection of the elongated process by cervical approach was the adopted treatment modality. Patient recovery and follow-up was satisfactory, with remission of the afflicting symptoms.

Cervical Approach by Lifting the Superior Sternum for Mediastinal Parathyroid Adenoma

2009 ◽  
Vol 19 (1) ◽  
pp. 78-81 ◽  
Author(s):  
Yoshifumi Ikeda ◽  
Yuzo Sasaki ◽  
Rika Miyabe ◽  
Naomi Morita ◽  
Hiroshi Takami
Keyword(s):  
Parathyroid Adenoma ◽  
Cervical Approach ◽  
Mediastinal Parathyroid Adenoma ◽  
Mediastinal Parathyroid

Minimally invasive endoscopic thyroidectomy by a cervical approach

2003 ◽  
Vol 17 (11) ◽  
pp. 1808-1811 ◽  
Author(s):  
W. B. Inabnet III ◽  
B. P. Jacob ◽  
M. Gagner
Keyword(s):  
Minimally Invasive ◽  
Endoscopic Thyroidectomy ◽  
Cervical Approach

scholarly journals Case Report: Bow Hunter's Syndrome Caused by Compression of Extracranially Originated Posterior Inferior Cerebellar Artery

2021 ◽  
Vol 12 ◽  
Author(s):  
Noriya Enomoto ◽  
Kenji Yagi ◽  
Shunji Matsubara ◽  
Masaaki Uno
Keyword(s):  
Case Report ◽  
Posterior Inferior Cerebellar Artery ◽  
Head Rotation ◽  
Radiographic Examination ◽  
Posterior Decompression ◽  
First Case ◽  
Cerebellar Artery ◽  
Cervical Approach ◽  
The Right ◽  
Hunter's Syndrome

Bow hunter's syndrome (BHS) is most commonly caused by compression of the vertebral artery (VA). It has not been known to occur due to an extracranially originated posterior inferior cerebellar artery (PICA), the first case of which we present herein. A 71-year-old man presented with reproducible dizziness on leftward head rotation, indicative of BHS. On radiographic examination, the bilateral VAs merged into the basilar artery, and the left VA was predominant. The right PICA originated extracranially from the right VA at the atlas–axis level and ran vertically into the spinal canal. During the head rotation that induced dizziness, the right PICA was occluded, and a VA stenosis was revealed. Occlusion of the PICA was considered to be the primary cause of the dizziness. The patient underwent surgery to decompress the right PICA and VA via a posterior cervical approach. Following surgery, the patient's dizziness disappeared, and the stenotic change at the right VA and PICA improved. The PICA could be a causative artery for BHS when it originates extracranially at the atlas–axis level, and posterior decompression is an effective way to treat it.

scholarly journals Cervical approach for retro-sternal goiter reaching the arch of aorta

2021 ◽  
Author(s):  
Mohamed Tarek Hafez ◽  
Mostafa M. Abdelmaksoud ◽  
Shadi Awny ◽  
Alaa Jamjoom ◽  
Abdullah Mashat ◽  
...  
Keyword(s):  
Total Thyroidectomy ◽  
Medical Center ◽  
Academic Medical Center ◽  
Thyroid Tissue ◽  
Median Sternotomy ◽  
Thoracic Inlet ◽  
Cervical Incision ◽  
Academic Medical ◽  
Retrosternal Goiter ◽  
Cervical Approach

Abstract Background: Although the retrosternal goiters are characterized by the protrusion of at least 50% of the thyroid tissue below the level of the thoracic inlet, their definite definition is still controversial. Total thyroidectomy for retrosternal goiter has a great challenge and mostly requires an experienced thyroid surgeon. Excision could be possible through a cervical incision in most cases, though Sternotomy remains an option. Patients and Methods: We report fourteen patients who presented to our academic medical center between 2016 and 2019 with large thyroid goiters and retrosternal extension proven by computerized tomography scan of the neck, presented in both Mansoura University Oncology Center, Egypt and East Jeddah Hospital, Saudi Arabia from 2016 to 2019. Results: Fourteen cases with retrosternal goiter been undergone total thyroidectomy through a cervical incision without the need for median sternotomy, although the thoracic surgeon was stand-by in three cases. Six patients were found to have a malignancy in the post-operative histopathological assessment.CONCLUSION: Surgical procedures for most all retrosternal goiters can be completed successfully using a cervical approach; however, a sternotomy is required in a small number of such patients.

scholarly journals Anatomical Variations of Foramen Transversarium of 7th Cervical Vertebrae and Its Clinical Significance

2020 ◽  
Vol 11 (3) ◽  
pp. 4902-4907
Author(s):  
Manoj P Ambali ◽  
Surekha D Jadhav
Keyword(s):  
Clinical Significance ◽  
Cervical Vertebrae ◽  
Anatomical Variations ◽  
Different Types ◽  
Cervical Approach ◽  
Present Evaluation ◽  
Symmetry Number ◽  
Over The Top

Cervical vertebrae have a cardinal part that is a closeness of and through it passes the vertebral course, vertebral vein and sharp plexus of nerves. The vertebral course enters the of C6 and this way, the FT of C7, which transmits just the vein and nerve, might be near nothing or even occasionally absent. A vertebral channel may enter through C7 in 2% cases as necessities be combinations of this may affect the anatomical course of vascular and neural structures, and this way may cause over the top conditions. The explanation behind the investigation was to watch the anatomical mixes in the of seventh cervical vertebrae. Present work was carried on 156 dry seventh cervical vertebrae of cloud sex and age. We observed each for shape, symmetry, number or accessory and spicules. We observed nine different types of shape of . Round shapes of were present in 28.75 %, accessory in 28.84% and spicules in 12.17 % of vertebrae also noted incomplete FT in 5 vertebrae. Disclosures of present evaluation may be helpful for a radiologist in the comprehension of X-segments, dealt with and scans for spine specialists in preoperative arranging and for blocking injury of a vertebral vessel near to sharp nerves during the careful cervical approach.

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