JuniperPublishers_Head Neck & Spine Surgery

  Journal of Head Neck & Spine Surgery Juniper Publishers Author 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 multiple factors: an optimal and firm bone tissues support, dental implant device features, peri-implant soft tissues favorable conditions and a proper prosthetic finalization [

  Journal of Head Neck & Spine Surgery Juniper Publishers Author by:  Kartik Sonawane Abstract Spine surgery is associated with multiple postoperative complications, ranging from simple nausea and vomiting to devastating complications leading to postoperative morbidity or mortality. The postoperative neurological impairment, especially in the neurologically intact patient, is a dreadful event that makes it difficult for the surgeon to perform technically challenging or high-risk spine surgeries. Preoperative or intraoperative factors that can influence the postoperative neurological status include nature and the severity of the pathology, comorbid conditions of the patient, preexisting neurological symptoms, multiple levels involved, complex surgery or instrumentation, surgical blood loss, neurological monitoring, hemodynamic parameters, polypharmacy, and total duration of the surgery. In addition to several known contributing factors (fixation failure, epidural hematoma, spinal co

  Journal of Head Neck & Spine Surgery Juniper Publishers Author 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 between cosmesis of scar and rates of infection between the two groups. Conclusion:  The current study did not find any a

  Journal of Head Neck & Spine Surgery Juniper Publishers Author 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 is a compilation of several articles that have been selected from different databases, International Journal of Emergency M