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https://www.readbyqxmd.com/read/29142382/capillary-leak-syndrome-following-snakebite-envenomation
#1
REVIEW
V Udayabhaskaran, E T Arun Thomas, Bhagya Shaji
Capillary leak syndrome is a unique complication that follows Russell's viper envenomation. This syndrome has a very high fatality rate and is characterized by parotid swelling, chemosis, periorbital edema, hypotension, albuminuria, hypoalbuminemia, and hemoconcentration. This syndrome is frequently recognized from the southern parts of India, especially from the state of Kerala. It has been postulated that a vascular apoptosis inducing component of Russell's viper venom that is not neutralized by the commercially available anti-snake venom (ASV) is responsible for this complication as it occurs even after adequate doses of ASV administration in most cases...
October 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29141486/recurrent-pleomorphic-adenoma-is-treatment-considerably-delayed-thus-affecting-surgical-morbidity
#2
Eran Glikson, Doron Sagiv, Jobran Mansour, Lev Bedrin, Yoav P Talmi, Eran E Alon
OBJECTIVE: To examine the incidence of late presentation of patients with recurrent pleomorphic adenoma (RPA) of the parotid gland. METHODS: This is a retrospective analysis of patients treated in our center. We examined patients demographics, disease characteristics, treatment, and outcome and as well as the time period length from the first discovery of a recurrent mass until seeking treatment at our clinic and its effect on morbidity. RESULTS: A total of 30 patients were included...
November 16, 2017: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/29137049/garcin-syndrome-caused-by-parotid-gland-adenoid-cystic-carcinoma-a-case-report
#3
Nian-Ge Xia, Yan-Yan Chen, Xin-Shi Wang, Hui-Qin Xu, Rong-Yuan Zheng
RATIONALE: Garcin syndrome is characterized by the gradual involvement, and ultimately, unilateral paralysis of at least 7 and sometimes all cranial nerves, without intracranial hypertension or any long tract signs. PATIENT CONCERNS: We report the case of a 59-year-old woman who presented with Garcin syndrome, which gradually progressed over a period of 2 years. DIAGNOSIS: A left parotid gland biopsy revealed parotid gland adenoid cystic carcinoma (PGACC) with perineural invasion of a peripheral nerve bundle and lymph node metastasis...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29137010/management-of-and-risk-factors-for-regional-recurrence-in-upper-lip-squamous-cell-carcinoma
#4
Fei Liu, Lei Wang, Shuang Pang, Quancheng Kan
Our goal was to evaluate the risk factors for regional recurrence in upper lip squamous cell carcinoma (SCC).A total of 109 patients with upper lip SCC were retrospectively enrolled. Clinical and pathologic information was collected and analyzed.Fifteen (13.8%) patients had a regional metastasis, 2 patients had parotid node metastasis, and no local or distant metastasis was noted. There was neck level I node metastasis in 15 (100%) patients. In multivariate analysis, invasion depth and degree of differentiation were significantly associated with regional metastasis...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29129709/sialolithiasis-removal-under-general-anesthesia-a-descriptive-retrospective-study-in-the-maxillo-facial-surgery-department-in-lille-university-hospital
#5
R Ruiz, A Brygo, R Nicot, J Ferri
INTRODUCTION: Since the beginning of the use of sialendoscopy and extra-corporeal lithotripsy, recommendations have changed. The purpose of this retrospective study was to evaluate the efficiency of our treatment protocol, without a lithotripter, under general anaesthesia in the Stomatology and Maxillofacial Surgery Department of Lille University Hospital. The secondary goals were to evaluate patient tolerance and satisfaction. MATERIALS AND METHODS: All patients treated with sialendoscopy alone, sialendoscopy with a combined surgical approach or a transoral approach (TOA) (sialolithotomy) between January 2013 and December 2015 were included...
November 9, 2017: Journal of Stomatology, Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29127505/high-resolution-ultrasonography-of-the-normal-extratemporal-facial-nerve
#6
Hannes Wegscheider, Gerd Fabian Volk, Orlando Guntinas-Lichius, Bernhard Moriggl
The technical advances in sonography of the past decade have supported the rapid improvement of high-resolution imaging, which enables the quick visualization of peripheral nerves at relatively limited costs. Recently, the possibility of visualizing the extratemporal facial nerve (FN) has been considered. This manuscript describes the first systematic evaluation in cadavers, of a novel ultrasonographic approach with this specific aim. Eight cadaveric hemifaces were evaluated by means of high-frequency ultrasound with two linear (13 and 22 MHz) and a convex transducer (6...
November 10, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29125035/cone-beam-computed-tomography-cbct-for-adaptive-image-guided-head-and-neck-radiation-therapy
#7
Christian A Hvid, Ulrik V Elstrøm, Kenneth Jensen, Cai Grau
BACKGROUND: Adaptive (ART) and image guided radiation therapy (IGRT) can improve target coverage and reduce unnecessary irradiation of organs at risk (OAR). The purpose of this study is to report the results of using mid-course imaging and a novel workflow with cone-beam computed tomography (CBCT) surveillance of dose to OAR to trigger adaptive replanning in head and neck radiotherapy. MATERIAL AND METHODS: Impact of radiation therapist (RTT) managed match protocol and mid-course imaging was assessed in two cohorts of consecutive patients receiving RT to the head and neck region, using computed tomography (CT) and CBCT-based dose verification respectively...
November 10, 2017: Acta Oncologica
https://www.readbyqxmd.com/read/29124909/ameloblastic-carcinoma-with-metastasis-to-the-parotid-gland
#8
Caitlin Alexander, Zahra Maleki
No abstract text is available yet for this article.
November 10, 2017: Diagnostic Cytopathology
https://www.readbyqxmd.com/read/29120527/castle-tumor-of-the-parotid-first-documented-case-literature-review-and-genetic-analysis-of-the-cancer
#9
Eugene Hung Chih Wong, Nora Tetter, Alexandar Tzankov, Laurent Muller
BACKGROUND: Carcinoma showing thymus-like elements (CASTLE) is a rare tumor that normally affects the thyroid gland and was thought to arise from either the remnants of the branchial pouch or the ectopic cervical thymic tissue. These tumors show strong immunopositivity for CD5, P63, and CD117. Most CASTLE of the thyroid gland is treated with surgery with or without adjuvant radiotherapy or chemotherapy. METHOD: A 55-year-old woman presented with a slow-growing right parotid mass...
November 9, 2017: Head & Neck
https://www.readbyqxmd.com/read/29118479/intraparotid-schwannoma-masquerading-as-primary-spindle-cell-tumour-of-parotid-a-diagnostic-pitfall
#10
Jenna B Bhattacharya, Meeta Singh, Shyam L Jain
A middle-aged female presented with a painless, slowly growing mass in the left parotid region; fine needle aspiration cytology from the mass showed uniform spindle cells in a fibrillary background with some cells showing palisading. A cytodiagnosis of schwannoma was given, which was further confirmed on biopsy.
October 2017: Journal of Cytology
https://www.readbyqxmd.com/read/29117464/salivary-scintigraphy-for-sj%C3%A3-gren-s-syndrome-in-patients-with-xerostomia-a-retrospective-study
#11
Marion Nadal, Maeva Levy, Aquib Bakhsh, Aline Joly, Annabel Maruani, Loïc Vaillant, Benoît Erra, Mahtab Samimi
OBJECTIVES: The value of salivary gland scintigraphy in the diagnosis of Sjögren's syndrome remains controversial. The primary aim of this study was to estimate the diagnostic accuracy of salivary gland scintigraphy in the diagnosis of Sjögren's syndrome among 237 patients with xerostomia. METHODS: We retrospectively compared eight scintigraphy parameters between 106 Sjögren patients and 131 non-Sjögren patients. RESULTS: Seven of the eight parameters were significantly decreased in Sjögren patients; however their diagnostic accuracy was low, with AUCs ranging from 0...
November 8, 2017: Oral Diseases
https://www.readbyqxmd.com/read/29116049/pleomorphic-adenoma-the-results-of-a-retrospective-analysis-of-104-patients-treated-at-the-clinical-department-of-cranio-maxillofacial-surgery-clinic-of-otolaryngology-and-laryngologic-oncology-of-the-military-institute-of-medicine
#12
Michał Korba, Aldona Chloupek, Jarosław Dąbrowski, Tomasz Piętka, Wojciech Domański, Barbara Biernacka, Wojciech Leśniak
Pleomorphic adenoma, also known as tumor mixtus, is one of the most common types of benign neoplasm of the salivary gland, which presents as a slow growing, painless tumor. Major salivary glands are the typical localization of this neoplasm. It rarely undergoes malignant transformation, however may recur locally post resection. In this study, we present the results of a retrospective analysis of 104 patients treated at the Clinical Department of Cranio-Maxillofacial Surgery, Clinic of Otolaryngology and Laryngologic Oncology of the Military Institute of Medicine between 2004 and 2015 due to pleomorphic adenoma...
August 31, 2017: Otolaryngologia Polska
https://www.readbyqxmd.com/read/29114602/impact-on-quality-of-life-of-imrt-versus-3-d-conformal-radiation-therapy-in-head-and-neck-cancer-patients-a-case-control-study
#13
Edvard Abel, Ewa Silander, Jan Nyman, Mogens Bove, Leif Johansson, Thomas Björk-Eriksson, Eva Hammerlid
Objective: The purpose of this study was to prospectively and longitudinally compare the health-related quality of life (HRQOL) outcomes between head and neck (HN) cancer patients treated with parotid-sparing intensity modulated radiation therapy (IMRT) and patients treated with 3-dimensional conventional radiation therapy (3D-CRT). Methods and materials: Before and up to 12 months after treatment, HRQOL was recorded in patients with HN cancer who were referred to the Department of Oncology at Sahlgrenska University Hospital for curative IMRT...
July 2017: Advances in Radiation Oncology
https://www.readbyqxmd.com/read/29114601/elective-nodal-dose-of-60%C3%A2-gy-or-50%C3%A2-gy-in-head-and-neck-cancers-a-matched-pair-analysis-of-outcomes-and-toxicity
#14
Vedang Murthy, Lavanya Gurram, Sadhana Kannan, Minakshi Gandhi, Tejpal Gupta, Sarbani Ghosh Laskar, Ashwini Budrukkar, Jai Prakash Agarwal
Purpose: The main objective of this study was to evaluate appropriate doses for elective nodal irradiation (ENI) in head and neck squamous cell carcinoma (HNSCC) patients to optimize the therapeutic ratio. Methods and materials: A matched pair analysis of 2 similar cohorts of HNSCC treated with intensity modulated radiation therapy with different dose prescriptions to the elective nodal regions was conducted. One group received 60 Gy, whereas the other received 50 Gy (ENI60 and ENI50 groups, respectively)...
July 2017: Advances in Radiation Oncology
https://www.readbyqxmd.com/read/29112638/the-role-of-real-time-sonoelastography-in-the-differentiation-of-benign-from-malignant-parotid-gland-tumors
#15
Sumeyra Cortcu, Muzaffer Elmali, Asli Tanrivermis Sayit, Yuksel Terzi
OBJECTIVE: The aims of this study are to evaluate the utility of sonoelastography for parotid gland masses and to determine which cutoff strain ratio (SR) would be best for the differentiation between benign and malignant lesions. METHODS: From August 2015 to December 2016, 39 parotid gland masses were examined prospectively by ultrasonography and strain sonoelastography. Elastographic scores were determined by a 4-point scoring method. Interventional procedures were performed on all patients after sonographic examinations...
November 6, 2017: Ultrasound Quarterly
https://www.readbyqxmd.com/read/29112328/low-power-laser-irradiation-decreases-lipid-droplet-accumulation-in-the-parotid-glands-of-diabetic-rats
#16
Juliana Rodrigues de Castro, Eugen Mendes Nesadal de Souza, Yun-Jong Park, Luana de Campos, Seunghee Cha, Victor Elias Arana-Chavez, José Nicolau, Alyne Simões
Lipid droplet accumulation has been related to salivary gland hypofunction in diabetes. In this study, the effect of laser irradiation on the parotid salivary glands (PG) of diabetic rats was analyzed with regard to its effect on lipid droplet accumulation, intracellular calcium concentration and calmodulin expression. The animals were distributed into 6 groups: D0, D5, D20 and C0, C5, C20, for diabetic (D) and control animals (C), respectively. Twenty-nine days following diabetes induction, PG of groups D5 and C5; D20 and C20 were irradiated with 5 and 20 J/cm(2) of a red diode laser at 100 mW, respectively...
November 7, 2017: Journal of Biophotonics
https://www.readbyqxmd.com/read/29111474/the-middle-temporal-artery-surgical-anatomy-and-exposure-for-cerebral-revascularization
#17
Roberto Rodriguez Rubio, Michael T Lawton, Olivia Kola, Halima Tabani, Sonia Yousef, Ali Tayebi Meybodi, Jan-Karl Burkhardt, Ivan El-Sayed, Arnau Benet
BACKGROUND: The middle temporal artery (MTA) is the proximal medial branch of the superficial temporal artery (STA), supplying the temporalis muscle along with deep temporal arteries. Its use in vascularized flaps for reconstructive and otologic procedures has been described, yet its potential use in neurosurgery is not studied. We report a novel technique for exposing the MTA and evaluated its characteristics for extracranial-intracranial (EC-IC) cerebrovascular bypass. METHODS: After a curvilinear frontotemporal incision in 10 cadaveric specimens, the STA was dissected from distal to proximal...
October 27, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29109843/posttraumatic-parotid-sialocele-complicating-a-mandibular-fracture-a-case-report
#18
Jesse Falk, Ryan Borgwardt, Stephen MacLeod
Blunt trauma to the parotid resulting in the formation of a sialocele is rare, with only three cases identified in the literature. We present a unique case involving a 32-year-old man with blunt trauma resulting in a left mandibular angle fracture. The patient underwent open reduction and internal fixation of the left mandibular angle fracture via transoral approach. At follow-up, after resolution of the edema from the injury, a sialocele was noted in the region of the left anterior parotid gland. The patient was treated conservatively with antisialagogues, pressure dressings, and multiple percutaneous aspirations that ultimately resulted in resolution of the sialocele...
December 2017: Craniomaxillofacial Trauma & Reconstruction
https://www.readbyqxmd.com/read/29106877/role-of-imaging-in-the-diagnosis-of-parotid-infantile-hemangiomas
#19
Fabiola C Weber, Arin K Greene, Denise M Adams, Marilyn G Liang, Mohammed H Alomari, Stephan D Voss, Gulraiz Chaudry
OBJECTIVES: To review the clinical presentation, imaging and follow-up of parotid infantile hemangiomas (IH). METHODS: Over a 15-year period, all patients with a clinical diagnosis of parotid IH were evaluated. Imaging was available in 35. The medical records, photographs, and radiology studies of these patients were reviewed. RESULTS: All patients presented at less than 4 months of age (M:F, 13:21). 19 (55)% of tumors were on the left and were bilateral in 2 patients...
November 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29105949/a-model-for-predicting-the-dose-to-the-parotid-glands-based-on-their-relative-overlapping-with-planning-target-volumes-during-helical-radiotherapy
#20
Cheryl H Millunchick, Heming Zhen, Gage Redler, Yixiang Liao, Julius V Turian
The sparing of the parotid glands in the treatment of head and neck cancers is of clinical relevance as high doses to the salivary glands may result in xerostomia. Xerostomia is a major cause of decreased quality of life for head and neck patients. This paper explores the relationship between the overlap of the target volumes and their expansions with the parotid glands for helical delivery plans and their ability to be spared. Various overlapping volumes were examined, and an overlap with a high statistical relevance was found...
November 6, 2017: Journal of Applied Clinical Medical Physics
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