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head and neck surgeons

Benjamin Thomas, Emre Gazyakan, Florian Falkner, Volker J Schmidt, Christoph Hirche, Ulrich Kneser, Amir K Bigdeli
BACKGROUND: Though technically feasible, free tissue transfer carries the risk of perioperative morbidity and mortality in elderly patients. To minimize the operative treatment time and complication rates, we choose the rectus abdominis muscle (RAM) flap. METHODS: Between 2012 and 2017, 34 patients (mean age: 74±7 years, range: 65-89 years) with comorbidities underwent defect reconstruction with a free RAM flap. Recipient-sites were: lower extremity (65%), trunk (18%), upper extremity (12%), and head and neck (6%)...
January 11, 2019: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Ivana Petrovic, Raymond Baser, Timothy Blackwell, Colleen McCarthy, Ian Ganly, Snehal Patel, Peter Cordeiro, Jatin Shah
BACKGROUND: The goal of this study is to report functional and esthetic outcomes, after fibula free flap (FFF) reconstruction of the mandible for oral cancer, assessed by physicians, nonclinicians, and patients. METHODS: Twenty-five long-term survivors from oral cancer after FFF reconstruction were recalled for head and neck examination by surgeons, for photographs and patient-reported outcomes, using EORTC, QLQ-C30, H&N35, and FACE-Q questionnaires. RESULTS: Physicians reported 64% restoration of functionality compared to normal...
February 13, 2019: Head & Neck
Samantha Ruff, Sadia Ilyas, Seth M Steinberg, Zaria Tatalovich, Sarah A McLaughlin, Michael D'Angelica, Chandrajit P Raut, Keith A Delman, Jonathan M Hernandez, Jeremy L Davis
BACKGROUND: Despite burgeoning interest in Complex General Surgical Oncology (CGSO) fellowship training, little is reported about postgraduate employment. The goal of this study was to characterize CGSO graduates' first employment and to identify factors that influenced this decision. METHODS: The National Cancer Institute (NCI) and Society of Surgical Oncology developed and distributed an electronic survey to CGSO fellows who graduated from 2005 to 2016. RESULTS: The survey response rate was 47% (237/509)...
February 13, 2019: Annals of Surgical Oncology
Jay K Ferrell, Michael C Singer, D Gregory Farwell, Brendan C Stack, Maisie Shindo
BACKGROUND: There is currently a lack of evidence-based guidelines regarding postoperative opioids after thyroid and parathyroid surgery. This study aimed to objectively characterize contemporary postoperative pain management practices via a national survey of head and neck endocrine surgeons. METHODS: A standardized electronic survey was distributed to the membership of the American Head and Neck Society's Endocrine section. RESULTS: A total of 102 surgeons completed the survey representing a 34% response rate...
February 13, 2019: Head & Neck
Omar H Ahmed, Dylan F Roden, Yasmina C Ahmed, Binhuan Wang, Cherie-Ann O Nathan, David Myssiorek
OBJECTIVES: Standards of care for total laryngectomy (TL) patients in the postoperative period have not been established. Perioperative care remains highly variable and perhaps primarily anecdotally based. The aim of this study was to survey members of the American Head and Neck Society to capture management practices in the perioperative care of TL patients. METHODS: In this survey study, an electronic survey was distributed to the international attending physician body of the American Head and Neck Society...
February 13, 2019: Annals of Otology, Rhinology, and Laryngology
Maryam Akbari, Michael Miloro
PURPOSE: To determine contemporary surgical decision-making processes regarding the use of a nerve graft with ablative mandibular resection and to identify utilization barriers among head and neck surgeons. MATERIALS AND METHODS: An online electronic survey that queried practice patterns and subjective opinions regarding inferior alveolar nerve (IAN) grafting at the time of mandibular resection was distributed to head and neck surgeons and oral and maxillofacial surgery residency program directors (N = 249) by use of REDCap...
January 14, 2019: Journal of Oral and Maxillofacial Surgery
Stan van Keulen, Naoki Nishio, Shayan Fakurnejad, Andrew Birkeland, Brock A Martin, Guolan Lu, Quan Zhou, Stefania U Chirita, Tymour Forouzanfar, Dimitrios Colevas, Nynke S van den Berg, Eben L Rosenthal
Although surgical resection has been the primary treatment modality of solid tumors for decades, surgeons still rely on visual cues and palpation to delineate healthy from cancerous tissue. This may contribute to the high rate (up to 30%) of positive margins in head and neck cancer resections. Margin status in these patients is the most important prognostic factor for overall survival. In addition, second primary lesions may be present at the time of surgery. Although often unnoticed by the medical team, these lesions can have significant survival ramifications...
February 7, 2019: Journal of Nuclear Medicine: Official Publication, Society of Nuclear Medicine
Eveline A J van Rein, Rogier van der Sluijs, Frank J Voskens, Koen W W Lansink, R Marijn Houwert, Rob A Lichtveld, Mariska A de Jongh, Marcel G W Dijkgraaf, Howard R Champion, Frank J P Beeres, Luke P H Leenen, Mark van Heijl
Importance: Prehospital trauma triage protocols are used worldwide to get the right patient to the right hospital and thereby improve the chance of survival and avert lifelong disabilities. The American College of Surgeons Committee on Trauma set target levels for undertriage rates of less than 5%. None of the existing triage protocols has been able to achieve this target in isolation. Objective: To develop and validate a new prehospital trauma triage protocol to improve current triage rates...
February 6, 2019: JAMA Surgery
Andrea Ziegler, Alexander Schneider, Amy Pittman, Eric Thorpe
OBJECTIVE: The goal of this study was to determine the incidence of postoperative tachycardia and its predictive value of complications in patients following microvascular free flap surgery in the head and neck. STUDY DESIGN: Retrospective chart review. SETTING: Single tertiary care academic medical center. SUBJECTS AND METHODS: All patients who underwent a microvascular free flap of the head and neck by surgeons in the department of otolaryngology from 2013 to 2017 were included in this study...
February 5, 2019: Otolaryngology—Head and Neck Surgery
Becky B T King, Brandon C Chapman, Ana Gleisner, Camille Stewart, Chloe Friedman, Jennifer J Kwak, Martin D McCarter, Nicole Kounalakis
PURPOSE: To assess postbiopsy pigmentation (PBP) as a prognostic feature in patients with cutaneous head and neck (H&N) melanoma. METHODS: Retrospective review of patients undergoing sentinel lymph node biopsy (SLNB) for H&N melanoma (1998-2018). PBP was defined as visible remaining pigment at the scar or biopsy site that was documented on physical exam by both a medical oncologist and a surgeon at initial consultation. Variables associated with disease-free survival (DFS) and overall survival (OS) were analyzed using multivariable Cox proportional hazards models...
January 31, 2019: Annals of Surgical Oncology
M Ezechieli, H Windhagen, Th Floerkemeier, M Ribas
INTRODUCTION: Femoroacetabular impingement of the hip is considered a prearthrotic deformity, which should be treated at an early state to prevent complications. MATERIAL: This video demonstrates the arthroscopic-assisted mini-open technique for the treatment of femoroacetabular impingement of the hip. In the case presented a combined Pincer and Cam-deformity is treated with rim trimming, translabral labral refixation with two suture anchors and reconstruction of the head-neck junction...
January 31, 2019: Der Orthopäde
Heather A Osborn, Tessa A Goldsmith, Mark A Varvares
BACKGROUND: A reliable method of measuring functional outcomes is essential to inform treatment decisions in head and neck cancer. METHODS: Members of the American Head and Neck Society were surveyed regarding their use of functional outcome assessment tools. Qualitative statistical analysis was performed to identify major tools used and to clarify obstacles to functional outcome assessment. A comprehensive literature review was performed to identify available tools...
January 30, 2019: Head & Neck
Chris J Hong, Andreas A Giannopoulos, Brian Y Hong, Ian J Witterick, Jonathan C Irish, John Lee, Allan Vescan, Dimitrios Mitsouras, Wilfred Dang, Paolo Campisi, John R de Almeida, Eric Monteiro
OBJECTIVES: Medical three-dimensional (3D) printing, the fabrication of handheld models from medical images, has the potential to become an integral part of otolaryngology-head and neck surgery (Oto-HNS) with broad impact across its subspecialties. We review the basic principles of this technology and provide a comprehensive summary of reported clinical applications in the field. METHODS: Standard bibliographic databases (MEDLINE, Embase, Cumulative Index to Nursing and Allied Health Literature, Web of Science, and The Cochrane Central Registry for Randomized Trials) were searched from their inception to May 2018 for the terms: "3D printing," "three-dimensional printing," "rapid prototyping," "additive manufacturing," "computer-aided design," "bioprinting," and "biofabrication" in various combinations with the terms: "ptolaryngology," "head and neck surgery," and "otology...
January 30, 2019: Laryngoscope
Aakshay Gulati
No abstract text is available yet for this article.
July 2018: Annals of Maxillofacial Surgery
Kristen D Pitts, Alberto A Arteaga, Benjamin P Stevens, William C White, Dan Su, Christopher Spankovich, Gina D Jefferson, Lana L Jackson
OBJECTIVES: To understand measures of frailty among preoperative patients and explain how these can predict perioperative outcomes among patients with head and neck cancer. STUDY DESIGN: Retrospective cross-sectional case series with chart review. SETTING: Academic tertiary medical center. SUBJECTS AND METHODS: A retrospective review was performed of patients presenting to an academic hospital following a surgical procedure for a head and neck cancer diagnosis...
January 29, 2019: Otolaryngology—Head and Neck Surgery
Amir Inbal, Zachary Jonathan Collier, Chien-Liang Ho, Lawrence Jay Gottlieb
BACKGROUND:  In 1949, a French vascular surgeon, Jean Kunlin, first described a venous end-to-side anastomotic technique to address large vessel size mismatches. It was later modified by Dr. Robert Linton for end-to-end (ETE) anastomoses on the "macrovascular" scale. While multiple procedures exist for addressing moderate caliber discrepancies, few safely and reliably compensate for marked diameter differences at the microvascular level. In this study, we present the first large series adapting a modified geometric Kunlin's technique for arterial and venous ETE anastomoses in reconstructive microsurgery...
January 25, 2019: Journal of Reconstructive Microsurgery
Jun Liu, Dan Lv, Di Deng, Ji Wang, Linke Li, Fei Chen
RATIONALE: After total or near-total laryngectomy and resection of prelaryngeal skin, laryngeal defects and prelaryngeal skin defects often remain a great challenge for head and neck surgeons when considering simultaneous reconstruction of. In this case report, a free bipaddled anterolateral thigh (ALT) was used for such defects reconstruction. PATIENT CONCERNS: For this 50-year-old male patient whose recurrent tumor invaded the cricoid cartilage and the prelaryngeal skin, supracricoid partial laryngectomy with a cricohyoidepiglottopexy would no longer be an option...
January 2019: Medicine (Baltimore)
Sulaiman F Almedaifer, Abdullah J AlShehri, Thamer S Alhussainan
Valgus slipped capital femoral epiphysis (SCFE) is very infrequent, and it is characterized by a superolateral displacement of the epiphysis on the metaphysis. To date, less than 100 cases of valgus SCFE have been described in the literature. Bilaterality of valgus SCFE is extremely rare, and it presents management challenges to the treating orthopedic surgeons. Herein, we report the case of an 11-year-old Saudi Arabian girl presented to clinic with a one-year history of bilateral hip pain and limping. Past medical history was negative for endocrinopathies, hemoglobinopathies, bone disorders, trauma or radiation therapy to the pelvis...
November 15, 2018: Curēus
Alexandre Almeida Guedes, Felipe Ladeira Pereira, Eric Guimarães Machado, Marcello Fonseca Salgado Filho, Leandro Fellet Miranda Chaves, Fernando de Paiva Araújo
BACKGROUND: Trigeminocardiac reflex is a physiological phenomenon that may occur in head and neck surgery, and is usually benign. However, it may present with exaggerated responses with severe morbidity. CASE REPORT: Male patient, 26 years old, candidate for surgical treatment of zygomatic-orbital complex fracture. The surgery with bilateral nasal packing placed at the end of the procedure was uneventful. After being admitted to the post-anesthesia care unity, the patient complained of shortness of breath and nausea...
January 18, 2019: Revista Brasileira de Anestesiologia
Hui Sun, Che-Wei Wu, Daqi Zhang, Özer Makay, Yishen Zhao, Paolo Carcofaro, Hoon Yub Kim, Gianlorenzo Dionigi, Antonella Pino, Ettore Caruso, Alessandro Pontin, Vincenzo Pappalardo
Intraoperative neuromonitoring (IONM) in thyroid gland surgery provides real-time feedback to the endocrine surgeon regarding the electrophysiological consequences of surgical manipulation of the laryngeal nerves. The goal of monitoring modalities is to detect surgical or physiological insults to the recurrent laryngeal nerve (RLN) while they are still reversible or, in cases where prevention is not an option, to minimize the damage done to these structures during thyroidectomy. In recent decades, monitoring of the RLN has become a fundamental part of endocrine surgery...
January 18, 2019: Surgical Technology International
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