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head and neck surgeons

Kevin M Urlaub, Russell E Ettinger, Noah S Nelson, Jessie M Hoxie, Alicia E Snider, Joseph E Perosky, Yekaterina Polyatskaya, Alexis Donneys, Steven R Buchman
Nonvascularized bone grafts (NBGs) represent a practical method of mandibular reconstruction that is precluded in head and neck cancer patients by the destructive effects of radiotherapy. Advances in tissue-engineering may restore NBGs as a viable surgical technique, but expeditious translation demands a small-animal model that approximates clinical practice. This study establishes a murine model of irradiated mandibular reconstruction using a segmental iliac crest NBG for the investigation of imperative bone healing strategies...
December 10, 2018: Journal of Craniofacial Surgery
Yarah M Haidar, Sartaaj Walia, Tjoson Tjoa, Edward C Kuan, Julie A Goddard
PURPOSE: In the field of head and neck microvascular surgery, there are currently no clear, universally accepted recommendations on the intraoperative, preoperative, and postoperative management of these patients. MATERIALS AND METHODS: A 23-question cross-sectional survey was distributed to otolaryngologists who perform microvascular reconstruction. Information about practice setting, fellowship training background, intraoperative practice, postoperative practice, and surgical complications were analyzed...
August 30, 2018: Journal of Cranio-maxillo-facial Surgery
Howard Poon, Changsheng Li, Wenchao Gao, Hongliang Ren, Chwee Ming Lim
Oropharyngeal tumor is traditionally resected from an open approach, often necessitating the need of a midline mandibulotomy in order to remove tumor safely with oncologic margins. The limitations imposed by a transoral route include poor visualization of the inferior extent of the oropharynx, rigid instrumentation, and inability to resect tumor that extends caudally into the supraglottis. While visualization with angled endoscopes, coupled with flexible laser development and microscopic magnification may overcome some of these limitations, this technique suffers from linear trajectory of the instruments which hampers expedient surgical resection in a 3-dimensional fashion...
December 2018: Oral Oncology
Douglas B Chepeha
BACKGROUND: Surgeons have developed various reconstructive techniques to minimize the rate of pharyngocutaneous fistula and optimize functional outcome after salvage laryngectomy or laryngopharyngectomy. METHODS: Multicenter retrospective review at 33 institutions of 486 patients with a history of squamous cell carcinoma (SCC) of the larynx or hypopharynx previously treated with primary chemoradiotherapy (CRT) who required salvage surgery. Outcomes evaluated were overall fistula rate, fistula requiring reoperation, and 12-month speech and swallowing function...
December 3, 2018: Head & Neck
Rosa M Mirapeix, Marc Tobed Secall, Carlos Pollán Guisasola, Jacinto Garcia Lorenzo, Jordi Lluansí Planella, Constanza Viña Soria, Mar Palau Viarnès, David Virós Porcuna
INTRODUCTION: Minimally invasive transoral surgery for oropharyngeal cancer is a challenge for head and neck surgeons because of the inside-out anatomic presentation and the confined workspace. This study was performed to describe the main neurovascular and muscular landmarks in a transoral approach. The authors propose an anatomic stratification for this surgery. MATERIALS AND METHODS: Lateral wall of the oropharynx and base of the tongue of 15 formalin-fixed heads (30 sides) and 5 fresh cadaveric heads (10 sides) sagittal sectioned were dissected from the inside outwards...
November 30, 2018: Journal of Craniofacial Surgery
Srijana Muppireddy, Parvathi Ravula, Srikanth Rangachari, Najma Shaik, Sushma Maaturu
Background: Selection of recipient vessels is one of the key factors for a successful microvascular reconstruction. Non-availability of primary recipient vessels in the vicinity necessitates surgeon to approach a remote second-line vascular access. Transverse cervical vessels (TCV) have been described as second-line vascular access for head-and-neck reconstructions. Due to its location, their use can be extended to the proximal chest and upper arm reconstructions. Aim: The aim of the study is to analyse the reliability of TCV as second-line recipient vessels for the upper arm and chest reconstructions in addition to the head-and-neck reconstructions...
May 2018: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
Maneesh Singhal, Ravikiran Naalla, Aniket Dave, Moumita De, Deepti Gupta, Shashank Chauhan
Background: As the morbidity and mortality due to trauma are ever increasing, there is proportionally growing need of trauma care facilities across the country. In the context of expanding designated trauma care facilities, the role of plastic and reconstructive surgeon needs to be analysed and defined at least at a Level 1 trauma centre. Materials and Methods: We included the patients who were operated under the department of plastic, reconstructive & burns surgery at a Level 1 urban trauma centre between January 2016 and December 2017...
May 2018: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
Emily Malone, Jason Baldwin, Joshua Richman, Rachael Lancaster, Helen Krontiras, Catherine Parker
BACKGROUND: Right-sizing instrument trays reduce processing and replacement costs, physical strain, and turnover times. Historically, a 98-instrument head and neck tray has been used for breast lumpectomy cases at our institution. Observations revealed that many instruments on the tray were not used during the breast cases. With the significant number of surgical breast lumpectomies performed annually, tray downsizing could significantly reduce costs and physical strain. METHODS: Surgical technicians identified instruments needed for a standard breast lumpectomy...
January 2019: Journal of Surgical Research
Jennifer R Cracchiolo, Anne F Klassen, Danny A Young-Afat, Claudia R Albornoz, Stefan J Cano, Snehal G Patel, Andrea L Pusic, Evan Matros
BACKGROUND: Existing patient-reported outcome measures (PROMs) used to assess patients with head and neck cancer have methodologic and content deficiencies. Herein, the development of a PROM that meets a range of clinical and research needs across head and neck oncology is described. METHODS: After development of the conceptual framework, which involved a literature review, semistructured patient interviews, and expert input, patients with head and neck cancer who were treated at Memorial Sloan Kettering Cancer Center were recruited by their surgeon...
November 30, 2018: Cancer
Raja R Seethala, Albina Altemani, Robert L Ferris, Isabel Fonseca, Douglas R Gnepp, Patrick Ha, Toshitaka Nagao, Alena Skalova, Göran Stenman, Lester D R Thompson
The International Collaboration on Cancer Reporting is a nonprofit organization whose goal is to develop evidence-based, internationally agreed-upon standardized data sets for each anatomic site, to be used throughout the world. Providing global standardization of pathology tumor classification, staging, and other reporting elements will lead to achieving the objective of improved patient management and enhanced epidemiologic research. Salivary gland carcinomas are relatively uncommon, and as such, meaningful data about the many histologic types are not easily compared...
November 30, 2018: Archives of Pathology & Laboratory Medicine
Matthew F Koff, Christina Esposito, Parina Shah, Mauro Miranda, Elexis Baral, Kara Fields, Thomas Bauer, Douglas E Padgett, Timothy Wright, Hollis G Potter
BACKGROUND: MRI is predictive of adverse local tissue reactions (ALTRs) after THA but how MRI directly relates to implant surface wear, fretting, and trunnion corrosion at different articulations between implant components remains unclear. MRI generates high-contrast images to display soft tissues around arthroplasty and may provide a surgeon the means to distinguish and differentiate host-related synovial patterns as a response to either polyethylene wear or metal wear and corrosion products...
November 26, 2018: Clinical Orthopaedics and related Research
Justin M Parr, Prem Chouhan, Michael Wagels
BACKGROUND: Free tissue reconstruction is reliable in suitable patients but patient selection remains a challenge for the reconstructive surgeon. The anterolateral thigh (ALT) free flap and pedicled pectoralis major myocutaneous flap (PMMF) are two common reconstructive options for a lateral temporal bone resection defect. The threshold at which free tissue reconstruction should be considered over locoregional reconstruction is not defined. We sought to define reconstructive flap choice in the setting of medical comorbidities that may dissuade free tissue transfer...
November 28, 2018: ANZ Journal of Surgery
S Morinière, P Gorphe, F Espitalier, D Blanchard, N Fakhry, N Saroul, C Bach, X Dufour, C Fuchsmann, S Vergez, S Albert
OBJECTIVE: Circumferential pharyngolaryngectomy is performed for advanced pharyngeal tumor or in a context of postradiation recurrence. Several free or pedicle flaps have been described for pharyngeal defect reconstruction, with choice at the surgeon's discretion. The aim of this study was to evaluate long-term swallowing function according to the type of flap used for reconstruction. MATERIAL AND METHOD: A multicenter retrospective study was conducted from January to September 2016 within the French GETTEC head and neck tumor study group...
October 25, 2018: European Annals of Otorhinolaryngology, Head and Neck Diseases
Yanxi Chen, Xiaoyang Jia, Minfei Qiang, Kun Zhang, Song Chen
BACKGROUND: This study aimed to determine the difference between computer-assisted virtual surgical technology and 3-dimensional (3D) printing technology in preoperative planning for proximal humeral fractures. METHODS: Between February 2009 and October 2015, 131 patients with 3 and 4-part proximal humeral fractures were divided into 3 groups on the basis of the preoperative planning method: conventional (n = 53), virtual surgical (n = 46), and 3D printing (n = 32)...
November 21, 2018: Journal of Bone and Joint Surgery. American Volume
Marc Burghartz, Stephan Hackenberg, Christian Sittel, Rudolf Hagen
OBJECTIVE: The aim of this study was to bring attention to a rather unnoted side effect of salivary gland surgery-reduced salivary flow. METHODS: A systematic PubMed, Cochrane Library, LIVIVO, and Embase databases search was performed to identify relevant articles. RESULTS: Eight studies matched the inclusion criteria. All studies described an association between salivary gland surgery and reduced salivary flow. In five of the eight studies, patients reported on xerostomia after salivary gland surgery...
November 26, 2018: Laryngoscope
Michael Eggerstedt, Hannah N Kuhar, Peter C Revenaugh, Ritu Ghai, R Mark Wiet
BACKGROUND: In this report, we present a unique case of intraneural squamous cell carcinoma of unknown primary found within the facial nerve and the proposed algorithms for diagnosis and management of progressive idiopathic facial paralysis. CASE PRESENTATION: A 66-year-old female with a previous history of basal cell carcinoma presented with right-sided progressive facial paralysis. Repeated magnetic resonance imaging as well as targeted workup failed to reveal a diagnosis...
October 13, 2018: American Journal of Otolaryngology
Pradeep Pradhan, Chappity Preetam, Pradipta Kumar Parida, Swagatika Samal, Dillip Kumar Samal
Because of the inaccessibility and overcrowding of the vital neurovascular structures, management of the parapharyngeal space (PPS) tumour is always a challenge to the surgeons. Here we have discussed the clinical findings and management of the PPS tumours with special concern to the surgical approaches. It is a retrospective study containing 14 patients of PPS tumour from June 2015 to January 2018 in the department of Otorhinolaryngology and Head Neck Surgery in a tertiary care referral hospital. 14 consecutive patients with PPS tumours were included in the study...
December 2018: Indian Journal of Otolaryngology and Head and Neck Surgery
Andreas Jödicke, Malte Ottenhausen, Thomas Lenarz
Objective  To analyze the current clinical use of navigation at the lateral skull base among skull base surgeons in Germany. Methods  A web-based questionnaire was provided to surgeons being head of the department and member of one of the following scientific societies: German Society of Head and Neck Surgery, Maxillo-Facial Surgery, Neurosurgery, and German Skull Base Society. Replies were recorded anonymously. The questionnaire included the estimated case load per year and percent of surgery performed with navigation (middle and posterior fossa), type of navigation, estimates of intraoperative inaccuracy, and reasons for not using navigation...
December 2018: Journal of Neurological Surgery. Part B, Skull Base
Eric R Carlson, Thomas Schlieve
Salivary gland tumors are rare pathologic entities that are derived from major and minor salivary gland tissue located throughout the head and neck region. These tumors are distinctly heterogenous, comprising numerous cell types, especially those deemed malignant. The incidence of malignant salivary gland tumors is widely distributed in both adult and pediatric patient populations. Accurate diagnosis and optimal treatment of these tumors pose challenges to both interpreting pathologists and ablative surgeons...
February 2019: Oral and Maxillofacial Surgery Clinics of North America
Ilya Likhterov, Ansley M Roche, Mark L Urken
Cancers of the oral cavity and paranasal sinuses often require ablative surgery with adjuvant therapy in most cases. Large, postablative defects of the mandible and the maxilla present several challenges to the reconstructive surgeon. Functional and cosmetically satisfactory restoration requires a thorough understanding of the underlying disease process, a firm grasp of the nuances of head and neck anatomy, and an ability to plan and execute a reconstruction with the most suitable tissue for each particular patient...
February 2019: Oral and Maxillofacial Surgery Clinics of North America
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