• Contact Us
  • Indexing
  • Submit Manuscript
  • Open Access
  • Journals
  • Home
  • ISSN: 2379-948X
    Volume 2, Issue 3
    Case Report
    Kaelan Black1, Iman Naseri2, Philipp Aldana3, Jeffrey Goldstein4 and Gary D. Josephson5*
    Abstract: Juvenile ossifying fibroma is a rare tumor of the sinonasal cavity in pediatric patients. Large tumors involving the orbit and cranial fossa have traditionally been resected using an open craniofacial approach, with an open transcranial and endonasal endoscopic approach for smaller tumors. We describe a case in which visualization with straight and angled telescopes and endoscopic instrumentation allowed high confidence resulting in a gross total resection of this very large tumor. We believe this approach by an experienced endoscopist can offer equal success in treatment outcome with lower morbidity and quicker recovery than the traditional open procedures for this tumor.
    Osman Ilkay Ozdamar, Gul Ozbilen Acar*, Muhammet Tekin and Mahmut Tayyar Kalcioglu
    Abstract: Development of more sophisticated magnetic resonance imaging scans, the chances of finding asymptomatic patients with vestibular schwannomas as with other intracranial pathologies are increasing.
    Gamma Knife radiosurgery for vestibular schwannomas has been documented as an efficient and safe procedure based on the treatments in worldwide literature. Preservation of hearing, but not tinnitus, is currently achieved by this minimal-invasive, alternative treatment method.
    A 55 year-old female patient had applied with complaints of intractable tinnitus and hearing loss on her left ear for six months. Audiologic examination of the patient had revealed a severe degree sensorineural hearing loss on left ear (Average air threshold level: 78 dB, average bone threshold level: 68 dB). Then, magnetic resonance imaging with contrast agent was performed to the patient to detect any suspected lesion. On magnetic resonance imaging, the dimensions of the mass were detected as 15x17x16 mm at the left pontocerebellar angle that was compatible with vestibular schwannoma. Gamma knife radiosurgery was applied to the vestibular schwannoma in a referred center. A single-shot with a MRI-targeted dose (Leksell Gamma Knife, Model B, Gamma Plan 8.32) was applied as 12.5 Gy for 50% (range 42-50%) isodose field (maximal dose: 25 Gy) to cover at least 92% of the lesion.
    In this paper, we discuss the effectiveness and outcomes of gamma knife radiosurgery, introduced recent few decades as a therapeutic method, with review of the literature for vestibular schwannoma's management with this case.
    Sandra Schmitz1, Michel Van Boven2 and Marc Hamoir1*
    Abstract: While Percutaneous Tracheotomy (PT) has become a standard procedure to ensure airway patency in elective indications, it is not yet accepted as standard for the management of emergency airway situations, despite more and more reports highlighting its use in this setting. After comparing PT with other emergency airway access techniques, we report a new approach performed under general anesthesia for the management of patients with major airway obstruction leading to « no ventilation, no intubation » situations.
    João Laffont1, Sandra Augusto1, Lígia Cardoso2, João Carlos Ribeiro1* and Antonio Paiva1
    Abstract:
    Introduction: The incidence of orbital subperiosteal abscess (OSA) in pediatric population is 15% of the orbital infections, being acute sinusitis the most frequent cause of this complication. The diagnosis of OSA is based on clinical examination and imaging. Treatment usually includes IV antibiotics, nasal decongestants and surgical drainage if necessary. If inadequately treated, orbital cellulitis may progress to intracranial complications, blindness and even death.
    Case presentation: A 10 year old child, presented with left palpebral edema with eye proptosis, ocular pain, gaze restriction, diplopia, conjunctival hyperemia and headache following three days of fever and URTI. CT imaging revealed pansinusitis with left OSA of the medial wall, compressing the eye globe with anterior-lateral deviation and exophthalmia. Functional endoscopic sinus surgery (FESS) decompression was performed after 48h of medical treatment without improvement. Ophthalmology examination improved dramatically the day after surgery. Patient was discharged completely asymptomatic after 8 days with a normal visual function after 2 years of follow-up.
    Conclusion: When managing OSA, an early diagnosis and adequate infection control is of upmost importance. CT orbital scan is a reliable diagnostic method and initial IV antibiotic therapy may be possible. As demonstrated in this case report, if surgical approach of a medial OSA is necessary, FESS is a valid, adequate and effective solution at short and long term.
    Research Article
    Rahul Seth1*, Ali Razfar1, Christine Ha2, Rasnik K. Singh1, P. Daniel Knott3, Vishad Nabili1 and Keith E. Blackwell1
    Abstract:
    Objective: Papaverine is a topical agent commonly used during microvascular surgery to inhibit undesired vasoconstriction. There is a national shortage of papaverine due to ceased production by the only manufacturer within the United States. Establishment of an alternative vasodilator is critically important. This study aims to assess the experience of a solution of verapamil and nitroglycerin (VG solution), a potentially suitable alternative pharmacologic vasodilator.
    Study Design: Retrospective chart review
    Methods: 188 consecutive free flaps were performed for head and neck defect reconstruction between February 11, 2013 and February 28, 2015. The topical vasodilator of VG solution was used during these cases. Charts were reviewed for patient and flap characteristics, intraoperative patient and flap complications, and postoperative complications.
    Results: Flaps performed (n=188) included fibula, radial forearm, subscapular system, anterolateral thigh, and rectus abdominis. There were no vascular thromboses, free flap failures, or hematomas. Specific to topical application of the VG solution, there were no intraoperative cardiac events or abnormalities secondary to application of the solution, including obvious endothelial damage or irreversible arterial vasospasm. No vessels demonstrated intraoperative vasospasm after VG solution application.
    Conclusion: Use of a VG solution for pharmacological vasodilation during microvascular free tissue transfer did not result in any adverse events and an acceptable vasodilation was witnessed, yielding a potentially acceptable papaverine substitute.
  • JSciMed Central Blogs
  • JSciMed Central welcomes back astronaut Scott Kelly and cosmonaut Mikhail Kornienko.
    Readmore...

    Wonder Women Tech not only disrupted the traditional conference model but innovatively changed the way conferences should be held.
    Readmore...

    JSciMed Central Peer-reviewed Open Access Journals
    10120 S Eastern Ave, Henderson,
    Nevada 89052, USA
    Tel: (702)-751-7806
    Toll free number: 1-800-762-9856
    Fax: (844)-572-4633 (844-JSCIMED)
    E-mail: otolaryngology@jscimedcentral.com
    1455 Frazee Road, Suite 570
    San Diego, California 92108, USA
    Tel: (619)-373-8720
    Toll free number: 1-800-762-9856
    Fax: (844)-572-4633 (844-JSCIMED)
    E-mail: otolaryngology@jscimedcentral.com
    About      |      Journals      |      Open Access      |      Special Issue Proposals      |      Guidelines      |      Submit Manuscript      |      Contacts
    Copyright © 2016 JSciMed Central All Rights Reserved
    Creative Commons Licence Open Access Publication by JSciMed Central is licensed under a Creative Commons Attribution 4.0 International License.
    Based on a work at https://jscimedcentral.com/. Permissions beyond the scope of this license may be available at https://creativecommons.org/.