JuniperPublishers_Head Neck & Spine Surgery

  Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Pediatric Versus Adult Papillary Thyroid Carcinoma: Different Diseases Requiring Different Surgical Approaches Authored by Spinelli C Introduction Differentiated thyroid carcinoma is rare in young age and represents 0.5% to 3.0% of childhood carcinomas: the incidence increases with age, and peak incidence is observed between 15 and 19 years of age [1]. Even at large referral centers, only few pediatric thyroid cancers are treated every year; it may take ≥30 years for a major center to collect a series of 100 children and adolescents with thyroid cancer [2]. Papillary thyroid cancer (PTC), the most common type of differentiated thyroid cancer, spreads predominantly via the lymphatics to the local draining lymph nodes: cervical lymph node involvement in 60% to 80% of cases and lung metastases at diagnosis in 20% of cases [3]. Since pediatric thyroid cancer is such a rare disease, treatment recommendat

    Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Simulation in ENT- Is There a Place For It? Authored by Dione L Introduction Airway emergencies are a common presentation in the emergency department, with the incidence reported to range between 2% and 14.8% Kovacs et al. [1]. In the vast majority of cases, ‘difficult airway’ presentations are managed successfully by emergency medicine doctors Wong et al. [2]. While anaesthetic staff on the whole manage the remainder, surgical doctors (especially those working within ENT surgery) are often involved in cases that require invasive interventions such as tracheostomy or surgical cricothyroidotomy Awad et al. [3]. Furthermore, it is often the most junior member of the ENT team is first to attend to those patients requiring emergency on-call airway services; frequently without immediate senior supervision or support. Despite this, there is currently no formal curriculum in airway management for core

Juniper Publishers-Open Access  Journal of                    Head Neck & Spine Surgery   Latex Allergy: Overview and Recommendations for the Perioperative Management of High-Risk Patients Authored by Alex Vargas Abstract Latex allergy affects about 1% of the general population and is the second leading cause of perioperative anaphylaxis after muscle relaxants. Hypersensitivity reactions associated with latex range from localized to potentially fatal anaphylactic reactions. Since it has been shown that more frequent cause for development of these reactions is exposure to latex, several measures have been implemented to reduce the prevalence of latex allergy and thus potentially dangerous reactions associated, especially in the high-risk population as patients with congenital malformations of the central nervous system. Despite existing efforts, there is still a lot of misinformation on this issue. The objectives of this review are to report on this condition, inform ab