Archives of otolaryngology--head & neck surgery
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Arch. Otolaryngol. Head Neck Surg. · Jan 2010
Effect of a novel anatomically shaped endotracheal tube on intubation-related injury.
To develop an anatomically shaped endotracheal tube (ETT) and to compare the degree of induced laryngeal injury of this ETT with that of a standard ETT using an animal model. ⋯ The modified ETT objectively caused less laryngotracheal damage compared with the standard ETT and may be of potential clinical benefit.
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Arch. Otolaryngol. Head Neck Surg. · Dec 2009
Endoscopic resection of sinonasal cancers with and without craniotomy: oncologic results.
To evaluate the oncologic outcomes of patients with sinonasal cancer treated with endoscopic resection. ⋯ To the best of our knowledge, this is the largest US series to date of patients with malignant tumors of the sinonasal tract treated with endoscopic resection. Our results suggest that, in well-selected patients and with appropriate use of adjuvant therapy, endoscopic resection of sinonasal cancer results in acceptable oncologic outcomes.
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Arch. Otolaryngol. Head Neck Surg. · Dec 2009
Oropharyngeal cancer: a case for single modality treatment with transoral laser microsurgery.
To demonstrate the role of transoral laser microsurgery (TLM) in the treatment of oropharyngeal cancer. ⋯ Transoral laser microsurgery alone with or without neck dissection is an effective approach for select T1 to T3, N0, or N1 oropharyngeal cancer. Low levels of morbidity, short treatment duration, and excellent disease control make it an attractive therapeutic strategy. The treatment option of endoscopic-assisted laser microsurgery should be discussed by the multidisciplinary team for patients presenting with tumors suitable for this approach.
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Arch. Otolaryngol. Head Neck Surg. · Nov 2009
Comparative StudyCentral neck dissection for papillary thyroid cancer.
To examine the role of central neck dissection (CND) in patients with papillary thyroid cancer (PTC). ⋯ After total thyroidectomy and CND, recurrence in the central neck is uncommon, but hypocalcemia is more common, raising questions about the use of routine CND in patients with PTC.
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Arch. Otolaryngol. Head Neck Surg. · Nov 2009
Comparative StudyMinimally invasive parathyroidectomy: use of intraoperative parathyroid hormone assays after 2 preoperative localization studies.
To review minimally invasive parathyroidectomy (MIP) in patients undergoing initial surgical management of primary hyperparathyroidism (HPT) with preoperative, localizing sestamibi scanning (MIBI), and concordant ultrasonography (US) to determine if intraoperative parathyroid hormone (iPTH) is necessary in these cases. Minimally invasive parathyroidectomy has become an acceptable therapeutic option in treating primary HPT. Preoperative MIBI scanning, high-resolution US with color Doppler flow, and iPTH monitoring have refined this technique. ⋯ Our results show that iPTH monitoring may be eliminated in MIP surgery in a carefully selected group of patients who have preoperative, localizing MIBI with concordant US. This potentially allows an increase in operating room efficiency and a decrease in costs while performing MIP.