1,970 results match your criteria Head and Neck Cancer - Resection and Neck Dissection


Trans-Oral Robotic Surgery For Mandibulotomy Sparing In Posteriorly Positioned Oral Tongue Cancers.

Clin Otolaryngol 2020 May 23. Epub 2020 May 23.

Department of Pathology, All India Institute of Medical Sciences, New Delhi.

For the suitably selected middle 1/3 tongue cancer treated by the TORS, philosophy is to undertake simultaneous neck dissection, TORS primary resection, and reconstruction with the Sternomastoid flap Bilateral tongue base involvement requiring ligation of both lingual arteries, extension to vallecula, significant lateral pharyngeal wall involvement, mandibular invasion or close proximity to the mandible necessitating a marginal mandibulectomy were not considered appropriately resectable by a per-oral TORS approach 2 of 20 excisions in this experience led to close resections at the deep margin and subsequent recurrences, and extra care with deeply infiltrating tumors seems currently warranted The low morbidity and good swallowing outcomes observed are ascribed to preservation of co-ordinated swallowing when resections are undertaken per-orally In properly selected patients, this technique can circumvent the need for mandibulotomy or a lingual release pull-through, and also the need for free tissue transfer repair. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/coa.13587DOI Listing

Managing care for patients with sinonasal and anterior skull base cancers during the COVID-19 pandemic.

Head Neck 2020 May 16. Epub 2020 May 16.

Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy.

The SARS-CoV-2 pandemic has rapidly transformed health care delivery around the globe. Because of the heavy impact of COVID-19 spread, cancer treatments have necessarily been de-prioritized, thus exposing patients to increased risk of morbidity and mortality due to delayed care. In this scenario, cancer specialists need to assess critical oncology patients case by case to carefully balance risk vs benefit in treating tumors and preventing SARS-CoV-2 infection. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/hed.26257DOI Listing

Surgical resection of oral cancer: en-bloc versus discontinuous approach.

Eur Arch Otorhinolaryngol 2020 May 4. Epub 2020 May 4.

Head and Neck Department, ENT Clinic, Hospital of Cattinara, University of Trieste, Strada di Fiume 447, 34149, Trieste, Italy.

Objectives: In the past literature agreed on treating oral carcinomas, using an "en-bloc" resection (EBR) but recently minimally invasive transoral surgery has spread as the preferable treatment for selected cases. This latter technique, which is performed with a discontinuous resection (DR), allows for a satisfactory postoperative quality of life (QoL) maintaining good survival rates.

Materials And Methods: In this study, we analyzed data about 147 surgically treated patients with oral cancer involving tongue and floor of the mouth. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00405-020-06016-5DOI Listing

Are Tracheotomies Required for Patients Undergoing Composite Mandibular Resections for Oral Cancer?

J Oral Maxillofac Surg 2020 Apr 6. Epub 2020 Apr 6.

Resident, Department of Oral and Maxillofacial Surgery.

Purpose: Prophylactic tracheotomy has traditionally been performed during composite mandibular resection of oral cavity cancer to avoid postoperative airway compromise. The purpose of the present study was to measure the frequency and identify the factors associated with an increased or a decreased risk of an adverse airway event (AAE) within 30 days postoperatively.

Patients And Methods: A retrospective cohort study of patients who had undergone composite mandibular resection for oral cancer from 2006 to 2018 was conducted at the University of Tennessee Medical Center. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.joms.2020.03.027DOI Listing

Stair-step tracheal repair: Surgical technique.

Head Neck 2020 Apr 29. Epub 2020 Apr 29.

THANC (Thyroid, Head and Neck Cancer) Foundation, New York, New York, USA.

Typical surgical treatment for invasive thyroid carcinoma at the level of the cricoid substantially reduces surrounding cartilaginous support and risks damage to the recurrent laryngeal nerve (RLN). We present a novel tracheal reconstructive technique that minimizes this injury risk. A 72-year-old man with recurrent invasive thyroid carcinoma underwent cricotracheal resection and reconstruction using a stair-step approach. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/hed.26173DOI Listing

Sonographicdetectionof a metastatic lingual lymph node in a patient with tongue cancer.

J Clin Ultrasound 2020 Apr 3. Epub 2020 Apr 3.

Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

A 41-year-old male was diagnosed with tongue cancer. Preoperative imaging revealed no metastatic lymph nodes. Intraoperative sonography detected a minute hypoechoic lesion in the sublingual space. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/jcu.22832DOI Listing

Long-term outcomes of trans-oral robotic surgery-assisted total laryngectomy for recurrent laryngeal cancers.

Jpn J Clin Oncol 2020 Apr 1. Epub 2020 Apr 1.

School of Speech Language Pathology and Audiology, Chung Shan Medical University, Taichung.

Objective: For recurrent laryngeal cancers, trans-oral robotic surgery has been used to perform total laryngectomy, but limited cases had been reported without long-term outcome follow-up. This study aims at presenting the largest longitudinal retrospective cohort in a single tertiary referral medical center.

Methods: From November 2013 to August 2017, seven patients with recurrent laryngeal cancers without evidence of neck metastasis were selected to receive trans-oral robotic surgery-assisted TL without neck dissection. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/jjco/hyaa034DOI Listing

Occult Papillary Thyroid Carcinoma without Detection of the Primary Tumor on Preoperative Ultrasonography or Postoperative Pathological Examination: A Case Report.

Case Rep Oncol 2020 Jan-Apr;13(1):105-112. Epub 2020 Feb 11.

Department of Otorhinolaryngology, Head and Neck Surgery, Tokyo Medical University, Tokyo, Japan.

Herein, we report a case of an occult thyroid cancer that was not detected as a primary tumor on preoperative ultrasonography or postoperative pathological examination, although a diagnosis of papillary thyroid carcinoma metastasis was made owing to the presence of a mass in the right upper neck. Needle biopsy of the mass in the right upper neck revealed positive results for thyroglobulin and TTF-1 on immunostaining, and a papillary thyroid carcinoma was observed with papillary and follicular patterns. We suspected papillary thyroid carcinoma (T0N1bM0) or ectopic papillary thyroid carcinoma. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000505831DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7098349PMC
February 2020

Establishing the robotic surgery procedure and techniques for head and neck tumors: a single surgeon's experience of 945 cases.

J Robot Surg 2020 Mar 23. Epub 2020 Mar 23.

Department of Otorhinolaryngology, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea.

We suggested operative techniques and indications of robotic neck surgery. To determine operative techniques and the indications for robotic neck surgery, we analyzed treatment outcomes of patients who received robotic neck surgery. Between May 2010 and July 2018, a total of 945 patients with various neck diseases visited Severance Hospital and underwent robotic neck surgery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11701-020-01068-5DOI Listing

Imaging angiogenesis in patients with head and neck squamous cell carcinomas by [Ga]Ga-DOTA-E-[c(RGDfK)] PET/CT.

Eur J Nucl Med Mol Imaging 2020 Mar 20. Epub 2020 Mar 20.

Department of Radiology and Nuclear Medicine, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands.

Purpose: Angiogenesis plays an important role in the growth and metastatic spread of solid tumours and is characterised by the expression of integrins on the cell surface of endothelial cells. Radiolabelled RGD peptides specifically target angiogenesis-related αβ integrins, expressed on the activated endothelial cells of sprouting blood vessels. Here, we validated the feasibility of Ga[Ga]-DOTA-E-[c(RGDfK)] (Ga-RGD) PET/CT to visualise angiogenesis in patients with oral squamous cell carcinoma (OSCC). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00259-020-04766-2DOI Listing

Temporal bone resection for lateral skull-base malignancies.

J Neurooncol 2020 Feb 27. Epub 2020 Feb 27.

Department of Head and Neck Surgery, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.

Introduction: Malignancies involving the temporal bone are increasingly common and require specialized multi-disciplinary care. Given this complex location, involvement of the lateral skull base and local neurovascular structures is common. In this review we discuss general principles for temporal bone resection, as well as alternative and complementary surgical approaches that should be considered in the management of patients with temporal bone cancer. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11060-020-03445-4DOI Listing
February 2020

Review of treatment modalities and outcomes of patients with basal cell adenocarcinoma.

Am J Otolaryngol 2020 Feb 6:102414. Epub 2020 Feb 6.

Department of Otorhinolaryngology- Head and Neck Surgery, Mayo Clinic, Jacksonville, FL, United States of America. Electronic address:

Purpose: This study summarizes the treatment modalities of basal cell adenocarcinoma (BCAC) of the parotid gland and subsequent outcome at a single institution to better define the treatment of this rare tumor.

Material And Methods: A retrospective review of patients treated for BCAC of the parotid gland from 1/01/1996 to 08/1/2018 was performed. Patients were identified using our institution's Cancer Registry. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.amjoto.2020.102414DOI Listing
February 2020

Resection of Second, Third, and Fourth Branchial Cleft Anomalies with Recurrent or Repeated Neck Infection Using the Selective Neck Dissection Technique.

ORL J Otorhinolaryngol Relat Spec 2020;82(2):59-66. Epub 2020 Feb 24.

Department of Otorhinolaryngology Head and Neck Surgery, Mianyang Third People's Hospital, Mianyang, China.

Purpose: To explore the applied value of the selective neck dissection to treat second, third, and fourth branchial cleft anomalies with recurrent or repeated neck infections.

Method: We made a retrospective study about 29 patients with the second, third, and fourth branchial cleft anomalies with recurrent or repeated neck infections who were treated by surgery from 2002 to 2018 in Sichuan Province Cancer Hospital. According to the characteristics of branchial cleft anomaly on embryology and anatomy, different types of selective neck dissection were chosen to remove pathological scar tissue or inflammatory tissue en bloc. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000501893DOI Listing
February 2020

[Cervical lymph node metastasis in adenoid cystic carcinoma of the salivary glands: A clinicopathologic study].

Beijing Da Xue Xue Bao Yi Xue Ban 2020 Feb;52(1):30-34

Department of Oral Pathology, Peking University School and Hospital of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China.

Objective: To investigate the incidence and clinicopathologic features of cervical lymph node metastasis in salivary gland adenoid cystic carcinoma (AdCC).

Methods: Retrospective analysis was made in 798 AdCC patients who underwent tumor resection during January, 2001 to January, 2019 in Peking University School and Hospital of Stomatology, especially the clincopathologic characteristics of 82 cases with lymph node metastasis.

Results: In the study, 82 of the 798 patients were identified with cervical lymph node metastasis, which was confirmed by histopathological examination. Read More

View Article

Download full-text PDF

Source
February 2020

Parapharyngeal Dissection for Papillary Thyroid Cancer.

VideoEndocrinology 2019 18;6(1). Epub 2019 Mar 18.

Department of Head and Neck Surgery, MD Anderson Cancer Center, Houston, Texas.

Although lymph node metastases are common with papillary thyroid cancer, parapharyngeal and retropharyngeal lymph node metastases are relatively rare. Although small metastatic parapharyngeal lymph nodes (e.g. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1089/ve.2018.0141DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6961789PMC

Anatomically-based transoral surgical approach to early-stage oral tongue squamous cell carcinoma.

Head Neck 2020 May 30;42(5):1105-1109. Epub 2020 Jan 30.

Department of Otorhinolaryngology and Head and Neck Surgery, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milano, Italy.

The mainstream of treatment of early-stage oral tongue squamous cell carcinoma (OTSCC) is represented by transoral resection with "adequate" free margins. Despite that, a precise and shared definition of "adequate margin" is lacking, and so is a standardized transoral surgical technique.The tongue is a symmetrically paired organ, consisting of intertwining intrinsic and extrinsic muscles, which can be distinguished during dissection. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/hed.26095DOI Listing

Classifying Neck Lymph Nodes of Head and Neck Squamous Cell Carcinoma in MRI Images with Radiomic Features.

J Digit Imaging 2020 Jan 16. Epub 2020 Jan 16.

Department of Radiation Oncology, Chang Gung Memorial Hospital and Chang Gung University, No. 5, Fu-Hsing ST., Kwei-Shan, Linkou, Taoyuan, Taiwan.

The aim of this study is to develop a computer-aided diagnosis method to help classify medical images of neck lymph nodes in head and neck cancer patients. According to the current practice guidelines, the classification of lymph node status is critical for patient stratification before treatment. Take extra-nodal extension (ENE) of metastatic neck lymph nodes, the status of ENE has been considered a single factor affecting the decision of whether systemic treatment with toxicity should be given to patients with otherwise non-advanced cancer status. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10278-019-00309-wDOI Listing
January 2020

Modified facelift approach for posterior segmental mandibulectomy: a blend of oncology and cosmesis.

Eur Arch Otorhinolaryngol 2020 Apr 16;277(4):1205-1210. Epub 2020 Jan 16.

Department of Head and Neck Oncology, HCG Cancer Centre, No 8, HCG Towers, P. Kalinga Rao Road, Sampangi Ram Nagar, Bangalore, Karnataka, 560020, India.

Background: The approach to the mandible for segmental resection in malignant pathologies entails a lip-split, angle-split or visor flap incision with extension of the incision into the neck for performing neck dissection. The modified facelift approach with robot-assisted neck dissection can be used to achieve oncologically safe resections with good cosmesis.

Methods: Three patients meeting the inclusion criteria underwent the procedure at the Robotic facility of HCG Cancer Centre, Bangalore. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00405-020-05793-3DOI Listing

A Completely Unique Branching Pattern of the Facial Artery.

Plast Reconstr Surg Glob Open 2019 Jul 25;7(7):e2305. Epub 2019 Jul 25.

Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School, Tokyo, Japan.

This case report describes a recent case where a patient with hypopharyngeal cancer underwent resection and reconstruction with a free jejunum flap and the surgeons found a rare variation in the branching pattern of the common carotid artery. Specifically, the left facial artery arose directly from the common carotid artery, whereas the left superior thyroid artery arose from the facial artery. This branching pattern has not been reported previously. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/GOX.0000000000002305DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6952139PMC

Oncological safety of submental island flap for reconstruction of pathologically node-negative and node-positive T1-2 oral squamous cell carcinoma-related defects: A retrospective study and comparison of outcomes.

Oral Oncol 2019 Dec 30;102:104507. Epub 2019 Dec 30.

Department of Oral and Maxillofacial-Head and Neck Oncology, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, National Clinical Center for Oral Disease, Shanghai 200011, PR China. Electronic address:

Objectives: To evaluate the oncological safety and reliability of the submental island flap (SIF) technique in patients with pathologically node-negative (pN0) and node-positive (pN+) T1-2 oral squamous cell carcinoma (OSCC) undergoing surgical tumor resection and concurrent SIF reconstruction.

Patients And Methods: Retrospectively, we reviewed patients with pN0 and pN+ T1-2 OSCC who underwent tumor resection and defect reconstruction with SIF from April 2008 to September 2016, focusing on flap viability, patterns and predictors of locoregional failure, salvage treatments, and oncologic prognosis.

Results: Of 160 patients with primary T1-2 OSCC, 33 were pN+ and 127 were pN0. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.oraloncology.2019.104507DOI Listing
December 2019
3.607 Impact Factor

Squamous cell carcinoma of the temporal bone: A current review.

Laryngoscope Investig Otolaryngol 2019 Dec 13;4(6):684-692. Epub 2019 Nov 13.

Department of Head and Neck Surgery The University of Texas MD Anderson Cancer Center Houston Texas.

Objectives: The rarity of temporal bone squamous cell carcinoma (TBSCC) precludes a clear understanding of the disease and approach to its management. This review provides general background on the disease and discusses the current and emerging oncologic and rehabilitative management options.

Data Sources: PubMed literature review. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/lio2.330DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6929568PMC
December 2019

Endoscopic Nasopharyngectomy Combined with a Nerve-sparing Transpterygoid Approach.

Laryngoscope 2019 Dec 16. Epub 2019 Dec 16.

the Department of Otolaryngology-Head and Neck Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, U.S.A.

Objectives/hypothesis: Surgical management of nasopharyngeal tumors has evolved in the endoscopic era. Lateral exposure remains difficult especially near the petrous internal carotid artery and bony Eustachian tube (ET). Our study examines the need to sacrifice the vidian and greater palatine nerves in order to successfully perform en bloc endoscopic nasopharyngectomy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/lary.28479DOI Listing
December 2019

Benefit of postoperative radiotherapy for early tumors with single ipsilateral lymph node metastasis.

Laryngoscope 2019 Dec 14. Epub 2019 Dec 14.

Department of Otorhinolaryngology, University Hospital, Ludwig Maximilian University Munich, Munich, Germany.

Objectives/hypothesis: Indication for postoperative radiotherapy in patients with locally circumscribed tumors (pT1-pT2) and a single ipsilateral lymph node metastasis (pN1) is debatable. The aim of this study was to evaluate the oncological long-term outcome of patients with pT1-pT2 pN1 squamous cell carcinoma (SCC) of the oral cavity, the oropharynx, and the hypopharynx without extracapsular spread (ECS) after a margin-negative surgical resection, who either received or did not receive postoperative (chemo)radiotherapy.

Study Design: Retrospective case series. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/lary.28394DOI Listing
December 2019

Low risk of contralateral lymph node recurrence in lateralized head and neck carcinoma after postoperative ipsilateral radiotherapy.

Strahlenther Onkol 2020 May 12;196(5):474-484. Epub 2019 Dec 12.

Department of Radiation Oncology, University Hospital of Cologne, Kerpener Str. 62, 50937, Cologne/Koeln, Germany.

Purpose: The role of postoperative irradiation to contralateral non-involved neck nodes in lateralized carcinoma of the head and neck is not clear. The contralateral neck failure rate in head and neck carcinoma treated postoperatively with ipsilateral neck irradiation only was evaluated.

Methods: Patients with carcinoma of the oral cavity, oropharynx, or hypopharynx without midline extension treated between 1990 and 2016 were analyzed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00066-019-01556-0DOI Listing

Prognostic impact of pathological complete remission after preoperative irradiation in patients with locally advanced head and neck squamous cell carcinoma: re-analysis of a phase 3 clinical study.

Radiat Oncol 2019 Dec 12;14(1):225. Epub 2019 Dec 12.

Department of Head and Neck Surgery, National Cancer Center/Cancer HospitalChinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Purpose: The purpose of this study was to determine the associations between pathological complete remission (pCR) and clinical outcomes in patients with locally advanced head and neck squamous cell carcinoma (HNSCC) who received preoperative radiotherapy or chemoradiotherapy in a phase 3 clinical study.

Methods: A total of 222 newly diagnostic stage III/IVM0 HNSCC patients were randomly assigned to a preoperative concurrent chemoradiotherapy group (n = 104) or preoperative radiotherapy alone group (n = 118). Over a mean follow-up of 59 months, 72 patients were defined as non-responders to preoperative therapy and subsequently underwent resection of the primary lesion with or without neck dissection. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13014-019-1428-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6909460PMC
December 2019

How pathological criteria can impact prognosis of tongue and floor of the mouth squamous cell carcinoma.

J Appl Oral Sci 2020 28;28:e20190198. Epub 2019 Nov 28.

Universidade Federal Fluminense, Programa de Graduação em Odontologia, Niterói, Rio de Janeiro, Brasil.

Other: Pathological parameters have been indicated as tumor prognostic factors in oral carcinoma.

Objective: The objective of this study was to investigate the impact of pathological parameters on prognosis of patients affected only by tongue and/or floor of the mouth squamous cell carcinoma (SCC).

Methodology: In total, 380 patients treated in the Brazilian National Cancer Institute (INCA) from 1999 to 2006 were included. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1678-7757-2019-0198DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6886392PMC
December 2019

A Phase 2 Trial of Alternative Volumes of Oropharyngeal Irradiation for De-intensification (AVOID): Omission of the Resected Primary Tumor Bed After Transoral Robotic Surgery for Human Papilloma Virus-Related Squamous Cell Carcinoma of the Oropharynx.

Int J Radiat Oncol Biol Phys 2020 03 27;106(4):725-732. Epub 2019 Nov 27.

Department of Radiation Oncology, University of Pennsylvania, Philadelphia, Pennsylvania. Electronic address:

Purpose: This trial tested the safety and efficacy of a novel, deintensified radiation therapy (RT) approach after initial surgical resection for patients with human papilloma virus (HPV)-associated oropharyngeal squamous cell carcinoma (OPSCC).

Methods And Materials: This single-arm phase 2 prospective clinical trial enrolled 60 patients with stage pT1-pT2 N1-3 HPV-associated OPSCC treated with transoral robotic surgery (TORS) and selective neck dissection at a single institution between May 2014 and September 2017. Patients had favorable features at the primary site (negative surgical margins ≥2 mm, no perineural invasion, and no lymphovascular invasion) but required adjuvant therapy based on lymph node involvement. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijrobp.2019.11.021DOI Listing

Giant parathyroid adenoma: a case report and review of the literature.

J Med Case Rep 2019 Nov 14;13(1):332. Epub 2019 Nov 14.

Department of General Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.

Background: Giant parathyroid adenoma is a rare type of parathyroid adenoma defined as weighing > 3.5 g. They present as primary hyperparathyroidism but with more elevated laboratory findings and more severe clinical presentations due to the larger tissue mass. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13256-019-2257-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6854700PMC
November 2019

Anatomical-based classification for transoral lateral oropharyngectomy.

Oral Oncol 2019 12 7;99:104450. Epub 2019 Nov 7.

Humanitas University, Via Rita Levi Montalcini, 4, 20090 Pieve Emanuele (MI), Italy; Department of Otorhinolaryngology Head and Neck Surgery, IRCCS Humanitas Clinical and Research Center, Via Alessandro Manzoni, 56, 20089 Rozzano (MI), Italy.

Purpose: The aim of the study is proposing a classification of different transoral lateral oropharyngectomy procedures in order to ensure better definitions of post-operative results.

Methods: The classification resulted from the consensus of the different authors and was based on anatomical-surgical principles.

Results: The classification comprises three types of lateral oropharyngectomy: type 1 is the resection of the palatine tonsil deep to the pharyngobasilar fascia; type 2 is performed by removing the entire palatine tonsil, the palatoglossus muscle, the palatopharyngeal muscle and the superior constrictor muscle; type 3 is performed by removing the entire palatine tonsil, the palatoglossus muscle, the palatopharyngeal muscle, the superior constrictor muscle, the buccopharyngeal fascia with extension to the pterygoid muscle and parapharyngeal space fat content. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.oraloncology.2019.104450DOI Listing
December 2019

Clinically Node-Negative Parotid Gland Cancers: Prognostic Factors of Survival and Surgical Extent.

Oncology 2020 23;98(2):102-110. Epub 2019 Oct 23.

Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.

Objective: Conservative parotidectomy is known to reduce morbidity, but has been rarely examined in patients with clinically node-negative (cN0) parotid cancers. We evaluated the clinicopathological variables influencing the outcomes of these patients and the efficacy of conservative parotidectomy.

Methods: We reviewed the clinical and pathological data of 256 patients with cN0 parotid carcinomas who underwent curative surgery at our institution. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000503580DOI Listing
February 2020
2 Reads

The Use of Pectoralis Major Musculocutaneus and Deltopectoral Flaps in Oromandibular Defects Reconstruction.

World J Plast Surg 2019 Sep;8(3):401-405

Department of Oral and Maxillofacial Surgery, Azerbaijan Medical University, Baku, Azerbaijan.

The main complication in patients with combined treatment of head, neck, mandibular and maxillary tumors is osteoradionecrosis, which appears after radiation therapy. Radiation therapy is widely used to treat cancer, but growing concern is related to the risk of osteoradionecrosis after treatment. This can occur after radiation therapy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.29252/wjps.8.3.401DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6790250PMC
September 2019

Impact of Neck Disability on Health-Related Quality of Life among Head and Neck Cancer Survivors.

Otolaryngol Head Neck Surg 2020 01 15;162(1):64-72. Epub 2019 Oct 15.

Department of Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.

Objective: Although neck impairment has been described following surgical resection, limited studies have investigated its prevalence in nonsurgical treatment. The purpose of this study is to determine the prevalence and predictors of neck disability following head and neck cancer (HNC) treatment and to explore its association with quality of life (QOL).

Study Design: Cross-sectional study. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0194599819883295DOI Listing
January 2020
2 Reads

A prospective clinical trial of the second-look procedure for transoral surgery in patients with T1 and T2 laryngeal, oropharyngeal, and hypopharyngeal cancer.

Cancer Med 2019 Dec 8;8(17):7197-7206. Epub 2019 Oct 8.

Department of Otorhinolaryngology, Head and Neck Surgery, School of Medicine, Yokohama City University, Yokohama, Japan.

Background: Transoral surgery (TOS) has been widely applied for early T-stage head and neck cancer (HNC). The resection is performed with a minimum safety margin for function preservation under a limited surgical field; therefore, it is difficult to have a strong conviction about the complete resection. This study aims to evaluate the completeness of the initial TOS procedure; possibility of primary control by TOS alone; and predictive factors in patients with early T-stage laryngeal, oropharyngeal, and hypopharyngeal cancer. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/cam4.2588DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6885886PMC
December 2019
1 Read

Papillary thyroid carcinoma with tracheal invasion: A case report.

Medicine (Baltimore) 2019 Sep;98(38):e17033

Rationale: Compared with most malignant tumors, papillary thyroid carcinoma (PTC) is usually associated with favorable survival and low recurrence rate. The prognostic factors of PTC include age, sex, tumor size, enlarged lymph nodes, and extrathyroidal extension. Among the extrathyroidal extension, upper aerodigestive tract (ADT) invasion by PTC is a marker of more aggressive tumor behavior, defining a subpopulation of patients at a greater risk of recurrence and death. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000017033DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6756740PMC
September 2019
2 Reads

Gastric inlet patches: symptomatic or silent?

Curr Opin Otolaryngol Head Neck Surg 2019 Dec;27(6):453-462

Department of Gastroenterology & Hepatology, Flinders Medical Centre.

Purpose Of Review: The purpose of this review is to assess recent literature on the clinical relevance of the gastric inlet patch with particular focus on endoscopic diagnosis and treatment, the relationship of the inlet patch to laryngopharyngeal reflux disease and the association of proximal esophageal adenocarcinoma with inlet patch.

Recent Findings: Recent studies suggest endoscopic diagnosis of inlet patch increases with endoscopist awareness (up to 10-fold) and when using enhanced imaging techniques such as narrow band imaging (up to three-fold). The literature remains mixed on the association of inlet patch with laryngopharyngeal symptoms or globus sensation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MOO.0000000000000581DOI Listing
December 2019
4 Reads

Transoral videolaryngoscopic surgery for laryngeal and hypopharyngeal cancer - Technical updates and long-term results.

Auris Nasus Larynx 2020 Apr 27;47(2):282-290. Epub 2019 Sep 27.

Department of Otolaryngology, Head and Neck Surgery, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan.

Objective: Transoral videolaryngoscopic surgery (TOVS) was developed as a non-robotic procedure for en bloc laryngo-hypopharyngeal cancer resection. Straight devices had been used for this procedure, however, some cases had difficulty to reach the lesions especially in hypopharyngeal area. To overcome this problem, technical updates to facilitate transoral manipulation were developed and long term oncological and functional results were analyzed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.anl.2019.09.003DOI Listing
April 2020
9 Reads

Long-Term Oncologic Outcomes After Curative Resection of Familial Medullary Thyroid Carcinoma.

Ann Surg Oncol 2019 Dec 23;26(13):4423-4429. Epub 2019 Sep 23.

Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Introduction: Long-term outcomes after curative resection in patients with germline RET mutations and medullary thyroid cancer (MTC) are highly variable and mutation-specific oncologic outcomes are not well-described.

Methods: Sixty-six patients identified from 1986 to 2017 from a single-institution cancer database were assessed for recurrence and survival using Kaplan-Meier estimates, and correlated with clinicopathologic features using log-rank or Cox proportional hazards.

Results: Median follow-up was 9. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1245/s10434-019-07869-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6876629PMC
December 2019
1 Read

Predictors and Prevalence of Nodal Disease in Salvage Oropharyngectomy.

Ann Surg Oncol 2020 Feb 19;27(2):451-457. Epub 2019 Sep 19.

Department of Otolaryngology Head and Neck Surgery, University of Michigan Health System, Ann Arbor, MI, USA.

Background: Patients with recurrent oropharyngeal cancer often require extensive salvage surgery. For patients with clinically N0 necks, the indication for concurrent neck dissection remains unclear. This study aimed to determine predictors, prevalence, and distribution of nodal disease in patients treated with salvage oropharyngectomy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1245/s10434-019-07841-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7135945PMC
February 2020
2 Reads

Free flap salvage from venous thrombosis by creation of a venocutaneous fistula: Case report and review of the literature.

Head Neck 2019 12 12;41(12):E159-E162. Epub 2019 Sep 12.

Department of Otolaryngology-Head and Neck Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.

Background: Venous congestion is the most frequently reported complication of free flap tissue transfer in head and neck patient with cancer. Numerous methods are utilized and prompt correction is necessary to prevent flap failure.

Methods: A 77-year-old woman underwent oral cavity resection and neck dissection for squamous cell carcinoma followed by radial forearm free flap for reconstruction. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/hed.25957DOI Listing
December 2019
3 Reads
2.641 Impact Factor

An Anatomic Variant of the Ansa Cervicalis Precluding Its Use as a Donor Nerve.

Ann Otol Rhinol Laryngol 2020 Jan 11;129(1):78-81. Epub 2019 Sep 11.

Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA.

Background: The ansa cervicalis is useful for cranial nerve repair, and may be harvested without apparent morbidity. Herein we report an unusual and surgically relevant anatomic variant of the ansa cervicalis.

Methods: An adult male with left parotid adenoid cystic carcinoma underwent parotidectomy with upper-division facial nerve resection and planned interposition repair using the ansa cervicalis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0003489419875975DOI Listing
January 2020
2 Reads

Comparison of endoscope-assisted versus conventional resection of parotid tumors.

Br J Oral Maxillofac Surg 2019 12 29;57(10):1003-1008. Epub 2019 Aug 29.

Department of Oral and Maxillofacial Surgery, Key Lab of Oral Clinical Medicine, the Affiliated Hospital of Qingdao University, Qingdao, Shandong, PR China; Department of Implantology, the Affiliated Hospital of Qingdao University, Qingdao, Shandong, PR China. Electronic address:

Endoscopically-assisted partial parotidectomy for benign tumours has been reported, but we have evaluated its feasibility through different concealed incisions compared with conventional parotidectomy. A total of 124 patients with parotid tumours were enrolled in this retrospective study: an endoscopically-assisted group (n=37) compared with a group operated on conventionally (n=87). The incision for endoscopically-assisted partial, total parotidectomy and selective neck dissection was based on location and pathological characters of the parotid tumour. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.bjoms.2019.08.010DOI Listing
December 2019

Parotidectomy-related facial nerve lesions: proposal for a modified Sunnybrook Facial Grading System.

Arq Neuropsiquiatr 2019 07 29;77(7):460-469. Epub 2019 Jul 29.

Eli Lilly and Company, Neuroscience Research, Indianapolis, USA.

Objective: Facial nerve injury, affecting mainly the marginal mandibular branch, is the most frequent neurologic complication from parotidectomy. To test a modified Sunnybrook Facial Grading System as a new tool to assess the facial nerve function following parotidectomy, emphasizing the marginal mandibular branch.

Methods: We reviewed the medical records of 73 post-parotidectomy patients (40 female, 18-84 years old, mean age 53. Read More

View Article

Download full-text PDF

Source
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
Publisher Site
http://dx.doi.org/10.1590/0004-282X20190074DOI Listing
July 2019
3 Reads

Subclavicular flap: A valid reconstructive option among anterior chest flaps in oral cancer patients.

J Surg Oncol 2019 Sep 30;120(4):707-714. Epub 2019 Jul 30.

Department of Maxillo Facial Surgery, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.

Background: The subclavicular pedicled flap is based on the thoracic branch of the supraclavicular artery, and it represents a versatile reconstructive option for low-middle third face defects. Since its use in head and neck surgical oncology has not been popularized yet, we propose its application for oral cavity reconstruction after cancer resection by showing favorable results.

Methods: Eighteen subclavicular pedicled flaps were used to treat intraoral defects after oral squamous-cell cancer resection between June 2015 and December 2018. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/jso.25655DOI Listing
September 2019
1 Read

The role of salvage surgery with interstitial brachytherapy for the Management of Regionally Recurrent Head and Neck Cancers.

Cancers Head Neck 2019 22;4. Epub 2019 Jul 22.

4Department of Head and Neck Surgery, University of Texas M. D. Anderson Cancer Center, Unit 441, 1515 Holcombe Boulevard, Houston, TX 77096 USA.

Background: The optimal treatment for regional lymphatic recurrences from head and neck cancer has not been fully established. In order to explore the therapeutic benefit of surgical resection and adjuvant brachytherapy, the authors reviewed their experience utilizing interstitial brachytherapy (IBT) at the M. D. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s41199-019-0043-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6643309PMC
July 2019
1 Read

Occult papillary thyroid cancer presenting as cystic metastasis of the lateral neck: A case report.

Medicine (Baltimore) 2019 Jul;98(30):e16659

Rationale: Papillary thyroid cancer accounts for up to 85% of all cases of thyroid carcinoma. This disease entity is notorious for metastatic invasion of adjacent lymph nodes, including the cervical lymph nodes, potentially presenting as a growing lateral neck mass. However, these lesions tend to be recognized and diagnosed soon due to the palpable mass. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000016659DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6708659PMC
July 2019
7 Reads

Treatment outcomes for one-stage concurrent surgical resection and reconstruction of synchronous esophageal and head and neck squamous cell carcinoma.

Eur Arch Otorhinolaryngol 2019 Oct 22;276(10):2929-2940. Epub 2019 Jul 22.

Division of Thoracic Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

Purpose: It is not uncommon to see the synchronous presentation of esophageal squamous carcinoma (ESCC) and head and neck cancer (HNC), and most patients were treated with staged interventions. This study retrospectively reported the outcomes of patients with synchronous ESCC and HNC treated with one-stage concurrent surgical resection and reconstruction.

Methods: We identified 17 consecutive patients with synchronous ESCC and HNC undergoing primary concurrent surgical resections between 2011 and 2017 at our hospital. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00405-019-05564-9DOI Listing
October 2019
5 Reads
1.608 Impact Factor

[Clinical value of V-shaped concealed incision in parotid benign tumors].

Authors:
J Su P Li X B Ji J H Xie

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Jul;33(7):615-618

Department of Otorhinolaryngology Head and Neck Surgery, Guangzhou First People's Hospital, Guangzhou, 510180,China.

The aim of this study is to explore the clinical value of V-shaped concealed incision in parotid benign tumors surgery.Thirty-two patients with benign parotid tumors who were hospitalized from January 2016 to December 2017 were selected. All patients were treated with a V-shaped incision approach, starting from the anterior dermatoglyph of the tragus,extending downward to the earlobe and backward to the posterior earlobe, which formed an intersection point of the earlobe for parotid benign tumors,superficial lobectomy and facial nerve dissection. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.13201/j.issn.1001-1781.2019.07.010DOI Listing
July 2019
4 Reads

Near-infrared fluorescence imaging improves the nodal yield in neck dissection in oral cavity cancer - A randomized study.

Eur J Surg Oncol 2019 Nov 29;45(11):2151-2158. Epub 2019 Jun 29.

Department of Otolaryngology, Head & Neck Surgery and Audiology, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, DK-2100, Copenhagen East, Denmark. Electronic address:

Introduction: Lymph node yield (LNY) in neck dissection has been identified as a prognostic factor in oral cavity cancer. The purpose of this study was to investigate the impact of additional use of optical imaging on LNY in therapeutic ND in oral cancer.

Methods: Consecutive patients with oral squamous cell carcinoma with clinical neck metastasis planned for primary tumor resection were randomized to conventional neck dissection or near-infrared fluorescence (NIRF)-guided neck dissection, respectively. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ejso.2019.06.039DOI Listing
November 2019
3 Reads

Scalp melanoma with rectus abdominis metastasis: A rare case report.

Medicine (Baltimore) 2019 Jul;98(28):e16395

Division of Plastic and Reconstructive Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.

Rationale: The main cause of death in melanoma patients is widespread metastases as it can metastasize to almost every organ. However, melanoma skeletal muscle metastases (MSMM) are exceptional, and only a few cases of MSMM to the rectus abdominis muscles have been previously described. And our case maybe the first reported case in Asia region. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000016395DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6641839PMC
July 2019
3 Reads
5.723 Impact Factor

Transoral robotic retropharyngeal lymph node dissection in a recurrent head and neck carcinoma.

Head Neck 2019 11 11;41(11):4051-4053. Epub 2019 Jul 11.

Department of Otolaryngology - Head and Neck Surgery, IRCCS Regina Elena National Cancer Institute, Rome, Italy.

Background: A step-by-step demonstration of the transoral robotic surgical approach (TORS) used in retropharyngeal node dissection (RND) in a recurrent head and neck carcinoma.

Methods: Clinical human study of TORS RND via en bloc resection using a daVinci Si system (Intuitive Surgical, Inc., Sunnyvale, California). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/hed.25874DOI Listing
November 2019
4 Reads