1,720,975 research outputs found
The pectoralis major myocutaneous flap in head and neck reconstructiv surgery: 16 years of experience
No full textPyogenic spondylodiscitis and osteoradionecrosis of the cervico-thoracic spine: A rare complication after surgery and radiation for hypopharyngeal cancer
No full text
Simultaneous management of the enophthalmos and sinus pathology in silent sinus syndrome: a report of three cases.
No full textSilent sinus syndrome is a rare disorder affecting the maxillary sinus unilaterally, characterized by ipsilateral enophthalmos and hypoglobus. The treatment is surgical: the endoscopic approach represents the gold standard for the restoration of normal sinus aeration, but there is no consensus in the management of the enophthalmos. Most authors suggest a two stage procedure consisting of endoscopic sinus surgery initially and a delayed secondary operation for the restoration of the orbital floor. We present our experience with three cases treated with a single-stage procedure, focusing on the advantages of this one-step approach
Involvement of Level I Neck Lymph Nodes and Submandibular Gland in Laryngeal and/or Hypopharyngeal Squamous Cell Carcinoma
No full textAbstract
Objective: To investigate the prevalence of level I neck lymph node metastases or submandibular nodal metastases in laryngeal
and/or hypopharyngeal squamous cell carcinoma (SCC).
Patients and Methods: One hundred fifty consecutive neck dissection specimens from 100 patients with laryngeal and
hypopharyngeal SCC, who were treated at our institution between 1992 and 2002, were retrospectively reviewed.
Results: The tumour stage was T1-T4, and the neck stage was N0-N3. Metastases were never found in level I (Ia + Ib) or in
the submandibular gland. Metastases were concentrated within the jugular chain (levels II-IV in 92.2% of the N-positive
necks).
Conclusion: Metastases of level I of the neck and the submandibular gland are extremely rare in cases of laryngeal and/or
hypopharyngeal carcinoma. The risk of facial or hypoglossal nerve injury does not justify the dissection of level I and of the
submandibular gland in this type of tumou
Il reflusso gastroesofageo quale possibile fattore eziopatogenetico di patologie infiammatorie e neoplastiche faringo-laringee.
No full textProphylactic central neck dissection for papillary thyroid carcinoma: the terms of the debate.
No full textAn increasing interest in the management of central neck lymph nodes in the surgical treatment of papillary thyroid cancer is observed. While is widely accepted that patients with clinically apparent lymph nodes metastases should undergo compartment-oriented neck dissection, controversy exists about the need for prophylactic central neck dissection. The main issues that have been raised are the following ones: the definition of the anatomic boundaries and terminology of central neck dissection, the value of the recommendations expressed by the most authoritative association, the arguments in favour and against the appropriateness of prophylactic neck dissection, the laterality of central neck dissection. This article aims at reviewing the literature on prophylactic central neck dissection for papillary thyroid cancer in order to clarify some issues and to offer the reader a clear and concise overview of this complex debate
The role of surgery in children with head and neck rhabdomyosarcoma and Ewing's sarcoma.
No full texta b s t r a c t
Rhabdomyosarcoma and Ewing’s sarcoma are relatively common malignant tumours in paediatric
population. In the past, surgery was the mainstay of treatment and survival rates were poor. Afterwards,
the development of multi-agent chemotherapy protocols during the past four decades resulted
in a dramatic improvement in long-term survival. As a consequence, the significance of surgery has
been the subject of critical discussion in the literature. Nowadays the standard treatment of rhabdomyosarcoma
and Ewing’s sarcoma consists in a multimodal therapy involving chemotherapy, radiotherapy
and surgery. Nevertheless, the role of surgery still remains controversial. In particular, the cure
of head and neck localizations presents debatable aspects since defined criteria to establish the risks
and the benefits of surgical treatment do not exist at this time. This article reviews the role of surgery
in children with head and neck rhabdomyosarcoma and Ewing’s sarcoma. Indications, feasibility and
timing criteria of surgical treatment have been reviewed and extracted from literature. Our case series
is also presented
ENDOSCOPIC REMOVAL OF HYPOPHYSEAL ADENOMAS: A RETROSPECTIVE STUDY
No full textAuthor Keywords:endoscopic; endonasal approach; hypophyseal adenoma; sella turcicaIn this study was assessed the role that the direct endonasal approach with the operating endoscope plays in assisting operations for pituitary adenomas. During a 5-year period, from October 2004 to December 2010 - 42 patients (24 males and 18 females) with hypophyseal adenoma were treated with endoscopic- surgery. Surgery was performed via endonasal trans-sphenoidal approach. Three patients had complications (nasal hemorragia, anosmia, and rhinoliquorrea) in the follow-up period (mean 3 months). No statistical significance was detected between tumor dimensions and complications. On the basis of our experience, it is our opinion that this technique has a low rate of complications, particularly when adequate surgical instruments are used by surgeons who have familiarity with the endoscopic anatomy of the sphenoid sinus
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