Abstract:
PURPOSE OF REVIEW:Microvascular reconstruction for head and neck cancers has improved both cosmesis and functionality of patients undergoing treatment. Many patients have had prior surgery (neck dissection), radiation and/or chemotherapy as part of their management. When microvascular reconstruction is required after previous treatment, finding appropriate vessels for anastomosis can be difficult. In this paper we explore the options for microvascular reconstruction in the vessel-depleted neck. RECENT FINDINGS:Arterial options that exist when the neck is depleted of vessels include the superficial temporal, transverse cervical, thoracoacromial, and the internal mammary artery. Venous options include the cephalic vein and vein grafts. SUMMARY:The external carotid artery and the internal jugular vein are the most commonly utilized vessels in microvascular reconstruction when available. However, prior chemotherapy and/or radiation can cause significant scarring and damage to these vessels. Also in patients who have had previous surgery, these vessels can be resected or altered in a way that they are deemed unusable. In these situations several vascular options exist outside the neck.
journal_name
Curr Opin Otolaryngol Head Neck Surgauthors
Wong KK,Higgins KM,Enepekides DJdoi
10.1097/MOO.0b013e32833a2e50subject
Has Abstractpub_date
2010-08-01 00:00:00pages
223-6issue
4eissn
1068-9508issn
1531-6998journal_volume
18pub_type
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journal_title:Current opinion in otolaryngology & head and neck surgery
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doi:10.1097/01.moo.0000193189.17225.91
更新日期:2006-06-01 00:00:00
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journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
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journal_title:Current opinion in otolaryngology & head and neck surgery
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更新日期:2005-04-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2016-08-01 00:00:00
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journal_title:Current opinion in otolaryngology & head and neck surgery
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更新日期:2008-06-01 00:00:00
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journal_title:Current opinion in otolaryngology & head and neck surgery
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更新日期:2012-04-01 00:00:00
abstract:PURPOSE OF REVIEW:Insulin-like growth factor 1 (IGF-1) is a hormone necessary for the development, growth, and maintenance of various organs, and has been used as a therapeutic agent in clinical settings. This review aimed to illustrate its role in the auditory systems and its potential use as a therapeutic in the fiel...
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更新日期:2020-10-01 00:00:00
abstract:PURPOSE OF REVIEW:This article describes the most recent comparative cost evaluations for subcutaneous (SCIT) and sublingual (SLIT) immunotherapy. RECENT FINDINGS:Only one recent article compares the costs of SCIT and SLIT in America. No American publications assess direct and indirect costs together. Few studies outs...
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更新日期:2015-06-01 00:00:00
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更新日期:2016-04-01 00:00:00
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journal_title:Current opinion in otolaryngology & head and neck surgery
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更新日期:2013-12-01 00:00:00
abstract:PURPOSE OF REVIEW:Recent advances in the understanding of the biological basis for thyroid cancer have identified molecular changes in thyroid cancer cells. These changes form the basis for targeted therapies, which have been investigated with some success in patients with advanced, inoperable thyroid cancers and are t...
journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
doi:10.1097/MOO.0b013e32835aa2c2
更新日期:2013-04-01 00:00:00
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journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
doi:10.1097/MOO.0b013e32830f4ab5
更新日期:2008-10-01 00:00:00
abstract:PURPOSE OF REVIEW:This article aims to review previous research reports and to summarize current strategies for the optimal duration of voice rest and the effect of phonatory stimulation after phonomicrosurgery. RECENT FINDINGS:Voice rest is commonly recommended after laryngeal surgery to prevent worsening of vocal fo...
journal_title:Current opinion in otolaryngology & head and neck surgery
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更新日期:2017-12-01 00:00:00
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更新日期:2017-04-01 00:00:00
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更新日期:2016-06-01 00:00:00
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更新日期:2014-02-01 00:00:00
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pub_type: 杂志文章,评审
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journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
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更新日期:2009-08-01 00:00:00
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更新日期:2016-02-01 00:00:00
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journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
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更新日期:2013-08-01 00:00:00