Vertical partial laryngectomy with temporoparietal free flap reconstruction for recurrent laryngeal squamous cell carcinoma: technique and long-term outcomes.

Objectives: To present a technique for reconstruction of the vertical partial laryngectomy defect using a vascularized carrier consisting of a temporoparietal free flap, cartilage graft, and buccal mucosal graft; to evaluate the oncologic outcomes with respect to locoregional control and overall survival; and to provide an assessment of patient quality of life and functional outcomes.

Design: Retrospective medical record review and prospective cross-sectional analysis of functional outcomes.

Setting: Princess Margaret Hospital-University Health Network and the Odette Cancer Centre-Sunnybrook Health Sciences Centre.

Prognostic impact of intraoperative microscopic cut-through on frozen section in oral cavity squamous cell carcinoma.

Objective: Although the literature suggests that a positive tumour margin on permanent section portends a poor oncologic outcome, the prognostic implication of microscopic tumour cut-through (ie, positive tumour margin on intraoperative frozen section) that is surgically revised to a negative final margin on permanent section is currently unclear. Therefore, this study aimed to analyze the influence of microscopic tumour cut-through on disease recurrence and survival and to establish clinicopathologic variables associated with tumour cut-through.

Design: A retrospective chart review.

Inverted papilloma of the sphenoid sinus: clinical presentation, management, and systematic review of the literature.

Objectives: Inverted papilloma (IP) of the sphenoid sinus is a rare neoplasm with a nonspecific and insidious presentation that is further complicated by difficult access for assessment and follow-up. In conjunction with a systematic review of the English literature, we review our experience with IP of the sphenoid sinus to better delineate the clinical presentation, prevalence, management, and recurrence of this challenging lesion.

Methods: A systematic search strategy was developed to assess and summarize the best available evidence on sphenoid IP.

Double free-flap reconstruction: indications, challenges, and prospective functional outcomes.

Objective: To investigate the increasing use of double free flaps in the reconstruction of large head and neck defects.

Design: A 5-year retrospective medical record review in a large tertiary care head and neck oncology program. Prospectively collected functional data were also analyzed.

The implantable Cook-Swartz Doppler probe for postoperative monitoring in head and neck free flap reconstruction.

Objective: To determine if the implantable Cook-Swartz Doppler Flow Monitoring System (Cook Vascular Inc, Vandergrift, Pennsylvania) improves surgical salvage rates for compromised free flaps.

Design: Retrospective medical record review spanning 2002 to 2006 for a large head and neck oncology program.

Setting: A tertiary care hospital.

Airway pathologic abnormalities in symptomatic children with congenital cardiac and vascular disease.

Objective: To identify the epidemiological profile of airway abnormalities in symptomatic children with cardiac or vascular anomalies.

Design: Retrospective medical chart review.

Setting: Tertiary referral pediatric hospital.