Nathan Arnaldo Roble Alves, Aloysio Enck Neto, Franthieska Lily Rodrigues Gründmann, K. Foltz, Lucas Spina
A 46-year-old female presented with dyspnea, dysphagia, and throat irritation with a diagnosis of tracheal metastasis resulting from a previously resected lung adenocarcinoma. Upper airway metastasis has a poor prognosis and is rarely observed. The clinical presentation manifests with cough and hemoptysis in most cases. Treatment includes surgical metastatic removal associated with combined radiotherapy and chemotherapy
{"title":"Tracheal metastasis of lung adenocarcinoma","authors":"Nathan Arnaldo Roble Alves, Aloysio Enck Neto, Franthieska Lily Rodrigues Gründmann, K. Foltz, Lucas Spina","doi":"10.4322/ahns.2022.0014","DOIUrl":"https://doi.org/10.4322/ahns.2022.0014","url":null,"abstract":"A 46-year-old female presented with dyspnea, dysphagia, and throat irritation with a diagnosis of tracheal metastasis resulting from a previously resected lung adenocarcinoma. Upper airway metastasis has a poor prognosis and is rarely observed. The clinical presentation manifests with cough and hemoptysis in most cases. Treatment includes surgical metastatic removal associated with combined radiotherapy and chemotherapy","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76759450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ana Cecilia C. Almeida de Moura, Fátima C. Mendes de Matos
COVID-19 has brought a number of diseases secondary to viral infection, and there have been several reports on clinical manifestations related to vaccination. One of the effects reported in the literature, either related to the disease or to the vaccines, is the occurrence of cervical lymphadenopathy, which can result in a misleading differential diagnosis of malignant neoplasms. It is important that the specialist be aware of this differential diagnosis for an accurate management of cases.
{"title":"COVID-19 and cervical lymphadenopathy","authors":"Ana Cecilia C. Almeida de Moura, Fátima C. Mendes de Matos","doi":"10.4322/ahns.2022.0003","DOIUrl":"https://doi.org/10.4322/ahns.2022.0003","url":null,"abstract":"COVID-19 has brought a number of diseases secondary to viral infection, and there have been several reports on clinical manifestations related to vaccination. One of the effects reported in the literature, either related to the disease or to the vaccines, is the occurrence of cervical lymphadenopathy, which can result in a misleading differential diagnosis of malignant neoplasms. It is important that the specialist be aware of this differential diagnosis for an accurate management of cases.","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83792899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sara de Souza Bettioli, A. Graciano, Ana Lavratti Borga, C. Fischer
Introduction: Oral cavity cancer (OCC) is one of the 10 most common types of tumors in the world. Surgical resection is the most indicated initial treatment, followed by adjuvant therapy, depending on tumor stage. A few studies have suggested that patients treated in high-volume hospitals present better oncologic outcomes; however, particularly in continental countries, some patients are treated in regional hospitals. Objective: To evaluate the results of OCC patients treated in low-volume regional hospitals. Methods: This is a retrospective longitudinal study conducted with patients diagnosed with OCC and operated on in a low-volume hospital between January 2003 and December 2018. Results: 174 patients with OCC were treated at the institution - an average of 11 patients/year. The most common tumor location was the tongue (48.2%), followed by the lip (18.2%). Squamous cell carcinomas were the most frequent (94.7% of patients). Adjuvant radiotherapy and chemotherapy were performed in 46.7 and 31.9% of patients, respectively. Almost 21% of patients had some postoperative complication. Specific survival of 62.6% and global survival of 58.2% after 3 years were similar to the results reported in high-volume centers. Disease-free survival was 45.8% in the same period. Conclusion: Low-volume hospitals qualified for oncological treatments can present outcomes similar to those of high-volume centers, and are thus a regional option for patients with OCC.
{"title":"Evaluation of oncological outcomes in patients with oral cavity cancer treated in a lowvolume hospital","authors":"Sara de Souza Bettioli, A. Graciano, Ana Lavratti Borga, C. Fischer","doi":"10.4322/ahns.2022.0010","DOIUrl":"https://doi.org/10.4322/ahns.2022.0010","url":null,"abstract":"Introduction: Oral cavity cancer (OCC) is one of the 10 most common types of tumors in the world. Surgical resection is the most indicated initial treatment, followed by adjuvant therapy, depending on tumor stage. A few studies have suggested that patients treated in high-volume hospitals present better oncologic outcomes; however, particularly in continental countries, some patients are treated in regional hospitals. Objective: To evaluate the results of OCC patients treated in low-volume regional hospitals. Methods: This is a retrospective longitudinal study conducted with patients diagnosed with OCC and operated on in a low-volume hospital between January 2003 and December 2018. Results: 174 patients with OCC were treated at the institution - an average of 11 patients/year. The most common tumor location was the tongue (48.2%), followed by the lip (18.2%). Squamous cell carcinomas were the most frequent (94.7% of patients). Adjuvant radiotherapy and chemotherapy were performed in 46.7 and 31.9% of patients, respectively. Almost 21% of patients had some postoperative complication. Specific survival of 62.6% and global survival of 58.2% after 3 years were similar to the results reported in high-volume centers. Disease-free survival was 45.8% in the same period. Conclusion: Low-volume hospitals qualified for oncological treatments can present outcomes similar to those of high-volume centers, and are thus a regional option for patients with OCC.","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86791987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.24983/scitemed.aohns.2022.00158
P. Y. Fong, Y. M. Chan, Joy Tang
Lemierre’s syndrome manifests as thrombophlebitis of the internal jugular vein caused by anaerobic bacteria, particularly Fusobacterium necrophorum [1]. In general, Lemierre's syndrome occurs following oropharyngeal infections, while cases of otogenic Lemierre's syndrome precipitated by acute otitis media and mastoiditis have been reported in pediatric patients [2], but such cases are rare in adults. Lemierre's syndrome can also be a life-threatening condition owing to the possibility of metastatic infection affecting many organ systems and the consequential risk of severe sepsis [3]. Our case report describes an adult with otogenic Lemierre's syndrome complicated by metastatic severe bilateral pneumonia presenting with atypical symptoms and requiring aggressive surgical and antibiotic treatment.
{"title":"Otogenic Lemierre’s Syndrome With Bilateral Metastatic Pneumonia: Report of an Unusual Case in a Male","authors":"P. Y. Fong, Y. M. Chan, Joy Tang","doi":"10.24983/scitemed.aohns.2022.00158","DOIUrl":"https://doi.org/10.24983/scitemed.aohns.2022.00158","url":null,"abstract":"Lemierre’s syndrome manifests as thrombophlebitis of the internal jugular vein caused by anaerobic bacteria, particularly Fusobacterium necrophorum [1]. In general, Lemierre's syndrome occurs following oropharyngeal infections, while cases of otogenic Lemierre's syndrome precipitated by acute otitis media and mastoiditis have been reported in pediatric patients [2], but such cases are rare in adults. Lemierre's syndrome can also be a life-threatening condition owing to the possibility of metastatic infection affecting many organ systems and the consequential risk of severe sepsis [3]. Our case report describes an adult with otogenic Lemierre's syndrome complicated by metastatic severe bilateral pneumonia presenting with atypical symptoms and requiring aggressive surgical and antibiotic treatment.","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89127438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Thyroid carcinoma has a global survival close to 97% in 15 years. The 8 th TNM ® has recently been proposed, with changes that include an increase in the cut-off age from 45 to 55 years, a change in the role of microscopic extra-thyroidal tumor invasion (which is no longer considered a criterion for the classification of T3 tumors), and the presence of cervical metastases as a criterion for staging. As a result, a large proportion of patients are transferred to earlier stages. Methods: Retrospective descriptive cross-sectional study carried out through analysis of the medical records of patients undergoing thyroidectomy at HC-UFPR from January 2014 to December 2017. Inclusion criteria were patients with a postoperative pathological anatomic diagnosis of well-differentiated thyroid carcinoma (DTC) who underwent primary surgery in the study period. Results: 197 patients underwent thyroidectomy during the period considered, 58 with thyroid neoplasia and 34 with DTC. Eight patients had lymph node metastasis, five (14.70%) as N1a and three (8.83%) as N1b. Of the total sample, six (12.5%) patients presented downstaging from the 7 th to the 8 th edition of the TNM ® . One of the re-staged patients had bone metastasis during follow-up and died during surgery to correct a pathological fracture. Conclusion: In this study sample, the update of the TNM ® in its 8 th edition resulted in the downstaging of six (12.5%) patients with DTC. A longer follow-up and a larger sample are necessary to correctly assess the impact of this change on patient prognosis.
{"title":"Impact of TNM® 8th edition on thyroid cancer retrospective staging","authors":"O. T. Daronch, N. Ahumada","doi":"10.4322/ahns.2022.0006","DOIUrl":"https://doi.org/10.4322/ahns.2022.0006","url":null,"abstract":"Introduction: Thyroid carcinoma has a global survival close to 97% in 15 years. The 8 th TNM ® has recently been proposed, with changes that include an increase in the cut-off age from 45 to 55 years, a change in the role of microscopic extra-thyroidal tumor invasion (which is no longer considered a criterion for the classification of T3 tumors), and the presence of cervical metastases as a criterion for staging. As a result, a large proportion of patients are transferred to earlier stages. Methods: Retrospective descriptive cross-sectional study carried out through analysis of the medical records of patients undergoing thyroidectomy at HC-UFPR from January 2014 to December 2017. Inclusion criteria were patients with a postoperative pathological anatomic diagnosis of well-differentiated thyroid carcinoma (DTC) who underwent primary surgery in the study period. Results: 197 patients underwent thyroidectomy during the period considered, 58 with thyroid neoplasia and 34 with DTC. Eight patients had lymph node metastasis, five (14.70%) as N1a and three (8.83%) as N1b. Of the total sample, six (12.5%) patients presented downstaging from the 7 th to the 8 th edition of the TNM ® . One of the re-staged patients had bone metastasis during follow-up and died during surgery to correct a pathological fracture. Conclusion: In this study sample, the update of the TNM ® in its 8 th edition resulted in the downstaging of six (12.5%) patients with DTC. A longer follow-up and a larger sample are necessary to correctly assess the impact of this change on patient prognosis.","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90280329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amanda Rios Sampaio, Júlia Rusch Pinto Vasconcelos, Julyana Bastos Santana, Luis Filipe Alves Kian, D. O. Lopes
Adenoid cystic carcinoma (ACC) is a rare form of malignant neoplasm of the salivary glands, with slow growth and late symptoms. One of the challenges presented by this tumor is its high rate of metastasis, with tropism to the nervous system, liver and bones. Treatment is based on surgical resection of the tumor, radiotherapy, and chemotherapy – it varies depending on the condition of each patient. In view of the low frequency of ACC, this study aims to report a case of ACC in a female patient, with anatomopathological diagnosis of basaloid cell neoplasm.
{"title":"Adenoid cystic carcinoma in atypical site: case report","authors":"Amanda Rios Sampaio, Júlia Rusch Pinto Vasconcelos, Julyana Bastos Santana, Luis Filipe Alves Kian, D. O. Lopes","doi":"10.4322/ahns.2022.0008","DOIUrl":"https://doi.org/10.4322/ahns.2022.0008","url":null,"abstract":"Adenoid cystic carcinoma (ACC) is a rare form of malignant neoplasm of the salivary glands, with slow growth and late symptoms. One of the challenges presented by this tumor is its high rate of metastasis, with tropism to the nervous system, liver and bones. Treatment is based on surgical resection of the tumor, radiotherapy, and chemotherapy – it varies depending on the condition of each patient. In view of the low frequency of ACC, this study aims to report a case of ACC in a female patient, with anatomopathological diagnosis of basaloid cell neoplasm.","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87773146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
V. M. Vasconcellos, L. Matos, F. Hojaij, Edevaldo Miguel Alves, Beatriz Martins, Arthur C. Nava
Introduction: The expansion of knowledge about head and neck cancer can provide greater care and the ability to identify risk factors and symptoms of the disease, as well as the incorporation of healthy habits. The younger these concepts are sedimented, the better results will be, making society healthier and more aware. Objective: To assess knowledge about head and neck cancer among adolescents from private schools, aged between 13 and 22 years. Methods: 200 questionnaires were applied among students, about the profile of adolescents and their knowledge about head and neck neoplasms, treatment, and teaching in schools on this topic. The results were analyzed both quantitatively and qualitatively. Results: Only 55 students (29.9%) identified HPV as a risk factor for the disease. 137 students (74.5%) identified the brain as an organ treated by head and neck surgery. As for the therapeutic strategies used for the treatment of neoplasms in the region, only 67 students (36.4%) are aware. On the topic of teaching in schools, 153 students (83.1%) relate to some deficiency in the approach and learning. Conclusion: Knowledge about head and neck cancer is insufficient. It is necessary to introduce in the curriculum basic cancer education in biology classes. The expansion of acquirements about cancer can provide better care and the ability to identify risk factors, initial signs, and symptoms of the disease, as well as the incorporation of healthy habits in families because these students can propagate valid information in their environment.
{"title":"Knowledge about head and neck cancer among adolescents","authors":"V. M. Vasconcellos, L. Matos, F. Hojaij, Edevaldo Miguel Alves, Beatriz Martins, Arthur C. Nava","doi":"10.4322/ahns.2022.0009","DOIUrl":"https://doi.org/10.4322/ahns.2022.0009","url":null,"abstract":"Introduction: The expansion of knowledge about head and neck cancer can provide greater care and the ability to identify risk factors and symptoms of the disease, as well as the incorporation of healthy habits. The younger these concepts are sedimented, the better results will be, making society healthier and more aware. Objective: To assess knowledge about head and neck cancer among adolescents from private schools, aged between 13 and 22 years. Methods: 200 questionnaires were applied among students, about the profile of adolescents and their knowledge about head and neck neoplasms, treatment, and teaching in schools on this topic. The results were analyzed both quantitatively and qualitatively. Results: Only 55 students (29.9%) identified HPV as a risk factor for the disease. 137 students (74.5%) identified the brain as an organ treated by head and neck surgery. As for the therapeutic strategies used for the treatment of neoplasms in the region, only 67 students (36.4%) are aware. On the topic of teaching in schools, 153 students (83.1%) relate to some deficiency in the approach and learning. Conclusion: Knowledge about head and neck cancer is insufficient. It is necessary to introduce in the curriculum basic cancer education in biology classes. The expansion of acquirements about cancer can provide better care and the ability to identify risk factors, initial signs, and symptoms of the disease, as well as the incorporation of healthy habits in families because these students can propagate valid information in their environment.","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77338521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.24983/scitemed.aohns.2022.00160
P. Kwok, O. Gleich, K. Utpatel, C. Bohr, J. Strutz
In canal that After visual verification of successful blockage ABSTRACT Objective: The use of bone wax to plug a dehiscent superior semicircular canal has been found to be associated with poorer hearing outcomes in humans when compared with the use of bone. Animal models showed that plugging the superior or lateral semicircular canal with bone wax caused an inflammatory reaction in the middle ear that was significantly more severe than with bone or Teflon. Damage to the cochlea can lead to alterations in the size, number and density of the spiral ganglion neurons. This study aims to examine potential cochlear damage caused by plugging a dehiscent superior semicircular canal with different materials in gerbils by analyzing the spiral ganglion of the basal cochlear turn. Methods: We used hematoxylin and eosin-stained mid-modiolar paraffin sections from 44 operated ears and 19 non-operated control ears to examine spiral ganglion structures in cochlear cross-sections through the lower basal turn and upper basal turn. We calculated the number of spiral ganglion cells and measured their size. We also measured the area of the Rosenthal's canal and assessed the density of neurons within it. Furthermore, the degree of interstitial edema within the spiral ganglion was assessed. Results: For most of the plugging materials, the main pathological finding following surgery was a loss of spiral ganglion cells predominantly in the lower basal turn. No evidence was found for a shrinkage of spiral ganglion cells or a reduction in spiral ganglion cell density as a result of plugging the superior semicircular canal. Conclusion: The spiral ganglion appears to be more severely damaged in the lower basal turn compared to the upper basal turn for the majority of mate rials used for plugging a dehiscent superior semicircular canal.
{"title":"Plugging of a Dehiscent Superior Semicircular Canal Damages the Spiral Ganglion Regardless of the Material Used","authors":"P. Kwok, O. Gleich, K. Utpatel, C. Bohr, J. Strutz","doi":"10.24983/scitemed.aohns.2022.00160","DOIUrl":"https://doi.org/10.24983/scitemed.aohns.2022.00160","url":null,"abstract":"In canal that After visual verification of successful blockage ABSTRACT Objective: The use of bone wax to plug a dehiscent superior semicircular canal has been found to be associated with poorer hearing outcomes in humans when compared with the use of bone. Animal models showed that plugging the superior or lateral semicircular canal with bone wax caused an inflammatory reaction in the middle ear that was significantly more severe than with bone or Teflon. Damage to the cochlea can lead to alterations in the size, number and density of the spiral ganglion neurons. This study aims to examine potential cochlear damage caused by plugging a dehiscent superior semicircular canal with different materials in gerbils by analyzing the spiral ganglion of the basal cochlear turn. Methods: We used hematoxylin and eosin-stained mid-modiolar paraffin sections from 44 operated ears and 19 non-operated control ears to examine spiral ganglion structures in cochlear cross-sections through the lower basal turn and upper basal turn. We calculated the number of spiral ganglion cells and measured their size. We also measured the area of the Rosenthal's canal and assessed the density of neurons within it. Furthermore, the degree of interstitial edema within the spiral ganglion was assessed. Results: For most of the plugging materials, the main pathological finding following surgery was a loss of spiral ganglion cells predominantly in the lower basal turn. No evidence was found for a shrinkage of spiral ganglion cells or a reduction in spiral ganglion cell density as a result of plugging the superior semicircular canal. Conclusion: The spiral ganglion appears to be more severely damaged in the lower basal turn compared to the upper basal turn for the majority of mate rials used for plugging a dehiscent superior semicircular canal.","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87880672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Beatrice Mitye Ogusco, Luiza Miguel Simonetti, André Sakima Serrano, L. C. Ishida, R. Tutihashi, D. Carlucci, Sérgio Gonçalves
Loss of mandibular continuity and functionality in cancer patients undergoing extensive mandible resections is challenging. In these situations, the gold standard treatment is fibula free flap reconstruction. The major challenge occurs when there is a failure of the transplanted fibula. Here we report the case of a patient who underwent right hemimandibulectomy with disarticulation and immediate mandibular reconstruction with a fibula free flap. Subsequently, the flap viability was lost, and there was necrosis of the transplanted bone segment in the short-term follow-up. Considering the best form of rehabilitation for the patient, minimizing the risks of loss and optimizing the reconstructive quality, we opted to install a customized prosthesis including a condyle-cavity joint component associated with a new free flap and subsequent rehabilitation of the dental occlusion with an implant-supported fixed prosthesis.
{"title":"Combination of surgical techniques and reconstructive devices as an alternative treatment after fibula free flap mandibular reconstruction failure: a case report","authors":"Beatrice Mitye Ogusco, Luiza Miguel Simonetti, André Sakima Serrano, L. C. Ishida, R. Tutihashi, D. Carlucci, Sérgio Gonçalves","doi":"10.4322/ahns.2022.0002","DOIUrl":"https://doi.org/10.4322/ahns.2022.0002","url":null,"abstract":"Loss of mandibular continuity and functionality in cancer patients undergoing extensive mandible resections is challenging. In these situations, the gold standard treatment is fibula free flap reconstruction. The major challenge occurs when there is a failure of the transplanted fibula. Here we report the case of a patient who underwent right hemimandibulectomy with disarticulation and immediate mandibular reconstruction with a fibula free flap. Subsequently, the flap viability was lost, and there was necrosis of the transplanted bone segment in the short-term follow-up. Considering the best form of rehabilitation for the patient, minimizing the risks of loss and optimizing the reconstructive quality, we opted to install a customized prosthesis including a condyle-cavity joint component associated with a new free flap and subsequent rehabilitation of the dental occlusion with an implant-supported fixed prosthesis.","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86049695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
1Universidade Federal de São Paulo, Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, São Paulo, SP, Brasil 2Hospital da Beneficência Portuguesa de São Paulo (HBP), Departamento de Cirurgia de Cabeça e Pescoço, São Paulo, SP, Brasil 3Faculdade de Medicina da Santa Casa de São Paulo, Hospital da Santa Casa de São Paulo, Departamento de Cirurgia de Cabeça e Pescoço, São Paulo, SP, Brasil
{"title":"Benign thyroid diseases: a public health problem aggravated in times of COVID-19 pandemic","authors":"G. Melo, A. Gonçalves","doi":"10.4322/ahns.2022.0007","DOIUrl":"https://doi.org/10.4322/ahns.2022.0007","url":null,"abstract":"1Universidade Federal de São Paulo, Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, São Paulo, SP, Brasil 2Hospital da Beneficência Portuguesa de São Paulo (HBP), Departamento de Cirurgia de Cabeça e Pescoço, São Paulo, SP, Brasil 3Faculdade de Medicina da Santa Casa de São Paulo, Hospital da Santa Casa de São Paulo, Departamento de Cirurgia de Cabeça e Pescoço, São Paulo, SP, Brasil","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"119 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90463924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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