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https://www.readbyqxmd.com/read/27911264/percutaneous-radiologically-guided-gastrostomy-tube-placement-comparison-of-antegrade-transoral-and-retrograde-transabdominal-approaches
#1
Zachary M Haber, Hearns W Charles, Jonathan S Gross, Daniel Pflager, Amy R Deipolyi
PURPOSE: We aimed to compare the antegrade transoral and the retrograde transabdominal approaches for fluoroscopy-guided percutaneous gastrostomy tube (G-tube) placement. METHODS: Following institutional review board approval, all G-tubes at two academic hospitals (January 2014 to May 2015) were reviewed retrospectively. Retrograde approach was used at Hospital 1 and both antegrade and retrograde approaches were used at Hospital 2. Chart review determined type of anesthesia used during placement, dose of radiation used, fluoroscopy time, procedure time, medical history, and complications...
December 2, 2016: Diagnostic and Interventional Radiology: Official Journal of the Turkish Society of Radiology
https://www.readbyqxmd.com/read/27906853/surgical-management-of-dysphagia-due-to-anterior-cervical-osteophytes
#2
Ömer Erdur, Hamdi Taşli, Bahtiyar Polat, Fuad Sofiyev, Fuat Tosun, Bahar Çolpan, Hakan Birkent, Kayhan Öztürk
PURPOSE: The present study was performed to share personal experiences and to discuss the advantages and disadvantages of anterior cervical osteophytes surgical procedures. METHODS: The operative records of anterior cervical osteophytes patients who did not benefit from conventional treatments and underwent osteophytectomy were analyzed retrospectively. Transoral and transcervical anterolateral methods were applied, considering both the localization of the osteophyte and the patient's preference...
November 30, 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27900774/paclitaxel-inhibits-post-traumatic-recurrent-laryngeal-nerve-regeneration-into-the-posterior-cricoarytenoid-muscle-in-a-canine-model
#3
Andrea M Park, Neel K Bhatt, Randal C Paniello
OBJECTIVES/HYPOTHESIS: To investigate the efficacy of paclitaxel, a potent microtubule inhibitor with a more favorable therapeutic index as compared with vincristine, in preventing post-traumatic nerve regeneration of the recurrent laryngeal nerve into the posterior cricoarytenoid muscle in a canine laryngeal model. STUDY DESIGN: Experimental animal study. METHODS: Forty-nine canine hemilaryngeal specimens were divided into five experimental groups...
November 30, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27894364/the-changing-landscape-of-oropharyngeal-cancer-management
#4
D Hamilton, M K Khan, J O'hara, V Paleri
BACKGROUND: Oropharyngeal cancer is increasing in prevalence in the UK and this is thought to be due to the emergence of disease related to human papilloma virus. METHOD: A literature review was conducted on the diagnosis and latest management of oropharyngeal cancer. RESULTS: In non-smokers, human papilloma virus related disease is thought to have better outcomes, but this casts doubt on previous research which did not stratify patients according to human papilloma virus status...
November 29, 2016: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/27893551/mid-face-degloving-an-alternate-approach-to-extended-osteotomies-of-the-midface
#5
Anantanarayanan Parameswaran, Naveen Kumar Jayakumar, Manikandhan Ramanathan, Hermann F Sailer
Extended osteotomies for mid-face advancement require generous exposure of the anterior maxilla, nasal bones, infraorbital rims, orbital floor, zygoma, and the anterior third of the zygomatic arches. This cannot be obtained with an exclusive transoral approach. Hence, the surgeon is usually compelled to utilize supplemental cutaneous incisions that are a compromise on the purpose behind a cosmetic surgery. In order to alleviate the need for such compromise, the authors advocate the mid face degloving approach for extended osteotomies at Lefort II and Lefort III levels...
November 23, 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27882552/trends-and-the-utilization-of-transoral-robotic-surgery-with-neck-dissection-in-new-york-state
#6
Catherine H Frenkel, Jie Yang, Mengru Zhang, Elliot Regenbogen, Dana A Telem, Ghassan J Samara
OBJECTIVES: The timing of neck dissection (ND) in relation to transoral robotic surgery (TORS) is controversial. This study identifies local practice patterns and economic and social access disparities during adoption of TORS. STUDY DESIGN: We analyzed utilization patterns of TORS and ND using the New York Statewide Planning and Research Cooperative System all-payer administrative database. Statewide head and neck cancer incidence from the Centers for Disease Control and Prevention (Bethesda, MD) was used to control for overall cancer incidence...
November 24, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27881289/a-comparative-study-of-the-endoscopy-assisted-transoral-approach-versus-external-approaches-for-the-resection-of-large-benign-parapharyngeal-space-tumors
#7
Song Fan, Shi-Geng Lin, Han-Qing Zhang, Qun-Xing Li, Wei-Xiong Chen, You-Yuan Wang, Da-Ming Zhang, Zhao-Yu Lin, Jiang-Long Zhong, Wei-Liang Chen, Jin-Song Li
OBJECTIVE: The advantages and limitations of the endoscopy-assisted transoral approach (EATA) and external approaches (EAs) in resection of parapharyngeal space tumors (PSTs) remain unclear. In our study, we compared the use of the EATA and the EAs for the resection of large, benign PSTs. STUDY DESIGN: Forty-four patients with PSTs were divided into the EATA and EA groups. The perioperative and postoperative outcomes of the patients were evaluated. RESULTS: All of the tumors were completely removed...
September 28, 2016: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
https://www.readbyqxmd.com/read/27879510/clinical-and-radiographic-outcomes-of-c1-laminectomy-without-fusion-in-patients-with-cervical-myelopathy-that-is-associated-with-a-retro-odontoid-pseudotumor
#8
Mitsuru Takemoto, Masashi Neo, Shunsuke Fujibayashi, Takeshi Sakamoto, Masato Ota, Bungo Otsuki, Hiroki Kaneko, Takeshi Umebayashi
PURPOSE: A retro-odontoid pseudotumor that is not associated with rheumatoid arthritis or hemodialysis is clinically rare. The majority of surgeons select transoral resection as the surgical treatment, often followed by posterior fusion or posterior decompression and fusion. In contrast, some authors have reported success with simple decompression without posterior stabilization in cases where atlanto-axial instability (AAI) is either absent or minor. In this study, we have evaluated the clinical and radiographic outcomes of C1 laminectomy without fusion as the surgical treatment for patients with cervical myelopathy that is associated with a retro-odontoid pseudotumor...
December 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27879509/surgical-site-infections-following-the-transoral-approach-a-review-of-172-consecutive-cases
#9
QingShui Yin, Hong Xia, ZengHui Wu, XiangYang Ma, FuZhi Ai, Kai Zhang, JianHua Wang, Tao Zhang, ZhaoHui Bai, ZhiYun Wang
STUDY DESIGN: A retrospective review. OBJECTIVE: The aim of this study was to discuss the characteristics, treatment, and incidence of surgical site infection (SSI) following transoral approach surgery. SUMMARY OF BACKGROUND DATA: One of the primary risks associated with transoral approach surgery is postoperative SSI. Few reports exist detailing the specific circumstances, treatment options, and incidence of SSIs following transoral approach surgery in a large series of consecutive cases...
December 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27869624/surgical-outcome-and-prognostic-analysis-of-transoral-atlantoaxial-reduction-plate-system-for-basilar-invagination-a-voxel-based-morphometry-study
#10
Gejin Wei, Chenglong Shi, Zhiyun Wang, Hong Xia, Qingshui Yin, Zenghui Wu
BACKGROUND: The use of a transoral atlantoaxial reduction plate (TARP) system is an effective surgical approach for the treatment of basilar invagination. With the aim of improving the therapeutic efficacy of the TARP operation, we conducted a voxel-based morphometric study to quantitatively investigate the descent of the odontoid process and craniocervical volume changes. METHODS: We enrolled 20 patients with basilar invagination who underwent a TARP procedure...
October 19, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27868281/long-term-benefit-of-transoral-incisionless-fundoplication-using-the-esophyx-device-for-the-management-of-gastroesophageal-reflux-disease-responsive-to-medical-therapy
#11
Gerasimos Stefanidis, Nikos Viazis, Nikolaos Kotsikoros, Nikolaos Tsoukalas, Eythymia Lala, Loukas Theocharis, Andreas Fassaris, Spilios Manolakopoulos
Transoral incisionless fundoplication (TIF) using the EsophyX device has been shown to be effective and safe in patients with Gastroesophageal reflux disease (GERD); however, the subset of patients that would mostly benefit from this technique remains unknown. The aim of this study was to evaluate the long-term efficacy and safety of the TIF procedure in patients with a history of esophagitis or proven chronic GERD who have achieved symptom control with the administration of proton pump inhibitors (PPIs) but did not wish to continue receiving medications for life...
November 21, 2016: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://www.readbyqxmd.com/read/27867546/transoral-endoscopic-mediastinal-surgery-toems-results-of-a-first-clinical-study-for-scarless-mediastinal-lymph-node-biopsies
#12
Wolfram Klemm, Steffen Frese, Gunda Leschber, André Nemat, Thomas Wilhelm
BACKGROUND: Video-assisted mediastinoscopy (VAM) represents the standard procedure for mediastinal lymph node biopsies. This operation results in a scar at prominent position at the anterior neck. Since there is a trend to less invasive procedures, natural orifice transluminal endoscopic surgery (NOTES) was introduced to different fields of surgery. Based on NOTES we developed a new approach for mediastinoscopy: transoral endoscopic mediastinal surgery (TOEMS). In previous studies using human cadavers and living pigs the feasibility of TOEMS was shown...
October 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27863075/transoral-laser-microsurgery-versus-radiotherapy-for-t2-glottic-squamous-cell-carcinoma-a-systematic-review-of-local-control-outcomes
#13
L Warner, K Lee, J J Homer
BACKGROUND: Systematic reviews comparing treatment of early glottic cancer with transoral surgery or radiotherapy demonstrate similar oncological outcomes. Most studies of "early stage" laryngeal cancer include Tis, T1a, T1b and T2 cases. The data is dominated by patients with T1 and Tis tumours, although extrapolating these results and applying them for T2 cases may be inappropriate. No previous systematic reviews have focused on T2 cancers as a separate group. OBJECTIVE OF REVIEW: This review compares local control outcomes for T2 glottic squamous cell carcinoma, treated with transoral microsurgery or external beam radiotherapy...
November 10, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/27862085/rabbit-model-of-tracheal-stenosis-using-cylindrical-diffuser
#14
Hyoung Shin Lee, Sung Won Kim, Chulho Oak, Hyun Wook Kang, Junghwan Oh, Min Jung Jung, Sung Bin Kim, Jun Hee Won, Kang Dae Lee
BACKGROUND AND OBJECTIVE: Variable methods of animal model have been introduced to develop tracheal stenosis. However, none of the prior models allow for predictable determination of the grade of stenosis. This study sought to establish an animal model of tracheal stenosis by using a cylindrical diffuser and to evaluate the feasibility of a reproducible model. STUDY DESIGN/MATERIALS AND METHODS: A cylindrical diffuser was developed to have a 5 mm active segment to emit laser light circumferentially...
November 16, 2016: Lasers in Surgery and Medicine
https://www.readbyqxmd.com/read/27860242/transoral-robotic-surgery-base-of-tongue-mucosectomy-for-head-and-neck-cancer-of-unknown-primary
#15
Suren Krishnan, James Connell, Enyinnaya Ofo
BACKGROUND: Head and neck cancer of unknown primary (HNCUP) is a source of diagnostic uncertainty. Patients presenting with cytologically positive neck lumps without a clinically identifiable primary, require extensive investigation including imaging, tonsillectomy, panendoscopy and tissue biopsy. Treatment typically involves neck dissection, wide field radiotherapy and chemotherapy. Transoral robotic surgery (TORS) has emerged as an expanding surgical technique for resecting tumours of the oropharynx...
November 17, 2016: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/27856033/salvage-transoral-videolaryngoscopic-surgery-for-radiorecurrent-hypopharyngeal-and-supraglottic-cancer
#16
Masayuki Tomifuji, Koji Araki, Taku Yamashita, Akihiro Shiotani
OBJECTIVE: To evaluate the feasibility of Transoral Videolaryngoscopic Surgery (TOVS) for radiorecurrent supraglottic and hypopharyngeal cancer, and to compare survival and complications between primary and radiorecurrent cases. METHODS: Twelve cases of salvage TOVS for radiorecurrent cancer and 53 cases of TOVS as an initial treatment (primary cases) were evaluated. Days to resume soft diet, Functional Outcomes of Swallowing Scale (FOSS), postoperative complications, epithelization days and survival outcomes were assessed by retrospective chart review...
November 14, 2016: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/27847801/transoral-endoscopic-thyroidectomy-via-the-trivestibular-route
#17
Jun-Ook Park, Mi-Ra Kim, Do Hun Kim, Dong Kun Lee
We recently experienced a case of transoral endoscopic thyroidectomy via the trivestibular approach. We identified and preserved all neighboring critical structures during surgery. The patient was discharged on postoperative day 3. There were no complications in thyroid function, vocal cord function, or lower lip sense. Transoral endoscopic thyroidectomy via a trivestibular approach provides a short and direct route to the thyroid and an adequate workspace without a skin incision. Therefore, it is worthwhile to develop and refine the surgical techniques of this promising new surgical approach...
November 2016: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/27834022/transoral-endoscopic-thyroidectomy-vestibular-approach-with-intraoperative-nerve-monitoring
#18
William B Inabnet, Hyun Suh, Gustavo Fernandez-Ranvier
BACKGROUND: Transoral endoscopic thyroidectomy by a vestibular approach (TOETVA) is a novel technique for thyroid gland excision. Compared to the transaxillary endoscopic and bilateral axillo-breast approaches, which require substantial dissection to reach the thyroid gland, TOETVA provides the most direct access to the target organ. METHODS: The aim of this video is to provide a step-by-step overview of TOETVA and demonstrate how to set up and utilize intraoperative nerve monitoring...
November 10, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27833716/transoral-segmental-resection-and-disarticulation-of-mandible-with-immediate-nonvascularized-reconstruction-a-case-report
#19
Hemant Gupta, Deepak Singh, Sumit Gupta, Hemant Mehra, Jasmeet Singh, Ravish Mishra
Disarticulation resections are required for treatment of variety of pathologies of the jaws. These resections are mostly carried out through extraoral approach, which bear significant postoperative morbidity. The transoral approach may be used for this purpose in benign pathological cases of the mandible to limit the postoperative morbidity of extraoral approach, as it provides sufficient access not only for resection and disarticulation but also for immediate reconstruction. This article shares our experience with transoral approach for resection and disarticulation in a case of kerato cystic odontogenic tumor and simultaneous reconstruction...
November 2016: Craniomaxillofacial Trauma & Reconstruction
https://www.readbyqxmd.com/read/27812692/radiotherapy-characteristics-and-outcomes-for-head-and-neck-carcinoma-of-unknown-primary-vs-t1-base-of-tongue-carcinoma
#20
Ali Hosni, Peter R Dixon, Anupam Rishi, Michael Au, Wei Xu, Yuyao Song, Douglas B Chepeha, David P Goldstein, Shao Hui Huang, John Kim, Brian O'Sullivan, John Waldron, Scott V Bratman, John R de Almeida
Importance: Transoral robotic surgery- or transoral laser microsurgery-assisted lingual tonsillectomy may improve the identification rate of hidden base-of-tongue (BOT) carcinoma presenting as head or neck carcinoma of unknown primary (CUP) site. Objective: To evaluate the potential impact of lingual tonsillectomy in CUP site by comparing differences in radiotherapy volumes, dosimetry, and clinical outcomes for CUP site and T1-category BOT carcinoma. Design, Setting, and Participants: Retrospective study of 115 patients treated at a tertiary cancer center between January 1, 2005, and December 31, 2013, that included patients with BOT carcinoma (category T1N1-3M0) and CUP site (category T0N1-3M0) with known p16 status...
November 3, 2016: JAMA Otolaryngology—Head & Neck Surgery
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