Head & neck
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The purpose of this study was for us to present our findings on the prospectively audited impact of head and neck multidisciplinary team meetings on patient management. ⋯ Head and neck multidisciplinary team meetings changed management in almost a third of the cases.
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Review Meta Analysis Comparative Study
Concomitant chemoradiotherapy versus altered fractionation radiotherapy in the radiotherapeutic management of locoregionally advanced head and neck squamous cell carcinoma: An adjusted indirect comparison meta-analysis.
Treatment intensification by using chemoradiotherapy (CRT) or altered fractionation radiotherapy (RT) improves outcomes in locoregionally advanced head and neck squamous cell carcinoma (HNSCC). ⋯ Concomitant CRT and hyperfractionated RT are comparable to one another on indirect comparison in the radiotherapeutic management of locoregionally advanced HNSCC. Any form of acceleration (with or without total dose reduction) may not compensate fully for lack of chemotherapy.
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Randomized Controlled Trial Comparative Study
Pain and surgical outcomes with and without neck extension in standard open thyroidectomy: a prospective randomized trial.
The purpose of this study was to compare surgical outcomes between those patients who underwent open thyroidectomy with and without neck extension. ⋯ Compared to group I, pain on postoperative day 1 and at the first visit in group II were significantly less, but both groups had similar overall RLN injury rate.
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The threshold size required to detect lymphadenopathy via palpation has never been formally determined. The purpose of this study was to determine the threshold, sensitivity, and error of node palpation and how this changes with experience. ⋯ Experience is associated with decreased palpation threshold and error, and increased sensitivity. Educational interventions should target nodes <2 cm.