The swallowing and speech after transoral robotic surgery-does the site impact the outcome?

Transoral robotic surgery (TORS) has been introduced to head and neck surgery as a minimally invasive techqniques to improve the functional outcomes of patients. Compare the functional outcome for swallowing and speech in each site of TORS within the head and neck. Retrospective cohort study for patients who underwent TORS within the head and neck unit.

Transoral robotic tongue base mucosectomy for head and neck cancer of unknown primary: six-year outcome experience.

Background And Objective: Head and neck carcinoma of unknown primary is a diagnostic dilemma. The clinical and imaging workup remains ineffective in two-thirds of patients. Transoral robotic surgery has shown an advantage in the primary detection over the previous standard panendoscopy.

Revision Transoral Robotic Surgery for Early Stage HPV Positive Oropharyngeal Squamous Cell Carcinoma, it's Timing and Margins: Past and Present- a Prospective Single Centre Observational Study.

To review cohort of patients with HPV positive early stage oropharyngeal cancer that underwent revision trans oral robotic surgery for positive or close margin for evidence of residual disease, its impact on survival and discussion about clear margin. This is a prospective observational study. Our TORS revision rate was 20.

Morbidity and Mortality Following Transoral Robotic Surgery, a Prospective Single Centre Study.

To review complications including mortality after transoral robotic surgery (TORS) for both benign and malignant pathologies. This is a prospective observational study. Postoperative haemorrhage (8.

Quantifying the impact of environment factors on the risk of medical responders' stress-related absenteeism.

Medical emergency response staff are exposed to incidents which may involve high-acuity patients or some intractable or traumatic situations. Previous studies on emergency response staff stress-related absence have focused on perceived factors and their impacts on absence leave. To date, analytical models on absenteeism risk prediction use past absenteeism to predict risk of future absenteeism.

Follow up imaging of oral, oropharyngeal and hypopharyngeal cancer patients: Comparison of PET-CT and MRI post treatment.

Unlabelled: There is currently no consensus as to the ideal timing, frequency and modality of imaging for follow up of head and neck cancer patients. The aim of this study was to analyze the diagnostic accuracy of PET-CT versus MRI, and imaging at 3 versus 6 months for follow up of head and neck cancer patients treated with curative intent with no clinical signs of treatment failure.

Materials And Methods: A retrospective study was performed for all head and neck cancers treated with curative intent at the Royal Derby Hospital.

Laryngeal cancer: United Kingdom National Multidisciplinary guidelines.

This is the official guideline endorsed by the specialty associations involved in the care of head and neck cancer patients in the UK. Significantly new data have been published on laryngeal cancer management since the last edition of the guidelines. This paper discusses the evidence base pertaining to the management of laryngeal cancer and provides updated recommendations on management for this group of patients receiving cancer care.

The role of primary transoral laser microsurgery in laryngeal cancer: a retrospective study.

Objective: To investigate the oncologic and survival outcomes of primary transoral laser microsurgery in laryngeal cancer.

Design: Retrospective analysis of a database of all patients undergoing primary transoral laser microsurgery with or without adjunctive therapy from June 2000 to October 2013. The median follow-up time was 33 months.

Luc's abscess as an unlucky complication of mastoiditis.

Luc's abscess is a rare but important complication of acute otitis media (AOM), whereby infection spreads from the middle ear, resulting in a subperiosteal collection beneath the temporal muscle. Unlike other extracranial abscesses relating to AOM, Luc's abscess is not believed to involve the mastoid bone. We present the case of a patient with a Luc's abscess with mastoid involvement and discuss its successful management.

Outcomes following total laryngectomy for squamous cell carcinoma: one centre experience.

Objectives: To evaluate the clinical outcomes of total laryngectomy (TL), complications and factors affecting survival.

Design: Retrospective review of hospital electronic database for head and neck squamous cell carcinoma (SCCa).

Setting: Large district general hospital in England, United Kingdom.

Transoral laser microsurgery for early glottic cancer.

Objectives. To assess the outcome of transoral laser-assisted microsurgery (TLM) with regards to local and distant tumour control, quality of voice and swallowing. Design.

Early outcomes after transoral CO2 laser resection of laryngeal and hypopharyngeal squamous cell carcinoma: one centre's experience.

Objectives: To review early oncological outcomes following transoral CO2 laser resection of laryngeal and hypopharyngeal squamous cell carcinoma.

Design: Retrospective review of hospital electronic database.

Setting: Large district general hospital in England, UK.

Effectiveness of X-ray and computed tomography screening for assessing pulmonary involvement in patients with head and neck squamous cell carcinoma.

Objectives: To evaluate the benefits of chest computed tomography and X-ray as screening tools in patients with newly diagnosed head and neck squamous cell carcinoma, to determine the incidence of lung metastases or synchronous pulmonary lesions, and to evaluate factors associated with positive radiological findings.

Design: Five-year, retrospective survey of all newly diagnosed cases of head and neck squamous cell carcinoma.

Results: We included 102 patients (63 men and 39 women), with a mean age of 67 years (range 33-91 years).

Mucoepidermoid carcinoma of the tongue.

We report a 27-year-old Congolese man with mucoepidermoid carcinoma (MEC) of the tongue base, which presented as spontaneous intraoral bleeding. Optimal treatment of tongue base MEC is unknown. To our knowledge, this is the first reported case treated with transoral excision with carbon dioxide laser and selective neck dissection.

A completed audit cycle on post-tonsillectomy haemorrhage rate: coblation versus standard tonsillectomy.

Conclusion: A significant reduction in post-tonsillectomy secondary haemorrhage rate was observed after coblation tonsillectomy was abandoned in our department.

Objective: Comparison of the postoperative haemorrhage rate following coblation tonsillectomy and routine dissection tonsillectomy.

Patients And Methods: This was a retrospective study.

Prospective randomised single-blind controlled trial of glacial acetic acid versus glacial acetic acid, neomycin sulphate and dexamethasone spray in otitis externa and infected mastoid cavities.

Objectives: The literature reports the merits of antibacterial, antibiotic and steroid agents in treating otological infections but no controlled clinical trial has directly compared 2% glacial acetic acid (EarCalm; Stafford-Miller Ltd, Brentford, UK) against 2% glacial acetic acid, 0.1% dexamethasone and 3250 U/ml of neomycin sulphate (Otomize; Stafford-Miller Ltd) in the treatment of otitis externa and infected mastoid cavities.

Design: Prospective, single-blind randomised controlled trial.

A prospective objective study of the cosmetic sequelae of nasal septal surgery.

Conclusions: Following nasal septal surgery, minor aesthetic changes may occur in up to 39.5% of patients and major changes in up to 4.5%.

Structure-Reactivity Studies in Copper(II)-Catalyzed Phosphodiester Hydrolysis.

We have investigated the ability of a series of three related copper complexes Cu([9-11]aneN(3))X(2) to hydrolyze the activated phosphodiesters bis(4-nitrophenyl) phosphate (BNPP) and ethyl 4-nitrophenyl phosphate (ENPP). The compound Cu([10]aneN(3))Br(2) crystallizes in the monoclinic space group C2/c, a = 20.693(4) Å, b = 11.

Endoscopic dacryocystorhinostomy without silicone stenting.

Fifteen endoscopic dacryocystorhinostomies (DCRs) were performed without the use of silicone stents. These patients were followed up for an average of eight months. This procedure was successful in 87% of cases as measured by patients' relief of symptoms and endoscopic visualisation of a middle meatal ostium draining the lacrimal sac.