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Honorary Editor-in-Chief of AOHNS: Dr. Murray Grossan

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Lymphaticovenular Anastomosis for Persistent Immunosuppressant-Related Eyelid Edema

Lymphaticovenular Anastomosis for Persistent Immunosuppressant-Related Eyelid Edema

This case report demonstrates an important supermicrosurgical technique for lymphedema, which was established by Isao Koshima in 1994. So far, over 2,000 cases of limb edema have been treated by this surgical method.
Supraclavicular Artery Island Flap: Relation Between Length and Distal End Necrosis

Supraclavicular Artery Island Flap: Relation Between Length and Distal End Necrosis

Supraclavicular flap is an excellent fasciocutaneous flap for head and neck reconstruction due to its close color and texture match. In general, long flaps are required, but with the risk of distal necrosis. The aim of this study is to assess the relationship between the length and distal end necrosis of the supraclavicular flap.
Eight-and-a-Half Syndrome Presented with Trigeminal Neuralgia

Eight-and-a-Half Syndrome Presented with Trigeminal Neuralgia

Most isolated syndromes of Eight-and-a-Half Syndrome are associated with vascular etiology. Symptomatic trigeminal neuralgia due to infarction is rare. The author reports a patient with left-sided facial pain. It was followed by one-and-a-half syndrome with facial nerve palsy during the next day. Diffusion-weighted magnetic resonance imaging of his head revealed restricted diffusion in the left inferior pontine tegmentum neighboring the fourth ventricle extending ventrally. This case is the first report of Eight-and-a-Half Syndrome presented with recurrent attacks of unilateral facial pain, fulfilling criteria for classical trigeminal neuralgia.
Continuous Muscle Relaxant Administration for the Management of Severe Tracheomalacia

Continuous Muscle Relaxant Administration for the Management of Severe Tracheomalacia

Management of children with severe tracheomalacia is very difficult. Most cases require mechanical ventilation; the mortality rate from severe tracheomalacia is as high as 80%. Crying is often triggered, the respiratory condition gets worse, and eventually, it leads to death. For severe cases, surgical treatment should be considered immediately. Meanwhile, the prevention of fatal attacks by medical treatment is indispensable while waiting for surgery. In this report, a method to manage the patients with severe tracheomalacia using muscle relaxant was discussed. Based on clinical experience, continuous administration of 7 μg/kg/min of rocuronium was required to prevent life-threatening cyanotic attacks. However, the infusion requirements of rocuronium would show patient-to-patient variability. Further, case reports and evaluation of the effectiveness of muscle relaxants for the treatment of severe tracheomalacia were required.
Recalcitrant Hypocalcemia in Roux-en-Y Gastric Bypass Patients After Parathyroidectomy: Successful Management With Gastrostomy Tube Placement

Recalcitrant Hypocalcemia in Roux-en-Y Gastric Bypass Patients After Parathyroidectomy: Successful Management With Gastrostomy Tube Placement

Authors present a case report of a patient with history of RYGB who underwent thyroidectomy and parathyroidectomy with postoperative development of severe recalcitrant hypocalcemia. Hypocalcemia was managed conservatively initially but subsequently required gastrostomy tube placement with successful resolution of hypocalcemia.
Epidemiology, Mechanisms, Diagnosis, and Treatment of Delirium: A Narrative Review

Epidemiology, Mechanisms, Diagnosis, and Treatment of Delirium: A Narrative Review

Delirium is an acute disorder of arousal and attention that is commonly encountered, incompletely understood, and associated with adverse outcomes including increased morbidity and mortality, reduced health-related quality of life, and increased healthcare costs. In this narrative review, authors examine the epidemiology, potential pathophysiological mechanisms, assessment, prevention, and treatment of this cognitive disorder.
2500 Cancer Cases Can Be Barred Every Week

2500 Cancer Cases Can Be Barred Every Week

Based on the report submitted by the Cancer Research UK landmark, the life of 13500 cancer patients can be saved and cured if there would be a change in the habit and lifestyle of every individual.

Money can Buy Happiness, but to a Certain Point

Money can Buy Happiness, but to a Certain Point

There is an adage that “money can’t buy happiness”, but a recent research proves that it is not absolutely true. The study reveals that money can definitely make a person happy, but the exact amount required to maximize a person’s happiness varies globally. Beyond that point of satiation, money does not have any effect on the emotional well-being of a person.

Asthma Medicines and Women’s Sterility

Asthma Medicines and Women’s Sterility

Worldwide researchers state that women who have asthma take time to conceive when she is using short-acting asthma medications.

Man Flu: Seeking the Scientific Truth

Man Flu: Seeking the Scientific Truth

The genetic composition of males and females has been a much-debated topic. Biology of the two sexes has been consistently contrasted and analyzed to explain why certain diseases occur in or affect one sex more than the other. This is why perhaps Dr. Kyle Sue from the Memorial University of Newfoundland set out to test whether the phenomenon called ‘man flu’ holds any empirical value.

Diagnosing Cancer Can Be as Easy as a Routine Blood Test!

Diagnosing Cancer Can Be as Easy as a Routine Blood Test!

Thanks to a group of scientists from the Georgia State University who have developed a fast, accurate and non-invasive method to screen for two different tumor conditions. The findings were reported in the journal Scientific Reports.

Why Asthma Is More Common in Women Than Men?

Why Asthma Is More Common in Women Than Men?

Like many other chronic diseases, women have a greater chance than men to have asthma, which may be due to the influence of sex hormones on lung cells. Thanks to the team of researchers led by Dr. Dawn Newcomb of Vanderbilt University, who revealed the significant role of testosterone for this gender difference.

Role of Trapezius Transfer for Shoulder Reconstruction in Adult Traumatic Brachial Plexus Injuries: Literature Review

https://doi.org/10.24983/scitemed.imj.2018.00058

Immediate Limb Compression Following Supermicrosurgical Lymphaticovenular Anastomosis – Is It Helpful or Harmful?

An Unusual Nasal Mass: The Sinonasal Teratocarcinosarcoma

Strategic Incision Placement to Facilitate Successful Supermicrosurgical LVA

Surgical Technique and Risk of Post-tonsillectomy Hemorrhage

A study conducted by Motta et al. showed that no significant difference in the primary, secondary and total hemorrhage frequency between surgical techniques for tonsillectomy.

Innovative Management Strategy for Combined Proximal Median and Ulnar Nerve Extensive Injury

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Articles
News
Videos
Implementation Experiences with Improving Safe Medication Practices for Oxytocin and Magnesium Sulfate During Labor and Delivery

Implementation Experiences with Improving Safe Medication Practices for Oxytocin and Magnesium Sulfate During Labor and Delivery

Oxytocin and magnesium sulfate are high-alert medications with risks for significant patient harm. This paper describes experiences of 25 Labor and Delivery (LD) units which sought to apply safety science principles such as standardization, learning from defects, independent checks, teamwork and communication, and in situ simulation training for safe administration of oxytocin and magnesium sulfate. This effort was part of the Agency for Healthcare Research and Quality’s Safety Program for Perinatal Care.
Immediate Limb Compression Following Supermicrosurgical Lymphaticovenular Anastomosis – Is It Helpful or Harmful?

Immediate Limb Compression Following Supermicrosurgical Lymphaticovenular Anastomosis – Is It Helpful or Harmful?

Immediate limb compression following the LVA procedure facilitates lymphatic drainage and increases the surgical efficacy by increasing the number of functioning anastomoses, and is a recommended postoperative practice.
Glue Ear in Children with Cleft Lip and Palate: An Update

Glue Ear in Children with Cleft Lip and Palate: An Update

Cleft lip/palate (CLP) in children is psychologically stressful for family members and debilitating for the patients themselves. The author reviews the pathogenesis, clinical manifestations, and diagnoses of OME in children with CLP as well as the controversies surrounding treatment. He also provides a flowchart to guide the management of OME in children with CLP.
Birth Outcomes After Implementing an Evidence-Based Guideline for Managing Delayed Pushing in Second Stage Labor in Women with Epidural Anesthesia

Birth Outcomes After Implementing an Evidence-Based Guideline for Managing Delayed Pushing in Second Stage Labor in Women with Epidural Anesthesia

An evidence-based guideline for managing the second stage of labor can improve outcomes in women with epidural anesthesia.
Increased Risk of Depression in Patients with Cholesteatoma

Increased Risk of Depression in Patients with Cholesteatoma

Newly discovered epidemiological evidence linking cholesteatoma to depression suggests that routine screening and monitoring of psychological status among cholesteatoma patients is warranted. Policies aimed at the early detection and timely treatment of comorbid depression following diagnosis with cholesteatoma could enhance health promotion and disease prevention.
The Chain of Chirality Transfer as Determinant of Brain Functional Laterality. Breaking the Chirality Silence: Search for New Generation of Biomarkers; Relevance to Neurodegenerative Diseases, Cognitive Psychology, and Nutrition Science

The Chain of Chirality Transfer as Determinant of Brain Functional Laterality. Breaking the Chirality Silence: Search for New Generation of Biomarkers; Relevance to Neurodegenerative Diseases, Cognitive Psychology, and Nutrition Science

The authors briefly summarize advances in the broad field of biochirality connecting two poles of the phenomena: the atomic orbitals and the brain’s cognitive function. Analysis of current results allows introducing the new generation of entangled biomarkers ranging from the molecular chirality to laterality of cognitive and executive functions.

Experience with Robotic-assisted Microsurgery

Over the past decade, Da Vinci Surgical System has made great strides in surgery. It has been widely applied in urology, gynecology, bariatric surgery, hepatobiliary surgery, thoracoscopic surgery, cardiac surgery, neurological surgery, and transoral otolaryngologic neoplasm resection. However, its application in plastic and reconstructive surgery still in the preliminary stages of development. I went to Hong Kong in April 2013 for the robotic surgical system training program and was awarded console surgeon certificate.

Chang's Technique of Sequential End-to-Side Microvascular Anastomosis

This novel technique of sequential ETS micro-venous anastomosis is a modified technique from its classical form. The unique use of vessel loops provides protection to the vessel, while it achieves equisegmental IJV occlusion for sequential (proximal to distal) venous anastomosis. This method not only saves precious operating time from repetitive positioning of instruments and recipient vessel (IJV), but also creates a safer operating field for the microsurgeons. Utilizing a second single vascular clamp over the anastomosis junction provides an anchoring point for self-retraction by revealing and maintaining an accessible position to the posterior wall, once it is turned at 180 degrees laterally. This maneuver allows the surgeon to have full control of the surgical field and perform ETS micro-venous anastomosis confidently and independently.

Lateral Plantar Artery as Recipient Vessel for Microsurgical Lateral Plantar Forefoot Reconstruction

Division of the lateral plantar artery does not jeopardize the foot circulation because of anastomosis of the lateral plantar artery with the dorsalis pedis artery at the first intermetatarsal space. However, care should be taken with patients with peripheral artery occlusive disease and the flow of dorsalis pedis artery should be confirmed before surgery. Given the advantages of sizable vessel, easy dissection, and proximity to the defect, we believe that the lateral plantar artery might be a valuable option as recipient vessel for lateral plantar forefoot reconstruction.

The Versatility of Pedicled Anterolateral Thigh Flap - A Tertiary Re-ferral Center Experience from India

Pedicled anterolateral thigh flap is a versatile option for reconstruction of complex soft tissue defects in varied anatomical regions. Its wide arc of rotation and less donor site morbidity are its added advantages.

A Great Opportunity to Meet and Learn from Peripheral Nerve Experts

The 2nd instructional course for adult brachial plexus injuries is a fantastic opportunity to meet and learn from experts in the field. We cordially invite you to visit Chang Gung Memorial Hospital to participate in this unique learning experience.

Interview with Dr. Murray Grossan, the Honorary Editor-in-Chief of AOHNS

An exciting conversation with Dr. Murray Grossan, the Honorary Editor-in-Chief of Archives of Otorhinolaryngology-Head & Neck Surgery (AOHNS). Dr. Murray Grossan talked about AOHNS’s new direction and the important means for communicating scientific work to complement teaching and training in the field of medicine.