keyword
https://read.qxmd.com/read/38392060/expectations-and-experiences-of-participating-in-a-supervised-and-home-based-physical-exercise-intervention-in-patients-with-head-and-neck-cancer-during-chemoradiotherapy-a-qualitative-study
#21
JOURNAL ARTICLE
Annemieke Kok, Ellen Passchier, Anne M May, Harriët Jager-Wittenaar, Cindy Veenhof, Remco de Bree, Martijn M Stuiver, Caroline M Speksnijder
(1) Background: Chemoradiotherapy (CRT) for head and neck cancer (HNC) is associated with severe toxicity resulting in fatigue and weight loss, including loss of skeletal muscle mass. Exercise interventions might positively affect physical fitness and quality of life. Sufficient adherence and compliance rates are necessary for optimal effects. This study aimed to gain insight into expectations and experiences and factors influencing adherence, retention and compliance of HNC patients participating in exercise intervention during CRT...
February 4, 2024: Current Oncology
https://read.qxmd.com/read/38385235/-influencing-factors-on-effectiveness-of-reverse-total-shoulder-arthroplasty
#22
JOURNAL ARTICLE
Xuemiao Liu, Chao Liu, Zhi Li, Kang Tian, Jie Li
OBJECTIVE: To summarize the influencing factors on the effectiveness of reverse total shoulder arthroplasty (RTSA), so as to provide reference for clinical treatment. METHODS: The related research literature of RTSA at home and abroad was extensively consulted, and the factors that may affect the effectiveness were summarized from the aspects of surgical technique, muscle condition, general condition of patients, psychological expectation, and lifestyle. RESULTS: For surgical techniques, different surgical approaches have their own advantages...
February 15, 2024: Chinese Journal of Reparative and Reconstructive Surgery
https://read.qxmd.com/read/38383129/management-of-a-rapidly-enlarging-supraclavicular-mass-of-unknown-aetiology
#23
JOURNAL ARTICLE
Mateo Cukman, Karla Luzaic, Kristina Krstanovic, Sinisa Stevanovic
Intramuscular haemangiomas are benign tumours showing an extremely rare occurrence and making up less than 1% of all haemangiomas. The goal of this case report is to share our experience in treating a patient with an extremely rare intramuscular haemangioma, which occurred in the supraclavicular region VB level of the neck and extended towards the infraclavicular space, localised within and inferior to the trapezius muscle. The lesion was diagnosed by using multimodal imaging and a wide excision was performed with intraoperative feeding vessel ligation and a good postoperative result...
February 21, 2024: BMJ Case Reports
https://read.qxmd.com/read/38376332/neuroendocrine-carcinoma-of-tonsil-presented-with-axillary-lymph-node-metastasis-management-dilemma
#24
JOURNAL ARTICLE
Zalikha Kamarudin, Nadia Jamaluddin, Nani Harlina Md Latar, Suria Hayati Md Pauzi, Rohaizak Muhammad
High-grade neuroendocrine carcinoma (NEC) of the tonsil is rare and has a poor prognosis. The usual presentation is a neck mass with locoregional cervical lymphadenopathy. An axillary lymphadenopathy as a primary presentation of NEC of the tonsils is uncommon and challenging to treat. Tonsil neuroendocrine tumors display aggressive behaviors associated with early recurrence and metastasis after surgical resection. Managing this condition is demanding compared to NECs of gastrointestinal origin since, to date, the management of head-and-neck neuroendocrine tumors is still not well established...
October 1, 2023: Journal of Cancer Research and Therapeutics
https://read.qxmd.com/read/38374861/epidermoid-cyst-in-the-submandibular-region-mimicking-plunging-ranula-a-case-report
#25
Benjamin T Gillette, Cameron M Heilbronn
Epidermoid cysts rarely present in the submandibular area, constituting approximately less than 7% of all cystic lesions in the head and neck region and less than 0.01% of all oral cavity cysts. Therefore, epidermoid cysts can be easily misdiagnosed, as the differential diagnosis for a submandibular area mass is very broad. Imaging can help define characteristics of the mass; however, a pathologic specimen is usually required for the final diagnosis. Surgical excision is often required and tolerated well by most patients...
January 2024: Curēus
https://read.qxmd.com/read/38371149/recurrent-plunging-ranula-due-to-a-sublingual-ectopic-gland-a-rare-clinical-entity
#26
Cristina Rodrigues Barros, Frederico Caeiro Dos Santos Portugal Guerreiro, Joaquim Seixas-Martins, Maria do Céu Machado
Ranula is a benign cystic lesion caused by the escape and collection of salivary mucus. Classically, it is divided into simple ranulas, a cystic mass in the floor of the mouth, and diving/plunging/cervical ranulas, a submandibular mass without apparent intraoral involvement. Although plunging ranula is a well-documented cause of neck swelling, its association with the presence of ectopic sublingual glands is extremely rare, with less than five cases reported. Other cervical cystic lesions may have the same clinical aspect; therefore, advanced diagnostic techniques like a CT scan or MRI play a critical role in early diagnosis...
January 2024: Curēus
https://read.qxmd.com/read/38356955/deep-response-to-a-combination-of-mtor-inhibitor-temsirolimus-and-dual-immunotherapy-of-nivolumab-ipilimumab-in-poorly-differentiated-thyroid-carcinoma-with-pten-mutation-a-case-report-and-literature-review
#27
Youjin Oh, Joo Hee Park, Trie Arni Djunadi, Zunairah Shah, Liam Il-Young Chung, Young Kwang Chae
Treating advanced thyroid cancer presents challenges due to its resistance to various treatment modalities, thereby limiting therapeutic options. To our knowledge, this study is the first to report the efficacy of temsirolimus in conjunction with dual immunotherapy of nivolumab/ipilimumab to treat heavily treated advanced PDTC. A 50-year-old female initially presented with a rapidly enlarging mass on her right neck. Subsequent diagnosis revealed poorly differentiated thyroid carcinoma, leading to a total thyroidectomy followed by post-operative radioablation therapy...
2024: Frontiers in Endocrinology
https://read.qxmd.com/read/38322190/thymic-en-bloc-resection-with-veins-case-demonstrations-and-review-of-the-literature
#28
REVIEW
John S Young, Mia DeBarros, Anupama Singh, M Blair Marshall
Locally invasive thymic neoplasms are challenging clinical scenarios and typically require a multidisciplinary approach. The involvement of major mediastinal veins such as the superior vena cava (SVC) used to be a contraindication to surgery, but with improved surgical technique and outcomes, this paradigm has shifted. In some situations, complex resections and reconstructions may be indicated and required to improve the long-term outcome of these patients. We report two of our cases along with a current review of literature...
2024: Mediastinum
https://read.qxmd.com/read/38322070/the-surgical-treatment-of-carotid-body-tumor-as-well-as-the-prevention-and-management-of-complications
#29
REVIEW
Yasin Kilic, Izatullah Jalalzai, Ebubekir Sönmez, Bilgehan Erkut, Mansoor Jalalzai
The carotid body tumor (CBT) is a rare paraganglioma neoplasm that often occurs in the head and neck anatomical region. Carotid angiography continues to be widely regarded as the preferred diagnostic method for this particular malignancy. Surgical intervention has been widely acknowledged as the primary approach for managing CBTs. However, the resection of CBTs poses significant technical challenges due to its specific anatomical position. To mitigate the incidence of intraoperative and postoperative challenges, we have conducted a comprehensive review of both domestic and international literature to consolidate the surgical approach and strategies for preventing and managing complications associated with this particular tumor...
January 2024: Curēus
https://read.qxmd.com/read/38317544/comparison-of-transoral-anterior-jefferson-fracture-reduction-plate-and-posterior-screw-rod-fixation-in-c1-ring-osteosynthesis-for-unstable-atlas-fractures
#30
JOURNAL ARTICLE
Mandi Cai, Yifeng Wu, Rencai Ma, Junlin Chen, Zexing Chen, Chenfu Deng, Xinzhao Huang, Xiangyang Ma, Xiaobao Zou
OBJECTIVE: To compare the clinical outcomes of transoral anterior Jefferson fracture reduction plate (JeRP) and posterior screw rod (PSR) surgery for unstable atlas fractures via C1-ring osteosynthesis. METHODS: From June 2009 to June 2022, 49 consecutive patients with unstable atlas fractures were treated by transoral anterior JeRP fixation (JeRP group) or PSR fixation (PSR group) and followed up at our hospital; 30 males and 19 females were included. The visual analogue scale (VAS) score, neck disability index (NDI), distance to anterior arch fracture (DAAF), distance to posterior arch fracture (DPAF), lateral mass displacement (LMDs), Redlund-Johnell value, postoperative complications, and fracture healing rate were retrospectively collected and statistically analyzed...
February 1, 2024: Neurospine
https://read.qxmd.com/read/38317049/myasthenia-gravis-with-toxic-goiter-challenges-with-management-in-a-low-resource-setting-in-africa-review-of-literature-and-case-report
#31
JOURNAL ARTICLE
J M Akerele, C Erameh, A A Okomayin, A Dongo, F Omosofe, G Ikponmonsa, K O Osemobor, N N Akerele, S Ngwu
Myasthenia gravis (MG) is an antibody-mediated autoimmune disease with the cardinal feature being exertional voluntary skeletal muscle weakness and fatigability. It can be an isolated finding or in association with other autoimmune conditions such as Hashimoto's thyroiditis, Graves' disease, systemic lupus erythematosus (SLE), or rheumatoid arthritis. Thymectomy is recommended for most patients with MG whose symptoms begin before the age of 60 years. Patients with thymoma or thymic hyperplasia do respond to thymectomy compared to those without thymoma or enlarged thymus...
January 1, 2024: Nigerian Journal of Clinical Practice
https://read.qxmd.com/read/38295423/c-arm-ct-guided-percutaneous-vertebroplasty-for-pain-release-in-cancer-patient-with-cervical-1-vertebral-metastases-a-case-report
#32
Zhi-Peng Lin, Xu-Gong Zou, Da-Bei Huang, Yuan Chen, Xiao-Qun Li, Jian Zhang
OBJECTIVE: To evaluate the efficacy and treatment outcome of C-arm CT percutaneous vertebroplasty in the treatment of cervical 1 (C1) vertebral metastases. METHODS: This report recruited a male patient diagnosed with hepatocellular carcinoma and C1 vertebral metastases, who had suffered from severe neck pain symptoms and the analgesic showed little soothing effect. Under the guidance of C-arm CT, an 18G coaxial needle was used to puncture the left lateral mass of C1 vertebral metastases from lateral space between thyroid cartilage and the left carotid sheath, with 2 ml bone cement injected...
January 31, 2024: Neuro Endocrinology Letters
https://read.qxmd.com/read/38294287/two-simultaneous-rare-head-and-neck-lipomas-vallecular-lipoma-and-giant-intermuscular-neck-lipoma
#33
Tatiana Ferraro, Samuel A Collazo, Benjamin D Malkin
Lipomas are benign soft tissue neoplasms, involving the head and neck in roughly 15% of cases. We review a patient who presented with a palpable, anterior neck mass and progressive dysphagia, throat clearing, and dysphonia. He was found to have two simultaneous rare sites for head and neck lipomas: vallecular and intermuscular, anterior neck. He elected for surgical resection of both masses resulting in significant symptom improvement. Though originally referred for evaluation of an anterior neck mass, we underscore the importance of prompt investigation with reported laryngeal symptoms...
January 31, 2024: Laryngoscope
https://read.qxmd.com/read/38293256/complication-rates-after-direct-anterior-vs-posterior-approach-for-hip-hemiarthroplasty-in-elderly-individuals-with-femoral-neck-fractures
#34
JOURNAL ARTICLE
Tatiana Charles, Nicolas Bloemers, Bilal Kapanci, Marc Jayankura
BACKGROUND: Dislocation rates after hemiarthroplasty reportedly vary from 1% to 17%. This serious complication is associated with increased morbidity and mortality rates. Approaches to this surgery are still debated, with no consensus regarding the superiority of any single approach. AIM: To compare early postoperative complications after implementing the direct anterior and posterior approaches (PL) for hip hemiarthroplasty after femoral neck fractures. METHODS: This is a comparative, retrospective, single-center cohort study conducted at a university hospital...
January 18, 2024: World Journal of Orthopedics
https://read.qxmd.com/read/38289258/surgical-management-of-bladder-outlet-obstruction-due-to-functional-and-anatomical-etiologies-in-women
#35
REVIEW
Pierre-Luc Dequirez, Meredith C Wasserman, Benjamin M Brucker
INTRODUCTION: Bladder outlet obstruction (BOO) in women includes functional and anatomic etiologies. Primary bladder neck obstruction (PBNO), Fowler's syndrome (FS), and dysfunctional voiding (DV) are some examples of functional obstructions, whereas pelvic organ prolapse (POP), periurethral masses, and intragenic causes are some of the anatomic causes. METHODS: This literature review describes the etiologies of female BOO, unique aspects of the workup and diagnosis, and the data for the standard surgical treatments and newer surgical techniques to treat women...
January 30, 2024: Neurourology and Urodynamics
https://read.qxmd.com/read/38280100/diagnosis-of-skull-base-invasion-by-nasopharyngeal-tumors-on-ct-with-a-deep-learning-approach
#36
JOURNAL ARTICLE
Junichi Nakagawa, Noriyuki Fujima, Kenji Hirata, Taisuke Harada, Naoto Wakabayashi, Yuki Takano, Akihiro Homma, Satoshi Kano, Kazuyuki Minowa, Kohsuke Kudo
PURPOSE: To develop a convolutional neural network (CNN) model to diagnose skull-base invasion by nasopharyngeal malignancies in CT images and evaluate the model's diagnostic performance. MATERIALS AND METHODS: We divided 100 malignant nasopharyngeal tumor lesions into a training (n = 70) and a test (n = 30) dataset. Two head/neck radiologists reviewed CT and MRI images and determined the positive/negative skull-base invasion status of each case (training dataset: 29 invasion-positive and 41 invasion-negative; test dataset: 13 invasion-positive and 17 invasion-negative)...
January 27, 2024: Japanese Journal of Radiology
https://read.qxmd.com/read/38268059/clinical-prediction-models-for-the-early-diagnosis-of-obstructive-sleep-apnea-in-stroke-patients-a-systematic-review
#37
REVIEW
Hualu Yang, Shuya Lu, Lin Yang
BACKGROUND: Obstructive sleep apnea (OSA) is a common sleep disorder characterized by repetitive cessation or reduction in airflow during sleep. Stroke patients have a higher risk of OSA, which can worsen their cognitive and functional disabilities, prolong their hospitalization, and increase their mortality rates. METHODS: We conducted a comprehensive literature search in the databases of PubMed, CINAHL, Embase, PsycINFO, Cochrane Library, and CNKI, using a combination of keywords and MeSH words in both English and Chinese...
January 24, 2024: Systematic Reviews
https://read.qxmd.com/read/38261452/inflammatory-myofibroblastic-disease-of-right-petrous-apex-a-rare-case-with-review-of-literature
#38
JOURNAL ARTICLE
Doddala Sankara Mahadev, N V S Praveen, Aparna Suryadevara, M G Naga Kishore
Inflammatory myofibroblastic tumor (IMFT) is a rare tumor of unknown etiology. It can involve any part of the body. The IMFT involving the base of skull is rare with only 36 cases reported in the literature. We report a rare case of IMFT of temporal bone with review of literature. A 42 year old male presented with complaints of headache and double vision and MRI brain showed lesion in the right petrous apex region suggestive of a neurogenic mass. He had excision of lesion and histopathology was suggestive of IMFT with IgG4 and ALK positive...
January 22, 2024: Journal of Cancer Research and Therapeutics
https://read.qxmd.com/read/38259691/transoral-endoscopic-assisted-resection-of-laryngeal-schwannoma-a-case-report
#39
Dian Paramita Wulandari, Anisa Haqul Khoiria, Elida Fadhilatul Latifa
INTRODUCTION: Schwannoma, a peculiar benign nerve sheath tumour, is frequently hard to differentiate from other nerve tumours, such as neurofibroma. Around 25%-45% of all schwannomas emerge in the head and neck region, but only 0.1-1.5 % involve laryngeal structure. This tumour is most accurately diagnosed with biopsy via direct laryngoscopy; however, at some points this approach cannot detect a definitive diagnosis due to the surrounding capsule of the tumour and its similar histopathologic finding with other nerve sheath tumour...
January 2024: Iranian Journal of Otorhinolaryngology
https://read.qxmd.com/read/38253696/comparison-of-postoperative-pain-between-transoral-and-conventional-thyroidectomy-a-propensity-score-matched-analysis
#40
JOURNAL ARTICLE
Min Kyu Park, Van Cuong Nguyen, Eugene Kim, Chang Myeon Song, Yong Bae Ji, Jin Hyeok Jeong, Kyung Tae
BACKGROUND: The extent of postoperative pain following transoral thyroidectomy is not well-understood and remains a subject of debate. This study aims to analyze and compare postoperative pain levels between patients undergoing transoral and conventional transcervical thyroidectomy. METHODS: A prospective evaluation on postoperative pain was conducted in 310 patients undergoing conventional thyroidectomy and 194 undergoing transoral thyroidectomy. Pain levels were evaluated using the numerical rating scale (NRS, ranging from 0 to 10) through preoperative and postoperative questionnaires at specified time points: 1, 3, and 6 days, and 1 and 3 months following surgery...
January 22, 2024: Surgical Endoscopy
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