17,056 results match your criteria Radical Neck Dissection


Oral Cancer Treatment Through the Ages: Part 2.

J Oral Maxillofac Surg 2019 Jan 28. Epub 2019 Jan 28.

Consultant Oral and Maxillofacial Head and Neck Surgeon, Northampton General Hospital, Cliftonville, United Kingdom.

In part 1, we learned the foundations of oral cancer and principles of treatment as described by prominent early surgeons and physicians from Hippocrates and Celsus to Henry T. Butlin, the prominent head and neck surgeon. Part 2 commences with the turn of the 20th century and focuses on the evolution of neck dissection, as well as adjunctive treatment options, leading to the reconstructive revolution with a growing focus on quality of life. Read More

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http://dx.doi.org/10.1016/j.joms.2019.01.024DOI Listing
January 2019

Post-operative complications of salvage total laryngectomy forpost-radiotherapy recurrent laryngeal cancer using pectoralis major myocutaneous flaps.

Acta Otolaryngol 2019 Feb 22:1-5. Epub 2019 Feb 22.

a Department of Otolaryngology, Head and Neck Surgery , Tokyo Medical University , Shinjuku-ku , Tokyo , Japan.

Background: Salvage surgery for laryngeal cancer recurring after radiotherapy is difficult and complications readily occur. Our institution has adopted the pharyngeal interposition graft (PIG) using a pectoralis major myocutaneous (PMMC) flap, which has copious blood flow, for preventing post-irradiation pharyngocutaneous fistula.

Aims/objectives: The purpose of this study was to examine the incidence of post-operative complications of salvage total laryngectomy (STL) using the PMMC flap for post-radiotherapy recurrent laryngeal cancer at our institution. Read More

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http://dx.doi.org/10.1080/00016489.2018.1532108DOI Listing
February 2019

Experience of thyroid surgery at tertiary referral centers in Jazan Hospitals, Saudi Arabia.

Interv Med Appl Sci 2018 Dec;10(4):198-201

Faculty of Medicine, Department of Otorhinolaryngology-Head and Neck Surgery, Prince Mohammed bin Nasser Hospital, Jazan, Saudi Arabia.

Background: Benign multinodular goiter (BMNG) is a common disease of the thyroid gland with palpable thyroid nodules that may be detected in 0.8%-1.5% of men and 5. Read More

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http://dx.doi.org/10.1556/1646.10.2018.37DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376351PMC
December 2018

EGOT lncRNA in head and neck squamous cell carcinomas.

Pol J Pathol 2018 ;69(4):356-365

Head and neck squamous cell carcinomas (HNSCCs) are one of the most challenging cancers to cure. In this study, we focused on eosinophil granule ontogeny transcript (EGOT), a transcriptional regulator of granule protein expression during eosinophil development that has been previously associated with cancers. Expression levels of EGOT and other selected genes as well as clinical pathology data from HNSCC samples, were obtained from The Cancer Genome Atlas (TCGA) and analysed using GraphPad Prism 5. Read More

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http://dx.doi.org/10.5114/pjp.2018.81695DOI Listing
January 2018

Malignant peripheral nerve sheath tumor of the pancreas-A case report.

Int J Surg Case Rep 2019 Feb 13;55:239-242. Epub 2019 Feb 13.

Department of General Surgery, Department of Surgical Gastroentrology, Saveetha Medical College Hospital, India.

Introduction: Nerve sheath tumors are tumors arising from nerve sheaths or which show nerve sheath differentiation. They are divided as benign and malignant. They are associated with Von Recklinghausen syndrome. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.02.011DOI Listing
February 2019

Cost for treatment and follow-up of thyroid cancer increases according to the severity of disease.

Head Neck 2019 Feb 19. Epub 2019 Feb 19.

Department of Surgery, Thyroid Cancer Center, Gangnam Severance Hospital, Institute of Refractory Thyroid Cancer, Yonsei University College of Medicine, Seoul, Korea.

Background: The aim of this study was to provide an analysis of thyroid cancer-related health care costs over a 5-year period, according to the extent of thyroid surgery.

Methods: The study included 33 patients from our institutional database who underwent thyroid cancer surgery in 2010. Patients were divided into four groups based on surgical extent: (1) hemithyroidectomy, (2) total thyroidectomy, (3) total thyroidectomy with ipsilateral radical neck dissection, and (4) total thyroidectomy with bilateral radical neck dissection and mediastinal dissection. Read More

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http://dx.doi.org/10.1002/hed.25706DOI Listing
February 2019

Concurrent Papillary Thyroid Carcinoma and Synovial Carcinoma of the Neck in an Adult Male.

Iran J Otorhinolaryngol 2019 Jan;31(102):69-72

Department of Pathology, Aga Khan University hospital, Karachi, Pakistan.

Introduction: Synovial sarcoma makes up 8-10% of all soft tissue sarcomas, and constitutes 3-10% of all sarcomas occurring in the head and neck region. It shows male predominance (3:2), and the mean age of presentation is 30 years.

Case Report: A 51-year-old gentleman presented with right-sided neck swelling which had been progressively increasing in size for the past 2 years. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368986PMC
January 2019

Giant carotid pseudoaneurysm amenable to pipeline stenting in a patient with Ehlers-Danlos type IV.

Surg Neurol Int 2019 25;10:11. Epub 2019 Jan 25.

Michigan State University College of Human Medicine, 15 Michigan St NE, Grand Rapids, MI, 49503, USA.

Background: Ehlers-Danlos type IV primarily affects collagen synthesis in the vasculature, increasing the risk of these patients to have dissection and pseudoaneurysm formation. Due to friable vessels, antiplatelet or anticoagulation has been the treatment of choice. However, newer intravascular surgical devices may be promising for future management. Read More

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http://dx.doi.org/10.4103/sni.sni_343_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367946PMC
January 2019

The dilemma of metastatic medullary thyroid carcinoma: when to start systemic treatment.

Tumori 2019 Feb 19:300891619829571. Epub 2019 Feb 19.

2 Head and Neck Cancer Medical Oncology 3 Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.

Purpose:: Two tyrosine kinase inhibitors (TKIs), vandetanib and cabozantinib, have been approved for recurrent/metastatic (R/M) medullary thyroid carcinoma (MTC). To date, it is still debated when and which TKI has to be started in R/M MTC patients. This is due to 1) TKI-related toxicity burden, 2) no overall survival benefit for either TKI, and 3) progression-free survival improvement in MTC subgroups ( RETM918T and RAS mutations) treated with cabozantinib. Read More

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http://dx.doi.org/10.1177/0300891619829571DOI Listing
February 2019

Recent historic perspective on modified neck dissection.

Authors:
Ashok R Shaha

Head Neck 2019 Feb 18. Epub 2019 Feb 18.

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

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http://dx.doi.org/10.1002/hed.25700DOI Listing
February 2019

Unusual and multiple variations of head and neck veins: a case report.

Surg Radiol Anat 2019 Feb 18. Epub 2019 Feb 18.

Department of Anatomy, JIPMER, Puducherry, India.

We report an unusual and multiple variation involving the right head and neck veins which were found during routine dissection in a 50-year-old male cadaver, facial vein draining into both external and internal jugular veins, fenestration in external jugular vein transmitting the supraclavicular nerve trunk, the anterior division of the retromandibular vein draining into anterior jugular vein and the absence of the common facial vein. The knowledge about these variations is important during various surgical and diagnostic procedures involving head and neck region. Read More

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http://dx.doi.org/10.1007/s00276-019-02203-0DOI Listing
February 2019

Feasibility and safety of needle-assisted endoscopic thyroidectomy with lateral neck dissection for papillary thyroid carcinoma: a preliminary experience.

Head Neck 2019 Feb 18. Epub 2019 Feb 18.

Department of Thyroid and Vascular Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China.

Background: Endoscopic thyroidectomy is popular among patients with cosmetic requirements. However, when lateral neck dissection (LND) is required, endoscopic surgery may be challenging. Therefore, we introduced needle-assisted endoscopic technique to achieve endoscopic LND procedure and evaluated its safety and feasibility in the present study. Read More

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http://dx.doi.org/10.1002/hed.25705DOI Listing
February 2019

The cervicofacial lift under pure local anaesthesia diminishes the incidence of post-operative haematoma.

J Plast Reconstr Aesthet Surg 2018 Nov 16. Epub 2018 Nov 16.

Service de chirurgie plastique, CHU de Dijon, 14 rue Paul Gaffarel, 21000 Dijon, France.

The cervicofacial lift is a frequently performed procedure in plastic surgery. It is the reference technique for facial rejuvenation and restoration of the oval form of the face and it is essential to treat excess skin. One of the most frequent complications of this procedure is the formation of haematomas. Read More

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http://dx.doi.org/10.1016/j.bjps.2018.10.046DOI Listing
November 2018

Endoscopic transnasal cryo-assisted removal of orbital cavernous hemangiomas: case report and technical hints.

World Neurosurg 2019 Feb 13. Epub 2019 Feb 13.

Department of Biotechnology and Life Sciences; Head and Neck Surgery and Forensic Dissection Research Center; Via Guicciardini, 9, Varese, Italy; Department of Otorhinolaryngology, University of Insubria-Varese, ASST Sette Laghi, Via Guicciardini, 9, Varese, Italy.

Backgrounds: Cryoprobe devices are used by ophthalmic and orbital surgeons for the extraction of fluid-filled intraorbital lesions. No series described cryo-dissection via an exclusive transnasal approach. The authors describe two cases of purely endoscopic transnasal removal of intraconal orbital hemangiomas with the aid of a dedicated cryoprobe. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.01.235DOI Listing
February 2019
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Pathology of the carotid space.

Insights Imaging 2019 Feb 15;10(1):21. Epub 2019 Feb 15.

Department of Imaging Sciences, University of Rochester Medical Center, 601 Elmwood Avenue, P.O. Box 648, Rochester, NY, 14642, USA.

The complex anatomy of the carotid space within a small confined area is unique to the head and neck and allows for a vast array of pathology. This paper will review the anatomy of the carotid space from the skull base to the thorax, defining its borders at multiple levels, as well as its contents. The paper will also describe the myriad of mass lesions and vascular pathologies that may occur within the carotid space. Read More

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http://dx.doi.org/10.1186/s13244-019-0704-zDOI Listing
February 2019
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Multicenter Trial of [F]fluorodeoxyglucose Positron Emission Tomography/Computed Tomography Staging of Head and Neck Cancer and Negative Predictive Value and Surgical Impact in the N0 Neck: Results From ACRIN 6685.

J Clin Oncol 2019 Feb 15:JCO1801182. Epub 2019 Feb 15.

10 University of Arkansas for Medical Sciences, Little Rock, AR.

Purpose: The objective of this study was to determine the negative predictive value (NPV) of positron emission tomography (PET)/computed tomography (CT) for the clinically N0 neck on the basis of neck dissection.

Methods: Participants with newly diagnosed, first-time, head and neck squamous cell carcinoma (HNSCC) and at least one clinically N0 neck side for which dissection was planned were included. A total of 287 participants were prospectively enrolled from 23 American College of Radiology Imaging Network-qualified institutions. Read More

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http://dx.doi.org/10.1200/JCO.18.01182DOI Listing
February 2019
1 Read
18.428 Impact Factor

Cervical metastasis of squamous cell carcinoma of the head and neck. Therapeutic options.

Cir Cir 2019 ;87(2):141-145

Departamento de Tumores de Cabeza y Cuello, Hospital de Oncología, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México.

Introduction: Patients with bulky metastases of squamous cell carcinoma of the head and neck represent a challenge for the therapeutic decision; balance between oncological control and complications should be achieved. The therapeutic sequence has no impact on survival but sequelae.

Objective: We analyze the oncological results in patients with bulky metastases on the neck treated with induction chemotherapy and with up-front neck dissection. Read More

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http://dx.doi.org/10.24875/CIRU.18000412DOI Listing
January 2019

Microsurgical technique for concurrent cervical corpectomy and ventral phrenic nerve access in the rat.

MethodsX 2019 13;6:239-245. Epub 2018 Aug 13.

Dept. of Neurobiology & Anatomy, Drexel University College of Medicine, 2900, Queen Lane, Philadelphia, PA, 19129, USA.

The phrenic nerve is useful to record as a motor output in studies investigating neural control of respiration. It may be accessed via dorsal or ventral microsurgical approaches. Since such studies frequently involve concurrent access to the spinal cord, the two approaches may be alternatively used, each with its own set of advantages and disadvantages. Read More

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http://dx.doi.org/10.1016/j.mex.2018.08.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360515PMC

Parotidectomy in patients with head and neck cutaneous melanoma with cervical lymph node involvement.

Head Neck 2019 Feb 14. Epub 2019 Feb 14.

Department of Head and Neck Surgery and Oncology, Netherlands Cancer Institute - Antoni van Leeuwenhoek, Amsterdam, The Netherlands.

Background: Parotidectomy in melanoma of the coronal scalp and face with clinically involved cervical lymph node metastasis is based on predicted cervical lymphatic drainage described by O'Brien.

Methods: In total, 40 parotidectomies with en bloc therapeutic neck dissection were retrospectively analyzed.

Results: Lymphatic spread of melanoma to the parotid lymph nodes was observed in 10 of 40 specimens (25%). Read More

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http://dx.doi.org/10.1002/hed.25670DOI Listing
February 2019
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Possible prediction of patterns of cervical lymph node spread based on primary tumor location in papillary thyroid carcinomas

Turk J Med Sci 2019 Feb 11;49(1):217-221. Epub 2019 Feb 11.

Backround/aim: Papillary thyroid carcinomas (PTC) frequently metastasize to regional lymph nodes. Our purpose was to investigate the predictive role of tumor location for lymph node metastasis pattern in PTCs.

Materials And Methods: Medical records of 110 PTC patients were reviewed retrospectively. Read More

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http://dx.doi.org/10.3906/sag-1807-79DOI Listing
February 2019
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Vertebral Artery Dissection in Sport: A Systematic Review.

Sports Med 2019 Feb 13. Epub 2019 Feb 13.

University of Canberra Research Institute for Sport and Exercise (UCRISE), Canberra, ACT, Australia.

Background: Vertebral artery dissection (VAD) is a potentially catastrophic injury that may occur during sports participation. A comprehensive review is needed to collate documented cases to improve understanding and inform future preventative approaches.

Objective: This review aimed to understand the extent of VAD in sport and characterise trends suggestive of mechanisms of injury. Read More

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http://link.springer.com/10.1007/s40279-019-01066-0
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http://dx.doi.org/10.1007/s40279-019-01066-0DOI Listing
February 2019
3 Reads

Robotic transoral thyroidectomy: Total thyroidectomy and ipsilateral central neck dissection with da Vinci Xi Surgical System.

Head Neck 2019 Feb 13. Epub 2019 Feb 13.

Department of Surgery, KUMC Thyroid Center, Korea University Hospital, Korea University College of Medicine, Seoul, Republic of Korea.

Background: Transoral approach for thyroidectomy draws attention recently among the thyroid surgeons, with the merits of cosmetic outcomes and minimal flap dissection. The aim of this study is to demonstrate the details and the steps of transoral robotic thyroidectomy.

Methods: We made three incisions in the gingival-buccal sulcus for three 8-mm intraoral ports: one inverted U-shaped 1-cm midline incision approximately 2 cm above the frenulum, and two 0. Read More

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http://dx.doi.org/10.1002/hed.25661DOI Listing
February 2019

Safety of outpatient admission and comparison of different surgical techniques in adult tonsillectomy.

Eur Arch Otorhinolaryngol 2019 Feb 12. Epub 2019 Feb 12.

Department of Otorhinolaryngology-Head and Neck Surgery, Bozyaka Training and Research Hospital, University of Medical Sciences, Ministry of Health, Izmir, Turkey.

Purpose: To investigate the safety of outpatient admission and the effects of surgical technique in tonsillectomy operations of adult patients.

Methods: The digital database was scanned for patients aged ≥ 15 years that underwent tonsillectomy in our institution between years 2014 and 2018. Demographic and clinical characteristics, the surgical technique, length of stay (LOS) in hospital, re-admissions after discharge, complications and interventions performed were recorded. Read More

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http://dx.doi.org/10.1007/s00405-019-05334-7DOI Listing
February 2019

Recurrent oral squamous cell carcinoma-incorporating advance care planning in education and practice.

Spec Care Dentist 2019 Feb 12. Epub 2019 Feb 12.

Department of Nursing, Michigan Medicine, Ann Arbor, Michigan.

This reflection describes a life-limiting case of oral squamous cell carcinoma (SCC) that required thoughtful management facilitated by an advance care plan (ACP). A 70-year-old female was diagnosed with a T4aN2bM0 biopsy-proven invasive, well-differentiated keratinizing SCC. Surgical wide-local excision included teeth #11-16 with left unilateral neck dissection, levels I-V. Read More

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http://dx.doi.org/10.1111/scd.12369DOI Listing
February 2019

Patterns of lymph node metastasis and the management of neck dissection for parotid carcinomas: a single-institute experience.

Int J Clin Oncol 2019 Feb 9. Epub 2019 Feb 9.

Department of Otorhinolaryngology-Head and Neck Surgery, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki, Osaka, 569-8686, Japan.

Background: There is no consensus about the indications and range of neck dissection in patients who have parotid carcinoma, with elective neck dissection for cN0 disease being particularly controversial.

Methods: This study retrospectively reviewed 185 patients with newly diagnosed parotid carcinoma who were treated at our department between September 1999 and August 2018.

Results: 50 of the 185 patients had lymph node metastasis, including 7. Read More

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http://dx.doi.org/10.1007/s10147-019-01411-3DOI Listing
February 2019
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The influence of lymph node ratio on survival and disease recurrence in squamous cell carcinoma of the tongue.

Int J Oral Maxillofac Surg 2019 Feb 6. Epub 2019 Feb 6.

Department of Cranio-Maxillo-Facial and Oral Surgery, University Hospital of Zurich, Zurich, Switzerland.

This study was performed to report the outcomes of patients with oral squamous cell carcinoma (OSCC) of the tongue over a 10-year period with the aim of testing the hypothesis that the lymph node ratio (LNR) has a significant influence on loco-regional recurrence. The charts of 227 patients with OSCC of the mobile tongue treated at the University Hospital of Zurich from 2003 to 2012 were screened. Following the application of the exclusion criteria (prior chemotherapy, radiotherapy, or surgery, perioperative death, N3 disease, unresectable disease, synchronous second primary, no signed informed consent, and follow-up <3years), prospective data were collected and a retrospective analysis performed for 88 of these patients who were treated with selective neck dissection. Read More

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http://dx.doi.org/10.1016/j.ijom.2019.01.008DOI Listing
February 2019
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Touch Imprint Cytology: Can It Serve as an Alternative to Frozen Section in Intraoperative Assessment of Cervical Metastasis in Oral Squamous Cell Carcinoma?

J Oral Maxillofac Surg 2019 Jan 14. Epub 2019 Jan 14.

Professor, Department of Oral & Maxillofacial Surgery, Sharad Pawar Dental College, Datta Meghe Institute of Medical Sciences, Wardha, India.

Purpose: The purpose was to assess the diagnostic accuracy of touch imprint cytology (TIC) compared with frozen section (FS) analysis as an intraoperative diagnostic tool to assess nodal metastasis in oral squamous cell carcinoma.

Materials And Methods: We intraoperatively assessed 38 patients undergoing neck dissection for oral squamous cell carcinoma, wherein a total of 248 nodes were sectioned and subjected to TIC and, subsequently, FS analysis and were finally submitted to the gold-standard histopathologic examination. The sensitivities, specificities, positive predictive values (PPVs), and negative predictive values (NPVs) of TIC and FS analysis for the detection of metastasis in the cervical nodes were determined with the corresponding 95% confidence intervals. Read More

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http://dx.doi.org/10.1016/j.joms.2019.01.011DOI Listing
January 2019
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Examining adjuvant radiation dose in head and neck squamous cell carcinoma.

Head Neck 2019 Feb 9. Epub 2019 Feb 9.

Department of Radiation Oncology, Fox Chase Cancer Center, Philadelphia, Pennsylvania.

Background: Compare adjuvant radiation dose trends and outcomes in head and neck squamous cell carcinoma (HNSCC).

Methods: Nonmetastatic HNSCCs treated between 2004 and 2014 with primary site surgery, lymph node dissection, and adjuvant radiation were identified in the National Cancer Database. Standard dose radiation (SD-RT) was defined as an equivalent dose in 2 Gy (EQD2) ≥56. Read More

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http://dx.doi.org/10.1002/hed.25680DOI Listing
February 2019
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Sacrospinous hysteropexy with a low weight transvaginal polypropylene mesh for treatment of complete uterovaginal eversion.

Int Braz J Urol 2019 Feb 10;45. Epub 2019 Feb 10.

Divisão de Urologia Feminina, Departamento de Cirurgia, Faculdade de Ciências Médicas, Universidaded e Campinas, UNICAMP, Brasil.

Introduction: Pelvic Organ Prolapse (POP) is a common condition in elderly resulting from the weakening of the organ suspension elements of multifactorial origin. It compromises significantly the quality of life and can affect more than 50% of multiparous women. Stage IV prolapse or complete uterovaginal eversion corresponds to 10% of the cases and the only form of curative treatment is the surgical correction. Read More

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http://dx.doi.org/10.1590/S1677-5538.IBJU.2018.0555DOI Listing
February 2019
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The prognostic impact of pathologic lymph nodes in HPV-positive oropharyngeal cancers.

Oral Oncol 2019 Feb 15;89:23-29. Epub 2018 Dec 15.

The Bloomberg-Kimmel Institute for Cancer Immunotherapy, The Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA; Johns Hopkins Division of Biostatistics and Bioinformatics, Johns Hopkins University School of Medicine, 550 North Broadway, Baltimore, MD 21287, USA.

Purpose: Recent pathologic staging of HPV-positive oropharyngeal squamous cell carcinomas (OPSCC) is solely dependent on number of pathologic nodes. Using a large dataset, we aimed to understand how increase in pathologic lymph nodes (LN) associated with overall survival.

Materials And Methods: National Cancer Database was queried for HPV-positive OPSCC patients undergoing primary surgery with LN dissection between 2010 and 2013. Read More

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http://dx.doi.org/10.1016/j.oraloncology.2018.12.005DOI Listing
February 2019
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Lymph node ratio as prognostic variable in oral squamous cell carcinomas: Systematic review and meta-analysis.

Oral Oncol 2019 Feb 8;89:133-143. Epub 2019 Jan 8.

Faculty of Dentistry, The University of Hong Kong, Pokfulam, Hong Kong SAR, China. Electronic address:

Lymph node ratio (LNR) has been shown to be an independent prognostic factor for oral squamous cell carcinoma (OSCC) in various centre-based studies recently. A range of cut-off values have been suggested. A meta-analysis was performed to evaluate the prognostic effects of LNR and to investigate the cut-off value. Read More

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http://dx.doi.org/10.1016/j.oraloncology.2018.12.032DOI Listing
February 2019
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Long-term speech and swallowing function after primary resection and sentinel node biopsy for early oral squamous cell carcinoma.

Oral Oncol 2019 Feb 9;89:127-132. Epub 2019 Jan 9.

Department of Otorhinolaryngology, Head and Neck Surgery, Kantonsspital St. Gallen, Switzerland.

Objectives: Analysis of long-term speech and swallowing function and subjective quality of life (QOL) after primary resection and sentinel node biopsy (SNB) in patients with early stage (cT1/T2) oral squamous cell carcinomas (OSCC).

Material And Methods: Eighty-one consecutive patients treated primarily by transoral resection without flap reconstruction and SNB for a cT1/T2 OSCC were included. Completion neck dissection (CND) was indicated in case of occult disease in the sentinel nodes. Read More

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http://dx.doi.org/10.1016/j.oraloncology.2018.12.027DOI Listing
February 2019
2 Reads

Hyoid Periosteum Sutures: A Modified Tissue-Preserving Hyoid Suspension Technique for Obstructive Sleep Apnea.

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

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http://dx.doi.org/10.1097/SCS.0000000000005187DOI Listing
February 2019
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Management of clinically N0 neck in oropharyngeal carcinoma.

Eur Arch Otorhinolaryngol 2019 Feb 7. Epub 2019 Feb 7.

Department of Otorhinolaryngology - Head and Neck Surgery, Helsinki University Hospital, University of Helsinki, P.O. Box 263, 00029 HUS, Helsinki, Finland.

Purpose: Only a minority of patients with oropharyngeal squamous cell carcinoma (OPSCC) are diagnosed without regional metastasis (cN0). Studies focusing on the management of cN0 neck in OPSCC are scarce.

Methods: We reviewed all OPSCC patients treated at our institution with cN0 neck between 2000 and 2009. Read More

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http://dx.doi.org/10.1007/s00405-019-05314-xDOI Listing
February 2019
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Minimally Invasive Cervical Pedicle Screw Placement With a Freehand Technique Through the Posterolateral Approach Using a Tubular Retractor: A Technical Note.

Oper Neurosurg (Hagerstown) 2019 Feb 5. Epub 2019 Feb 5.

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

Background And Importance: Although many studies have demonstrated the biomechanical superiority of cervical pedicle screw (CPS) placement with sufficient safety and accuracy, it also has an inevitable major drawback in that an extensive posterior neck muscle dissection results in immediate postoperative neck pain. To avoid this disadvantage and highlight the several biomechanical advantages of CPS, we conducted the first minimally invasive surgery using both a tubular retractor through the posterolateral approach and a freehand placement technique.

Clinical Presentation: A 77-yr-old man presented with quadriparesis and neck pain. Read More

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http://dx.doi.org/10.1093/ons/opy375DOI Listing
February 2019
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Prognostic significance of lymph node yield and lymph node ratio in patients affected by squamous cell carcinoma of the oral cavity and oropharynx: Study protocol for a prospective, multicenter, observational study.

Contemp Clin Trials Commun 2019 Jun 14;14:100324. Epub 2019 Jan 14.

Department of Otolaryngology- Head and Neck Surgery, Humanitas Clinical and Research Center, Rozzano, Milano, Italy.

Background: Lymph node involvement is a fundamental prognostic factor in head and neck squamous cell carcinoma (SCC). Lymph node yield (LNY), which is the number of lymph nodes retrieved after neck dissection, and lymph node ratio (LNR), which is the ratio of positive lymph nodes out of the total removed, are measurable indicators that may have the potential to be used as prognostic factors. The present study is designed to define the exact role of LNY and LNR regarding the overall and specific survival of patients affected by oral cavity and oropharyngeal SCC. Read More

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http://dx.doi.org/10.1016/j.conctc.2019.100324DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6353728PMC

Survival Impact of Adjuvant Therapy in Salivary Gland Cancers following Resection and Neck Dissection.

Otolaryngol Head Neck Surg 2019 Feb 5:194599819827851. Epub 2019 Feb 5.

2 Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles, California, USA.

Objective: To evaluate the impact of postoperative radiotherapy (PORT) and chemotherapy on survival in salivary gland cancer (SGC) treated with curative-intent local resection and neck dissection.

Study Design: Retrospective population-based cohort study.

Setting: National Cancer Database. Read More

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http://dx.doi.org/10.1177/0194599819827851DOI Listing
February 2019

The Anterior Ethmoidal "Genu": A Newly Appreciated Anatomic Landmark for Endoscopic Sinus Surgery.

Clin Anat 2019 Feb 5. Epub 2019 Feb 5.

Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins School of Medicine, Baltimore, Maryland.

Human sinonasal anatomy varies widely between patients, challenging surgeons operating in the sinuses. Ethmoid sinus anatomy is so variable it has been referred to as a labyrinth. Accordingly, reliable, consistent anatomic landmarks aid surgeons operating in this region. Read More

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http://dx.doi.org/10.1002/ca.23347DOI Listing
February 2019

Nomogram for predicting level V lymph node metastases in papillary thyroid carcinoma with clinically lateral lymph node metastases: A large retrospective cohort study of 1037 patients from FDUSCC.

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

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http://dx.doi.org/10.7150/jca.28527DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360426PMC
January 2019
4 Reads

Transoral Endoscopic Thyroidectomy for Thyroid Cancer.

Endocrinol Metab Clin North Am 2019 03;48(1):165-180

Minimally Invasive and Endocrine Surgery Division, Department of Surgery, Police General Hospital, 492/1, Rama 1 Road, Pathumwan, Bangkok 10330, Thailand. Electronic address:

The prevalence of low-risk differentiated thyroid cancer (DTC) is dramatically increasing because of superior diagnostic imaging technologies. Remote-access endoscopic thyroidectomy is becoming more popular for the lack of a noticeable neck scar. Transoral endoscopic thyroidectomy, vestibular approach (TOETVA) is the only technique that could be called a true scarless surgery; however, there is a scarcity of long-term studies about its safety and feasibility. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08898529183059
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http://dx.doi.org/10.1016/j.ecl.2018.11.009DOI Listing
March 2019
4 Reads

Neck Dissection in the Surgical Treatment of Thyroid Cancer.

Endocrinol Metab Clin North Am 2019 03 26;48(1):143-151. Epub 2018 Dec 26.

Otolaryngology Department, Augusta University, Thyroid and Parathyroid Center, 1120 Fifteenth Street, BP-4109, Augusta, GA 30912-4060, USA. Electronic address:

The incidence of thyroid cancer is increasing, largely attributable to overdetection related to prevalent diagnostic and radiologic imaging modalities. Papillary thyroid cancer remains the most common thyroid malignancy. It has a high tendency for regional metastasis to the cervical lymph nodes. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08898529183059
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http://dx.doi.org/10.1016/j.ecl.2018.11.004DOI Listing
March 2019
3 Reads

Treatment of oral cancers during pregnancy: a case-based discussion.

J Otolaryngol Head Neck Surg 2019 Feb 4;48(1). Epub 2019 Feb 4.

Department of Oral and Maxillofacial Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan.

Background: Malignancies occur in approximately 1:1000 pregnancies; the most common being breast (46%) and hematological (18%) malignancies. Oral cancers account for only 2% of all cancers in pregnant women, and there are no standard guidelines for the treatment of oral cancer during pregnancy.

Methods: Between 2007 and 2014, our department managed 1109 patients with oral cancers; four (0. Read More

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http://dx.doi.org/10.1186/s40463-019-0331-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360730PMC
February 2019
2 Reads

Novel rodent model for simulation of sylvian fissure dissection and cerebrovascular bypass under subarachnoid hemorrhage conditions: technical note and timing study.

Neurosurg Focus 2019 Feb;46(2):E17

Departments of1Neurologic Surgery.

OBJECTIVESylvian fissure dissection following subarachnoid hemorrhage (SAH) is a challenging but fundamental skill in microneurosurgery, and one that has become increasingly difficult to develop during residency, given the overarching management trends. The authors describe a novel rodent model for simulation of sylvian fissure dissection and cerebrovascular bypass under SAH conditions.METHODSA standardized microvascular anastomosis model comprising rat femoral arteries and veins was used for the experimental framework. Read More

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http://dx.doi.org/10.3171/2018.11.FOCUS18533DOI Listing
February 2019
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A case report of parotid mammary analogue secretory carcinoma and reviews.

Int J Surg Case Rep 2019 Jan 19;55:88-91. Epub 2019 Jan 19.

Department of Surgery, New York Presbyterian Queens Medical Center/Weill Cornell Medical College, 56-45 Main Street, Flushing, New York, United States.

Introduction: Mammary analog secretory carcinoma (MASC) is a new diagnosis of head and neck tumors first reported in 2010. It was often misdiagnosed as salivary acinic cell carcinoma (AciCC). We present a patient with an asymptomatic parotid tumor that underwent deep lobe parotidectomy and postoperative radiation therapy. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.01.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360266PMC
January 2019
7 Reads

Top-down Holmium Laser Enucleation of the Prostate: Technical Aspects and Early Outcomes.

Urology 2019 Feb 1. Epub 2019 Feb 1.

Urology Department, Northern Ontario School of Medicine, Thunder bay, Ontario, Canada.

Objective: To clarify the key steps and evaluate the early results of the recently introduced top-down holmium laser enucleation of the prostate (HoLEP). This technique was developed to shorten the steep learning curve associated with the conventional approach.

Patients And Methods: Sixty patients with a median age of 73 years (54-88) underwent HoLEP between 2017 and 2018. Read More

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http://dx.doi.org/10.1016/j.urology.2019.01.019DOI Listing
February 2019
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Risk Factors for Surgical Site Infection in Patients Undergoing Free and Pedicled Myocutaneous Flap Reconstruction After Oral Cancer Resection.

J Oral Maxillofac Surg 2019 Jan 4. Epub 2019 Jan 4.

Resident, Department of Oral and Maxillofacial Surgery and Plastic Surgery, Gunma University Graduate School of Medicine, Gunma, Japan.

Purpose: The aim of the study was to investigate risk factors for surgical site infection (SSI) at the recipient site in oral cancer resection surgery with neck dissection and reconstruction using a free or pedicled myocutaneous flap.

Patients And Methods: Eighty-eight patients who underwent this procedure composed a nonrandomized retrospective cohort.

Results: Recipient site SSIs occurred in 27 patients (30. Read More

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http://dx.doi.org/10.1016/j.joms.2018.12.028DOI Listing
January 2019
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Metastasis to Stomach in a Patient with Anaplastic Thyroid Carcinoma: A Clinical Challenge.

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

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https://www.amjcaserep.com/abstract/index/idArt/913736
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http://dx.doi.org/10.12659/AJCR.913736DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368130PMC
February 2019
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[Application of carbon nano-particles in total thyroidectomy combined with lymphadenectomy in area Ⅵ].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Jan;54(1):28-32

Department of Head and Neck Surgery, the Affiliated Cancer Hospital of Nanjing Medical University, Nanjing 210009, China.

To evaluate the effects of staining with carbon nanoparticles on the identification of parathyroid glands and lymph nodes during thyroid carcinoma surgery combined with lymphadenectomy. A total of 194 patients with papillary thyroid carcinoma who underwent thyroidectomy combined with lymphadenectomy from April 2016 to January 2018 were reviewed. Of them 104 cases were injected with carbon nanoparticles in operation area (nanocarbon group) and other 90 cases without the injection of carbon nanoparticles were as control group. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1673-0860.2019.01.007DOI Listing
January 2019

[Analysis of risk factors for central lymph node metastasis in papillary thyroid microcarcinoma].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Jan;54(1):12-17

Department of Head and Neck Surgery, Sichuan Cancer Hospital Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu 610041, China.

To analyze the risk factors of lymph node metastasis in central region of patients with papillary thyroid microcarcinoma (PTMC). To evaluate the reliability of different risk factors on the prognosis of cervical lymph node metastasis in PTMC patients, and to provide the clinical support for PTMC in the central area. The clinical data of 700 patients with PTMC treated with surgery from January 2015 to July 2017 were analyzed retrospectively. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1673-0860.2019.01.004DOI Listing
January 2019
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