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Showing posts from August, 2021

A Rare Case of Traumatic Leptomeningeal Cyst in Adult: Case Report-Juniper Publishers

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  Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery A Rare Case of Traumatic Leptomeningeal Cyst in Adult: Case Report Authored by Zheng-ming Zhu Abstract Roux-en-Y choledochojejunostomy is a common bile duct reconstruction operation, which has a good surgical effect, and has a low chance of bile leakage and bile duct stenosis. The main complications are bleeding, infection, anastomotic leakage and stress ulcer, but unclosed mesenteric foramen of small intestine after Roux-en-Y choledochojejunostomy is rare. Therefore, in this report, we reviewed a case of the clinical data, imaging findings, and surgical status of a patient with unclosed mesenteric foramen of small intestine of ten years after Roux-en-Y choledochojejunostomy and hope to provide a case reference for clinicians. Keywords: Roux-en-Y choledochojejunostomy; Unclosed mesenteric foramen; Surgery; Suture Introduction Roux-en-Y choledochojeju

Traumatic Subdural Hematoma and Intraparenchymal Contusion after a Firework Blast Injury-Juniper Publishers

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  Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Traumatic Subdural Hematoma and Intraparenchymal Contusion after a Firework Blast Injury Authored by Luke GF Smith Abstract Firework injuries represent a common etiology of injury requiring emergency department evaluation every year, especially in the pediatric population. Typically, firework-related injuries tend to produce burn or blast injuries; however, there have been no reports of fireworks causing an intracranial hematoma. The authors report a case of a consumer firework directly impacting the head of a 6-year-old boy, causing neurological deterioration. Trauma evaluation discovered a subdural hematoma, for which the child underwent emergency hemicraniectomy for surgical evacuation. Despite the injury, he recovered with minimal neurologic sequelae. After one month, he returned for cranioplasty and experienced a favorable outcome after his traumatic brain injury with some mild cognitive defic

Neck Radiotherapy Increases the Risk of Syncope During Awake Airway Management: A Report of Two Cases-Juniper Publishers

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Juniper Publishers-Open Access  Journal of                   Head Neck & Spine Surgery Neck Radiotherapy Increases the Risk of Syncope During Awake Airway Management: A Report of Two Cases Authored by Catherine Vu Abstract Radiotherapy for head and neck cancer may causes baroreflex dysfunction and can lead to syncope. Syncope is usually a benign clinical condition and self-limit. However, in patients with difficult airway their spontaneous recovery can be interrupted by the significant hypoxia caused by airway obstruction. This might lead to situation of cannot intubate and cannot oxygenate requiring emergency surgical airway. Here we report two cases in which previous radiotherapy treated patients developed syncope during preparation for awake intubation resulting in emergency surgical access. Keywords: Airway Syncope Neck radiotherapy Awake airway management Abbrevations: TLOC: Transient Loss of Consciousness; NRT: Radiotherapy to The Neck; BP: Blood Pressure