JuniperPublishers_Head Neck & Spine Surgery

  Journal of Head Neck & Spine Surgery Juniper Publishers Author By:  Behzad Saberi 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 which seemingly are due to endolymph’s normal flow and resorption patterns obstruction which may cause endolymphatic...

JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF HEAD NECK & SPINE SURGERY Incidence, Recurrence and Complications after Facial Skin Cancer Excision: Retrospective Analysis of Multi-Institutional Experiences Authored by  Yasser Helm Ali Objectives: Skin cancer varies in incidence according to Geography, sun exposure, genetic predilection, skin type and many other factors. Definite treatment of skin cancer requires multidisciplinary approach. Surgery is usually giving a strong hand in skin cancer management regardless to the size of the lesion. This study is designed to evaluate the incidence, recurrence and complications in patients, who had undergone facial skin cancer excision then reconstruction. Material and Methods: Retro analysis review was conducted for the complications that had happened in patients who were having facial skin cancer and underwent excision then reconstruction. Of 254 cases, 54, 25 and 175 cases were submitted to direct sk...

JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF HEAD NECK & SPINE SURGERY Conscious Sedation in Plastic Surgery: Patient Safety and Cost Reduction Midazolam/Meperidine Conscious Sedation Authored by Joseph El Khoury Background: Conscious sedation is an anesthetic modality used in different procedures, among which are plastic surgeries. This study evaluated the efficacy and safety of the IV Midazolam - IM Meperidine conscious sedation protocol. Methods: Adult patients undergoing elective cosmetic surgeries were enrolled. Patients were excluded if they had a history of cardiac or respiratory disease or in case of pregnancy. Patient anxiety, nausea, and pain were evaluated during and after surgery. Physician satisfaction and reported intraoperative level of sedation were also assessed. Operative time, midazolam dose, and the lowest hemoglobin saturation level in oxygen were noted. The primary outcome was postoperative recovery time while cost reduction ...