17,210 results match your criteria Radical Neck Dissection


Tailor-made branch reconstruction by intracranial to intracranial bypass during clipping surgery for middle cerebral artery aneurysms.

World Neurosurg 2019 Apr 14. Epub 2019 Apr 14.

Department of Neurosurgery, Tohoku University Graduate School of Medicine, Sendai, Japan.

Background: In clipping surgery, it is advantageous to dissect an adhered artery from the aneurysmal dome to achieve complete clipping. Bypass surgery is useful to reconstruct an adhered artery when dissection of the artery is technically difficult or risky. Here, we report the effectiveness of tailor-made intracranial (IC)-IC bypass to reconstruct an adhered artery in clipping surgery for middle cerebral artery (MCA) aneurysms. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.04.074DOI Listing

LATERAL NECK DISSECTION FOR AGGRESSIVE VARIANTS OF WELL-DIFFERENTIATED THYROID CANCER.

Endocr Pract 2019 Apr;25(4):328-334

Well-differentiated thyroid cancer (WDTC) is characterized by favorable disease course and excellent survival. However, some histologic subtypes, known as aggressive histologic variants (AHVs), present a more aggressive behavior than conventional WDTC. The aim of this study was to evaluate the pattern of nodal involvement and factors influencing prognosis in N1b patients with AHVs. Read More

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http://journals.aace.com/doi/10.4158/EP-2018-0503
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http://dx.doi.org/10.4158/EP-2018-0503DOI Listing
April 2019
1 Read

[Temporal bone anatomy via transcanal endoscopy].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Apr;54(4):314-320

Department of Otology and Lateral Skull Base Surgery, the First People's Hospital of Foshan, Medical Engineering Research for Hearing and Balance, Foshan 528000, China.

Based on anatomy and clinical operation, this article discussed the anatomical structure of temporal bone and its contiguous relationship under oto-endoscope, through two approaches: the natural external auditory canal and the enlarged external auditory canal. To give an account of the anatomical characteristics of temporal bone under oto-endoscope. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1673-0860.2019.04.017DOI Listing

[Progression of diagnosis and treatment of medullary thyroid carcinoma].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Apr;54(4):306-310

Department of Head and Neck Surgery, Sichuan Cancer Hospital, Sichuan Institute of Cancer Research, Sichuan Cancer Prevention and Control Center, Cancer Hospital affiliate to School of Medicine, Electronic Science and Technology, Chengdu 610041, China.

To review and summarize recent update on preoperative diagnostic criteria, treatment and postoperative follow-up for medullary thyroid carcinoma. The relevant literatures and guidelines about medullary thyroid carcinoma were analyzed and summarized. In the early stages of the disease radical surgery still dominated. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1673-0860.2019.04.015DOI Listing

[Outcome of neck dissection for 154 cN0/cN1 patients with squamous cell carcinoma of hypopharynx and prognostic analysis].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Apr;54(4):272-279

Department of Otorhinolaryngology, Eye Ear Nose and Throat Hospital of Fudan University, Shanghai 200031, China.

To determine the relationship between nodal disease distribution patterns and oncological outcome and optimum management of cN0/cN1 patients with hypopharyngeal squamous cell carcinoma (HPSCC). The collected clinical data and the follow-up disease-free survival (DFS) information from 154 patients with HPSCC treated between 2001 and 2014 in Eye Ear Nose and Throat Hospital of Fudan University were retrospectively analyzed. Kaplan-Meier method was used to calculate DFS rate. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1673-0860.2019.04.007DOI Listing

Transoral Resection of Giant Parapharyngeal Space Tumors via a Combined Surgical Approach.

Iran J Otorhinolaryngol 2019 Mar;31(103):87-96

Department of Otorhinolaryngology - Head and Neck Surgery, Aristotle University of Thessaloniki, AHEPA Hospital, 1 Stilponos Kyriakidi St, 54636 Thessaloniki, Greece.

Introduction: Parapharyngeal space (PPS) tumors account for 0.5% of the head and neck neoplasms. Based on the evidence, 80% of these tumors are of a benign nature. Read More

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Clinical effect of postoperative chemoradiotherapy in resected advanced laryngeal squamous cell carcinoma.

Oncol Lett 2019 May 4;17(5):4717-4725. Epub 2019 Mar 4.

Department of Otorhinolaryngology-Head and Neck Surgery, Eye, Ear, Nose and Throat Hospital of Fudan University, Shanghai 200031, P.R. China.

Laryngeal squamous cell carcinoma (LSCC) is one of the most prevalent types of head and neck malignancies. Advanced LSCC has failed to demonstrate a satisfactory prognosis, despite the progresses in the diagnosis and treatment, and the optimal treatment modality continues to be debated. To evaluate the clinical utility and survival outcomes of adjuvant chemoradiotherapy (CRT) for patients with resected advanced LSCC, a retrospective analysis of 232 patients with LSCC who had undergone total laryngectomy and neck dissection between 2005 and 2010 was conducted. Read More

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http://dx.doi.org/10.3892/ol.2019.10104DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6447886PMC

Recurrence of papillary thyroid carcinoma from the residual pyramidal lobe: a case report and literature review.

Medicine (Baltimore) 2019 Apr;98(15):e15210

Thyroid and Parathyroid Surgery Center, West China Hospital, Sichuan University, No. 37, Guoxue Alley, Chengdu, Sichuan, China.

Rationale: Recurrence of papillary thyroid carcinoma (PTC) usually requires a second operation, which carries a high complication rate, especially if central neck dissection (CND) is necessary. Recurrent PTC from pyramidal lobe is a rare entity, which is mainly due to non-standardized operation. However, literature on this topic is limited. Read More

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http://dx.doi.org/10.1097/MD.0000000000015210DOI Listing

Frontal sinus ablation (Riedel-Mosher's procedure): indications and role in the endonasal endoscopic era.

Rhinology 2019 Apr 15. Epub 2019 Apr 15.

Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria, ASST Sette Laghi, Ospedale di Circolo e Fondazione Macchi, Varese, Italy.

Background: The aim of this article is to describe the Riedel-Mosher's surgical technique and identify its current role in the endoscopic endonasal era based on the experience of a tertiary care medical centre. It also provides a brief excursus on materials available for frontal reconstruction.

Methods: A retrospective review of patients submitted to Riedel-Mosher's procedure from 2005 to 2018 at a single tertiary care centre was carried out. Read More

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http://dx.doi.org/10.4193/Rhin18.197DOI Listing
April 2019
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Effects of alternate dissection on anatomy learning.

Anat Cell Biol 2019 Mar 29;52(1):69-75. Epub 2019 Mar 29.

Department of Anatomy and Cell Biology, Seoul National University College of Medicine, Seoul, Korea.

To address the problems associated with crowding in dissection laboratory, especially for dissections of the head and neck region, we adopted an alternate dissection strategy and explored its effects on student learning, and student perceptions of the approach. The alternate dissection approach was first introduced at our institution for dissection of the head and neck region in 2014, and was expanded to encompass the extremities in 2016. A survey on student perceptions of this new strategy was conducted at the end of anatomical courses held from 2014 to 2016, and practical and written examination scores from 2013 to 2016 were analyzed. Read More

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http://dx.doi.org/10.5115/acb.2019.52.1.69DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6449586PMC

Myoepithelial Cell Carcinoma of the Oral Tongue: Case Report and Review of the Literature.

Clin Med Insights Oncol 2019 2;13:1179554919838254. Epub 2019 Apr 2.

Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of New Mexico Hospital, UNM School of Medicine, Albuquerque, NM, USA.

Background: Myoepithelial cell carcinoma is a rare malignant neoplasm of salivary gland origin that typically presents in the parotid gland and minor salivary glands. It has been described previously in head and neck sites such as buccal mucosa, alveolar ridge, and base of tongue.

Methods: A 55-year-old man presented with 30 years of right-sided tongue pain and 10 years of gradually worsening ulceration. Read More

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http://dx.doi.org/10.1177/1179554919838254DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6448097PMC
April 2019
1 Read

Reconstruction with free flaps in robotic head-and-neck onco-surgeries.

Indian J Plast Surg 2018 Sep-Dec;51(3):283-289

Department of Surgical Oncology, Division of Plastic and Reconstructive Surgery, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India.

Aims And Objective: The aim of the present article is to highlight how reconstruction with free flaps is different and difficult in cases with robotic head-and-neck cancer surgery. It also highlights the technical guidelines on how to manage the difficulties.

Materials And Methods: Eleven patients with oropharyngeal cancer having undergone tumour excision followed by free-flap reconstruction been reviewed here. Read More

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http://dx.doi.org/10.4103/ijps.IJPS_35_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440359PMC

The impact of frailty on perioperative outcomes and resource utilization in sinonasal cancer surgery.

Laryngoscope 2019 Apr 14. Epub 2019 Apr 14.

Department of Head and Neck Surgery, David Geffen School of Medicine at the University of California-Los Angeles, Los Angeles, California.

Objectives/hypothesis: Frailty is a measure of decreased physiologic reserve that has been associated with adverse outcomes in older surgical patients. We aimed to measure the association of preoperative frailty with outcomes in patients undergoing sinonasal cancer surgery.

Study Design: Retrospective cohort study. Read More

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http://dx.doi.org/10.1002/lary.28006DOI Listing

How to perform subperichondrial and subperiosteal rhinoplasty.

Eur Ann Otorhinolaryngol Head Neck Dis 2019 Apr 10. Epub 2019 Apr 10.

Chirurgie plastique, esthétique et reconstructrice, abdi Ipekçi Caddesi No:53, Sisly, Istanbul, Turkey.

Rhinoplasty, via either an open or a closed approach, is classically performed in the supraperichondrial plane, i.e. underneath the SMAS. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18797296193006
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http://dx.doi.org/10.1016/j.anorl.2019.04.004DOI Listing
April 2019
1 Read

Robotic-assisted perineal versus transperitoneal radical prostatectomy: A matched-pair analysis.

Turk J Urol 2019 Apr 3. Epub 2019 Apr 3.

Department of Urology, Health Sciences University, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey.

Objective: We compared the outcomes of robotic-assisted radical perineal prostatectomy (r-PRP) versus robotic-assisted transperitoneal laparoscopic radical prostatectomy (RARP).

Material And Methods: Between November 2016 and September 2017 in our center, 40 patients underwent r-PRP, and 40 patients underwent RARP. All patients also underwent multiparametric magnetic resonance imaging (mpMRI) to exclude the cases with locally advanced disease. Read More

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http://dx.doi.org/10.5152/tud.2019.98254DOI Listing
April 2019
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Efficacy of Central Neck Dissection for Clinically Node-Negative Papillary Thyroid Carcinoma: Propensity Scoring Matching.

Front Endocrinol (Lausanne) 2019 27;10:172. Epub 2019 Mar 27.

Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University, Seoul, South Korea.

The utility of prophylactic central neck dissection (pCND) for papillary thyroid carcinoma (PTC) is still controversial. Although the procedure may reduce locoregional recurrence, it is associated with a high rate of postoperative complications. The aim of this study was to evaluate the role of pCND in patients with PTC. Read More

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http://dx.doi.org/10.3389/fendo.2019.00172DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6445964PMC
March 2019
1 Read

[Endoscopic selective lateral neck dissection via a chest-breast approach for papillary thyroid carcinoma: preliminary experience in 20 cases].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Apr;33(4):346-350

Department of Breast and Thyroid Surgery, the First People's Hospital of Zunyi, Zunyi, 563000, China.

To explore the feasibility of endoscopic selective lateral neck dissection(SLND) via a chest-breast approach.We retrospectively reviewed 20 patients who underwent endoscopic total thyroidectomy along with SLND, between January 2017 and May 2018. All the 20 patients underwent total thyroidectomy, central lymph nodes dissection and selective lateral lymph nodes dissection with endoscopic surgery via chest-breast approach. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2019.04.014DOI Listing
April 2019
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[Observation on clinical efficacy and prognosis analysis of endoscopic surgery treatment for rT1-rT2 recurrent nasopharyngeal carcinoma].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Apr;33(4):337-341

Department of Otolaryngology Head and Neck, the People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, 530021, China.

To investigate the feasibility of endoscopic surgery for treatment of rT1-rT2 recurrent nasopharyngeal carcinoma. The clinical data and of 57 patients who had recurrence of the primary lesion after treatment of nasopharyngeal carcinoma from February 2011 to December 2015 were retrospectively analyzed. The patients were re-staged according to Union for International Cancer Control(UICC, 2010) staging system for nasopharyngeal carcinoma before surgery. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2019.04.012DOI Listing
April 2019
6 Reads

Prognostic value of the nodal yield in head and neck squamous cell carcinoma: A systematic review.

Head Neck 2019 Apr 10. Epub 2019 Apr 10.

Department of Pathology, University Medical Center Utrecht, Utrecht, The Netherlands.

Objective: Literature analysis on the prognostic factor of the nodal yield (NY) in neck dissections (NDs), which in general surgical oncology is a strong prognosticator and quality-of-care marker.

Methods: We performed a systematic review of all PubMed and Embase publications until June 30, 2018 screening for data on NY as prognosticator and overall survival (OS) as outcome in patients with head and neck squamous cell carcinoma (HNSCC). Risk for bias was asserted by application of the Quality In Prognosis Studies tool. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/hed.25764
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http://dx.doi.org/10.1002/hed.25764DOI Listing
April 2019
6 Reads

Outcomes following head neck free flap reconstruction requiring interposition vein graft or vascular bridge flap.

Head Neck 2019 Apr 9. Epub 2019 Apr 9.

Department of Plastic Surgery, China Medical University Hospital, Taichung, Taiwan.

Background: Interposition vein grafts (IVG) and vascular bridge flaps (VBF) have been exploited as vascular conduit in challenging head and neck reconstructions.

Methods: A retrospective review was conducted on 6025 flaps. The effect of patients' characteristics and length of IVG on flap compromise and loss were analyzed. Read More

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http://dx.doi.org/10.1002/hed.25767DOI Listing
April 2019
3 Reads

Endoscopic septoplasty: literature review, surgical techniques and retrospective analysis at the University Hospitals Leuven.

J Laryngol Otol 2019 Apr 10:1-7. Epub 2019 Apr 10.

Department of Otorhinolaryngology, Head and Neck Surgery,University Hospitals Leuven,Belgium.

Background: Endoscopic septoplasty is an alternative approach for a deviated nasal septum. Since its introduction, numerous techniques have been developed, each with its own advantages and limitations. A literature review is presented, along with our experience with endoscopic spur resection. Read More

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http://dx.doi.org/10.1017/S0022215119000665DOI Listing

The Transverse Facial Artery and the Mandibular Condylar Process: An Anatomic and Radiologic Study.

J Stomatol Oral Maxillofac Surg 2019 Apr 6. Epub 2019 Apr 6.

Department of Maxillofacial Surgery, APHP, Hôpital Beaujon, F-92110, Clichy, Univ Paris Diderot, Sorbonne Paris Cité, Paris, France; EA 2496, Orofacial Pathology, Imaging and Biotherapy Laboratory, France. Electronic address:

Introduction: In surgical approaches to condylar fractures, there is a risk of damage to the transverse facial artery (TFA) which may in turn account for impaired blood supply to the temporomandibular joint (TMJ). In order to investigate the risk of damage to the TFA, and prevent lesions to this artery resulting from TMJ surgical procedures, we studied the distance between the TFA and the head of the condylar process.

Methodology: A dissection study was conducted on 10 fresh cadavers (20 condylar specimens dissected), involving fifty CT scans of the face with intravenous contrast. Read More

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http://dx.doi.org/10.1016/j.jormas.2019.04.002DOI Listing
April 2019
2 Reads

Radiation Therapy Impact on Lymph Node Yield in Patients With Laryngeal Squamous Cell Carcinoma.

Ear Nose Throat J 2019 Apr 8:145561319839790. Epub 2019 Apr 8.

1 Department of Otolaryngology-Head and Neck Surgery, Augusta University, Augusta, GA, USA.

Background: A lymph node yield (LNY) over 20 is considered a quality metric for lateral neck dissection to ensure an oncologic representative sample. Anecdotally, however, LNY in patients undergoing neck dissection after radiation therapy (RT) is lower due to atrophy and fibrosis.

Objective: To determine whether preoperative RT decreases LNY in patients with laryngeal cancers undergoing surgery. Read More

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http://dx.doi.org/10.1177/0145561319839790DOI Listing
April 2019
7 Reads

Elastin-Specific Autoimmunity in Smokers With Thoracic Aortic Aneurysm and Dissection is Independent of Chronic Obstructive Pulmonary Disease.

J Am Heart Assoc 2019 Apr;8(8):e011671

2 Division of Cardiothoracic Surgery Michael E. DeBakey Department of Surgery Baylor College of Medicine Houston TX.

Background Thoracic aortic aneurysm ( TAA ) and dissection ( TAD ) are characterized by progressive disorganization of the aortic wall matrix, including elastin, a highly immunogenic molecule. Whether acquired autoimmune responses can be detected in TAA / TAD patients who are smokers is unknown. The objectives of this study were to determine whether TAA / TAD smokers have increased T-cell responses to human elastin fragments, and to determine whether autoimmune responses in TAA / TAD smokers are dependent on chronic obstructive pulmonary disease. Read More

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http://dx.doi.org/10.1161/JAHA.118.011671DOI Listing
April 2019
6 Reads

Aesthetic single-stage vermilion reconstruction using facial artery musculomucosal flap and radial forearm free flap following cancer resection: A case report.

Microsurgery 2019 Apr 8. Epub 2019 Apr 8.

Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan.

Reconstruction of defects measuring approximately two-thirds of the lower lip width is traditionally reconstructed utilizing loco-regional flap utilizing lip and cheek tissues. This often results in microstomia and unsatisfactory aesthetic outcome. This may hinder the psychosocial aspect of a recovering cancer survivor. Read More

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http://dx.doi.org/10.1002/micr.30456DOI Listing
April 2019
4 Reads

Early Calcium Supplementation After Total Thyroidectomy Can Prevent Symptomatic Hypocalcemia - Findings from a Retrospective Study.

Gulf J Oncolog 2019 Jan;1(29):60-65

Department of Surgical Oncology, Malabar Cancer Centre, Thalassery, Kannur, Kerala, India.

Introduction: Thyroidectomy for thyroid cancers and central neck dissection are considered as independent predictors of postoperative hypocalcemia. Post-surgical hypocalcemia is the most common and often the most difficult long-term consequence of thyroid surgeries. Management of hypocalcemia is done with calcium supplementation, but there is no consensus on the timing and the amount of calcium supplementation. Read More

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January 2019
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Craniocervical Arterial Dissection in Children: Pathophysiology and Management.

Pediatr Neurol 2019 Feb 2. Epub 2019 Feb 2.

Section of Pediatric Neurology, Department of Pediatrics and Child Health, University of Manitoba, Manitoba, Canada; Children's Hospital Research Institute of Manitoba, Winnipeg, Manitoba, Canada. Electronic address:

Background: Craniocervical arterial dissection is a commonly reported arteriopathy associated with stroke in children. It is characterized by a high stroke recurrence rate and variable outcomes. Here we review the pathophysiology, clinical presentation, and diagnostic neuroimaging approaches that are helpful in accurate diagnosis and follow-up of children with arterial dissection. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08878994183130
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http://dx.doi.org/10.1016/j.pediatrneurol.2019.01.020DOI Listing
February 2019
3 Reads

Direct carotid puncture for endovascular thrombectomy in acute ischemic stroke.

J Neurointerv Surg 2019 Apr 6. Epub 2019 Apr 6.

Interventional Neuroradiology Service, Department of Radiology, Beaumont Hospital, Dublin, Ireland.

Background: Mechanical thrombectomy is the standard of care for acute ischemic strokes with proximal intracranial occlusion. Arterial access is commonly achieved with femoral artery puncture, although this is not always possible. In this case series, we describe 11 cases of anterior circulation stroke where direct carotid puncture was used to obtain vascular access. Read More

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http://dx.doi.org/10.1136/neurintsurg-2018-014586DOI Listing
April 2019
2 Reads

Simultaneous metastasized primary unknown signet ring cell carcinoma of the cervical lymph node and mucoepidermoid carcinoma of the parotid gland as double cancers.

Auris Nasus Larynx 2019 Apr 3. Epub 2019 Apr 3.

Department of Otorhinolaryngology, Head and Neck Surgery, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo 160-0023, Japan.

Lymph node metastasis from signet ring cellcarcinoma (SRCC) primary unknown is extremely rare. We here report a case of primary-unknown SRCC that metastasized to the cervical lymph nodes, co-existing with mucoepidermoid carcinoma (MEC) of the parotid gland as a simultaneous double cancer. A 68-year-old female patient with right swollen cervical lymph nodes consulted our medical center. Read More

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http://dx.doi.org/10.1016/j.anl.2019.03.004DOI Listing
April 2019
1 Read

Changes in Hyoid Bone Position and Cross-sectional Area of Pharyngeal Airway After Oral Cancer Surgery.

Anticancer Res 2019 Apr;39(4):2097-2104

Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyungpook National University, Daegu, Republic of Korea

Aim: To investigate hyoid bone position and cross-sectional area (CSA) of pharyngeal airway space (PAS) for assessing postoperative airway change after oral cancer surgery with concurrent neck dissection (ND).

Patients And Methods: Fifty-two patients who underwent oral cancer surgery with concurrent ND were retrospectively evaluated by grouping based on ND type and reconstruction. Computed tomographic data were analyzed three-dimensionally before and after surgery. Read More

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http://dx.doi.org/10.21873/anticanres.13322DOI Listing

Peripheral Nerve Anatomy Revisited: Modern Requirements for Neuroimaging and Microsurgery.

Anat Rec (Hoboken) 2019 Apr 1. Epub 2019 Apr 1.

Department of Plastic, Reconstructive and Aesthetic Surgery, Center of Operative Medicine, Medical University of Innsbruck (MUI), Innsbruck, Austria.

Detailed anatomic investigation of peripheral nerve topography underlies the correct application of intraoperative neuromonitoring (IONM) and ultrasonography, both well-established methods to prevent nerve palsy during surgical operations and to elucidate pathomechanisms in disease. In this study, we analyzed the anatomy of selected peripheral nerves in the head and neck regions to improve the outcome of endocrine and migraine surgeries. Anatomic dissections of 204 hemilarynges were performed to study the topography of the inferior laryngeal nerve (ILN). Read More

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http://dx.doi.org/10.1002/ar.24125DOI Listing
April 2019
2 Reads

Necessity to depict difficult neck anatomy for training of cricothyroidotomy: A pilot study evaluating two surgical devices on a new hybrid training model.

Eur J Anaesthesiol 2019 Apr 3. Epub 2019 Apr 3.

From the Department of Anaesthesiology, Intensive Care Medicine, Emergency Medicine and Pain Therapy, Federal Armed Forces Hospital (BH, OM, MK, MH) and Institute of Epidemiology and Medical Biometry, Ulm University, Ulm, Germany (BM).

Background: Everyone dealing with airway emergencies must be able to accomplish cricothyroidotomy, which cannot be trained in real patients. Training models are necessary.

Objective: To evaluate the suitability of a hybrid training model combining synthetic and porcine parts to depict variable neck anatomy. Read More

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http://dx.doi.org/10.1097/EJA.0000000000000993DOI Listing
April 2019
5 Reads

Oncological outcome following TORS in HPV negative supraglottic carcinoma.

Indian J Cancer 2019 Jan-Mar;56(1):9-14

Department of Surgical Oncology, BLK Super Specialty Hospital, Pusa Road, Delhi, India.

Objective: The aim of this study was to determine the oncological and functional outcomes following transoral robotic surgery (TORS) in human papilloma virus negative supraglottic cancers.

Study Design: A prospective observational study at a tertiary cancer care center, New Delhi, India.

Materials And Methods: From February, 2013 to December, 2015, 45 patients with supraglottic lesions underwent TORS using the da Vinci® surgical system. Read More

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http://dx.doi.org/10.4103/ijc.IJC_172_18DOI Listing
April 2019
6 Reads

Completion Thyroidectomy in Differentiated Thyroid Malignancy-A Prospective Analysis.

Indian J Surg Oncol 2019 Mar 5;10(1):130-134. Epub 2018 Dec 5.

2Department of Pathology, Regional Cancer Centre, Trivandrum, India.

Completion thyroidectomy, being a surgically challenging procedure, choice of doing such procedure in differentiated thyroid cancer (DTC), remains unclear due to the complications involved following the procedure. So this study is intended to look into risk factors that will prompt completion thyroidectomy and surgery-related complications. A prospective analysis was done in 48 patients diagnosed with DTC during the year 2017. Read More

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http://link.springer.com/10.1007/s13193-018-0845-4
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http://dx.doi.org/10.1007/s13193-018-0845-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6414589PMC
March 2019
3 Reads

Role of sternomastoid muscle interposition in concomitant transoral oncologic resection and neck dissection.

Head Neck 2019 Apr 4. Epub 2019 Apr 4.

Department of Otolaryngology & Head-Neck Surgery, All India Institute of Medical Sciences, New Delhi, Delhi, India.

Background: To report the experience with sternomastoid (SM) myofascial flap for reconstruction/buttressing of lateral pharyngeal wall and floor of mouth defects following transoral onco-surgery.

Methods: Prospectively collected data from February 2012-January 2018. SM flap harvested as a superiorly based flap supplied by the occipital artery and consisting of only the anterior SM head. Read More

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http://dx.doi.org/10.1002/hed.25753DOI Listing
April 2019
4 Reads

The Extent of Neck Dissection Among Patients Who Receive Adjuvant Radiotherapy for HNSCC and Its Effect on Disease-Specific and Overall Survival.

Ear Nose Throat J 2019 Apr 4:145561319837142. Epub 2019 Apr 4.

1 Department of Head and Neck Surgery/Plastic and Reconstructive Surgery, Roswell Park Comprehensive Cancer Center, Buffalo, New York, USA.

The study objective was to assess if the extent of neck dissection among patients who receive adjuvant radiotherapy affects regional recurrence and survival. This was a retrospective study of patients who had clinical metastatic mucosal primary squamous cell carcinoma (SCC) to cervical lymph nodes done at Roswell Park Comprehensive Cancer Center, Buffalo, New York from 2004 to 2015. Patients with previous radiotherapy and/or chemotherapy were excluded. Read More

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http://dx.doi.org/10.1177/0145561319837142DOI Listing
April 2019
2 Reads

The superficial face dissection as an example for integrating clinical approaches, authentic learning, and changing perspectives in anatomy dissection.

Anat Sci Educ 2019 Apr 3. Epub 2019 Apr 3.

Department of Anatomy, Mayo Clinic College of Medicine and Science, Mayo Clinic, Rochester, Minnesota.

Hands-on dissection-based learning of anatomy offers a unique and valued experience for medical students. Too often however, the inexperienced student's focus is to avoid damage to unfamiliar structures instead of understanding spatial relationships between structures. This results in unfortunate surrender of a critical learning experience. Read More

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http://dx.doi.org/10.1002/ase.1881DOI Listing
April 2019
1 Read

Biocompatibility of n-butyl-2-cyanoacrylate (Histoacryl) in cervical structures of rats: prospective study.

Ann Surg Treat Res 2019 Apr 28;96(4):162-168. Epub 2019 Mar 28.

Department of Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.

Purpose: We investigated the biocompatibility of n-butyl-2-cyanoacrylate (NBCA) in the cervical deep tissues of rats to assess its biocompatibility.

Methods: A total of 30 Sprague-Dawley rats were injected with NBCA. After 30, 90, 180, and 360 days, cubes of tissue (1 cm × 1 cm × 1 cm) surrounding the NBCA and normal tissue from the other side of the neck were excised from each rat. Read More

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http://dx.doi.org/10.4174/astr.2019.96.4.162DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444043PMC

Outcome of Cervical Lymph Nodes Dissection for Thyroid Cancer with Nodal Metastases: A Southeast Asian 3-Year Experience.

Int J Surg Oncol 2019 28;2019:6109643. Epub 2019 Feb 28.

Sultan Ismail Hospital, Johor Bahru 81100, Malaysia.

Introduction: Therapeutic nodal dissection is still the mainstay of treatment for patients with lymph node metastases in many centres. The local data, however, on the outcome of therapeutic LND remains limited. Hence, this study aims to inform practice by presenting the outcomes of LND for thyroid cancer patients and our experience in a tertiary referral centre. Read More

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http://dx.doi.org/10.1155/2019/6109643DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6421004PMC
February 2019
1 Read

Pedicled pectoralis major flap in head and neck reconstruction - our experience.

Acta Chir Plast 2019 ;60(1):26-29

Introduction: The pedicled pectoralis major flaps are still harvested and mainly indicated for reconstruction in the polymorbid patient. Other indications are combinations of pedicled pectoralis major flaps with free microvascular flap, salvage reconstruction following complications, free flap failure and recurrent or extended primary disease.

Materials And Methods: We describe the pedicled pectoralis major flap in 18 patients operated on at the Department of Oral and Maxillofacial Surgery, Olomouc from 1st January 2014 to 1st December 2016. Read More

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January 2019
4 Reads

Pedicled pectoralis major flap in head and neck reconstruction - technique and overview.

Acta Chir Plast 2019 ;60(1):14-21

The pedicled pectoralis major flap was the original workhorse flap for head and neck reconstruction. Over time, it became the secondary choice for oropharyngeal reconstruction with the implementation of free-soft tissue transfers. Nowadays, a polymorbid patient is primarily indicated for pedicled pectoralis major flap reconstruction, other indications include combinations of pedicled pectoralis major flap with free microvascular flap, salvage reconstruction due to complications, salvage reconstruction due to free flap failure and salvage reconstruction due to recurrent or extended primary disease. Read More

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January 2019
1 Read

Nasal Alar Pressure Ulcer After Orthognathic Surgery: Clinical Presentation and Preventive Recommendations.

J Craniofac Surg 2019 Mar 27. Epub 2019 Mar 27.

Division of Oral and Maxillofacial Surgery, College of Dentistry, University of Kentucky, Lexington, KY.

Nasotracheal intubation is routinely used in patients undergoing oral and maxillofacial surgery when intermaxillary fixation is needed either intraoperatively or postoperative. Various complications can occur such as epistaxis, turbinectomy, retropharyngeal dissection, tympanites, and nasal alar pressure sores or necrosis, especially when there is a prolonged nasotracheal intubation. The first report of a nasal alar necrosis after prolonged nasotracheal intubation was published by Hatcher et al in 1968. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005481DOI Listing
March 2019
6 Reads

Mucoepidermoid Carcinoma of the Parotid: Very Close Margins and Adjuvant Radiotherapy.

ORL J Otorhinolaryngol Relat Spec 2019 2;81(1):55-62. Epub 2019 Apr 2.

Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA,

Background/aims: The importance of adjuvant radiotherapy in patients with close margin resections for mucoepidermoid carcinoma of the parotid gland remains unclear.

Methods: Patients who underwent parotidectomy for mucoepidermoid carcinoma with or without adjuvant radiotherapy at a single academic tertiary care center from 2000 to 2014 were identified. Included patients had negative but close (≤2 mm) surgical margins without other high-risk histopathological factors including advanced T-stage, positive nodal disease, lymphovascular or perineural invasion, or high-grade histology. Read More

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https://www.karger.com/Article/FullText/497438
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http://dx.doi.org/10.1159/000497438DOI Listing
April 2019
1 Read

A Middle Path in the Surgical Management of Glomus Jugulare: Lessons Learnt from a Short Series.

Asian J Neurosurg 2019 Jan-Mar;14(1):96-101

Department of Neurosurgery, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India.

Introduction: Glomus jugulare are rare vascular tumors arising from the jugular bulb with intra- and extra-cranial extensions. Although considered benign, these tumors are locally invasive with involvement of critical neurovascular structures causing significant morbidity. Due to their highly vascular nature, they pose a challenge for surgeons. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_232_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417294PMC

A new lateral cervical approach for salvage total laryngo-pharyngectomy.

Acta Otorhinolaryngol Ital 2019 Feb;39(1):61-64

Department of Otolaryngology, Head & Neck Surgery.

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http://dx.doi.org/10.14639/0392-100X-1753DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444169PMC
February 2019
2 Reads

Surgical management of inverted papilloma involving the frontal sinus: a practical algorithm for treatment planning.

Acta Otorhinolaryngol Ital 2019 Feb;39(1):28-39

Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria, ASST Sette Laghi, Ospedale di Circolo e Fondazione Macchi, Varese, Italy.

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http://dx.doi.org/10.14639/0392-100X-2313DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444166PMC
February 2019
1 Read

Risk Factors for Blood Transfusion with Neck Dissection.

Otolaryngol Head Neck Surg 2019 Apr 2:194599819839946. Epub 2019 Apr 2.

1 Department of Otolaryngology-Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA.

Objectives: To identify risk factors of perioperative blood transfusions (PBTs) for neck dissection and identify the association of PBTs with other postoperative outcomes.

Methods: This is a retrospective study of the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database. The database was queried for neck dissection procedures performed by otolaryngologists from 2006 to 2014. Read More

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http://dx.doi.org/10.1177/0194599819839946DOI Listing
April 2019
2 Reads

Surgical Site Infection in Head and Neck Surgery: A National Perspective.

Otolaryngol Head Neck Surg 2019 Apr 2:194599819832858. Epub 2019 Apr 2.

2 Department of Surgery, School of Medicine, Tulane University, New Orleans, Louisiana, USA.

Objectives: To examine trend, prevalence, and outcomes of surgical site infection (SSI) in head and neck surgery.

Study Design: Retrospective cross-sectional analysis.

Setting: The Nationwide Readmissions Database (2010-2014), which represents 56. Read More

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http://dx.doi.org/10.1177/0194599819832858DOI Listing

Lengthening the nasoseptal flap pedicle with extended dissection into the pterygopalatine fossa.

Laryngoscope 2019 Apr 1. Epub 2019 Apr 1.

Department of Surgery, Division of Otolaryngology/Head and Neck Surgery, Albany Medical Center, Albany, New York, U.S.A.

Objectives/hypothesis: Releasing the nasoseptal flap (NSF) pedicle from the sphenopalatine artery (SPA) foramen may considerably improve flap reach and surface area. Our objectives were quantify increases in pedicle length and NSF reach through extended pedicle dissection into the pterygopalatine fossa (PPF) through cadaveric dissections and present clinical applications.

Study Design: Anatomical study and retrospective clinical cohort study. Read More

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http://dx.doi.org/10.1002/lary.27984DOI Listing
April 2019
2 Reads

A decision analysis model for elective neck dissection in patients with cT1-2 cN0 oral squamous cell carcinoma.

Acta Otorhinolaryngol Ital 2019 Mar 25. Epub 2019 Mar 25.

Department of Head and Neck Surgery and Otolaryngology, AC Camargo Cancer Center, São Paulo, Brazil.

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http://dx.doi.org/10.14639/0392-100X-2101DOI Listing
March 2019
3 Reads