Does ACDF Utilization and Reimbursement Change Based on Certificate of Need Status?
Conclusions: ACDF utilization increased most rapidly in the outpatient setting, and CON status did not appear to hinder growth. Reimbursement decreased across all settings, with the outpatient setting in non-CON states most affected. Surgeons should be aware of these trends in the changing health care environment. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - March 27, 2020 Category: Surgery Tags: Primary Research Source Type: research

Tantalum Fusion Device in Anterior Cervical Discectomy and Fusion For Treatment of Cervical Degeneration Disease: A Systematic Review and Meta-Analysis
Conclusions: Through this systemic review and meta-analysis, no significant difference was found with regards to fusion rate, postoperative NDI, and VAS between tantalum fusion and iliac crest bone graft in ACDF. More longer-term and randomized studies with large samples are warranted to validate any association found in this study. Level of Evidence: Level II. (Source: Journal of Spinal Disorders and Techniques)
Source: Journal of Spinal Disorders and Techniques - March 27, 2020 Category: Surgery Tags: Systematic Review Source Type: research

Establishing the robotic surgery procedure and techniques for head and neck tumors: a single surgeon ’s experience of 945 cases
AbstractWe suggested operative techniques and indications of robotic neck surgery. To determine operative techniques and the indications for robotic neck surgery, we analyzed treatment outcomes of patients who received robotic neck surgery. Between May 2010 and July 2018, a total of 945 patients with various neck diseases visited Severance Hospital and underwent robotic neck surgery. A variety of approaches, including the retroauricular approach (RA), modified facelift approach (MFLA), transaxillary approach (TA), and transaxillary retroauricular approach (TARA), was used to remove various tumors in the neck. A total of 23...
Source: Journal of Robotic Surgery - March 23, 2020 Category: Surgery Source Type: research

The key hole augmentation with demineralized bone matrix in anterior cervical trans-corporeal discectomy – Preliminary result of a novel technique
Publication date: September 2020Source: Interdisciplinary Neurosurgery, Volume 21Author(s): Sang Hoon Jang, Soon O. Hong, Hyeok Jang, Ho-Yeon Lee, Won Chul Choi, Jae Taek Hong (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - March 22, 2020 Category: Neurosurgery Source Type: research

Porous titanium cervical interbody fusion device in the treatment of degenerative cervical radiculopathy; 1-year results of a prospective controlled trial
Anterior cervical discectomy with an interbody cage (ACDF) to obtain fusion is a common procedure in cervical spine surgery. Presently, PEEK with (auto)graft is frequently used for interbody fusion although alternative implant technology like 3-D printing titanium has been introduced recently. (Source: The Spine Journal)
Source: The Spine Journal - March 20, 2020 Category: Orthopaedics Authors: Mark Arts, Bart Torensma, Jasper Wolfs Tags: Clinical Study Source Type: research

Change in sagittal profile after implantation of anchored interbody cage in the surgical procedure for degenerative cervical spine disease.
CONCLUSION: SSP change after 1- or 2-level ACDF correlates mostly weakly with GSP change. Male gender and osteoporosis were identified as risk factors for global lordotisation following ACDF. PMID: 32158016 [PubMed - as supplied by publisher] (Source: Biomedical Papers of the Medical Faculty of the Univ Palacky Olomouc Czech Repub)
Source: Biomedical Papers of the Medical Faculty of the Univ Palacky Olomouc Czech Repub - March 13, 2020 Category: Biomedical Science Tags: Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub Source Type: research

Upper Cervical Surgery, Increased Signal Intensity of the Spinal Cord, and Hypertension as Risk Factors for Dyspnea After Multilevel Anterior Cervical Discectomy and Fusion
Study Design. Retrospective study. Objective. To investigate the associated risk factors for acute respiratory distress after multilevel anterior cervical discectomy and fusion (ACDF) with a focus on the subjective symptom, dyspnea. Summary of Background Data. Acute respiratory distress after ACDF is a relatively common adverse event, the cause of which is usually soft tissue swelling or hematoma. It can result in serious morbidity and requires careful, focused treatment. Methods. We reviewed the records of 532 patients (from January 2014 to August 2018) who had undergone multilevel ACDF surgery. Acute respirato...
Source: Spine - March 13, 2020 Category: Orthopaedics Tags: CERVICAL SPINE Source Type: research

Transtemporal Suprajugular Approach with Neck Dissection for Jugular Foramen Tumor Resection: Operative Video
J Neurol Surg B DOI: 10.1055/s-0040-1701680This video demonstrates the transmastoid suprajugular approach with neck dissection to a solitary fibrous tumor involving the jugular foramen and upper cervical region. This patient was a 39-year-old man who presented with dysphagia and cranial nerve (CN) XI and CN XII palsies. Imaging revealed a large homogenously enhancing lesion involving the jugular foramen and extending into the retropharyngeal space (Fig. 1). Radiographic findings supported a diagnosis of jugular foramen schwannoma. After an initial period of observation, the tumor demonstrated significant growth, and the pa...
Source: Journal of Neurological Surgery Part B: Skull Base - March 13, 2020 Category: Neurosurgery Authors: Sarris, Christina E. Stevens, Shawn M. Almefty, Kaith K. Tags: Skull Base: Operative Videos Source Type: research

Circulating Hybrid Cells as a Marker of Nodal Metastases in Oral Cavity Squamous Cell Carcinoma
The current standard of care for clinically N0 patients at risk for cervical lymph node metastases is to undergo neck dissection for completion of staging, as the status of the cervical lymph node basins at the time of diagnosis provides important information about prognosis and treatment planning. However, up to 70% of cN0 patients have no nodal disease and thus underwent unnecessary surgery. The aim of this study is to identify an easily available peripheral blood biomarker that could serve as a marker of occult nodal metastases in cN0 patient with oral cavity squamous cell carcinoma (OCSSCa). (Source: International Jour...
Source: International Journal of Radiation Oncology * Biology * Physics - March 12, 2020 Category: Radiology Authors: Y. Anderson, M.H. Wong, D. Clayburgh Tags: Poster Theater Presentations Source Type: research

A case report: white cord syndrome following anterior cervical discectomy and fusion: importance of prompt diagnosis and treatment
Objective: White cord syndrome is extremely rare and search of the literature has revealed very few cases. Postoperative MR scan revealed hyperintense intrinsic cord signal changes within cord ischemia and ede... (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - March 12, 2020 Category: Orthopaedics Authors: Deuk Soo Jun, Jong-Min Baik and Seung-Kwan Lee Tags: Case report Source Type: research

Endovascular thrombectomy for tandem acute ischemic stroke associated with cervical artery dissection: a systematic review and meta-analysis
ConclusionsCurrent data suggest that endovascular thrombectomy may be an option in patients with acute ischemic stroke due to cervical artery dissection. This requires further confirmation in higher quality prospective studies. (Source: Neuroradiology)
Source: Neuroradiology - March 12, 2020 Category: Radiology Source Type: research

Neck dissection prolongs survival in patient with stage IVC hypopharyngeal carcinoma with mixed responses to nivolumab
Surgical intervention aids in maintaining quality of life in patients with recurrent metastatic head and neck carcinoma with mixed responses to nivolumab treatment. However, the mechanisms involved in these mixed responses remain unclear. Systemic chemotherapy using the EXTREME regimen was administered to the patient with hypopharyngeal carcinoma and liver metastases as well as cervical lymph node metastases. The patient was subsequently treated with nivolumab after developing signs of progressive disease. (Source: Auris, Nasus, Larynx)
Source: Auris, Nasus, Larynx - March 12, 2020 Category: ENT & OMF Authors: Tatsuya Ito, Hiroki Sato, Takahiro Tsujikawa, Hideaki Hirai, Isaku Okamoto, Keitaro Miyake, Toshitaka Nagao, Kiyoaki Tsukahara Tags: Original Article Source Type: research

Nomogram Based on Systemic Immune-Inflammation Index to Predict Survival of Tongue Cancer Patients Who Underwent Cervical Dissection
Aim: The aim of this study was to evaluate the prognostic significance of the preoperative systemic immune-inflammation index (SII) and to establish a nomogram for prediction of survival of tongue squamous cell carcinoma (TSCC) patients who underwent primary surgery and cervical dissection.Methods: 120 patients diagnosed with TSCC who underwent primary tumor and neck dissection without preoperative treatment were included to develop the nomogram. This model was externally validated in an independent data cohort of 50 TSCC patients. X-tile software was used to identify the optimal cut-off value. Prognostic factors were iden...
Source: Frontiers in Oncology - March 11, 2020 Category: Cancer & Oncology Source Type: research

A Proposed Method for Cervical Lymph Node Evaluation in Head and Neck Cancer Patients: A Radiological Study
AbstractObjectivesTo present a new method to assess the cervical lymph nodes status in head and neck cancer patients.MethodsTwenty-five oral and maxillofacial cancer patients underwent preoperative CT imaging. The cervical lymph node features on CT scan were examined. Each parameter was given a score, and the total scores in each case was calculated and referred to as metastatic score (MS). Then, patients underwent neck dissection, and all dissected lymph nodes were sent for histopathology.ResultsAll cases with MS  ≥ 6 were histopathologically positive, and all cases with MS ≤ 3 were histo...
Source: Journal of Maxillofacial and Oral Surgery - March 11, 2020 Category: ENT & OMF Source Type: research

Lymphovenous Anastomosis for the Treatment of Thoracic Duct Lesion: A Case Report and Systematic Review of Literature
Conclusions Lymphovenous anastomosis of the TD is a feasible and safe technique allowing for treatment of cervical TD lesions, especially if minimally invasive procedures fail. Compared with other techniques, lymphatic circulation can successfully be maintained. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - March 10, 2020 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Utilizing vertebral body autograft for anterior cervical corpectomy/fusion.
Conclusion: This corpectomy reconstructive technique takes advantage of the favorable osteogenic properties of autograft, while avoiding donor site morbidity as well as the cost and complications of other devices, such as cages. Further cases are required to verify the safety, efficacy, and biomechanical stability of this technique. PMID: 32123612 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 5, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Review of Physician Referrals to Orthopedic Spine versus Neurosurgery.
Conclusions: Even though both orthopedic surgeons and neurosurgeons are intensively trained to treat a similar breath of spinal pathology, physicians vary in their referring patterns according to spinal pathology, location of pathology, and intended surgery. Education on the role of spine surgeons among PCPs is essential in ensuring unbiased referral patterns. PMID: 32117539 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 4, 2020 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Diagnostic accuracy of CT scan-based criteria compared with surgical exploration for the analysis of cervical fusion and nonunion.
CONCLUSIONS: The authors found that the best indicator of bone union was the item bridging bone on ≥ 3 CT slices. Combining the scoring of more than one criterion did not increase the diagnostic accuracy. PMID: 32114527 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - March 3, 2020 Category: Neurosurgery Authors: van Bilsen MWT, Ullrich C, Ferraris L, Hempfing A, Hitzl W, Mayer M, Koller H Tags: J Neurosurg Spine Source Type: research

Selective nerve root block combined with posterior percutaneous cervical endoscopic discectomy for cervical spondylotic radiculopathy with double nerve root variation: A case report
Rationale: The aim of this report is to present the technique of selective nerve root blockage combined with posterior percutaneous cervical endoscopic discectomy (PPECD) for cervical spondylotic radiculopathy (CSR). Patient concerns: A 49-year-old female has pain in the skin area of the left scapular, pain in left elbow and limitation of left upper limb movement for 1.5 years. Diagnosis: She was diagnosed with CSR and C6-7 double nerve root variation. Interventions: We used selective nerve root block to determine the lesion segment and applied PPECD to relieve pressure on the patient's nerve roots. Outcomes: ...
Source: Medicine - March 1, 2020 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

Risk factors of cage nonunion after anterior cervical discectomy and fusion
The aim of our study was to explore risk factors of cage nonunion after anterior cervical discectomy and fusion (ACDF). 295 patients underwent ACDF in our hospital between Jan. 2014 and Jan. 2017. Of them, 277 patients suffered cage union (union group, UG) after 6-month follow-up and 18 did not (nonunion group, NG). We collected possible factors including gender, history of smoking, alcohol, hypertension, heart disease, diabetes, body mass index, diagnose, and preoperative visual analog scale -neck, visual analog scale-arm, neck disability index (NDI) and Japanese Orthorpaedic Association, surgical duration, blood loss, f...
Source: Medicine - March 1, 2020 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

34: 3-Port laparoscopic supracervical hysterectomy without uterine manipulator using Harmonic ACE+ 7 device
The purpose of this video is to demonstrate a surgical technique of performing a 3 port laparoscopic supracervical hysterectomy using Harmonic Ace+ 7 device for the dissection including transection of uterus from the cervical stump without a uterine manipulator. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - February 28, 2020 Category: OBGYN Authors: Tariro Mupombwa Tags: Video Cafe Source Type: research

Ureter Dissection at Pelvic Surgery for Endometriosis.
Abstract The main objective of this paper by Wolf et al is to retrospectively evaluate if preservation of the mesureter within the context of total mesometrial resection for cervical cancer results in fewer ureteric complications (BJOG 2020 xxxx). They observe a 3% prevalence of ureteral complications versus 11% prevalence (P=0.049) if there was preservation of the mesureter. The main principles of this surgery is preservation of lateral ureteral blood supply during mobilization of the ureter. PMID: 32103621 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - February 27, 2020 Category: OBGYN Authors: Falcone T Tags: BJOG Source Type: research

Transient postsurgical gastroparesis is accompanied by reversible changes of the cervical vagus nerve's morphology after neck dissection - an ultrasound study.
Authors: Ozcaglayan O, Ersozlu T Abstract AIMS: During neck dissection (ND), the vagus nerve (VN) may be exposed to manipulation together with common carotid artery and internal jugular vein. The postsurgical gastroparesis was previous related to the VN injury. The aim of our study was to evaluate by ultrasound the VN changes in patients with unilateral and bilateral ND and to establish if there is a relationship between postoperative findings of VN and postsurgical gastroparesis. MATERIAL AND METHODS: Seventeen patients in which 30 ND (4 unilateral and 13 bilateral) were performed, were enrolled in the study. ...
Source: Medical Ultrasonography - February 26, 2020 Category: Radiology Tags: Med Ultrason Source Type: research

Exploration on sagittal alignment and clinical outcomes after consecutive three-level hybrid surgery and anterior cervical discectomy and fusion: a minimum of a 5-year follow-up
To compare sagittal alignment and clinical outcomes between three-level hybrid surgery (HS) and anterior cervical discectomy and fusion (ACDF) on cervical spondylotic myelopathy (CSM) over a 5-year follow-up. (Source: Journal of Orthopaedic Surgery and Research)
Source: Journal of Orthopaedic Surgery and Research - February 26, 2020 Category: Orthopaedics Authors: Shuai Xu, Yan Liang, Guanjie Yu, Zhenqi Zhu, Kaifeng Wang and Haiying Liu Tags: Research article Source Type: research

Non-invasive visualization of arterial stagnation in a dissected internal carotid artery
Recurrent cerebral infarctions associated with post-internal carotid artery dissection are a disabling complication of aortic dissection, which sometimes occur even without the progression of the aortic or internal carotid dissection [1]. Accurate assessment of the dynamics of cervical blood flow is essential for the detection of blood stagnation and the prevention of delayed recurrent infarctions with appropriate anticoagulant therapy. Complicated flow due to interconnections of dissected lumens is a substantial constraint to accurate blood flow assessment; however, catheter angiography of the dissected artery is contrain...
Source: Journal of the Neurological Sciences - February 24, 2020 Category: Neurology Authors: Tatsuo Mano, Takahiro Nakayama, Hironobu Endo, Keiko Bono, Ichiro Imafuku Tags: Letter to the Editor Source Type: research

Adapting surgical skills from robotic-assisted radical hysterectomy in cervical cancer to uterine transplantation: a look to an optimistic future!
We report our experience on nine cases that were completed prior to our French UTx robot-assisted trial. (Source: Journal of Robotic Surgery)
Source: Journal of Robotic Surgery - February 22, 2020 Category: Surgery Source Type: research

Platysma muscle additionally innervated by a variant anterior branch of the great auricular nerve: a case report.
Authors: Jovanovski T, Umek N, Kansky A, Cvetko E Abstract Damage to the great auricular nerve, with consequent clinical deficits, is a common surgical complication in facial aesthetic and in head and neck procedures such as parotidectomy, neck dissection, rhytidectomy and platysma flap operations. Hence, a thorough knowledge of nerve anatomy, particularly its potential variations, is critical in reducing the associated operative morbidity. Accordingly, we report an unusual variation of the anterior branch of the great auricular nerve noted in an 81-year-old female cadaver. The nerve was observed to course into the...
Source: Folia Morphologica - February 21, 2020 Category: Anatomy Tags: Folia Morphol (Warsz) Source Type: research

Cervical stand-alone PEEK cage versus anchored cage with screws in single-level anterior cervical discectomy and fusion: A prospective cohort study
Conclusions: For one-level ACDF, the anchored cage with screws has some advantage compared to the stand-alone PEEK cage in avoiding dysphagia and restoring disc space height and cervical lordosis. We suggest the anchored spacer may be a good substitute for the stand-alone cage in one-level ACDF. Level of Evidence: Level II (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - February 21, 2020 Category: Orthopaedics Tags: Original Research Source Type: research

Exploratory meta-analysis on dose-related efficacy and complications of rhBMP-2 in anterior cervical discectomy and fusion: 1,539,021 cases from 2003 to 2017 studies
Publication date: Available online 18 February 2020Source: Journal of Orthopaedic TranslationAuthor(s): Ya-Dan Wen, Wei-Min Jiang, Hui-Lin Yang, Jin-Hui ShiAbstractBackgroundAnterior cervical discectomy and fusion (ACDF), commonly using autogenous iliac bone graft, may be limited by donor site availability, donor site morbidity, lower fusion rate among specific patients and longer surgical time. Surgeons used rhBMP-2 as an alternative to fill these clinical needs. However, studies comparing ACDF with and without rhBMP-2 have reported conflicting results on efficacy and complications.PurposeTo evaluate efficacy and complica...
Source: Journal of Orthopaedic Translation - February 20, 2020 Category: Orthopaedics Source Type: research

Review on the Diagnosis and Treatment of Reversible Cerebral Vasoconstriction Syndrome in Children and Adolescents
Semin Neurol DOI: 10.1055/s-0040-1702942Reversible cerebral vasoconstriction syndrome (RCVS) is a clinical–radiologic diagnosis that affects children and adolescents, but it is much more frequently reported in adults. Clinically, patients present with severe and commonly recurrent thunderclap headaches. Typical precipitating triggers include vasoactive substances, serotonergic agents, and the postpartum period. There may be associated neurologic complications at presentation or in the weeks following, such as convexity subarachnoid hemorrhage, stroke, cerebral edema, cervical artery dissection (CeAD), and seizures. A...
Source: Seminars in Neurology - February 20, 2020 Category: Neurology Authors: Qubty, William Irwin, Samantha Lee Fox, Christine K. Tags: Review Article Source Type: research

Internal Carotid Artery Dissection Presenting as Partial Horner's Syndrome and Vertigo.
Authors: Teixeira JC, Jackson PJ Abstract Distinguishing between central and peripheral causes of vertigo can be challenging not only in an acute setting but also in chronic settings. A thorough review of systems and physical exam can assist providers in differentiating central versus peripheral etiologies and the need for urgent imaging. In this case, a 47-year-old man presented with vertigo, right-sided hearing loss, right-sided headache, and right-sided facial pain that began 4 weeks before while the patient was on a cruise ship. His physical exam findings were notable for anisocoria with right pupil 3.5 an...
Source: Military Medicine - February 17, 2020 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Cervical Total Disc Replacement and Heterotopic Ossification: A Review of Literature Outcomes and Biomechanics.
Authors: Hui N, Phan K, Kerferd J, Lee M, Mobbs RJ Abstract Anterior cervical discectomy and fusion (ACDF) immobilizes surgical segments and can lead to the development of adjacent segment degeneration and adjacent segment disease. Thus, cervical total disc replacement (CTDR) has been developed with the aim to preserve the biomechanics of spine. However, heterotopic ossification (HO), a complication following CTDR, can reduce the segmental range of motion (ROM) and defects the motion-preservation benefit of CTDR. The pathological process of HO in CTDR remains unknown. HO has been suggested to be a self-defense mech...
Source: Asian Spine Journal - February 15, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Emergency carotid artery revascularization using Casper-RX stent: A single-center experience.
CONCLUSION: This study supports the safety and efficacy of the Casper-RX stent in emergency endovascular carotid artery revascularization procedures. PMID: 32046548 [PubMed - as supplied by publisher] (Source: Interventional Neuroradiology)
Source: Interventional Neuroradiology - February 14, 2020 Category: Radiology Tags: Interv Neuroradiol Source Type: research

Standard Diffusion-Weighted Imaging in the Brain Can Detect Cervical Internal Carotid Artery Dissections [EXTRACRANIAL VASCULAR]
CONCLUSIONS: In our cohort, a standard DWI sequence performed on the brain at the acute phase of a stroke or for a clinical suspicion of dissection detected nearly 90% of cervical ICA dissections. (Source: American Journal of Neuroradiology)
Source: American Journal of Neuroradiology - February 12, 2020 Category: Radiology Authors: Adam, G., Darcourt, J., Roques, M., Ferrier, M., Gramada, R., Meluchova, Z., Patsoura, S., Viguier, A., Cognard, C., Larrue, V., Bonneville, F. Tags: EXTRACRANIAL VASCULAR Source Type: research

Short ‐term surgical complications after radical hysterectomy—A nationwide cohort study
ConclusionsShort ‐term surgical complications developed in 35% of the women after radical hysterectomy for early‐stage cervical cancer in the Netherlands, a nation with centralized surgical care. Comorbidities predict surgical complications, and open surgery is associated with excessive perioperative blood loss. (Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - February 11, 2020 Category: OBGYN Authors: Hans H. B. Wenzel, Roy F. P. M. Kruitwagen, Hans W. Nijman, Ruud L. M. Bekkers, Toon Gorp, Cornelis D. Kroon, Luc R. C. W. Lonkhuijzen, Leon F. A. G. Massuger, Ramon G. V. Smolders, Nienke E. Trommel, Refika Yigit, Ronald P. Zweemer, Maaike A. Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Surgical nodal management in hypopharyngeal and laryngeal cancer
ConclusionThe pre-therapeutic clinical evaluation of lymphatic outgrowth is over-staged. OS decreases with increasing LNR divided by the number of dissected lymph nodes. Renal insufficiency and anemia are significant negative factors, decreasing both OS and DFS. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - February 11, 2020 Category: ENT & OMF Source Type: research

Percutaneous cervical discectomy: retrospective comparison of two different techniques
ConclusionPCD and PCN were found to be safe and effective in terms of pain relief in contained cervical herniation treatment. (Source: La Radiologia Medica)
Source: La Radiologia Medica - February 10, 2020 Category: Radiology Source Type: research

Analyses of High-Risk Factors for Cervical Lymph Node Metastasis in Laryngeal Squamous Cell Carcinoma and Establishment of Nomogram Prediction Model.
Abstract Laryngeal squamous cell carcinoma (LSCC) is one of the most common laryngeal tumors, and its incidence is increasing yearly; however, whether lymph node dissection should be performed during surgery remains unclear. We retrospectively analyzed the clinical and pathological data of 246 cases of LSCC and developed a nomogram for the prediction of lymph node metastasis (LNM) of LSCC. The predictive performance and consistency of the model were evaluated using the consistency coefficient (C-index) and calibration curve, respectively. Among 246 cases of LSCC, 52 cases had metastasis with a positivity rate of 2...
Source: Ear, Nose and Throat Journal - February 10, 2020 Category: ENT & OMF Authors: Chen LY, Weng WB, Wang W, Chen JF Tags: Ear Nose Throat J Source Type: research

Preservation of the mesureter to reduce urinary complications: analysis of data from the observational Leipzig School MMR study.
CONCLUSION: The mesureter constitutes a convenient dissection plane enabling the preservation of lateral ureteral blood supply during TMMR. In our study, maintenance of mesureteral integrity was associated with a significant reduction in ureteral complications. Mesureteral preservation might also be useful in other types of pelvic surgeries with a high risk of ureteral damage. PMID: 32037645 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - February 9, 2020 Category: OBGYN Authors: Wolf B, Espig O, Stolzenburg JU, Horn LC, Aktas B, Höckel M Tags: BJOG Source Type: research

[Internal carotid artery dissection which mimicry trigeminal neuralgia and cluster headache].
Authors: Issı Z, Erkin Y, Öztürk V Abstract Cervical artery dissection is an acute arterial disease. Although it is not a common disease, 40-60% cerebral infarction and 20-30% transient ischemic attack could be seen. Thus, cervical artery dissection is important to recognize. Fifty-three years old female patient consulted with head, neck and face endaural pain that started after than spread directly left face half, effect of sometimes orbita and sometimes submaxillary area, occasionally accompanied by redness in the eye, extending from a few minutes to a few hours, it has been sharp and pulsatil characte...
Source: Agri Dergisi - February 8, 2020 Category: Anesthesiology Tags: Agri Source Type: research

Short ‐term surgical complications after radical hysterectomy—A nationwide cohort study
ConclusionsShort ‐term surgical complications developed in 35% of the women after radical hysterectomy for early‐stage cervical cancer in the Netherlands, a nation with centralized surgical care. Comorbidities predict surgical complications, and open surgery is associated with excessive perioperative blood loss. (Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - February 8, 2020 Category: OBGYN Authors: Hans H. B. Wenzel, Roy F. P. M. Kruitwagen, Hans W. Nijman, Ruud L. M. Bekkers, Toon Gorp, Cornelis D. Kroon, Luc R. C. W. Lonkhuijzen, Leon F. A. G. Massuger, Ramon G. V. Smolders, Nienke E. Trommel, Refika Yigit, Ronald P. Zweemer, Maaike A. Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Outcome of Treatment in Locally Advanced Upper Alveolar Carcinoma Extending to Infra-temporal Fossa
AbstractSquamous cell carcinoma of oral cavity has a high prevalence in our region. Upper alveolar cancers are uncommon but present with locally advanced disease extending to infra temporal fossa. The outcome of treatment in these tumors is poor. Surgery followed by adjuvant therapy is the mainstay of treatment. We are presenting a retrospective analysis of outcome of treatment in 20 patients with locally advanced (T4b) upper alveolar carcinoma treated by infra-structure maxillectomy with compartment resection of infra-temporal fossa and neck dissection followed by adjuvant radiotherapy or radiotherapy with chemotherapy. S...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 8, 2020 Category: ENT & OMF Source Type: research

Biomechanical Comparison of 1-Level Corpectomy and 2-Level Discectomy for Cervical Spondylotic Myelopathy: A Finite Element Analysis.
CONCLUSIONS Both ACDF and ACCF can provide satisfactory spinal stability. ACDF may be beneficial for subsidence resistance due to the lower stress peaks on the endplate. The ACCF may perform better in long-term stability and bone fusion owing to the lower stress peaks in the fixation system and bone-screw interfaces, and higher stress peaks in the bone graft. PMID: 32020914 [PubMed - in process] (Source: Medical Science Monitor)
Source: Medical Science Monitor - February 7, 2020 Category: Research Tags: Med Sci Monit Source Type: research

Randomized clinical trial on reduction of radiotherapy dose to the elective neck in head and neck squamous cell carcinoma; update of the long-term tumor outcome
Treatment of head and neck squamous cell carcinoma (HNSCC) includes management of the cervical lymph nodes by surgical neck dissection or by irradiation of the neck. In HNSCC treated with primary radiotherapy (RT) or chemoradiotherapy (CRT) with curative intent, the suspected or histological proven malignant nodes are treated together with the primary tumor up to a high total dose of RT such as an equivalent dose by 2  Gy fractions (EQD2) of 70 Gy. These macroscopic tumor volumes are delineated on dedicated imaging in treatment position and are encompassed within the gross tumor volume (GTV). (Source: Radiotherapy and Oncology)
Source: Radiotherapy and Oncology - February 7, 2020 Category: Radiology Authors: Deschuymer Sarah, Nevens Daan, Duprez Frederic, Daisne Jean-Fran çois, Dok Rüveyda, Laenen Annouschka, Voordeckers Mia, De Neve Wilfried, Nuyts Sandra Source Type: research

Use of an Internal Retractor for Percutaneous Full-Endoscopic Resection in Cervical Intervertebral Disc Herniation with a Posterior Approach.
Conclusions: This internal retractor allows for the secure resection herniated cervical intervertebral discs. PMID: 32008307 [PubMed - as supplied by publisher] (Source: Asian Spine Journal)
Source: Asian Spine Journal - February 6, 2020 Category: Orthopaedics Tags: Asian Spine J Source Type: research

Comparison of 2-year follow-up results of the hybrid surgery using Mobi-C combined with ROI-C and anterior cervical discectomy and fusion for the treatment of contiguous two-level cervical degenerative disc diseases
This study is aimed at comparing the clinical and radiological outcomes of treating contiguous two-level CDDD using Mobi-C and ROI-C combined in a hybrid surgery (HS) with anterior cervical discectomy and fusion (ACDF) using ROI-C. We reviewed ninety-one patients who underwent HS (n = 48) or ACDF (n = 43) surgery for symptomatic contiguous two-level CDDD.>2 years’ clinical and radiological outcomes were reviewed and evaluated retrospectively. At the last follow-up, significant improvement in the mean VAS, JOA, and NDI scores was found both in the HS and ACDF groups (p  0.05). The...
Source: Journal of Clinical Neuroscience - February 4, 2020 Category: Neuroscience Source Type: research

Sternothyroid receives a supplementary innervation separate to the ansa cervicalis: a case report of a variation
We report on an additional innervation to the sternothyroid that, to our knowledge, has not been previously described. During a cadaveric neck dissection, we found an aberrant nerve to the sternothyroid in addition to the normal innervation. The classical innervation to the sternothyroid is through the ansa cervicalis (C1-C3), and the sternothyroid muscle is important for depression of the thyroid cartilage that is involved with swallowing and speech. The cervical plexus is difficult and time consuming to elucidate in fixed cadavers, which limits knowledge of variations from this source. Branches of the plexus are delicate...
Source: British Journal of Oral and Maxillofacial Surgery - February 1, 2020 Category: ENT & OMF Source Type: research

Comparing the postoperative results of single-level anterior cervical discectomy and fusion, cervical disc prosthesis and minimal invasive posterior cervical disc surgery
. (Source: British Journal of Neurosurgery)
Source: British Journal of Neurosurgery - February 1, 2020 Category: Neurosurgery Authors: İdris Sertbaş Mete Karatay Source Type: research

Suspected allergy to titanium after anterior cervical discectomy and fusion using a Zero-P device: a case report
. (Source: British Journal of Neurosurgery)
Source: British Journal of Neurosurgery - February 1, 2020 Category: Neurosurgery Authors: Changgui Shi Yanhai Xi Bin Sun Hailong He Jiankun Wen Yushan Ruan Xiaojian Ye Source Type: research

Two surgical strategies for treating multilevel cervical spondylotic myelopathy combined with kyphotic deformity
This study compared the surgical outcomes of two surgical methods for treating multilevel cervical spondylotic myelopathy (MCSM) combined with cervical kyphotic deformity (CKD): (1) the ELTA method consisted of expansive open-door laminoplasty (EOLP) followed by three-segment anterior cervical discectomy fusion (ACDF), and (2) the LAPI method consisted of long-segment ACDF followed by long-level posterior instrumented fusion (PIF). Surgical treatment of CKD combined with MCSM remains challenging. Surgical considerations should include adequate spinal cord decompression and restoration of satisfactory cervical sagittal alig...
Source: Medicine - February 1, 2020 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research