Nationwide randomised trial evaluating elective neck dissection for early stage oral cancer (SEND study) with meta-analysis and concurrent real-world cohort.

Background: Guidelines remain unclear over whether patients with early stage oral cancer without overt neck disease benefit from upfront elective neck dissection (END), particularly those with the smallest tumours.

Methods: We conducted a randomised trial of patients with stage T1/T2 N0 disease, who had their mouth tumour resected either with or without END. Data were also collected from a concurrent cohort of patients who had their preferred surgery.

Recurrence of a solitary bone cyst of the mandible: case report.

We report a case of a solitary bone cyst in the mandible of an elderly woman who presented with a bilateral radiolucent lesion that caused bony expansion, and which recurred 30 months after enucleation and bone grafting of the cavity.

Reconstruction of through-and-through osteocutaneous defects of the mouth and face with subscapular system flaps.

Background: Major ablative surgery in the head and neck region may create composite defects involving the oral mucosa, bone and the overlying facial skin. The large surface area and the three-dimensional nature of these defects pose a difficult reconstructive challenge requiring adequate bone and large, positionally versatile skin flaps.

Patients And Methods: From September 1993 to May 2000, 19 patients with through-and-through osteocutaneous defects of the mouth and face were reconstructed with composite subscapular artery system flaps.

Enlargement of existing tracheostome using percutaneous dilators.

Children requiring long-term mechanical ventilation or with abnormalities of the upper airway may need a tracheostomy for prolonged periods of time. For these children, insertion of a larger tracheostomy tube may be required to match somatic growth. We describe a new method of enlarging the tracheal stoma in children, based on the existing technique of percutaneous dilational tracheostomy.