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Head Neck 2019 Feb 18. Epub 2019 Feb 18.

Department of Surgery, Head and Neck Service, Memorial Sloan Kettering Cancer Center, New York, NY.

J Craniofac Surg 2019 Feb 2. Epub 2019 Feb 2.

Otorhinolaryngology, Head and Neck Surgery Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Objective: To present and assess a new, simple, conservative modification of hyoidthyroidpexy using 2 sutures between hyoid periosteum and thyroid lamina.

Methods: Included patients had obstructive sleep apnea with apnea hypopnea index >20. Through a small midline neck incision, 2 Vicryl sutures were applied between the hyoid periosteum and thyroid cartilage. Read More

J Cancer 2019 1;10(3):772-778. Epub 2019 Jan 1.

Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center, Shanghai, 200032, China.

Extensive lateral neck dissection (LND), especially routine level V dissection, may potentially increase morbidity and have no significant benefit to survival in patients with papillary thyroid carcinoma (PTC). Our study aimed to determine the pattern and risk factors for level V lymph node metastasis (LNM) and to develop an assessment model based on a nomogram for predicting whether level V dissection is necessary. A total of 1037 PTC patients with clinically suspected LNM (N1b) who underwent total thyroidectomy (TT) with central LND and unilateral LND from 2011 to 2015 were retrospectively retrieved. Read More

Am J Case Rep 2019 Feb 1;20:134-138. Epub 2019 Feb 1.

Department of Surgical Oncology, HCG Manavata Cancer Centre, Nashik, Maharashtra, India.

BACKGROUND Anaplastic thyroid carcinoma (ATC) is an uncommon and aggressive form of human cancer. Despite advancement in multimodal therapy for patients with ATC, the prognosis remains poor. Most patients presenting with ATC have metastasis to the lungs and regional lymph nodes. Read More

Lymphat Res Biol 2019 Jan 29. Epub 2019 Jan 29.

2 Department of Ear, Nose and Throat, Queen Mary Hospital, The University of Hong Kong , Hong Kong, China .

Introduction: Vascularized lymph node transfer (VLNT) has become the established treatment for secondary lymphedema. The proposed mechanisms of VLNT include lymphangiogenesis and absorptive action of transplanted lymphatic tissue. Therefore, in theory, the lymph node content of lymph node flap is crucial to clinical response. Read More

Int Forum Allergy Rhinol 2019 Jan 4. Epub 2019 Jan 4.

Department of Otolaryngology, Head and Neck Surgery, Miller School of Medicine, University of Miami, FL.

Background: Frontal sinusotomy can be challenging when significant scarring or distorted anatomy is present. Identifying a reliable anatomic structure, when traditional landmarks or navigation are absent, may assist the surgeon in revision and complicated frontal sinusotomies via a midline approach. We aimed to characterize the anatomic relationship of the nasal branch of the anterior ethmoid artery (NBAEA) to the frontal infundibulum, specifically the first olfactory fili, posterior frontal infundibulum, and anterior cribriform plate. Read More

Cochrane Database Syst Rev 2018 12 24;12:CD006205. Epub 2018 Dec 24.

School of Dentistry, The University of Western Australia, 17 Monash Avenue, Nedlands, Western Australia, Australia, 6009.

Background: Surgery is an important part of the management of oral cavity cancer with regard to both the removal of the primary tumour and removal of lymph nodes in the neck. Surgery is less frequently used in oropharyngeal cancer. Surgery alone may be treatment for early-stage disease or surgery may be used in combination with radiotherapy, chemotherapy and immunotherapy/biotherapy. Read More

J Oral Maxillofac Surg 2018 Nov 26. Epub 2018 Nov 26.

Director, Department of Oral and Maxillofacial Surgery, Ogaki Municipal Hospital, Ogaki, Japan.

Primary intraosseous carcinoma (PIOC; not otherwise specified) is a rare odontogenic malignancy that is believed to arise from the odontogenic epithelium. In addition, some cases arise in odontogenic cysts or other benign precursors. There are no established treatment protocols for PIOC because of its rarity. Read More

Laryngoscope 2019 Mar 22;129(3):634-636. Epub 2018 Nov 22.

Department of Otolaryngology-Head and Neck Surgery, Humanitas University, Milan.

The levator claviculae muscle is a variant of the anatomy of the posterior triangle of the neck. It is reported in 2% to 3% of all humans. All previous articles described this muscle as an incidental finding during cadaveric or radiological examinations. Read More

Surg Laparosc Endosc Percutan Tech 2018 Oct 31. Epub 2018 Oct 31.

Department of Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine.

Background: Robotic unilateral modified radical neck dissection (MRND) has been reported to be safe and achieves good oncologic results. However, there is no report of successful robotic bilateral MRND to date. We report the first case series of robotic bilateral MRND through the bilateral axillo-breast approach (BABA). Read More

J Pediatr Surg 2019 Jan 5;54(1):129-132. Epub 2018 Oct 5.

Yale School of Medicine, Department of Surgery, New Haven, CT 06520. Electronic address:

Background: Regional lymph node (LN) metastasis at the time of presentation plays a significant role in predicting recurrence in patients with papillary thyroid cancer (PTC). Multiple studies in the adult population have demonstrated that the lymph node ratio (LNR) in both the central and lateral neck can improve the accuracy of recurrence prediction, but this ratio has not been studied in the pediatric population. In this study, we sought to investigate the LNR in the central and lateral compartments as a prognostic predictor for recurrence in pediatric patients with PTC. Read More

J BUON 2018 Jul-Aug;23(4):1049-1054

Surgical Oncology Clinic, Institute for Oncology and Radiology of Serbia, Belgrade, Serbia.

Purpose: The incidence of multifocality of papillary thyroid carcinoma (PTC) ranges from 18 to 87.5% The mechanisms of multifocal spreading, correlation with tumor size, histology variants of PTC, lymph node metastases, and prognostic impact remains unclear. The purpose of this study was to clarify the prognostic significance of multifocality on relapse and survival rates of patients with PTC by analyzing the correlation of multifocality with patient age, gender, tumor size, histological variants of PTC, presence of lymph node metastases and extent of surgery. Read More

World J Surg Oncol 2018 Oct 12;16(1):205. Epub 2018 Oct 12.

Department of Surgery, Chonnam National University Medical School, 322 Seoyang-ro Hwasun-eup, Hwasun-gun Jeonnam, Gwangju, 58128, South Korea.

Background: Papillary thyroid cancer (PTC) patients with ipsilateral neck metastatic lymph node (LN) and those with contralateral neck metastatic LN belong to N1b. Only a few studies have reported on comparisons with regard to laterality of metastatic lateral LN. The aim of this study was to evaluate predictive factors for contralateral neck LN metastasis and to determine prognostic factors for recurrence in PTC patients with N1b. Read More

Medicine (Baltimore) 2018 Oct;97(41):e12744

Gyeongsang National University School of Medicine, Jinju.

Rationale: Lymphatic embolization is a minimally invasive treatment option for managing chyle leakage after nodal dissection in the neck. After the procedure, the embolic material may cause foreign body granulomatous lymphadenitis and can be a diagnostic challenge for radiologists because of sonographic similarity to metastatic lymph node. Herein, we describe a clinical case of granulomatous lymphadenitis due to embolic material mimicking nodal metastasis detected on ultrasonography (US) with cytologic findings in a patient with thyroid cancer who underwent lymphatic embolization to treat chyle leakage after total thyroidectomy and neck dissection. Read More

Otol Neurotol 2018 Dec;39(10):1277-1284

Department of Otorhinolaryngology-Head and Neck Surgery.

Objective: To investigate the effect on final-product performance of a distributed, virtual reality (VR) simulation training program on cadaveric dissection performance and learning curves compared with standard VR simulation training during a temporal bone course.

Study Design: Educational interventional cohort study.

Setting: The national Danish temporal bone courses of 2016 and 2017. Read More

Clin Oral Investig 2018 Sep 21. Epub 2018 Sep 21.

Department of Oral and Maxillofacial Surgery, Kothiwal Dental College and Research Center, Moradabad, UP, 243001, India.

Objective: To assess the correlation of skip metastases associated with increase in tumor thickness and size of the tumor.

Material And Methods: A retrospective analysis was carried out from August 2009 to August 2015. In this study, a total number of 33 carcinoma tongue patients having T1, T2, and T3 sizes with N0 and N+ clinical necks who were treated by supraomohyoid neck dissection, extended supraomohyoid neck dissection, and modified radical neck dissection were analyzed. Read More

Front Oncol 2018 4;8:321. Epub 2018 Sep 4.

Unit of Otorhinolaryngology, Department of Surgery, Azienda Ospedaliero-Universitaria di Cagliari, University of Cagliari, Cagliari, Italy.

The present study analyzed the results of the endoscopic approach to T1, T2 and selected T3 supraglottic carcinoma with the aim of reviewing functional and oncologic outcomes after different types of endoscopic supraglottic laryngectomies. This is a retrospective clinical study of 42 consecutive patients (mean age of 61.8 years, 33 males, 9 females) treated by the senior author for supraglottic squamous cell carcinoma with a transoral CO laser approach and reviewed from November 2010 to September 2017. Read More

JBJS Essent Surg Tech 2017 Sep 9;7(3):e23. Epub 2017 Aug 9.

Hedley Orthopaedic Institute, Phoenix, Arizona.

The supercapsular percutaneously assisted total hip (SuperPath; MicroPort) approach is a direct superior portal-assisted approach for total hip arthroplasty (THA) that utilizes the interval between the gluteus minimus and the piriformis to access the hip capsule. The technique was developed to promote early mobilization, greater range of motion, and improved pain control. The major steps of this procedure are as follows: Step 1: Patient positioning. Read More

Cancer Manag Res 2018 27;10:2883-2891. Epub 2018 Aug 27.

Department of Surgery, Open NBI Convergence Technology Research Laboratory, Yonsei Cancer Center, Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea,

Purpose: Active surveillance (AS) of low-risk papillary thyroid microcarcinoma (PTMC) may reduce the risk of overtreatment of clinically insignificant cancer. However, the absence of predictor for the progression of PTMC resulted in treatment delay and potentially compromising cure of aggressive disease. Therefore, to anticipate potential damage of delayed surgery, we investigated the oncologic outcomes of patients with low-risk PTMC initially eligible for AS except clinically apparent lymph node metastasis (LNM), imitating delayed surgery with neck dissection. Read More

Zentralbl Chir 2018 Aug 22;143(4):373-379. Epub 2018 Aug 22.

Oncology Surgery, Ningbo No 2 Hospital, Ningbo, China.

Background: Papillary thyroid carcinoma with clinically node-positive lateral neck (N1b PTC) is likely to recur after modified radical neck dissection (MRND). The present study investigated the risk factors for recurrence in N1b PTC patients after unilateral therapeutic MRND.

Methods: Literature published from January 1990 to December 2017 on factors related to lymph node recurrence after MRND was retrieved by searching national and international online databases. Read More

Case Rep Endocrinol 2018 11;2018:8956712. Epub 2018 Jul 11.

Pathology Department, Isaac Gonzalez Oncologic Hospital, San Juan, Puerto Rico, USA.

Ectopic thyroid tissue is a rare clinical entity wherein malignant lesions may arise, the most common one being papillary carcinoma. We present a case of a 68-year-old female who presented with a growing mass in the right clavicle. An MR of the shoulder showed a soft tissue mass arising from the anterior margin of the right distal clavicle. Read More

Oral Oncol 2018 Aug 20;83:115-119. Epub 2018 Jun 20.

Department of Surgical Oncology, Sri Venkateswara Institute of Medical Sciences, Tirupati, Chittoor District, Andhra Pradesh 517507, India. Electronic address:

Objectives: The present study was designed to know and analyze the prevalence of pathological involvement of level IIB and V neck nodes in operable oral cavity squamous cell carcinomas.

Materials And Methods: All treatment naïve, willing biopsy proven patients of age group 18-70 years with oral cavity squamous cell carcinomas undergoing surgery from May 2015 to December 2016 in a single tertiary care Institute were prospectively analyzed for level IIb and V involvement.

Results: A total of 199 patients met the selection criteria of the study. Read More

World J Surg 2018 12;42(12):3954-3966

Department of Surgery, Kuma Hospital, 8-2-35, Shimoyamate-dori, Chuo-ku, Kobe, Hyogo, 650-0011, Japan.

Background: Medullary thyroid carcinoma (MTC) originates from calcitonin-producing cells of the thyroid. In 2009, we published our first report on the biological characteristics and prognosis of 118 MTC patients. Herein, we enrolled a larger number of patients with longer follow-up periods to further study the biological characteristics and appropriate therapies for MTC. Read More

Curr Opin Otolaryngol Head Neck Surg 2018 Oct;26(5):276-279

House Clinic, Los Angeles, California, USA.

Purpose Of Review: To discuss the use of the middle fossa craniotomy for resection of vestibular schwannomas; to present pearls of and modifications to the approach.

Recent Findings: The middle fossa craniotomy allows for hearing preservation in the resection of intracanalicular vestibular schwannomas. Over recent years, the approach has been modified to address larger tumors with a limited cerebellopontine angle component. Read More

Biomed Res Int 2018 19;2018:8016957. Epub 2018 Jun 19.

Department of Pediatric Otolaryngology, Poznan University of Medical Sciences, Szpitalna 27/33, 60-572 Poznan, Poland.

Background: The aim of the study was to present the surgical techniques providing the lowest recurrence rate in treatment of the primary and recurrent thyroglossal duct cyst (TGDC) in children.

Methods: The study included 73 patients operated on because of TGDC in years 2011-2016. Ultrasound was performed in all patients preoperatively. Read More

Acta Otolaryngol 2018 Oct 17;138(10):926-929. Epub 2018 Jul 17.

a Department of Otorhinolaryngology , Klinikum rechts der Isar der Technischen Universitat Muenchen , Munich , Germany.

Objective: In a proportion of patients with cervical lymph node metastasis no primary can be found even with modern imaging and careful clinical examination (cancer of unknown primary syndrome = CUP syndrome). The ideal diagnostic approach is still debated on.

Methods: The clinical data of 75 patients (median age: 61. Read More

Facial Plast Surg Clin North Am 2018 Aug;26(3):269-283

Department of Otolaryngology-Head and Neck Surgery, Inje University Seoul Paik Hospital, Seoul, Korea.

The hybrid approach delivers unlimited exposure and technical access, enabling all the procedures of the open approach. In addition, the hybrid approach is flexible in its extent of "dissection/ exposure" It can be more of a classic endonasal or limited access approach in some cases or open structural rhinoplasty and reconstruction in others. The benefits of the nonopen approach deserve equal attention among Asian rhinoplasty surgeons and residents-in-training courses. Read More

J Craniofac Surg 2018 Nov;29(8):2299-2303

Department of Oral and Maxillofacial-Head and Neck Oncology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine.

Objectives: The purpose of this article was to propose a V-shaped minimal facelift incision (FLI) and analyze its efficacy for improving the esthetic outcomes of parotid gland tumors.

Methods: A prospective, nonrandomized study was performed. Forty-six patients with category I benign parotid tumors as to Quer classification (3 cm or less and located superficially and/or peripherally in the gland) were enrolled. Read More

BMJ Case Rep 2018 May 30;2018. Epub 2018 May 30.

Department of Histopathology, Royal Surrey County Hospital NHS Foundation Trust, Guildford, UK.

Follicular dendritic cell sarcoma (FDCS) is a rare neoplasm of the antigen presenting cells of the immune system. The majority occur in lymph nodes but around 30% can occur extranodally including in the spleen, lungs, head and neck and liver. We present an unusual case of an FDCS of the parotid gland in a 51-year-old woman with a history of Hodgkin's lymphoma treated with combination chemotherapy and modified mantle radiotherapy. Read More

Aesthetic Plast Surg 2018 May 16. Epub 2018 May 16.

, Double Bay, Australia.

The author has modified previously described techniques of the superior suspension of the platysma muscle to Lore's fascia by developing an auriculoplastysmal fascial flap, which detaches the posterior platysma from its retaining ligaments to the sternomastoid muscle. Anterior to this flap, the platysma muscle is undermined and suture captured with three throws of a permanent 2.0 Tevdek suture. Read More

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 May;53(5):339-345

Department of Otorhinolaryngology Head and Neck Surgery, Qilu Hospital of Shandong University; Key Laboratory of Otorhinolaryngology, National Health Commission(Shandong University), Jinan 250012, China.

To report the experience in comprehensive surgical treatment of pyriform sinus carcinoma via the paraglottic space approach. Three hundred and thirty-five cases with pyriform sinus carcinoma (according to UICC 2012 criteria, stage Ⅰ, 12 cases; Ⅱ, 36; Ⅲ, 79; Ⅳ, 208; T1, 26; T2, 139; T3, 121; T4, 49; cN0, 83; cN1, 61; cN2a-b, 118; cN2c, 71; cN3, 2) treated between 2006 and 2013 were retrospectively reviewed. There were 323 males and 12 females. Read More

Rev Esp Med Nucl Imagen Mol 2018 Jul - Aug;37(4):244-249. Epub 2018 May 10.

Department of Oncologic Surgery, National Cancer Institute, Ciudad de México , México.

Introduction: Medullary carcinoma accounts for 1-2% of all thyroid malignancies. 13-20% of patients present with distant metastasis, with 45% of the cases affecting the liver.

Clinical Case: A 50-year-old woman, diagnosed with medullary thyroid carcinoma, was treated with total thyroidectomy and a modified neck dissection in 1999. Read More

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Apr;53(4):292-295

Department of Otorhinolaryngology Head and Neck Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250021, China.

To evaluate the usefullness of flexible esophagoscopy and chromoendoscopy with Lugol's solution in the detection of synchronous esophageal neoplasm in patients with hypopharyngeal squamous cell carcinoma (HSCC). A retrospective review of 96 cases with HSCC that received surgical treatment from March 2016 to March 2017 was accomplished. In these patients, the site of origin were pyriform sinus (=75), posterior pharyngeal wall (=11) and postcricoid (=10). Read More

Med Arch 2018 Apr;72(2):108-111

Faculty of Medicine, University Clinical Centre of the Republic of Srpska, University of Banja Luka, Banja Luka, Bosnia and Herzegovina.

Background: The purpose of this study is to establish whether the lymph node metastases of the papillary thyroid carcinoma are a significant factor in recurrence of the disease by analyzing the time until recurrence of the disease and frequency of recurrence of the disease.

Methods: From 1 January 1995 until 30 June 2017, 102 patients were treated at the Public Health Institute Hospital "Sveti Vracevi" in Bijeljina for PTC. In all patients, surgery of the thyroid gland and/or lymph nodes of the neck was performed. Read More

Pract Radiat Oncol 2018 Nov - Dec;8(6):397-403. Epub 2018 Mar 27.

Department of Therapeutic Radiology, Yale School of Medicine, New Haven, Connecticut.

Purpose: Initial deescalation studies for human papilloma virus (HPV)-positive driven oropharyngeal squamous cell carcinomas (HPV+ OPSCC) altered radiation therapy dose or the systemic agent used. Newer trials examine the disease control achieved with a reduced elective nodal field. We examined patterns of nodal involvement in patients with HPV+ OPSCC with a focus on implications for radiation field design for treatment deescalation. Read More

Am Surg 2018 Apr;84(4):531-536

The oncologic benefit of a central lymph node dissection (CLND) at the time of modified radical neck dissection (MRND) in patients with papillary thyroid cancer who have previously undergone a total thyroidectomy (TT) has not been studied. Patients with lateral cervical metastases were divided into two treatment groups: the concurrent cohort (TT with CLND and MRND), and the interval cohort (CLND and MRND after prior TT). Primary outcomes were lymph node metastases, skip metastases, level VI cancer recurrence, hypoparathyroidism and recurrent laryngeal nerve injury. Read More

World J Surg 2018 11;42(11):3616-3623

Department of Surgery, Ito Hospital, 4-3-6, Jingumae, Shibuya-ku, Tokyo, 150-8308, Japan.

Background: Cribriform-morular variant of papillary thyroid carcinoma (CMV-PTC) is rare; it may occur in cases of familial adenomatous polyposis (FAP) or be sporadic. To clarify the clinicopathological features of CMV-PTC, the medical records of these patients were investigated retrospectively.

Materials And Methods: Between 1979 and 2016, a total of 17,062 cases with PTC underwent initial surgery at Ito Hospital. Read More

Zhonghua Yi Xue Za Zhi 2018 Mar;98(12):921-925

Department of Vascular Surgery, General Hospital of Tianjin Medical University, Tianjin 300052, China.

To evaluate the early results of fenestrated endovascular aortic repair (FEVAR) using physician-modified stent grafts (PMSGs) for the treatment of patients with thoracoabdominal pathologies. Nineteen consecutive patients who underwent FEVAR using PMSGs between April 2012 and September 2017 were retrospectively reviewed. The modality of FEVAR technique was assessed, perioperative clinical data was recorded and the early results were evaluated. Read More

Indian J Surg Oncol 2018 Mar 3;9(1):62-64. Epub 2017 Sep 3.

Regional Cancer Center, PTJNM Medical College, Raipur, Chhattisgarh 492001 India.

Synovial sarcoma is the uncommon malignant tumor of children and adolescents. It usually involves the soft tissues of the upper and lower joints and most commonly affects adults in their fourth decade of life. We report a rare case of synovial sarcoma of the head and neck region in a five-year-old child who has presented with right side cervical lymphadenopathy associated with dysphagia and hoarseness of voice. Read More

J Cancer Res Ther 2018 Jan-Mar;14(2):357-360

Department of Pathology, Mahavir Cancer Sansthan, Patna, Bihar, India.

Context: To share clinicopathological data of thyroid carcinoma from a high volume Tertiary Care Centre in East India.

Aim: To share the epidemiology and clinicopathological presentation of thyroid cancer at a high volume Tertiary Care Center in East India.

Settings And Design: Retrospective observational study. Read More

Aesthet Surg J 2018 Nov;38(12):1269-1279

Surgeon, Department of Otolaryngology, Head and Neck Surgery, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey.

Background: Inadequate release of retaining ligaments during facelift surgery may lead to an unnatural appearance. However, most facelift surgeons are hesitant in transecting these ligaments to avoid possible injury to facial subbranches.

Objectives: In the authors' surgical practice for modified composite flap rhytidectomy, the authors employed the finger-assisted malar elevation (FAME) technique in order to enable safe release of the zygomatic cutaneous ligaments through the prezygomatic space under direct vision. Read More

J Craniofac Surg 2018 May;29(3):735-737

Department of Plastic Reconstructive and Aesthetic Surgery.

Free flaps based on static slings principles cannot provide esthetic and functional outcomes at a desired level in total or close to total lip loss. Therefore, dynamic methods have become a current issue in recent years and especially the idea of functional gracilis free muscle flap has been suggested. In this study, we present a case of a successful total lower lip repair with this flap. Read More

Indian J Otolaryngol Head Neck Surg 2018 Mar 6;70(1):102-110. Epub 2017 Oct 6.

1Department of Pathology, PT BDS PGIMS, Rohtak, Haryana 124001 India.

Various studies have demonstrated that the lymphatic system is the additional route for solid tumor metastasis. Lymph nodes metastasis in Head and neck squamous cell carcinoma (HNSCC) is a major prognostic indicator for disease progression and a guide for therapeutic strategies. We conducted a study to compare intratumoral (IT) and peritumoral (PT) lymphatic vessel density (LVD) in HNSCC using lymphatic marker D2-40 and its correlation with lymph node metastasis, histological grading and other clinicopathological parameters. Read More

J Invest Surg 2018 Jan 25:1-7. Epub 2018 Jan 25.

c Department of Gastrointestinal Surgery , Akershus University Hospital , Lørenskog , Norway.

Background: The development of endoscopic techniques motivated surgeons to search for alternative and more cosmetic approaches for thyroid and parathyroid surgery. Several variations of transoral access to the anterior neck areas were applied in recent years. One of them is a premandibular access proposed by Nakajo et al, it is performed through the oral vestibule by creating the working space by means of the lifting method. Read More

OTO Open 2017 Dec 16;1(4). Epub 2017 Oct 16.

Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI.

Zenker's diverticulum is a rare cause of progressive dysphagia that is treated surgically. KTP laser-based diverticulotomy is one effective treatment. Developing a simulation model is helpful for rare conditions. Read More

Gland Surg 2017 Dec;6(6):742-744

Department of Head and Neck Surgery, Hunan Cancer Hospital, The Affiliated Tumor Hospital of Xiangya Medical School, Central South University, Changsha 410008, China.

In this video we describe a kind of modified transoral endoscopic thyroid surgery involving meticulous dissection of mental nerve. Inclusion criteria are: the diameter of benign tumors such as thyroid cyst, nodular goiter were limited less than 50 mm; the malignant thyroid tumors including follicular and papillary microcarcinoma were defined as a papillary carcinoma <2 cm in diameter and endoscopic surgery required for the patient. A 6 cm arc-shaped incision was designed at oral vestibule. Read More

BMJ Case Rep 2018 Jan 4;2018. Epub 2018 Jan 4.

Department of Oncology, Aga Khan University, Karachi, Sindh, Pakistan.

A 45-year-old man presented with left-sided facial swelling. Initial excisional biopsy was done somewhere else without prior imaging and it came out to be pleomorphic adenoma; local imaging after biopsy showed mass over the left parotid gland with ipsilateral lymphadenopathy. On examination, there was a well-circumscribed mass with signs of left facial nerve palsy. Read More

Laryngoscope Investig Otolaryngol 2017 12 2;2(6):358-362. Epub 2017 Nov 2.

Department of Otolaryngology-Head and Neck Surgery University of Manitoba Winnipeg Manitoba Canada.

Background: Temporal bone simulations are critiqued for poor drill-bone interaction. This project appraises the import of increasing haptic device and manipulandum fidelity on the perceived realism of drilling a virtual temporal bone.Virtual surgical contact forces rely on haptic device fidelity and are transmitted through a manipulandum. Read More

World J Surg Oncol 2017 Dec 29;15(1):230. Epub 2017 Dec 29.

School of Medicine, Taipei Medical University and Fu Jen Catholic University, New Taipei City, Taiwan.

Background: Carcinoembryonic antigen (CEA) is one of the most widely used tumor markers, and its value in the surveillance of post-operative colorectal cancer is well established. Fluorodeoxyglucose-positron emission tomography (FDG-PET) has been clinically used in colorectal cancer imaging including preoperative staging, evaluation of therapeutic response, detection of disease recurrence, and investigation of unexplained rising tumor markers.

Case Presentation: We report a case of resected colorectal cancer presented with rising CEA levels in 5 years, and FDG-PET revealed no definitive evidence of recurrence except abnormal focal FDG uptake in the right thyroid lobe. Read More