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Operative Techniques in Otolaryngology - Head and Neck Surgery最新文献

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Robotic-assisted neck dissection
Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-12-01 DOI: 10.1016/j.otot.2024.08.016
Eric H. Abello MD, Yarah Haidar MD, Tjoson Tjoa MD
{"title":"Robotic-assisted neck dissection","authors":"Eric H. Abello MD,&nbsp;Yarah Haidar MD,&nbsp;Tjoson Tjoa MD","doi":"10.1016/j.otot.2024.08.016","DOIUrl":"10.1016/j.otot.2024.08.016","url":null,"abstract":"<div><div>The neck dissection has had several evolutions in the last decades, most recently with the addition of the robotic neck dissection to the head and neck surgeon's arsenal. The robotic neck dissection has emerged as a viable option for patients and offers a minimally invasive approach to the cervical lymphatic system. The major advantage includes the avoidance of a visible neck scar, while its limitations include increased operative time and cost. After several iterations, the retro-auricular/modified facelift incision has developed into the surgical approach of choice, offering excellent cosmesis while securing oncologic effectiveness. In this chapter we describe this approach in detail.</div></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 4","pages":"Pages 342-346"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143173047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Selective neck dissection-the supraomohyoid, lateral, and anterolateral dissection techniques
Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-12-01 DOI: 10.1016/j.otot.2024.08.011
Mac Kenzie Reece DO , Milena D. Fabry DO , Estelle M. Viaud-Murat MS , Sameep P. Kadakia MD FACS
{"title":"Selective neck dissection-the supraomohyoid, lateral, and anterolateral dissection techniques","authors":"Mac Kenzie Reece DO ,&nbsp;Milena D. Fabry DO ,&nbsp;Estelle M. Viaud-Murat MS ,&nbsp;Sameep P. Kadakia MD FACS","doi":"10.1016/j.otot.2024.08.011","DOIUrl":"10.1016/j.otot.2024.08.011","url":null,"abstract":"<div><div>In this article, the indications for performing the supraomohyoid, lateral, and anterolateral selective neck dissections will be discussed. Super selective neck dissections, though not included with a specific technique section, will also be briefly examined. An emphasis of the authors’ techniques will be illustrated with pertinent anatomy as well as postoperative care and complications to consider. Photographs will accompany the write-up in order to provide the reader with an anatomic operative reference.</div></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 4","pages":"Pages 312-319"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143173042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Radiology of malignant cervical adenopathy
Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-12-01 DOI: 10.1016/j.otot.2024.08.010
Luis T. Ortiz-Figueroa MD, Yilmarie Mercado-Vargas MD, Thomas Zacharia MD
{"title":"Radiology of malignant cervical adenopathy","authors":"Luis T. Ortiz-Figueroa MD,&nbsp;Yilmarie Mercado-Vargas MD,&nbsp;Thomas Zacharia MD","doi":"10.1016/j.otot.2024.08.010","DOIUrl":"10.1016/j.otot.2024.08.010","url":null,"abstract":"<div><div>Imaging of neck and skull base has significantly improved the diagnosis and management of neck conditions. Prior to the use of CT, MRI, and PET imaging, the value of plain radiographs of the neck was limited. Today, modern imaging techniques are an essential adjunct to the physical examination of the neck, can confidently limit the differential, and in many clinical scenarios yield a specific diagnosis. In addition, the value of imaging cannot be understated in surgical planning and surveillance. This article will review the techniques used in neck lymph node imaging and cover several of the most common conditions that result in malignant lymphadenopathy in the neck.</div></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 4","pages":"Pages 304-311"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143173043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Central neck dissection: updates on indications and surgical technique
Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-12-01 DOI: 10.1016/j.otot.2024.08.013
Vivian Xu MD, Bryan Renslo MD, Elizabeth E. Cottrill MD
{"title":"Central neck dissection: updates on indications and surgical technique","authors":"Vivian Xu MD,&nbsp;Bryan Renslo MD,&nbsp;Elizabeth E. Cottrill MD","doi":"10.1016/j.otot.2024.08.013","DOIUrl":"10.1016/j.otot.2024.08.013","url":null,"abstract":"<div><div>This article aims to describe the indications, pertinent anatomy, and surgical technique of the central neck dissection (CND) as it pertains to carcinomas of the thyroid gland. Further discussed are major complications of the procedure and factors considered in surgical decision making. Therapeutic CND is strongly recommended and widely performed in patients with clinically or radiographically evident nodal disease; however, elective/prophylactic CND requires an informed decision that should be based upon patient specific disease and risk factors. If able, CND should be performed concurrently at the time of thyroidectomy to minimize risk of injury to critical structures such as the recurrent laryngeal nerve and parathyroid glands. When indicated, CND performed by a skilled surgeon reduces the risk of locoregional recurrence and is associated with low overall morbidity.</div></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 4","pages":"Pages 331-337"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143173045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Functional complications of neck dissections
Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-12-01 DOI: 10.1016/j.otot.2024.08.019
Hari Jeyarajan MD, FRACS , Susan McCammon MD, PhD, FACS, FAAHPM
{"title":"Functional complications of neck dissections","authors":"Hari Jeyarajan MD, FRACS ,&nbsp;Susan McCammon MD, PhD, FACS, FAAHPM","doi":"10.1016/j.otot.2024.08.019","DOIUrl":"10.1016/j.otot.2024.08.019","url":null,"abstract":"<div><div>Neck dissections remain a crucial aspect of surgical oncological care of the head and neck cancer patient and remain associated with a range of functional consequences that profoundly affect patients’ quality of life. Understanding these functional consequences is essential as it allows clinicians to make informed decisions, counsel patients effectively, and develop strategies to optimize postoperative rehabilitation. This article embarks on a comprehensive exploration of the functional consequences of neck dissections, drawing upon a wealth of research and clinical experience. We delve into the diverse aspects of this complex issue, examining the impact of neck dissections on patients’ daily lives, the factors influencing these consequences, and the evolving strategies to mitigate their effects. From considerations of lymphedema, shoulder mobility, and speech outcomes to the critical role of preoperative evaluation and postoperative rehabilitation, this article strives to shed light on a multifaceted subject of paramount importance in the realm of head and neck cancer care. We will aim to provide insights that guide clinical practice, stimulate further research, and ultimately enhance the overall well-being of patients undergoing these pivotal procedures.</div></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 4","pages":"Pages 368-378"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143173050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Salvage neck dissection following definitive radiation
Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-12-01 DOI: 10.1016/j.otot.2024.08.018
Jumin Sunde MD, Mauricio A. Moreno MD, Emre A. Vural MD
{"title":"Salvage neck dissection following definitive radiation","authors":"Jumin Sunde MD,&nbsp;Mauricio A. Moreno MD,&nbsp;Emre A. Vural MD","doi":"10.1016/j.otot.2024.08.018","DOIUrl":"10.1016/j.otot.2024.08.018","url":null,"abstract":"<div><div>Salvage neck dissection describes removing cervical lymph nodes and disease following definitive radiation. Unique challenges include a fibrotic field with disease that is frequently more advanced than surgery in the primary setting. The surgical approach may vary depending on the extent of locoregional disease. Review of clinical data is necessary to design a surgical plan. Special considerations include having a reconstructive plan, if needed, for soft tissue reconstruction and great vessel coverage.</div></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 4","pages":"Pages 356-367"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143131235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sentinel lymph node biopsy
Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-12-01 DOI: 10.1016/j.otot.2024.08.017
Kimberly Chan MD , Larissa Sweeny MD , Karen Y. Choi MD, FACS
{"title":"Sentinel lymph node biopsy","authors":"Kimberly Chan MD ,&nbsp;Larissa Sweeny MD ,&nbsp;Karen Y. Choi MD, FACS","doi":"10.1016/j.otot.2024.08.017","DOIUrl":"10.1016/j.otot.2024.08.017","url":null,"abstract":"<div><div>Sentinel lymph node biopsy (SLNB) continues to evolve as a technique to detect occult metastases in early head and neck cancers. Patients without clinical evidence of neck metastasis have historically been treated with observation or elective neck dissection (END). However, for those patients with clinically negative necks who do not have occult metastases, performing an END results in overtreatment and increased morbidity. Therefore, SLNB has emerged as a way to evaluate for occult metastases to help guide further treatment and the need for a neck dissection. The purpose of this article is to provide an overview of SLNB and the operative techniques involved in head and neck cancers.</div></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 4","pages":"Pages 347-355"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143173049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Levels of the neck and classification of neck dissection and incisions
Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-12-01 DOI: 10.1016/j.otot.2024.08.009
Bao Y. Sciscent BS, Neerav Goyal MD, MPH, FACS, Ciaran Lane MD
{"title":"Levels of the neck and classification of neck dissection and incisions","authors":"Bao Y. Sciscent BS,&nbsp;Neerav Goyal MD, MPH, FACS,&nbsp;Ciaran Lane MD","doi":"10.1016/j.otot.2024.08.009","DOIUrl":"10.1016/j.otot.2024.08.009","url":null,"abstract":"<div><div>Neck dissection is a common procedure performed to remove lymph nodes in the neck that may contain cancer based on patterns of cervical metastases. Since the establishment of the radical neck dissection by Crile et al. in the early 20th century, modifications to this technique have been made. An understanding of lymphatic drainage patterns in the head and neck allowed for more limited dissections with reduced morbidity. This review discusses the history of neck dissection levels to its current accepted classification by the American Head and Neck Society, the evolving types of neck dissections, and different incisions used to optimize resection and cosmetic outcomes.</div></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 4","pages":"Pages 297-303"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143173039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The posterolateral neck dissection: indications, planning, and techniques
Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-12-01 DOI: 10.1016/j.otot.2024.08.012
William Reed MD, MPH, Luigi Volpini MD, Andrew Fuson MD, Carissa M. Thomas MD, PhD
{"title":"The posterolateral neck dissection: indications, planning, and techniques","authors":"William Reed MD, MPH,&nbsp;Luigi Volpini MD,&nbsp;Andrew Fuson MD,&nbsp;Carissa M. Thomas MD, PhD","doi":"10.1016/j.otot.2024.08.012","DOIUrl":"10.1016/j.otot.2024.08.012","url":null,"abstract":"<div><div>The posterolateral neck dissection removes the occipital and retroauricular lymph nodes in addition to nodal groups 2 through 5. This procedure is performed for the removal of metastatic or at-risk lymph nodes in the posterolateral neck, which most commonly originate from the cutaneous surfaces of the scalp and neck posterior to a coronal plane connecting the external auditory canals. The major surgical consideration is the identification and preservation of the spinal accessory nerve.</div></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 4","pages":"Pages 320-324"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143173044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Flexible Zenker's per-oral endoscopic myotomy 灵活的 Zenker 口周内窥镜肌切开术
Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-09-01 DOI: 10.1016/j.otot.2023.12.002
Shumon Ian Dhar MD, FACS, Anna Tomkies MD
{"title":"Flexible Zenker's per-oral endoscopic myotomy","authors":"Shumon Ian Dhar MD, FACS,&nbsp;Anna Tomkies MD","doi":"10.1016/j.otot.2023.12.002","DOIUrl":"10.1016/j.otot.2023.12.002","url":null,"abstract":"<div><div><span>Zenker's diverticulum<span> is a pulsion-type pseudodiverticulum of the pharyngoesophageal segment. Endoscopic surgery<span> is primarily directed at dividing the common wall between the esophagus and diverticulum. Rigid exposure with diverticuloscopes has allowed for common wall division with staplers, lasers, and advanced energy sealers, however, not all patients can be successfully treated with rigid instrumentation. As a result, flexible endoscopic surgery provides another option for patients. This technique employs various instrumentation through the working channel of a gastroscope to not only divide the common wall but seal the </span></span></span>incision, which if done appropriately, results in a symptom resolution with complication rates comparable to rigid techniques. Flexible endoscopic surgery requires the surgeon to perform technically challenging submucosal dissection through a gastroscope as well as possess expertise with advanced energy delivery systems and instrumentation. However, with time, surgeons can build these skills to offer a breadth of surgical options tailored to the individual patient.</div></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 3","pages":"Pages 213-219"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142700769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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