scholarly journals Individualized Surgical Management in the Head and Neck Region

2020 ◽  
Author(s):  
Zoltán Lóderer
Keyword(s):  
Head And Neck ◽  
Surgical Management ◽  
Malignant Tumors ◽  
Surgical Techniques ◽  
Neck Region ◽  
Free Flaps ◽  
Head And Neck Region ◽  
Surgical Interventions ◽  
Special Cases ◽  
Microsurgical Free Flaps

The surgical management of malignant tumors or in the head and neck region often leads to functional and esthetic defects that impair the quality of life of the patients. Reconstruction can be solved with prostheses in these cases, but various types of microsurgical free flaps can provide a better clinical outcome. Not only head and neck cancer and related surgical interventions, but also trauma and congenital cranio-maxillofacial deformities can result in appearance, which may impair the socialization or social integration of the patient. These special cases indicate special consideration and surgical techniques. The aim of the current thesis is to present the importance of the individualized surgical management through special cases.

scholarly journals A study of the use of the supraclavicular artery flap for resurfacing of head, neck, and upper torso defects

2009 ◽  
Vol 42 (01) ◽  
pp. 004-012
Author(s):  
Parag Telang ◽  
Mukund Jagannathan ◽  
Maksud Devale
Keyword(s):  
Head And Neck ◽  
Neck Region ◽  
Free Flaps ◽  
Acceptable Result ◽  
Operative Morbidity ◽  
Head And Neck Region ◽  
Texture Match ◽  
Burn Contractures ◽  
Head Neck ◽  
Tissue Defects

ABSTRACTThe head and neck region is an aesthetically demanding area to resurface because of its high visibility. Tissue defects in this area often require distant flaps or free flaps to achieve an aesthetically acceptable result. The use of the Supraclavicular artery flap represents an extremely versatile and useful option for the resurfacing of head, neck and upper torso defects. Furthermore, islanding the flap gives it a wide arc of rotation and the color and texture match is superior to that of free flaps harvested from distant sites. In our study, we used the flap (both unexpanded and expanded) predominantly for resurfacing neck defects resulting from the release of post-burn contractures. However, its applicability in other indications would also be similar. Except one, all our flaps survived almost completely and the post-operative morbidity was very low. We conclude that the supraclavicular artery flap not only provides a reasonably good color and texture match but also maintains the multi-directional activity in the neck region.

Cartilage-sparing otoplasty: a review with long-term results

1997 ◽  
Vol 111 (5) ◽  
pp. 424-430 ◽  
Author(s):  
H. D. Vuyk
Keyword(s):  
Surgical Technique ◽  
Head And Neck ◽  
Surgical Techniques ◽  
Neck Region ◽  
Psychological Aspects ◽  
Long Term Results ◽  
Congenital Deformity ◽  
Head And Neck Region ◽  
Prominent Ears

AbstractProminent ears are the most frequent congenital deformity in the head and neck region. Anatomy of normal and prominent ears as well as the psychological aspects of prominent ears are reviewed. Two types of surgical technique are described with emphasis on the cartilage-sparing technique.A sound pre-operative analysis, focusing on all partsof the deformity, and surgical techniques which are gradually applied to these deformities should result in pleasing, permanent changes for the vast majority of patients. In our opinion, a combination of cartilage-sparing techniques augmented with cartilage-weakeningprocedures give predictable long-term results with a natural appearing ear and concomitant few, easily treated complications.

scholarly journals PREOPERATIVE AUTOLOGOUS BLOOD DONATION IN PATIENTS WITH MALIGNANT TUMORS OF THE HEAD AND NECK REGION

1996 ◽  
Vol 99 (2) ◽  
pp. 286-291,347 ◽  
Author(s):  
KAZUAKI OGAWA ◽  
MASAHIKO EGAWA ◽  
JHOJI HIROTA ◽  
EIICHIRO TOKUSHIGE ◽  
MASATO USHIKAI ◽  
...  
Keyword(s):  
Head And Neck ◽  
Blood Donation ◽  
Malignant Tumors ◽  
Autologous Blood ◽  
Neck Region ◽  
Autologous Blood Donation ◽  
Preoperative Autologous Blood Donation ◽  
Head And Neck Region

Surgical management of lymphangiomas in adults

1996 ◽  
Vol 110 (6) ◽  
pp. 586-589 ◽  
Author(s):  
A. J. Curran ◽  
N. Malik ◽  
D. McShane ◽  
C. V. I. Timon
Keyword(s):  
Parotid Gland ◽  
Facial Nerve ◽  
Head And Neck ◽  
Neck Dissection ◽  
Surgical Management ◽  
Neck Region ◽  
Selective Neck Dissection ◽  
Older Population ◽  
Head And Neck Region ◽  
Congenital Tumours

AbstractLymphangiomas are uncommon benign congenital tumours. Most occur in the head and neck region and the vast majority present before the age of two. This paper describes the presentation and management of four cases presenting after puberty and involving the parotid gland. The cases are unusual in that all were intimately associated with the facial nerve and in an older population. The value of selective neck dissection and facial nerve exposure as an approach to these lesions is discussed.

scholarly journals Measurement of lymphocyte subsets in malignant tumors of the head and neck region.

1989 ◽  
Vol 82 (5) ◽  
pp. 697-702
Author(s):  
Kiyoshi Yonei ◽  
Yutaka Takeyama ◽  
Hatsuko Minamitani ◽  
Kiyotaka Murata ◽  
Fumihiko Ohta
Keyword(s):  
Head And Neck ◽  
Lymphocyte Subsets ◽  
Malignant Tumors ◽  
Neck Region ◽  
Head And Neck Region

Accumulation of 99mTc-Glutathione in Head and Neck Tumors

1994 ◽  
Vol 33 (05) ◽  
pp. 224-228 ◽  
Author(s):  
T. Aras ◽  
A. Aktaş ◽  
S. Kaya ◽  
C. F. Bekdik ◽  
M. T. Ercan
Keyword(s):  
Head And Neck ◽  
Soft Tissues ◽  
Malignant Tumors ◽  
False Negative ◽  
Neck Region ◽  
Head And Neck Tumors ◽  
Blood Clearance ◽  
True Negative ◽  
Head And Neck Region ◽  
Neck Tumors

SummaryGlutathione labelled with 99mTc was used to study blood clearance and normal distribution in 3 healthy volunteers and in 10 patients with biopsy-proven tumors in the head and neck region. Static scintigrams were obtained at 1, 3, 6, and 24 h. ROIs over tumors and normal soft tissues were compared to obtain T/N ratios. In normal subjects blood clearance reached a plateau at 6 h; no radioactivity accumulation in the head and neck region was observed. Only the cardiac blood pool, the liver, the kidneys and the urinary bladder were evident. Excretion was via the kidneys. Malignant tumors and metastases were well visualized in 7 patients (true-positive), starting at 1 h. The mean T/N ratio was 2.69 ± 0.77. The best images were obtained at 3-6 h. 1 false-positive (granula-matous reaction), 1 false-negative (malignant epithelial tumor in the radix of tongue) and 1 true-negative (angiofibroma) results were obtained. 99mTc-GSH is a potential radiopharmaceutical for the scintigraphic visualization of head and neck tumors. Further clinical studies are warranted to show its sensitivity and accuracy.

scholarly journals Dental needs in brazilian patients subjected to head and neck radiotherapy

2009 ◽  
Vol 20 (1) ◽  
pp. 74-77 ◽  
Author(s):  
Ana Carolina de Mesquita Netto Rosales ◽  
Sérgio Carlos Barros Esteves ◽  
Jacks Jorge ◽  
Oslei Paes de Almeida ◽  
Márcio Ajudarte Lopes
Keyword(s):  
Head And Neck ◽  
Malignant Tumors ◽  
Neck Region ◽  
Root Canal Filling ◽  
Head And Neck Region ◽  
Dental Procedures ◽  
The Moment ◽  
Dental Needs ◽  
Oral Conditions ◽  
Head And Neck Radiotherapy

In spite of its recognized benefits in the treatment of malignant tumors, radiation therapy have several side effects in the head and neck region. The evaluation of oral conditions by a dentist is important to prevent or minimize these problems. The aim of this retrospective review was to analyze the dental needs in 357 patients who received radiotherapy in the head and neck region and were treated at Orocentro/FOP/UNICAMP, between January 1990 and December 2004. Review of patient files showed that dental examination before radiotherapy was not performed in 148 patients (41.5%) and was done in 209 patients (58.5%). From the total of examined patients, 94 (45%) did not require dental procedures at the moment of examination, while 115 (55%) presented some sort of dental need. Following the patients after the radiotherapy, it was observed that the group of patients that was evaluated before radiation presented less need of restorations, root canal filling and dental extractions than those who were not evaluated. The results of this study confirm that the evaluation of oral conditions prior to radiotherapy is essential to minimize the dental needs, emphasizing the importance of the dentist in the multidisciplinary team that treats cancer patients.

scholarly journals Multicenter Study of Buruli Ulcer Disabilities in the Head and Neck Region

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Pius Agbenorku
Keyword(s):  
Head And Neck ◽  
Functional Disability ◽  
Buruli Ulcer ◽  
Neck Region ◽  
Clinical Findings ◽  
Head And Neck Region ◽  
Surgical Interventions ◽  
Ulcer Disease ◽  
Total Hospital Stay

Objective. To identify disabilities caused by Buruli Ulcer Disease (BUD) when it affects the Head and Neck Region (HNR) of patients in endemic areas and suggest possible ways to overcome the complications involved. Methods. Data for the study was collected from six different hospitals in the central part of Ghana from 2004–2009. Diagnosis of BUD was based on clinical findings and confirmed by positive result of Ziehl-Neelson Test for Acid Fast Bacilli, Polymerase Chain Reaction, or Histopathology. Treatment of BUD involved a combination of surgical interventions and antimycobacterial chemotherapy for 8 weeks. Results. The age of the 38 patients ranged from 0–56 years (mean age of 14.3 years), with males outnumbering females. Most (55.3%, ) of the patients reported to the facilities with developed BUD deformities. Patients who lost their eyeball () recorded the highest in terms of functional disability. A mean total hospital stay of 52 days and follow-up period of 2.3 years were recorded for the study. Conclusion. Visual impairment was the commonest form of disability recorded in the HNR. Management difficulties and BUD disabilities could be avoided by early detection of the disease and training of health professionals at district levels.

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