978 results match your criteria: "Neck Dissection Classification"

There is limited evidence regarding the impact of the coronavirus disease 2019 (COVID-19) pandemic on the epidemiology of thoracic and cardiovascular diseases. This study aimed to investigate changes in medical visits for these conditions during the COVID-19 pandemic. We analyzed the entire Korean population (~50 million) for monthly medical visits for 15 common thoracic and cardiovascular conditions, including pneumothorax, large bullae, lung cancer, esophageal cancer, thymoma, empyema, mediastinitis, esophageal rupture, multiple rib fractures, hemothorax, rib mass, varicose vein, pectus excavatum, aortic dissection, aortic aneurysm, and valve disease from January 2019 to December 2021.

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Introduction Surgical management of level V in clinically node positive (cN+) oral squamous cell carcinomas (OSCC) is controversial. The objectives of the study were to identify predictors of level V metastases in cN+ OSCC. Methods This retrospective study is based on institutional data of operated cN+ OSCC between April 2018 and December 2022.

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Historical milestones in the evolution of the procedure of neck dissection.

World J Otorhinolaryngol Head Neck Surg

December 2024

Division of Head and Neck Surgery, Department of Otorhinolaryngology Kasturba Medical College, Manipal, Manipal Academy of Higher Education Manipal Karnataka India.

Objective: Although neck dissection has evolved to become an integral part of the surgical armamentarium for managing head and neck cancers, the manner in which the procedure has reached its present state is worth revisiting.

Data Sources: Published original articles, reviews, clinical practice guidelines, and consensus statements related to the basis, indication, and classification of the neck dissection.

Methods: This review discusses some of the critical milestones before and after the description of the procedure of neck dissection by George Crile Sr.

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Neuroendocrine tumours (NETs) primarily affect the lungs and larynx. Primary neuroendocrine carcinomas (NECs) rarely occur in the oral cavity. The classification of these tumours is ambiguous; however, the literature acknowledges their aggressiveness.

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Background: Facial artery musculomucosal (FAMM) flaps are used for reconstruction of oral cavity squamous cell carcinoma (OCSCC). This study evaluates the oncologic safety of the FAMM flaps for OCSCC reconstruction, given the need to preserve the facial artery and vein during elective neck dissection.

Design & Methods: Retrospective single surgeon case series of all patients undergoing FAMM flap reconstruction for OCSCC from 2016 through 2023.

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Article Synopsis
  • The study aimed to identify prognostic factors from neck dissections in patients with regional recurrent or residual head and neck cancer, focusing on continuous variables related to pathologic lymph nodes.
  • Researchers analyzed data from 184 patients with head and neck squamous cell carcinomas, evaluating lymph node density (LND) and log odds of positive lymph nodes (LODDS) to estimate survival outcomes.
  • Findings revealed that higher LND (≥ 0.14) is significantly associated with poorer survival outcomes, indicating it as a negative prognostic factor after salvage neck dissection.
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Article Synopsis
  • An AI-based model was developed to predict cervical lymph node metastasis (CLNM) in patients with esophageal squamous cell carcinoma (ESCC) using Radiomics and deep learning features from PET/CT images, combined with clinical data.
  • The study involved 300 ESCC patients for training and testing, plus an additional 111 patients for external validation; various machine learning algorithms were tested, with logistic regression being the final model chosen.
  • The final DL-Radiomics-Clinical (DRC) model showed the best performance metrics, including an AUC of 0.955 and high accuracy rates, indicating its potential as a non-invasive tool for predicting CLNM in ESCC patients.
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Article Synopsis
  • Extranodal extension (ENE) is included in the cancer staging for hypopharyngeal squamous cell carcinoma (HypoSCC), but its effects on survival rates and treatment effectiveness are not fully understood.
  • A study of 388 HypoSCC patients revealed that those with ENE had much lower 5-year overall survival rates (22.9% with radiological ENE and 40.3% with pathological ENE) compared to those without ENE (55.5%).
  • The research suggests that ENE is a significant risk factor for poorer survival outcomes, and that upfront neck dissection can improve disease-free survival and control in both ENE+ and ENE- patients.
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Cystadenocarcinoma is a malignant tumor that has undergone various classifications due to its wide variety of pathological forms since the World Health Organization (WHO) classification in 2005. We present a case involving a 72-year-old man who reported pain and swelling in the left floor of his mouth during eating. Examination demonstrated a thumb-sized, mobile mass with elastic softness.

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Lymph nodes in oral squamous cell carcinoma: a comprehensive anatomical perspective.

Clin Exp Metastasis

December 2024

State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan, 430079, China.

Oral squamous cell carcinoma (OSCC) often exhibits a propensity for metastasis to lymph nodes (LNs), significantly influencing prognosis. Neck dissection (ND) is an important part in the treatment of OSCC. Variations in the preference for and pathways of lymph node metastasis (LNM) in different regions of the oral cavity have been observed.

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Metastatic malignancies in the parotid gland: A retrospective study.

J Craniomaxillofac Surg

November 2024

Department of Cranio-Maxillofacial Surgery, Jagiellonian University Medical College, Cracow, Poland; University Hospital, Cracow, Poland.

The aim of this study was to compare treatment modalities, pathological and clinical characteristics, and outcomes in patients with metastasis in a parotid gland. The medical records of 34 patients who received treatment for metastasis in the parotid gland over a twenty-year period were evaluated. Patients with head and neck cutaneous squamous cell carcinoma (HNcSCC) metastasis were retrospectively reclassified using the P/N and N1S3 staging system.

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Introduction In the UK, hip fractures are a common reason for presentations to the emergency departments, which places significant pressure on NHS hospitals, appropriate choice of an implant to treat the hip fracture is one among many other factors that affect patients' outcomes. This audit aims to identify and compare the outcome difference between the dynamic hip screws (DHS) and short cephalomedullary nails in the treatment of extracapsular hip fractures. Methods In a retrospective study of 52 patients admitted as a result of hip fractures in one NHS trust, data collection was done from the patients' records using the trust's online system, we studied different variables to compare the outcome difference between DHS and short intramedullary (IM) nails, two senior authors interpreted the patients' X-rays and verified the coding and classification of the neck of femur fractures.

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While patient-level determinants of total thyroidectomy use have been well described, surgeon-level drivers of more extensive surgery are present and less well described. This survey sought to examine the associations between surgeons' operative recommendations, their beliefs about cancer, and their attitudes about medical maximizing-minimizing. A mixed-mode, cross-sectional survey was administered in September 2020 via mail and email to 222 thyroid surgeons identified in the Centers for Medicare & Medicaid Services Provider Utilization and Payment Physician and Other Practitioners dataset.

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Tumor deposits (TDs) are defined as discontinuous neoplastic masses within the lymphatic drainage pathway of the primary tumor. The poor prognostic implication of these masses have been demonstrated in various cancers. The aim of this study is to investigate the incidence of TDs in our thyroid carcinoma cases, which has not been studied so far to the best of our knowledge, and to determine the prognostic value of their existence.

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Article Synopsis
  • This study examined the link between word recognition scores (WRS) and pure tone averages (PTA) in patients who had hearing preservation surgery for vestibular schwannomas (VS) from 2014 to 2023.
  • Researchers reviewed patient charts from an academic hospital, including those with serviceable hearing and excluding cases with neurofibromatosis 2.
  • The results revealed that hearing outcomes were associated with intraoperative auditory brainstem response (ABR) changes, and although different classification systems were used, they consistently categorized serviceable hearing similarly among patients.
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Tumor budding - a potential biomarker in low grade salivary gland carcinomas?

Front Oncol

June 2024

Department of Oto-Rhino-Laryngology, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.

Article Synopsis
  • The study investigates low-grade salivary gland carcinoma treatment methods and the role of tumor budding as a prognostic factor, analyzing patient data from 2003 to 2017.
  • Results indicate that tumor budding does not significantly affect overall survival rates but correlates with disease-free survival, highlighting better outcomes for patients with low tumor budding.
  • The findings suggest tumor budding could serve as an important additional prognostic indicator, especially related to recurrence and nodal metastasis in low-grade salivary gland carcinomas.
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Impact of thyroid carcinoma invasion of recurrent laryngeal nerve on cervical lymph node metastasis.

Endocrine

November 2024

The Department of Thyroid Surgery, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.

Article Synopsis
  • The study aimed to investigate the relationship between recurrent laryngeal nerve (RLN) invasion and lymph node metastasis in patients with papillary thyroid carcinoma (PTC), highlighting that RLN involvement increases recurrence risk and informs surgical decisions.
  • Retroactively reviewing 130 PTC patients, the researchers compared outcomes and clinicopathologic features related to solitary versus multiple RLN invasions, utilizing follow-up data and various statistical analyses to assess recurrence risk factors.
  • Results showed similar patterns of RLN invasion, noteworthy associations with tumor size and lymph node metastasis, and identified a tumor size of greater than 1.7 cm as a significant predictor for multiple RLN involvements or lymph node metastasis.
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Laryngeal Neuroendocrine Neoplasms: Analysis of 11 Cases in a Single-Center Study.

Ear Nose Throat J

May 2024

Department of Otorhinolaryngology Head and Neck Surgery, Qilu Hospital (Qingdao), Cheeloo College of Medicine, Shandong University, Qingdao, China.

Article Synopsis
  • Laryngeal neuroendocrine neoplasms (LNEN) are rare tumors with previously unclear classification and treatment, and this article shares treatment experiences and updated classifications.
  • A retrospective study analyzed 11 LNEN cases treated surgically at Qilu Hospital, showing a patient demographic of mostly older males and varied tumor classifications and treatments.
  • The results indicated a connection between prognosis and the latest pathological classification and staging, highlighting the need for more extensive research with larger datasets for better clinical staging.
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Background: Hyalinizing trabecular tumor (HTT) is an uncommon follicular cell-derived thyroid tumor classified as a low-risk neoplasm by the World Health Organization Classification of Tumors of Endocrine Organs, 5th edition. The PAX8-GLIS3 gene fusion is reportedly a pathognomonic genetic alteration of HTT.

Case Presentation: A 43-year-old Japanese female was incidentally discovered to have an 8-mm, well-defined, hypoechoic mass in the left lobe of the thyroid gland by ultrasound examination.

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Prevalence and risk factors of postoperative laryngeal edema in patients undergoing neck dissection.

Eur Arch Otorhinolaryngol

August 2024

Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Samsung Medical Center, Sungkyunkwan University, Seoul, Republic of Korea.

Article Synopsis
  • Postoperative laryngeal edema (PLE) is a frequent complication after neck dissection surgery, affecting nearly 30% of patients with symptoms like pain and difficulty swallowing.
  • A study analyzed 343 patients to identify risk factors, revealing that higher body mass index and specific tumor locations significantly increased the likelihood of developing PLE.
  • Early recognition and treatment can enhance recovery and patient outcomes for those at risk of PLE following surgery.
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Article Synopsis
  • The study analyzes strategies to preserve facial nerve function during surgeries for rare tumors located in the internal auditory canal, based on 235 cases from 2010 to 2023.
  • Vestibular schwannomas were most common, making up 91.9% of cases, with cavernous hemangiomas showing significant facial nerve invasion compared to other tumor types.
  • The research emphasizes the importance of personalized treatment plans, accurate preoperative diagnosis, and meticulous surgical techniques to enhance surgical outcomes and minimize postoperative facial nerve dysfunction.
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Surgical management of advanced sinonasal cancer: a 10-year mono-institutional experience.

Acta Otorhinolaryngol Ital

April 2024

Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria, ASST Sette Laghi, Ospedale di Circolo Fondazione Macchi, Varese, Italy.

Objective: Endoscopic endonasal surgery is effective in the treatment of sinonasal cancers. However, in cases of well-differentiated locally advanced neoplasms as well as recurrences, the most appropriate treatment is debated. The purpose of this study is to report a mono-institutional experience on craniofacial surgery performed in a tertiary-care referral centre.

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Purpose: Substantial changes have been made in the neck management of patients with head and neck squamous cell carcinomas (HNSCC) in the past century. These have been fostered by changes in cancer epidemiology and technological progress in imaging, surgery, or radiotherapy, as well as disruptive concepts in oncology. We aimed to review changes in nodal management, with a focus on HNSCC patients with nodal involvement (cN+) undergoing (chemo)radiotherapy.

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