BACKGROUND In head and neck cancer patients, multiple surgeries and radiation can leave the neck depleted of recipient vessels appropriate for microvascular reconstruction. The creation of temporary arteriovenous fistulas using venous interposition for subsequent microvascular reconstruction has rarely been reported in the head and neck. The authors report the largest series of temporary arteri...

UNLABELLED The possibility of needing a combined access, with neck and chest incisions makes the treatment of substernal goiter a challenge both in the pre-op and the intraoperative. We hereby, discuss a standardization of the surgical technique to minimize the need for a chest approach, making the substernal goiter a surgically treatable disease, through a single neck incision, and with low in...

A 27-year old Italian woman presented as a trauma call to our accident and emergency department. She spoke no English. There was a vague history from the ambulance crew of a glass being thrown against a wall and small glass fragments ricocheting onto her neck. Witnesses reported an initial spurting of blood from her neck, to which direct pressure was applied. Alcohol and cannabis had been consu...

Background and purpose - Controversies exist regarding thromboprophylaxis in orthopedic surgery. Using data in the nationwide Norwegian Hip Fracture Register (NHFR) with postoperative death and reoperation in the first 6 months after surgery as endpoints in the analyses, we determined whether the thromboprophylaxis in patients who undergo hemiarthroplasty for femoral neck fracture should start ...

Significant advances in reconstructive head and neck surgery with free microvascular flaps have had a positive impact on esthetic outcomes quality of life. However, complications still occur some patients. This study investigated the influence Hemoglobin, Albumin, Lymphocyte, Platelet Score (HALP score), an immunonutritive marker, flap success. The retrospective analysis included 194 patients w...

RATIONALE Spontaneous spinal epidural hematoma (SSEH) is a rare but highly disabling neurological emergency. The initial presentations are variable. Most patients of SSEH present with paraplegia or tetraplegia clinically, but recurrent hemiparesis with complete spontaneous recovery, mimicking transient ischemic attack (TIA), is a very rare initial presentation of SSEH. PATIENT CONCERNS A 71-y...