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Head and Neck

Atypical parathyroid adenoma with diffuse fibrosis

February 20, 2017  |  Christine M. Clark, BA; Sakeena J. Payne, MD; Joshua I. Warrick, MD; David Goldenberg, MD, FACS

Atypical parathyroid adenomas are infrequently encountered and can present a diagnostic challenge, as they share overlapping clinical and histologic features with parathyroid carcinoma.

Fiddler's neck: A review

February 20, 2017  |  Calvin W. Myint, MD; Amy L. Rutt, DO; Robert T. Sataloff, MD, DMA, FACS

Abstract

Fiddler's neck is a common dermatologic condition associated with instrument use in violin and viola players. It typically manifests as a submandibular and/or supraclavicular lesion. It is a benign condition, but it may be mistaken for lymphedema or a salivary gland malignancy...

Mechanical venous anastomosis in head and neck microvascular reconstruction as an equivalent to the gold standard

February 20, 2017  |  Eric Thorpe, MD; Yash Patil, MD

Abstract

To define the most successful and efficient manner to perform venous microvascular anastomoses, the effectiveness of mechanical venous anastomosis in head and neck microvascular reconstruction is reviewed. Head and neck reconstruction with free flap techniques has become the...

Thyroglossal duct cyst

February 20, 2017  |  Lester D. Thompson, MD

Most patients present with a mobile, painless midline neck mass, usually inferior to the hyoid bone, showing movement with tongue protrusion.

Efficacy of Intralipid infusion in reducing amphotericin-B-associated nephrotoxicity in head and neck invasive fungal infection: A randomized, controlled trial

February 20, 2017  |  Mehrdad Hasibi, MD; Sirous Jafari, MD; Seyyed Ali Dehghan Manshadi, MD; Marjan Asadollahi, MD; Mohammadreza Salehi, MD; Varasteh Vakili Zarch, MD; Ali Kouhi, MD

Abstract

Amphotericin B deoxycholate (ABD) is the best therapeutic agent available for the treatment of most systemic fungal infections. However, some untoward adverse effects such as nephrotoxicity may limit its appropriate therapeutic use. We conducted a randomized, controlled trial...

Comparison of cidofovir and the measles, mumps, and rubella vaccine in the treatment of recurrent respiratory papillomatosis

February 20, 2017  |  Ryan Kent Meacham, MD; Jerome W. Thompson, MD, MBA

Abstract

We conducted a retrospective study of the use of cidofovir and the measles, mumps, and rubella (MMR) vaccineas adjunctive treatments to lesion debridement in patients with recurrent respiratory papillomatosis (RRP). Our study population was made up of 15 children-7 boys and 8...

Predictors of adverse events after neck dissection: An analysis of the 2006-2011 National Surgical Quality Improvement Program (NSQIP) Database

February 20, 2017  |  Umang Jain, BS; Jessica Somerville, MD; Sujata Saha, BS; Jon P. Ver Halen, MD; Anuja K. Antony, MD, MPH; Sandeep Samant, MD; John Y. Kim, MD

Abstract

While neck dissection is an important primary and adjunctive procedure in the treatment of head and neck cancer, there is a paucity of studies evaluating outcomes. A retrospective review of the National Surgical Quality Improvement Program (NSQIP) database was performed to...

Chronic discharging sinus in the parotid: Are we missing something?

January 25, 2017  |  Mainak Dutta, MS; Indranil Chatterjee, MS, DNB, MCh(Pediatric Surgery); Mitrajit Mallik, MS, MCh(Pediatric Surgery)

A foreign body in the parotid substance/duct once diagnosed must be removed surgically, which often might require superficial parotidectomy.

Extraosseous Ewing sarcoma: Expanding the differential diagnosis of supraclavicular fossa tumors

January 25, 2017  |  Julio Rama-López, MD, PhD; Rafael Ramos Asensio, MD; Cesar García-Garza, MD; Pablo Luna Fra, MD; Maria del Carmen Gassent Balaguer, MD; José Fuster Salva, MD

Abstract

A broad spectrum of diseases can be included in the differential diagnosis of neck masses. We report a case of extraosseous Ewing sarcoma that presented as a neck mass in a 70-year-old man. To the best of our knowledge, this is the first reported case of extraosseous Ewing...

Locoregional control of tongue base adenoid cystic carcinoma with primary resection and radial forearm free flap reconstruction

January 25, 2017  |  Bharat B. Yarlagadda, MD; Josh C. Meier, MD; Derrick T. Lin, MD; Kevin S. Emerick, MD; Daniel G. Deschler, MD

Abstract

Adenoid cystic carcinoma of the minor salivary glands can be challenging and marked by high rates of local recurrence despite appropriate surgical resection. Management of this pathology in the base of the tongue is particularly difficult given the poor functional outcomes...

Effect of a corticosteroid (triamcinolone) and chlorhexidine on chemotherapy-induced oxidative stress in the buccal mucosa of rats

December 7, 2016  |  Sami Gümüş, MD; Murat Yarıktaş, MD; Mustafa Nazıroğlu, PhD; Abdülhadi Cihangir Uğuz, PhD; Giray Aynali, MD; Şirin Başpınar, MD

Abstract

Oral mucositis manifests as erythematous and ulcerative lesions of the oral mucosa. Among its various causes, cancer treatment (e.g., chemotherapy with or without radiation therapy) is one of the more well known. It has been widely mentioned that oxidative stress parameters...

End-of-life decision making in geriatric terminal head and neck cancer

December 7, 2016  |  Kourosh Parham, MD, PhD, FACS; Karen M. Kost, MD, FRCSC

In the oncogeriatric setting, the comprehensive geriatric assessment has been recognized as providing useful information supplementary to what can be obtained via standard oncology status assessments.

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