Publications by authors named "Naoki Akisada"

This report describes a case of an electric toothbrush head being retained between the floor of the mouth and the submandibular gland following a fall. Computed tomography imaging is recommended in cases of oral cavity damage to assess tissue damage and ascertain the position of the foreign body concerning blood vessels.

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Background: Advanced surgical interventions are required to treat malignancies in the anterior skull base (ASB). This study investigates the utility of endoscopic endonasal and transcranial surgery (EETS) using a high-definition three-dimensional exoscope as an alternative to traditional microscopy.

Methods: Six patients with carcinomas of varying histopathologies underwent surgery employing the EETS maneuver, which synchronized three distinct surgical modalities: harvesting of the anterolateral thigh flap, initiation of the transnasal technique, and initiation of the transcranial procedure.

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Article Synopsis
  • Cervical esophageal cancer (CEC) has a low incidence and poor prognosis, prompting a study in Japan to determine effective treatment strategies from 2009 to 2014.
  • A review of 302 CEC cases revealed that various treatments, including endoscopic resection, surgery, induction chemotherapy, and chemoradiotherapy, showed no significant differences in 5-year survival rates; advanced stage and nerve invasion were linked to poorer outcomes.
  • Although advanced CEC patients may preserve their laryngeal function with induction chemotherapy or chemoradiotherapy, careful treatment selection is crucial to avoid complications like aspiration pneumonia if laryngeal preservation isn’t possible.
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Objective: In the end-of-life stage of head and neck squamous cell carcinoma (HNSCC), predicting survival is essential to determine treatment procedure and place of care. Several reports have compared actual survival (AS) and clinical prediction of survival (CPS), a subjective prognostic prediction by attending physicians. However, specific studies focusing on patients with HNSCC are limited.

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Background: It is well known that chemotherapy for adolescent and young adult (AYA) patients with cancer can reduce fertility regardless of the regimen. A decline in fertility greatly affects the quality of life of cancer survivors in the AYA age group; however, few patients are thought to be receiving fertility preservation measures.

Methods: A questionnaire survey was conducted to assess the current understanding and consideration of fertility among otorhinolaryngologists/head and neck surgeons who treat AYA patients with cancer, and to inform them of the guidelines for fertility preservation.

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Article Synopsis
  • Palliative care for patients with head and neck squamous cell carcinoma (HNSCC) necessitates tailored plans due to common issues like dysphagia and airway problems, yet no specific prognostic tool for those at end-of-life currently exists.
  • This study evaluated the effectiveness of combining the Glasgow Prognostic Score (GPS) and Palliative Prognostic Index (PPI) to create a better prognostic tool for these patients.
  • Results demonstrated that survival could be significantly predicted by the GPS and PPI scores, showing median survival times varying from 15 to 127 days based on the prognostic categories established.
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Purpose: Immune checkpoint proteins programmed cell death 1 (PD-1) and programmed cell death ligand 1 (PD-L1) are important therapeutic targets for head and neck cancer. This large-scale case study aimed to analyze tongue squamous cell carcinomas (SCCs) and evaluate the correlation between PD-L1 expression and clinical prognosis. So far, this study is the largest case study on PD-L1 expression in tongue SCCs.

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Background: Metastasis-associated in colon cancer 1 (MACC1) has been reported to be an independent indicator of poor prognoses in some kinds of cancer due to disease metastasis or recurrence. We investigated the correlation between MACC1 expression and the prognosis of glottic cancer.

Methods: Paraffin-embedded, early-stage (I or II) glottic cancer specimens (n = 52) were immunohistochemically analyzed to explore MACC1 expression.

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p16 (p16) expression in tongue cancer (TC) is reportedly not associated with human papilloma virus (HPV). Mutations of in cancer cells are most frequently observed within codon 12. However, few reports have investigated the association between mutations and p16 status in TC.

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Background: Long-term smoking and drinking are known to contribute to the onset of tongue cancer (TC). However, the increasing incidence of TC in younger adults has been suggested to be associated with other factors.

Objectives: The present study investigated the relationship between TC and human papillomavirus (HPV) infection.

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Since no diagnostic method has been established to distinguish follicular thyroid carcinoma (FTC) from follicular thyroid adenoma (FTA), surgery has been the only way to reach a diagnosis of follicular neoplasm. Here we investigated the computed tomography (CT) features of follicular neoplasms, toward the goal of being able to identify specific CT features allowing the preoperative differentiation of FTC from FTA. We retrospectively analyzed the cases of 205 patients who underwent preoperative CT of the neck and were histopathologically diagnosed with FTC (n=31) or FTA (n=174) after surgery between January 2002 and June 2016 at several hospitals in Japan.

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Article Synopsis
  • The study investigates the link between adult-onset laryngeal squamous cell papilloma and human papillomavirus (HPV) infection by analyzing clinical records and specimens from 77 patients treated between 1998 and 2014.
  • Findings reveal that 61.8% of laryngeal papilloma cases tested positive for various HPV types, with younger patients showing higher infection rates; however, no malignant transformations were noted during the study.
  • The research identifies koilocytosis as a distinctive pathological feature related to HPV infection in laryngeal cases and marks the first documentation of multiple HPV types in laryngeal papilloma.
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