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Scitemed Publishing Group, 109 E 17th Street Ste 5366, Cheyenne, WY (2025)

12/27/2024

An ENT Physician’s Unexpected Encounter: Insights into Academic Stress Through a Clinical Case

Chin-Lung Kuo, MD, PhD

This editorial analyzes the extensive social and familial effects of rigorous educational demands in Taiwan, illustrated by a case study of a 45-year-old female music teacher with sudden sensorineural hearing loss. Forced to skip her medical appointments due to her child's demanding academic schedule, the incident highlights the profound impact of intense educational routines on family life. It critiques the prioritization of academic achievement over well-being, which places undue stress on both children and parents, advocating for a reevaluation of the emphasis on scholastic success versus holistic development. The piece calls for educational reforms towards nurturing, developmentally appropriate strategies that support natural growth and foster a lifelong love for learning. It promotes innovative teaching approaches, early intervention, and strategic use of educational technology to enhance learning outcomes, urging systemic changes to better prepare students for today's complex world. Overall, this is a commendable editorial that offers valuable insights into the need for educational reform.

Article: https://scitemed.com/article/4357/scitemed-aohns-2024-00193

PDF: https://scitemed.com/upload/3714/4357/scitemed.aohns.2024.00193.pdf?t=2324

11/07/2024

Neurohistological Evaluation of Sensory Nerve Regeneration in Canine Fasciocutaneous Free Flaps: Outcomes of Microsurgical Neurorrhaphy and Implications for Extremity Trauma Management

Vladimir Shur, MD, PhD, FAAOS*

The groundbreaking study illuminates the complex mechanisms of nerve regeneration within fasciocutaneous flaps through meticulous neurohistological evaluation, setting a new benchmark in experimental microsurgery. It challenges existing paradigms by demonstrating the transformative potential of sensory neurorrhaphy in animal models, suggesting possible clinical applications. The data reveal a dynamic interplay of nerve recovery and degeneration, offering critical insights that could revolutionize trauma management and reconstructive techniques. By bridging experimental findings with hypothetical clinical scenarios, this article inspires continued innovation and research, aimed at enhancing the efficacy of flap surgeries in restoring function and sensation, thus profoundly impacting future therapeutic strategies.

Article: https://scitemed.com/article/4285/scitemed-imj-2024-00192

PDF: https://scitemed.com/upload/5720/4285/scitemed.imj.2024.00192.pdf?t=0515

09/24/2024

Upper Extremity Reconstruction Post-Tumor Resection: Innovations and Challenges in Limb Preservation for Advanced-Stage Malignant Giant Cell Tumor of Bone

Hsin-Ying Lee, MD; Sung-Chuan Chao, MD, PhD*

This article presents an advanced surgical approach for treating malignant giant cell tumor of bone, emphasizing precision and ethical considerations. It leverages innovative pedicled flap technologies, as opposed to free flaps, enhancing limb functionality and patient quality of life. This technique equips surgeons with evidence that tailored surgical strategies can significantly improve outcomes in complex cases. The paper discusses technical challenges and highlights the application of supercharging and superdrainage techniques in limb reconstructions, methods well-established in microsurgery but infrequently used in oncological contexts. These techniques are crucial for optimizing flap viability and ensuring surgical success. Additionally, the manuscript underscores the profound impact of these advancements on patient lives, offering hope and showcasing tangible benefits. This narrative, blending scientific analysis with patient stories, enriches the understanding of limb reconstruction innovations in oncological surgery, making it invaluable for surgeons.

Article: https://scitemed.com/article/4316/scitemed-imj-2024-00191

PDF: https://scitemed.com/upload/5744/4316/scitemed.imj.2024.00191.pdf?t=0631

09/09/2024

Airway Obstruction Management in an Infant With a Large Vallecular Cyst: Awake Fiberoptic Intubation and Transoral CO₂ Laser Microsurgery for Effective Resection

Laura Li, BA; Nicholas Davidson, MS; Adam Parnass, MD; David L. Walner, MD*

This article presents a comprehensive discussion of advanced techniques in managing pediatric airway obstructions caused by vallecular cysts. By employing awake fiberoptic intubation and transoral CO₂ laser microsurgery, the authors highlight a thoughtful, evidence-based approach that emphasizes both safety and precision. While not groundbreaking, the depth of analysis in the decision-making process and procedural techniques offers invaluable insights for clinicians, particularly in pediatric otolaryngology. The article serves as a critical reference for handling complex airway cases, balancing innovative practices with established methods. Its significance lies in its contribution to optimizing patient safety, particularly in high-risk infant cases, making it essential reading for healthcare providers dealing with airway management challenges.

Article: https://scitemed.com/article/4294/scitemed-aohns-2024-00190

PDF: https://scitemed.com/upload/5730/4294/scitemed.aohns.2024.00190.pdf?t=0521

09/02/2024

Innovative Tubularized Radial Artery Forearm Flap Technique for Comprehensive Reconstruction of Total Nasal and Anterior Palatal Defects: A Case Study

Shruthi Chandrasekar, MD; Raja Tiwari, MD*; Maneesh Singhal, MD

This study introduces an advanced tubularized radial artery forearm flap (RAFF) technique, marking an enhancement over traditional methods in addressing complex nasal reconstructions. It integrates functional and aesthetic considerations through a structured, multi-stage reconstruction process, emphasizing the use of tubularized flaps. Key learning points include the detailed crafting of stable nasal passages, strategic use of costal cartilage for robust structural support, and tailored postoperative care with silicone splints. The tubularized RAFF technique not only optimizes patient outcomes and quality of life but also provides plastic surgeons with critical insights to refine their techniques in facial reconstruction. Indispensable for professionals in the field, this article enriches the understanding of sophisticated reconstructive challenges and solutions.

Article: https://scitemed.com/article/4257/scitemed-imj-2024-00189

PDF: https://scitemed.com/upload/5682/4257/scitemed.imj.2024.00189.pdf?t=0514

08/14/2024

Impaired Wound Healing Associated With Fremanezumab Use Following Free Flap Breast Reconstruction: Case Report and Perioperative Management Implications

Stephanie E. Honig, MD; Sean S. Li, MD; Robyn B. Broach, PhD; Joseph M. Serletti, MD

This article presents a crucial case report on potential wound healing complications linked to fremanezumab, a calcitonin gene-related peptide-targeting antibody for migraine prevention. It documents the first known instance of delayed wound healing following a free flap breast reconstruction, underscoring the need for heightened clinical vigilance and individualized patient assessment in perioperative settings. Highlighting significant safety data gaps, the report advocates for comprehensive research and rigorous post-marketing surveillance. The findings emphasize the importance of balancing the risks of delayed wound healing with the need for effective disease control, especially when using biologic agents for chronic conditions. This article is essential for medical professionals managing patients on biologic therapies, offering critical insights and advocating for a personalized approach to optimize patient outcomes. By presenting novel observations and calling for further investigation, it serves as a vital resource for enhancing patient care and safety standards in the context of biologic treatments and surgical interventions.

Article: https://scitemed.com/article/4274/scitemed-imj-2024-00188

PDF: https://scitemed.com/upload/5693/4274/scitemed.imj.2024.00188.pdf?t=0520

08/05/2024

📢 We are thrilled to announce a special opportunity! 📢

To celebrate our seven-year partnership with the International Microsurgery Club, the International Microsurgery Journal (IMJ) is offering a full waiver of the USD 790 article processing charge (APC) for original research articles submitted from now until the end of August!

🌟 Why Publish with IMJ?
- Rigorous peer-review process
- Rapid publication timeline
- Extensive visibility
- Full copyright ownership retained by the author

Take advantage of this exclusive offer by submitting your manuscript by August 31 via our submission portal: https://scitemed.com/Journals/17/International-Microsurgery-Journal-(IMJ)/Journal-home. For any inquiries, contact us at [email protected]. We eagerly anticipate your contributions and look forward to advancing the field together.

Warm regards,
The IMJ Team

07/22/2024

A Simplified Technique for Large Vessel Size Discrepancies: Partial Lumen-Obliteration With Sutures Followed by End-To-End Anastomosis

Ravikiran Naalla, MCh*; Srikant Aruna Samantaray, MCh

The partial lumen-obliteration with sutures followed by end-to-end anastomosis (PLOSEA) technique detailed in this study addresses the significant challenge of managing large vessel size discrepancies in microvascular surgery with an innovative and accessible method. By partially obliterating the larger vessel lumen before anastomosis, the technique reduces risks of thrombosis and misalignment, simplifying the procedure without sacrificing effectiveness. This advancement is particularly valuable as it allows surgeons with varying levels of experience to perform complex reconstructions with greater confidence and improved patient outcomes. A key feature is the inclusion of a detailed video demonstration, providing a dynamic and comprehensive visual guide that surpasses traditional static images. This video meticulously elucidates each procedural step, enhancing understanding and facilitating the practical application of the technique. Emphasizing technical precision, patient safety, and surgical efficiency, this study offers a compelling narrative for medical professionals. The transformative impact of the PLOSEA technique on surgical practice underscores its importance, presenting a novel approach that can enhance the quality of care and expand the capabilities of microsurgeons worldwide.

Article: https://scitemed.com/article/4306/scitemed-imj-2024-00187

PDF: https://scitemed.com/upload/171/4306/scitemed.imj.2024.00187.pdf?t=0814

07/03/2024

New Insights Into Reinnervation of the Vocalis Muscles After Recurrent Laryngeal Nerve Repair: Electrophysiological Evidence

Hiroo Masuoka, MD, PhD*; Akira Miyauchi, MD, PhD; Shiori Kawano, MD

This article pioneers the first electrophysiological evidence of vocalis muscle reinnervation following recurrent laryngeal nerve (RLN) repair in humans, marking a significant advancement in nerve repair science. By utilizing intraoperative nerve monitoring, the study confirms successful reinnervation through clear electromyographic responses, establishing a critical benchmark in RLN repair validation. This research is crucial for medical professionals as it highlights the importance of precise surgical techniques and rigorous postoperative monitoring, promising enhanced recovery and improved vocal cord function. The findings offer a fresh perspective on nerve regeneration, providing renewed hope for patients suffering from vocal cord paralysis. This study is essential reading for its innovative approach and its potential to reshape surgical and diagnostic practices. It engages readers by blending scientific rigor with a compelling narrative of medical advancement and patient hope.

Article: https://scitemed.com/article/4281/scitemed-aohns-2024-00186

PDF: https://scitemed.com/upload/5719/4281/scitemed.aohns.2024.00186.pdf?t=0456

06/03/2024

Advancing Breast Reconstruction: Next-Generation Robotic-Assisted Deep Inferior Epigastric Perforator Flap Techniques

Christopher Aiello, BS; Joshua Choe, MS; Kashviya Suri, BA; Mark L. Smith, MD; Jesse C. Selber MD, MPH; Gainosuke Sugiyama, MD; Neil Tanna, MD, MBA*

This article exemplifies a significant advancement in microsurgical techniques, highlighting the integration of robotic-assisted surgery into the deep inferior epigastric perforator (DIEP) flap procedure for breast reconstruction. It demonstrates how innovative robotic technology refines traditional methods, reducing the invasiveness of surgeries and potentially lessening postoperative complications like pain and herniation by minimizing the length of the fascial incision. This manuscript is pivotal for professionals in the medical field, especially those specializing in plastic surgery, as it provides a comprehensive overview of the operative techniques, benefits, and critical insights into successful implementation. Moreover, it underscores the importance of ongoing research and adaptation in surgical practices to enhance patient outcomes. The article serves as a must-read, not only for its immediate clinical implications but also for its role in setting the stage for future innovations in robotic-assisted microsurgery.

Article: https://scitemed.com/article/4284/scitemed-imj-2024-00185
PDF: https://scitemed.com/upload/5721/4284/scitemed.imj.2024.00185.pdf?t=0631

05/20/2024

Cranial Nerve Schwannomatosis: A Case Report and Comprehensive Literature Review on a Distinct Variant of Neurofibromatosis

Joan Yan Yi Lee, MBBS, MRCS (Edin)*; M Logaswari, MBBS; Chien Sheng Tan, MBBS, FRCPath; John Ming Ren Loh, MBBS, MMed (ORL); Leonard Toh Hui Tan, MBBS, MRCS (Edin), MMed (ORL), FAMS (ORL); Xin Yong Huang, MBBS, MRCS (Edin), MMed (ORL), FAMS (ORL)

This article presents a comprehensive review of schwannomatosis affecting cranial nerves, delineating its unique characteristics distinct from other forms of neurofibromatosis. By addressing diagnostic complexities and the evolving criteria for identification, the paper emphasizes the critical need for accurate recognition of schwannomatosis to facilitate effective management and provide essential genetic counseling. Enriched with a detailed case study, this review delivers vital insights into the epidemiology, symptomatology, and therapeutic strategies for schwannomatosis, advocating for a revision in current clinical approaches. This work is indispensable for medical professionals aiming to enhance diagnostic precision, comprehend genetic underpinnings, and improve patient outcomes. Offering a thorough analysis of this rare condition, the article is pivotal not only for clinicians and researchers in the neurogenetic field but also for a broader spectrum of medical and scientific communities, bridging a notable gap in contemporary medical literature.

Article: https://scitemed.com/article/4250/scitemed-aohns-2024-00184
PDF: https://scitemed.com/upload/5667/4250/scitemed.aohns.2024.00184.pdf?t=0544

05/06/2024

Longitudinal Success of Artery-Only Microanastomosis in Pediatric Lower Lip Replantation: A Seven-Year Case Study and Review of the Literature

Aline Ceulemans, MD*; Casper Sommeling, MD; Pieter Luyten, MD; Koenraad Van Landuyt, MD, PhD; Filip Stillaert, MD, PhD

This article presents a case study on the successful replantation of a pediatric lower lip after a dog bite, focusing on artery-only microanastomosis. It highlights the challenges and effective strategies in pediatric microvascular surgery, particularly emphasizing the importance of specialized surgical techniques and thorough postoperative care. Alongside the case study, an extensive literature review supports the feasibility of artery-only anastomosis and the traditional yet critical use of leech therapy for managing venous congestion. This research is vital for medical professionals specializing in pediatric surgery, offering key insights into improving both functional and aesthetic outcomes for young patients. Additionally, it identifies gaps in long-term research and stresses the need for ongoing studies to refine treatment protocols, making it an indispensable resource for enhancing patient care and outcomes in pediatric reconstructive surgeries.

Article: https://scitemed.com/article/4255/scitemed-imj-2024-00183
PDF: https://scitemed.com/upload/5676/4255/scitemed.imj.2024.00183.pdf?t=0646

04/02/2024

High Area Deprivation Index Is Associated With an Increased Risk of Button Battery Ingestion in a Pediatric Cohort

Aleena Khan, BA; Alice Zhang, BS; Alessandra Moscatello, BA; Bardia Khandehroo, BS; Samantha Kahn, DO; Jaimee Cooper, BA; Jose F. Dominguez, MD; Sima Vazquez, MS; Darshan Patel, MD; Ashley Kelley, MD; Kar-Mei Chan, MD; Lianne de Serres, MD; Tali Lando, MD; Irim Salik, MD*

This investigation delineates a pivotal association between socioeconomic inequities, quantified via the Area Deprivation Index (ADI), and an elevated incidence of button battery ingestion in pediatric populations, highlighting a profound public health issue. The results indicate that children residing in socioeconomically disadvantaged areas are at an increased risk of sustaining severe injuries from the ingestion of button batteries, which could lead to elevated morbidity and mortality rates. The study urgently calls for immediate diagnostic and therapeutic interventions to avert critical health complications and delineates the complex pathophysiology underlying button battery injuries. For clinicians and healthcare practitioners, particularly those within pediatrics and emergency medicine, this manuscript is indispensable. It provides deep insights into the ramifications of socioeconomic disparities on health outcomes, fosters the refinement of diagnostic and therapeutic modalities, and champions preventive initiatives. The authors advocate for intensified parental awareness, the redesign of battery products to enhance safety, and the formulation of healthcare policies that promote equity, aiming to curtail this escalating health challenge.

Article: https://scitemed.com/article/4279/scitemed-aohns-2024-00182
PDF: https://scitemed.com/upload/5703/4279/scitemed.aohns.2024.00182.pdf?t=0606

03/05/2024

Midline Branchial Cleft Cyst Initially Misdiagnosed as a Thyroglossal Duct Cyst: A Rare Case Study and Literature Review

Marianne J. Sia, BS; Iqbal H. Kapadia, MD; Jason S. Hahn, MD*

The article stands out by providing a comprehensive analysis of a rare case of a midline branchial cleft cyst, a significant contribution given that only three other cases have been documented in medical literature. This scarcity underscores the article's value, making it a crucial read for medical professionals. It not only highlights the diagnostic challenges and treatment strategies for such atypical presentations but also enriches the understanding of branchial cleft cysts beyond the common lateral neck occurrences. By including a detailed review and comparative analysis of these few reported cases, the article offers unique insights into the demographic, symptomatic, and anatomical variations of branchial cleft cysts. This focused analysis makes the article an indispensable resource for clinicians, surgeons, and students in the medical field, aiming to enhance diagnostic accuracy, inform clinical practice, and ultimately improve patient outcomes in dealing with complex and rare presentations of congenital anomalies.

Article: https://scitemed.com/article/4275/scitemed-aohns-2024-00181
PDF:https://scitemed.com/upload/5697/4275/scitemed.aohns.2024.00181.pdf

02/14/2024

Managing a Complex Pituitary Tumor: A Case Study on Effective Diagnosis and Treatment of a Challenging Clival Lesion

Pei Yuan Fong, MBBS, MRCS (Ireland), MRCS (Edin); David Yong Ming Low, MBBS, MRCS (Ireland), MMed (ORL), FAMS (ORL); Tee Sin Lee, MBBS, MRCS (Edin), MMed (ORL), FAMS (ORL); Maria Cui-Ying Pang, MBBS, MRCS (Edin), MMed (ORL), FAMS (ORL)*

The article discusses a complex case of a 51-year-old Chinese woman diagnosed with a pituitary neuroendocrine tumor in the clivus, characterized by its invasive nature and atypical symptoms, leading to diagnostic challenges between chordoma and chondrosarcoma. Achieving a correct diagnosis through a transsphenoidal biopsy enabled effective surgical removal of the tumor without complications. Highlighting the critical role of biopsy for accurate diagnosis, especially with atypical imaging, the study showcases the efficacy of minimally invasive transnasal endoscopic biopsy techniques. It emphasizes the importance of a multidisciplinary approach for optimal patient outcomes in complex pituitary tumors, underlining the need for vigilance and adaptability in managing such rare conditions. This contributes valuable insights to the medical field, particularly for neurosurgery, otorhinolaryngology, and endocrinology practitioners.

Article: https://scitemed.com/article/4251/scitemed-aohns-2024-00180
PDF: https://scitemed.com/upload/5490/4251/scitemed.aohns.2024.00180.pdf?t=0810

01/17/2024

Management of Recurrent Leg Swelling in an Elderly Patient with Invasive Urothelial Carcinoma: Examining the Challenges of Post-Lymphovenous Anastomosis in Treating Cancer-Related Lymphedema

Yen-Kai Chen, MD; Yuan-Chang Tung, MD; Pang-Shuo Huang, MD; Ying-Sheng Lin, MD, MPH*

This article holds critical relevance for healthcare professionals, particularly in the fields of microsurgery, oncology, and vascular medicine. It thoroughly examines the diagnostic challenges faced in distinguishing between recurrent lymphedema and deep vein thrombosis in elderly cancer patients following lymphovenous anastomosis surgery. It highlights the significant risk of misdiagnosing deep vein thrombosis as lymphedema, a mistake that can delay critical treatment due to their clinical similarities. The case study of a 79-year-old patient emphasizes the importance of a comprehensive reassessment, considering the patient's entire medical history, including the effects of cancer treatments like immunotherapy. The article stresses the need for a holistic approach to patient management and the utilization of advanced diagnostic tools for accurate diagnosis and treatment. It is essential reading for its insights into the complex dynamics of postoperative care and the critical importance of accurate diagnosis in treating elderly cancer patients effectively.

Article: https://scitemed.com/article/4254/scitemed-imj-2024-00179
PDF: https://scitemed.com/upload/5672/4254/scitemed.imj.2024.00179.pdf?t=0854

12/26/2023

Navigating the Evolution of Clinical Case Reports: Challenges and Innovations in Contemporary Medical Publishing

Chin-Lung Kuo*

This article unveils the hidden treasures within medical case reports, showcasing their historical significance, real-world relevance, and capacity to inspire innovation. By dissecting eight pivotal factors influencing the fate of case reports in contemporary academic publishing, it offers readers a profound understanding of the challenges and opportunities these narratives present. Readers will gain an enhanced appreciation for the essential role of case reports in linking clinical practice with research, highlighting rare conditions, new treatments, and unusual clinical cases.　Furthermore, this article provides practical strategies for journals and the academic community to promote inclusivity, balance, and excellence in the publication of case reports, making it a must-read for anyone in the medical field.

Article: https://scitemed.com/article/4272/scitemed-imj-2023-00178

PDF: https://scitemed.com/upload/3714/4272/scitemed.imj.2023.00178.pdf?t=0226

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