Head and Neck-Journal for the Sciences and Specialties of the Head and Neck最新文献_第9页

Impact of Clinical Surveillance on Outcomes of Locally Recurrent Nasopharyngeal Carcinoma. 临床监测对局部复发鼻咽癌预后的影响。

IF 2.3 3区医学

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2025-01-20 DOI: 10.1002/hed.28060

Tsinrong Lee, Kiattisa Sommat, Isabelle Jang, Chwee Ming Lim, Fu Qiang Wang, Yoke Lim Soong, Joseph Wee, Terence Tan, Kam Weng Fong, Melvin Lee Kiang Chua, Sharon Poh, Kimberley Kiong

{"title":"Impact of Clinical Surveillance on Outcomes of Locally Recurrent Nasopharyngeal Carcinoma.","authors":"Tsinrong Lee, Kiattisa Sommat, Isabelle Jang, Chwee Ming Lim, Fu Qiang Wang, Yoke Lim Soong, Joseph Wee, Terence Tan, Kam Weng Fong, Melvin Lee Kiang Chua, Sharon Poh, Kimberley Kiong","doi":"10.1002/hed.28060","DOIUrl":"https://doi.org/10.1002/hed.28060","url":null,"abstract":"Background: Local recurrence of nasopharyngeal carcinoma (NPC) occurs in 10%-20% of patients, with salvage potential in early recurrences. Yet, clear surveillance protocols are lacking. We compare survival outcomes and suitability for salvage in symptomatic and incidentally detected locally recurrent NPC.Methods: Locally recurrent NPC patients, initially diagnosed at the National Cancer Center Singapore between October 2003 and November 2009, were identified. Demographics, symptoms, detection modalities, and survival outcomes were analyzed.Results: Eighty-two patients were studied. Median follow up and time to local recurrence was 5.51 and 2.19 years; 45.1% were symptomatic; 65.9% were diagnosed incidentally; 62.2% were offered salvage treatment. Symptomatic patients (vs. asymptomatic) had lower 5-year overall-survival (39.1% vs. 74.5%, p = 0.011). Nonincidental diagnoses (vs. incidental) had lower 5-year overall-survival (33.6% vs. 71.1%, p = 0.02). Incidentally-detected recurrences (vs. nonincidental) were more likely offered salvage treatment (75.9% vs. 35.7%, p < 0.001).Conclusion: Routine clinical examination, nasoendoscopy, and imaging allow early detection of asymptomatic recurrences, with improved outcomes.","PeriodicalId":55072,"journal":{"name":"Head and Neck-Journal for the Sciences and Specialties of the Head and Neck","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Geometric Study and Clinical Case Series for Mandible Reconstruction With a Single-Piece Scapular Free Flap. 单片肩胛骨游离皮瓣重建下颌骨的几何研究及临床病例系列。

IF 2.3 3区医学

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2025-01-20 DOI: 10.1002/hed.28063

Khanh Linh Tran, Alex Chen, David Yang, Jamie Jae Young Kwon, Farahna Sabiq, Sidney Fels, Antony Hodgson, James Scott Durham, Eitan Prisman

{"title":"Geometric Study and Clinical Case Series for Mandible Reconstruction With a Single-Piece Scapular Free Flap.","authors":"Khanh Linh Tran, Alex Chen, David Yang, Jamie Jae Young Kwon, Farahna Sabiq, Sidney Fels, Antony Hodgson, James Scott Durham, Eitan Prisman","doi":"10.1002/hed.28063","DOIUrl":"https://doi.org/10.1002/hed.28063","url":null,"abstract":"Background: Virtual surgical planning (VSP) with simple cutting templates could help surgeons preoperatively plan scapula reconstructions in the vertical and horizontal orientations.Methods: Virtually, eight defects were created in ten healthy mandibles and reconstructed with the subject-specific scapula vertically and horizontally. In the clinical series, 15 single-piece scapula mandible reconstructions planned with in-house VSP and guided with simple templates were compared with 15 freehand reconstructions.Results: Virtually, the vertical placement outperformed the horizontal placement in dice score (DSC) and Hausdorff-95 for all but one defect. Clinically, the VSP cohort had shorter operative time (386.6 ± 111.6 min vs. 268.9 ± 50.6 min, p = 0.002), fewer tracheostomies (73% vs. 15%, p = 0.002), lower length of hospital stay (16.6 ± 13.5 days vs. 12.2 ± 8.1 days, p = 0.319), and higher complete/partial union to a non-significant degree (78% vs. 100%, p = 0.471).Conclusion: A single-piece scapula free flap is a versatile option for mandibular reconstruction. VSP has time and cost savings potential and quality of life impact that should be further investigated.","PeriodicalId":55072,"journal":{"name":"Head and Neck-Journal for the Sciences and Specialties of the Head and Neck","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Examining the Impact of Race and Sex on the Incidence of Positive Surgical Margins in Oral Cavity Squamous Cell Carcinoma. 探讨种族和性别对口腔鳞状细胞癌手术切缘阳性发生率的影响。

IF 2.3 3区医学

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2025-01-16 DOI: 10.1002/hed.28075

Jacob S Brady, Armita Norouzi, Neeraja Konuthula, Austin Lam, Emily Marchiano, Neal Futran, Brittany Barber

{"title":"Examining the Impact of Race and Sex on the Incidence of Positive Surgical Margins in Oral Cavity Squamous Cell Carcinoma.","authors":"Jacob S Brady, Armita Norouzi, Neeraja Konuthula, Austin Lam, Emily Marchiano, Neal Futran, Brittany Barber","doi":"10.1002/hed.28075","DOIUrl":"https://doi.org/10.1002/hed.28075","url":null,"abstract":"Objective: The aim of this study was to compare the incidence of positive surgical margins (PSMs) between different races and sexes in a national cohort.Materials and methods: In this study, we analyzed the association between race and sex disparities and the incidence of PSMs based on data from the 2004-2016 National Cancer Database (NCDB). The NCDB includes deidentified data collected from over 1500 hospitals as part of the Commission on Cancer approvals program and represents over 70% of new cancer cases in the United States. This analysis provides minimally adjusted and further adjusted multivariate analyses of the incidence of positive surgical margins in OCSCC stratified by sex and race, disease characteristics, other demographics, comorbidities, and social determinants of health (SDOH).Results: The incidence of PSMs was found to be elevated in black males of any age, black males under the age of 45, and in Indigenous American and native Alaskan males under the age of 45, independent of clinicopathologic factors. Specifically, black patients had a significantly higher incidence of PSMs when controlling for age, subsite, stage, grade, LVI, and CDCS. Our results remained unchanged after adjusting for the SDOH variables of insurance coverage, level of education, income, metropolitan versus urban versus rural location, distance from treatment center, and facility type.Conclusion: The findings of this study suggest that black males of any age, black males under 45, and Indigenous American and native Alaskan males under 45 have a higher incidence of PSMs, independent of clinicopathologic factors and SDOH. Our findings may help inform clinicians and hospitals of lapses in our healthcare system that perpetuate these inequities and further the goal of tackling disparities in surgical care.","PeriodicalId":55072,"journal":{"name":"Head and Neck-Journal for the Sciences and Specialties of the Head and Neck","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Snail Flap for Scalp Reconstruction: Technique and Outcomes. 蜗牛瓣用于头皮重建：技术和结果。

IF 2.3 3区医学

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2025-01-16 DOI: 10.1002/hed.28027

Andrew M Peterson, Nicholas A Rapoport, Sarah N Chiang, Dorina Kallogjeri, Jason T Rich

{"title":"Snail Flap for Scalp Reconstruction: Technique and Outcomes.","authors":"Andrew M Peterson, Nicholas A Rapoport, Sarah N Chiang, Dorina Kallogjeri, Jason T Rich","doi":"10.1002/hed.28027","DOIUrl":"https://doi.org/10.1002/hed.28027","url":null,"abstract":"Objectives: Local flaps are widely described for scalp reconstruction, but there is minimal literature surrounding the snail flap. The objective of this study was to describe the surgical technique and outcomes of scalp reconstruction with the snail flap.Methods: This case series retrospectively evaluated all consecutive patients undergoing scalp snail flap reconstruction from January 1, 2019 to February 1, 2024. The primary outcome measure was incidence and extent of complications. Demographic and intra-operative variables were assessed.Results: A total of 44 patients were included with a median age (range) of 74 years (27-88) with scalp defects ranging in size from 3 x 3 cm to 8 x 8 cm (median defect size 5 cm). The mean (SD) flap base-to-defect ratio was 1.82 (0.31). Forty (91%) of the cases were performed outpatient or with overnight observation only. Complications included 9 (20%) wound infections, 12 (27%) patients with necrosis (all minimal), and 2 (5%) patients with hematoma, which were all managed outpatient. The flap survival rate was 100%.Conclusions: The snail flap is easy to perform with high reliability and allows for hair preservation. The morbidity and need for hospitalization are minimal, making it an ideal reconstructive option for elderly or frail patients with moderate-sized scalp defects.","PeriodicalId":55072,"journal":{"name":"Head and Neck-Journal for the Sciences and Specialties of the Head and Neck","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Efficacy of Radiofrequency Ablation-Guided by Ultrasound in Primary Hyperparathyroidism: A Systematic Review and Meta-Analysis. 超声引导下射频消融治疗原发性甲状旁腺功能亢进的疗效：系统综述和meta分析。

IF 2.3 3区医学

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2025-01-16 DOI: 10.1002/hed.28032

Anna Luíza Soares de Oliveira Rodrigues, Lucas Carvalho Pereira, Thamiris Dias Delfino Cabral, Eric Pasqualotto, Isabela Fernandes Scabello, Mariele Pereira Bragante Rocha, Francisco Cezar Aquino de Moraes, Anna Luíza Damaceno Araújo, Luiz Paulo Kowalski

{"title":"Efficacy of Radiofrequency Ablation-Guided by Ultrasound in Primary Hyperparathyroidism: A Systematic Review and Meta-Analysis.","authors":"Anna Luíza Soares de Oliveira Rodrigues, Lucas Carvalho Pereira, Thamiris Dias Delfino Cabral, Eric Pasqualotto, Isabela Fernandes Scabello, Mariele Pereira Bragante Rocha, Francisco Cezar Aquino de Moraes, Anna Luíza Damaceno Araújo, Luiz Paulo Kowalski","doi":"10.1002/hed.28032","DOIUrl":"https://doi.org/10.1002/hed.28032","url":null,"abstract":"Background: Radiofrequency ablation guided by ultrasound (RFA-USG) is an alternative treatment for primary hyperparathyroidism (PHPT) patients. Despite showing accurate precision and minimal invasion, its efficacy remains questionable.Methods: We searched PubMed, Embase, Scopus, Cochrane Library, Portal Regional da Biblioteca Virtual em Saúde (BVS), Web of Science databases for randomized controlled trials (RCTs) and observational studies evaluating RFA-USG in PHPT patients. Statistical analysis was performed with R software, version 4.4.3.Results: Eight studies were included with 208 patients with PHPT undergoing RFA-USG treatment. After 3 months of treatment, parathyroid volume was 0.31 mL (0.16-0.61), Parathyroid hormone (PTH) level was 60.71 pg/mL (53.87-68.42), and calcium level was 5.43 mEq/L (2.63-11.23). The occurrence of hoarseness among the patients was 4.4% (1.64-11.02).Conclusion: RFA-USG is safe for PHPT patients, with associated parathyroid volume reduction and decrease in PTH. However, further study is needed to compare RFA-USG to the gold standard of surgery for PHPT.","PeriodicalId":55072,"journal":{"name":"Head and Neck-Journal for the Sciences and Specialties of the Head and Neck","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Risk of Malignant Transformation of Oral Lichen Planus and Oral Lichenoid Lesions: A Single Centre, 10-Year Review. 口腔扁平苔藓和口腔苔藓样病变恶性转化的风险：单一中心，10年回顾。

IF 2.3 3区医学

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2025-01-16 DOI: 10.1002/hed.28070

Kelsey V Won, Karl K Cuddy, Deepika Chugh, Marco Magalhaes

{"title":"Risk of Malignant Transformation of Oral Lichen Planus and Oral Lichenoid Lesions: A Single Centre, 10-Year Review.","authors":"Kelsey V Won, Karl K Cuddy, Deepika Chugh, Marco Magalhaes","doi":"10.1002/hed.28070","DOIUrl":"https://doi.org/10.1002/hed.28070","url":null,"abstract":"Background: Oral lichen planus (OLP) and oral lichenoid lesions (OLL) are common chronic inflammatory diseases associated with malignant transformation. Risk factors associated with malignant transformation of OLP and OLL are not well defined.Methods: A retrospective chart review assessed risk factors for progression of OLP and OLL to oral epithelial dysplasia (OED) or oral squamous cell carcinoma (OSCC) at a tertiary care centre in Toronto, Canada.Results: Five-hundred-fifty-five patients identified with biopsy proven OLP or OLL met the inclusion criteria. In total, 3.2% (n = 18) progressed to OED (1.8%, n = 10) or OSCC (1.4%, n = 8). Risk factors associated with transformation included the plaque-like subtype (OR = 40.33, p < 0.001) and lesions located on the tongue (OR = 6.81, p = 0.008).Conclusions: Clinical examination to identify lesion subtype and location provides useful indicators for risk of progression in patients with OLL and OLP.","PeriodicalId":55072,"journal":{"name":"Head and Neck-Journal for the Sciences and Specialties of the Head and Neck","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correction to “Diagnostic Value of 18F-FDG PET/CT Versus Diffusion-Weighted MRI in Detection of Residual or Recurrent Tumors After Definitive (Chemo) Radiotherapy for Laryngeal and Hypopharyngeal Squamous Cell Carcinoma: A Prospective Study” 更正“18F-FDG PET/CT与弥散加权MRI对喉部和下咽鳞状细胞癌最终（化疗）放疗后残留或复发肿瘤的诊断价值：一项前瞻性研究”。

IF 2.3 3区医学

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2025-01-15 DOI: 10.1002/hed.28069

{"title":"Correction to “Diagnostic Value of 18F-FDG PET/CT Versus Diffusion-Weighted MRI in Detection of Residual or Recurrent Tumors After Definitive (Chemo) Radiotherapy for Laryngeal and Hypopharyngeal Squamous Cell Carcinoma: A Prospective Study”","authors":"","doi":"10.1002/hed.28069","DOIUrl":"10.1002/hed.28069","url":null,"abstract":"S. Y. Kim, D. Crook, J. Rosskopf, and J.-H. Lee, “Diagnostic Value of 18F-FDG PET/CT Versus Diffusion-Weighted MRI in Detection of Residual or Recurrent Tumors After Definitive (Chemo) Radiotherapy for Laryngeal and Hypopharyngeal Squamous Cell Carcinoma: A Prospective Study,” Head & Neck 46, no. 9 (2024): 2284–2291, https://doi.org/10.1002/hed.27796.In the author list section, the order of authors was incorrect. The correct order is “Crook D, Rosskopf J, Kim SY, Lee JH.” Crook D should be the first author, Kim SY and Lee JH should be the co-last authors, co-corresponding authors.Therefore, the indications of author list and affiliation should read:David Cook1, Johannes Rosskopf2,3, Soung Yung Kim1,*, Jung-Hyun Lee4,*1Department of Radiology, Spital Muri, Muri, Switzerland2BKH Günzburg, Günzburg, Germany3Department of Diagnostic and Interventional Radiology, University Hospital Ulm, Ulm, Germany4Department of Life Science, University of Seoul, Seoul, Republic of Korea*Co-last authors and co-corresponding authorsWe apologize for this error.","PeriodicalId":55072,"journal":{"name":"Head and Neck-Journal for the Sciences and Specialties of the Head and Neck","volume":"47 3","pages":"1065"},"PeriodicalIF":2.3,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hed.28069","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of Local Extent of Tumor on the Survival Outcomes for Surgically Treated Tongue Cancers. 肿瘤局部范围对舌癌手术治疗后生存结果的影响。

IF 2.3 3区医学

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2025-01-15 DOI: 10.1002/hed.28072

Arjun Gurmeet Singh, Shwetabh Sinha, Rathan Shetty, Poonam Joshi, Sudhir Vasudevan Nair, Pankaj Chaturvedi

{"title":"Impact of Local Extent of Tumor on the Survival Outcomes for Surgically Treated Tongue Cancers.","authors":"Arjun Gurmeet Singh, Shwetabh Sinha, Rathan Shetty, Poonam Joshi, Sudhir Vasudevan Nair, Pankaj Chaturvedi","doi":"10.1002/hed.28072","DOIUrl":"https://doi.org/10.1002/hed.28072","url":null,"abstract":"Background: The current classification of tongue cancers does not discriminate stages based on factors of local spread.Aim: Integrating factors of local spread that impact disease-specific survival (DSS) in a modified classification to improve prognostication compared with the current staging.Method: This was a retrospective analysis of 399 previously untreated oral tongue squamous carcinomas operated between 2016 and 2018. Factors related to the local extent of a primary tumor that impacted the DSS were studied. Multivariable analyses adjusted for pT, pN stage, and adjuvant therapy. Candidate staging systems were developed based on factors that significantly impacted DSS, and validated.Result: Base tongue involvement (p = 0.021), DOI > 20 mm (p value = 0.040), and tumor crossing the midline (p value = 0.047) significantly impacted the DSS. The preferred model included base tongue involvement in T3 stage, and DOI > 20 mm and tumor crossing the midline into T4 stage (Model 2), which was superior to the current classification system in AIC (830.55 vs. 845.43), C-index (0.65 vs. 0.61), and visual inspection of Kaplan-Meier curves.Conclusion: Identifying and possibly including these clinical factors in addition to the current T-stage criteria could result in better prognostication of tongue cancers.Significance: Integration of proposed classification could improve the discrimination between stages.","PeriodicalId":55072,"journal":{"name":"Head and Neck-Journal for the Sciences and Specialties of the Head and Neck","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring Quantitative MRI Biomarkers of Head and Neck Post-Radiation Lymphedema and Fibrosis: Post Hoc Analysis of a Prospective Trial. 探索头颈部放射后淋巴水肿和纤维化的定量MRI生物标志物：前瞻性试验的事后分析。

IF 2.3 3区医学

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2025-01-10 DOI: 10.1002/hed.28062

Shitong Mao, Jihong Wang, Holly McMillan, Abdallah Sherif Radwan Mohamed, Sheila Buoy, Sara Ahmed, Samuel L Mulder, Mohamed A Naser, Renjie He, Kareem A Wahid, Melissa Mei Chen, Yao Ding, Amy C Moreno, Stephen Y Lai, Clifton David Fuller, Katherine Arnold Hutcheson

{"title":"Exploring Quantitative MRI Biomarkers of Head and Neck Post-Radiation Lymphedema and Fibrosis: Post Hoc Analysis of a Prospective Trial.","authors":"Shitong Mao, Jihong Wang, Holly McMillan, Abdallah Sherif Radwan Mohamed, Sheila Buoy, Sara Ahmed, Samuel L Mulder, Mohamed A Naser, Renjie He, Kareem A Wahid, Melissa Mei Chen, Yao Ding, Amy C Moreno, Stephen Y Lai, Clifton David Fuller, Katherine Arnold Hutcheson","doi":"10.1002/hed.28062","DOIUrl":"10.1002/hed.28062","url":null,"abstract":"Background: Quantifying head and neck lymphedema and fibrosis (HN-LEF) is crucial in the investigation and management of treatment sequelae in head and neck cancer (HNC).Methods: The T1- and T2-weighted MRI signal intensity (SI) was examined in relation to HN-LEF categories per physical/tactile examination (No-LEF, A-B = edema, C = edema + fibrosis, D = fibrosis), and MRI structural volumes were examined in relation to a novel 10-point HN-LEF score in the intraoral and submental regions.Results: We identified differences in ranks among HN-LEF categories in relation to the MRI SI (A-B and C are higher than D and No-LEF for T2 SI, and A-B is the highest for T1). Furthermore, six pairs of FOM volumes on MRI demonstrated a strong negative correlation (p < 0.05) with the HN-LEF score at adjacent palpable sites.Conclusion: Both MRI SI and structural volumes can potentially be imaging biomarkers of edematous soft tissue states in HNC patients.","PeriodicalId":55072,"journal":{"name":"Head and Neck-Journal for the Sciences and Specialties of the Head and Neck","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Modified Technique for Difficult Secondary Tracheoesophageal Puncture 困难气管食管二次穿刺的改进技术。

IF 2.3 3区医学

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2025-01-10 DOI: 10.1002/hed.28068

Michelle Yoon, Justin Joseph, Ricardo Ramirez, Cindy Ganz, Michael S. Smith, Mark L. Urken

引用次数: 0