journal
https://read.qxmd.com/read/38610123/fenestration-of-the-facial-nerve-by-the-stylomastoid-artery
#1
Allen S Zhou, Elliana K DeVore, Amy F Juliano, Jeremy D Richmon
BACKGROUND: Anatomic landmarks such as the tympanomastoid suture line, posterior belly of the digastric muscle, tragal pointer, and styloid process can assist the parotid surgeon in identifying and preserving the facial nerve. Vascular structures such as the posterior auricular artery and its branch, the stylomastoid artery, lay in close proximity to the facial nerve and have been proposed as landmarks for the identification of the facial nerve. In this case report, we describe an anatomic variation in which the stylomastoid artery has fenestrated the main trunk of the facial nerve, dividing it in two...
April 12, 2024: Head & Neck
https://read.qxmd.com/read/38606699/reverse-flow-anterolateral-thigh-free-flap-in-a-case-with-significant-atherosclerosis-a-viable-alternative-for-arterial-microvascular-anastomosis
#2
Jonathan C Garneau, Rod Rezaee
BACKGROUND: The concept of reserve flow perfusion for free flap reconstruction has been demonstrated in various applications in the literature. As it relates to the anterolateral thigh (ALT) free flap, the reserve flow principle has been primarily described to either augment or "supercharge" a large ALT to optimize skin perforator supply or lengthen the vascular pedicle. METHODS: We report a case of a 77-year old male with chronic renal failure who had extensive atherosclerosis of the proximal descending lateral circumflex femoral artery (LCFA) where arterial anastomosis was unable to be performed...
April 12, 2024: Head & Neck
https://read.qxmd.com/read/38600736/transoral-robotic-surgery-with-free-flap-reconstruction-functional-outcomes-of-241-patients-at-a-single-institution
#3
JOURNAL ARTICLE
Praneet C Kaki, Doreen Lam, Neel R Sangal, Karthik Rajasekaran, Ara C Chalian, Robert M Brody, Gregory S Weinstein, Steven B Cannady
BACKGROUND: Transoral robotic surgery (TORS) for oropharyngeal malignancy optimizes oncologic outcomes while preserving functionality. This study identifies patterns of functional recovery after TORS with free flap reconstruction (FFR). METHODS: Retrospective cohort study at a tertiary care center of patients with primary oropharyngeal tumors treated with TORS with FFR between 2010 and 2022. Patients were categorized into: adjuvant chemoradiation or radiation, or no adjuvant therapy (NAT)...
April 10, 2024: Head & Neck
https://read.qxmd.com/read/38600434/international-guidelines-for-intratumoral-and-intranodal-injection-of-nbtxr3-nanoparticles-in-head-and-neck-cancers
#4
JOURNAL ARTICLE
Xavier Liem, Thierry de Baère, Omar I Vivar, Tanguy Y Seiwert, Colette Shen, Zsuzsanna Pápai, Victor Moreno, Zoltán Takácsi-Nagy, Frigyes Helferich, Juliette Thariat, Zhen Gooi, Sue S Yom, Paolo Bossi, Robert L Ferris, Trevor G Hackman, Christophe Le Tourneau, Joseph Rodriguez, Caroline Hoffmann
BACKGROUND: An international multidisciplinary panel of experts aimed to provide consensus guidelines describing the optimal intratumoral and intranodal injection of NBTXR3 hafnium oxide nanoparticles in head and neck squamous cell carcinoma (HNSCC) of the oral cavity, oropharynx, and cervical lymph nodes and to review data concerning safety, feasibility, and procedural aspects of administration. METHODS: The Delphi method was used to determine consensus. A 4-member steering committee and a 10-member monitoring committee wrote and revised the guidelines, divided into eight sections...
April 10, 2024: Head & Neck
https://read.qxmd.com/read/38597121/quality-of-life-after-surgical-treatments-for-facial-palsy-a-systematic-review-and-meta-analysis
#5
JOURNAL ARTICLE
Johannes N van der Lely, Niek J Nieuwdorp, Ineke C A W Smits, Floris V W J van Zijl, Eveline M L Corten, Marc A M Mureau
BACKGROUND: Facial palsy profoundly affects patients' quality of life (QoL). We evaluated the effect of various surgical procedures on QoL using patient-reported outcome measures (PROMs) to provide evidence-based recommendations for improved care. METHODS: Embase, Medline, Web of Science, Cochrane, and CINAHL were searched for studies on QoL in patients with facial palsy who had undergone reconstructive surgery with preoperative and postoperative data from validated PROMs...
April 10, 2024: Head & Neck
https://read.qxmd.com/read/38595113/the-osteocutaneous-radial-forearm-free-flap-a-pictorial-essay
#6
JOURNAL ARTICLE
Hilary C McCrary, Janice L Farlow, John Alexander, Catherine T Haring, Stephen Y Kang, Matthew O Old, Nolan B Seim
The osteocutaneous radial forearm free flap (OCRFFF) is a versatile flap with the ability to reconstruct complex defects. We detail the techniques necessary to harvest an OCRFFF, including an outline on making 90-degree osteotomies to maximize bone harvest. In this pictorial essay, we provide illustrations of the anatomy and surgical techniques necessary for OCRFFF harvest. Detailed discussion is provided on how to protect the perforators to the bone and the approach to making osteotomies in a 90-degree fashion...
April 10, 2024: Head & Neck
https://read.qxmd.com/read/38594829/p16-overexpression-identifies-oncogenic-high-risk-hpv-infection-in-non-oropharyngeal-squamous-cell-carcinoma-of-the-head-and-neck
#7
JOURNAL ARTICLE
Anne-Sophie Becker, Jenny Merkel, Inci Bozkurt, Daniel Fabian Strüder, Claudia Maletzki, Maja Hühns, Annette Helene Zimpfer
BACKGROUND: Human papillomavirus (HPV) is an increasing risk factor for cancer. HPV-associated oropharyngeal squamous cell carcinoma (OPSCC) is associated with a favorable outcome. Blockstaining for p16 is a surrogate marker for HPV+ OPSCC. In oral and laryngeal squamous cell carcinoma (OSCC/LSCC), the relevance of p16 immunohistochemistry, alone or in combination with other cell cycle-related proteins, to identify HPV-driven non-OPSCC is less well understood. METHODS: We stained for p16, pRb, cyclin D1, and p53 in 327 HNSCC...
April 9, 2024: Head & Neck
https://read.qxmd.com/read/38591178/survival-outcomes-and-toxicity-profiles-among-patients-with-nonmetastatic-nasopharyngeal-carcinoma-treated-with-intensity-modulated-radiotherapy-imrt-versus-imrt-carbon-ion-radiotherapy-a-propensity-score-matched-analysis
#8
JOURNAL ARTICLE
Yujiao Li, Xiyin Guan, Xing Xing, Chaosu Hu
OBJECTIVES: To compare survival outcomes and toxic effects among patients with newly diagnosed nonmetastatic nasopharyngeal carcinoma (NPC) when treated with intensity-modulated radiotherapy (IMRT) versus IMRT + carbon-ion radiotherapy (CIRT). METHODS: We performed a retrospective propensity score matching analysis (1:1) of patients treated with IMRT and IMRT + CIRT. Descriptive statistics were used to examine the baseline characteristics of the patients...
April 9, 2024: Head & Neck
https://read.qxmd.com/read/38591104/analysis-of-local-regional-and-distant-recurrence-of-disease-in-mucoepidermoid-tumors-of-larynx-a-systematic-review
#9
REVIEW
Francesco Chiari, Giuseppe Di Martino, Claudio Donadio Caporale, Gabriele Molteni, Livio Presutti, Pierre Guarino
The aim of this systematic review is to analyze epidemiology, clinical presentation, histopathological features, treatment and oncological outcomes in laryngeal mucoepidermoid cancer (MEC) in order to improve the knowledge on the management of such a rare malignant neoplasm. Specifically, authors highlight patients' and tumors' features about local, regional, and distant recurrence of disease. PRISMA 2020 guidelines were applied in this systematic literature review. A computerized search was performed using the Embase/Pubmed, Scopus, and Cochrane databases, for articles published from 1971 to December 2023...
April 9, 2024: Head & Neck
https://read.qxmd.com/read/38587969/free-temporalis-muscle-fascia-graft-in-dural-reconstruction-following-surgical-resection-of-intermediate-and-malignant-skull-base-tumors-a-10-year-experience-from-a-single-center
#10
JOURNAL ARTICLE
Martin Jurlina, Matija Mamic, Jure Pupic-Bakrac, Lovro Matoc, Hrvoje Jednacak, Ivica Luksic, Marica Zizic
BACKGROUND: Data from patients with post-ablative dural defects reconstructed using a free temporalis muscle fascia graft (FTFG) after resection of anterior or central skull base tumors were retrospectively analyzed. METHODS: The primary predictor and outcome variables were the reconstructive methods for dural repair and postoperative cerebrospinal fluid (CSF) leakage rate, respectively. RESULTS: Eighty patients were included, and 94 postoperative dural reconstructions were performed using FTFG...
April 8, 2024: Head & Neck
https://read.qxmd.com/read/38576311/the-efficacy-of-the-national-surgical-quality-improvement-program-surgical-risk-calculator-in-head-and-neck-surgery-a-meta-analysis
#11
JOURNAL ARTICLE
Jacob Harris, Vinayak Ahluwalia, Katherine Xu, Dominic Romeo, Christian Fritz, Karthik Rajasekaran
BACKGROUND: The National Surgical Quality Improvement Program surgical risk calculator (SRC) estimates the risk for postoperative complications. This meta-analysis assesses the efficacy of the SRC in the field of head and neck surgery. METHODS: A systematic review identified studies comparing the SRC's predictions to observed outcomes following head and neck surgeries. Predictive accuracy was assessed using receiver operating characteristic curves (AUCs) and Brier scoring...
April 4, 2024: Head & Neck
https://read.qxmd.com/read/38576171/a-custom-device-for-managing-recurrent-tracheoesophageal-voice-prosthesis-dislodgement-and-aspiration-due-to-treatment-refractory-severely-enlarged-puncture-a-video-case-report
#12
JOURNAL ARTICLE
Barbara M Ebersole, Mark Zafereo, Katherine A Hutcheson
We report the case of a laryngectomized patient with an enlarged tracheoesophageal puncture (TEP) that is refractory to standard treatments and culminating in life-threatening recurrent dislodgement and aspiration of custom fabricated dual extra-large flange voice prostheses (VP). The fabrication and use of a novel intraluminal prosthetic device to prevent dislodgement, lessen aspiration, and preserve TE voice is described. A custom device insetting a commercial VP into the posterior wall of a LaryTube (coined "inset-VP") was devised with the primary goal of eliminating chronic VP dislodgement and lessening aspiration while maintaining TE voice...
April 4, 2024: Head & Neck
https://read.qxmd.com/read/38572629/radioactive-iodine-therapy-improves-overall-survival-outcome-in-oncocytic-carcinoma-of-the-thyroid%C3%A2-by-reducing-death-risks-from-noncancer-causes-a-competing-risk-analysis-of-4641-patients
#13
JOURNAL ARTICLE
Kun Zhang, Xinyi Wang, Tao Wei, Zhihui Li, Jingqiang Zhu, Ya-Wen Chen
BACKGROUND: Oncocytic carcinoma of the thyroid (OCA) is an independent type of thyroid cancer. Radioactive iodine (RAI) therapy was frequently administered to OCA patients, but its contribution to improving survival is indefinite. METHODS: 4641 OCA patients from 2000 to 2018 were identified from the Surveillance, Epidemiology, and End Results (SEER) database. Cox proportional hazard regression and competing risk analysis were applied. RESULTS: Tumor size, SEER stage, primary surgery, and neck dissection were prognostic factors for cancer-specific survival...
April 4, 2024: Head & Neck
https://read.qxmd.com/read/38566594/the-great-imitator-igg4-related-disease-of-the-oral-cavity-two-case-reports-and-scoping-review
#14
REVIEW
Lorenzo Azzi, Francesca Magnoli, Diana Krepysheva, Federico Fontana, Andrea Coppola, Antonella Cappelli, Marta Dani, Paolo Battaglia, Dimitri Rabbiosi
This study aimed to review the lesser-known intraoral manifestations of immunoglobulin G4-related disease (IgG4-RD). In this paper we report an unprecedented case of oral IgG4-RD mimicking angiolymphoid hyperplasia with eosinophilia (ALHE), and another case presenting as plasma cell gingivitis. We then performed a scoping review of published cases of IgG4-RD involving the oral cavity. The following data were collected for each case: age, sex, intraoral site(s) involved, clinical appearance, imaging features, serum IgG4 values, histopathology, treatment, and follow-up duration...
April 3, 2024: Head & Neck
https://read.qxmd.com/read/38562045/comparison-of-the-diagnostic-and-prognostic-abilities-of-flexible-laryngoscopy-and-dynamic-digital-radiography-for-vocal-cord-paralysis-a-prospective-observational-study
#15
JOURNAL ARTICLE
Yukimi Shibuya, Koichi Hirano, Makoto Miyamoto, Tomoya Mitsuma, Yoko Nakazato, Noritsugu Matsutani, Ryota Tanaka, Haruhiko Machida, Haruhiko Kondo
BACKGROUND: Although flexible laryngoscopy (FL) is the reference modality for diagnosing vocal cord paralysis (VCP), FL involves patient discomfort and insertion intolerance. Dynamic digital radiography (DDR) with high spatial and temporal resolution is easier to use and less invasive when evaluating VCP. METHODS: Seventy-eight patients underwent FL and DDR before and after neck surgery. Qualitative and quantitative vocal cord movement (VCM) evaluations were conducted...
April 1, 2024: Head & Neck
https://read.qxmd.com/read/38561946/telemedicine-enabled-biofeedback-electropalatography-rehabilitation-teber-a-pilot-study-for-patients-treated-with-surgery-for-oral-cavity-carcinoma
#16
JOURNAL ARTICLE
Douglas B Chepeha, Carly E A Barbon, Alex O Esemezie, Majd Al Mardini, Justine Philteos, Matthew E Spector, Tim Bressmann, Rosemary Martino, Scott V Bratman, John B C Cho, Andrew J Hope, Ali Abdalati Hosni, John J H Kim, Jolie G Ringash, John N Waldron, Dale H Brown, John R de Almeida, Ralph W Gilbert, David P Goldstein, Patrick J Gullane, Jonathan C Irish, Eric A Monteiro, Christopher M K L Yao
BACKGROUND: To address the rehabilitative barriers to frequency and precision of care, we conducted a pilot study of a biofeedback electropalatography (EPG) device paired with telemedicine for patients who underwent primary surgery +/- adjuvant radiation for oral cavity carcinoma. We hypothesized that lingual optimization followed by telemedicine-enabled biofeedback electropalatography rehabilitation (TEBER) would further improve speech and swallowing outcomes after "standard-of-care" SOC rehabilitation...
April 1, 2024: Head & Neck
https://read.qxmd.com/read/38558155/healthcare-utilization-of-oral-and-oropharyngeal-cancer-patients-in-emergency-department-and-outpatient-settings-an-8-year-population-based-study
#17
JOURNAL ARTICLE
Masoud MiriMoghaddam, Babak Bohlouli, Hollis Lai, Seema Ganatra, Maryam Amin
INTRODUCTION: This study aimed to determine trends in the healthcare utilization by Oral Cavity and Oropharyngeal cancer patients across emergency department (ED) and outpatient settings in Alberta and examine the predictors of ED visits. METHODS: This is a retrospective, population-based, cohort study using administrative data collected by all healthcare facilities between 2010 and 2019 in Alberta, Canada. Trend of visits to different facilities, patients' primary diagnosis, and predictors of ED visits were analyzed...
April 1, 2024: Head & Neck
https://read.qxmd.com/read/38545772/evaluating-the-benefit-of-virtual-surgical-planning-on-bony-union-rates-in-head-and-neck-reconstructive-surgery
#18
JOURNAL ARTICLE
Farahna Sabiq, Abhiram Cherukupalli, Mohammad Khalil, Linh K Tran, Jamie J Y Kwon, Thomas Milner, James S Durham, Eitan Prisman
OBJECTIVES: Virtual surgical planning (VSP) has gained acceptance because of its benefits in obtaining adequate resection, achieving cephalometric accuracy, and reducing operative time. The aim of this study is to compare the rate of union between VSP and free-hand surgery (FHS), identify predictors of non-union and evaluate the difference in operative time. METHODS: Post-operative CT were retrospectively reviewed for 123 patients who underwent maxillary or mandibular reconstruction between 2014 and 2021 using either VSP or FHS...
March 28, 2024: Head & Neck
https://read.qxmd.com/read/38545637/optimal-cut-off-value-for-identifying-objective-response-in-patients-with-nasopharyngeal-carcinoma-after-induction-chemotherapy
#19
JOURNAL ARTICLE
Chao Luo, Wenjie Huang, Shuqi Li, Haojiang Li, Guangying Ruan, Gui Fu, Lizhi Liu
BACKGROUND: We aimed to establish the most suitable threshold for objective response (OR) in the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 in patients with nasopharyngeal carcinoma (NPC). METHODS: According to RECIST 1.1, we retrospectively evaluated MR images of NPC lesions in patients before and after induction chemotherapy (IC). Restricted cubic spline and maximally selected rank statistics were used to determine the cut-off value. Survival rates and differences between groups were compared with Kaplan-Meier curves and log-rank tests...
March 28, 2024: Head & Neck
https://read.qxmd.com/read/38544444/gender-inequities-in-ent-insights-from-women-speakers-at-american-head-and-neck-society-meetings
#20
JOURNAL ARTICLE
Mallory McKeon, Anna Zhou, Alice L Tang
BACKGROUND: Gender inequity exists across national speakers at American Head and Neck Society (AHNS) conferences. This qualitative study explores potential causes of this disparity by surveying women invited to speak at AHNS between 2007 and 2019 and examining advice, resources, and meaningful actions from "those who made it." METHODS: An internet search for contact information for the 131 female AHNS was performed. An electronic survey was distributed via email...
March 28, 2024: Head & Neck
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