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

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Cardiac Arrest and Seizure Following Cannabis Overdose and Alcohol Withdrawal

Cardiac Arrest and Seizure Following Cannabis Overdose and Alcohol Withdrawal

Cannabis remains one of the most universally abused recreational drugs. Cannabis abuse can have several cardiovascular adverse effects and an overdose can lead to cardiac arrest. Binge alcohol drinking and subsequent withdrawal in the background of cannabis overdose can lead to convulsion and QT prolongation leading to malignant arrhythmia. We report two cases of ventricular fibrillation complicated with seizure precipitated by cannabis overdose and alcohol withdrawal. Such serious clinical presentation complicated with cardiac arrest does not necessarily lead to a fatal outcome if timely medical attention and care are provided. Timely aggressive resuscitative measures combined with intensive care can lead to a successful outcome. Later on, psychiatric counseling and occupational and behavioral therapies can help them to live longer.
Management of Post-Traumatic Posterior Rectal Pouch Through a Posterior Approach

Management of Post-Traumatic Posterior Rectal Pouch Through a Posterior Approach

Proximal fecal diversion is the treatment of choice in the cases of extra-peritoneal rectal injuries that are not amenable for primary repair due to their distant location or high grade. The posterior approach enables complete excision of well-defined abscess cavities that communicate with the rectal lumen with full-thickness repair of the rectal defect. An important privilege of pouch excision through the posterior approach was the preservation of rectal reservoir and the sensation that would have been compromised if proctectomy with coloanal anastomosis was alternatively performed.
Cellular Proliferative Domains: Barriers to Migration

Cellular Proliferative Domains: Barriers to Migration

An important aspect of the analysis of the proliferation of cell populations as composed of a set of intercommunicating logistic domains is the nature of the barriers between adjacent domains and the regulation of cellular migration between them. The nature of these inter-domain boundaries is discussed in relation to the central role of L-type calcium channels in the control of cell motility and it is proposed that domain boundaries are determined by proteoglycans which act as calcium chelators and hence regulate the local extracellular Ca++ concentration. The selective migratory advantage gained by overexpression of calcium channels is briefly alluded to.
Adjuvant Pain Control Using Parental Intramuscular Ketorolac in Office Rhinology Procedures

Adjuvant Pain Control Using Parental Intramuscular Ketorolac in Office Rhinology Procedures

IM ketorolac appears to be a safe non-opioid pain control measure that can be used with any topical and infiltrative local anesthesia regimen with or without sedation. It can potentially provide increased pain control resulting in a more pleasant experience for the patient and surgeon, and in patients undergoing more extensive rhinology procedures and anxious patients concerned about pain. Providing additional pain control with IM ketorolac in selected patients could be a significant variable allowing completion of planned office rhinology procedures in unexpectedly difficult cases. A well-designed clinical pain control study using IM ketorolac for office rhinology procedures has merit and should be performed, but until this occurs IM ketorolac is an option for the otolaryngologist that can be implemented now for those who desire an additional safe pain control measure.
Forearm High-Grade Fibrosarcoma

Forearm High-Grade Fibrosarcoma

A 43-year-old male presented with a 10-cm tumor in the left forearm that had grown progressively for 5 months. A pathological analysis confirmed a diagnosis of high-grade fibrosarcoma. The image on the rare entity contributes to the notion of this disease.
Detection of Malignancy in Body Fluids: A Comparison of the Hematology and Cytology Laboratories

Detection of Malignancy in Body Fluids: A Comparison of the Hematology and Cytology Laboratories

An increasing burden is loaded on clinical laboratories for daily testing of body fluids, including pleural fluid, peritoneal fluid (ascites), pericardial fluid, and cerebrospinal fluid. The request for detection of cellular components in the body fluid samples is usually delivered simultaneously to the hospital’s hematology laboratory and cytology laboratory. The medical technologists of hematology laboratory provide the screening result for suspicious malignant cells; meanwhile, the pathologists of cytology laboratory provide the presence of cancer cells at a diagnostic level. However, unfortunately, neither of these results reaches 100% sensitivity or specificity. To assess the clinical practice values, the present study performed a comparison of the hematology and cytology laboratories on the detection of malignancy in body fluids.
We No Longer Need Expensive Publishing Networks!

We No Longer Need Expensive Publishing Networks!

Finally, we no longer need expensive publishing networks! In order to eradicate excess burden of publication fees and to massively widen the readership of scholarly works, we offer a minimum-cost open access publishing option.

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.

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

Editor's Choice

Articles
News
Videos
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.
Clinical Laboratory Medicine as the Emerging Healthcare Partner

Clinical Laboratory Medicine as the Emerging Healthcare Partner

The clinical pathologist/laboratory medicine physician serves as the ideal health care partner to synergize with the patient-physician-unit to temper curious results, obviate the “light switch” effect, provide guidance on current and emerging test utilization and management, navigate the DTC marketplace and educate patient and physician alike as required, and to ultimately incorporate lab test results into actual optimization of patient care. It is through this approach that the patient-physician-laboratorian triumvirate can maximize the experience to positively affect patient centric, evidenced based, fiscally responsible healthcare in the ever-changing medical landscape.

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.