L. Pasquel, D. A. Rocha, Y. L. M. Guimarães, G. Alvarenga, M. Kase, Júlia Scomparin Magalhãnes, R. Gomes, L. M. M. Neto, Renata Regina da Graça Lorencetti Mahmoud, L. Matos, V. J. F. A. Filho, C. Cernea
Introduction: Retrosternal goiter (RSG) can be defined as greater than 50% of the thyroid volume within the thorax. RSG is present in 2-26% of all thyroidectomies, depending on the defining criteria. Objective: Find an association between diameter of the thoracic inlet (TI) and RSG to determine whether the TI would function as a natural anatomical barrier to prevent the passage of the goiters to the thoracic cavity. Methods: A retrospective study was conducted with patients submitted to total thyroidectomy, with goiter greater than 50 cm 3 , who underwent computed tomography (CT) preoperatively to measure the TI volume. The values obtained from each continuous variable of parametric distribution were organized and described as mean and standard deviation. The distributions were defined as non-parametric by the Kolmogorov-Smirnov test. The Mann-Whitney test was used to compare two sample populations. Results: A total of 173 patients submitted to total thyroidectomy were evaluated, and 54 patients met the inclusion criteria of the study. 85.2% were female, with a mean age of 57 years. The mean diameter of the TI was 5679 mm 2 . 42% of the patients presented some degree of RSG. The distance below the TI ranged from 0.2 to 5 cm. Conclusion: No significant association was found between diameter of the thoracic inlet and retrosternal goiter, demonstrating that RSG can be present regardless of the TI diameter. Statistically significant association was observed between patients with larger thyroid volume and the likelihood of this tissue to extend to the thoracic cavity.
简介:胸骨后甲状腺肿(RSG)可定义为大于胸腔内甲状腺体积的50%。根据定义标准，2-26%的甲状腺切除术患者存在RSG。目的:寻找胸入口直径与RSG之间的关系，以确定胸入口是否能作为天然的解剖屏障，阻止甲状腺肿物进入胸腔。方法:回顾性研究接受甲状腺全切除术的患者，甲状腺肿大大于50 cm 3，术前行计算机断层扫描(CT)测量TI体积。从参数分布的每个连续变量得到的值被组织并描述为平均值和标准差。通过Kolmogorov-Smirnov检验将分布定义为非参数分布。曼-惠特尼检验用于比较两个样本群体。结果:173例接受甲状腺全切除术的患者被评估，54例患者符合研究的纳入标准。85.2%为女性，平均年龄57岁。TI的平均直径为5679 mm 2。42%的患者出现不同程度的RSG。TI下方的距离为0.2 ~ 5cm。结论:胸入口直径与胸骨后甲状腺肿无显著相关性，表明RSG与TI直径无关。在甲状腺体积较大的患者与该组织延伸到胸腔的可能性之间观察到统计学上显著的关联。
{"title":"Does the diameter of the thoracic inlet influence the formation of retrosternal goiter?","authors":"L. Pasquel, D. A. Rocha, Y. L. M. Guimarães, G. Alvarenga, M. Kase, Júlia Scomparin Magalhãnes, R. Gomes, L. M. M. Neto, Renata Regina da Graça Lorencetti Mahmoud, L. Matos, V. J. F. A. Filho, C. Cernea","doi":"10.4322/ahns.2019.0018","DOIUrl":"https://doi.org/10.4322/ahns.2019.0018","url":null,"abstract":"Introduction: Retrosternal goiter (RSG) can be defined as greater than 50% of the thyroid volume within the thorax. RSG is present in 2-26% of all thyroidectomies, depending on the defining criteria. Objective: Find an association between diameter of the thoracic inlet (TI) and RSG to determine whether the TI would function as a natural anatomical barrier to prevent the passage of the goiters to the thoracic cavity. Methods: A retrospective study was conducted with patients submitted to total thyroidectomy, with goiter greater than 50 cm 3 , who underwent computed tomography (CT) preoperatively to measure the TI volume. The values obtained from each continuous variable of parametric distribution were organized and described as mean and standard deviation. The distributions were defined as non-parametric by the Kolmogorov-Smirnov test. The Mann-Whitney test was used to compare two sample populations. Results: A total of 173 patients submitted to total thyroidectomy were evaluated, and 54 patients met the inclusion criteria of the study. 85.2% were female, with a mean age of 57 years. The mean diameter of the TI was 5679 mm 2 . 42% of the patients presented some degree of RSG. The distance below the TI ranged from 0.2 to 5 cm. Conclusion: No significant association was found between diameter of the thoracic inlet and retrosternal goiter, demonstrating that RSG can be present regardless of the TI diameter. Statistically significant association was observed between patients with larger thyroid volume and the likelihood of this tissue to extend to the thoracic cavity.","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"76 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82356608","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}
Davi Knoll Ribeiro, M. Lera, Ana Beatriz Ribeiro Fonseca, M. Neves
Financial support: None. Conflicts of interest: No conflicts of interest declared concerning the publication of this article. Submitted: June 03, 2019. Accepted: September 19, 2019. The study was carried out at Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brasil Article Notes: Study presented in the “Congresso Brasileiro de Cirurgia de Cabeça e Pescoço 2019” event. Abstract
财政支持:无。利益冲突:就本文的发表没有宣布利益冲突。提交日期:2019年6月3日。接受日期:2019年9月19日。该研究是在sao Paulo联邦大学(UNIFESP) Escola Paulista de Medicina耳鼻喉科和头颈部外科进行的，sao Paulo, SP，巴西文章说明:在“2019年巴西头颈部外科大会”活动上发表的研究。文摘
{"title":"Analysis of PTH serum concentration from internal jugular veins of patients with primary hyperparathyroidism","authors":"Davi Knoll Ribeiro, M. Lera, Ana Beatriz Ribeiro Fonseca, M. Neves","doi":"10.4322/ahns.2019.0011","DOIUrl":"https://doi.org/10.4322/ahns.2019.0011","url":null,"abstract":"Financial support: None. Conflicts of interest: No conflicts of interest declared concerning the publication of this article. Submitted: June 03, 2019. Accepted: September 19, 2019. The study was carried out at Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brasil Article Notes: Study presented in the “Congresso Brasileiro de Cirurgia de Cabeça e Pescoço 2019” event. Abstract","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"28 6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82725298","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}
Liliane Queiroz de Lira, Ana Karenina Nobre Fonseca de Souza, A. Fernandes, Fábio Medeiros de Azevedo, Ivan Machado de Almeida Junior
1Universidade Federal do Rio Grande do Norte (UFRN), Hospital Universitário Onofre Lopes, Departamento de Otorrinolaringologia, Natal, RN, Brasil 2Universidade Federal do Rio Grande do Norte (UFRN), Hospital Universitário Onofre Lopes, Departamento de Cirurgia de Cabeça e Pescoço, Natal, RN, Brasil 3Universidade Federal do Rio Grande do Norte (UFRN), Hospital Universitário Onofre Lopes, Departamento de Patologia, Natal, RN, Brasil
{"title":"Pleomorphic adenoma of the larynx","authors":"Liliane Queiroz de Lira, Ana Karenina Nobre Fonseca de Souza, A. Fernandes, Fábio Medeiros de Azevedo, Ivan Machado de Almeida Junior","doi":"10.4322/ahns.2019.0001","DOIUrl":"https://doi.org/10.4322/ahns.2019.0001","url":null,"abstract":"1Universidade Federal do Rio Grande do Norte (UFRN), Hospital Universitário Onofre Lopes, Departamento de Otorrinolaringologia, Natal, RN, Brasil 2Universidade Federal do Rio Grande do Norte (UFRN), Hospital Universitário Onofre Lopes, Departamento de Cirurgia de Cabeça e Pescoço, Natal, RN, Brasil 3Universidade Federal do Rio Grande do Norte (UFRN), Hospital Universitário Onofre Lopes, Departamento de Patologia, Natal, RN, Brasil","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91273287","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}
W. Bernaola-Paredes, G. Agne, M. Rodrigues, F. Alves, R. Lopes
1Fundação Antônio Prudente, A.C. Camargo Cancer Center, Departamento de Estomatologia, São Paulo, SP, Brasil 2Fundação Antônio Prudente, A.C. Camargo Cancer Center, Departamento de Cirurgia de Cabeça e Pescoço e Otorrinolaringologia, São Paulo, SP, Brasil 3Fundação Antônio Prudente, A.C. Camargo Cancer Center, Departamento de Cirurgia de Cabeça e Pescoço e Otorrinolaringologia, Subdivisão de Cirurgia Plástica e Microcirurgia reconstrutiva, São Paulo, SP, Brasil 4Fundação Antônio Prudente, A.C. Camargo Cancer Center, Departamento de Estomatologia, São Paulo, SP, Brasil Financial support: This work was supported by the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) (870091/2001-8). Conflicts of interest: No conflicts of interest declared concerning the publication of this article. Submitted: July 30, 2019 Accepted: October 03, 2019. The study was carried out at Departamento de Estomatologia e o Departamento de Cirurgia de Cabeça e Pescoço e Otorrinolaringologia, A.C. Camargo Cancer Center, São Paulo, SP, Brasil. This case report was presented in the National Congress of Head and Neck Brazilian Society on August 7th, 2019. Abstract
{"title":"Refractory ORN submitted to resective surgical treatment and free flap musculocutaneous reconstruction","authors":"W. Bernaola-Paredes, G. Agne, M. Rodrigues, F. Alves, R. Lopes","doi":"10.4322/ahns.2019.0019","DOIUrl":"https://doi.org/10.4322/ahns.2019.0019","url":null,"abstract":"1Fundação Antônio Prudente, A.C. Camargo Cancer Center, Departamento de Estomatologia, São Paulo, SP, Brasil 2Fundação Antônio Prudente, A.C. Camargo Cancer Center, Departamento de Cirurgia de Cabeça e Pescoço e Otorrinolaringologia, São Paulo, SP, Brasil 3Fundação Antônio Prudente, A.C. Camargo Cancer Center, Departamento de Cirurgia de Cabeça e Pescoço e Otorrinolaringologia, Subdivisão de Cirurgia Plástica e Microcirurgia reconstrutiva, São Paulo, SP, Brasil 4Fundação Antônio Prudente, A.C. Camargo Cancer Center, Departamento de Estomatologia, São Paulo, SP, Brasil Financial support: This work was supported by the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) (870091/2001-8). Conflicts of interest: No conflicts of interest declared concerning the publication of this article. Submitted: July 30, 2019 Accepted: October 03, 2019. The study was carried out at Departamento de Estomatologia e o Departamento de Cirurgia de Cabeça e Pescoço e Otorrinolaringologia, A.C. Camargo Cancer Center, São Paulo, SP, Brasil. This case report was presented in the National Congress of Head and Neck Brazilian Society on August 7th, 2019. Abstract","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72866587","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}
Daniela Delalibera, A. C. Carvalho, Bruna Luiza Thesolim, Laura Ferreira de Rezende
Financial support: None. Conflicts of interest: No conflicts of interest declared concerning the publication of this article. Submitted: June 27, 2019. Accepted: October 08, 2019. The study was carried out at Centro Universitário das Faculdades Associadas de Ensino (UNIFAE), São João da Boa Vista, SP, Brasil. Apresentação como e-poster no 18o Congresso da FORL, São Paulo, 2019. Abstract Introduction: Head and neck cancer has a high incidence and early stage diagnosis increases the chance of cure and decreases morbidity and mortality. However, one of the difficulties in achieving early diagnosis is the delay of patients seeking care, partly due to lack of knowledge. Objective: This study aimed to evaluate the population knowledge on head and neck cancer in two municipalities from the interior of the State of São Paulo. Methods: A cross-sectional study with 323 participants, carried out in 11 health units, in 2017. We used questionnaires divided into four categories: term definition, epidemiology, risk factors and symptoms. Results: Less than half presented satisfactory term definition knowledge. About 87.93% of the interviewees associated smoking and/or alcohol as risk factors for head and neck cancer; however, only 33.43% of the participants were aware of the relation between head and neck cancer and HPV. Conclusion: The population studied presented gaps in knowledge about head and neck neoplasms. Mapping the knowledge limitations on the subject is of paramount importance for future planning, oriented mainly in the deficiencies on the subject.
资金支持:无。利益冲突:本文发表未声明存在利益冲突。提交日期:2019年6月27日。录用日期:2019年10月8日。这项研究是在巴西SP州 jo o da Boa Vista的Universitário as acadedades associas de Ensino (UNIFAE)中心进行的。2019年，巴西圣保罗，第18号国会大厦电子海报。摘要简介:头颈癌发病率高，早期诊断可增加治愈率，降低发病率和死亡率。然而，实现早期诊断的困难之一是患者寻求治疗的延误，部分原因是缺乏知识。目的:本研究旨在评估圣保罗州内陆两个城市的人口对头颈癌的知识。方法:2017年在11个卫生单位进行了一项有323名参与者的横断面研究。我们使用的问卷分为四类:术语定义、流行病学、危险因素和症状。结果:只有不到一半的学生对术语定义有满意的认识。约87.93%的受访者认为吸烟和/或饮酒是头颈癌的危险因素;然而，只有33.43%的参与者知道头颈癌与HPV之间的关系。结论:研究人群对头颈部肿瘤的认识存在空白。绘制出该学科的知识局限性对于未来规划至关重要，主要是针对该学科的不足。
{"title":"Analysis of population knowledge on head and neck cancer in two municipalities from the interior of São Paulo state","authors":"Daniela Delalibera, A. C. Carvalho, Bruna Luiza Thesolim, Laura Ferreira de Rezende","doi":"10.4322/ahns.2019.0015","DOIUrl":"https://doi.org/10.4322/ahns.2019.0015","url":null,"abstract":"Financial support: None. Conflicts of interest: No conflicts of interest declared concerning the publication of this article. Submitted: June 27, 2019. Accepted: October 08, 2019. The study was carried out at Centro Universitário das Faculdades Associadas de Ensino (UNIFAE), São João da Boa Vista, SP, Brasil. Apresentação como e-poster no 18o Congresso da FORL, São Paulo, 2019. Abstract Introduction: Head and neck cancer has a high incidence and early stage diagnosis increases the chance of cure and decreases morbidity and mortality. However, one of the difficulties in achieving early diagnosis is the delay of patients seeking care, partly due to lack of knowledge. Objective: This study aimed to evaluate the population knowledge on head and neck cancer in two municipalities from the interior of the State of São Paulo. Methods: A cross-sectional study with 323 participants, carried out in 11 health units, in 2017. We used questionnaires divided into four categories: term definition, epidemiology, risk factors and symptoms. Results: Less than half presented satisfactory term definition knowledge. About 87.93% of the interviewees associated smoking and/or alcohol as risk factors for head and neck cancer; however, only 33.43% of the participants were aware of the relation between head and neck cancer and HPV. Conclusion: The population studied presented gaps in knowledge about head and neck neoplasms. Mapping the knowledge limitations on the subject is of paramount importance for future planning, oriented mainly in the deficiencies on the subject.","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78835932","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}
D. A. Rocha, G. Alvarenga, D. Ramos, L. Matos, R. Dedivitis, M. Kulcsar, C. Cernea
Financial support: None. Conflicts of interest: No conflicts of interest declared concerning the publication of this article. Submitted: June 24, 2019. Accepted: December 01, 2019. The study was carried out at Faculdade de Medicina (FM), Instituto de Câncer do Estado de São Paulo (ICESP), Universidade de São Paulo (USP), São Paulo, SP, Brasil. This study was presented at the XVII Congresso Brasileiro de Cirurgia de Cabeça e Pescoço. Abstract Introduction: The laryngeal squamous cell carcinoma (LSCC) is a prevalent disease, with 7670 cases estimated in Brazil during 2018-2019. The preferred treatment for early LSCC is either surgery or radiotherapy. Horizontal partial laryngectomy (HPL) is one of the forms of surgical treatment. Objective: Evaluate the oncological and functional outcomes of patients submitted to HPL for the treatment of LSCC. Methods: A retrospective descriptive study of patients submitted to HPL, performed at a cancer referral center, between January 2011 and December 2017. Results: We evaluated 37 patients. The major pathological staging of the primary tumor was pT3 (35.1%), followed by pT2 (32.4%). Five patients required adjuvant radiotherapy; 62.2% of the patients were decannulated by the end of the treatment; 10.8% weren`t decannulated; 8.1% underwent a retracheostomy, and 18.9% had total laryngectomy. From the patients submitted to total laryngectomy, 3 cases were due to rehabilitation failure, 2 due to recurrence and 2 cases due to postoperative suture dehiscence. About 89% of the patients resumed oral feeding following the procedure; 86.4% didn`t present disease recurrence; 31 patients survived without disease; 3 died from disease-related causes, and 3 from unrelated causes. Conclusion: HPL is an alternative procedure to total laryngectomy, presenting adequate rates of local control and overall survival while also maintaining laryngeal function. The main challenge to HPL remains achieving an ideal selection of patients.
{"title":"Evaluation of clinical outcomes after partial horizontal laryngectomy","authors":"D. A. Rocha, G. Alvarenga, D. Ramos, L. Matos, R. Dedivitis, M. Kulcsar, C. Cernea","doi":"10.4322/ahns.2019.0026","DOIUrl":"https://doi.org/10.4322/ahns.2019.0026","url":null,"abstract":"Financial support: None. Conflicts of interest: No conflicts of interest declared concerning the publication of this article. Submitted: June 24, 2019. Accepted: December 01, 2019. The study was carried out at Faculdade de Medicina (FM), Instituto de Câncer do Estado de São Paulo (ICESP), Universidade de São Paulo (USP), São Paulo, SP, Brasil. This study was presented at the XVII Congresso Brasileiro de Cirurgia de Cabeça e Pescoço. Abstract Introduction: The laryngeal squamous cell carcinoma (LSCC) is a prevalent disease, with 7670 cases estimated in Brazil during 2018-2019. The preferred treatment for early LSCC is either surgery or radiotherapy. Horizontal partial laryngectomy (HPL) is one of the forms of surgical treatment. Objective: Evaluate the oncological and functional outcomes of patients submitted to HPL for the treatment of LSCC. Methods: A retrospective descriptive study of patients submitted to HPL, performed at a cancer referral center, between January 2011 and December 2017. Results: We evaluated 37 patients. The major pathological staging of the primary tumor was pT3 (35.1%), followed by pT2 (32.4%). Five patients required adjuvant radiotherapy; 62.2% of the patients were decannulated by the end of the treatment; 10.8% weren`t decannulated; 8.1% underwent a retracheostomy, and 18.9% had total laryngectomy. From the patients submitted to total laryngectomy, 3 cases were due to rehabilitation failure, 2 due to recurrence and 2 cases due to postoperative suture dehiscence. About 89% of the patients resumed oral feeding following the procedure; 86.4% didn`t present disease recurrence; 31 patients survived without disease; 3 died from disease-related causes, and 3 from unrelated causes. Conclusion: HPL is an alternative procedure to total laryngectomy, presenting adequate rates of local control and overall survival while also maintaining laryngeal function. The main challenge to HPL remains achieving an ideal selection of patients.","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85299648","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}
G. Boog, F. Hojaij, Matheus Mychael Mazzaro Conchy, Renan da Silva Bentes, F. Akamatsu, A. Jacomo
Financial support: None. Conflicts of interest: No conflicts of interest declared concerning the publication of this article. Submitted: June 24, 2019. Accepted: October 02, 2019. The study was carried out at Faculdade de Medicina, Universidade de São Paulo (USP), São Paulo, SP, Brasil. Abstract Introduction: The ansa cervicalis, commonly called ansa hypoglossi, is a loop of nerves that composes the cervical plexus. The term ansa hypoglossi derives from the anastomosis between this loop and the hypoglossal nerve (cranial nerve XII). In the study of Anatomy, discrepancies between the anatomical terminology and the terms used in medical practice are frequent. However, a discussion becomes necessary when these divergences arise from conceptual errors. Objective: To conduct a literature review on the relationship between the ansa cervicalis (or ansa hypoglossi) and the hypoglossal nerve, discussing this disparity in terminology, and determine which of these terms is the most suitable to identify this important nerve structure. Methods: This is a systematic review of the literature based on studies found through a standardized search performed at the LILACS and MEDLINE/PUBMED databases; classic anatomy textbooks were also consulted. Results: Forty-five of the 3731 articles found in the scientific research databases were selected and six classic anatomy textbooks were included in the study. Controversies involving the ansa cervicalis were analyzed and the results clearly showed that most textbooks describe its relationship with the hypoglossal nerve as a temporal junction, with no exchange of nerve fibers. The ansa cervicalis contains fibers arising from the cervical cord, and not from the hypoglossal nerve. Conclusion: The term ansa cervicalis should be chosen to name this loop of nerves. The term ansa hypoglossi is not structurally correct, and should be abandoned in medical practice, the teaching of anatomy, and in scientific publications.
{"title":"Ansa cervicalis or ansa hypoglossi? A systematic review","authors":"G. Boog, F. Hojaij, Matheus Mychael Mazzaro Conchy, Renan da Silva Bentes, F. Akamatsu, A. Jacomo","doi":"10.4322/ahns.2019.0014","DOIUrl":"https://doi.org/10.4322/ahns.2019.0014","url":null,"abstract":"Financial support: None. Conflicts of interest: No conflicts of interest declared concerning the publication of this article. Submitted: June 24, 2019. Accepted: October 02, 2019. The study was carried out at Faculdade de Medicina, Universidade de São Paulo (USP), São Paulo, SP, Brasil. Abstract Introduction: The ansa cervicalis, commonly called ansa hypoglossi, is a loop of nerves that composes the cervical plexus. The term ansa hypoglossi derives from the anastomosis between this loop and the hypoglossal nerve (cranial nerve XII). In the study of Anatomy, discrepancies between the anatomical terminology and the terms used in medical practice are frequent. However, a discussion becomes necessary when these divergences arise from conceptual errors. Objective: To conduct a literature review on the relationship between the ansa cervicalis (or ansa hypoglossi) and the hypoglossal nerve, discussing this disparity in terminology, and determine which of these terms is the most suitable to identify this important nerve structure. Methods: This is a systematic review of the literature based on studies found through a standardized search performed at the LILACS and MEDLINE/PUBMED databases; classic anatomy textbooks were also consulted. Results: Forty-five of the 3731 articles found in the scientific research databases were selected and six classic anatomy textbooks were included in the study. Controversies involving the ansa cervicalis were analyzed and the results clearly showed that most textbooks describe its relationship with the hypoglossal nerve as a temporal junction, with no exchange of nerve fibers. The ansa cervicalis contains fibers arising from the cervical cord, and not from the hypoglossal nerve. Conclusion: The term ansa cervicalis should be chosen to name this loop of nerves. The term ansa hypoglossi is not structurally correct, and should be abandoned in medical practice, the teaching of anatomy, and in scientific publications.","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79652471","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}
Y. L. M. Guimarães, T. Gondek, F. Montenegro, Delmar Muniz Lourenço Júnior, S. Arap, M. Brescia
1Universidade de São Paulo (USP), Faculdade de Medicina (FM), Hospital das Clínicas, Disciplina de Cirurgia Cabeça e Pescoço, São Paulo, SP, Brasil 2Universidade de São Paulo (USP), Faculdade de Medicina (FM), Hospital das Clínicas (HC), Laboratório de Investigação Médica (LIM), Disciplina de Cirurgia de Cabeça e Pescoço, Grupo de Paratireoide e Doenças Congênitas, São Paulo, SP, Brasil 3Universidade de São Paulo (USP), Faculdade de Medicina (FM), Hospital das Clínicas (HC), Laboratório de Investigação Médica (LIM), Unidade de Endocrinologia Genética (UEG), Disciplina de Endocrinologia, São Paulo, SP, Brasil
{"title":"Less-than-subtotal parathyroidectomy as treatment for primary hyperparathyroidism in multiple endocrine neoplasia- type 1: a good option?","authors":"Y. L. M. Guimarães, T. Gondek, F. Montenegro, Delmar Muniz Lourenço Júnior, S. Arap, M. Brescia","doi":"10.4322/ahns.2019.0010","DOIUrl":"https://doi.org/10.4322/ahns.2019.0010","url":null,"abstract":"1Universidade de São Paulo (USP), Faculdade de Medicina (FM), Hospital das Clínicas, Disciplina de Cirurgia Cabeça e Pescoço, São Paulo, SP, Brasil 2Universidade de São Paulo (USP), Faculdade de Medicina (FM), Hospital das Clínicas (HC), Laboratório de Investigação Médica (LIM), Disciplina de Cirurgia de Cabeça e Pescoço, Grupo de Paratireoide e Doenças Congênitas, São Paulo, SP, Brasil 3Universidade de São Paulo (USP), Faculdade de Medicina (FM), Hospital das Clínicas (HC), Laboratório de Investigação Médica (LIM), Unidade de Endocrinologia Genética (UEG), Disciplina de Endocrinologia, São Paulo, SP, Brasil","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79146230","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}
Hypopharyngeal lipoma is a rare entity and is usually asymptomatic until it reaches a large size. The lipoma described in this case was unusual because of its deep extension from the hypopharynx to the visceral space of the neck. On endoscopic and MRI examination the tumour appeared as an encapsulated, well-defined lesion covered by yellowish intact mucosa. The lipoma was completely removed through the transcervical approach. The surgery produced excellent cosmetic results and no functional impairment. The approach used also provided a rapid and uneventful postoperative recovery and optimal locoregional control of the disease during the follow-up period.
{"title":"A case of hypoharyngeal lipoma with extrapharyngeal extension","authors":"Ognjen Čukić, M. Jovanovic","doi":"10.4322/ahns.2019.0002","DOIUrl":"https://doi.org/10.4322/ahns.2019.0002","url":null,"abstract":"Hypopharyngeal lipoma is a rare entity and is usually asymptomatic until it reaches a large size. The lipoma described in this case was unusual because of its deep extension from the hypopharynx to the visceral space of the neck. On endoscopic and MRI examination the tumour appeared as an encapsulated, well-defined lesion covered by yellowish intact mucosa. The lipoma was completely removed through the transcervical approach. The surgery produced excellent cosmetic results and no functional impairment. The approach used also provided a rapid and uneventful postoperative recovery and optimal locoregional control of the disease during the follow-up period.","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"79 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91320105","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}
P. Rosário, Gabriela Franco Mourão Maria Regina Calsolari
{"title":"The risk of recurrence within the first five years is very low in patients with papillary thyroid carcinoma treated with radioiodine","authors":"P. Rosário, Gabriela Franco Mourão Maria Regina Calsolari","doi":"10.4322/ahns.2019.0003","DOIUrl":"https://doi.org/10.4322/ahns.2019.0003","url":null,"abstract":"","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":"14 2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78405010","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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