The Management of Some Difficult Occipito-Posterior Cases

Observations upon the Nature and Treatment of Difficult Occipito-Posterior Positions of the Head, Founded upon an Analysis of Twenty-Six Operative Cases

Posterior occipito-axial fixation applied C2 laminar screws for pediatric atlantoaxial instability caused by Down syndrome: Report of 2 cases

BACKGROUND Upper cervical spine instability is one of the most critical orthopedic problems in patients with Down syndrome. However, arthrodesis of the upper cervical spine in these patients can be very difficult to achieve and has a high complication rate because of mental retardation and accompanying various medical conditions of the vital organs. Even now, surgeries in such patients, especia...

Editorial Notes on Current Topics

The Report of the Government Maternity Hospital, Madras, is always one of interest. Doubtless equally good work is done in other and similar large institutions in the other presidency towns, but as their reports do not see the light it is difficult to compare their work. There were 1,989 obstetric cases dealt with in the Madras Hospital, and of 1901, deliveries in hospital 1,342 are classed as ...

Difficult Intubation in a Patient with Dysphagia after Posterior Occipitocervical Fusion: A Case Report

The authors encountered a case involving difficult intubation during anesthesia for revision of cervical fixation angle in a 62-year-old woman, with a history of chronic rheumatoid arthritis, who experienced dysphagia after initial posterior occipitocervical fusion to correct atlantoaxial subluxation. Two days after initial surgery, she developed trismus with neck flexion and dysphagia, and und...

Management of the difficult Airway

The appropriate airway management is the important point during the anesthesia. For it dose, ‎taking history, physical examination (head and neck, mandible, mouth opening, neck ‎movements …) must be done completely and they are helpful in estimating difficult ‎intubation.‎ It is necessary to note that one case from every ‎‏5000‏‎ cases of anesthesia, not o...