JuniperPublishers_Head Neck & Spine Surgery

Juniper Publishers-Open Access  Journal of                  Head Neck & Spine Surgery Bilateral Accessory Breast: A Case Report from Nepal Authored by Tuhin Shah Introduction Accessory or ectopic breast tissue is residual breast tissue that persists after normal embryonic mammary development. It can occur anywhere along the embryonic mammary streak, but is most commonly located in the axilla. Accessory breast tissue can consist of any component of the breast and may be functional or non-functional and its development is hormone dependent like normal breasts. Overall, the prevalence of accessory breast tissue in women ranges from 0.4% to 6%, and in men, from 1% to 3% [1]. Usually they are asymptomatic and do not need any intervention unless they start causing discomfort. Diagnosis of accessory breast tissue is important because they are subject to all diseases of the breast including carcinomas [2]. Here we report a case of asymptomatic accessory breast tissue in bilate

  Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Skin Closure with Barbed Sutures: An Early Evaluation of Cosmesis and Complications Authored by Vinay Kumar Tiwari Abstract Introduction: Barbed sutures have the potential advantage of decreased operative time and better wound cosmesis due to bidirectional fixation of wound. Present study evaluates the complications and scar cosmesis after skin closure with barbed sutures. Material and Methods: This was a prospective, observational study. Patients underwent subcuticular skin suturing in surgically created clean wounds. Half of the wound closure was done with barbed absorbable suture and other half with non-barbed absorbable sutures. Comparison of scar cosmesis and wound complications was done. Results: Mean time taken for suturing per cm of wound was lower in barbed suture group. Suture extrusion rate was higher in barbed suture group. No statistically significant difference was found bet

  Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Conservative Versus Surgical Management for Non-Traumatic Subarachnoid Hemorrhage: A Mini Review Authored by Johanna Stefany Canenguez Benitez Abstract Subarachnoid hemorrhage diagnosis is always a challenge for patients and physicians because it has different presentations. There are two main causes of subarachnoid hemorrhage: traumatic and no traumatic subarachnoid hemorrhage. Both groups share clinical characteristics, but not treatment. Therefore, it is essential to recognize the signs, symptoms, and types of presentation for proper management. The objective of this article is to inform our audience about the significant difference between conservative and surgical treatment for non-traumatic subarachnoid hemorrhage because it carries a high risk of morbidity and mortality, requiring emergency management and well-trained physicians to evaluate patients suspicious for the diagnosis. This article