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https://www.readbyqxmd.com/read/29775003/-extracapsular-dissection-versus-superficial-parotidectomy-for-treatment-of-parotid-benign-tumors-evidence-based-medicine-analysis
#1
Z Y Jia, X Y Zhang, C B Jiang, Y Z Zhao, R Zhang, X H Fan, Y H Zhang
Objective: The aim of this study is to systematically assess the clinical outcomes of extracapsular dissection (ECD) and superficial parotidectomy (SP), and to provide evidences for the clinical decision for treatment of parotid gland benign tumors. Method: Relevant studies that compared the outcomes of extracapsular dissection and superficial parotidectomy for the parotid benign tumors were searched in Pubmed, CNKI and Wangfang data databases, and Meta-analysis was performed using software RevMan 5.0. Result: Fifteen studies were selected for the Meta-analysis...
June 5, 2017: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/29756618/intraparotid-facial-nerve-schwannoma-two-case-reports-and-a-review-of-the-literature
#2
M Simone, E Vesperini, C Viti, A Camaioni, L Lepanto, F Raso
Schwannomas are rare benign tumours that arise from Schwann cells. The most known and studied is the intracranial vestibular schwannoma, even if it is not the most frequent. More often schwannomas arise from peripheral sensitive nerves, and the vagous is most involved among the cranial nerves. Intraparotid schwannomas account for just 10% of all facial involvement, so they are an extremely rare localisation. At present, there are less than 100 cases described in the literature. We performed a retrospective analysis of parotidectomy in two Italian hospitals and present two cases of intraparotid schwannoma and a review of the literature...
February 2018: Acta Otorhinolaryngologica Italica
https://www.readbyqxmd.com/read/29715449/superficial-parotidectomy-versus-partial-superficial-parotidectomy-a-comparison-of-complication-rates-operative-time-and-hospital-stay
#3
Ahmet Erdem Kilavuz, Murat Songu, Ercan Pinar, Yilmaz Ozkul, Sedat Ozturkcan, Ibrahim Aladag
PURPOSE: The type and extent of surgery for benign parotid tumors are a subject of debate. We aimed to measure and compare hospital stay, operative time, and complication rates associated with superficial parotidectomy (SP) and partial superficial parotidectomy (PSP). MATERIALS AND METHODS: This retrospective cohort study included all patients who underwent surgery for benign parotid gland tumors in our tertiary center between January 2006 and March 2014 and were followed up for at least 3 years...
April 7, 2018: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29685088/ganglion-cyst-in-the-temporomandibular-joint-a-case-report-and-discussion-of-surgical-approaches
#4
Natsuki Segami, Takayuki Nojima
Background Ganglion cysts in the temporomandibular joint are treated by resection; however, there has been insufficient discussion regarding the appropriate approach for surgical resection. Clinical presentation A 55-year-old man presented with a left preauricular swelling for one year. The examination revealed a moderately hard mass with a 30-mm diameter, tenderness, and restricted movement. Magnetic resonance imaging showed a cystic lesion with a 25 mm-long axis. Considering a diagnosis of temporomandibular cyst, separation of the cyst wall through a preauricular incision was attempted...
April 23, 2018: Cranio: the Journal of Craniomandibular Practice
https://www.readbyqxmd.com/read/29679583/preservation-of-salivary-function-following-extracapsular-dissection-for-tumors-of-the-parotid-gland
#5
Sung Joon Park, Sungjun Han, Hyo-Jung Lee, Soon-Hyun Ahn, Woo-Jin Jeong
PURPOSE: This study evaluated salivary function after extracapsular dissection (ECD) compared with partial superficial parotidectomy (PSP) and classic superficial parotidectomy (CSP) of benign parotid gland tumors. The authors hypothesized that ECD would be superior to PSP and CSP in preserving postoperative salivary function. MATERIALS AND METHODS: Retrospective analyses were performed for 43 consecutive patients who underwent parotidectomies of benign parotid tumors performed by a single experienced surgeon...
March 28, 2018: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29679155/antero-vs-retrograde-nerve-dissection-in-parotidectomy-a-systematic-review-and-meta-analysis
#6
Petar Stankovic, Jan Wittlinger, Nina Timmesfeld, Stephan Hoch Stephan, Robert Georgiew, Thomas Günzel, Afshin Teymoortash, Thomas Wilhelm
INTRODUCTION: The retrograde approach (RP) to nerve identification is a method seldom used in parotid surgery. A systematic review comparing this method to the standard anterograde approach (AP) with respect to facial nerve palsy (FNP) does not currently exist. METHODS: In a meta-analysis according to the PRISMA statement, eight publications, including one randomized controlled trial, were selected. The primary aim was to compare the temporary and permanent FNP resulting from the two dissection methods...
April 20, 2018: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29678374/feasibility-of-a-new-v-shaped-incision-for-parotidectomy-a-preliminary-report
#7
D Ahn, J H Sohn, G J Lee
We report the design of a new V-shaped incision for parotidectomy that involves only preauricular and postauricular incisions and no hairline or upper cervical incision. It can be used to approach almost all the superficial parotid region, including the superior and anterior divisions, with minimal scarring. To evaluate its technical feasibility, safety, and cosmetic results, we prospectively enrolled 15 patients (between September 2015 and September 2016) who had partial parotidectomy as the primary treatment for benign parotid tumours...
April 17, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29663723/intraocular-metastasis-of-medullary-thyroid-carcinoma-investigated-by-transscleral-fine-needle-aspiration-a-case-report-and-review-of-the-literature
#8
Małgorzata Gajdzis, Nathalie Cassoux, Maria Lesnik, Caroline Hoffmann, Nathalie Badois, Paweł Gajdzis, Jerzy Klijanienko
Medullary thyroid carcinoma occurs in a sporadic setting and may also be inherited in an autosomal dominant fashion, which is related with germline mutations of the RET gene. Metastases are often present at the time of a diagnosis-most frequently within the cervical lymph nodes, followed by the liver, lungs, and bones. Intraocular metastases are extremely rare. We present a case of choroidal metastasis as a first presentation of disease progression in a patient with Multiple Endocrine Neoplasia type 2A syndrome (MEN2A) who had undergone thyroidectomy 33 years earlier for medullary thyroid carcinoma...
April 16, 2018: Diagnostic Cytopathology
https://www.readbyqxmd.com/read/29657706/kimura-s-disease-of-the-parotid-gland-with-cutaneous-features-in-a-caucasian-female-patient
#9
Natalia Glibbery, Kenneth Muscat, Luke Cascarini
Kimura's disease is a rare disease of unknown aetiology, commonly presenting with slow-growing head and neck subcutaneous nodules, lymphadenopathy, eosinophilia and elevated immunoglobulin E. This report describes a very rare case of a 41-year-old female, of White-British ethnicity, with a new diagnosis of Kimura's disease of the parotid gland and associated cutaneous features. The patient was investigated for 3 years before a diagnosis of Kimura's disease was reached. A superficial parotidectomy was undertaken and no recurrence was observed in the 20 months following surgery...
April 2018: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/29627151/warthin-s-tumour-in-oral-and-maxillofacial-regions-an-18-year-retrospective-study-of-1084-cases-in-an-eastern-chinese-population
#10
W Xu, H Lu, Y Zhu, M Ruan, C Zhang, W Yang, S Liu
There is little information in the English-language literature regarding Warthin's tumour (WT) in the eastern-Chinese population. A large retrospective study (1084 primary tumours over a period of 18years) was carried out to investigate the clinicopathological features (patients' gender, age and tumour location) of these tumours in this population. A total of 994 (91.7%) patients were male and 90 (8.3%) were female, with a male/female ratio of 11:1. The mean age was 56.48years (range 20-89years), with a peak incidence in the fifth to seventh decade (82...
April 4, 2018: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29622114/imaging-of-posttreatment-salivary-gland-tumors
#11
REVIEW
Ahmed Abdel Khalek Abdel Razek, Suresh K Mukherji
The aim of this study is to review the imaging appearance of posttreatment salivary gland tumors. The authors discuss the imaging appearance of parotidectomy and reconstructive surgery of parotid defects. Imaging is important to diagnose tumor recurrence and also assess for complications related to surgery, such as a sialocele, fluid collection, hematoma, pseudoaneurysm, and graft stenosis. The article also provides a current-state assessment of the applications of advanced imaging techniques.
May 2018: Neuroimaging Clinics of North America
https://www.readbyqxmd.com/read/29618874/bilateral-parotid-sialadenosis-associated-with-long-standing-bulimia-a-case-report-and-literature-review
#12
Blas Garcia Garcia, Alicia Dean Ferrer, Nelida Diaz Jimenez, Francisco Jesus Alamillos Granados
Purpose: Bulimia is a common cause of sialadenosis. This paper presents a case of bilateral parotid sialadenosis associated with long-standing bulimia, and reviews the relevant literature and current treatment options. Methods and Results: A 32-year-old woman had severe bilateral parotid sialomegaly for the last 6 years, which had occurred secondary to bulimia nervosa, which she had since 14 years. Treatment with pilocarpine was unsuccessful, so she underwent bilateral conservative parotidectomy...
June 2018: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/29609439/a-better-facial-contour-accomplished-by-parotid-duct-preserving-superficial-parotidectomy
#13
Jun Ho Park, Chang Yong Choi, Syeo Young Wee, Young Man Lee
Depression of facial contour after parotidectomy is still challenging to many of surgeons. A 68-year-old man presented with a 4-month history of a painless swelling in both parotid area. The mass was multiple and fixed at the parotid region. We conducted a parotid duct preserving bilateral superficial parotidectomy by one-stage operation to remove the multiple tumors. A lazy S incision was made in both preauricular area and the peripheral branches of the facial nerve were identified using surgical landmark...
March 2018: Archives of Craniofacial Surgery
https://www.readbyqxmd.com/read/29602585/trend-in-otolaryngological-surgeries-in-an-era-of-super-aging-descriptive-statistics-using-a-japanese-inpatient-database
#14
Sayaka Suzuki, Hideo Yasunaga, Hiroki Matsui, Kiyohide Fushimi, Tatsuya Yamasoba
OBJECTIVE: To reveal the age distribution and capture the longitudinal trend in otolaryngological surgeries performed in Japan, where society is rapidly aging. METHODS: Using the Diagnosis Procedure Combination database, we extracted data on patients who were hospitalized and underwent any type of otolaryngological surgery in departments of otolaryngology or head and neck surgery from fiscal year 2007 to fiscal year 2013. Type of surgery, patient's age, and fiscal year were compared...
March 27, 2018: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/29577637/patient-s-perspective-on-long-term-complications-after-superficial-parotidectomy-for-benign-lesions-prospective-analysis-of-a-two-year-follow-up
#15
P Wolber, G F Volk, L Horstmann, M Finkensieper, S Shabli, C Wittekindt, J P Klussmann, O Guntinas-Lichius, D Beutner, M Grosheva
OBJECTIVE: Evaluation of patient's perspective on long-term complications after superficial parotidectomy for benign lesions. DESIGN: A prospective nonrandomized controlled multicenter study. SETTING: Three university-based tertiary referral centers (Departments of Otorhinolaryngology of Cologne, Jena and Giessen; all in Germany). PARTICIPANTS: 130 adult patients, who underwent a primary superficial parotidectomy for benign tumors of the parotid gland, were consecutively included from 09/2010 to 05/2012...
March 26, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29577433/variability-in-facial-muscle-innervation-a-comparative-study-based-on-electrostimulation-and-anatomical-dissection
#16
G de Bonnecaze, S Vergez, B Chaput, B Vairel, E Serrano, E E Chantalat, P Chaynes
INTRODUCTION: Facial-nerve palsy is the most common complication during facial surgery. However, there are few detailed reports on the distribution of the terminal branches of the facial nerve to the mimetic muscles. This also applies to the communicating branches. The aim of our study was to assess the variability of communicant and terminal branches of the facial nerve in humans. MATERIALS AND METHODS: This prospective study involved anatomical dissections and intraoperative electric stimulation of facial nerves...
March 25, 2018: Clinical Anatomy
https://www.readbyqxmd.com/read/29566447/posterior-auricular-artery-as-a-novel-anatomic-landmark-for-identification-of-the-facial-nerve-a-cadaveric-study
#17
Muyuan Liu, Steven J Wang, Arnau Benet, Ali Tayebi Meybodi, Halima Tabani, Ivan H Ei-Sayed
BACKGROUND: Despite preservation techniques, performing a parotidectomy carries a transient facial nerve dysfunction rate in up to 65% of cases and a permanent facial nerve weakness rate of 4%-7%. METHODS: The lateral aspect of the face and neck was exposed in 5 cadaveric heads (10 sides). The relationship of the posterior auricular artery (PAA) and the facial nerve was studied and recorded and descriptive measurements were taken. RESULTS: In all specimens, the facial nerve trunk crossed the PAA inferior to the stylomastoid foramen and could be identified precisely by tracing the PAA proximally...
March 22, 2018: Head & Neck
https://www.readbyqxmd.com/read/29559870/the-submental-island-flap-is-a-viable-reconstructive-option-for-a-variety-of-head-and-neck-ablative-defects
#18
Blair M Barton, Charles A Riley, Jason D Pou, Christian P Hasney, Brian A Moore
Background: The submental island flap (SIF) is a pedicled flap based upon the submental artery and vein. Its utility in reconstruction following ablative head and neck procedures has been applied to various subsites including skin, lip, buccal mucosa, retromolar trigone, parotidectomy defects, and tongue. We review our experience using the SIF for reconstruction following tumor ablation. Methods: This prospective case series with medical record review includes consecutive patients undergoing SIF reconstruction following ablative surgery for malignancy at a single tertiary care facility between November 2014 and November 2016...
2018: Ochsner Journal
https://www.readbyqxmd.com/read/29552777/metastasis-to-parotid-gland-from-non-head-and-neck-tumors
#19
Enzo Emanuelli, Andrea Ciorba, Daniele Borsetto, Diego Cazzador, Samantha Sarcognato, Filippo Marino, Stefano Fusetti, Chiara Bianchini, Francesco Stomeo, Stefano Pelucchi
PURPOSE: Most primary tumors spreading metastasis to the parotid gland are usually located in the head and neck region, nonetheless, rarely, parotid gland can also be the target of metastatic localization site of distant primary tumors. The purpose of this study was to describe a clinical series of metastasis to the parotid gland from distant primary tumors (non Head & Neck). METHODS: The clinical databases of parotid tumors in two academic centers have been analyzed and 11 cases of parotid metastatic cancers from distant primary tumors were found...
January 2018: Journal of B.U.ON.: Official Journal of the Balkan Union of Oncology
https://www.readbyqxmd.com/read/29533706/management-of-parotid-metastatic-cutaneous-squamous-cell-carcinoma-regional-recurrence-rates-and-survival
#20
Nir Hirshoren, Olivia Ruskin, Lachlan J McDowell, Matthew Magarey, Stephen Kleid, Benjamin J Dixon
Objectives Extent of parotidectomy and neck dissection for metastatic cutaneous squamous cell carcinoma (cSCC) to the parotid is debated. We describe our experience, analyzing outcomes (overall survival and regional recurrence) associated with surgical extent and adjuvant treatment. Study Design A retrospective cohort study of parotidectomy with or without neck dissection for metastatic cSCC. Setting A tertiary referral cancer center in Australia. Subjects and Methods The study group consisted of patients with metastatic cSCC involving the parotid gland who underwent a curative-intent parotidectomy (superficial or total), with or without neck dissection, between 2003 and 2014...
March 1, 2018: Otolaryngology—Head and Neck Surgery
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