scholarly journals HEAD AND NECK INFECTIONS

2015 ◽  
Vol 22 (06) ◽  
pp. 787-792
Author(s):  
Naeem Akhtar ◽  
Muhammad Saleem ◽  
Farooq Ahmed Mian ◽  
Muhammad Javaid Shareef ◽  
Fiaz Hussain

Objectives: To analyse the risk factors responsible for different head and neckinfections secondary to dental causes. DESIGN: Retrospective study. Settings: Department ofENT and Head & Neck Surgery, Allied Hospital, Punjab Medical College, Faisalabad. Period:October 2011 to September 2014. Patients and Methods: The study consisted of 50 patientswho presented with history of head and neck infections secondary to dental causes in thedepartment of ENT and Head & Neck Surgery at Allied Hospital Faisalabad. Inclusions criteria:Patients of head and neck infections of either sex ranging from 12 to 57 years of age and havinghistory of dental infections / extractions were included in the study. Exclusion Criteria: Patientshaving head and neck infections secondary to some other cause other than dental etiologywere excluded from the study. Data Analysis: SPSS software, version 10 was used to analysethe data. Chi square test was applied to analyse the data. Results: In our study 62 % patientswith head and neck infections were males while 38 % patients were females. Age ranged from12 years to 57 years with mean age 33.68 years. 96% of our patients presented with deep neckabscesses while only 02% of the patients had osteomyelitis of maxilla and further 02% of thepatients presented with necrotizing fasciitis of the submandibular region. 58% of the patientshad dental infections whereas 42% patients were having dental extraction as the root causeresponsible for these head and neck infections. Moreover, all the patients had poor oro-dentalhygiene. It was also observed that 76% of the patients, having history of dental extraction, weretreated by unqualified dental practitioners without adequate aseptic conditions. Twelve patientsout of fifty (24%) were found to have diabetes mellitus and one patient each was suffering frommalignancy and chronic renal failure. 10 (20%) of our patients were smokers. Some of thepatients (16%) were having anemia. Two patients out of fifty (04%) were suffering from pulmonarytuberculosis. Treatment: All these patients were managed with adequate parentral antibioticsand surgical interventions. We had to perform an emergency tracheostomy in one patient. Allthe patients had good response to the management without any complication. Conclusions:Dental infections and dental extractions are still an important cause for potentially life threateninghead and neck infections in developing countries like Pakistan. Unhygienic dental practicesand lack of proper dental care facilities along with immunocompromizing conditions such asdiabetes mellitus are most common risk factors for these avoidable head and neck infections.Therefore it is necessary that unhygienic dental practices as well as practices by unqualifieddental practitioners should be strictly banned.

2021 ◽  
pp. 912-917
Author(s):  
Zainub Ajmal ◽  
Abdul Moiz Khan ◽  
Lezah McCarthy ◽  
Allison Lupinetti ◽  
Syed Mehdi

Leiomyosarcoma (LMS) of the trachea is an extremely rare malignancy with only a few reported cases in English literature. As such the diagnosis can be frequently missed or delayed. We present a case of a 69-year-old male who underwent tracheostomy for airway obstruction secondary to glottic squamous cell carcinoma and treated definitely with radiation therapy. Subsequently, the patient developed LMS of the tracheostomy site. The case further details multiple risk factors that could contribute to development of LMS including radiation exposure, prior malignancy, and chronic inflammation. These risk factors have been well established for LMS in other sites but less so in the head and neck region, which is the subject of our discussion. We also review the current guidelines for head and neck as well as limb sarcomas and discussed role of surgery or radiation and their accompanying challenges in management of this rare malignancy.


HNO ◽  
2021 ◽  
Vol 69 (5) ◽  
pp. 338-365
Author(s):  
Albert Mudry ◽  
Robert Mlynski ◽  
Burkhard Kramp

AbstractIn 2021, the German Society of Otorhinolaryngology, Head and Neck Surgery is celebrating the 100th anniversary of its foundation. The aim of this article is to present the main inventions and progress made in Germany before 1921, the date the society was founded. Three chronological periods are discernible: the history of otorhinolaryngology (ORL) in Germany until the beginning of the 19th century, focusing mainly on the development of scattered knowledge; the birth of the sub-specialties otology, laryngology (pharyngo-laryngology and endoscopy), and rhinology in the 19th century, combining advances in knowledge and implementation of academic structures; and the creation of the ORL specialty at the turn of the 20th century, mainly concentrating on academic organization and expansion. This period was crucial and allowed for the foundation of the German Society of Otorhinolaryngology, Head and Neck Surgery on solid ground. Germany played an important role in the development and progress of ORL internationally in the 19th century with such great contributors as Anton von Tröltsch, Hermann Schwartze, Otto Körner, Rudolf Voltolini, and Gustav Killian to mention a few.


Head & Neck ◽  
2016 ◽  
Vol 38 (11) ◽  
pp. 1615-1620 ◽  
Author(s):  
Neerav Goyal ◽  
Kevin S. Emerick ◽  
Daniel G. Deschler ◽  
Derrick T. Lin ◽  
Bharat B. Yarlagadda ◽  
...  

2019 ◽  
Vol 130 (3) ◽  
Author(s):  
Zaid Al‐Qurayshi ◽  
Jarrett Walsh ◽  
Scott Owen ◽  
Gregory Randolph ◽  
Emad Kandil

1996 ◽  
Vol 115 (5) ◽  
pp. 379-385 ◽  
Author(s):  
JEROME C. GOLDSTEIN ◽  
GEORGE A. SISSON SR.

1978 ◽  
Vol 86 (1) ◽  
pp. ORL-23-ORL-26 ◽  
Author(s):  
Joseph H. Ogura

This lecture portrays a 3O-year span in the history of head and neck surgery In otolaryngology, which the author experienced from its beginning, and describes the multiple events that have evolved In its transition to maturity.


2016 ◽  
Vol 126 (1) ◽  
pp. 20-28 ◽  
Author(s):  
Neerav Goyal ◽  
Bharat B. Yarlagadda ◽  
Daniel G. Deschler ◽  
Kevin S. Emerick ◽  
Derrick T. Lin ◽  
...  

Objective: To evaluate surgical site infections (SSI) after pedicled reconstruction in head and neck surgery. Methods: Records of patients with pedicled flap reconstructions between 2009 and 2014 at Massachusetts Eye and Ear were reviewed. Onset of SSI or fistula ≤30 days postoperatively was noted. A free flap cohort was reviewed for comparison. Results: Two hundred and eight pedicled reconstructions were performed for cancer (83%), osteoradionecrosis (7%), and other reasons (10%). Most (72%) cases were clean-contaminated and American Society of Anesthesiologists classification 3 or higher (73%); 63% of patients had prior radiation. The SSIs occurred in 9.1% and were associated with a longer length of stay ( P = .004) but no particular risk factors. Seventeen patients developed a fistula (11 without SSI). The SSI rates were not significantly different between pedicled and free flaps, but pedicled flap patients were older, more likely to have had prior surgery and/or radiation, and be methicillin-resistant Staphylococcus aureus positive. In the combined population, multivariate analysis demonstrated clean-contaminated wound classification ( P = .03), longer operating time ( P = .03), and clindamycin prophylaxis ( P = .009) as SSI risk factors. Conclusions: The SSI rate following pedicled flap surgeries was low and similar to free flap surgeries despite a significantly different population. No specific risk factors were associated with developing a pedicled flap SSI.


2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Abdulkadir Bucak ◽  
Sahin Ulu ◽  
Abdullah Aycicek ◽  
Emre Kacar ◽  
Murat Cem Miman

Grisel’s syndrome is a nontraumatic atlantoaxial subluxation which is usually secondary of an infection or an inflammation at the head and neck region. It can be observed after surgery of head and neck region. Etiopathogenesis has not been clearly described yet, but increased looseness of paraspinal ligament is thought to be responsible. Patients typically present with painful torticollis. Diagnosis of Grisel’s syndrome is largely based on suspicion of the patient who has recently underwent surgery or history of infection in head and neck region. Physical examination and imaging techniques assist in diagnosis. Therefore, clinicians should be aware of acute nontraumatic torticollis after recently applied the head and neck surgery or undergone upper respiratory tract infection. In this paper, a case of an eight-year-old male patient who had Grisel’s syndrome after adenotonsillectomy is discussed with review of the literature.


2020 ◽  
Vol 134 (5) ◽  
pp. 381-386
Author(s):  
J C Watkinson

Mr President, Mr President Elect, Fellows and Members, Ladies and Gentleman, it is a pleasure to address the Section of Laryngology this morning and deliver the 94th Semon Lecture. I would like to thank the Semon Committee for their kind invitation. My lecture will discuss Sir Felix Semon (the man himself), highlight the history of head and neck surgery, and then discuss the requirements of a modern-day thyroid surgeon. I have no conflict of interest and nothing to declare.


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