1,709 results match your criteria: "Modified Radical Neck Dissection"

Neural Network and Logistic Regression Models Based on Ultrasound Radiomics and Clinical-Pathological Features to Predict Occult Level II Lymph Node Metastasis in Papillary Thyroid Carcinoma.

Acad Radiol

January 2025

Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China (J-W.F., H.L.); Zhejiang Engineering Research Center of Cognitive Healthcare, Sir Run Run Shaw Hospital,School of Medicine, Zhejiang University, Hangzhou, China (H.L.); College of Biomedical Engineering and Instrument Science, Zhejiang University, Hangzhou, China (H.L.). Electronic address:

Rationale And Objectives: Papillary thyroid carcinoma (PTC) often metastasizes to lateral cervical lymph nodes, especially in level II. This study aims to develop predictive models to identify level II lymph node metastasis (LNM), guiding selective neck dissection (SND) to minimize unnecessary surgery and morbidity in low-risk patients.

Methods: A retrospective cohort of 313 PTC patients who underwent modified radical neck dissection (MRND) between October 2020 and January 2023 was analyzed.

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  • Pedicle ossification is a rare complication that can occur after using a fibular free flap (FFF) for mandibular reconstruction, potentially simulating tumor recurrence and leading to diagnostic challenges.
  • A case study of a 38-year-old male with squamous cell carcinoma highlighted how postoperative complications led to the need for FFF reconstruction, and over 4 years, CT scans showed ossification in the flap's vascular pedicle, yet the patient remained asymptomatic.
  • Regular imaging and clinical assessments are key to distinguishing ossification from tumor recurrence, with surgery usually only considered if symptoms arise.
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  • The study looks at trends and outcomes of parathyroid autotransplantation (PTAT) in children undergoing total thyroidectomy, analyzing data from a surgical database.
  • Of the 2,444 patients analyzed, a small percentage underwent PTAT, with the procedure being performed more frequently by adult subspecialists and in cases with more extensive lymph node removal.
  • The overall use of PTAT declined over the study period, and no significant differences in early postoperative complications or hospital stays were noted between those who had PTAT and those who did not.
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Background/aim: This study evaluated the outcomes of combining submucosal turbinectomy with extensive disruption of the pterygopalatine ganglionic efferent nerve fibers through a minimucosal incision in patients with intractable rhinitis, irrespective of their dependency on the posterior nasal nerve.

Patients And Methods: We describe an endoscopic extended neurectomy procedure performed via a minimucosal pocket. The primary outcome measures included the Total Nasal Symptom Score (TNSS), Visual Analog Scale (VAS) score, and runny nose and nasal obstruction subdomains of the Sino-Nasal Outcome Test-22 (SNOT-22), which were assessed pre-procedure and at 3 and 6 months post-procedure.

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Treatment of metastatic carotid body paraganglioma in a young female.

J Surg Case Rep

January 2025

Division of Vascular Surgery, Department of Surgery, Arrowhead Regional Medical Center, 400 N Pepper Ave, Colton, CA 92324, United States.

Carotid body tumors (CBTs) are rare head and neck paragangliomas that arise from the carotid body chemoreceptor at the common carotid bifurcation. These neoplasms are generally benign, slow-growing, nonsecreting, and well-vascularized. Metastasis occurs in ~5% of cases.

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"Three-in-One Wonder": A Retrospective Cohort Study on Modified Robotic-Assisted Transoral Thyroidectomy.

J Otolaryngol Head Neck Surg

December 2024

Department of Thyroid Surgery, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University/Hunan Cancer Hospital, Changsha, Hunan, P. R. China.

Importance: With advancements in robotic surgery, robotic-assisted thyroidectomy is gaining popularity. The introduction of the 3-port transoral robotic thyroidectomy (T-TORT) offers an alternative approach with potential benefits in postoperative recovery compared to traditional methods.

Objective: To assess the safety and feasibility of T-TORT in comparison to the transoral endoscopic thyroidectomy vestibular approach (TOETVA).

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Background: The preservation of olfaction during the surgical resection of anterior skull base meningiomas presents a significant challenge. This study presents a modified endonasal endoscopic L-shaped approach designed to maximize tumor resection while preserving olfaction, a vital function that profoundly impacts the quality of life.

Methods: A cadaveric dissection was conducted to refine the surgical technique, and this approach was subsequently applied to a 34-year-old female patient presenting with a large planum sphenoidale meningioma.

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To investigate the clinical value of tympanic membrane repairment with modified ear canal flap under endoscope. A retrospective analysis was conducted on the clinical data of 62 patients who underwent simple tympanic membrane perforation repair surgery in our hospital from August 2019 to January 2023. All patients were divided into two groups: 37 cases in the otoscopy group and 25 cases in the microscope group.

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  • The study investigates management strategies for intermediate-risk papillary thyroid carcinoma (PTC) with lateral neck lymph node metastasis, focusing on comparing outcomes between lobectomy plus lateral neck dissection (LND) and total thyroidectomy plus LND.
  • The research was conducted at Ito Hospital in Tokyo, Japan, involving patients who underwent surgery from 2005 to 2012, excluding those with high-risk PTCs or concurrent thyroid cancers.
  • Findings from 401 patients show that overall survival rates after 5, 10, and 15 years were comparable between the two surgical options, indicating lobectomy plus LND is a viable alternative to total thyroidectomy for certain patients.
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Modified fenestrated/branched endovascular aortic repair with short bridging stent to treat complex aortic dissection.

Front Cardiovasc Med

November 2024

Department of Vascular Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.

Objectives: This study aims to improve fenestrated/branched endovascular aortic repair (F/B EVAR) through fabricating physician-modified stent grafts (PMSG) with short bridging stent to treat complex aortic dissection.

Methods: From November 2018 to January 2024, a total of 82 aortic dissection patients were treated by F/B EVAR combined with short bridging stents, including 19 aortic arch dissection patients and 63 thoracoabdominal aortic dissection patients. Inner or outer short bridging stents were applied to fabricate PMSG with the help of 3D-printing models intraoperatively.

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Introduction: Sarcomas of the head and neck region account for less than 10% of soft tissue sarcomas, and comprise less than 1% of head and neck malignancies. Approximately 80% of sarcomas arise from soft tissue, with the remaining originating from bone or cartilage. Head and neck sarcomas typically occur more frequently in men.

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  • * Conducted in early 2022 with 29 patients, the study found a high SLN identification rate of 93.1% and an overall accuracy of 96.3%, indicating the method's reliability.
  • * The research highlights that the depth of tumor infiltration is a critical predictor of nodal involvement, suggesting that SLNB could be a useful method for assessing neck status in early-stage buccal mucosal SCC.
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Modified Textbook Outcome was a Predictor for Early Mortality After Oral Cancer Surgery.

Ann Surg Oncol

November 2024

Department of Otolaryngology, Head and Neck Surgery, Kaohsiung Veterans General Hospital, Kaohsiung City, Taiwan, R.O.C..

Background: To explore prognostic factors for early mortality among patients undergoing surgery for oral cavity cancer (OCC) and identify valuable strategies to improve patient outcomes.

Patients And Methods: A total of 397 patients treated by primary tumor resection and neck dissection between 2017 and 2021 were retrospectively analyzed. Univariate and multivariate Cox regression analysis were used to explore the relationships between the study factors and early death (within 12 months).

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  • - The study investigates the role of pathological dural invasion (pathDI) as a predictor for neck metastases and recurrence in patients with olfactory neuroblastoma (ONB), using data from a multicenter database of ONB cases collected between 2005 and 2021.
  • - Among the 258 patients reviewed, those with pathDI had a significantly lower 10-year neck recurrence-free survival (61.8%) compared to those without it (85.7%), indicating a strong negative impact of pathDI on prognosis.
  • - The analysis revealed that pathDI is a significant predictor of neck recurrence and recurrence at other sites, suggesting that future research could lead to changes in treatment strategies for patients with pathDI. *
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  • A study conducted at Jinnah Postgraduate Medical Center explored the prevalence of thyroid disorders, finding that out of 258 patients, a significantly higher percentage were females (74.4%) compared to males (25.6%).
  • The research revealed that solitary nodules were the most common local examination finding, with benign follicular lesions being the most prevalent type of thyroid pathology.
  • The study concluded that increased screening and access to healthcare services are crucial due to the higher prevalence of thyroid disorders in females, particularly those with multinodular goiter presentations.
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Background: Advances in technology have enabled neck dissection techniques that reduce aesthetic impact while maintaining oncological safety. This study compares perioperative outcomes between robotic neck dissection via retroauricular/modified facelift incision (RNDRM) and conventional neck dissection via anterolateral cervical incision (CND).

Methods: Studies were selected from PubMed, Embase, and Cochrane Library.

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  • The study examines the link between cervical lymph node dissection in head and neck cancer patients and an increased risk of dementia.
  • Among 251 patients analyzed, a small number developed dementia post-surgery, suggesting a correlation with the extent of lymphatic surgery performed.
  • Findings emphasize the need to consider the impact of lymphatic drainage on brain health when planning surgical approaches for head and neck cancer.
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Objective: To investigate the impact of the precise dissection and reconstruction of the prostate apex and bladder neck urethra during radical prostatectomy on the improvement in postoperative urinary control in patients with prostate cancer.

Methods: A retrospective study was conducted. A total of 131 prostate cancer patients who underwent robot-assisted radical prostatectomy at our institution between January 1, 2023 and December 31, 2023 were enrolled.

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  • - Hemorrhage is the main cause of preventable death in trauma situations, leading to military and civilian advancements in medical practices, particularly through the use of tourniquets to manage extremity bleeding and save lives.
  • - While tourniquets have significantly decreased deaths from bleeding in military settings, noncompressible hemorrhage still poses a major risk, especially before patients receive definitive medical care.
  • - The study explores using a small, disposable pressure monitor during resuscitative endovascular balloon occlusion of the aorta (REBOA) to enhance blood pressure monitoring, facilitate better resuscitation practices, and reduce the need for blood products in extreme environments.
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  • The study examines the effectiveness of performing "upfront neck dissection" (ND) before chemoradiation therapy (CRT) in patients with locally advanced squamous cell carcinoma of the head and neck.
  • A total of 121 patients were assessed, with 35 undergoing upfront ND, leading to significantly better 2-year locoregional recurrence-free survival rates (93.7%) compared to those who did not undergo the procedure (71.0%).
  • The results suggest that upfront ND could improve local control of the disease and reduce the need for subsequent salvage surgeries, enhancing overall patient outcomes.
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Background: We investigate the association of postoperative radiotherapy (PORT) volumes and salivary function in oral cavity SCC (OSCC).

Methods: OSCC patients undergoing PORT 2005-2021 underwent modified Schirmer test (MST) pre-PORT, 6 and/or 12 months post-PORT. Hyposalivation rates were compared by PORT volumes.

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This report presents a rare case of direct invasion from a metastatic submandibular lymph node (SMLN) to submandibular gland (SMG) in a resected specimen of neck dissection (ND) of buccal mucosal squamous cell carcinoma (SCC). The patient was an 82-year-old woman with a clinical diagnosis of the left buccal mucosal SCC (cT4bN2bM0, Stage IVB). The tracheostomy, modified radical neck dissection, buccal mucosal cancer resection including maxillary partial resection, mandibular segmentectomy, and reconstructive surgery with a plate and a free rectus abdominis flap were performed.

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Preoperative Prediction of Occult Level V Lymph Node Metastasis in Papillary Thyroid Carcinoma: Development and Validation of a Radiomics-Driven Nomogram Model.

Acad Radiol

October 2024

Department of thyroid surgery, The Third Affiliated Hospital of Soochow University, Changzhou First People's Hospital, Changzhou, Jiangsu, China. Electronic address:

Rationale And Objectives: The study aimed to analyze the patterns and frequency of Level V lymph node metastasis (LNM) in papillary thyroid carcinoma (PTC), identify its risk factors, and construct predictive models for assessment.

Methods: We conducted a retrospective analysis of 325 PTC patients who underwent thyroidectomy and therapeutic unilateral bilateral modified radical neck dissection from October 2020 to January 2023. Patients were randomly allocated into a training cohort (70%) and a validation cohort (30%).

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Lower lip reconstruction following oral and neck oncosurgery presents significant challenges in maintaining function and esthetics. This case report describes a novel application of the digastric tendon for repairing the soft tissue of the lower lip in a patient undergoing wide excision of a lesion, bilateral modified radical neck dissection, segmental mandibulectomy, and free fibula flap repair. This innovative approach aims to maintain oral competence, strengthen the flap, and enhance esthetics.

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Article Synopsis
  • The advent of the da Vinci SP robotic system is increasing the popularity of robotic techniques, particularly the new single-port robotic areolar (SPRA) approach for thyroid surgery, which was compared to the older bilateral axillary breast approach (BABA).
  • In a year-long study analyzing 111 SPRA and 159 BABA surgeries, it was found that SPRA was predominantly performed on women and resulted in a lower body mass index (BMI) for patients.
  • Results showed that SPRA had shorter flap formation time, less drainage post-surgery, and shorter hospital stays, with no significant differences in postoperative complications between the two methods, suggesting SPRA is a less invasive surgical option.
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