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Endolymphatic Sac Tumor of The Temporal Bone

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  Journal of Head Neck & Spine Surgery Juniper Publishers Author By:  Behzad Saberi Opinion Endolymphatic sac tumor of the temporal bone is a locally aggressive tumor which involves the sac and the endolymphatic duct. From the histological point of view, endolymphatic sac tumor can be described as a destructive papillary cystic adenomatous tumor. It can be sporadic or related to the von Hippel-Lindau disease. Chromosome 3p25 tumor suppressor gene’s loss of function can cause von Hippel-Lindau which the patients with von Hippel-Lindau disease may have bilateral endolymphatic sac tumors. So, it is advisable to screen the patients with von Hippel-Lindau disease for the presence of bilateral endolymphatic sac tumors. Patients with endolymphatic sac tumors can be presented with various symptoms like aural fullness, sensorineural hearing loss, vertigo and tinnitus which seemingly are due to endolymph’s normal flow and resorption patterns obstruction which may cause endolymphatic hydrops.
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Posterior Long Segment Instrumentation Beyond A Failed Percutaneous Vertebroplasty

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  Journal of Head Neck & Spine Surgery Juniper Publishers Author By:  Abdusattarov Khurshid Abstract There are several controversial challenges in the treatment of compression vertebral fractures in patients with osteoporosis, one of the main issues of treatment is the optimal surgical approach selection with the minimal risk of complications. Percutaneous vertebral augmentation modalities such as Percutaneous Vertebroplasty (PVP) and Percutaneous Kyphoplasty (PKP) are minimally invasive surgical procedures for treating painful compression vertebral fractures in patients with osteoporosis. Specific complications of vertebral augmentation modalities (PVP/PKP) are associated with the high risk of bone cement leakage. Prevention and management of complications related to the PVP/PKP are important challenges for the spine surgeons to date. The assessment of risk factors such as Intervertebral Cleft (IVC), cortical disruption, cement viscosity, and injected cement volume can prevent the
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Head and Neck Cancer, Precision Medicine and Health Related Quality of Life: The Patient Is the Keystone

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  Journal of Head Neck & Spine Surgery Juniper Publishers Author By:  Augusta Silveira Abstract Precision medicine is nothing new in health context, neither in oncology clinical practice. Although, focusing on the “individual” remains trendy, actual, relevant and opportune either for clinical practice, research purposes and particularly, for patients’ lives. Patient- reported outcomes are multidimensional and subjective measures that can be objectively quantified. They reflect patients’ perceptions about their health-status, symptoms, functioning, satisfaction degree with healthcare, health behaviors and health related quality of life. Patient- reported outcomes can capture the voice and experience during the head and neck patient disease journey favoring communication and shared decision-making and engaging both patients and healthcare providers. This approach can demystify procedures, clarify concerns about future and favors emotional support. Moving towards personalized healthca
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Periorbital Necrotizing Fasciitis in a Young Woman with Anorexia Nervosa-the Management and Considerations of Cosmetic and Functional Outcomes of Fulminant Disease in a Critically Unwell Patient

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  Journal of Head Neck & Spine Surgery Juniper Publishers Author By:  Joshua Givorshner Abstract Necrotizing fasciitis is a rapidly progressive and potentially deadly bacterial infection of the superficial fascia. The horrific and grossly debilitating nature of necrotizing fasciitis has led to an increased prominence of its reporting in mainstream media however the disease entity has not been historically well understood, classified or reported in medical literature. While capable of manifesting in numerous bodily locations following inoculation during trauma, the periorbital region is the most commonly involved facial site and presents unique challenges in treatment of the disease due to the unique anatomical and functional attributes of this area. This case report describes the diagnosis, surgical and medical management in a young woman with severe malnutrition due to anorexia nervosa Keywords:  Necrotizing fasciitis Infection Oculoplastics Periorbital Ophthalmology Reconstructiv
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Fusion Rates with Autologous Bone Grafts in Pediatric Patients Undergoing Posterior Cervical Spine Fusion

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  Journal of Head Neck & Spine Surgery Juniper Publishers Author By:  Laura-Nanna Lohkamp Abstract Objective:  Surgical management of cervical instability and obtaining solid bone fusion in children is technically challenging due to smaller and immature anatomy besides the lack of pediatric-adapted instrumentation. Optimizing fusion via additional bone grafting and postoperative HALO device application has been a topic of controversy. We describe our experience with posterior cervical spine fusion techniques and re-visit the role of autologous bone grafting. Methods:  We performed a retrospective chart review of children, who underwent rigid instrumentation and/or onlay bone graft fusion between 2008 and 2019. The primary outcome was solid bone fusion at 2 years after surgery. Secondary outcomes were neurological outcome and adverse events, including surgical and postoperative complications, graded according to the Spinal Adverse Events Severity System, version 2 (SAVES-V2). Result
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Myoparasitism: A Rare Differential in a Case of Parotid Swelling

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  Journal of Head Neck & Spine Surgery Juniper Publishers Author By:  Dr. Abhijit Kumar, Abstract Cysticercosis in human is caused by infection with the larval stage of Taenia solium. Muscular infestation is common in developing countries like India, but it rarely involves the head and neck region, and is often seen as a diagnostic dilemma for the clinician. Therefore, parotid cysticercosis is an uncommon entity, a diagnostic challenge especially in endemic regions of Asia, Africa and Latin America [1]. We report a rare case of 64-year-old man presented with a firm nodular swelling in left parotid region that was diagnosed as cysticercosis after all thorough investigations and managed medically.. Keywords:  Cysticercosis; Taenia solium; Parotid swelling; Anthelmintic drugs; Parasitism Abbreviations:  CT: Computed Tomography; MRI: Magnetic Resonance Imaging Introduction Cysticercosis is a parasitic disease caused by larvae of Taenia solium also known as pork tapeworm. The etiopathog
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