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Parotid Surgery

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https://www.readbyqxmd.com/read/27911406/ultrasound-guided-botulinum-toxin-a-injections-a-method-of-treating-sialorrhea
#1
Pierangelo Barbero, Marco Busso, Carlo Alberto Artusi, Stefania De Mercanti, Marco Tinivella, Andrea Veltri, Luca Durelli, Marinella Clerico
Neurological diseases can be complicated by sialorrhea, an excessive flow of saliva. Patients suffering from moderate to severe sialorrhea have an impaired quality of life, often worsened by correlated complications such as aspiration pneumonia, oral infections, dental caries, and maceration of the skin. Diverse therapeutic approaches have been proposed for the treatment of sialorrhea, including surgery and the use of anticholinergic agents, with limited results and the possible occurrence of serious adverse events...
November 9, 2016: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/27893549/how-deleterious-is-facial-nerve-dissection-for-the-facial-nerve-in-parotid-surgery-an-electrophysiological-evaluation
#2
Sabri Baki Eren, Remzi Dogan, Orhan Ozturan, Bayram Veyseller, Ayşenur Meriç Hafiz
OBJECTIVE: This study was conducted to investigate subclinical electrophysiological deleterious effect due to microtrauma to the nerve in response to the dissection of a tumor and parotid tissue from the facial nerve and its branches and surgical traction experienced during the operation. METHODS: The study included 34 adult patients who underwent parotidectomy operations under intraoperative facial nerve monitoring. Three measurements were taken from each patient to evaluate facial nerve functions, with 3 stimuli of different intensities applied with different timing...
November 23, 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27889105/corrigendum-to-methylene-blue-staining-in-the-parotid-surgery-randomized-trial-144-patients-am-j-otolaryngol-37-2016-22-26
#3
Michael Vaiman, Basel Jabarin, Rani Abuita
No abstract text is available yet for this article.
November 23, 2016: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/27875709/iodine-125-interstitial-brachytherapy-for-pediatric-desmoid-type-fibromatosis-of-the-head-and-neck-a-case-report
#4
Wen-Jie Wu, Hua-Qiu Guo, Guang-Yan Yu, Jian-Guo Zhang
Desmoid-type fibromatosis (DF) is a locally aggressive benign soft tissue tumor. It is rarely observed in the head and neck region and is particularly uncommon in the parotid gland. This report describes the case of a 32-month-old girl with DF of the head and neck. The tumor was resected with gross residual tumors. Recurrence occurred 3 months later and then the patient was treated with iodine-125 interstitial brachytherapy. The tumor was completely absent 6 months after brachytherapy. No recurrence was found 60 months after brachytherapy during follow-up...
October 29, 2016: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27864725/endoscope-assisted-extracapsular-dissection-of-benign-parotid-tumors-through-a-single-cephaloauricular-furrow-incision-versus-a-conventional-approach
#5
Song Fan, Guo-Kai Pan, Wei-Liang Chen, Zhao-Yu Lin, Fa-Ya Liang, Qun-Xing Li, Da-Ming Zhang, You-Yuan Wang, Han-Qing Zhang, Wei-Xiong Chen, Rui Chen, Xiao-Ming Huang, Jian-Tao Ye, Jin-Song Li
BACKGROUND: A few modified approaches have been reported for performing endoscope-assisted dissections of benign parotid tumors, but none that use incisions totally hidden in a natural furrow. This study evaluated the feasibility of performing endoscope-assisted extracapsular dissections of benign parotid tumors using a single cephaloauricular furrow incision. METHODS: Forty-six patients with benign parotid superficial lobe tumors were randomly divided into two groups: an endoscope-assisted (21 patients) group or a conventional (25 patients) surgery group...
November 18, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27847832/recurrent-parotid-carcinosarcoma-in-an-asymptomatic-patient
#6
Joshua Mansour, Abhishek Mangaonkar, Vamsi Kota
In this article, we present the case of a 52-year-old male with a history of parotid carcinosarcoma with initial diagnosis being 18 months prior. Initial treatment included a combination of gamma knife surgery coupled with high dosage chemotherapy and X-ray radiation therapy. At the time of follow-up, the patient presented with no complaints and had a nearly normal physical exam with the exception of some facial nerve weakness on the same side as the initial surgery. Despite being asymptomatic, the patient had a significant progression of disease that was manifested with intracranial lesions, multiple pathologic fractures, and a dramatic increase in overall tumor burden...
October 2016: Journal of Investigative Medicine High Impact Case Reports
https://www.readbyqxmd.com/read/27843666/recurring-facial-erythema-in-an-infant
#7
Sam Hassan, Mary Jacqueline Saviour
Causes of facial rashes and erythema in infants are many but rarely only happen during feeding times which are commonly and sometimes wrongly attributed to food allergy. There is a rare condition called Auriculotemporal nerve syndrome that is characterized by recurrent episodes of gustatory facial flushing and sweating along the cutaneous distribution of Auriculotemporal nerve: the so-called Frey syndrome. This condition is most frequently observed in adults usually after parotid surgery. It is rare in children and is mostly attributed to forceps assisted delivery...
2016: Case Reports in Pediatrics
https://www.readbyqxmd.com/read/27833877/do-we-need-to-modify-the-parotidectomy-incision
#8
Naresh K Panda, Darwin Kaushal, Roshan Verma
The results indicate that the modified cervicofacial incision is a better aesthetic option for surgical procedures concerning all benign and malignant neoplasms of the parotid gland. The aim of this study was to present the results of the use of modification of modified Bailey incision in Parotid Surgery. This is a case series comprising 155 consecutive patients who were subjected to either partial or total parotidectomy using the modified incision. All parotid tumors were removed without encountering any problem with exposure, facial nerve delineation or tumor delivery...
December 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27822061/clinicopathological-characteristics-treatment-and-survival-outcomes-of-cystadenocarcinoma-of-the-salivary-gland-a-population-based-study
#9
Cheng-Fu Cai, Jia-Yuan Sun, Zhen-Yu He, Huan-Xin Lin, Fa-Rong Liu, Yan Wang
BACKGROUND: The aim of this study was to investigate the clinicopathological characteristics, treatment, and survival of cystadenocarcinoma of the salivary gland. PATIENTS AND METHODS: Cases in the Surveillance, Epidemiology, and End Results database from 1991 to 2012 were identified. Factors significantly associated with survival were identified using Kaplan-Meier survival analysis and Cox proportional hazard regression. RESULTS: A total of 65 patients were identified; of these patients, 64 received surgical treatment, 25 underwent lymphadenectomy, and four (16...
2016: OncoTargets and Therapy
https://www.readbyqxmd.com/read/27793123/invasive-myoepithelial-carcinoma-ex-pleomorphic-adenoma-of-the-major-salivary-gland-two-case-reports
#10
Takahiro Wakasaki, Marie Kubota, Yutaka Nakashima, Eri Tomonobe, Takenao Mihara, Junichi Fukushima
BACKGROUND: Myoepithelial carcinoma (MEC) is a rare salivary gland tumor. Its long-term prognosis remains unknown because of the paucity of reported cases with long-term follow-up. Although some case series exist, the clinical features of MEC vary considerably depending on the site of origin. Therefore, accumulation of these rare cases is important. CASE PRESENTATION: Case 1: An 89-year-old man presented with a 10-year history of a mass originating from the right parotid gland and involving the neck...
October 28, 2016: BMC Cancer
https://www.readbyqxmd.com/read/27755404/carcinoma-ex-pleomorphic-adenoma-of-the-tongue-difficulty-in-diagnosis-between-metastasis-of-breast-cancer-and-salivary-tumor
#11
Yuki Sakamoto, Shuichi Fujita, Masaki Adachi, Hiroshi Sakamoto, Tomofumi Naruse, Souichi Yanamoto, Toru Ikeda, Masahiro Umeda
Carcinoma ex pleomorphic adenoma (CEPA) is a carcinoma that shows histologic evidence of arising in or from a benign pleomorphic adenoma. Carcinoma ex pleomorphic adenoma often occurs in parotid glands, but is extremely rarely in the tongue. A 53-year-old Japanese woman was referred to the Department of Oral and Maxillofacial Surgery, Nagasaki University Hospital, because of tumor of the right dorsum tongue. She had a history of surgery of breast cancer (invasive ductal carcinoma) and it was disseminated to the lung and bone...
October 14, 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27750049/local-rhomboid-flap-reconstruction-for-skin-defects-after-excising-large-parotid-gland-tumors
#12
Min-Hui Hung, Chun-Ta Liao, Chung-Jan Kang, Shiang-Fu Huang
Most parotid tumors grow slowly, and sometimes these patients do not request surgical treatment until the tumors become large and affect their appearance. The surgical treatment of these large tumors is usually accompanied by large skin defects after excision, and it is challenging for surgeons to close the defect primarily. This report describes the case of a 68-year-old man with a left parotid gland tumor (largest dimension, 110 mm) and the case of a 79-year-old man with a left parotid gland tumor measuring approximately 77 mm that had existed for decades...
September 21, 2016: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27737447/optimal-perioperative-care-in-major-head-and-neck-cancer-surgery-with-free-flap-reconstruction-a-consensus-review-and-recommendations-from-the-enhanced-recovery-after-surgery-society
#13
Joseph C Dort, D Gregory Farwell, Merran Findlay, Gerhard F Huber, Paul Kerr, Melissa A Shea-Budgell, Christian Simon, Jeffrey Uppington, David Zygun, Olle Ljungqvist, Jeffrey Harris
Importance: Head and neck cancers often require complex, labor-intensive surgeries, especially when free flap reconstruction is required. Enhanced recovery is important in this patient population but evidence-based protocols on perioperative care for this population are lacking. Objective: To provide a consensus-based protocol for optimal perioperative care of patients undergoing head and neck cancer surgery with free flap reconstruction. Evidence Review: Following endorsement by the Enhanced Recovery After Surgery (ERAS) Society to develop this protocol, a systematic review was conducted for each topic...
October 13, 2016: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/27704717/extracapsular-dissection-versus-superficial-parotidectomy-in-benign-parotid-gland-tumors-the-vienna-medical-school-experience
#14
Lorenz Kadletz, Stefan Grasl, Matthäus C Grasl, Christos Perisanidis, Boban M Erovic
BACKGROUND: The purpose of this study was to evaluate the clinical outcome in patients with benign parotid gland tumors after extracapsular dissection or superficial parotidectomy (SP). METHODS: Eight hundred ninety-four patients with primary pleomorphic adenoma or Warthin's tumor were included from this study. Type and length of surgery, tumor size, resection margins, and complication rates were assessed. RESULTS: Three hundred ninety-five (44...
October 5, 2016: Head & Neck
https://www.readbyqxmd.com/read/27698923/validation-and-comparison-of-the-7-th-edition-of-the-american-joint-committee-on-cancer-staging-system-and-other-prognostic-models-to-predict-relapse-free-survival-in-asian-patients-with-parotid-cancer
#15
Chang-Hsien Lu, Chien-Ting Liu, Pei-Hung Chang, Kun-Yun Yeh, Chia-Yen Hung, Shau-Hsuan Li, Yung-Chang Lin, Ta-Sen Yeh, Yung-Shin Hung, Wen-Chi Chou
Purpose: Parotid cancer is a rare malignancy characterized by a heterogeneous histologic subtype and distinct biologic behavior. The present study aimed to externally validate and compare the performances of the American Joint Committee on Cancer (AJCC) staging system (7(th) Edition), Carrillo score, and Vander Poorten score in the prediction of tumor relapse probability in a large cohort of Asian parotid cancer patients. Methods: In total, 261 patients who underwent primary surgery for localized parotid cancer between 2002 and 2014 at the four affiliated hospitals of Chang Gung Memorial Hospital were identified...
2016: Journal of Cancer
https://www.readbyqxmd.com/read/27696236/increased-local-recurrence-in-advanced-parotid-malignancy-treated-with-mastoidectomy-without-lateral-temporal-bone-resection
#16
Sameep Kadakia, David Chan, Yadranko Ducic, Ricardo Cristobal, Moustafa Mourad
OBJECTIVE: We analyzed patients with advanced parotid malignancy requiring proximal facial nerve exposure undergoing mastoidectomy versus lateral temporal bone resection to determine differences in local and distant recurrence. STUDY DESIGN: The study design is a case series with chart review. SETTING: The setting is in Tertiary care practice in Fort Worth, Texas from January1998 to January 2014. SUBJECTS AND METHODS: The study included 120 patients with advanced parotid malignancy, 82 males between 19 and 87 years, and 38 females between 26 and 83 years...
September 30, 2016: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27602341/intraparotid-neurofibroma-of-the-facial-nerve-a-case-report
#17
Ahmed-Abdel-Fattah Nofal, Mohammad-Waheed El-Anwar
INTRODUCTION: Intraparotid neurofibromas of the facial nerve are extremely rare and mostly associated with neurofibromatosis type 1 (NF1). CASE REPORT: This is a case of a healthy 40-year-old man, which underwent surgery for a preoperatively diagnosed benign parotid gland lesion. After identification of the facial nerve main trunk, a single large mass (6 x 3 cm) incorporating the upper nerve division was observed. The nerve portion involved in the mass could not be dissected and was inevitably sacrificed with immediate neuroraphy of the upper division of the facial nerve with 6/0 prolene...
July 2016: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/27602336/facial-nerve-monitoring-during-parotidectomy-a-two-center-retrospective-study
#18
Stanislas Ballivet-de Régloix, Julia Grinholtz-Haddad, Olga Maurin, Louise Genestier, Quentin Lisan, Yoann Pons
INTRODUCTION: We present a retrospective two-center study series and discussion of the current literature to assess the benefits of facial nerve monitoring during parotidectomy. MATERIALS AND METHODS: From 2007 to 2012, 128 parotidectomies were performed in 125 patients. Of these, 47 procedures were performed without facial nerve monitoring (group 1) and 81 with facial nerve monitoring (group 2). The primary endpoint was the House-Brackmann classification at 1 month and 6 months...
July 2016: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/27601813/role-of-fine-needle-aspiration-cytology-in-the-diagnosis-of-major-salivary-gland-tumors-a-study-with-histological-and-clinical-correlation
#19
Archana Shetty, V Geethamani
INTRODUCTION: Neoplastic lesions of salivary glands present an interesting subject because of their histologic diversification. Complex features exhibited by them have aroused considerable speculations concerning their histogenesis and continues to hold the interest of clinicians and pathologists. Major salivary glands are superficial and have easy accessibility for fine-needle aspiration cytology (FNAC). These glands are generally not subjected to incisional or core needle biopsy, because of the possible risks of fistula formation and tumor seedling...
May 2016: Journal of Oral and Maxillofacial Pathology: JOMFP
https://www.readbyqxmd.com/read/27592023/use-of-a-modified-high-submandibular-approach-to-treat-condylar-base-fractures-experience-with-44-consecutive-cases-treated-in-a-single-institution
#20
Mauro Pau, Kawe Navisany, Knut Ernst Reinbacher, Tomislav Zrnc, Jürgen Wallner, Katja Schwenzer-Zimmerer
PURPOSE: The aim of this article is to present our experience treating fractures of the condylar base with a modification of the high submandibular approach (HSA). MATERIALS AND METHODS: Between June 2012 and April 2015, 44 fractures of the condylar base were treated in the Department of Oral and Maxillofacial Surgery of the Medical Hospital of Graz using the modified HSA. RESULTS: We did not observe any damage (even transient) to the facial nerve or any complication related to violation of the parotid capsule (such as a salivary fistula, Frey syndrome, or a sialocele)...
August 2, 2016: Journal of Cranio-maxillo-facial Surgery
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