Head & neck
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Comparative Study
Adopting the operating microscope in thyroid surgery: safety, efficiency, and ergonomics.
Our aim was to assess the safety and efficiency of operating microscope use by surgeons in thyroid surgery to reduce static neck flexion. ⋯ The use of an operating microscope during thyroidectomy is safe with modest increases in surgical time.
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Case Reports
Synchronous papillary carcinoma in thyroglossal duct cyst and thyroid gland: case report and review of literature.
We report a rare case of synchronous occurrence of thyroglossal duct cyst carcinoma and thyroid carcinoma and discuss its management in detail. ⋯ Most cancers arising in thyroglossal duct cysts are of low risk, and Sistrunk's procedure is an adequate treatment for such cancers. However, for synchronously occurring cancers of the thyroglossal duct cyst and thyroid gland, or high-risk thyroglossal duct cyst cancers, more aggressive treatment comprising total thyroidectomy, Sistrunk's procedure, and radioiodine therapy is indicated.
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Our aim was to evaluate the feasibility and efficacy of intensity-modulated radiation therapy (IMRT) with simultaneous integrated boost (SIB) technique following neoadjuvant chemotherapy for locoregionally advanced nasopharyngeal cancer (NPC). ⋯ IMRT with SIB technique for locoregionally advanced NPC was feasible and effective regarding locoregional control and development of xerostomia, even after neoadjuvant chemotherapy. Definition of gross tumor volume by postchemotherapy extent of disease was also feasible.
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Comparative Study
Perception of head and neck cancer quality of life within the medical world: a multicultural study.
Physician's perception of quality of life of patients with cancer is unclear. No reports have evaluated its influence on patient management. ⋯ Quality of life is important for physicians and is considered as essential as survival by many physicians. The perception of patient's quality of life influences the treatment choice.
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The true involvement of the submandibular gland in primary oral cancer seems quite uncommon. ⋯ The patients with early-stage oral squamous cell carcinoma with preoperative N0 neck may be candidates for preservation of the submandibular gland.