Abstract:
PURPOSE OF REVIEW:The management of cervical lymph node metastases in nasopharyngeal carcinoma is important for a favourable outcome. The strategy of diagnosis and treatment for the lymph nodes on presentation and those that have recurred after initial therapy are different. This review presents the current concept. RECENT FINDINGS:The detection of the cervical lymph node metastases on presentation has improved with magnetic resonance imaging and positron emission tomography. The confirmation of the presence of malignancy is through fine needle aspiration cytology. For those lymph nodes that have recurred after concurrent radiotherapy and chemotherapy, the progression of the nodes detected through clinical examination and imaging studies indicates that salvage therapy is necessary. The surgical procedure of salvage is radical neck dissection, as pathological studies have shown that these lymph nodes exhibit extensive involvement of the neck tissue. Postoperative brachytherapy should be applied when the deep resection margins are close. SUMMARY:Identification of lymph node metastasis provides accurate staging of the disease and radical surgery should be performed for salvage.
journal_name
Curr Opin Otolaryngol Head Neck Surgauthors
Wei WI,Mok VWdoi
10.1097/MOO.0b013e3280148a06subject
Has Abstractpub_date
2007-04-01 00:00:00pages
99-102issue
2eissn
1068-9508issn
1531-6998pii
00020840-200704000-00009journal_volume
15pub_type
杂志文章,评审abstract:PURPOSE OF REVIEW:The purpose of this review is to go over the only therapy for olfactory loss supported by level 1a evidence that is currently available, which is olfactory training. This therapy is widely underutilized and has the potential to help many patients with olfactory dysfunction who are otherwise offered no...
journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
doi:10.1097/MOO.0000000000000328
更新日期:2017-02-01 00:00:00
abstract::Since the beginning of humanity, man has sought to define beauty. Whether by philosophy, mathematical constructs, social studies, or biology, the fascination with and the study of beauty has consumed our emotions and intellect. Many myths about this powerful force in our daily lives have been created, and some continu...
journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
doi:10.1097/00020840-200308000-00014
更新日期:2003-08-01 00:00:00
abstract:PURPOSE OF REVIEW:The increasing magnet strengths used for MRI scanning combined with a greater number and variety of otologic prostheses can lead to possible safety issues. This review examines the specific issues and the conclusions of 33 referenced studies examining those issues. RECENT FINDINGS:Variability of inte...
journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
doi:10.1097/MOO.0b013e328270b8b4
更新日期:2007-10-01 00:00:00
abstract:PURPOSE OF REVIEW:The goal of cancer screening is to detect tumor at an early stage, and early cancer detection is the hallmark of successful treatment. In addition to traditional tissue biopsy-based diagnostics, more reliable, inexpensive, and noninvasive methods are required for early diagnosis of cancer. In this rev...
journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
doi:10.1097/MOO.0000000000000502
更新日期:2019-04-01 00:00:00
abstract:PURPOSE OF REVIEW:Thin caliber transnasal esophagoscopes allow for a rapidly expanding array of office-based esophageal procedures, including botulinum toxin injections, in unsedated patients. RECENT FINDINGS:While botulinum toxin has been used in the esophagus and lower esophageal sphincter for many years, there is n...
journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
doi:10.1097/MOO.0b013e3282f1bf39
更新日期:2007-12-01 00:00:00
abstract:PURPOSE OF REVIEW:Surgical approaches to the upper facial skeleton comprise the coronal, lower eyelid and midface degloving approaches. These are routinely employed in both ablative and reconstructive craniofacial procedures. The ability to perform them in a well tolerated and predictable manner is predicated on knowle...
journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
doi:10.1097/MOO.0b013e328347f895
更新日期:2011-08-01 00:00:00
abstract:PURPOSE OF REVIEW:This article reviews literature pertaining to advances in the reconstruction of segmental mandibular defects in the context of an established standard of care, microvascular transfer of free osteocutaneous flaps. RECENT FINDINGS:Most literature reiterates established reconstructive techniques. Except...
journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
doi:10.1097/MOO.0b013e328355d0f3
更新日期:2012-08-01 00:00:00
abstract:PURPOSE OF REVIEW:Surgical robotics arose as an extension of virtual reality and robotic technology developed by the United States Department of Defense. Current surgical robotic systems have been used to perform a variety of minimally invasive surgical procedures. RECENT FINDINGS:The Food and Drug Administration rece...
journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
doi:10.1097/01.moo.0000122309.13359.af
更新日期:2004-06-01 00:00:00
abstract:PURPOSE OF REVIEW:To review journal articles discussing surgery for velopharyngeal dysfunction over the past year. All articles ascertained by a PubMed search relevant to this topic were reviewed. RECENT FINDINGS:Articles evaluated from the past year discussed the variations, effectiveness, and feasibility of multiple...
journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
doi:10.1097/MOO.0000000000000063
更新日期:2014-08-01 00:00:00
abstract:PURPOSE OF REVIEW:Bisphosphonates are used for the management of metastatic bone disease, prevention and treatment of osteoporosis and Paget's disease of bone. An increasing number of reports have associated the use of bisphosphonates with the occurrence of osteoradionecrosis of the jaw. The purpose of this review is t...
journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
doi:10.1097/MOO.0b013e328304b445
更新日期:2008-08-01 00:00:00
abstract:PURPOSE OF REVIEW:This article reviews the anatomy and function of the midface, defect classifications and the breadth of common and novel reconstructive techniques including medical modeling, dental splints, and dental rehabilitation. RECENT FINDINGS:Historically many classification systems for midface and maxillary ...
journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
doi:10.1097/MOO.0000000000000396
更新日期:2017-10-01 00:00:00
abstract:PURPOSE OF REVIEW:Endoscopic sinus surgery became the gold standard in inflammatory disorders of the nose and paranasal sinuses, in cerebrospinal fluid leak and epistaxis management, and established its efficacy in the oncology of the region. However, there are certain limitations which make an external approach mandat...
journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
doi:10.1097/MOO.0000000000000219
更新日期:2016-02-01 00:00:00
abstract:PURPOSE OF REVIEW:To review the recent literature describing the association between chronic rhinosinusitis and its effects on sleep quality. RECENT FINDINGS:Chronic rhinosinusitis (CRS) causes significantly worse sleep by both subjective and objective measures. CRS is also strongly associated with obstructive sleep a...
journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
doi:10.1097/MOO.0000000000000600
更新日期:2020-02-01 00:00:00
abstract:PURPOSE OF REVIEW:Recurrent respiratory papillomatosis (RRP) is the most common as well as the costliest benign airway neoplasm in the United States [Ivancic et al. (2018). Laryngoscope Investig Otolaryngol 3:22; Derkay (1995). Arch Otolaryngol Head Neck Surg 121:1386]. In addition, it is potentially deadly, with risk ...
journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
doi:10.1097/MOO.0000000000000490
更新日期:2018-12-01 00:00:00
abstract:PURPOSE OF REVIEW:The purpose of this review is to evaluate medical malpractice involving patients with head and neck cancer. In the United States, problems associated with the medical malpractice environment are reaching proportions that threaten the delivery of health care. RECENT FINDINGS:Several methods to learn m...
journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
doi:10.1097/00020840-200404000-00003
更新日期:2004-04-01 00:00:00
abstract:PURPOSE OF REVIEW:This article reviews literature on the facial reanimation technique, from direct facial nerve repair and grafting to neuromuscular-free transplantation. The discussion will focus on the indications of the different approaches based on timing of the facial palsy and on patient's features. RECENT FINDI...
journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
doi:10.1097/MOO.0b013e32834fa744
更新日期:2012-04-01 00:00:00
abstract:PURPOSE OF REVIEW:Chronic rhinosinusitis is a common illness for which systemic antibiotics are frequently prescribed, although high-level evidence for this practice is largely lacking. We review the available literature addressing the proper role of oral antibiotics in the treatment of chronic rhinosinusitis. RECENT ...
journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
doi:10.1097/MOO.0b013e32835ac625
更新日期:2013-02-01 00:00:00
abstract::The presence of cervical lymph node metastasis remains the most significant prognostic indicator of survival and disease recurrence in patients with squamous cell carcinoma of the head and neck. An approximately 50% reduction in 5-year survival rate is seen with the development of lymph node metastasis in patients wit...
journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
doi:10.1097/00020840-200304000-00010
更新日期:2003-04-01 00:00:00
abstract:PURPOSE OF REVIEW:This article considers current evidence pertaining to good practice in joint paediatric speech and language therapy (SLT) and ear, nose and throat (ENT) assessment and management in the general hospital clinic. Because of space limitations, this review excludes those cases that are typically referred ...
journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
doi:10.1097/MOO.0000000000000057
更新日期:2014-06-01 00:00:00
abstract:PURPOSE OF REVIEW:The purpose of this review is to highlight recent literature related to the initial management and reconstruction of blast injuries to the head and neck. RECENT FINDINGS:An increasing percentage of combat-related injuries are caused by blast trauma. Management of blast trauma over the last 10 years h...
journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
doi:10.1097/MOO.0000000000000285
更新日期:2016-10-01 00:00:00
abstract:PURPOSE OF REVIEW:The current article reviews the literature on the distribution of nasal irrigation in the treatment of chronic sinusitis, especially in how sinus surgery and irrigation techniques affect its delivery to the nasal cavity and paranasal sinuses. RECENT FINDINGS:Nasal irrigation has become a useful tool ...
journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
doi:10.1097/MOO.0000000000000429
更新日期:2018-02-01 00:00:00
abstract:PURPOSE OF REVIEW:Facial paralysis often has a significant emotional impact on patients. Along with the myriad of new surgical techniques in managing facial paralysis comes the challenge of selecting the most effective procedure for the patient. This review delineates common surgical techniques and reviews state-of-the...
journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
doi:10.1097/01.moo.0000233594.84175.a0
更新日期:2006-08-01 00:00:00
abstract:PURPOSE OF REVIEW:Distraction osteogenesis is finding increasing application in the management of mandibular defects. It provides an alternative method of mandibular reconstruction in varied clinical settings, notably following trauma and ablation of malignant tumors. Many recent studies have explored modifications in ...
journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
doi:10.1097/MOO.0b013e3282495925
更新日期:2007-08-01 00:00:00
abstract:PURPOSE OF REVIEW:To describe the incidence, risk factors, prevention, and management of hypothyroidism among patients treated with radiation and other modalities for head and neck cancers. RECENT FINDINGS:Hypothyroidism may occur in up to 48% of patients treated for head and neck malignancies. It has been observed af...
journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
doi:10.1097/moo.0b013e328325a538
更新日期:2009-04-01 00:00:00
abstract:PURPOSE OF REVIEW:To review treatment options for sinonasal polyps, focusing on the role of steroids and, specifically, intrapolyp steroid injection. History of steroid injections, comparison to other medical and surgical treatments, as well as the risks and safety of injections are all discussed. RECENT FINDINGS:A pa...
journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
doi:10.1097/MOO.0b013e3282f1c7d0
更新日期:2008-02-01 00:00:00
abstract:PURPOSE OF REVIEW:This article reviews the submental island flap, focusing on its relevant surgical anatomy, surgical technique, and recent applications in head and neck reconstruction. RECENT FINDINGS:Reconstruction of defects after extirpation of head and neck neoplasms is a highly challenging and complex surgical u...
journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
doi:10.1097/MOO.0b013e32832cee83
更新日期:2009-08-01 00:00:00
abstract:PURPOSE OF REVIEW:Globus pharyngeus is a common condition of unknown cause, with no 'current opinion' on the optimum investigation and treatment. As such, the scope of this article is to review the current literature and to describe, from an Irish perspective, the current best practice on the management of globus. REC...
journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章
doi:10.1097/MOO.0b013e3283169258
更新日期:2008-12-01 00:00:00
abstract:PURPOSE OF REVIEW:Medical error is a common problem, and its human cost in terms of disability, suffering, and death is stunning. Steps toward reducing medical error will require the identification of mistake-prone practices within a complex health care system. Erroneous pathologic diagnosis has been identified as one ...
journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
doi:10.1097/01.moo.0000156162.20789.66
更新日期:2005-04-01 00:00:00
abstract:PURPOSE OF REVIEW:To discuss the role of vitamin D in asthma, allergic rhinitis, and chronic rhinosinusitis (CRS). RECENT FINDINGS:Over the last several years, the role of vitamin D in immunomodulation has been studied and shown to have a significant impact on immune function. A causal relationship exists between vita...
journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
doi:10.1097/MOO.0b013e3283465687
更新日期:2011-06-01 00:00:00
abstract:PURPOSE OF REVIEW:Merkel cell carcinoma (MCC) is a rare, aggressive malignancy. Worldwide incidence is increasing and roughly 50% of patients present with a primary lesion in the head and neck. This article discusses recent advances and treatment recommendations. RECENT FINDINGS:Recent research has focused on the carc...
journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
doi:10.1097/MOO.0000000000000029
更新日期:2014-04-01 00:00:00