The Difficult Secondary Tracheoesophageal Puncture: A Technique for Safe Insertion
Conclusions: In patients with anatomical constraints preventing traditional TEP placement through rigid esophagoscopy, fiberoptic guidance through an endotracheal tube stent provides a safe and efficient approach for TEP placement.ORL 2019;81:10 –15 (Source: ORL)
Source: ORL - November 28, 2018 Category: ENT & OMF Source Type: research
Cluster Analysis of Chronic Rhinosinusitis Suggests Gender-Based Differences
Conclusion: Long-term patient satisfaction is significantly associated with the subjective symptom severity prior to treatment, i.e., postnasal drip and overall disease severity (SNOT-22 score), but not with the objective severity of the disease (CT score and inflammation).ORL 2019;81:1 –9 (Source: ORL)
Source: ORL - November 20, 2018 Category: ENT & OMF Source Type: research
Transoral Robotic Surgery and the Unknown Primary
Carcinoma of unknown primary (CUP) comprises approximately 1% –5% of all head and neck malignancies. Primary site detection rates for metastatic cervical squamous cell carcinoma (SCC) remain variable, with current diagnostic imaging unable to identify all tumours. Prevailing evidence suggests that most head and neck CUP are located in the oropharynx. Diagnos tic surgical efforts have been directed at sampling the entire oropharynx. Present techniques that make this possible include transoral robotic surgery (TORS). TORS Lingual tonsillectomy or tongue base mucosectomy performed in the setting of head and neck CUP increas...
Source: ORL - November 12, 2018 Category: ENT & OMF Source Type: research
Transoral Robotic Surgery Total Laryngectomy
Conclusion: TORS-SL for SCC was performed in a safe, reliable, and smooth manner and was shown to be successful in treating our patients. We thus believe that our step-by-step surgical technique for TORS-SL is efficient and reproducible.ORL 2018;80:171 –177 (Source: ORL)
Source: ORL - November 7, 2018 Category: ENT & OMF Source Type: research
Robot-Assisted Reconstruction in Head and Neck Surgical Oncology: The Evolving Role of the Reconstructive Microsurgeon
Transoral robotic surgery (TORS) is gaining more widespread use among head and neck surgical procedures. As experience grows with this technique, so do the indications of when and in which patients it can be used. Already established in the treatment of small oral cavity tumours, it is expanding into larger multi-site resections and resections, such as through-and-through-into-the-neck defects, that will require reconstruction. With robot-assisted surgery advancing, so robot-assisted reconstruction (RAR) is evolving. In this paper, we discuss the evolving role of reconstruction in post-TORS defects as well as the role of R...
Source: ORL - November 7, 2018 Category: ENT & OMF Source Type: research
Next-Generation Robotic Head and Neck Surgery
Following the inception of transoral robotic surgery (TORS) in 2005, the field of robotic head and neck surgery has undergone refinement and innovation. Optimizing patient outcome, preserving function, and limiting morbidity are the key drivers. The next leap forward is another generation of flexible robotic surgical systems. Several such systems are under clinical and preclinical evaluation. A new single-port (Sp) robotic surgical architecture is now available integrating three fully articulating instruments and a flexible three-dimensional high-definition camera delivered through a 25-mm cannula. Preclinical feasibility ...
Source: ORL - November 7, 2018 Category: ENT & OMF Source Type: research
Sialendoscopy for Definitive Management of a Submandibular Abscess following Radiotherapy for Oropharyngeal Squamous Cell Carcinoma
Conclusion: Sialendoscopy should thus, in select patients, be considered as an initial intervention for patients with intraparenchymal salivary gland abscesses in which prior therapy creates an increased risk of complication from an open transcervical approach.ORL (Source: ORL)
Source: ORL - October 31, 2018 Category: ENT & OMF Source Type: research
Combined Growth Factor and Gene Therapy: An Approach for Hair Cell Regeneration and Hearing Recovery
Conclusion: Combining several techniques with a synergic effect (such as growth factor gene therapy and 3D environments) seemed to lead to obtaining the best results as a therapeutic strategy.ORL (Source: ORL)
Source: ORL - October 25, 2018 Category: ENT & OMF Source Type: research
Arterial Blood Supply of the Nose: An Angiographic Study
Conclusion: Angiographic study of the nose is a very helpful tool for accurate knowledge of anatomical variations of the arteries with a tremendous effect on our surgical approaches and techniques for the management of different diseases in the nasal region, especially intractable posterior epistaxis.ORL (Source: ORL)
Source: ORL - October 18, 2018 Category: ENT & OMF Source Type: research
Nasal Symptom Questionnaire: Our Proposed Scoring System and Prognostic Factors in Chronic Rhinosinusitis
Conclusion: Our proposed NSQ scoring system was well verified. The CT score can be helpful for predicting the improvement in nasal symptoms after ESS in CRS patients.ORL (Source: ORL)
Source: ORL - October 11, 2018 Category: ENT & OMF Source Type: research
Extension of the Clinical Significance of the “Cog”
Conclusion: Based on endoscopic anatomy and the temporal bone spiral CT 3-D structure reconstruction of the epitympanum, the attic, and the adjacent structures, we found an extension of the clinical significance the cog. Quantification of the adjacent anatomical relationship of this landmark is very important for otology microsurgical operation.ORL (Source: ORL)
Source: ORL - October 10, 2018 Category: ENT & OMF Source Type: research
Preoperative Serum Thyroglobulin Level as a Useful Predictive Marker to Differentiate Thyroid Cancer
Conclusion: The prevalence of differentiated thyroid carcinoma was higher among patients with a preoperative serum Tg value #x3e; 188.5 ng/mL, and this may thus be used as a marker for the diagnosis of this malignancy.ORL (Source: ORL)
Source: ORL - October 5, 2018 Category: ENT & OMF Source Type: research
Anaesthesia and Perioperative Care for Transoral Robotic Surgery
Minimally invasive surgical techniques have gained increasing interest in recent years for their conferred recovery and postoperative advantages. Robot-assisted surgery requires special consideration for anaesthetic and perioperative management. The introduction of robot- assisted intra-oral surgery has important implications on anaesthesia provision, airway management and patient safety. Due to its relatively novel use we explore these considerations alongside our own experience in this field.ORL 2018;80:125 –133 (Source: ORL)
Source: ORL - October 5, 2018 Category: ENT & OMF Source Type: research
The Telomerase and Alternative Lengthening of Telomeres Mechanisms Regulate Laryngeal Cancer Cell Apoptosis via the PI3K/Akt Pathway
Conclusions: The inhibition of telomere-related genes inhibited the growth of laryngeal squamous cell carcinoma by promoting cell apoptosis via the PI3K/Akt pathway.ORL (Source: ORL)
Source: ORL - September 17, 2018 Category: ENT & OMF Source Type: research
Conservative Treatment versus Surgery for Laryngeal Contact Granuloma: A Prospective Study
Conclusions: This prospective study strengthens the argument for conservative treatment (instead of surgery) as the first choice for laryngeal contact granuloma. The results also suggest that voice abuse, alcohol consumption, and the size of the granuloma may predict treatment outcome.ORL (Source: ORL)
Source: ORL - September 11, 2018 Category: ENT & OMF Source Type: research
