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Head and Neck

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6 papers 25 to 100 followers
https://www.readbyqxmd.com/read/28830509/peri-operative-factors-predisposing-to-pharyngocutaneous-fistula-after-total-laryngectomy-analysis-of-a-large-multi-institutional-patient-cohort
#1
Nicole L Lebo, Lisa Caulley, Hussain Alsaffar, Martin J Corsten, Stephanie Johnson-Obaseki
BACKGROUND: Pharyngocutaneous fistula (PCF) is a problematic complication following total laryngectomy. Disagreement remains regarding predisposing factors. This study examines perioperative factors predicting PCF following total laryngectomy using a large multicenter data registry. METHODS: Retrospective cohort analysis was performed using patients undergoing total laryngectomy in the ACS-NSQIP database for 2006-2014. Sub-analysis was performed based on reconstruction type...
August 23, 2017: Journal of Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/28927445/paradigm-shift-in-head-and-neck-oncology-patient-management
#2
LETTER
Chiquit van Linden van den Heuvell, Florence van Zuuren, Mary Wells, Geert van der Laan, Harry Reintsema
OBJECTIVE: This article describes a paradigm shift in what is considered to be good care for patients living with and after (head and neck) cancer. HNO patients often experience severe and difficult physical and psychosocial problems due to the nature and location of the disease. Many disciplines are involved in their treatment, so their voice is only one amongst many others in the decision making process. For this patient group it seems complicated to put the concept of Shared Decision Making into practice...
September 19, 2017: Journal of Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/28527523/advances-in-radiation-oncology-what-to-consider
#3
REVIEW
John V Hegde, Allen M Chen, Robert K Chin
Treatment of squamous cell carcinoma of the head and neck is rapidly evolving due to changing patient populations, an emphasis on quality of life-related outcomes, and advances in radiotherapy concepts and techniques to meet these new demands. This review includes recent and ongoing studies that are potentially practice changing, including improvements in intensity-modulated radiotherapy planning, the use of deintensified regimens in the human papilloma virus-related setting, and adjuvant therapy after transoral robotic surgery...
August 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28602354/head-and-neck-cancer-pain
#4
REVIEW
Jakun W Ing
Pain is a significant morbidity resulting from head and neck cancer. Pain may also be the result of the treatments directed against head and neck cancer. An experienced practitioner may manage this pain by understanding the multifactorial mechanisms of pain and the various pharmacotherapies available. Pain should be managed with multiple medications in a multimodal approach, and nonpharmacologic therapies should be considered as well.
August 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/23255768/evaluation-of-cervical-lymph-nodes-in-head-and-neck-cancer-with-ct-and-mri-tips-traps-and-a-systematic-approach
#5
REVIEW
Jenny K Hoang, Jyotsna Vanka, Benjamin J Ludwig, Christine M Glastonbury
OBJECTIVE: In this article, we present a 4-step approach to evaluating lymph nodes in the setting of head and neck squamous cell and thyroid carcinoma and highlight important tips and traps. CONCLUSION: The presence and extent of nodal metastases in head and neck cancer has a great impact on treatment and prognosis. Pretreatment CT and MRI of the neck are commonly performed to evaluate for nodal metastases.
January 2013: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/21126710/anatomical-variations-of-recurrent-laryngeal-nerve-during-thyroid-surgery-how-to-identify-and-handle-the-variations-with-intraoperative-neuromonitoring
#6
REVIEW
Feng-Yu Chiang, I-Cheng Lu, Hui-Chun Chen, Hsiu-Ya Chen, Cheng-Jing Tsai, Pi-Jung Hsiao, Ka-Wo Lee, Che-Wei Wu
Recurrent laryngeal nerve (RLN) palsy is the most common and serious complication after thyroid surgery. Visual identification of the RLN during thyroid surgery has been shown to be associated with lower rates of palsy, and although it has been recommended as the gold standard for RLN treatment, it does not guarantee success against postoperative vocal cord paralysis. Anatomical variations of the RLN, such as extra-laryngeal branches, distorted RLN, intertwining between branches of the RLN and inferior thyroid artery, and non-recurrent laryngeal nerve, can be a potential cause of nerve injury due to visual misidentification...
November 2010: Kaohsiung Journal of Medical Sciences
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