JuniperPublishers_Head Neck & Spine Surgery

JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF HEAD NECK & SPINE SURGERY Did Randomized Clinical Trials (RCT) and Continually are Contributing Evidence for Progress in Radiation Oncology Authored by Bogusław Maciejewski Since clinical trials have been advocated as evidence based guidelines for radiotherapy many RCTs were carried out. Can they be considered compared with empirical studies, as a milestone progress in radiation oncology. Large heterogenous tumor sites and stages were enrolled into the trials on hyperoxygen therapy, radiosensitizers and altered fractionations raise some uncertainties and criticism regarding therapeutic gain usually reported as median end-points. Local tumor control rates have been and still are related to the tumor TNM status, but almost never to initial tumor volume (number of initial cancer stem cells) whereas the effect of irradiation is cell killing, not tumor stage killing. Many RCTs became disappointing or at least therapeut

JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF HEAD NECK & SPINE SURGERY Osteitis Fibrosa Cystica (Brown Tumour) of the Cervical Spine in a Patient with Polycystic Kidney Disease Masquerading as Metastatic Malignant Bone Disease - Case Report Authored by   Atul Vats Context: Osteitis fibrosa cystica (Brown Tumour) is a rare benign lesion of bone. It usually occurs in secondary hyperparathyroidism. Cervical spine involvement is very rare. Findings: We present one such rare case of Brown tumour of cervical spine due to secondary hyperparathyroidism. Conclusion: Brown tumour should be considered as a differential diagnosis in cases with multiple lytic lesions of the skeletal system. For Read More... Full text click on: https://juniperpublishers.com/jhnss/JHNSS.MS.ID.555595.php For More Articles in Journal of head neck and spine surgery please click on: https://juniperpublishers.com/jhnss/index.php For More Open Access Journals in Juniper Pub

JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF HEAD NECK & SPINE SURGERY Incidence, Recurrence and Complications after Facial Skin Cancer Excision: Retrospective Analysis of Multi-Institutional Experiences Authored by  Yasser Helm Ali Objectives: Skin cancer varies in incidence according to Geography, sun exposure, genetic predilection, skin type and many other factors. Definite treatment of skin cancer requires multidisciplinary approach. Surgery is usually giving a strong hand in skin cancer management regardless to the size of the lesion. This study is designed to evaluate the incidence, recurrence and complications in patients, who had undergone facial skin cancer excision then reconstruction. Material and Methods: Retro analysis review was conducted for the complications that had happened in patients who were having facial skin cancer and underwent excision then reconstruction. Of 254 cases, 54, 25 and 175 cases were submitted to direct skin c

JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF HEAD NECK & SPINE SURGERY Rare Complications of Caudal Epidural Steroid Injections Authored by  Ebru Tarikçi Kiliç The caudal epidural steroid injection reported in 1952 helps to treat low back pain. It is a safe and effective tecnique under appropriate fluoroscopic visualization. Caudal epidural steroid injection (CESI) is a minimally invasive procedure includes both cortico steroid and a local anesthetic agent which can reduce inflammation and can be effective when delivered directly into the painful area. However, these injections are not free of complications [ 1 ]. Reported side effects are headache, backpain, the increase in blood sugar levels. Rare side effects are; weakness, dizziness, fatigue, skin changes, and osteoporosis. Extremely rare risks include infection, bleeding, dural puncture, a nerve damage, and hiccups. For Read More... Full text click on: https://juniperpublishers.com/jhns

JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF HEAD NECK & SPINE SURGERY Spontaneous Pneumorrachis: A Complication of Nitrous Oxide Inhalation and Cocaine Snorting Authored by  Atul Vats Context: Pneumorrhachis (PR) is an uncommon condition characterized by the presence of air within the spinal canal. Usually it results following trauma or surgery involving spinal instrumentation. Spontaneous pnemorrachis has also been described in association with spontaneous pneumomediastinum or secondary to marijuana smoking and cocaine snorting. Findings: We report a case of spontaneous pnemorrachis in a patient who was snorting cocaine along with nitrous oxide inhalation for recreation. Conclusion: It is helpful to elicit a history of illicit drug use, particularly regarding cocaine in a case of spontaneous pneumorrhachis.  For Read More... Full tex t click on: https://juniperpublishers.com/jhnss/JHNSS.MS.ID.555592.php For More Articles in Journal o

JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF HEAD NECK & SPINE SURGERY Acute Calcific Prevertebral Tendinitis Nonvisible in Plain Radiograph Authored by   Ick Soo Choi Calcific tendinitis of the longus colli is an inflammatory disease caused by calcium hydroxyapatite crystal deposition in the longus colli tendon of the prevertebral space. The typical imaging characteristics of this entity are calcifications on the longus colli tendons at the C1-2 level and fluid collection in the retropharyngeal space in plain radiograph. Usually, calcific lesion can be detected by plain radiograph. We introduce 2 case of prevertebral calcific tendinitis nonvisible in plain radiograph, but the diagnosis was confirmed on computerized tomography. For Read More... Full text click on: https://juniperpublishers.com/jhnss/JHNSS.MS.ID.555600.php For More Articles in Journal of head neck and spine surgery please click on: https://juniperpublishers.com/jhnss/index.

JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF HEAD NECK & SPINE SURGERY Periorbital Hemorrhage Secondary to tPA For Stroke Following Oculoplastic Surgery Authored by  Sarah Jacobs Tissue plasminogen activator (tPA) is a proven treatment for ischemic strokes when administered within 3-4.5 hours of symptoms. Relative contraindications include minor or spontaneously-improving stroke, seizure at onset, recent gastrointestinal and urinary tract hemorrhage, pregnancy, recent major surgery or serious trauma [ 1 ]. As these are relative contraindications, ultimately the provider makes the decision to administer tPA based on analysis of risks and benefits. This is a case of a periorbital hemorrhage in a patient receiving tPA for ischemic stroke within 2 days of oculoplastic surgery. For Read More... Full text click on: https://juniperpublishers.com/jhnss/JHNSS.MS.ID.555599.php For More Articles in Journal of head neck and spine surgery please click on:

JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF HEAD NECK & SPINE SURGERY Conscious Sedation in Plastic Surgery: Patient Safety and Cost Reduction Midazolam/Meperidine Conscious Sedation Authored by Joseph El Khoury Background: Conscious sedation is an anesthetic modality used in different procedures, among which are plastic surgeries. This study evaluated the efficacy and safety of the IV Midazolam - IM Meperidine conscious sedation protocol. Methods: Adult patients undergoing elective cosmetic surgeries were enrolled. Patients were excluded if they had a history of cardiac or respiratory disease or in case of pregnancy. Patient anxiety, nausea, and pain were evaluated during and after surgery. Physician satisfaction and reported intraoperative level of sedation were also assessed. Operative time, midazolam dose, and the lowest hemoglobin saturation level in oxygen were noted. The primary outcome was postoperative recovery time while cost reduction

JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF HEAD NECK & SPINE SURGERY Percutaneous Vertebroplasty as a Treatment for Osteoporotic Vertebral Compression Fractures Authored by  Alimov Ijod Percutaneous vertebroplasty is a minimally invasive procedure for the treatment of osteoporotic and neoplastic vertebral compression fractures; this procedure involves the injection of bone cement directly into the fractured vertebral body. The purpose of this study was to evaluate the efficacy of percutaneous vertebroplasty for patients with painful osteoporotic vertebral compression fractures. This was a retrospective single-center study; the total number 74 percutaneous vertebroplasty was performed in 41 patients with osteoporotic vertebral body compression fractures of the I and II degrees. Of these 41patients, 5 were male (12%) and 36(88%) were female; the average age of the patients was 66 years (range, 55-78 years). The overall procedure time was 51.2 ± 4.2 (range,

Posterolateral Percutaneous Endoscopic Discectomy with Partial Pediculotomy for the L1-L2 High-Grade Downward Migrated Disc Herniation Authored by Yoshihiro Kitahama Background: Percutaneous endoscopic discectomy (PED) is one of the most useful minimally invasive surgical techniques for lumbar disc herniation (LDH). However, high-grade migrated disc is difficult to treat with only the standard posterolateral approach (posterolateral PED, PLPED). Purpose: To overcome this difficulty, we combined the pediculotomy with PLPED for the treatment of high-grade migrated LDH. The pediculotomy is the recent technic for PED that has been explored with development of high-speed drill. Case report: A 72-year-old man had a 6-month history of left L2 radiculopathy. His general state was too poor to perform general anesthesia and invasive surgery. The left L1-L2 downward migrated fragment compressed his L2 nerve root axial portion on magnetic resonance imaging. PLPED