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Head and Neck

A limited thoracocervical approach for accessing the anterior mediastinum in retrosternal goiters: Surgical technique and implications for the management of head and neck emergencies

March 16, 2016  |  Petros V. Vlastarakos, MD, MSc, PhD, IDO-HNS(Eng); Aaron Trinidade, MD, PGDip, MRCS, DO-HNS; Marie-Claire Jaberoo, MD, FRCS(ORL-HNS), DO-HNS; George Mochloulis, MD, CCST(ORL-HNS)

Abstract

In this article we describe the surgical management of retrosternal goiters via a limited thoracocervical approach, and we explore how the respective surgical know-how can be used in the management of the carotid blowout syndrome. Four cases involving patients who had undergone...

Papillary carcinoma in thyroglossal duct cyst: Two case reports and review of the literature

March 16, 2016  |  Neil S. Patel, MD; Kianoush Sheykholeslami, MD, PhD

Abstract

The thyroglossal duct cyst is one of the more common congenital anterior neck masses. In rare cases, carcinoma has been detected within one of these cysts on histopathologic analysis of resected tissue. Since the incidence of thyroglossal duct cyst carcinoma is low, the...

Ultrasonography-guided minimally invasive removal of parotid calculi: A prudent approach

February 24, 2016  |  Uma Patnaik, MS, DNB; Sreejith Nair, MS; Atul Mishra, MD

Abstract

The trend in modern salivary calculi surgery is toward minimally invasive procedures because these benign conditions do not warrant open salivary gland surgery. Since ultrasonography is readily available, highly specific, noninvasive, and cost-effective, we have used an...

Cavernous hemangioma of the submandibular gland with parapharyngeal extension in an adult: Case report

February 24, 2016  |  Roya Azadarmaki, MD; Matthew T. Then, MD; Rohit Walia, MD; Miriam N. Lango, MD

Abstract

Cavernous hemangiomas of the submandibular gland are rare. Signs and symptoms typically resemble those of sialolithiasis and chronic sialadenitis. If a lesion extends into the parapharyngeal space, otalgia and sore throat can result. Spontaneous regression is not a...

Risk factors for cervical lymph node metastasis in papillary thyroid microcarcinoma: A meta-analysis

February 24, 2016  |  Nopawan Vorasubin, MD; Chau Nguyen, MD, FACS; Marilene Wang, MD

Abstract

A number of studies of predictive factors for lymph node metastasis in papillary thyroid microcarcinoma have been published. We conducted a systematic meta-analysis of some of these studies, and we present our findings herein. We searched the PubMed database and found 13...

Methylene blue and parathyroid adenoma localization: Three new cases of a rare cutaneous complication

February 24, 2016  |  Elliot D. Lieberman, MD; Rakhi Thambi, MD; Kristen B. Pytynia, MD, MPH

Abstract

Methylene blue has been safely used for the localization of parathyroid glands during parathyroidectomy, and only a few adverse effects have been documented. Methylene blue administration as a cause of pulse-oximetry-related skin injury is extremely rare. We describe 2 such...

Concurrent chemoradiotherapy with capecitabine/cisplatin versus 5-fluorouracil/cisplatin in resectable laryngohypopharyngeal squamous cell carcinoma

February 24, 2016  |  Dongbin Ahn, MD; Jin Ho Sohn, MD, PhD; Jae Hyug Kim, MD; Jeong Eun Lee, MD; Shin Hyung Park, MD; Jae Chul Kim, MD

Abstract

A combination of 5-fluorouracil and cisplatin (FP regimen) is widely used as a standard treatment for head and neck cancer. Recently, capecitabine has received increased attention. We conducted a retrospective study to compare the efficacy and safety of the FP regimen with that...

Four cystic parathyroid adenomas in a 71-year-old man

January 22, 2016  |  Darrin V. Bann, MD, PhD; David Goldenberg, MD, FACS

Management of hyperparathyroidism-jaw tumor syndrome centers on parathyroidectomy to control the complications of hyperparathyroidism, but the extent of the parathyroidectomy that should be performed is controversial.

Hemangioma

January 22, 2016  |  Ashley E. Kita, MD; Jennifer L. Long, MD, PhD

Hemangiomas can occur anywhere blood vessels are present; they have been observed in deeper tissues such as the larynx, muscles, liver, and brain.

Huge lipoma of the right parotid gland: Case report and review of 42 cases

January 22, 2016  |  Timuçin Baykul, DDS, PhD; M. Asım Aydın, DDS, DMD, PhD; Yavuz Fındık, DDS, PhD; Derya Yıldırım, DDS, PhD

Abstract

Lipomas are rarely found in the parotid gland region. Because of their rarity at this site, they are not often considered in the differential diagnosis of parotid tumors. The parotid lipoma is a slowly growing, asymptomatic, freely movable, soft mass. Preoperative diagnosis is...

Case series: Internal jugular vein ectasia in pediatric patients

January 22, 2016  |  Neha A. Patel, MD; Shai Shinhar, MD

Abstract

Jugular vein ectasia is a dilation of the vein without tortuosity. This finding can easily be misdiagnosed or overlooked. Because of its rarity, many pediatricians, otolaryngologists, and pediatric surgeons are unfamiliar with this diagnosis and how to manage it. We report a...

Clival lesion: Atypical osteomyelitis vs. a neoplastic process

January 22, 2016  |  Mike C. Butterfield, MD; Juan S. Gomez, MD; Ngoc Ly, MD; Enrique Palacios, MD, FACR

The differential diagnosis of a clival lesion includes malignancy, infection, meningioma, and chordoma. In this patient, a recurrent neoplasm was suspected because of his medical history and the imaging findings

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