Journal of Head & Neck Physicians and Surgeons最新文献_第8页

Conducting interdepartmental tele-joint clinic during the coronavirus disease 2019 pandemic in a tertiary cancer care center 2019冠状病毒病大流行期间在三级癌症护理中心开展跨部门远程联合门诊

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Journal of Head & Neck Physicians and Surgeons Pub Date : 2020-07-01 DOI: 10.4103/jhnps.jhnps_59_20

K. Bhattacharya, S. Kulkarni, A. Janu, Anand Jadhav, S. Nair, A. Joshi, N. Khattry, Sudeep Gupta, N. Shetty

引用次数: 0

Effect of intraoperative vasopressor use on free flap outcome following major head-and-neck reconstructive surgeries 术中使用血管升压药对头颈部大型重建手术后游离皮瓣效果的影响

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Journal of Head & Neck Physicians and Surgeons Pub Date : 2020-07-01 DOI: 10.4103/jhnps.jhnps_53_20

S. Rajan, Karthik C. Babu, Pulak Tosh

{"title":"Effect of intraoperative vasopressor use on free flap outcome following major head-and-neck reconstructive surgeries","authors":"S. Rajan, Karthik C. Babu, Pulak Tosh","doi":"10.4103/jhnps.jhnps_53_20","DOIUrl":"https://doi.org/10.4103/jhnps.jhnps_53_20","url":null,"abstract":"Introduction: Major head-and-neck surgeries involving wide excision of the tumor usually necessitate reconstruction with free flaps for tissue cover. Even with meticulous fluid management with crystalloids, colloids, albumin, blood, and blood products, many patients become hemodynamically unstable and require the use of vasopressors perioperatively. Objectives: The purpose of this analysis was to assess the safety, role, and present-day trends of the use of vasopressor agents in free flap surgeries and to find any relation of graft rejection or failure of flap surgeries or postoperative complications with perioperative use of such agents. Methods: Reviewing the literature regarding the usage of vasopressors in head-and-neck free flap surgeries, percentage of flap survival, thrombosis of the artery, venous edema, and need for revision surgery were analyzed. Most of the published data had shown that optimizing hemodynamic stability with vasopressors had a more beneficial effect on overall flap perfusion and minimized the complications of iatrogenic fluid overload. The common conclusion was that perioperative vasopressor administration was not detrimental to free flap survival. Conclusion: Based on available data, it is concluded that perioperative use of vasopressors does not adversely affect free flap outcome in patients undergoing head-and-neck reconstructive surgeries and could even be beneficial considering the avoidance of complications of liberal intravenous fluid administration.","PeriodicalId":41774,"journal":{"name":"Journal of Head & Neck Physicians and Surgeons","volume":"8 1","pages":"76 - 79"},"PeriodicalIF":0.1,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45375069","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: 1

Prognosticators for quality of life in surgically treated head-and-neck cancer patients 手术治疗头颈癌患者生活质量的预后因素

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Journal of Head & Neck Physicians and Surgeons Pub Date : 2020-07-01 DOI: 10.4103/jhnps.jhnps_57_20

N. Gupta, Shripal Jani, Priya Dubey, Zainab Fidvi, M. Kapre

{"title":"Prognosticators for quality of life in surgically treated head-and-neck cancer patients","authors":"N. Gupta, Shripal Jani, Priya Dubey, Zainab Fidvi, M. Kapre","doi":"10.4103/jhnps.jhnps_57_20","DOIUrl":"https://doi.org/10.4103/jhnps.jhnps_57_20","url":null,"abstract":"Introduction: Physiological, functional, and psychological implications of head-and-neck cancer treatment are significant. Improving outcomes in cancer care must include due diligence to quality of life (QOL) along with disease control. This study assesses QOL of head-and-neck cancer patients before and after treatment and explores predictive factors. Materials and Methods: Prospective observational study of consecutive head-and-neck cancer patients. QOL assessments were made at baseline, and different stages of their treatment and prognostic factors such as age, gender, socioeconomic strata, comorbidities, tumor stage, requirement of reconstruction, adjuvant treatment, were examined. EORTC QOL questionnaire-H and N0 35 were employed, and prognostic factor correlation was studied by logistic regression analysis. Results: Ninety-eight patients at least 12 months post-treatment scored worst for dryness of the mouth (33.4), followed by sticky saliva (23.4). Although results steadily improved over time, this did not reach statistical significance (P = 0.235). Stage of the primary tumor, requirement of reconstruction, and adjuvant treatment were statistically significant prognostic factors (P < 0.05). Conclusion: Understanding of QOL parameters would improve treatment planning, counseling of head-and-neck cancer patients and care-givers and enable physical, functional, and social rehabilitation.","PeriodicalId":41774,"journal":{"name":"Journal of Head & Neck Physicians and Surgeons","volume":"8 1","pages":"129 - 133"},"PeriodicalIF":0.1,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47702532","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

Characteristics and patterns of surgical interventions in differentiated thyroid cancer with distant metastasis 分化型甲状腺癌症远处转移手术干预的特点与模式

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Journal of Head & Neck Physicians and Surgeons Pub Date : 2020-07-01 DOI: 10.4103/jhnps.jhnps_54_20

M. Kathar, P. Jain, K. Manikantan, R. Sharan, A. Pattatheyil

{"title":"Characteristics and patterns of surgical interventions in differentiated thyroid cancer with distant metastasis","authors":"M. Kathar, P. Jain, K. Manikantan, R. Sharan, A. Pattatheyil","doi":"10.4103/jhnps.jhnps_54_20","DOIUrl":"https://doi.org/10.4103/jhnps.jhnps_54_20","url":null,"abstract":"Objective: Unlike most head and neck cancers, the presence of distant metastasis (DM) does not preclude curative intent treatment and surgical interventions are common in metastatic disease. This research attempts to study the demographics, patterns of metastasis, and surgical interventions in patients of differentiated thyroid cancer (DTC) with DM. Materials and Methods: The retrospective cohort study of thirty-two patients of DTC with radiologically or histopathologically/cytopathologically confirmed DM who underwent surgery at a tertiary care center from August 2011 to December 2018. Results: The study population comprised of 59% of women and had a median age of 55 (19–79) years. Thorax was the most common site of metastasis, documented in 56% patients, while 53% of patients had bone metastases. Multiple DM were noted in 8 patients. Surgery for metastatic sites was possible in 14 patients (44%), with debulking and spine fixation being the most common surgical intervention for metastasis. The median dose of radioactive iodine (RAI) received by patients was 400 (25–749) mCi in one to four sessions (median-2 sessions). Three patients received conventional chemotherapy, while four received Sorafenib. Conclusion: Metastasectomy in DTC with DM is feasible in selected patients, and surgical interventions are most commonly performed on the spine to prevent neurological complications. RAI ablation is universally administered in this subset of patients and in very high doses, often distributed in multiple sessions. The role of chemotherapy and tyrosine kinase inhibitor is still restricted to palliative settings and cost constraints remain a detriment to more widespread use.","PeriodicalId":41774,"journal":{"name":"Journal of Head & Neck Physicians and Surgeons","volume":"15 5","pages":"124 - 128"},"PeriodicalIF":0.1,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41309654","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

Developing the South Asian region's first head-and-neck surgical oncology multi-institutional program: Journey, milestones, challenges, and future 发展南亚地区首个头颈外科肿瘤学多机构项目:历程、里程碑、挑战和未来

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Journal of Head & Neck Physicians and Surgeons Pub Date : 2020-07-01 DOI: 10.4103/jhnps.jhnps_46_20

D. Mandlik, S. Chopra, D. Balasubramanian, V. Kekatpure, S. Iyer, J. Dabholkar, Kaustubh D. Patel

引用次数: 0

A Clinical Study of Second Branchial Cleft Anomalies: Our Experience in a Teaching Hospital in Northern India 第二鳃裂畸形的临床研究:我们在印度北部一家教学医院的经验

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Journal of Head & Neck Physicians and Surgeons Pub Date : 2020-07-01 DOI: 10.4103/jhnps.jhnps_28_20

M. Anoop, R. Avtar, W. Akhtar, Y. Yadav

{"title":"A Clinical Study of Second Branchial Cleft Anomalies: Our Experience in a Teaching Hospital in Northern India","authors":"M. Anoop, R. Avtar, W. Akhtar, Y. Yadav","doi":"10.4103/jhnps.jhnps_28_20","DOIUrl":"https://doi.org/10.4103/jhnps.jhnps_28_20","url":null,"abstract":"Background: Branchial cleft anomalies are of five types. Among these, second branchial cleft anomalies are the most common developmental disorders. The aim of the study was to evaluate the clinical data in various subsets among the patients who had been diagnosed and treated for second branchial anomalies in the past 2 years. Materials and Methods: The present study was a retrospective study conducted from January 2018 to January 2020 in our institute. We collected the clinical data from patient’s medical records, radiological reports, surgical files, and histopathological reports. Results: A total of 22 patients presented with second branchial cleft anomalies. Among these, 18 (81.8%) were branchial cysts and 4 (18.2%) were branchial sinuses. There was no branchial fistula. The highest number of cases belonged to the second decade (72.7%). The mean age was found to be 16.8 years. The male-to-female ratio was 1.75:1. The rural-to-urban ratio was 3.4:1. There was no proclivity to any one side of the neck. All 22 patients underwent surgical excision as the treatment. There was no recurrence. Conclusion: We concluded that branchial cysts are the main type among second branchial cleft anomalies. Most patients belonged to the second decade of life. Early detection and reaching correct diagnosis are the major factors influencing treatment outcome. Preferably, surgical excision has to be performed in noninfected neck. Meticulous dissection helps in avoiding recurrence. Genetic disorders such as branchio-oto-renal syndrome have to be kept in mind in the evaluation of any branchial cleft anomalies.","PeriodicalId":41774,"journal":{"name":"Journal of Head & Neck Physicians and Surgeons","volume":"8 1","pages":"96 - 101"},"PeriodicalIF":0.1,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45746121","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: 2

Response to "Ocular Melanoma: A Rare Entity" 对“眼黑色素瘤:一种罕见的实体”的反应

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Journal of Head & Neck Physicians and Surgeons Pub Date : 2020-07-01 DOI: 10.4103/jhnps.jhnps_8_20

M. Al-Mendalawi

引用次数: 0

Interleukins in Periodontics 牙周病中的白细胞介素

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Journal of Head & Neck Physicians and Surgeons Pub Date : 2020-07-01 DOI: 10.4103/jhnps.jhnps_26_20

Shivani Sachdeva, H. Saluja, Amit Mani, Tanupriya Sonkar

引用次数: 0

Pattern of Head-and-Neck Malignancies in the Pediatric Population 儿童头颈部恶性肿瘤的发病模式

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Journal of Head & Neck Physicians and Surgeons Pub Date : 2020-07-01 DOI: 10.4103/jhnps.jhnps_21_20

V. Mungutwar, Manya Thakur, Harbans Singh, Sushma Singh, D. Hota

{"title":"Pattern of Head-and-Neck Malignancies in the Pediatric Population","authors":"V. Mungutwar, Manya Thakur, Harbans Singh, Sushma Singh, D. Hota","doi":"10.4103/jhnps.jhnps_21_20","DOIUrl":"https://doi.org/10.4103/jhnps.jhnps_21_20","url":null,"abstract":"Background: Head-and-neck malignancies are uncommon in childhood unlike in adults, also it contributes to low proportion of overall cancer incidence among children. The number in India has been increasing in the recent past. Hence, we conducted a study to know the pattern of head-and-neck cancers in hospitalized patients of 0–18 years’ age group. Aim: The aim was to study the pattern of different types of head-and-neck malignancies in the pediatric age group (<18 years) in a referral hospital. Subject and Methods: We have conducted an observational study of pediatric head-and-neck malignancies in our tertiary care center. All children in the age group of 0–18 years were included in the study. A total of 72 cases were taken retrospectively and prospectively from various departments of hospital which deal with pediatric patients. Results: Our study comprises total 72 cases, maximum cases were of acute lymphocytic leukemia with secondaries in neck n = 21, followed by 9 cases were of acute myeloid leukemia with secondaries in the neck. Carcinomas of the nasopharynx and parotid both were 8 in number; 15 cases were of Hodgkin/non-Hodgkin lymphoma with involvement of neck nodes. The least number of cases was of carcinoma mandible, Burkitt lymphoma, and chronic myeloid leukemia with secondary neck nodes. Most cases presented with right-sided neck mass or lymphadenopathy. Male-to-female ratio was 1.78:1 in all cases. Most of the cases were diagnosed either by bone marrow aspiration biopsy, fine-needle aspiration cytology, or excisional biopsy. Conclusion: Malignancy is one of the differentials of pediatric neck masses. Hematological malignancies and lymphomas are still two major contributors of head-and-neck cancers in the pediatric age group.","PeriodicalId":41774,"journal":{"name":"Journal of Head & Neck Physicians and Surgeons","volume":"8 1","pages":"91 - 95"},"PeriodicalIF":0.1,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45489760","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

Patenting pathways: A practical primer 专利途径：实用入门

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Journal of Head & Neck Physicians and Surgeons Pub Date : 2020-07-01 DOI: 10.4103/jhnps.jhnps_55_20

U. V. Vishal Rao, G. Arakeri, Ankita Kar, Bindu Sharma

引用次数: 0