JuniperPublishers_Head Neck & Spine Surgery

    Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery The Use of Digital Sub-Periosteal Implants in Severe Maxillary Atrophies Rehabilitation: A Case Report Authored by Lorenzo Viviani Abstract Development in osteointegration and bone-implant interface led through the years to different prosthetic procedures, varying from tilted implant to zygomatic or pterygoid implant. Though feasibility of these prosthetic rehabilitations is to be determined for each patient. Here we suggest a paradigm shift in subperiosteal implant technique, where rigid fixation, load bearing concept, virtual planning and digital engineering are mandatory. A clinical case is reported in order to better explain and help understand the technique. Keywords: Subperiosteal implants; Alternative implantology; Juxtabone implants; Bone atrophy; Atrophic maxilla Introduction The success of an implant-prosthetic oral rehabilitation relies on mu

Juniper Publishers-Open Access  Journal of                Head Neck & Spine Surgery The Importance of Comprehensive Care Among Obese Patients with Adult Spinal Degenerative Conditions Authored by Cucnhat P Walker Keywords: Obesity; Spinal surgery; Adult spinal degenerative; Obese; Nutritional counseling Abbreviations:  BMI: Body Mass Index; ASD: Adult Spinal Deformities; DASH: Dietary Approaches to Stop Hypertension Opinion The Centers for Disease Control and Prevention has released the 2019 Adult Obesity Prevalence Maps. The maps show all states and territories had more than 20% of adults with obesity with 12 states having more than 35% obese adults. Only Colorado and the District of Columbia have 20% to 25% obese adults [1]. Obesity has been proven to be a significant risk factor for spinal degenerative conditions, for peri-operative and post-operative complications from spinal surgeries (i.e., longer operative times and increased blood loss, peri-operative peripheral

  Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Endolymphatic Sac Tumor of The Temporal Bone Authored by Behzad Saberi Keywords:   Endolymphatic sac tumor; Temporal bone 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 w

  Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Posterior Long Segment Instrumentation Beyond A Failed Percutaneous Vertebroplasty Authored 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/PKh as Intervertebral Cleft (IVC), cortical disruption, cement viscosity, and injected cement volume