JuniperPublishers_Head Neck & Spine Surgery

  Juniper Publishers-Open Access  Journal of                   Head Neck & Spine Surgery Periorbital Hemorrhage Secondary to tPA For Stroke Following Oculoplastic Surgery Authored by Sarah Jacobs Keywords Keywords: Tissue plasminogen activator; Hemorrhage; Stroke; Blepharoplasty; Ectropion Ischemic stroke; Complications; Treatment. Introduction Tissue plasminogen activator (tPA) is a proven treatment for ischemic strokes when administered within 3-4.5 hours of symptoms. Relative contraindications include minor or spontaneously-improving stroke, seizure at onset, recent gastrointestinal and urinary tract hemorrhage, pregnancy, recent major surgery or serious trauma [ 1 ]. As these are relative contraindications, ultimately the provider makes the decision to administer tPA based on analysis of risks and benefits. This is a case of a periorbital hemorrhage in a patient...

  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 Abstract 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 and...

  Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Percutaneous Vertebroplasty as a Treatment for Osteoporotic Vertebral Compression Fractures Authored by  Alimov Ijod Abstract Percutaneous vertebroplasty is a minimally invasive procedure for the treatment of osteoporotic and neoplastic vertebral compression fractures; this procedure involves the injection of bone cement directly into the fractured vertebral body. The purpose of this study was to evaluate the efficacy of percutaneous vertebroplasty for patients with painful osteoporotic vertebral compression fractures. This was a retrospective single-center study; the total number 74 percutaneous vertebroplasty was performed in 41 patients with osteoporotic vertebral body compression fractures of the I and II degrees. Of these 41patients, 5 were male (12%) and 36(88%) were female; the average age of the patients was 66 years (range, 55-78 years). The overall procedure time was 51.2 ± 4....

  Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Posterolateral Percutaneous Endoscopic Discectomy with Partial Pediculotomy for the L1-L2 High-Grade Downward Migrated Disc Herniation Authored by Yoshihiro Kitahama  Abstract Background: Percutaneous endoscopic discectomy (PED) is one of the most useful minimally invasive surgical techniques for lumbar disc herniation (LDH). However, high-grade migrated disc is difficult to treat with only the standard posterolateral approach (posterolateral PED, PLPED). Purpose: To overcome this difficulty, we combined the pediculotomy with PLPED for the treatment of high-grade migrated LDH. The pediculotomy is the recent technic for PED that has been explored with development of high-speed drill. Case report: A 72-year-old man had a 6-month history of left L2 radiculopathy. His general state was too poor to perform general anesthesia and invasive surgery. The left L1-L2 downward migrated fragment ...

Juniper Publishers-Open Access  Journal of                 Head Neck & Spine Surgery   Osteitis Fibrosa Cystica (Brown Tumour) of the Cervical Spine in a Patient with Polycystic Kidney Disease Masquerading as Metastatic Malignant Bone Disease - Case Report Authored by Atul Vats Abstract Context: Osteitis fibrosa cystica (Brown Tumour) is a rare benign lesion of bone. It usually occurs in secondary hyperparathyroidism. Cervical spine involvement is very rare. Findings: We present one such rare case of Brown tumour of cervical spine due to secondary hyperparathyroidism. Conclusion: Brown tumour should be considered as a differential diagnosis in cases with multiple lytic lesions of the skeletal system. Keywords: Osteitis fibrosa cystica (Brown Tumour); Secondary hyperparathyroidism; Cervical spine Introduction Brown tumor is a rare benign lesion of the bone. It results from dis...

  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 Helmy Ali Abstract 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 25...