journal
MENU ▼
Read by QxMD icon Read
search

Current Opinion in Otolaryngology & Head and Neck Surgery

journal
https://read.qxmd.com/read/30724766/photodynamic-therapy-in-head-and-neck-cancer-indications-outcomes-and-future-prospects
#1
Jeroen Meulemans, Pierre Delaere, Vincent Vander Poorten
PURPOSE OF REVIEW: To identify and review the recent literature on clinical applications, outcome, and new developments in photodynamic therapy (PDT) for the treatment of head and neck cancer. RECENT FINDINGS: Although PDT and surgery have a similar local control and recurrence rate, the gold standard of treatment for early-stage oral cavity cancer remains local surgery with, on indication, concurrent treatment of the neck. PDT proves its value in treatment of patients with field cancerization and patients with superficial recurrence after previous surgery and/or radiation, in whom surgical salvage would entail important morbidity...
February 4, 2019: Current Opinion in Otolaryngology & Head and Neck Surgery
https://read.qxmd.com/read/30724765/clinical-relevance-of-human-papillomavirus-outside-of-oropharynx
#2
Jan Klozar
PURPOSE OF REVIEW: The role of HPV in oropharyngeal cancer is well recognized. HPV DNA is also found in a fraction of head and neck tumors outside of oropharynx but its clinical importance is unknown. The purpose of this review is to sum up the present knowledge about the prevalence and possible impact of HPV presence in head and neck tumors in nonoropharyngeal sites. RECENT FINDINGS: The data demonstrating prevalence of HPV presence in tumors outside of oropharynx are inconsistent...
February 4, 2019: Current Opinion in Otolaryngology & Head and Neck Surgery
https://read.qxmd.com/read/30724764/medial-femoral-condyle-free-flap-for-head-and-neck-reconstruction
#3
Jacek Banaszewski, Alexander Gaggl, Agata Andruszko
PURPOSE OF REVIEW: The aim of this article is to review the literature on medial femoral condyle (MFC) free flap in head and neck reconstruction. RECENT FINDINGS: The MFC flap is a superb material for head and neck reconstruction, especially in smaller bony defects. As an alternative to fibular free flap, it presents many advantages. Combining the periosteal bone with skin and/or muscle paddle, the MFC flap is suitable for complex reconstructions with favorable healing process...
February 4, 2019: Current Opinion in Otolaryngology & Head and Neck Surgery
https://read.qxmd.com/read/30694915/unknown-primary-of-the-head-and-neck-a-new-entry-in-the-tnm-staging-system-with-old-dilemmas-for-everyday-practice
#4
Cesare Piazza, Fabiola Incandela, Lorenzo Giannini
PURPOSE OF REVIEW: To summarize the most recent nuances in diagnosis, management, and prognostic stratification of carcinoma of unknown primary of the head and neck (CUPHN), in light of its recent re-assessment in the eighth edition of the TNM Classification Manual. RECENT FINDINGS: At least in Western Countries, most CUPHN are expected to be Human Papilloma Virus (HPV)-positive with an oropharyngeal origin. Their appropriate diagnosis starts with fine needle aspiration cytology and/or core biopsy of pathologic lymph node(s) with staining for p16 by immunohistochemistry and subsequent HPV detection by PCR...
January 28, 2019: Current Opinion in Otolaryngology & Head and Neck Surgery
https://read.qxmd.com/read/30694914/systemic-treatment-in-elderly-head-and-neck-cancer-patients-recommendations-for-clinical-practice
#5
Petr Szturz, Paolo Bossi, Jan B Vermorken
PURPOSE OF REVIEW: Despite the constantly growing number of elderly patients with squamous cell carcinoma of the head and neck (SCCHN), the majority of clinical trials have been focusing on their younger counterparts. However, because of age-related changes and the resulting higher prevalence of frailty, senior people need an adapted evidence-based approach. RECENT FINDINGS: Recommendations presented in this article proceed from those relevant for the general patient population taking into consideration the individual process of aging...
January 28, 2019: Current Opinion in Otolaryngology & Head and Neck Surgery
https://read.qxmd.com/read/30694913/prophylactic-human-papilloma-virus-vaccination-in-head-and-neck-indications-and-future-perspectives
#6
Małgorzata Wierzbicka, Johannes Hans Berkhof, Frederik G Dikkers
PURPOSE OF REVIEW: To gain the evidence-based knowledge concerning the efficacy of HPV vaccination for oropharyngeal sites and to highlight the trials and strategies for vaccine administration in HPV-dependent head and neck diseases. RECENT FINDINGS: Vaccination can be provided in two injections. There is increasing anecdotal evidence that therapeutic vaccination is effective in treatment of recurrent respiratory papillomatosis. SUMMARY: The availability and broadening spectrum of HPV vaccines make possible the prevention of cervical and other HPV-dependent diseases...
January 28, 2019: Current Opinion in Otolaryngology & Head and Neck Surgery
https://read.qxmd.com/read/30664053/management-of-the-marginal-mandibular-nerve-during-and-after-neck-dissection
#7
Samskruthi P Murthy, Alberto Paderno, Deepak Balasubramanian
PURPOSE OF REVIEW: Marginal mandibular nerve palsy (MMNP) is often an understated complication after neck dissection. This article reviews literature regarding anatomic landmarks that help define marginal mandibular nerve (MMN) during neck dissection, oncologic safety of surgical maneuvers, implications of MMNP, and reconstructive options. RECENT FINDINGS: A thorough knowledge of anatomy of the nerve can aid in its preservation. Course, branching pattern and communications of MMN are extremely variable...
January 16, 2019: Current Opinion in Otolaryngology & Head and Neck Surgery
https://read.qxmd.com/read/30664052/radiation-induced-papillary-thyroid-cancer-is-it-a-distinct-clinical-entity
#8
Lorenzo Bresciani, Ester Orlandi, Cesare Piazza
PURPOSE OF REVIEW: To present the current status of knowledge regarding radiation-induced papillary thyroid cancer (RIPTC), defining its epidemiologic, pathologic, and clinical characteristics, with ensuing possible therapeutic and prognostic consequences. RECENT FINDINGS: Cumulative evidence shows that RIPTC resembles sporadic papillary thyroid cancer (PTC) of comparable age, both in terms of clinical-pathological features and prognosis. Therefore, more aggressive treatment does not seem to be required when managing RIPTC as its prognosis is comparable to that of never-irradiated patients...
January 16, 2019: Current Opinion in Otolaryngology & Head and Neck Surgery
https://read.qxmd.com/read/30664051/quality-assurance-in-head-and-neck-cancer-surgery-where-are-we-and-where-are-we-going
#9
Christian Simon, Andreas Dietz, C René Leemans
PURPOSE OF REVIEW: The scope of this review is to summarize current efforts in quality assurance for head and neck cancer surgery. National and international initiatives are summarized and progress in terms of identification of process indicators and outcome indicators delineated. RECENT FINDINGS: Massive efforts have been made in order to improve quality of head and neck cancer surgery. New guidelines for quality assurance of head and neck cancer surgery in clinical trials have recently been proposed by EORTC...
January 16, 2019: Current Opinion in Otolaryngology & Head and Neck Surgery
https://read.qxmd.com/read/30507684/current-indications-for-balloon-sinuplasty
#10
Cemal Cingi, Nuray Bayar Muluk, Jivianne T Lee
PURPOSE OF REVIEW: The purpose of the review is to evaluate the current indications and contraindications for balloon sinuplasty and review the clinical trials performed in this area. RECENT FINDINGS: The indications for balloon sinus dilatation are somewhat similar to those for endoscopic sinus surgery. Balloon sinus ostial dilation (BSD) has been found to be most effective in the treatment of recurrent acute sinusitis (RARS) and chronic rhinosinusitis without nasal polyposis (CRSsNP) that has been refractory to medical therapy...
December 12, 2018: Current Opinion in Otolaryngology & Head and Neck Surgery
https://read.qxmd.com/read/30507690/salivaomics-in-oral-cancer
#11
Katri Aro, Karolina Kaczor-Urbanowicz, Carmen Martín Carreras-Presas
PURPOSE OF REVIEW: The goal of cancer screening is to detect tumor at an early stage, and early cancer detection is the hallmark of successful treatment. In addition to traditional tissue biopsy-based diagnostics, more reliable, inexpensive, and noninvasive methods are required for early diagnosis of cancer. In this review, we highlight some of the recent advancements in the field of salivary diagnostics in oral cancer. RECENT FINDINGS: 'Salivaomics' is a broad collection of technologies used to explore different types of molecules contained in saliva...
November 30, 2018: Current Opinion in Otolaryngology & Head and Neck Surgery
https://read.qxmd.com/read/30585877/updates-in-management-of-acute-invasive-fungal-rhinosinusitis
#12
John R Craig
PURPOSE OF REVIEW: Acute invasive fungal rhinosinusitis (AIFRS) is a rare and often fatal disease, that remains incompletely understood. Case series and literature reviews constitute most of the literature on AIFRS, and act as the standards by which we treat these extremely complex patients. This review discusses management of AIFRS, with focuses on optimal diagnostic and therapeutic strategies. RECENT FINDINGS: Mortality rates remain high, around 50% overall, though some recent studies have shown higher survival rates with early diagnosis and complete surgical resection...
February 2019: Current Opinion in Otolaryngology & Head and Neck Surgery
https://read.qxmd.com/read/30516549/ergonomics-in-endoscopic-sinus-surgery
#13
Vijay R Ramakrishnan
PURPOSE OF REVIEW: Awareness of ergonomics is growing into surgical specialties including otolaryngology. Most otolaryngologists experience occupational physical discomfort, and daily incorporation of standard ergonomic principles may alleviate some of this pain. RECENT FINDINGS: Further demonstration of surgery-related physical discomfort has been documented based on surveys of general otolaryngologists and subspecialty rhinologists. One study utilized surface electromyography to document physical findings directly associated with the endoscopic sinus surgery procedure...
February 2019: Current Opinion in Otolaryngology & Head and Neck Surgery
https://read.qxmd.com/read/30507693/management-of-sphenoid-lateral-recess-encephalocoeles
#14
Revadi Govindaraju, Ing Ping Tang, Narayanan Prepageran
PURPOSE OF REVIEW: Sphenoid sinus lateral recess encephalocoeles (SSLRE) are rare occurrences and pose unique challenges due to limited surgical access for endoscopic endonasal repair and also the lack of consensus on optimal perioperative managements specifically in the spontaneous cases, which are also believed to be a variant of idiopathic intracranial hypertension (IIH). Endoscopic endonasal approaches have largely replaced the transcranial route and the techniques are continuously being refined to reduce the neurovascular morbidity and improve outcome...
February 2019: Current Opinion in Otolaryngology & Head and Neck Surgery
https://read.qxmd.com/read/30507692/oncologic-management-of-sinonasal-undifferentiated-carcinoma
#15
Matthew A Tyler, Brittany Holmes, Zara M Patel
PURPOSE OF REVIEW: This article reviews the latest treatment paradigms in sinonasal undifferentiated carcinoma (SNUC). RECENT FINDINGS: The aggressive biology and associated advanced presentation of SNUC make successful treatment a challenge shared across medical specialties. Still, studies reporting outcomes in SNUC indicate that an aggressive treatment strategy consisting of surgery, radiation and chemotherapy offers the best chance of prolonged survival. SUMMARY: Successful treatment of SNUC requires highly specialized care at tertiary cancer treatment facilities...
February 2019: Current Opinion in Otolaryngology & Head and Neck Surgery
https://read.qxmd.com/read/30507691/the-rhinologist-s-role-in-the-management-of-rathke-s-cleft-cysts
#16
Edward C Kuan, James N Palmer, Nithin D Adappa
PURPOSE OF REVIEW: To review the recent literature regarding the growing role of rhinologists and otolaryngologists with neurosurgeons in the joint multidisciplinary team approach for managing patients with Rathke's cleft cysts (RCC). RECENT FINDINGS: The transnasal endoscopic approach to the skull base has become relatively mainstream for surgical treatment of RCCs. Suprasellar lesions, especially those that are purely suprasellar, are associated with higher recurrence rates, though an extended approach may improve dissection and access and therefore aid in lesion removal...
February 2019: Current Opinion in Otolaryngology & Head and Neck Surgery
https://read.qxmd.com/read/30507689/endotypes-of-chronic-rhinosinusitis
#17
Jonathan Yip, Eric Monteiro, Yvonne Chan
PURPOSE OF REVIEW: In contrast to the phenotypic classification of chronic rhinosinusitis (CRS), endotyping categorizes disease variants based on their underlying pathophysiologic mechanisms. Defining CRS endotypes may provide information on the risk for disease progression, recurrence and comorbid conditions, as well as identify suitable therapeutic targets. With the emergence of biologics, endotyping may enable personalized pharmacotherapy for recalcitrant CRS. The purpose of this review is to briefly summarize the pathophysiology and endotypes of CRS, and highlight the biologics that target mediators of CRS...
February 2019: Current Opinion in Otolaryngology & Head and Neck Surgery
https://read.qxmd.com/read/30507688/contemporary-management-of-juvenile-angiofibroma
#18
Giacomo Bertazzoni, Alberto Schreiber, Marco Ferrari, Piero Nicolai
PURPOSE OF REVIEW: To illustrate the latest developments and trends in the management of juvenile angiofibroma. RECENT FINDINGS: Endoscopic surgery is currently the primary management strategy for juvenile angiofibroma. Recent reports on the use of multiportal approaches have contributed to further extend its indications. Studies from different countries suggest that the lesion can display variable growth rates not only in relation to patient age. The same concept applies to residual lesions...
February 2019: Current Opinion in Otolaryngology & Head and Neck Surgery
https://read.qxmd.com/read/30507687/indications-and-endonasal-treatment-of-petrous-apex-cholesterol-granulomas
#19
Michael A Kohanski, James N Palmer, Nithin D Adappa
PURPOSE OF REVIEW: Lesions of the petrous apex of the temporal bone can be challenging to access and approaches laterally through the mastoid as well as medially through an endonasal approach are utilized to access this region while preserving function of adjacent structures. Cholesterol granulomas of the petrous apex requiring surgery are marsupialized to prevent expansion of the inflamed cyst and relieve associated clinical symptoms. The endonasal approach to the petrous apex has in the past been limited to lesions medial to the internal carotid artery...
February 2019: Current Opinion in Otolaryngology & Head and Neck Surgery
https://read.qxmd.com/read/30507686/histopathologic-analysis-in-the-diagnosis-and-management-of-chronic-rhinosinusitis
#20
Aryan D Shay, Bobby A Tajudeen
PURPOSE OF REVIEW: New research in the pathogenesis of chronic rhinosinusitis has shed light on an emerging classification system based on endotypes, which help to explain the individualized mechanism of disease in patients suffering from chronic rhinosinusitis with and without nasal polyps. The purpose of this review is to advocate the use of structured histopathologic analysis in the diagnosis and management of patients affected by chronic rhinosinusitis with and without polyps. RECENT FINDINGS: Numerous studies have demonstrated the role of inflammation in chronic rhinosinusitis and the ensuing histopatholgic changes...
February 2019: Current Opinion in Otolaryngology & Head and Neck Surgery
journal
journal
31554
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"