scholarly journals Profile of parotid tumors visiting tertiary health care facility in North India

2020 ◽  
Vol 6 (5) ◽  
pp. 835
Author(s):  
Manish Munjal ◽  
Nitika Tuli ◽  
Porshia Rishi ◽  
Harjinder Singh ◽  
Shivam Talwar ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Head And Neck ◽  
Head And Neck Neoplasms ◽  
Tertiary Care ◽  
Care Facility ◽  
Malignant Neoplasms ◽  
Head And Neck Neoplasm ◽  
Anatomical Landmarks ◽  
Parotid Tumors ◽  
Parotid Surgery

<p class="abstract"><strong>Background:</strong> Neoplastic lesions of head and neck presenting in a tertiary care facility were analyzed. This study is proposed to examine the epidemiological pattern of parotid tumors, histopathology correlations and relation of facial nerve with the parotid tumors.</p><p class="abstract"><strong>Methods:</strong> This is a retrospective study of patients with head and neck neoplasms who presented to the ENT tumour clinic of Dayanand Medical College and Hospital over a period of 2 years i.e., from January 2018 to December 2019. Patients’ demographic profile, histopathological reports and pre-operative fine needle aspiration cytology reports were studied.  </p><p class="abstract"><strong>Results:</strong> Total number of cases of head and neck neoplasms were 273 over a period of 2 years. Parotid tumours constituted 9.1% of the total head and neck neoplasm. Predominant age group in case of benign parotid tumors was 40-50 years, whereas in case of malignant neoplasms was 50-60 years. Posterior belly of digastric along with tragal pointer are the most consistent and reliable landmarks for Identification of facial nerve.</p><p><strong>Conclusions:</strong> Identification of trunk of facial nerve using anatomical landmarks is the keystone for parotid surgery. Posterior belly of digastric along with tragal pointer are the most consistent and reliable landmarks for Identification of facial nerve.  </p>

scholarly journals Parotidectomy and Facial Paralysis, A Retrospective Review at A Tertiary Care Hospital

2021 ◽  
Vol 10 (3) ◽  
pp. 164-168
Author(s):  
Israr ud Din ◽  
Muhammad Junaid ◽  
Imran Khan ◽  
Arshad Aziz ◽  
Sakhawat Khan ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Facial Paralysis ◽  
Tertiary Care ◽  
Occurrence Rate ◽  
Facial Nerve Paralysis ◽  
Care Hospital ◽  
Female Population ◽  
Nerve Paralysis ◽  
Parotid Tumors ◽  
Parotid Surgery

Background: Facial Nerve is in close proximity with parotid gland and encountered during parotid surgery.  Facial nerve   paralysis   has   15 to 66% occurrence rate after parotidectomies. The objective of this study was to find out the frequency of facial paralysis resulting from superficial or total parotidectomies done for various parotid tumors. Material and Methods: This retrospective study was conducted at the Department of ENT, Khyber Teaching Hospital, Peshawar from January 2018 to May 2020. A total of 203 patients were reviewed for data on demographics, parotidectomies, histopathology and facial paralysis. The information on facial paralysis was compared against various parameters. Results:   The mean age of   the participants was 46.12 ± 11.11 years. The most common parotid tumor was pleomorphic adenoma (68.9%) followed by mucoepidermoid carcinoma. 57 (28.07%) patients showed facial paralysis with a higher rate of occurrence in total parotidectomy (40.90%). Among 57 patients with facial paralysis, 6 (10.53%) showed permanent facial paralysis. Conclusion: Tendency of permanent facial paralysis is high with total parotidectomies. Female population and elderly have a slightly higher rate of facial paralysis. The duration of procedure has no effect on the occurrence of facial paralysis.

scholarly journals Compliance to advocated therapeutics in and head and neck oncosurgery clinic in a tertiary health care facility in North India: a pilot study

2020 ◽  
Vol 7 (8) ◽  
pp. 3042
Author(s):  
Manish Munjal ◽  
Japneet Kaur ◽  
Nitika Tuli ◽  
Porshia Rishi ◽  
Harjinder Sidhu ◽  
...  
Keyword(s):  
Head And Neck ◽  
Head And Neck Neoplasms ◽  
Surgical Intervention ◽  
Tertiary Care ◽  
Care Facility ◽  
Neck Region ◽  
North India ◽  
Therapeutic Modality ◽  
Treatment Modalities ◽  
Care Hospital

Background: Head and neck neoplasms are the tumours of head and neck region including various subsites in oropharynx, nasopharynx, larynx, upper oesophagus, paranaal sinuses, and ear. Various treatment modalities are available depending on the stage, type, site of tumour. This study was conducted to study the compliance of patients diagnosed with various head and neck neoplasms towards recommended treatment modalities.Methods: 243 patients presenting in the outpatient department of a tertiary care hospital in Northern India with positive biopsy for neoplastic pathology, benign and malignant were included in the study for a period of 2 years (January 2018-December 2019). All the patients were counselled and those who complied with the suggested therapeutic modality were further evaluated.Results: Surgical intervention was carried out in 79 subjects with benign and 133 with malignant pathologies. 49 patients among 133 were advised further surgical intervention. 31 patients underwent second surgery. Radio-therapeutic and chemotherapeutic modalities were undertaken in 66 subjects. 39 patients did not comply with treatment and were lost to follow up.Conclusions: Decision making for head and neck neoplasms is extremely important and should be considered after thorough discussion with the patient.

S123 – New Approaches to Infratemporal Fossa Foreign Body Removal

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P118-P118
Author(s):  
Andrew R Scott ◽  
Thomas B Dodson ◽  
Michael P Platt ◽  
Ralph B Metson
Keyword(s):  
Minimally Invasive ◽  
Head And Neck ◽  
Foreign Bodies ◽  
Infratemporal Fossa ◽  
Tertiary Care ◽  
Care Facility ◽  
Guidance System ◽  
Invasive Technique ◽  
Hypodermic Needle ◽  
Surgical Removal

Objectives 1) To understand indications for removal of foreign bodies (FB) from the head and neck. 2) To be able to describe the use of new surgical technologies for FB removal from the head and neck region. 3) To understand the clinical applications of a novel, minimally-invasive technique for removal of FB from the infratemporal fossa. Methods A retrospective review of 2 cases of infratemporal fossa foreign bodies, which were referred to a tertiary care facility for management utilizing a novel transoral, endoscopic, image-guided approach. Results Both patients presented with pain and trismus following failed attempts to retrieve foreign bodies–1 broken hypodermic needle and 1 torn cottonoid sponge-through open explorations. Use of endoscopic equipment for visualization and image-guidance system for precise localization enabled both objects to be removed through a transoral approach. Surgical removal resulted in improvement in pain and trismus in both patients who were discharged within 24 hours. Conclusions A new approach is now available for the minimally-invasive retrieval of radio-opaque foreign bodies in the infratemporal fossa, which avoids the need for extensive surgical dissection or an external incision.

scholarly journals Superficial Parotidectomy by Retrograde Facial Nerve Dissection

2017 ◽  
Vol 10 (1) ◽  
pp. 25-27
Author(s):  
Narendra Vikram Gurung ◽  
D Shrestha ◽  
A Acharya ◽  
A Gurung ◽  
S Shrestha ◽  
...  
Keyword(s):  
Salivary Gland ◽  
Parotid Gland ◽  
Facial Nerve ◽  
Head And Neck Neoplasms ◽  
Complication Rate ◽  
Gland Tumor ◽  
Superficial Parotidectomy ◽  
Salivary Fistula ◽  
Parotid Tumors ◽  
Parotid Gland Tumor

Introduction: Tumors of the salivary gland are relatively uncommon and represent less than two percentage of all head and neck neoplasms. Parotid gland tumor comprises 85% of the salivary gland tumors of which 80% are being benign. Superficial parotidectomy is the commonest procedure done for parotid tumors which can be performed by either anteretrograde or retrograde facial nerve dissection technique.Methods: Outcome of 60 patients after superficial parotidectomy with retrograde facial nerve dissection has been studied.Results: Total of 60 patients had been studied. Complications like facial nerve weakness, Freys syndrome, salivary fistula, and wound infection were taken into account. Among them, 13.33% patients developed temporary facial nerve weakness, followed by temporary salivary fistula, 1.6%. None of the patients developed any severe complication.Conclusion: Superficial parotidectomy by retrograde facial nerve dissection is an easy technique to carry out with low complication rate and without compromising surgical outcome.Journal of Gandaki Medical CollegeVol. 10, No. 1, 2017, page: 25-27

An Experience of Superficial Parotidectomy in Tertiary Care Teaching Hospitals

2021 ◽  
Vol 15 (11) ◽  
pp. 3066-3068
Author(s):  
Liaquat Ali Bhatti ◽  
Muhammad Aslam Javed ◽  
Hina Khan ◽  
Muhammad Arshad ◽  
Khalid Javeed Khan
Keyword(s):  
Facial Nerve ◽  
Demographic Data ◽  
Tertiary Care ◽  
Study Data ◽  
Teaching Hospitals ◽  
Facial Nerve Paralysis ◽  
Superficial Parotidectomy ◽  
Nerve Paralysis ◽  
Parotid Tumors ◽  
Surgical Unit

Background: Superficial parotidectomy is associated with a decreased incidence of transient facial nerve paralysis compared with that of total parotidectomy. Aim: To analyze the clinical presentation, histopathology and complications following superficial parotidectomy performed for benign parotid tumors. Methods: Two center study data was collected from the Surgical Unit I, Department of Surgery AIMC/Jinnah Hospital Lahore (1st January 2012 to October 2018) and Surgical Unit II, Department of Surgery, Sir Ganga Ram Hospital Lahore (November 2018 to 31st December 2020). All patients who underwent superficial Parotidectomy surgery for benign parotid tumors, from 1st January 2012 to 31st December 2020 were assessed for intra-operative and post-operative complications. Demographic data, intraoperative details, and postoperative outcomes of all patients who underwent superficial parotidectomy were collected. Patients with benign parotid tumors on FNAC were included while patients with malignant cells on histopathology were excluded. Results: A total of 50 patients having benign parotid tumors on FNAC underwent superficial parotidectomy during this study period. There were 35 female patients (70%) and 15 male (30%), with female to male ratio of 2.3:1. The age range was 23-70 years with mean age of patients 35.6 years (5.65±SD). In 48% cases the tumor was on left side of face and in 52% cases it was on right side. Amongst 50 cases, on postoperative histopathology, 2 patients had malignant change. Key words: Superficial parotidectomy, pleomorphic adenoma, facial nerve paralysis.

Evaluating Perineural Spread to the Intratemporal Facial Nerve on Magnetic Resonance Imaging

2019 ◽  
Vol 160 (6) ◽  
pp. 1087-1094 ◽  
Author(s):  
Marc-Elie Nader ◽  
Lawrence E. Ginsberg ◽  
Diana Bell ◽  
Dianna B. Roberts ◽  
Paul W. Gidley
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Facial Nerve ◽  
Head And Neck ◽  
Sensitivity And Specificity ◽  
Tertiary Care ◽  
Case Series ◽  
Resonance Imaging ◽  
Perineural Spread ◽  
Oncologic Treatment

Objectives To determine the sensitivity and specificity of magnetic resonance imaging (MRI) for the detection of perineural spread (PNS) along the intratemporal facial nerve (ITFN) in patients with head and neck cancers. Study Design Case series with chart review. Setting Tertiary care center. Subjects and Methods We included 58 patients with head and neck malignancies who underwent sacrifice of the ITFN between August 1, 2002, and November 30, 2015. Demographics, preoperative facial nerve function, prior oncologic treatment, and timing between MRI and surgery were recorded. Histopathology slides and preoperative MRI were reviewed retrospectively by a neuropathologist and a neuroradiologist, respectively, both blinded to clinical data. The mastoid segment of the facial nerve (referred to as the descending facial nerve [DFN]) and stylomastoid foramen (SMF) were evaluated separately. A grading system was devised when radiographically assessing PNS along the DFN. Results Histopathologic evidence of PNS was found in 21 patients (36.2%). The sensitivity and specificity of MRI in detecting PNS to the DFN were 72.7% and 87.8%, respectively. MRI showed higher sensitivity but slightly lower specificity when evaluating the SMF (80% and 82.8%, respectively). Prior oncologic treatment did not affect the false-positive rate ( P = .7084). Sensitivity was 100% when MRI was performed within 2 weeks of surgery and was 62.5% to 73.3% when the interval was greater than 2 weeks. This finding was not statistically significant (SMF, P = .7076; DFN, P = .4143). Conclusion MRI shows fair to good sensitivity and good specificity when evaluating PNS to the ITFN.

scholarly journals Impact of the Novel Coronavirus 2019 (COVID-19) Pandemic on Head and Neck Cancer Care

2021 ◽  
pp. 019459982110045
Author(s):  
Joshua Adam Thompson ◽  
Joshua E. Lubek ◽  
Neha Amin ◽  
Reju Joy ◽  
Donita Dyalram ◽  
...  
Keyword(s):  
Head And Neck ◽  
Tertiary Care ◽  
Care Facility ◽  
Cross Sectional Study ◽  
Tumor Board ◽  
Secondary Outcome ◽  
Cross Sectional ◽  
Tertiary Care Facility ◽  
Procedural Volume ◽  
The Impact

Objective The study aimed to assess the impact of the coronavirus disease 2019 (COVID-19) pandemic on head and neck oncologic care at a tertiary care facility. Study Design This was a cross-sectional study conducted between March 18, 2020, and May 20, 2020. The primary planned outcome was the rate of treatment modifications during the study period. Secondary outcome measures were tumor conference volume, operative volume, and outpatient patient procedure and clinic volumes. Setting This single-center study was conducted at a tertiary care academic hospital in a large metropolitan area. Methods The study included a consecutive sample of adult subjects who were presented at a head and neck interdepartmental tumor conference during the study period. Patients were compared to historical controls based on review of operative data, outpatient procedures, and clinic volumes. Results In total, 117 patients were presented during the review period in 2020, compared to 69 in 2019. There was an 8.4% treatment modification rate among cases presented at the tumor conference. There was a 61.3% (347 from 898) reduction in outpatient clinic visits and a 63.4% (84 from 230) reduction in procedural volume compared to the prior year. Similarly, the operative volume decreased by 27.0% (224 from 307) compared to the previous year. Conclusion Restrictions related to the COVID-19 pandemic resulted in limited treatment modifications. Transition to virtual tumor board format observed an increase in case presentations. While there were reductions in operative volume, there was a larger proportion of surgical cases for malignancy, reflecting the prioritization of oncologic care during the pandemic.

scholarly journals Comprehensive study of salivary gland neoplasms: single department study in a tertiary care centre

2019 ◽  
Vol 5 (3) ◽  
pp. 581
Author(s):  
S. Muthuchitra ◽  
V. Saravanaselvan ◽  
R. Malarvizhi
Keyword(s):  
Salivary Gland ◽  
Facial Nerve ◽  
Salivary Glands ◽  
Malignant Tumors ◽  
Tertiary Care ◽  
Female Gender ◽  
Salivary Gland Neoplasms ◽  
Malignant Neoplasms ◽  
Tertiary Care Centre ◽  
General Surgeons

<p class="abstract"><strong>Background:</strong> Pathologies of salivary glands are common in the general population. Of them few are neoplasms-benign or malignant. The presentation of salivary gland pathologies are both to general surgeons and otorhinolaryngologists of the same hospital. The presentation to concerned treating surgeon is based on the symptoms during presentation. This study aims at the various types of salivary gland pathologies requiring surgical intervention and the rate of recurrence following surgery in a single department.</p><p class="abstract"><strong>Methods:</strong> Retrospective study was conducted. Study period was from May 2017 to February 2019. All salivary gland neoplasms were studied for presentation and recurrence following surgery.  </p><p class="abstract"><strong>Results:</strong> Intraoperative difficulties and post-operative complications more common in malignant tumors. Female gender is more commonly affected by benign neoplasms. There is no gender predilection in malignant neoplasms. Facial nerve is most common nerve to get affected in pre-operative and during surgery as well.</p><p class="abstract"><strong>Conclusions:</strong> Neoplasms of salivary glands are common in females though it has equal incidence in malignancy. Facial nerve is most commonly affected as complication in malignant neoplasms.</p>

scholarly journals Role of HRCT in temporal bone trauma vis-à-vis site of facial nerve injury: a pilot study

2020 ◽  
Vol 7 (1) ◽  
pp. 22
Author(s):  
Manish Munjal ◽  
Anju Mehndiratta ◽  
Harneet Khurana ◽  
Shubham Munjal ◽  
Ajit Singh Khurana ◽  
...  
Keyword(s):  
Head Injury ◽  
Facial Nerve ◽  
Temporal Bone ◽  
Tertiary Care ◽  
Care Facility ◽  
Trauma Centre ◽  
Facial Nerve Paralysis ◽  
High Resolution Computed Tomography ◽  
Nerve Paralysis ◽  
Tertiary Care Facility

<p class="abstract"><strong>Background:</strong> Facial nerve paralysis in head injuries has a lesion in the bony fallopian canal. The line of fracture and site of lesion was studied using high resolution computed tomography.</p><p class="abstract"><strong>Methods:</strong> A prospective study of 37 subjects of facial nerve paralysis following head injury was undertaken. The patients were selected from the neurosurgical trauma centre of a tertiary care facility, of Dayanand Medical College, Ludhiana, during a period of one and a half years. HRCT was performed taking 2 mm axial and coronal cuts of temporal bone for all patients to analyse the type and site of fracture of the bony facial canal.  </p><p class="abstract"><strong>Results:</strong> Total 19 (51.3%) patients had longitudinal fractures while transverse fracture was seen in 7 (18.9%) patients and 11 (29.7%) patients showed comminuted fracture on HRCT. Perigeniculate region was involved in 4 (44.4%) patients. Tympanic segment was affected in 3 (33.3%) patients and the mastoid segment in 4 (44.4%). The tympanic and the mastoid segments were involved simultaneously in two patients. These findings correlated with those observed on HRCT. 500 patients of head injury were screened and 48 (9.6%) patients were found to have facial nerve paralysis. 44 (91.67%) of these were males and 4 (8.33%) females. Majority of the patients (62.5%) were between the age group of 21-40 years.</p><p class="abstract"><strong>Conclusions:</strong> In the present study of facial paralysis post head injury, longitudinal facial fractures were commonest followed by mixed and transverse on HRCT. The pregeniculate and the mastoid segments showed an equal incidence followed by the tympanic segment.</p>

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