Abstract:
PURPOSE OF REVIEW:To describe and popularize the transmanubrial osteomuscular-sparing approach (TOSA) outside its original thoracic surgical field of application, based on the consideration that it could be of interest for the management of a number of head and neck cases in both elective and emergent scenarios. RECENT FINDINGS:The main advantages of TOSA compared with transclavicular techniques are its superb exposure of anatomic structures located at the level of the cervicothoracic junction, and superior postoperative aesthetic and functional outcomes. Recently, a number of studies have described the association of TOSA with other minimally invasive approaches, such as video-assisted thoracoscopic surgery and robotic hybrid approaches, with the aim of avoiding association of the transmanubrial route with anterior/posterior thoracotomies, or more extended surgeries, such as the trapdoor or hemiclamshell procedures. SUMMARY:TOSA, even though originally conceived to reduce the morbidity ensuing from classic transclavicular approaches for management of Pancoast tumors, may well play an important role in a number of head and neck surgical conditions, including those related to mediastinal goiter and thyroid cancer, management of stenosis and lesions of the thoracic trachea and esophagus, treatment of the junction between innominate, internal jugular, and subclavian veins, epiaortic arteries, thoracic duct, brachial plexus, and low sympathetic chain. Whenever comprehensive control of vascular and nonvascular structures of the upper mediastinal inlet is required, TOSA should be planned and performed by combining the expertise of cooperating professionals.
journal_name
Curr Opin Otolaryngol Head Neck Surgauthors
Piazza C,Duranti L,Giannini Ldoi
10.1097/MOO.0000000000000605subject
Has Abstractpub_date
2020-04-01 00:00:00pages
61-67issue
2eissn
1068-9508issn
1531-6998journal_volume
28pub_type
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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.0000000000000502
更新日期:2019-04-01 00:00:00
abstract:PURPOSE OF REVIEW:This study is aimed towards clinicians involved in the rapidly developing field of hair restoration. We provide a review of recent literature on this topic. RECENT FINDINGS:Recent studies discussed in this article focus on various aspects of follicular unit transplant surgery, including hairline desi...
journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
doi:10.1097/MOO.0b013e32832da13b
更新日期:2009-08-01 00:00:00
abstract:PURPOSE OF REVIEW:Bone anchored hearing aids are an acceptable and now widely available form of aural rehabilitation for both adults and children. Their benefit from both audiological and quality of life perspectives has been very successful to date. The paediatric population presents a variety of challenges to those c...
journal_title:Current opinion in otolaryngology & head and neck surgery
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abstract:PURPOSE OF REVIEW:This article will examine recent publications on the endoscopic management of juvenile nasopharyngeal angiofibromas. RECENT FINDINGS:The use of an endoscopic approach to resect small juvenile nasopharyngeal angiofibromas is supported by excellent results from a number of operative series published in...
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:2006-02-01 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
doi:10.1097/MOO.0000000000000488
更新日期:2018-12-01 00:00:00
abstract:PURPOSE OF REVIEW:To review the indications for Mohs micrographic surgery in skin cancer particularly with relationship to tumours of the head and neck and any recent developments which may influence those indications in the near future. RECENT FINDINGS:There is increasing evidence to support the use of Mohs micrograp...
journal_title:Current opinion in otolaryngology & head and neck surgery
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更新日期:2010-08-01 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:2010-10-01 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:2009-04-01 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.0000000000000067
更新日期:2014-08-01 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
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更新日期:2009-04-01 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.0b013e328011bc76
更新日期:2007-02-01 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
doi:10.1097/MOO.0000000000000550
更新日期:2019-08-01 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:10.1097/00020840-200302000-00008
更新日期:2003-02-01 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:2009-02-01 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
doi:10.1097/MOO.0b013e32834c1e4f
更新日期:2011-12-01 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:2014-02-01 00:00:00
abstract:PURPOSE OF REVIEW:Laryngopharyngeal reflux is a widely recognized disorder. Yet, decades after its initial description, debate persists regarding pathophysiology, diagnosis, and treatment. This review addresses current literature on laryngopharyngeal reflux and identifies areas of controversy and future opportunities f...
journal_title:Current opinion in otolaryngology & head and neck surgery
pub_type: 杂志文章,评审
doi:10.1097/MOO.0b013e32832b2581
更新日期:2009-06-01 00:00:00
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journal_title:Current opinion in otolaryngology & head and neck surgery
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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:2007-08-01 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:2003-08-01 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:2017-12-01 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:2008-06-01 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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更新日期:2005-08-01 00:00:00
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更新日期:2018-08-01 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.0b013e3283627600
更新日期:2013-08-01 00:00:00