Current Opinion in Otolaryngology & Head and Neck Surgery最新文献_第10页

Evidence-based perioperative opioid-sparing techniques during the United States opioid crisis. 美国阿片类药物危机期间基于证据的围手术期阿片类药物节约技术。

IF 1.6 4区医学

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2023-08-01 DOI: 10.1097/MOO.0000000000000902

Chloe Warinner, Lois F Parker, Fred Shapiro, Nate Jowett

引用次数: 0

Reconstruction of partial auricular skin cancer defects: a review of current techniques. 部分耳部皮肤癌缺损的重建:当前技术综述。

IF 1.6 4区医学

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2023-08-01 DOI: 10.1097/MOO.0000000000000894

Anthony Noor, Neil Thomson

引用次数: 0

Update on ladder plates for mandibular angle fractures. 梯形钢板治疗下颌角骨折的最新进展。

IF 1.6 4区医学

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2023-08-01 DOI: 10.1097/MOO.0000000000000893

Luke Soliman, Victor King, Melvyn S Yeoh, Albert S Woo

{"title":"Update on ladder plates for mandibular angle fractures.","authors":"Luke Soliman, Victor King, Melvyn S Yeoh, Albert S Woo","doi":"10.1097/MOO.0000000000000893","DOIUrl":"https://doi.org/10.1097/MOO.0000000000000893","url":null,"abstract":"Purpose of review: Fractures of the mandibular angle are surgically challenging with high rates of postoperative complications. Among established fixation techniques for these injuries, Champy's tension band approach with miniplate fixation has held prominence. Rigid fixation, using two plates, also remains commonly used. More recently, geometric ladder plates, which confer greater three-dimensional stability have been developed to overcome the shortcomings of conventional fixation approaches. Herein, we aim to summarize the recent evidence surrounding the use of ladder plates and offer our own opinion for optimal treatment of these fractures.Recent findings: In high-powered studies, the rates of hardware failure, malocclusion, and malunion are lower among cohorts managed with ladder plates relative to miniplate groups. Rates of infection and paresthesia remain similar. Ladder plates have also been shown to decrease operative time in preliminary study.Summary: Ladder plates show superiority to miniplate approaches across several outcomes. However, the relatively larger strut plate constructs may not be necessary for minor, uncomplicated fractures. It is our belief that reasonable outcomes may be achieved with either approach depending on surgeon experience and comfort with the given fixation technique.","PeriodicalId":55195,"journal":{"name":"Current Opinion in Otolaryngology & Head and Neck Surgery","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9750511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 1

Editorial introductions. 编辑介绍。

IF 1.6 4区医学

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2023-08-01 DOI: 10.1097/MOO.0000000000000905

引用次数: 0

Management of eagle syndrome. 鹰综合症的管理。

IF 1.6 4区医学

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2023-08-01 DOI: 10.1097/MOO.0000000000000903

Alireza Sharifi, Ali Kouhi

{"title":"Management of eagle syndrome.","authors":"Alireza Sharifi, Ali Kouhi","doi":"10.1097/MOO.0000000000000903","DOIUrl":"https://doi.org/10.1097/MOO.0000000000000903","url":null,"abstract":"Purpose of review: Eagle syndrome is a challenging clinical presentation with important potential complications. It can be misdiagnosed due to lack of awareness; this review provides information in terms of diagnosis and management of eagle syndrome.Recent findings: The importance of early diagnosis of this rare disease is preventing the delay in clinical-surgical treatment. As there is not a universally accepted cut-off for styloid process length, the diagnosis should be confirmed by length of process greater than one-third of the length of mandibular ramus in addition to other clinical symptoms and signs. There are both surgical and pharmacological treatment options for these patients.Summary: Eagle syndrome is a rare clinical condition and its diagnosis is made by physical examination and radiography. When it is suspected by physical examination, definitive diagnosis is confirmed by computed tomography scans of the skull, as the gold standard. Location, degree of elongation of styloid process, and severity and reproducibility of symptoms are important factors in deciding the most appropriate approach. Surgery is frequently the treatment of choice in Eagle syndrome patients. With proper diagnosis and treatment, the prognosis is favourable and recurrence is uncommon.","PeriodicalId":55195,"journal":{"name":"Current Opinion in Otolaryngology & Head and Neck Surgery","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9755409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Intraoral flaps for oral cavity and oropharyngeal reconstruction. 用于口腔及口咽重建的口内皮瓣。

IF 1.6 4区医学

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2023-08-01 DOI: 10.1097/MOO.0000000000000884

Jessica Sandilands, Miles Somers, Ryan Winters

{"title":"Intraoral flaps for oral cavity and oropharyngeal reconstruction.","authors":"Jessica Sandilands, Miles Somers, Ryan Winters","doi":"10.1097/MOO.0000000000000884","DOIUrl":"https://doi.org/10.1097/MOO.0000000000000884","url":null,"abstract":"Purpose of review: Oral cavity reconstruction using local flaps is an area of head and neck surgery that has been overshadowed since the introduction of free flaps. Here, we discuss new developments, predominantly modifications to existing techniques for intraoral reconstruction, the utility of different local flaps and a review of functional outcomes.Recent findings: The facial artery musculomucosal (FAMM) flap has seen the greatest number of modifications to technique, most notably the extended double-pedicled, kite-shaped tunnelized and osseous myomucosal approaches. The tunnelled buccal fat pad flap has gained popularity as well as the use of combining two flaps such as the buccal fat pad and palatal island flap to reconstruct oral cavity defects with good effect. There is still a paucity of literature surrounding functional outcomes post reconstruction. Despite this, the complication rate for local flaps remains low.Summary: The value of intraoral flaps for oral cavity reconstruction is undisputed. However, they are potentially underutilised in the modern era of expanding availability and indications for free tissue transfer. As many practices see greater numbers of aging patients, often with multisystem comorbidities, local flaps are an important tool that can provide the surgeon with a greater number of reconstructive options.","PeriodicalId":55195,"journal":{"name":"Current Opinion in Otolaryngology & Head and Neck Surgery","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9743899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 1

Management of osteosarcoma of the head and neck. 头颈部骨肉瘤的治疗。

IF 1.6 4区医学

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2023-08-01 DOI: 10.1097/MOO.0000000000000900

Florida Sharin, Ameya Pai, Manish Mair

{"title":"Management of osteosarcoma of the head and neck.","authors":"Florida Sharin, Ameya Pai, Manish Mair","doi":"10.1097/MOO.0000000000000900","DOIUrl":"https://doi.org/10.1097/MOO.0000000000000900","url":null,"abstract":"Purpose of review: There is no clear consensus guideline that specifies the optimum course of treatment for adult head and neck osteosarcoma (HNO) because of its rarity. The review's goal is to examine the most recent research on the presentation, diagnosis, prognosis, and therapy of head and neck osteosarcoma.Recent findings: Due to overlapping symptoms with various benign disorders of the lower jaw and midface bone, these patients present with a noticeable delay. The greatest results for these malignancies can be achieved with surgery with sufficient margins. However, it may not be able to achieve sufficient margins in tumours of the midface and skull base, and the significance of adjuvant radiation/chemotherapy needs to be investigated. The use of adjuvant radiation in instances with an advanced stage, poor prognostic indicators, and inadequate resection is supported by evidence. Nonetheless, there are divergent opinions regarding the advantages of chemotherapy in adjuvant and neoadjuvant conditions, and further multicentric randomized control trials are required to provide robust evidence.Summary: Multimodality treatments seem to yield better results for advanced HNO with adverse features and incomplete resections.","PeriodicalId":55195,"journal":{"name":"Current Opinion in Otolaryngology & Head and Neck Surgery","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9753459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Adherence to swallowing recommendations during (chemo)radiotherapy in head and neck cancer survivors: a scoping review. 头颈癌幸存者在(化疗)放疗期间坚持吞咽建议:一项范围审查。

IF 1.6 4区医学

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2023-06-01 DOI: 10.1097/MOO.0000000000000882

Elizabeth A Rowe, Jane Dunton, Samuel Cooke, Despina Laparidou, J M Patterson

{"title":"Adherence to swallowing recommendations during (chemo)radiotherapy in head and neck cancer survivors: a scoping review.","authors":"Elizabeth A Rowe, Jane Dunton, Samuel Cooke, Despina Laparidou, J M Patterson","doi":"10.1097/MOO.0000000000000882","DOIUrl":"https://doi.org/10.1097/MOO.0000000000000882","url":null,"abstract":"Purpose of review: There is a paucity of knowledge regarding patient adherence to dysphagia recommendations. It is recognized that unique barriers and facilitators contribute to poor treatment adherence in head and neck cancer (HNC) survivors. This review aims to identify the key themes and knowledge gaps regarding adherence to swallowing recommendations in HNC survivors during (chemo)radiotherapy (C)RT.Recent findings: Seven studies were identified. Six facilitators to adherence were extracted, namely pain relief, behavioural intervention, attendance at multidisciplinary clinic, individualised swallowing therapy, absence of prophylactic percutaneous endoscopic gastronomy (PEG) and positive social control from a spouse. Barriers to adherence included pain, depression and presence of prophylactic PEG. Adherence to swallowing recommendations positively impacted swallowing outcomes in one study.Summary: Little is known about adherence to swallowing recommendations during (C)RT in HNC survivors. Capturing adherence is challenging. Several knowledge gaps were identified. Further research is needed to better understand the barriers and facilitators from the survivors' perspective. This will inform development of best practice regarding how swallowing recommendations are provided to promote adherence and improve outcomes.","PeriodicalId":55195,"journal":{"name":"Current Opinion in Otolaryngology & Head and Neck Surgery","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9433016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Editorial introductions. 编辑介绍。

IF 1.6 4区医学

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2023-06-01 DOI: 10.1097/MOO.0000000000000890

引用次数: 0

The relationship between auditory behaviours and speech and language development in children with cleft lip and palate. 唇腭裂儿童听觉行为与言语语言发展的关系。

IF 1.6 4区医学

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2023-06-01 DOI: 10.1097/MOO.0000000000000883

Stephanie van Eeden

{"title":"The relationship between auditory behaviours and speech and language development in children with cleft lip and palate.","authors":"Stephanie van Eeden","doi":"10.1097/MOO.0000000000000883","DOIUrl":"https://doi.org/10.1097/MOO.0000000000000883","url":null,"abstract":"Purpose of review: Children born with a cleft lip and palate (CLP) are at risk of speech problems. There is a high prevalence of conductive hearing loss due to otitis media with effusion and recent research has highlighted broader difficulties with language and educational attainment. There has been increased interest in the impact of auditory processing on a child's development, but little study into links between auditory skills and speech and language development.Recent findings: Children with CLP consistently struggle with auditory tasks. Difficulties processing words in a noisy background, auditory attention and temporal processing are frequently reported. A recent study in the United Kingdom investigated the auditory behaviours of 95 children aged 5-8 years with nonsyndromic CLP and compared these with speech and language profiles. Auditory difficulties correlated with speech development and most auditory behaviours correlated with language outcomes. There was also a correlation of language with speech outcomes, suggesting a more complex and interdependent relationship.Summary: Children with CLP present with high levels of difficulties with auditory skills. The potential impact of this on broader development needs further research, but clinicians should ensure that auditory skills beyond the hearing test are monitored, and advice given to parents to minimize the impact.","PeriodicalId":55195,"journal":{"name":"Current Opinion in Otolaryngology & Head and Neck Surgery","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7d/4a/coohn-31-165.PMC10171286.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10269365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 1