Head & neck
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Case Reports
Robot-assisted Sistrunk operation via a retroauricular approach for thyroglossal duct cyst.
Traditionally, simple excisions of midline neck masses were typically performed through an incision on the overlying skin causing displeasing cosmetic outcomes. From the recent demonstrations to overcome these disappointing aesthetic results from overt scars, we propose a novel approach to successfully remove lesions with satisfactory cosmetic outcomes from well-hidden scars. A detailed surgical technique is provided. ⋯ Surgical removal of midline neck mass (TGDC) via a retroauricular approach utilizing the robotic surgical system can be a technically feasible and safe treatment option with excellent cosmetic outcomes.
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Percutaneous thoracic duct embolization (TDE) is a safe, effective, and minimally invasive option for treating chylothorax. A recent report demonstrated the feasibility of ultrasound-guided intranodal lymphangiography as an alternative to pedal lymphangiography for visualization of the thoracic duct, promising relative technical ease and decreased procedure time for TDE. ⋯ Intranodal lymphangiography is a reliable, reproducible, and less technically challenging alternative to pedal lymphangiography.
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We report the outcome of sentinel node biopsy (SNB) for staging the neck in a consecutive cohort of 34 patients with T1/2 clinically N0 oral carcinoma. ⋯ Successful eradication of lymphatic metastasis noted in this study suggests that SNB may be a safe alternative to END for neck staging in patients with early oral carcinoma.
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The purpose of this study was to evaluate the pain levels associated with ultrasound-guided fine-needle aspiration biopsy (FNAB) of neck masses. ⋯ Ultrasound-guided FNAB of thyroid nodules was less painful than that of cervical lymphadenopathy. Most patients tolerated mild transient pain after the procedure without use of local anesthesia. Nevertheless, local anesthesia was necessary for the small subgroup of patients who experienced significant pain.