International journal of head and neck surgery最新文献

{"title":"Clinical Outcomes of Salivary Gland Tumor Surgery: A 10-year-chart View","authors":"S. Mohanty, Vinoth Manimaran, Tejasvi Vemuru, S. Priya","doi":"10.5005/jp-journals-10001-1414","DOIUrl":"https://doi.org/10.5005/jp-journals-10001-1414","url":null,"abstract":"\u0000\u0000\u0000Salivary gland tumors constitute about 3% of all head and neck tumors. We present a series of 104 cases of various salivary gland pathologies and the various modalities of surgeries done between January 2007 and July 2017.\u0000\u0000\u0000\u0000Total 104 patients with salivary gland tumors were included in this study, of which 76 patients had parotid tumors and 28 were submandibular gland tumors. The presence or absence of coexisting salivary gland stones, involvement or noninvolvement of ducts were all considered. Preoperatively, patients underwent fine needle aspiration cytology (FNAC) and imaging studies along with routine blood investigations.\u0000\u0000\u0000\u0000All patients underwent surgery and subsequent histopathological examination (HPE). The preoperative FNAC and postoperative HPE were not correlating in 6.5% of parotid tumors and in 3.5% of submandibular gland tumor. Anomalies in the fasciovenous planes were seen in 3% of the patients, which caused intraoperative difficulties. Postoperatively, five patients had salivary leak and three patients had neuropraxia, which was managed conservatively and the patients recovered subsequently between 3 months and 6 months postoperatively.\u0000\u0000\u0000\u0000Surgery for salivary gland tumors has its own threats due to the close proximity of nerve, vessels, and ducts. Postoperative complications like nerve palsy is seen more common in malignant tumors in both parotid and submandibular gland tumors. A proper methodical assessment and awareness of the various anatomical anomalies intraoperatively may give good surgical outcomes in surgeries of salivary gland tumors. In our study, various anomalies were encountered and dealt appropriately.\u0000\u0000Vemuru T, Mohanty S, Manimaran V, et al. Clinical Outcomes of Salivary Gland Tumor Surgery: A 10-year-chart View. Int J Head Neck Surg 2021;12(1):11–14.\u0000","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43340343","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}

{"title":"Clinicopathological Correlation between Depth of Tumor and Neck Node Metastasis in Oral (Tongue and Buccal Mucosa) Carcinoma","authors":"Anuj H Shah, Rupa P Parikh","doi":"10.5005/jp-journals-10001-1423","DOIUrl":"https://doi.org/10.5005/jp-journals-10001-1423","url":null,"abstract":"\u0000\u0000\u0000(1) To study the depth of tumor invasion in an oral (tongue and buccal mucosa) carcinoma and its correlation with neck metastasis. (2) To know whether the increase in depth of tumor (depth of invasion) increases the chances of cervical nodal metastasis in the oral tongue and buccal mucosa carcinoma and derive cutoff value of depth of invasion at which the metastasis occurs.\u0000\u0000\u0000\u0000The study was carried out on 14 tongue and 22 buccal mucosa cases to know the correlation between the depth of tumor and neck node metastasis in the oral (tongue and buccal mucosa) carcinoma.\u0000\u0000\u0000\u0000Among 36 cases, 10 cases were pN+. Out of 10 cases, 7 (70%) were having depth ≥12 mm and 30% cases (pN+) having depth between 8 and <10. We found it statistically significant and so as the depth of tumor increases the chances of nodal metastasis increases. We found the cutoff for a depth of invasion in both tongue and buccal mucosa carcinomas as 8 out of 22 patients had DOI >10 mm and among them 4 were pN+ and among 14 tongue cases, 3 cases had DOI >8 mm and all of them were pN+.\u0000\u0000\u0000\u0000For tongue 8 mm and for buccal mucosa, 10 mm of the depth of tumor invasion was calculated as the cutoff depth, above which the incidence of nodal metastasis increases to 75% and 66.66%, respectively.\u0000\u0000\u0000\u0000Depth of tumor is an important prognostic indicator in the tongue and buccal mucosa carcinoma to know the cervical nodal metastasis. Hence for an increase in depth of tumor cases, neck must be addressed along with primary tumor excision. Radiological investigations [ultrasonography (USG), magnetic resonance imaging (MRI), computed tomography (CT) scan] play an important role in nodal metastasis detection hence should be considered in carcinoma of the oral tongue and buccal mucosa especially in clinically N0 neck.\u0000\u0000Shah AH, Parikh RP. Clinicopathological Correlation between Depth of Tumor and Neck Node Metastasis in Oral (Tongue and Buccal Mucosa) Carcinoma. Int J Head Neck Surg 2021;12(1):6–10.\u0000","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42482236","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}

{"title":"Secret Window to the Parapharyngeal Space: The Transcervical Transdigastric Approach","authors":"Nor Hafiza Qualickuz Zanan, M. Azman, MH Kong, M. Yunus","doi":"10.5005/JP-JOURNALS-10001-1400","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10001-1400","url":null,"abstract":"Ab s t r Ac t Aim: To highlight the transcervical transdigastric approach to the parapharyngeal space. Background: The parapharyngeal space (PPS) contains important neurovascular structures and hence requires meticulous dissection when working with tumors in this space. Surgical access to this blind space is limited, and approach would depend on several factors such as location and extension of tumor, fine needle aspiration cytology (FNAC) report if available, as well as surgeon’s preference and experience. There are limited publications describing the transcervical transdigastric approach to tumors in the PPS. Case description: We present two cases of tumor in the PPS that were addressed using the transcervical transdigastric approach. One patient presented with a painless submental mass, while the other had incidental finding of a PPS tumor on computed tomography scan. Both tumors were histologically benign. Conclusion: The transcervical transdigastric approach to the PPS gives adequate exposure to the surgical field of interest and enables complete excision of well-encapsulated PPS tumors. Clinical significance: The transcervical transdigastric approach allows access to the PPS without aggressive dissection, therefore, avoiding the potential morbidity associated with PPS tumor resection.","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":"12 1","pages":"34-36"},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44414243","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}

{"title":"Malignant Transformation of Chronic Nonspecific Sialadenitis: A Rare Clinical Presentation","authors":"Gaurav Ashish","doi":"10.5005/JP-JOURNALS-10001-1396","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10001-1396","url":null,"abstract":"\u0000A 26-year-old man presented with a large, painless, mobile, pedunculated, fluctuant, and nontransilluminant swelling hanging in front of the left ear. He had undergone superficial parotidectomy 9 months ago elsewhere for chronic nonspecific sialadenitis of left parotid gland. The fine needle aspiration was nondiagnostic and revealed turbid dark yellow color fluid. A total parotidectomy was performed to remove the lesion completely as the tumor was involving the deep lobe. Histopathology was consistent with features of low-grade mucoepidermoid carcinoma. Immediate postoperatively the patient had a House and Brackman grade III left facial nerve paresis, which later improved to grade II. This unusual presentation of malignant transformation of chronic nonspecific sialadenitis is one of the rare unique reported cases to our knowledge.\u0000How to cite this article: Ashish G, Michael RC. Malignant Transformation of Chronic Nonspecific Sialadenitis: A Rare Clinical Presentation. Int J Head Neck Surg 2021;12(1):31–33.","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41791854","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}

{"title":"Sustained Release of Antimicrobials in the Middle Ear Using a Biodegradable Support: Ototoxicity Studies","authors":"M. Goycoolea, David D Muchow","doi":"10.5005/JP-JOURNALS-10001-1409","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10001-1409","url":null,"abstract":"","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":"12 1","pages":"19-21"},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41347173","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}

{"title":"Evaluation of Brain Activation (NeuroSPECT) by Uni- and Bilateral Auditory Stimulation in Patients with Conductive Hearing Loss and Bilateral Bone Conduction Devices","authors":"S. Neubauer, Raquel Levy, M. Goycoolea, J. Cornejo, Byanka Cagnacci, Catherine Catenacci","doi":"10.5005/JP-JOURNALS-10001-1410","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10001-1410","url":null,"abstract":"Ab s t r Ac t Background: This prospective study evaluated sound localization and brain responses to monaural and binaural stimulation via bone conduction devices in 3 individuals with bilateral conductive hearing loss (1 acquired and 2 congenital). Aims and objectives: To determine the (1) Cortical areas that are activated with pure tones. (2) Potential benefits of bilateral devices. Materials and methods: A new audiological test is described (real-life lateralization test) and applied. NeuroSPECT studies were done using pure tones delivered via bone conduction devices (Baha Attract) stimulating monaurally and binaurally. The tests were performed 2–4 months after the placement of the second device. Results: The use of unilateral devices as well as bilateral devices under our testing conditions did not improve sound localization. There was improvement in lateralization with bilateral devices. In the three subjects, cortical activation with binaural auditory stimulation with the Baha Attract occurred in the same auditory areas compared with monaural stimulation. However, while in the individual with acquired loss, the degree of activation was less intense in binaural compared to monaural stimulation; in the congenital cases, binaural stimulation resulted in summation of stimuli. Conclusion: In congenital bilateral conductive hearing losses that have not been stimulated early, there are central auditory areas that are deprived. Even if these are only two cases, this is suggestive of the importance of bilateral early auditory stimulation in cases of congenital conductive hearing losses and supportive of the use of bilateral rather than unilateral devices.","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":"12 1","pages":"22-30"},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45762090","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}

{"title":"Ectopic Lingual Thyroid: A Case Presentation","authors":"K. Rao, V. Shenoy, P. Kamath, A. Gomati","doi":"10.5005/JP-JOURNALS-10001-1422","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10001-1422","url":null,"abstract":"\u0000\u0000\u0000The lingual thyroid gland is a rare clinical entity that was found to occur due to the failure of the thyroid gland to descend into its normal ectopic pretracheal position during embryogenesis. The reported incidence of lingual thyroid is 1 in 100,000, and it is more common in females, with a female:male ratio of 3:1. When located at the base of the tongue, the ectopic gland is often asymptomatic but may cause local symptoms, such as, dysphagia, dysphonia, upper airway obstruction, hemorrhage, and often hypothyroidism. The diagnosis of lingual thyroid is usually made clinically and radionuclide scanning is used to confirm the diagnosis. A case of lingual thyroid is presented for its rarity and differential diagnosis of midline base of the tongue lesions.\u0000\u0000\u0000\u0000A 35-year-old woman presented with complaints of increasing difficulty in breathing and a constant foreign object sensation in the throat (FOSIT) for the past one year. Flexible video-laryngoscopic examination revealed a well-demarcated midline tongue base lesion measuring 3 × 3 cm. Technetium 99m scan reported it to be ectopic thyroid gland tissue. Transoral excision of the lesion was done along with cauterization with bipolar cautery.\u0000\u0000\u0000\u0000Lingual thyroid is a rare developmental anomaly, the treatment of which is still controversial in view of the rarity of the condition. It should be included in the differential diagnosis of midline masses of the base of the tongue, especially in children and adolescents. The approach to treatment should be transdisciplinary and should not only take into consideration the clinical condition of the lesion but also the hormonal aspects of the patient.\u0000\u0000Rao KS, Shenoy VS, Kamath PM, et al. Ectopic Lingual Thyroid: A Case Presentation. Int J Head Neck Surg 2021;12(1):37–39.\u0000","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47810800","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}

{"title":"Simultaneous Bilateral Cochlear Implantation in Posttraumatic Temporal Bone Fracture under Local Anaesthesia - Case Report and Literature Review","authors":"Mangia Lucas Resende Lucinda, Raymundo Fellipy Martins, Amadeu Nicole Tássia, Hamerschmidt Rogério","doi":"10.36959/605/556","DOIUrl":"https://doi.org/10.36959/605/556","url":null,"abstract":"Bilateral deafness caused by temporal bone fracture is an uncommon condition. Precocious simultaneous bilateral co chlear implantation (SiCI) is a valuable option for experienced surgical teams, which can prevent unfavorable results due to cochlear remodeling. In this paper we describe the first successful case of SiCI with local anaesthesia performed on an adult patient who suffered severe head trauma.","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":"97 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73903416","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}

{"title":"Branchial Cleft Excision in the Adult Population","authors":"G. BrungardtJoseph, C. KahleAdam, P. SchroppKurt","doi":"10.36959/605/552","DOIUrl":"https://doi.org/10.36959/605/552","url":null,"abstract":"Branchial clefts are most often associated with the pediatric population but can also affect adults. The adult population undergoing branchial cleft excision is poorly described. This study sought to describe the population and outcomes of those undergoing branchial cleft excision.","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":"79 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90088662","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}

{"title":"Pharyngeal Pouch and Concurrent Tongue Base Squamous Cell Carcinoma: An Unusual and Challenging Dual Pathology Causing Dysphagia","authors":"Sharma Parivrudh, Gomati Ayoub, Gomati Anas, Yong Aiwain, S. Muhammad","doi":"10.36959/605/549","DOIUrl":"https://doi.org/10.36959/605/549","url":null,"abstract":"Dysphagia is a common symptom in patients presenting to physicians in primary and secondary care. The term dysphagia describes the perception of obstruction during swallowing. The initial consideration when dealing with this symptom is to exclude serious pathology such as a malignancy. In this case report, we describe an unusual combination of two pathologies to account for dysphagia in our patient; a synchronous pathology of pharyngeal pouch and a tongue base squamous cell carcinoma. The combination of these two pathologies occurring together is extremely rare and both pathologies can present with dysphagia as the main presenting symptom. We share this case to raise awareness among colleagues, as to the best of our knowledge this has not been reported in the published literature.","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87243807","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}