Archives of otolaryngology--head & neck surgery最新文献_第7页

Does the diameter of the thoracic inlet influence the formation of retrosternal goiter? 胸椎入口的直径是否影响胸骨后甲状腺肿的形成?

Archives of otolaryngology--head & neck surgery Pub Date : 2019-01-01 DOI: 10.4322/ahns.2019.0018

L. Pasquel, D. A. Rocha, Y. L. M. Guimarães, G. Alvarenga, M. Kase, Júlia Scomparin Magalhãnes, R. Gomes, L. M. M. Neto, Renata Regina da Graça Lorencetti Mahmoud, L. Matos, V. J. F. A. Filho, C. Cernea

{"title":"Does the diameter of the thoracic inlet influence the formation of retrosternal goiter?","authors":"L. Pasquel, D. A. Rocha, Y. L. M. Guimarães, G. Alvarenga, M. Kase, Júlia Scomparin Magalhãnes, R. Gomes, L. M. M. Neto, Renata Regina da Graça Lorencetti Mahmoud, L. Matos, V. J. F. A. Filho, C. Cernea","doi":"10.4322/ahns.2019.0018","DOIUrl":"https://doi.org/10.4322/ahns.2019.0018","url":null,"abstract":"Introduction: Retrosternal goiter (RSG) can be defined as greater than 50% of the thyroid volume within the thorax. RSG is present in 2-26% of all thyroidectomies, depending on the defining criteria. Objective: Find an association between diameter of the thoracic inlet (TI) and RSG to determine whether the TI would function as a natural anatomical barrier to prevent the passage of the goiters to the thoracic cavity. Methods: A retrospective study was conducted with patients submitted to total thyroidectomy, with goiter greater than 50 cm 3 , who underwent computed tomography (CT) preoperatively to measure the TI volume. The values obtained from each continuous variable of parametric distribution were organized and described as mean and standard deviation. The distributions were defined as non-parametric by the Kolmogorov-Smirnov test. The Mann-Whitney test was used to compare two sample populations. Results: A total of 173 patients submitted to total thyroidectomy were evaluated, and 54 patients met the inclusion criteria of the study. 85.2% were female, with a mean age of 57 years. The mean diameter of the TI was 5679 mm 2 . 42% of the patients presented some degree of RSG. The distance below the TI ranged from 0.2 to 5 cm. Conclusion: No significant association was found between diameter of the thoracic inlet and retrosternal goiter, demonstrating that RSG can be present regardless of the TI diameter. Statistically significant association was observed between patients with larger thyroid volume and the likelihood of this tissue to extend to the thoracic cavity.","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82356608","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

Analysis of PTH serum concentration from internal jugular veins of patients with primary hyperparathyroidism 原发性甲状旁腺功能亢进患者颈内静脉PTH血药浓度分析

Archives of otolaryngology--head & neck surgery Pub Date : 2019-01-01 DOI: 10.4322/ahns.2019.0011

Davi Knoll Ribeiro, M. Lera, Ana Beatriz Ribeiro Fonseca, M. Neves

引用次数: 3

Pleomorphic adenoma of the larynx 喉多形性腺瘤

Archives of otolaryngology--head & neck surgery Pub Date : 2019-01-01 DOI: 10.4322/ahns.2019.0001

Liliane Queiroz de Lira, Ana Karenina Nobre Fonseca de Souza, A. Fernandes, Fábio Medeiros de Azevedo, Ivan Machado de Almeida Junior

引用次数: 0

Refractory ORN submitted to resective surgical treatment and free flap musculocutaneous reconstruction 顽固性ORN接受手术治疗和自由皮瓣肌皮重建

Archives of otolaryngology--head & neck surgery Pub Date : 2019-01-01 DOI: 10.4322/ahns.2019.0019

W. Bernaola-Paredes, G. Agne, M. Rodrigues, F. Alves, R. Lopes

{"title":"Refractory ORN submitted to resective surgical treatment and free flap musculocutaneous reconstruction","authors":"W. Bernaola-Paredes, G. Agne, M. Rodrigues, F. Alves, R. Lopes","doi":"10.4322/ahns.2019.0019","DOIUrl":"https://doi.org/10.4322/ahns.2019.0019","url":null,"abstract":"1Fundação Antônio Prudente, A.C. Camargo Cancer Center, Departamento de Estomatologia, São Paulo, SP, Brasil 2Fundação Antônio Prudente, A.C. Camargo Cancer Center, Departamento de Cirurgia de Cabeça e Pescoço e Otorrinolaringologia, São Paulo, SP, Brasil 3Fundação Antônio Prudente, A.C. Camargo Cancer Center, Departamento de Cirurgia de Cabeça e Pescoço e Otorrinolaringologia, Subdivisão de Cirurgia Plástica e Microcirurgia reconstrutiva, São Paulo, SP, Brasil 4Fundação Antônio Prudente, A.C. Camargo Cancer Center, Departamento de Estomatologia, São Paulo, SP, Brasil Financial support: This work was supported by the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) (870091/2001-8). Conflicts of interest: No conflicts of interest declared concerning the publication of this article. Submitted: July 30, 2019 Accepted: October 03, 2019. The study was carried out at Departamento de Estomatologia e o Departamento de Cirurgia de Cabeça e Pescoço e Otorrinolaringologia, A.C. Camargo Cancer Center, São Paulo, SP, Brasil. This case report was presented in the National Congress of Head and Neck Brazilian Society on August 7th, 2019. Abstract","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72866587","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

Analysis of population knowledge on head and neck cancer in two municipalities from the interior of São Paulo state <s:1>圣保罗州内陆两个城市头颈癌人口知识分析

Archives of otolaryngology--head & neck surgery Pub Date : 2019-01-01 DOI: 10.4322/ahns.2019.0015

Daniela Delalibera, A. C. Carvalho, Bruna Luiza Thesolim, Laura Ferreira de Rezende

{"title":"Analysis of population knowledge on head and neck cancer in two municipalities from the interior of São Paulo state","authors":"Daniela Delalibera, A. C. Carvalho, Bruna Luiza Thesolim, Laura Ferreira de Rezende","doi":"10.4322/ahns.2019.0015","DOIUrl":"https://doi.org/10.4322/ahns.2019.0015","url":null,"abstract":"Financial support: None. Conflicts of interest: No conflicts of interest declared concerning the publication of this article. Submitted: June 27, 2019. Accepted: October 08, 2019. The study was carried out at Centro Universitário das Faculdades Associadas de Ensino (UNIFAE), São João da Boa Vista, SP, Brasil. Apresentação como e-poster no 18o Congresso da FORL, São Paulo, 2019. Abstract Introduction: Head and neck cancer has a high incidence and early stage diagnosis increases the chance of cure and decreases morbidity and mortality. However, one of the difficulties in achieving early diagnosis is the delay of patients seeking care, partly due to lack of knowledge. Objective: This study aimed to evaluate the population knowledge on head and neck cancer in two municipalities from the interior of the State of São Paulo. Methods: A cross-sectional study with 323 participants, carried out in 11 health units, in 2017. We used questionnaires divided into four categories: term definition, epidemiology, risk factors and symptoms. Results: Less than half presented satisfactory term definition knowledge. About 87.93% of the interviewees associated smoking and/or alcohol as risk factors for head and neck cancer; however, only 33.43% of the participants were aware of the relation between head and neck cancer and HPV. Conclusion: The population studied presented gaps in knowledge about head and neck neoplasms. Mapping the knowledge limitations on the subject is of paramount importance for future planning, oriented mainly in the deficiencies on the subject.","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78835932","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

Evaluation of clinical outcomes after partial horizontal laryngectomy 部分水平喉切除术后临床效果的评价

Archives of otolaryngology--head & neck surgery Pub Date : 2019-01-01 DOI: 10.4322/ahns.2019.0026

D. A. Rocha, G. Alvarenga, D. Ramos, L. Matos, R. Dedivitis, M. Kulcsar, C. Cernea

{"title":"Evaluation of clinical outcomes after partial horizontal laryngectomy","authors":"D. A. Rocha, G. Alvarenga, D. Ramos, L. Matos, R. Dedivitis, M. Kulcsar, C. Cernea","doi":"10.4322/ahns.2019.0026","DOIUrl":"https://doi.org/10.4322/ahns.2019.0026","url":null,"abstract":"Financial support: None. Conflicts of interest: No conflicts of interest declared concerning the publication of this article. Submitted: June 24, 2019. Accepted: December 01, 2019. The study was carried out at Faculdade de Medicina (FM), Instituto de Câncer do Estado de São Paulo (ICESP), Universidade de São Paulo (USP), São Paulo, SP, Brasil. This study was presented at the XVII Congresso Brasileiro de Cirurgia de Cabeça e Pescoço. Abstract Introduction: The laryngeal squamous cell carcinoma (LSCC) is a prevalent disease, with 7670 cases estimated in Brazil during 2018-2019. The preferred treatment for early LSCC is either surgery or radiotherapy. Horizontal partial laryngectomy (HPL) is one of the forms of surgical treatment. Objective: Evaluate the oncological and functional outcomes of patients submitted to HPL for the treatment of LSCC. Methods: A retrospective descriptive study of patients submitted to HPL, performed at a cancer referral center, between January 2011 and December 2017. Results: We evaluated 37 patients. The major pathological staging of the primary tumor was pT3 (35.1%), followed by pT2 (32.4%). Five patients required adjuvant radiotherapy; 62.2% of the patients were decannulated by the end of the treatment; 10.8% weren`t decannulated; 8.1% underwent a retracheostomy, and 18.9% had total laryngectomy. From the patients submitted to total laryngectomy, 3 cases were due to rehabilitation failure, 2 due to recurrence and 2 cases due to postoperative suture dehiscence. About 89% of the patients resumed oral feeding following the procedure; 86.4% didn`t present disease recurrence; 31 patients survived without disease; 3 died from disease-related causes, and 3 from unrelated causes. Conclusion: HPL is an alternative procedure to total laryngectomy, presenting adequate rates of local control and overall survival while also maintaining laryngeal function. The main challenge to HPL remains achieving an ideal selection of patients.","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85299648","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

Ansa cervicalis or ansa hypoglossi? A systematic review 颈袢还是舌下袢?系统回顾

Archives of otolaryngology--head & neck surgery Pub Date : 2019-01-01 DOI: 10.4322/ahns.2019.0014

G. Boog, F. Hojaij, Matheus Mychael Mazzaro Conchy, Renan da Silva Bentes, F. Akamatsu, A. Jacomo

{"title":"Ansa cervicalis or ansa hypoglossi? A systematic review","authors":"G. Boog, F. Hojaij, Matheus Mychael Mazzaro Conchy, Renan da Silva Bentes, F. Akamatsu, A. Jacomo","doi":"10.4322/ahns.2019.0014","DOIUrl":"https://doi.org/10.4322/ahns.2019.0014","url":null,"abstract":"Financial support: None. Conflicts of interest: No conflicts of interest declared concerning the publication of this article. Submitted: June 24, 2019. Accepted: October 02, 2019. The study was carried out at Faculdade de Medicina, Universidade de São Paulo (USP), São Paulo, SP, Brasil. Abstract Introduction: The ansa cervicalis, commonly called ansa hypoglossi, is a loop of nerves that composes the cervical plexus. The term ansa hypoglossi derives from the anastomosis between this loop and the hypoglossal nerve (cranial nerve XII). In the study of Anatomy, discrepancies between the anatomical terminology and the terms used in medical practice are frequent. However, a discussion becomes necessary when these divergences arise from conceptual errors. Objective: To conduct a literature review on the relationship between the ansa cervicalis (or ansa hypoglossi) and the hypoglossal nerve, discussing this disparity in terminology, and determine which of these terms is the most suitable to identify this important nerve structure. Methods: This is a systematic review of the literature based on studies found through a standardized search performed at the LILACS and MEDLINE/PUBMED databases; classic anatomy textbooks were also consulted. Results: Forty-five of the 3731 articles found in the scientific research databases were selected and six classic anatomy textbooks were included in the study. Controversies involving the ansa cervicalis were analyzed and the results clearly showed that most textbooks describe its relationship with the hypoglossal nerve as a temporal junction, with no exchange of nerve fibers. The ansa cervicalis contains fibers arising from the cervical cord, and not from the hypoglossal nerve. Conclusion: The term ansa cervicalis should be chosen to name this loop of nerves. The term ansa hypoglossi is not structurally correct, and should be abandoned in medical practice, the teaching of anatomy, and in scientific publications.","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79652471","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

Less-than-subtotal parathyroidectomy as treatment for primary hyperparathyroidism in multiple endocrine neoplasia- type 1: a good option? 甲状旁腺次全切除术治疗原发性甲状旁腺功能亢进多发性内分泌肿瘤- 1型:一个好的选择?

Archives of otolaryngology--head & neck surgery Pub Date : 2019-01-01 DOI: 10.4322/ahns.2019.0010

Y. L. M. Guimarães, T. Gondek, F. Montenegro, Delmar Muniz Lourenço Júnior, S. Arap, M. Brescia

引用次数: 1

A case of hypoharyngeal lipoma with extrapharyngeal extension 下咽脂肪瘤伴咽外延伸1例

Archives of otolaryngology--head & neck surgery Pub Date : 2019-01-01 DOI: 10.4322/ahns.2019.0002

Ognjen Čukić, M. Jovanovic

引用次数: 1

The risk of recurrence within the first five years is very low in patients with papillary thyroid carcinoma treated with radioiodine 用放射性碘治疗的甲状腺乳头状癌患者在头五年内复发的风险非常低

Archives of otolaryngology--head & neck surgery Pub Date : 2019-01-01 DOI: 10.4322/ahns.2019.0003

P. Rosário, Gabriela Franco Mourão Maria Regina Calsolari

引用次数: 2