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Front Oncol 2022 1;12:923266. Epub 2022 Aug 1.

The Department of Thyroid Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.

Background: The optimal treatment of papillary thyroid microcarcinomas (PTMCs) located in the isthmus (iPTMCs) is still controversial. The purpose of this study was to compare the clinicopathologic features of patients with iPTMCs ≤5 mm and >5 mm in diameter after total thyroidectomy, and to identify the risk factors for recurrence in patients with iPTMCs.

Methods: A total of 102 iPTMC patients who underwent total thyroidectomy were reviewed retrospectively. Read More

J Pediatr Surg 2022 Jul 13. Epub 2022 Jul 13.

Division of Endocrine Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. Electronic address:

Background: No specific guideline exists for risk stratification based on lymph node (LN) status in pediatric thyroid cancer. The purpose of our study is to identify optimal values of lymph node ratio (LNR) and largest metastatic LN size for predicting recurrent/persistent disease, especially in children with lateral neck metastasis (N1b).

Methods: We conducted a retrospective study from January 1997 to June 2018 at Samsung Medical Center. Read More

Endokrynol Pol 2022 Aug 16. Epub 2022 Aug 16.

Department of Nuclear Medicine, Tianjin Medical University General Hospital, Tianjin, China.

Not required for Clinical Vignette. Read More

Microsurgery 2022 Aug 15. Epub 2022 Aug 15.

Department of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland.

Preservation of laryngeal functions after supraglottic laryngectomy depends on both the extent of surgical resection and the type of reconstruction. Any reconstructive modality faces the challenges of preserving voice and swallow function due to the complex and dynamic anatomy of the larynx. In this report, we present a case in which the entire affected unilateral supraglottis and piriform sinus were functionally reconstructed using a triple chimeric superficial circumflex iliac artery perforator (SCIP) free flap. Read More

Radiol Case Rep 2022 Oct 5;17(10):3785-3791. Epub 2022 Aug 5.

Radiology Department, ISSSTE Regional Hospital Lic, Adolfo López Mateos, Mexico City, Mexico.

Carotid paragangliomas (CP) are rare tumors, representing 0.6% of the head and neck tumors. These tumors have their origin in the carotid body located in the adventitia of the vascular wall of the carotid bifurcation. Read More

J Cutan Aesthet Surg 2022 Apr-Jun;15(2):142-146

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

Background: Posterior neck defects are uncommon and are mainly caused by infections or tumors. Consequently, the reconstruction options are limited in the literature. They vary according to the size and type of the defect, and options range from grafts to free flaps. Read More

Ann Transl Med 2022 Jul;10(14):799

Department of Otorhinolaryngology-Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China.

Background: Although lymph node metastasis is a critical prognostic factor, the indications for neck dissection in recurrent glottic cancer after transoral laser microsurgery (TLM) are unclear. At present, there is no clear standard for simultaneous cervical lymph node dissection at home and abroad.

Methods: We summarize the pattern of regional recurrence in glottic cancer after initial TLM and to evaluate the risk factors for neck metastasis. Read More

Front Oncol 2022 28;12:935294. Epub 2022 Jul 28.

Department of Head and Neck Surgery, Vietnam National Cancer Hospital, Hanoi, Vietnam.

Background: Pediatric PTC is a rare disease. Although, the prognosis is excellent and the mortality rate is low, the role of prophylactic central neck dissection is still the subject of debate. The aim was to evaluate both the role and safety of prophylactic central neck dissection (CND) in managing pediatric papillary thyroid cancer (PTC), especially in respect of disease-free survival (DFS). Read More

BMC Oral Health 2022 Aug 14;22(1):351. Epub 2022 Aug 14.

Department of Oral and Maxillofacial Surgery, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Background: Cutaneous melanomas account for more than 95% of all cases of primary melanoma, making non-cutaneous primary melanomas truly rare. Cases of primary mucosal melanomas of the oral cavity have been widely described; however, instances of primary melanomas arising from salivary glands have been rarely described. To date, this is only the second case of primary melanoma of the submandibular gland. Read More

Front Endocrinol (Lausanne) 2022 25;13:937870. Epub 2022 Jul 25.

Department of Surgical Oncology, Taizhou Hospital of Zhejiang Province, Wenzhou Medical University, Linhai, China.

Background: Regional lymph node metastases (LNMs) are very common in papillary thyroid carcinoma (PTC) and associate with locoregional recurrence. The appropriate management of cervical lymph nodes is very important. Therefore, this study evaluated the application of sentinel lymph node biopsy (SLNB) in the lateral neck in PTC patients. Read More

Clin Case Rep 2022 Aug 9;10(8):e6246. Epub 2022 Aug 9.

Faculty of Medicine of Tunis Tunis El Manar University Tunis Tunisia.

Papillary thyroid carcinoma is the most common type of thyroid cancer and accounts for almost 89.4% of all thyroid carcinomas. Hodgkin lymphoma is a heterogeneous group of neoplasms and represents 10% of lymphomas. Read More

Int J Environ Res Public Health 2022 Jul 28;19(15). Epub 2022 Jul 28.

Department of Dentistry and Oral Surgery, Kansai Medical University, Hirakata 573-1191, Japan.

The prognosis of oral cancer that has metastasized to the contralateral cervical lymph nodes is poor, although the appropriate treatment method has not been established because of its rarity. A multicenter retrospective study on the treatment and prognosis of pN2c oral cancer patients was conducted. We investigated the treatment and prognosis of 62 pN2c patients out of 388 pN+ patients with oral squamous cell carcinomas. Read More

Sci Rep 2022 Aug 11;12(1):13696. Epub 2022 Aug 11.

Department of Head and Neck Surgery, Sun Yat-Sen University Cancer Center; State Key Laboratory of Oncology in South China; Collaborative Innovation Center for Cancer Medicine, Guangdong Key Laboratory of Nasopharyngeal Carcinoma Diagnosis and Therapy, 651 Dong Feng Road East, Guangzhou, 510060, China.

The significance of postoperative radiotherapy (PORT) to the neck for pN1 status head and neck squamous cell carcinomas (HNSCC) after neck dissection is unclear. A total of 208 patients with pN1 status HNSCC treated from January 1, 2001, to December 31, 2014, were enrolled in the current study. The 5-year regional recurrence-free survival (RRFS), overall survival (OS) and distant metastasis-free survival (DMFS) were compared between patients with or without PORT to the dissected neck. Read More

Am J Otolaryngol 2022 Aug 6:103588. Epub 2022 Aug 6.

Department of Otorhinolaryngology - Head and Neck Surgery, Ospedale Sant'Anna, Como, Italy; Department of Otorhinolaryngology - Head and Neck Surgery, University of Insubria, Italy; Head and Neck Surgery & Forensic Dissection Research Center (HNS&FDRc), Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy.

Background: Solitary fibrous tumor (SFT) is a rare spindle-cell neoplasm [1]. Although typically originating from pleura, head and neck presentation accounts for about 6-18 % and very few cases have been described in paravertebral and posterior neck spaces [2]. Both computed tomography (CT) scans and magnetic resonance imaging (MRI) help in differential diagnosis of such lesion [3]. Read More

Odontology 2022 Aug 11. Epub 2022 Aug 11.

Department of Maxillofacial Surgery, School of Dentistry, Aichi Gakuin University, Aichi, Japan.

This study aimed to determine the association between the progressive contraction of the posterior pharyngeal wall and dysphagia in postoperative patients with tongue cancer. A videofluoroscopic swallowing study (VFSS) was performed in 34 patients after tongue cancer surgery. Images were analyzed using a two-dimensional video measurement software. Read More

Int J Health Sci (Qassim) 2022 Jul-Aug;16(4):22-29

Postgraduate Program - University of Sao Paulo Medical School, São Paulo, Brazil.

Objective: Accessory nerve (AN) manipulation or resection during neck dissection (ND) generates accessory nerve shoulder dysfunction (ANSD). The aim of the present study was to assess adherence to a supervised physiotherapy protocol and subsequent changes in the functionality scores of patients with ASND with accessory nerve (AN) preservation.

Methods: This study consisted of an uncontrolled clinical trial was carried out at the Department of Head and Neck Surgery and Otorhinolaryngology at the A. Read More

J Craniofac Surg 2022 Aug 11. Epub 2022 Aug 11.

Department of Anesthesiology and Intensive Care Medicine, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.

Purpose: This study analyzes postoperative airway management, tracheotomy strategies, and airway-associated complications in patients with oral squamous cell carcinoma in a tertiary care university hospital setting.

Material And Methods: After institutional approval, airway-associated complications, tracheotomy, length of hospital stay (LOHS), and length of intensive care unit stay were retrospectively recorded. Patients were subdivided in primarily tracheotomized and not-primarily tracheotomized. Read More

World Neurosurg 2022 Aug 7. Epub 2022 Aug 7.

İzmir Atatürk Research and Training Hospital, Neurosurgery Department, İzmir/TURKEY. Electronic address:

Objectives: This study aimed to analyze a clinical series of odontoid fractures treated with true percutaneous anterior odontoid screws. The technique we used is different from the traditional approach of using blunt dissection to arrive at the anterior surface of the vertebral body.

Methods: Between 2004 and 2021, forty-two patients underwent anterior screw fixation of the odontoid process using the true percutaneous technique without dissection among the fascial planes. Read More

World J Surg 2022 Aug 9. Epub 2022 Aug 9.

Department of General and Digestive Surgery, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-IP), Universidad Autónoma de Madrid (UAM), Madrid, Spain.

Introduction: Hypoparathyroidism is the most frequent complication after total thyroidectomy and, when permanent, it becomes a severe chronic disease. We assessed the usefulness of indocyanine green (ICG) angiography-guided thyroidectomy to reduce the postoperative hypocalcemia.

Methods: Prospective study with two consecutive cohorts of patients who underwent total thyroidectomy: historical control group (CG) and angiography-guided thyroidectomy group (AG). Read More

Clin Spine Surg 2022 Aug 9. Epub 2022 Aug 9.

Department of Orthopedic Surgery, Uonuma Institute of Community Medicine, Niigata University Medical and Dental Hospital, Niigata, Japan.

Study Design: A retrospective cohort study using prospectively collected data.

Objectives: To investigate the incidence and impact of fusion to the upper thoracic spine on neck-shoulder symptoms after posterior spinal fusion (PSF) for adolescent idiopathic scoliosis (AIS).

Summary Of Background Data: Axial neck-shoulder pain is established as a sequela of posterior cervical spine surgery and is mainly caused by the dissection of extensor muscles in the cervical and upper thoracic spine. Read More

Strahlenther Onkol 2022 Aug 9. Epub 2022 Aug 9.

Institute of Radiation Oncology of the 1st Faculty of Medicine Charles University, Bulovka University Hospital, Budínova 2, 18001 Praha 8, Prague, Czech Republic.

Purpose: To evaluate the effectiveness and toxicity of curative (chemo)radiotherapy in patients with metastatic carcinoma to cervical lymph nodes from an unknown primary.

Methods: Retrospective study of 90 consecutive patients, treated with curative radiotherapy from 2003 to 2018 (median age 59 years; current/former smokers 76%) was conducted. The distribution of nodal staging was as follows: N1: 12%, N2a: 21%, N2b: 43%, N2c: 10%, N3: 13%. Read More

Eur Urol Open Sci 2022 Sep 2;43:62-67. Epub 2022 Aug 2.

University Hospital S Giovanni Battista, Azienda Ospedaliero Universitaria Citta della Salute e della Scienza di Torino, Turin, Italy.

Salvage radical prostatectomy after primary radiotherapy (sRP) is considered a challenging procedure. We highlight the complications of sRP and detail critical surgical steps to help prevent them. A nonsystematic literature review in PubMed using the term "salvage radical prostatectomy" was performed on December 1, 2021. Read More

Front Endocrinol (Lausanne) 2022 22;13:918741. Epub 2022 Jul 22.

Department of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China.

Objective: To investigate the feasibility and advantages of Fang's capillary fascia preservation right recurrent laryngeal nerve (RLN) dissection technique (F-R-RLN dissection) with preservation of the capillary network and fascia between the RLN and common carotid artery for greater neuroprotective efficiency compared with traditional techniques.

Methods: We retrospectively analyzed 102 patients with papillary thyroid carcinoma undergoing right level VI lymph node dissection in our department from March 2021 to January 2022. Sixty patients underwent F-R-RLN dissection (the experimental group) and 42 patients underwent standard dissection (the control group). Read More

Open Med (Wars) 2022 20;17(1):1325-1329. Epub 2022 Jul 20.

Department of Internal Medicine, China Medical University Hospital, Taichung, Taiwan.

Pulmonary infection may have a variety of manifestations depending on the patients' immunity status and pre-existing lung conditions. Radiographically, aspergilloma, which is usually associated with noninvasive conidia, may feature a characteristic mass in a cavity commonly located in the upper lobes of the lung. It is typically encountered upon pre-existing lung damage. Read More

Cureus 2022 Aug 3;14(8):e27657. Epub 2022 Aug 3.

Anatomy, All India Institute of Medical Sciences, Raebareli, IND.

Trifurcation of the common carotid artery in the neck region is a rare anatomical variation. In the present study, we reported a rare case having the combination of anomalies of the bilateral high common carotid arteries trifurcation and variable origin of lower branches of the external carotid artery during routine dissection of the head and neck region of a 60-year-old male cadaver in the Department of Anatomy. Both on the left and right sides of the neck region, the common carotid artery gave off three terminal branches: internal carotid artery, external carotid artery, and ascending pharyngeal arteries. Read More

J Emerg Med 2022 Aug 4. Epub 2022 Aug 4.

Department of Emergency Medicine, Regions Hospital, Saint Paul, Minnesota.

Background: Strangulation as a fight-finishing maneuver in combat sports, termed "choking" in that context, occurs worldwide millions of times yearly. This activity can be trained safely, but devastating injuries can occur.

Objective: Our aim was to present a case series of cervical artery dissections and ischemic strokes associated with sportive choking. Read More

J Robot Surg 2022 Aug 7. Epub 2022 Aug 7.

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

To understand perioperative practices for transoral robotic surgery (TORS) among academic medical centers. An electronic cross-sectional survey was distributed to fellows and program directors participating in 49 American Head and Neck Society fellowships. Operative decisions, medical and swallowing management, and disposition planning were assessed. Read More

Surg Oncol 2022 Jul 30;44:101804. Epub 2022 Jul 30.

Department of Head and Neck Surgery, The University of Texas M.D. Anderson Cancer Center, TX, United States. Electronic address:

Objectives: Map regional lymph node metastases for lateralized oral cavity squamous cell carcinoma (OCSCC) and evaluate factors associated with regional metastases and recurrence.

Materials And Methods: Retrospective cohort study of 715 patients with lateralized OCSCC surgically treated in 1997-2011. Analysis was performed using log-rank, Kaplan-Meier, and multivariable logistic and Cox regression. Read More

Urol Clin North Am 2022 Aug 27;49(3):507-518. Epub 2022 Jun 27.

Department of Urology, NYU Langone Health, 222 E 41st Street 11-12 Floor, New York, NY 10016, USA.

With the widespread dissemination of robotic surgical platforms, pathologies that were previously deemed challenging can now be treated more reliably with minimally invasive procedures via the robot. The advantages of precise articulation for dissection and suturing, tremor reduction, three-dimensional magnified visualization, and small incisions allow for the management of diverse lower urinary tract (LUT) disease. These may include recurrent or refractory bladder neck stenoses or intracorporeal urinary diversion with excellent perioperative and functional outcomes. Read More

Surg Neurol Int 2022 22;13:310. Epub 2022 Jul 22.

Neurosurgery Unit, Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Italy.

Background: Aneurysms of the A1 segment of the anterior cerebral artery (ACA) are rare and have characteristics differentiating them from other intracranial aneurysms. Their microsurgical management is challenging and requires different strategies. In this article, we review the surgical anatomy of the A1 segment of the ACA with cadaveric dissections and describe the microsurgical management of complex A1 aneurysms with illustrative cases. Read More