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 re...

    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 manag...

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...

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 ...

  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 ...

  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. Thi...