85 research outputs found
Factors affecting wound complications in head and neck surgery: A prospective study
No full textContext: Head and neck surgeries are complex. Wound complications are associated with considerable morbidity and can result in delay in the adjuvant treatment. Identification of factors will help in formulating preventive guidelines. Aims: The aim of this study is to identify perioperative factors responsible for wound complications. Settings and Design: Prospective study of 186 head and neck patients. Subjects and Methods: Pre-operative, intraoperative and post-operative factors were recorded. Each patient was evaluated for minor and major wound complications twice daily during the hospital stay. Statistical Analysis: Chi-square test was used for univariate and log regression test was used for multivariate analysis. Results: The overall wound complication rate was 29% with 7% major and 22% minor complications. On univariate analysis, laryngeal and hypopharyngeal location, advanced T stage, poor oral hygiene, clean-contaminated surgery, low Karnofsky performance status (KPS), flap reconstruction, blood loss more than 1000 ml, perioperative blood transfusion, duration of surgery greater than 4.3 h and post-operative hemoglobin lesser than 11 g%, post-operative tracheostomy and resection of mandible were statistical significant factors. On multivariate analysis, post-operative tracheostomy, low KPS, post-operative serum albumin less than 3.7 g/dl and duration of surgery greater than 4.3 h were significant factors. Conclusion : Apart from unavoidable factors, it is essential to take care of certain factors viz nutrition, haemoglobin, oral hygiene, asepsis and repeating antibiotics in prolonged surgery
International Federation of Head Neck Oncology Society 5 th World Congress/American Head Neck Society 2014 update
No full textHead neck cancer is an important health problem with high morbidity and mortality. Early detection and adequate treatment improve prognosis significantly. Thus creating awareness among clinicians is an important step toward control of head neck cancer and reducing its overall burden. We here provide an update on the International Federation of Head Neck Oncology Society/American Head Neck Society 2014 held between July 26, 2014 and July 30, 2014 in New York
Hypercalcemia and treated breast cancers: The diagnostic dilemma
No full textThe relationship of hypercalcemia with cancer is well described in the
literature. Breast cancer is the commonest malignancy associated with
hypercalcemia; the detection of hypercalcemia in these patients usually
signifies metastatic disease and is associated with a poor prognosis.
However, the treating oncologist should keep in mind that a strong
correlation exists between breast cancer and primary
hyperparathyroidism. We present a case of a patient of treated breast
cancer who, in the absence of metastatic bone disease, developed
hypercalcemia due to hyperparathyroidism secondary to a parathyroid
adenoma
Imaging in oral cancers
No full textOral cavity squamous cell cancers form a significant percentage of the cancers seen in India. While clinical examination allows direct visualization, it cannot evaluate deep extension of disease. Cross-sectional imaging has become the cornerstone in the pretreatment evaluation of these cancers and provides accurate information about the extent and depth of disease that can help decide the appropriate management strategy and indicate prognosis. Early cancers are treated with a single modality, either surgery or radiotherapy while advanced cancers are offered a combination of surgery, radiotherapy and chemotherapy. Imaging can decide resectability, help plan the precise extent of resection, and indicate whether organ conservation therapy should be offered. Quality of life issues necessitate preservation of form and function and pretreatment imaging helps plan appropriate reconstruction and counsel patients regarding lifestyle changes. Oral cavity has several subsites and the focus of the review is squamous cancers of the gingivobuccal region, oral tongue and retromolar trigone as these are most frequently encountered in the subcontinent. References for this review were identified by searching Medline and PubMed databases. Only articles published in English language literature were selected. This review aims to familiarize the radiologist with the relevant anatomy of the oral cavity, discuss the specific issues that influence prognosis and management at the above subsites, the optimal imaging methods, the role of imaging in accurately staging these cancers and in influencing management. A checklist for reporting will emphasize the information to be conveyed by the radiologist
Hypercalcemia and Treated Breast Cancers: The Diagnostic Dilemma
No full textThe relationship of hypercalcemia with cancer is well described in the
literature. Breast cancer is the commonest malignancy associated with
hypercalcemia; the detection of hypercalcemia in these patients usually
signifies metastatic disease and is associated with a poor prognosis.
However, the treating oncologist should keep in mind that a strong
correlation exists between breast cancer and primary
hyperparathyroidism. We present a case of a patient of treated breast
cancer who, in the absence of metastatic bone disease, developed
hypercalcemia due to hyperparathyroidism secondary to a parathyroid
adenoma
Spontaneous bilateral fracture of the mandible: A case report and review of literature
No full textSeveral mechanisms have been described in the literature for mandibular
fractures. However, it is to be noted that fracture of mandible can
occur spontaneously, especially in elderly persons with atrophic
edentulous mandible. It is important to rule out local and systemic
factors that can be the possible causes for fractures in these cases.
We describe a case of spontaneous fracture of the mandible in an
elderly lady with a review on possible mechanisms that can result in
such fractures
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