Journal of Head and Neck Surgery

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 ISSN: 2689-8713

Journal of Head and Neck Surgery

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Table of Content: Volume 2, Issue 1

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Case Report Pages 105-107

Case Report: Resolution of Hypoglossal Nerve Palsy Following Aspiration of a Branchial Cyst

Authors: Noora Althawadi, Mohamed Alreefi, Deepti Sinha and Susan Jawad

Abstract: Cranial nerve palsies caused directly by branchial cysts is a rare entity. We report a case of hypoglossal nerve palsy in a 47-year-old female with a right anterior neck mass presenting with symptoms of speech disturbances, altered tongue sensation and deviation on protrusion.

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Review Article Pages 108-112

Approach for Emergency Management Patients with Increased Intracranial Pressure

Authors: Adel Hamed Elbaih, Omar Tarek Ahmed

Abstract: Traumatic brain injury (TBI) is a commonly medical problem also associated with increased intracranial pressure (ICP) induced by intracranial hematoma and/or cerebral edema. Therefore, we aim to look into the common pitfalls that both medical students and new physicians face in the recognition, diagnosis, and increased ICP management.

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Case Report Pages 101-104

Pharyngeal Pouch and Concurrent Tongue Base Squamous Cell Carcinoma: An Unusual and Challenging Dual Pathology Causing Dysphagia

Authors: Parivrudh Sharma, Ayoub Gomati, Anas Gomati, Aiwain Yong and Muhammad Shakeel

Abstract: Dysphagia is a common symptom in patients presenting to physicians in primary and secondary care. The term dysphagia describes the perception of obstruction during swallowing. The initial consideration when dealing with this symptom is to exclude serious pathology such as a malignancy. In this case report, we describe an unusual combination of two pathologies to account for dysphagia in our patient

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Case Report Pages 96-100

Juvenile Aggressive Ossifying Fibroma of Paranasal Sinuses: An Unusual Presentation in an 18-Year-Old Female

Authors: Asad Ullah, MD, Samantha N Mattox, DO, Taylor Sliker, MD, Guillermo A Palacios, MD, Kenneth Byrd, MD, Rafik Abdelsayed, DDS, MS and Sravan Kavuri, MD

Abstract: Juvenile aggressive ossifying fibroma (JAOF) is a rare variant of ossifying fibroma. Conventional ossifying fibromas are slow growing neoplasms thought to originate from osseous mesenchyme, commonly arising in the mandible. Conversely, JAOF occurs more frequently in the paranasal bones with rapid growth leading to local destruction, facial asymmetry, nasal obstruction, and proptosis. JAOF has two microscopic variants, psammomatoid and trabecular. Most JAOFs occur in patients less than 12-years-old with slight male predominance. We present an 18-year old female with facial asymmetry for two years duration and recent onset of severe headaches.

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Short Commentary Pages 94-95

Zygomaticomaxillary Complex Fracture as an Orbital Wall Fracture

Authors: Mohammad Waheed El-Anwar

Abstract: Particular attention should be given to the eye examination when ZMC fractures are suspected. The anterior and posterior segments of the eye should be assessed, along with evaluation of optic nerve function and ocular motility. Visual field defects decreased visual acuity, abnormal papillary response, or impaired perception of red color saturation is likely

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Editorial Pages 92-93

A Nasopharyngeal Swab Specimen: How to Perform?

Authors: Bayram Şahin, MD and Hande Gürbüz Aytuluk, MD

Abstract: The diagnosis of COVID-19 is essential for detecting and isolating the active and asymptomatic cases to direct the treatment, and for filiation, and thereby to control the pandemic. The accurate diagnosis of COVID-19 involves collecting the correct specimen with the proper method. In a study involving 1,014 patients

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Case Report Pages 83-91

Sublingual Compartment Resection for the Management of Squamous Cell Carcinoma of the Oral Tongue and Floor of Mouth

Authors: Gary R Hoffman, MD, PhD, MBBS, MMedSc, MSc, FACS, FRCS, Robert L Eisenberg, MBBS, FRACS

Abstract: The purpose of this study was to determine the frequency of LLN in a series of resection specimens of SCC of tongue-floor of mouth, and discuss its relevance to the philosophy of compartment tongue-floor of mouth resection.

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Case Report Pages 78-82

Calcinosis of the Internal Juglar Vein: Interesting Presentation of Tertiary Hyperparathyroidism

Authors: Theodore Klug, MD, MPH, Mona Shete, MD, Courtney B Shires, MD, FACS

Abstract: Tumoral calcinosis is an uncommon but severe complication of hemodialysis therapy as a result of high calcium and phosphorus products. Tumoral calcinosis is a known entity following dialysis, with deposition throughout the hands and hips, joints, shoulders and fingertips.

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Case Report Pages 74-77

Squamous Cell Carcinoma of Temporal Bone after Brain Tumor Treatment: A Tricky Diagnosis of a Late Radiotherapy Complication

Authors: Thiago Sasso Carmona de Souza, Ícaro de Almeida Toledo Pires, Nicole Tássia Amadeu, Sara ThaÍs Steffens, Fellipy Martins Raymundo, Roberta David João de Masi, Rogério Hamerschmidt

Abstract: Primary cancer of the External Auditory Meatus (EAM) is a rare disease, with squamous cell carcinoma (SCC) being the most frequent histological type. The invasion of local tissues occurs in most cases, and its treatment is a challenge due to the complex local anatomy. This report presents the case of a 40-year-old patient who presented with a complaint of chronic otorrhea associated with a mass in EAM and a history of treatment of posterior fossa astrocytoma 17 years ago, treated with neurosurgery followed by radiotherapy.

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Case Report Pages 70-73

Nasal Schwannoma: A Challenging Diagnosis of a Rare Neurofibromatosis Type 2 Manifestation

Authors: Thiago Sasso Carmona de Souza, MD, Nicole Tássia Amadeu, MD, Luana Carolina Fontana, MD, Rogério Hamerschmidt, PhD and Paulo Eduardo Przysiezny, MD

Abstract: Neurofibromatosis type 2 (NF2) is an autosomal dominant disease characterized by the growth of benign tumors in the nervous system. It has variable clinical manifestations, but nasal complaints are usually rare. In this paper, we present a case report of nasal schwannoma in a patient with NF2. The present report highlights the importance of investigating those patients with such underlying disease and complaining of nasal obstruction, especially in the presence of unilateral nasal mass.

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Case Report Pages 66-69

Papillary Thyroid Carcinoma Associated with Caseating Granulomatous Inflammation: A Case Report from United Arab Emirates

Authors: Sreekumar Rajakumar, Noureddine Al Hasan and Mohammed Mater Al Falasi

Abstract: The study presents the case of a 37-year-old female expatriate who was referred with a neck swelling and was managed further in Tawam Hospital, Al Ain. Initial ultrasonography and fine needle aspiration cytology from the right thyroid nodule confirmed papillary carcinoma of thyroid Bethesda type 6 and fine needle aspiration cytology from the right mid jugular lymph node proved metastasis from the primary.

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Case Report Pages 60-65

20-Year Follow-Up and Reconstruction of a Patient with Craniofacial Microsomia

Authors: Rahman A, Kelly M, Hegarty DJ and Murray DJ

Abstract: A 20-year-old female patient underwent ligation of her external carotid artery due to life threatening haemorrhagic episodes following a biopsy as a neonate. She was diagnosed with a locally invasive, congenital orbital haemangiopericytoma and subsequently underwent chemotherapy and surgical excision of the tumour. Long term follow-up over 20 years revealed that the patient had developed severe craniofacial microsomia and a Class III asymmetric malocclusion.

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Case Report Pages 54-59

Clinical and Radiological Assessment of Post-Surgical Sequelae in Donor Site after Microsurgical Fibula Free Flap

Authors: Claudia Celotti, Sonia Herrero, Marta Echevarría, Paula Buded, Manuel De Pedro and Farzin Falahat

Abstract: Fibula free flap is commonly used in mandibular reconstruction. It is globally accepted that the morbidity in the donor site is minimal. The aim of this study was to assess the clinical and radiological morbidity of the donor-site after microsurgical fibula free flap.

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Case Report Pages 49-53

Quality of Life Assessment in Oral Cavity Cancer Patients Treated With Resection and PMMC Flap Cover

Authors: Anoop Sivakumar, Savita Arora and Rahul M

Abstract: The patients’ outcome following primary surgery for oral cancer and the long-term effects need to be evaluated and kept in mind before advising them of a particular treatment decision. The modern day onco-surgical therapy aims at overall Quality of life of the cancer survivor.

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Case Report Pages 42-44

Case Report: Extra-Pharyngeal Ingested Foreign Body (Fish Bone)

Authors: Daniel Kim and Geoffrey Young

Abstract: Foreign body ingestion is a common clinical problem for otorhinolaryngology. Fish bone ingestion poses additional hazards such as increased chance of impaction. If the fish bone passes into the gastrointestinal tract, there has been documentation of potential bowel perforation. The diagnosis of a foreign body within the oroesophageal tract will frequently include a history of ingestion, with subsequent chest or throat discomfort, gagging, emesis, or dysphagia. Typically, if the fish bone does become impacted, endoscopic measures are able to retrieve the object

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Case Report Pages 38-41

Orbit Reconstruction with 3D Printed PEKK Implant

Authors: Rachel Armstrong, BA and Marco Ellis, MD

Abstract: Alloplastic materials are used in facial bony reconstruction, but the ideal material for such procedures has yet to be elucidated. 3D printed polymers are a promising new material for use in bony reconstructive procedures. This article documents the novel usage of polyetherketoneketone (PEKK) in an orbital floor reconstruction. We report the case of a patient who experienced a traumatic left-sided orbital floor fracture and received a porous polyethylene implant. This inadequately restored the orbital floor, and the patient underwent a revision surgery of this defect with PEK K.

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Original Article Pages 33-37

Anesthesia-Related Risk Factors for Anterolateral Thigh Free Flap Complications in 161 Elderly Chinese Patients Who Received Oral and Maxillofacial Reconstruction

Authors: Chengli Wang, MD, Zhixiao Han, MD, Shi Cheng, MD and Minghui Cao, MD, PhD

Abstract: To solve the research purpose, the investigators designed and implemented a retrospective study. The study population was composed of all elderly patients presenting to the Oral and Maxillofacial Surgery Department of Sun Yat-sen Memorial Hospital, Sun Yat-sen University (Guangzhou, China) for evaluation and management of resection of oral and maxillofacial tumors and anterolateral thigh free flap reconstruction from January 2011 to March 2019.

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Case Report Pages 29-32

Pleomorphic Adenoma of Parotid Gland - Clinical Case in 14-Years-Old Child

Authors: Mahammad M Davudov and Parvin Hasanova

Abstract: Pleomorphic adenomas of salivary glands in children’s ages is one of the rare finds. These tumors are 1-3% of the head and neck tumors. The most common pleomorphic adenoma of the salivary gland is found in the parotid (60-65%). This slowly growing tumor is most commonly seen in women in the 5th-6th decades. Histologically, these tumors include epithelial, mesenchymal, myoepithelial components covered by pseudocapsulus. Pleomorphic adenoma is found to be very late as 1-1.5% for children aged 16 and under

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Case Report Pages 9-12

Lacrimal Gland Adenocarcinoma with Apocrine Metaplasia: A Case Report

Authors: Manabu Nishida, Takayuki Taruya, Takashi Kono, Takao Hamamoto, Takashi Ishino, Tsutomu Ueda and Sachio Takeno

Abstract: We present the case of lacrimal gland adenocarcinoma with apocrine metaplasia and a literature review for similar cases. A 65-year-old male with painless eyelid swelling was admitted to our hospital. A physical examination revealed tumor on the caudal side of the left orbital cavity, and a biopsy indicated apocrine adenocarcinoma.

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Case Report Pages 18-23

Endoscopic Transsphenoidal Management of Ecchordosis Physaliphora in the Sphenoid Sinus: A Case Report and Review of Approaches to Resection

Authors: T Logan Lindemann, BS, Brandon Kamrava, MD, Baidarbhi Chakraborty, MD, Amandeep Aneja, MD, Scott Shepard, MD and Pamela C Roehm, MD, Ph.D

Abstract: Ecchordosis Physaliphora (EP) is a benign lesion originating from the developing notochord, similar to chordoma. We report complete resection of an asymptomatic, extradural EP in the sphenoid sinus using an endoscopic transsphenoidal approach and review surgical approaches to resection.

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Case Report Pages 13-17

Reccurent Sebaceous Gland Carcinoma of the Eyelid with Metastasis to the Parotid Gland and the Regional Lymph Nodes: Case Report and Review of the Literature

Authors: Vafeiadou Margarita, Alexoudi Vaia-Aikaterini, Kilmpasani Maria, Karafoulidou Ioanna and Antoniades Konstantinos

Abstract: Sebaceous cell carcinoma is a rare cutaneous aggressive tumor arising from the sebaceous glands. . Its almost exclusive site of occurrence is the eyelid but it has also been reported primarily in other sites, such as the parotid region. It is one of the most dangerous tumors, due to masquerading as inflammatory conditions, such as blepharoconjunctivitis, superior limbic keratoconjunctivitis or chalazion.

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Research Article Pages 9-12

Hurthle Cell Carcinoma of the Thyroid - Well-Differentiated Thyroid Cancer or Something Else?

Authors: Vidinov K and Ivanova R

Abstract: Hurthle cell carcinoma is a rare thyroid neoplasm with unpredictable development. Ever since its first description in 1907 by Langhans there have been a debate about their origin, clinical course, treatment and prognosis. Here, we describe a case of an 81-year-old male which after great diagnostic dilemma proved to be an aggressive Hürtle cell carcinoma.

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