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Head & Neck

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https://www.readbyqxmd.com/read/28514018/salvage-of-postcranioplasty-implant-exposure-using-free-tissue-transfer
#1
Pang-Yun Chou, Cheng-Hung Lin, Chung-Chen Hsu, Wei-Hsun Yang, Alex A Kane, Chih-Hung Lin
BACKGROUND: Refractory implant exposure is frustrating after cranioplasty. The purpose of this study was for the authors to present their experience with free tissue transfer for salvage of postcranioplasty implant exposure. METHODS: A retrospective medical chart review was conducted on all free tissue transfers performed for exposed implant coverage after cranioplasty between January 2004 and February 2016. RESULTS: Twelve free flaps were performed in 11 patients who underwent postcranioplasty with implant exposure, and whose attempted implant coverage using locoregional flaps had failed...
May 17, 2017: Head & Neck
https://www.readbyqxmd.com/read/28513902/prospective-analysis-of-radiation-oncology-image-and-plan-driven-peer-review-for-head-and-neck-cancer
#2
Sakellarios Zairis, Danielle N Margalit, Trevor J Royce, William D Powlis, Roy B Tishler, Jonathan D Schoenfeld
BACKGROUND: Departmental "chart rounds" is an established form of review in radiation oncology, however, evidence is lacking that identifies links between features of a more subspecialized disease site-specific review and the likelihood and characteristics of recommendations made. We prospectively analyzed our head and neck group's review process to identify associations that could guide future practice. METHODS: Our group reviewed proposed management and treatment volumes for radiation simulated patients on a weekly basis, and we collected data encompassing recommendations made by individuals or group consensus...
May 17, 2017: Head & Neck
https://www.readbyqxmd.com/read/28513895/one-year-quality-of-life-and-functional-outcomes-of-transoral-robotic-surgery-for-carcinoma-of-unknown-primary
#3
Isa Ozbay, Ali Cemal Yumusakhuylu, Rishabh Sethia, Lai Wei, Matthew Old, Amit Agrawal, Theodoros Teknos, Enver Ozer
BACKGROUND: The purpose of this study was to assess the quality of life (QOL) outcomes in patients who underwent transoral robotic surgery (TORS) for carcinoma of unknown primary (CUP). METHODS: Twenty-nine patients with CUP were administered the Head and Neck Cancer Inventory (HNCI) prospectively to evaluate QOL preoperatively and postoperatively. RESULTS: There was statistically and clinically significant deterioration in 2 of 4 domains (eating and social disruption) in the immediate aftermath of TORS...
May 17, 2017: Head & Neck
https://www.readbyqxmd.com/read/28513893/relationship-between-iodine-levels-and-papillary-thyroid-carcinoma-a-systematic-review-and-meta-analysis
#4
REVIEW
Joon-Hyop Lee, Yunji Hwang, Ra-Yeong Song, Jin Wook Yi, Hyeong Won Yu, Su-Jin Kim, Young Jun Chai, June Young Choi, Kyu Eun Lee, Sue K Park
BACKGROUND: Iodine excess has been suggested as an exogenous risk factor of papillary thyroid cancer (PTC). We performed a systematic review and meta-analysis to assess the relationship between iodine exposure measured in various forms and PTC prevalence. METHODS: We searched MEDLINE, Embase, and the Cochrane Library for case-control studies on iodine and PTC published up to December 2015. Exposure to iodine was compared between PTC and control groups. RESULTS: From the 16 selected studies, the odds ratio (OR) for the overall effect size between high iodine exposure and PTC risk was 1...
May 17, 2017: Head & Neck
https://www.readbyqxmd.com/read/28500749/local-resectability-assessment-of-head-and-neck-cancer-positron-emission-tomography-mri-versus-positron-emission-tomography-ct
#5
Tetsuro Sekine, Felipe de Galiza Barbosa, Gaspar Delso, Irene A Burger, Paul Stolzmann, Edwin E Ter Voert, Gerhard F Huber, Spyros S Kollias, Gustav K von Schulthess, Patrick Veit-Haibach, Martin W Huellner
BACKGROUND: The purpose of this study was to compare the diagnostic accuracy of positron emission tomography (PET)/MRI with PET/CT for local resectability of head and neck cancer. METHODS: Sequential contrast-enhanced PET/CT-MRI was performed in 58 patients referred for the staging or restaging of head and neck cancer. Tumors were assessed with PET/CT and PET/MRI for the presence of resectability-defining factors: T4b status (mediastinal invasion, invasion of the prevertebral space, and vascular encasement), and another 8 findings that would imply obstacles for surgical cure (invasion of the laryngeal cartilage, invasion of the preepiglottic fat pad, perineural spread, orbital invasion, bone infiltration, skull base invasion, dural infiltration, and invasion of the brachial plexus)...
May 13, 2017: Head & Neck
https://www.readbyqxmd.com/read/28498554/differential-resistance-to-platinum-based-drugs-and-5-fluorouracil-in-p22phox-overexpressing-oral-squamous-cell-carcinoma-implications-of-alternative-treatment-strategies
#6
Chih-Chang Hung, Chen-Yu Chien, Pei-Yu Chu, Yu-Jen Wu, Chang-Shen Lin, Chih-Jen Huang, Leong-Perng Chan, Yen-Yun Wang, Shyng-Shiou F Yuan, Tzyh-Chyuan Hour, Jeff Yi-Fu Chen
BACKGROUND: We have previously shown that p22phox confers resistance to cisplatin in oral squamous cell carcinoma (OSCC). Whether p22phox has clinical correlation with cisplatin resistance and affects the efficacy of other platinum or nonplatinum drugs is unknown. METHODS: The p22phox expression in tissues and apoptotic markers in cell lines was detected by immunoblotting. The cytotoxicity of chemotherapy drugs was determined by methylthiazol tetrazolium assay. In vivo chemoresistance of p22phox-overexpressing tumors was confirmed by the xenograft mouse model...
May 12, 2017: Head & Neck
https://www.readbyqxmd.com/read/28497587/office-based-procedures-for-diagnosis-and-treatment-of-esophageal-pathology
#7
REVIEW
David J Wellenstein, Henrieke W Schutte, Henri A M Marres, Jimmie Honings, Peter C Belafsky, Gregory N Postma, Robert P Takes, Guido B van den Broek
BACKGROUND: Diagnostic and therapeutic office-based procedures under topical anesthesia are emerging in the daily practice of laryngologists and head and neck surgeons. Since the introduction of the transnasal esophagoscope, office-based procedures for the esophagus are increasingly performed. METHODS: We conducted a systematic review of literature on office-based procedures under topical anesthesia for the esophagus. RESULTS: Transnasal esophagoscopy is an extensively investigated office-based procedure...
May 12, 2017: Head & Neck
https://www.readbyqxmd.com/read/28497509/characteristics-and-prognosis-of-glomangiopericytomas-a-systematic-review
#8
REVIEW
Eun Su Park, Jiyoung Kim, Sun-Young Jun
BACKGROUND: Glomangiopericytoma belongs to the category of borderline/low-malignant-potential tumors of the sinonasal tract, but no studies about prognosis have been reported. METHODS: To define the characteristics of glomangiopericytoma and to identify its prognostic factors, a systematic review was performed. A total of 337 cases of glomangiopericytomas were analyzed. RESULTS: Patients with glomangiopericytoma demonstrating resection margin involvement and receiving radiotherapy/chemotherapy had a significantly worse disease-free survival time (P =  ...
May 12, 2017: Head & Neck
https://www.readbyqxmd.com/read/28493593/superior-parathyroid-gland-approach-to-the-recurrent-laryngeal-nerve
#9
Ezzeddin Elsheikh
BACKGROUND: The superior parathyroid gland is known to be almost constant in its location under the false thyroid capsule. Could it be a landmark to point to the site of incision of the false thyroid capsule and find the plane of the recurrent laryngeal nerve (RLN) during thyroidectomy? METHODS: The study included 48 patients with benign goiter scheduled for hemithyroidectomy or total thyroidectomy; there were 16 cases of solitary thyroid nodules, 27 cases of multinodular goiter, and 5 cases of toxic goiter...
May 11, 2017: Head & Neck
https://www.readbyqxmd.com/read/28493562/perioperative-practices-in-thyroid-surgery-an-international-survey
#10
Anastasios Maniakas, Apostolos Christopoulos, Eric Bissada, Louis Guertin, Marie-Jo Olivier, Jacques Malaise, Tareck Ayad
BACKGROUND: Perioperative practices in thyroid surgery vary from one specialty, institution, or country to the next. We evaluated the preoperative, intraoperative, and postoperative practices of thyroid surgeons focusing on preoperative ultrasound, vocal cord evaluation, wound drains, and hospitalization duration, among others. METHODS: A survey was sent to 7 different otolaryngology and endocrine/general surgery associations. RESULTS: There were 965 respondents from 52 countries...
May 11, 2017: Head & Neck
https://www.readbyqxmd.com/read/28493558/comparison-of-risk-of-malignancy-in-a-subgroup-with-atypia-of-undetermined-significance-follicular-lesion-of-undetermined-significance-a-meta-analysis
#11
REVIEW
Soon-Hyun Ahn, Seong Dong Kim, Woo-Jin Jeong
BACKGROUND: As heterogeneous findings are included in the atypia of undetermined significance (AUS)/follicular lesion of undetermined significance (FLUS) category, differing risks of malignancy in subgroups have been reported in several articles. METHODS: We performed a meta-analysis of full-text publications written in English found in the Embase and PubMed databases. RESULTS: The 4-tiered subgroup proportion meta-analysis showed that the 95% confidence interval (95% CI) of the risk of malignancy in the cellular atypia group did not overlap with the other 3 subgroups and demonstrated a significant difference...
May 11, 2017: Head & Neck
https://www.readbyqxmd.com/read/28481438/total-versus-superficial-parotidectomy-for-stage-iii-melanoma
#12
Aileen P Wertz, Alison B Durham, Kelly M Malloy, Timothy M Johnson, Carol R Bradford, Scott A McLean
BACKGROUND: The primary purpose of this study was to describe the parotid recurrence rates after superficial and total parotidectomy. METHODS: A retrospective cohort study was performed on patients with cutaneous melanoma metastatic to the parotid gland who underwent parotidectomy from 1998 through 2014. Primary outcome was parotid bed recurrence. Secondary outcomes were facial nerve function postoperatively and at last follow-up. RESULTS: One hundred twenty-nine patients were included in the study...
May 8, 2017: Head & Neck
https://www.readbyqxmd.com/read/28481422/dual-chimeric-innervated-vastus-lateralis-free-flap-for-single-stage-blink-and-midface-reanimation
#13
Lauren S H Chong, Richard Tjahjono, Timothy J Eviston, Jonathan R Clark
BACKGROUND: The immediate reconstruction of the face in the setting of radical parotidectomy for malignancy represents a particular challenge. We present a novel technique using 2 sections of the vastus lateralis muscle as a chimeric flap in combination with the anterolateral thigh (ALT) fasciocutaneous flap to achieve midface reanimation and eye closure after radical parotidectomy. METHODS: The harvest technique in view of variations in chimeric muscle components, vascular pedicles, and neural coaptations is described herein...
May 8, 2017: Head & Neck
https://www.readbyqxmd.com/read/28481417/improved-outcomes-with-oral-tongue-squamous-cell-carcinoma-in-finland
#14
Rayan Mroueh, Aaro Haapaniemi, Reidar Grénman, Jussi Laranne, Matti Pukkila, Alhadi Almangush, Tuula Salo, Antti Mäkitie
BACKGROUND: Incidence rates for oral tongue squamous cell carcinoma (SCC) are steadily rising worldwide. METHODS: All patients diagnosed with primary oral tongue SCC at the 5 university hospitals in Finland from 2005 to 2009 were studied. The mean follow-up time was 43 months (median, 54 months; range, 0-111 months). RESULTS: Three hundred sixty patients with primary oral tongue SCC were identified. Treatment with curative intent was provided for 328 patients (91%)...
May 8, 2017: Head & Neck
https://www.readbyqxmd.com/read/28475284/tongue-out-versus-tongue-in-position-during-intensity-modulated-radiotherapy-for-base-of-tongue-cancer-clinical-implications-for-minimizing-post-radiotherapy-swallowing-dysfunction
#15
Whoon Jong Kil, Christina Kulasekere, Craig Hatch, Jacob Bugno, Ronald Derrwaldt
BACKGROUND: The purpose of this study was to assess whether different tongue positions change the radiation doses to swallowing organs at risks: the pharyngeal constrictor, oral cavity, and larynx during intensity-modulated radiotherapy (IMRT) for base of tongue (BOT) cancer. METHODS: IMRT plans with Tongue-out (IMRT-TO) and tongue-in position (IMRT-TI) was compared in 3 cases. RESULTS: Distance from BOT to pharyngeal constrictor was increased to 1...
May 5, 2017: Head & Neck
https://www.readbyqxmd.com/read/28474478/incomplete-cavernous-sinus-syndrome-as-the-initial-manifestation-of-a-previously-undetected-metastatic-prostate-adenocarcinoma
#16
María Machío Castelló, Diego Escobar Montatixe, Carlos Cenjor Español, José Miguel Villacampa Aubá, Julia Montoya Bordón, Rafael Carias Calix, Rafael Sáez Pinel
BACKGROUND: Cavernous sinus syndrome presents as unilateral ophthalmoplegia associated with sympathetic denervation, pain, paresthesias, and V1 and V2 distribution numbness. The etiology may be vascular, inflammatory, infectious, and, less commonly, neoplastic (metastatic). METHODS: We report a patient with incomplete cavernous sinus syndrome as the initial manifestation of previously undetected metastatic prostate adenocarcinoma. RESULTS: A 59-year-old man presented with a 2-month history of left hemicranial headaches with ptosis and binocular diplopia...
May 5, 2017: Head & Neck
https://www.readbyqxmd.com/read/28474427/robotic-thyroidectomy-and-parathyroidectomy-an-initial-experience-with-retroauricular-approach
#17
Mohammed Alshehri, Hossam Eldin Mohamed, Thomas Moulthrop, Emad Kandil
BACKGROUND: New approaches for robotic-assisted thyroidectomy were recently described. The purpose of this study was to present the report of our initial experience using a retroauricular approach for thyroid and parathyroid surgeries. METHODS: This is a prospective study that was conducted under institutional review board approval and all surgeries were performed by a single surgeon at a North American academic institution. Some patients underwent an additional concomitant neck lift surgery in addition to the thyroid surgery...
May 5, 2017: Head & Neck
https://www.readbyqxmd.com/read/28474414/clinical-perineural-invasion-of-the-trigeminal-and-facial-nerves-in-cutaneous-head-and-neck-squamous-cell-carcinoma-outcomes-and-prognostic-implications-of-multimodality-and-salvage-treatment
#18
Serkan Erkan, James M Savundra, Bradley Wood, Aanand N Acharya, Gunesh P Rajan
BACKGROUND: Clinical perineural invasion (PNI) of the trigeminal and facial nerves from cutaneous head and neck squamous cell carcinoma (cutaneous HNSCC) is a rare clinical entity that poses unique therapeutic challenges. METHODS: A retrospective chart review of a skull base oncology database was performed of patients with the diagnosis of clinical PNI from a cutaneous HNSCC. Patients who were previously untreated underwent multimodal treatment entailing surgical resection and postoperative radiotherapy (PORT) and patients who were previously treated with radiotherapy underwent salvage surgical resection between the years 2006 and 2012...
May 5, 2017: Head & Neck
https://www.readbyqxmd.com/read/28474380/low-rates-of-contralateral-neck-failure-in-unilaterally-treated-oropharyngeal-squamous-cell-carcinoma-with-prospectively-defined-criteria-of-lateralization
#19
Kenneth Shung Hu, Waleed Fouad Mourad, Mauricio Gamez, Joseph Safdieh, Wilson Lin, Adam Saul Jacobson, Mark Stephen Persky, Mark Lawrence Urken, Bruce Culliney, Zujun Li, Theresa Nguyen Tran, Stimson Pryor Schantz, Juskaran Chadha, Louis Benjamin Harrison
BACKGROUND: Unilateral radiotherapy (RT) of oropharyngeal carcinomas is accepted for patients with lateralized primary and low-volume nodal disease. Utilizing prospectively defined criteria of laterality and staging positron emission tomography (PET)/CT, we studied outcomes in patients with advanced-stage oropharyngeal cancer undergoing unilateral RT. METHODS: Thirty-seven patients with oropharyngeal tumors >1 cm from midline regardless of node status underwent unilateral RT and were followed prospectively...
May 5, 2017: Head & Neck
https://www.readbyqxmd.com/read/28474378/transoral-laser-microsurgery-for-treatment-for-hypopharyngeal-cancer-in-211-patients
#20
Bernhard G Weiss, Friedrich Ihler, Hendrik A Wolff, Simon Schneider, Martin Canis, Wolfgang Steiner, Christian Welz
BACKGROUND: The oncologic and functional outcome of transoral laser microsurgery (TLM) for primary treatment of hypopharyngeal cancer was examined in a multimodal treatment concept. METHODS: Two hundred eleven patients with squamous cell carcinoma (SCC) of the hypopharynx (pT1-4a, pN0-2, M0) were treated by TLM +/- neck dissection (88%) +/- (chemo)radiotherapy ([C]RT; 51%). The majority of cases were advanced stages III and IVa (85%). RESULTS: The 5-year Kaplan-Meier estimates for local control after TLM were pT category-related 88...
May 5, 2017: Head & Neck
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