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Long-term recurrence-free survival after an unplanned reduction in radiotherapy for HPV-positive oropharyngeal SCC: Two cases and a review of the literature

July 18, 2017  |  Jason Liu, BS; David Goldenberg, MD; Salah Almokadem, MD; Henry Crist, MD; Heath B. Mackley, MD, FACRO

Abstract

There is currently no clear distinction between the treatment of HPV-positive and HPV-negative oropharyngeal squamous cell carcinoma (OPSCC). HPV-positive OPSCC has been demonstrated to be more radiosensitive than its HPV-negative counterpart. Despite this, patients with HPV-...

Conservative management of postoperative chylous fistula with octreotide and peripheral total parenteral nutrition

July 18, 2017  |  Jason Y. Chan, MBBS; Eddy W. Wong, FRCSEd(ORL), FHKCORL; S. K. Ng, FRCSEd(ORL), FHKCORL; C. Andrew van Hasselt, FCS(SA)ORL; Alexander C. Vlantis, FCS(SA)ORL

Abstract

Postoperative chylous fistula after neck dissection is an uncommon complication associated with significant patient morbidity. Octreotide acetate is a somatostatin analogue established in the treatment of chylothorax; however, its utility in the management of cervical chylous...

Prospective, randomized, controlled trial using best-selling smoking-cessation book

July 18, 2017  |  James P. Foshee, MD; Anita Oh, MD; Adam Luginbuhl, MD; Joseph Curry, MD; William Keane, MD; David Cognetti, MD

Abstract

Our prospective, randomized, controlled trial aimed to evaluate the efficacy of the self-help book, The Easy Way to Stop Smoking, by Allen Carr, in promoting smoking cessation in patients with head and neck cancer. We assessed active smokers for their willingness to read...

Myiasis in patients with head and neck cancer: Seldom described but commonly seen

July 18, 2017  |  Fabio Muradas Girardi, MD, MSc; Maria Lucia Scrofernecker, PhD

Abstract

Human myiasis is a parasitosis usually found in tropical and underdeveloped countries. It usually affects ulcerated lesions or devitalized tissues, developing after deposition of dipterous eggs. Patients with head and neck cancer are at risk to develop secondary myiasis. A...

Lobular capillary hemangioma (pyogenic granuloma) of the oral cavity

July 18, 2017  |  Lester D. Thompson, MD

The most common site is the anterior maxillary gingiva, while posterior, mandibular, and facial gingiva may also be affected.

Lymph-node-positive cutaneous nonmelanoma skin cancer: A poor-prognosis disease in need of treatment intensification

July 18, 2017  |  Lora S. Wang, MD; Elizabeth A. Handorf, PhD; John A. Ridge, MD, PhD; Barbara A. Burtness, MD; Miriam N. Lango, MD; Ranee Mehra, MD; Jeffrey C. Liu, MD; Thomas J. Galloway, MD

Abstract

Locoregionally advanced nonmelanoma skin cancer (NMSC) has an aggressive clinical course characterized by high rates of treatment failure and poor survival compared with localized skin cancers. Our goal was to investigate multimodal therapy for lymph-node-positive NMSC. Data...

Thyrocervical trunk pseudoaneurysm presenting as a neck mass

July 18, 2017  |  Taha A. Mur, BS; Mursalin M. Anis, MD, PhD; Ahmed M. Soliman, MD

The typical “yin-yang” appearance of a pseudoaneurysm on ultrasound is readily identified.

Adenoid cystic carcinoma of the head and neck area: Oncologic treatment and plastic-reconstructive options

June 20, 2017  |  Johannes A. Veit, MD; Julia Thierauf, MD; Thomas K. Hoffmann, PhD, MD; Jens Greve, PhD, MD; Nicole Rotter, PhD, MD; Patrick J. Schuler, PhD, MD; Marc O. Scheithauer, PhD, MD

Abstract

Adenoid cystic carcinoma of the head and neck area is a rare malignant tumor with acceptable short-term but mediocre long-term prognosis. Radical tumor excision with clear resection margins, and sometimes resection of the facial nerve due to perineural growth, remains the...

Salivary epidermal growth factor concentrations in patients with Sjogren syndrome and laryngopharyngeal reflux

June 20, 2017  |  Claudia A. Eckley, MD; Marco Antônio dos Anjos Corvo, MD; Luis Roberto Sardinha, PhD; Bianca Liquidato, MD; Luiz Vicente Rizzo, MD

Abstract

Sjögren syndrome was chosen as a clinical model to study acinar salivary deficiencies in the development of laryngopharyngeal reflux (LPR). The objective of this prospective cohort study was to compare salivary epidermal growth factor (EGF) concentrations of patients with...

Idiopathic pretracheal deep neck space infection with mediastinal extension: A series of 3 cases and review of the literature

June 20, 2017  |  Samuel Roberts, BMed; Lyndon Chan, MBBS (Hons); Robert Eisenberg, MBBS, FRACS

Abstract

Idiopathic pretracheal deep neck space infection is an extremely rare condition with potentially devastating complications. We present a series of 3 cases of pretracheal deep neck space infection that arose in the absence of trauma or a congenital lesion and that exhibited...

Parathyroid carcinoma in a patient with three prior parathyroid adenomas

June 20, 2017  |  Michael Goldenberg, MA; Henry Crist, MD; Darrin V. Bann, MD, PhD

Fine-needle aspiration is contraindicated because of its inability to distinguish parathyroid carcinoma from benign disease and the risk of seeding tumor along the biopsy tract.

Synchronous lesions of the right accessory parotid gland and left main parotid gland

June 20, 2017  |  Ba D. Nguyen, MD

Tumoral involvement of parotid glands is usually solitary; multifocality is rare