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Labeling of cervical lymph node levels during neck dissection: From ex vivo to in situ mappingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To analyze the error rate of ex vivo mapping and to evaluate in situ mapping of lymph node (LN) levels during neck dissection (ND)We retrospectively reviewed the pathological data on metastatic LN levels in head and neck cancer patients that had ND and ex vivo mapping of LN levels. Among them, we included the data from 43 patients that had a high risk for metastatic nodes based on both the preoperative CT and PET/CT. We compared the metastatic node levels based on the radiological studies and surgical pathology. In addition, we prospectively evaluated the accuracy of in situ mapping (N = 20).With ex vivo mapping, the discr...
Source: Journal of Surgical Oncology - November 18, 2009 Category: Cancer & Oncology Authors: Seung Hoon Woo, Yoon Kyoung So, Jong-In Jeong, Hayoung Byun, Won-Yong Lee, Han-Sin Jeong Source Type: journals

Predicting Residual Neck Disease in Patients With Oropharyngeal Squamous Cell Carcinoma Treated With Radiation Therapy: Utility of p16 Status [Original Article]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions In conjunction with other clinical parameters, p16 status can help predict the need for post-RT ND in patients with OP-SCCA. Although close observation may be warranted in selected patients with p16+ tumors, patients with p16– tumors are at much higher risk for residual neck disease, even when initial nodal disease is less advanced. (Source: Archives of Otolaryngology)
Source: Archives of Otolaryngology - November 16, 2009 Category: ENT & OMF Authors: Shonka, D. C., Shoushtari, A. N., Thomas, C. Y., Moskaluk, C., Read, P. W., Reibel, J. F., Levine, P. A., Jameson, M. J. Tags: Oncology, Head & Neck Cancer, Otolaryngology/ Head & Neck Surgery, Neoplasms of Head & Neck, Radiation Therapy, Papillomavirus, Human, Prognosis/ Outcomes Original Article Source Type: journals

2010 ASN AbstractsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: VBD can enlarge to significant dimensions, producing compressive symptoms in the brainstem, as well as thrombosis and ischemic strokes. SACE of the dolichoectasia can be effective for the vessel reconstruction, to prevent progression of the dilatation, and other potential clinical events. 3. Three Case Reports of Multiple Carotid and/or Vertebral Artery Dissections in Female Mei Lu, Heather Gornik, Esteban Cheng Ching, Vikram Kashyap, Rishi Gupta Cleveland Clinic Foundation, Cleveland, OH 44195, United States Introduction: Multiple carotid and/or vertebral artery dissections are rare. However, patients with mul...
Source: Journal of Neuroimaging - November 11, 2009 Category: Radiology Source Type: journals

How many nodes are needed to stage a neck? A critical appraisalEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, we report the importance of the number of retrieved nodes in likelihood of positive cervical node finding. Node yield is an important factor in oral cancer staging, and, more important, in early stage carcinomas, it is associated with survival and recurrence rates. Content Type Journal ArticleCategory Head and NeckDOI 10.1007/s00405-009-1144-zAuthors Hugo Fontan Köhler, Hospital A C Camargo Department of Head and Neck Surgery, Otolaryngology Rua Santana, 142 sala 42/43 18130-555 São Roque SP BrazilLuiz P. Kowalski, Hospital A C Camargo Department of Head and Neck Surgery, Otolaryngology Rua Santana,...
Source: European Archives of Oto-Rhino-Laryngology - November 10, 2009 Category: ENT & OMF Tags: European Archives of Oto-Rhino-Laryngology Source Type: journals

Multiple extracranial metastases from secondary glioblastoma multiforme: a case report and review of the literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Extracranial metastasis of glioblastoma multiforme (GBM) is very rare, in spite of very aggressive tumor behavior and being documented in only a few patients. In this article we present a 25-year-old man with secondary glioblastoma associated with extracranial progression and distant metastasis. He was diagnosed by magnetic resononce (MR) with an intracranial lesion in the right parietofrontal region, which was subsequently resected. Histology revealed a diffuse astrocytoma (grade II). The tumor recurred 1 year later and the patient received a second craniotomy. A diagnosis of GBM was made. Aft...
Source: Journal of Neuro-Oncology - November 7, 2009 Category: Cancer & Oncology Tags: Journal of Neuro-Oncology Source Type: journals

Impact of target volumes and radiation technique on loco-regional control and survival for patients with unilateral cervical lymph node metastases from an unknown primary.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Retrospective comparisons between bilateral and unilateral neck radiotherapies did not show differences in terms of loco-regional control and survival. However, patient's local regional control and survival are significantly improved after 3D-CRT or IMRT. PMID: 19892420 [PubMed - as supplied by publisher] (Source: Radiotherapy and Oncology : journal of the European Society for Therapeutic Radiology and Oncology)
Source: Radiotherapy and Oncology : journal of the European Society for Therapeutic Radiology and Oncology - November 4, 2009 Category: Radiology Authors: Ligey A, Gentil J, Créhange G, Montbarbon X, Pommier P, Peignaux K, Truc G, Maingon P Tags: Radiother Oncol Source Type: journals

Moderately differentiated neuroendocrine carcinoma of the larynx.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Laryngeal moderately differentiated neuroendocrine carcinoma (LMDNEC) is an aggressive and uncommon malignancy. Thorough histological evaluation is the key to correct diagnosis and differentiation. Complete surgical resection of laryngeal primary lesions and suitable neck dissection of cervical nodes provide reasonable therapy, and postoperative radiotherapy should also be considered. Objective: To explore the diagnosis and treatment of LMDNEC. Methods: Clinical information regarding patient, presentation, immunohistochemical results, treatment, and outcome was obtained through review of patients' charts. Foll...
Source: Acta Oto-Laryngologica - November 2, 2009 Category: ENT & OMF Authors: Zhang M, Zhou L, Li C, Huang WT, Li XM Tags: Acta Otolaryngol Source Type: journals

Spinal Accessory Neuropathy Associated With Deep Tissue Massage: A Case ReportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a rare and illustrative case of SAN associated with deep tissue massage leading to scapular winging and droopy shoulder as a result of weakness of the trapezius muscle. (Source: Archives of Physical Medicine and Rehabilitation)
Source: Archives of Physical Medicine and Rehabilitation - November 1, 2009 Category: Rehabilitation Authors: Ibrahim A. Aksoy, Sara L. Schrader, Muna S. Ali, Jill A. Borovansky, Mark A. Ross Tags: Clinical Note Source Type: journals

Clinical and Radiographic Natural History of Cervical Artery DissectionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: This large series from a single institution highlights many of the features of CAD. A relatively benign course with low recurrence rate is supported, independent of the type and duration of antithrombotic therapy. (Source: Journal of Stroke and Cerebrovascular Diseases)
Source: Journal of Stroke and Cerebrovascular Diseases - November 1, 2009 Category: Neurology Authors: Neil E. Schwartz, A. Talia Vertinsky, Karen G. Hirsch, Gregory W. Albers Tags: Original Articles Source Type: journals

The Agony of Choice: Diagnosis of Cervical Artery Dissection by Means of Duplexsonography or Magnetic Resonance Imaging?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Cerebrovasc Dis 2009;28:626-628 (DOI:10.1159/000253148) (Source: Cerebrovascular Diseases)
Source: Cerebrovascular Diseases - October 30, 2009 Category: Neurology Source Type: journals

Aspirin vs Anticoagulation in Carotid Artery Dissection: A Study of 298 PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The frequency of new retinal or cerebral ischemic events after spontaneous dissection of the cervical carotid artery is low and likely independent of the type of antithrombotic treatment (aspirin or anticoagulants) used. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 30, 2009 Category: Surgery Authors: D. Georgiadis, M. Arnold, H.C. von Buedingen Tags: Abstracts Source Type: journals

[Transoral endoscopic thyroidectomy : Part 2: Surgical technique.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: Our results demonstrate the feasibility and safety of a transoral access for thyroidectomy. In comparison to other minimally invasive thyroidectomy access procedures, the transoral approach is minimally invasive and at the same time cosmetically optimal. PMID: 19876604 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - October 29, 2009 Category: Surgery Authors: Benhidjeb T, Harlaar J, Kerver A, Kleinrensink GJ, Wilhelm T Tags: Chirurg Source Type: journals

Diffusion-weighted imaging findings differ between stroke attributable to spontaneous cervical artery dissection and patent foramen ovaleEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Diffusion-weighted imaging characteristics differ between PFO and dissection, suggesting differences in the pathogenesis of brain infarction between these aetiologies. A single non-territorial infarct seems to favour PFO as stroke aetiology. Whether this or other features are distinctive enough to diagnose PFO or dissection in individual patients requires further testing. (Source: European Journal of Neurology)
Source: European Journal of Neurology - October 22, 2009 Category: Neurology Authors: L. H. Bonati, S. G. Wetzel, A. Kessel-Schaefer, P. Buser, P. A. Lyrer, S. T. Engelter Source Type: journals

Does the Negative Node Count Affect Disease-Free Survival in Early-Stage Oral Cavity Cancer?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The removal of a greater number of regional, uninvolved cervical lymph nodes does not correlate with disease-free survival in this particular cohort of patients. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 20, 2009 Category: ENT & OMF Authors: Federico L. Ampil, Gloria Caldito, Ghali E. Ghali, Roxana G. Baluna Tags: Dental Implants Source Type: journals

Signet ring cell adenocarcinoma of the oropharynx: Presentation of a rare case and review of the literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present the case of a patient who suffered from indolent cervical nodular tumour. Biopsy and histopathological workup showed parts of a poorly differentiated SRCA with p53 overexpression and mutations. Immunostaining gave no further hints for the origin of the malignancy. Thorough staging revealed an extended tumour of the oropharynx as primary origin. The definitive surgical therapy consisted of a transoral tumour resection with CO2-laser and bilateral neck dissection. Final classification was pN2c cM0 G3 R0 L1 V0. Adjuvant fractioned radiotherapy with 66Gy was applied because of bilateral lymph node metastases and ext...
Source: Auris, Nasus, Larynx - October 17, 2009 Category: ENT & OMF Authors: Johannes A. Veit, Uta Reichelt, Stefan Tesche Tags: Case Reports Source Type: journals

Use of the novel ANSPACH bone collector for bone autograft in anterior cervical discectomy and cage fusionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion The use of the ANSPACH bone collector incorporated into a standard suction system provides an efficient method of autograft collection, removing the need for an adjunctive procedure with associated donor-site morbidity. Content Type Journal ArticleCategory Technique ApplicationsDOI 10.1007/s00701-009-0513-0Authors Jinendra Ekanayake, University Hospital of Coventry and Warwickshire Department of Neurosurgery Coventry UKAmjad Shad, University Hospital of Coventry and Warwickshire Department of Neurosurgery Clifford Bridge Road Coventry CV2 2DX UK Journal Acta NeurochirurgicaOnline ISSN...
Source: Acta Neurochirurgica - October 15, 2009 Category: Neurology Tags: Acta Neurochirurgica Source Type: journals

Intravenous Thrombolysis in Stroke Attributable to Cervical Artery Dissection.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: IVT-treated patients with CAD do not recover as well as IVT-treated non-CAD patients. However, intracranial bleedings and recurrent ischemic strokes were equally frequent in both groups. They do not account for different outcomes and indicate that IVT should not be excluded in patients who may have CAD. Hemodynamic compromise or frequent tandem occlusions might explain the less favorable outcome of patients with CAD. PMID: 19834022 [PubMed - as supplied by publisher] (Source: Stroke)
Source: Stroke - October 14, 2009 Category: Neurology Authors: Engelter ST, Rutgers MP, Hatz F, Georgiadis D, Fluri F, Sekoranja L, Schwegler G, Müller F, Weder B, Sarikaya H, Lüthy R, Arnold M, Nedeltchev K, Reichhart M, Mattle HP, Tettenborn B, Hungerbühler HJ, Sztajzel R, Baumgartner RW, Michel P, L Tags: Stroke Source Type: journals

Joint Practice Guidelines for Radionuclide Lymphoscintigraphy for Sentinel Node Localization in Oral/Oropharyngeal Squamous Cell CarcinomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Involvement of the cervical lymph nodes is the most important prognostic factor for patients with oral/oropharyngeal squamous cell carcinoma (OSCC), and the decision of whether to electively treat patients with clinically negative necks remains a controversial topic. Sentinel node biopsy (SNB) provides a minimally invasive method for determining the disease status of the cervical node basin, without the need for a formal neck dissection. This technique potentially improves the accuracy of histologic nodal staging and avoids overtreating three-quarters of this patient population, minimizing associate...
Source: Annals of Surgical Oncology - October 1, 2009 Category: Cancer & Oncology Tags: Annals of Surgical Oncology Source Type: journals

Cervical screw missing secondary to delayed esophageal fistula: case report.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a case of loss of an anterior cervical plate screw by the natural tracts. The patient was a 47- year-old woman who was operated on for cervical spondylotic myelopathy at another institution. Surgical interference included two levels of anterior discectomy, iliac graft placement and fixation using plate and screws. Two years later, plate dislocation and partial migration of the upper screws were observed. After 7 years the patient complained of dysphagia and she accepted removal of the osteosynthesis. Radiographical examination showed that one of the upper screws was missing and two lower screws were broken. Esop...
Source: Turkish Neurosurgery - September 30, 2009 Category: Neurosurgery Authors: Cagli S, Isik HS, Zileli M Tags: Turk Neurosurg Source Type: journals

Planned neck dissection following primary chemoradiation for advanced-stage head and neck cancerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Planned neck dissection in the setting of advanced neck disease following chemoradiation should remain an important consideration when counseling patients presenting with advanced cervical metastasis from squamous cell head and neck cancer. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - September 28, 2009 Category: ENT & OMF Authors: Peter R. Sabatini, Yadranko Ducic Tags: Head and Neck Surgery Source Type: journals

Joint practice guidelines for radionuclide lymphoscintigraphy for sentinel node localization in oral/oropharyngeal squamous cell carcinomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article was designed to outline the current best practice guidelines for the provision of SNB in patients with early-stage OSCC, and to provide a framework for the currently evolving recommendations for its use. These guidelines were prepared by a multidisciplinary surgical/nuclear medicine/pathology expert panel under the joint auspices of the European Association of Nuclear Medicine (EANM) Oncology Committee and the Sentinel European Node Trial Committee. Content Type Journal ArticleCategory GuidelinesDOI 10.1007/s00259-009-1248-0Authors Lee W. T. Alkureishi, University of Chicago Medical Center Department o...
Source: European Journal of Nuclear Medicine and Molecular Imaging - September 28, 2009 Category: Radiology Tags: European Journal of Nuclear Medicine and Molecular Imaging Source Type: journals

Small bowel incarceration in the umbilical artery following total laparoscopic radical hysterectomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of a patient who presented an intestinal obstruction following a TLRH for cervical cancer. The obstruction was caused by entrapment of a segment of small bowel under the dissected obliterated umbilical artery resulting in a loop incarceration. Wide radical pelvic dissection in radical hysterectomy usually leaves uncovered many dissected retroperitoneal structures. Postoperative bands and adhesions represent the main cause of bowel obstruction after a surgical procedure. Retroperitoneal vessel dissection is mandatory to achieve safely an adequate radicality, but it may lead to intestinal complications ...
Source: Gynecological Surgery - September 23, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Robot assisted laparoscopic transperitoneal para-aortic lymphadenectomy in the management of advanced cervical carcinomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Robot assisted transperitoneal laparoscopic para-aortic lymphadenectomy is feasible and provides the surgeon with greater precision than classical laparoscopy. Larger prospective multicentric trials are needed to validate the generalised usefulness of this technique. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - September 23, 2009 Category: OBGYN Authors: Maxime Fastrez, Jean Vandromme, Pascale George, Serge Rozenberg, Michel Degueldre Tags: Gynaecology and Gynaecological Oncology Source Type: journals

Case report. Tuberculous cervical lymphadenitis mimicking metastatic lymph nodes from papillary thyroid carcinoma.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report two unusual cases of tuberculous lymphadenitis mimicking metastatic lymph nodes from papillary thyroid carcinoma (PTC). Pre-operative ultrasonography of the cervical nodes suggested a metastasis with cystic necrosis and calcification in PTC patients, but permanent pathology revealed tuberculosis lymphadenitis after neck dissection. In cases suspicious for metastatic cervical nodes in patients with PTC, fine-needle aspiration cytology may be indicated for the differential diagnosis of tuberculosis lymphadenitis, especially in those who have experienced tuberculosis in the past. PMID: 19759208 [PubMed - in proc...
Source: The British Journal of Radiology - September 19, 2009 Category: Radiology Authors: Choi EC, Moon WJ, Lim YC Tags: Br J Radiol Source Type: journals

Clinical and radiological evaluation of Trabecular Metal and the Smith–Robinson technique in anterior cervical fusion for degenerative disease: a prospective, randomized, controlled study with 2-year follow-upEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract A prospective, randomized, controlled study was carried out to compare the radiological and clinical outcomes after anterior cervical decompression and fusion (ACDF) with Trabecular Metal™ (TM) to the traditional Smith–Robinson (SR) procedure with autograft. The clinical results of cervical fusion with autograft from the iliac crest are typically satisfactory, but implications from the donor site are frequently reported. Alternative materials for cervical body interfusion have shown lower fusion rates. Trabecular Metal is a porous tantalum biomaterial with structure and mechanical properties simi...
Source: European Spine Journal - September 18, 2009 Category: Orthopaedics Tags: European Spine Journal Source Type: journals

Reports On Pharyngeal Cancer Findings From M. Bremke And Co-Researchers Provide New InsightsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
"Definitive chemoradiation is a well-established option in the treatment of locally advanced squamous cell carcinoma of the head and neck. The intention of this study was to evaluate its efficacy on cervical lymph node metastases in a prospective studs, after a standardized protocol for chemoradiation (CRT) and histopathological evaluation, respectively," investigators in Marburg, Germany report. "The data of 25 patients (10 oropharynx, 15 hypopharynx) who received planned neck dissection after definitive chemoradiation for UICC stage I-V carcinomas of the pharynx were analyzed. All patients were sonomorphologically staged...
Source: Cancercompass News: Other Cancer - September 17, 2009 Category: Cancer & Oncology Source Type: news

The Vertebral Artery is Unlikely to be the Sole Source of Vascular Complications Occurring during Stellate Ganglion BlockEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Discussion: Arterial vessels other than the vertebral artery that also supply the anterior spinal cord and brain stem pass directly anterior to the transverse processes at the most common sites of the SGB. It is anatomically possible, therefore, that accidental injection or induced spasm of these vessels and not the vertebral arteries is responsible for some cases of seizure, hematoma, or other vascular complications during SGB. (Source: Pain Practice)
Source: Pain Practice - September 14, 2009 Category: Anesthesiology Authors: Marc A. Huntoon Source Type: journals

European Sentinel Node group interim resultsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Objectives: Sentinel Node Biopsy (SNB) is well-established in management of both breast cancer and melanoma. Tumour within cervical lymph nodes spreads in an orderly fashion from one nodal basin to the next. Lymphoscintigraphy accurately identifies the Sentinel Node. If negative for metastasis, a neck dissection can be avoided. The interim results of the European Sentinel Node Study (SENT) are presented (Source: The British Journal of Oral & Maxillofacial Surgery)
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Clare Schilling, B. Gurney, M. McGurk Tags: On-line Only Abstracts Source Type: journals

The importance of lymphovascular invasion in the survival of patient's with oral carcinomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Introduction: The presence of lymphovascular invasion in oral carcinoma surgical specimens has a significant impact on survival outcome in oral carcinoma patients. Method: The histopathological reports, demographic details and outcome of 72 consecutive patients treated primarily with tumour resection and neck dissection between 1999 and 2003 were analysed. The data was subjected to statistical analysis to discover the histopathological features of the primary tumour predictive of development of cervical metastases and survival. Analysis of candidate variables was undertaken using the Kaplan - Meier product limit method. F...
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Ahmed Messahel, H.B. Jones, M. Patel Tags: On-line Only Abstracts Source Type: journals

Biomechanical analysis of multilevel discectomy and excision of posterior longitudinal ligament: An <i> in vitro</i> study in sheepEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion:</b> Our data suggested that cervical discectomy decreases stability of sheep spine pieces. (Source: Neurology India)
Source: Neurology India - September 10, 2009 Category: Neurology Authors: Yilmaz Cem, Kabatas Serdar, Hepgul Kemal, Bozdag Ergun, Sunbuloglu Emin, Cansever Tufan Source Type: journals

Anterior Cervical Discectomy and Titanium Cage Fusion – 7-year Follow-upEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Zentralbl NeurochirDOI: 10.1055/s-0029-1220940Abstract The purpose of this study was to prospectively evaluate long-term results after anterior cervical discectomy and titanium cage fusion (ACDF) and titanium cage fusion. Special focus was on the adjacent levels.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents | Abstract | Full text (Source: Zentralblatt fur Neurochirurgie - Central European Neurosurgery)
Source: Zentralblatt fur Neurochirurgie - Central European Neurosurgery - September 1, 2009 Category: Neurosurgery Tags: Original Article Source Type: journals

Complications of Cervical Disc ArthroplastyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Anterior cervical discectomy and fusion (ACDF) has long been the gold standard for the treatment of cervical pathology. ACDF, when performed successfully, has shown good disease-free survival of up to 89% at 5 years for patients. However, the potential for complications has prompted clinicians to search for alternatives to cervical discectomy and fusion. Recent efforts have focused on total disc arthroplasty and interest in its application to the cervical spine. If performed successfully, total disc arthroplasty would preclude the need for graft harvest for fusion, attempt to maintain more physiological kinematics of the c...
Source: Seminars in Spine Surgery - August 31, 2009 Category: Orthopaedics Authors: Leonard K. Kibuule, Jeffrey S. Fischgrund Source Type: journals

Robotic Radical Trachelectomy for Preservation of Fertility in Early Cervical Cancer: Case Series and Description of TechniqueEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Robotic radical trachelectomy is a feasible technique that permits radical removal of the cervix. Improved visualization with the robot and fine dissection permissible with the instrument facilitate this procedure. (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - August 31, 2009 Category: OBGYN Authors: A.F. Burnett, P.J. Stone, L.A. Duckworth, J.J. Roman Tags: Original Articles Source Type: journals

Impact of distant metastasis in patients with cervical lymph node metastases from cancer of an unknown primary site.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Despite the fact that regional control can be achieved in many cases, survival rates may be limited by distant metastasis, especially in patients with advanced neck disease. PMID: 19810608 [PubMed - in process] (Source: The Annals of Otology, Rhinology, and Laryngology)
Source: The Annals of Otology, Rhinology, and Laryngology - August 31, 2009 Category: ENT & OMF Authors: Rödel RM, Matthias C, Blomeyer BD, Wolff HA, Jung K, Christiansen H Tags: Ann Otol Rhinol Laryngol Source Type: journals

What are the limits of endoscopic sinus surgery?: the expanded endonasal approach to the skull base.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The advent of endoscopic technologies and techniques has expanded the limits of conventional endoscopic sinus surgery. The expanded endonasal approach describes a series of surgical modules in the sagittal and coronal planes that allow surgical access to the entire ventral skull base. The sagittal plane extends from the frontal sinus to the second cervical vertebra. The coronal plane extends from the midline to the roof of the orbit, the floor of the middle cranial fossa, and the jugular foramen. Key principles of endonasal skull base surgery are choosing a surgical corridor that minimizes the need for neural and vascu...
Source: The Keio Journal of Medicine - August 31, 2009 Category: Universities & Medical Training Authors: Snyderman CH, Pant H, Carrau RL, Prevedello D, Gardner P, Kassam AB Tags: Keio J Med Source Type: journals

[Contrast ultrasound using SonoVue((R)) for pelvic radiation with concurrent chemotherapy monitoring in stage IB-II cervical cancer.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The aim of the present study was to evaluate whether angiogenic parameters as assessed by transvaginal color Doppler ultrasound and by enhanced cervix ultrasound may predict prognostic factors of stage IB greater than 4cm and II cervical cancer treated by radiochemotherapy. A total of 40 patients with histologically proven advanced stage invasive cervical cancer will be evaluated by color Doppler, contrast ultrasound, and MRI before radiotherapy, after the second chemotherapy cycle and prior to surgery. Subjective assessment of the amount of vessels within the tumor (scanty-moderate or abundant) and resistance index (R...
Source: Cancer Radiotherapie - August 30, 2009 Category: Cancer & Oncology Authors: Marret H, Barillot I, Rolland Y, Lévèque J Tags: Cancer Radiother Source Type: journals

Cervical Mediastinoscopic Lymphadenectomy for Accurate Staging in Lung Cancer [ORIGINAL ARTICLE]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Accurate preoperative staging of the mediastinum is important in the treatment of non-small-cell lung cancer. Enlarged mediastinal lymph nodes on chest computed tomography are positive for malignancy on mediastinoscopy in only half of these patients. After negative mediastinoscopy, some positive nodes are found at thoracotomy. The aim of this study was to attempt to remove all lymph nodes accessible by cervical mediastinoscopic lymphadenectomy and reevaluate the same mediastinal stations at thoracotomy for missed lymph nodes. Between 1999 and 2003, 30 patients with operable non-small-cell lung cancer and enlarged mediastin...
Source: Asian Cardiovascular and Thoracic Annals - August 26, 2009 Category: Cardiology Authors: Bar, Papiashvilli, Fink, Sandbank, Stav Tags: ORIGINAL ARTICLE Source Type: journals

Two cases of carcinoma of the cervical esophagus adjacent to the larynx treated with surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report herein two cases of carcinoma of the cervical esophagus adjacent to the larynx in which surgery achieved good results. Surgery for case 1, a 64-year-old woman, comprised resection of a carcinoma of the cervical esophagus at stage 0-IIa T1aN0M0, bilateral neck and paratracheal dissections (D1 and D2 dissection), reconstruction using the free jejunal segment, and tracheostomy. At 30 days postoperatively, she was able to eat normal food. For case 2, a 58-year-old man, the same operative procedures were conducted for stage 0-IIc T1bN0M0 carcinoma. At 33 days postoperatively, the patient was able to eat rice porri...
Source: International Journal of Clinical Oncology - August 25, 2009 Category: Cancer & Oncology Tags: International Journal of Clinical Oncology Source Type: journals

Normalization of Central Cord Syndrome Spinal Cord Injury Urodynamics After Intrathecal Baclofen Therapy: A Case ReportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion. Although the main indication for intrathecal baclofen therapy is spasticity, improved urodynamics can be an additional benefit in central cord syndrome spinal cord injury. (Source: Neuromodulation)
Source: Neuromodulation - August 19, 2009 Category: Neurology Authors: Adam L. Schreiber, Guy W. Fried, Christopher S. Formal Source Type: journals

Angiogenesis and CD34 Expression as a Predictor of Recurrence in Oral Squamous Cell CarcinomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Early-stage T1 OSCC with high-grade lesions and a penetrating pattern of CD34 was associated with a statistically significant risk of cervical lymph node metastasis, compared with a circumscribing pattern of CD34. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - August 18, 2009 Category: ENT & OMF Authors: Deepak Kademani, Jason T. Lewis, Derek H. Lamb, David J. Rallis, Jeffrey R. Harrington Tags: Basic and Patient-Oriented Research Source Type: journals

Cubital tunnel surgery in patients with cervical radiculopathy: double crush syndrome?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract To determine differences in clinical outcomes in patients harboring both cubital tunnel syndrome (CuTS) and cervical radiculopathy and the influence of the so-called double crush syndrome. Both procedures were performed in 24 patients, mean age 55 years; first group of 14 patients underwent CuTS surgery as a first procedure. Second group of 10 patients underwent anterior cervical discectomy and fusion (ACDF) then ulnar nerve release (UNR). Two patients underwent bilateral nerve surgery and six multiple cervical discectomies. Surgeries consisted in 26 nerve releases with associated external neur...
Source: Urosurgical Review - August 15, 2009 Category: Urology & Nephrology Tags: Neurosurgical Review Source Type: journals

Pre-orgasmic headache and cervical carotid artery dissectionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: European Journal of Neurology)
Source: European Journal of Neurology - August 11, 2009 Category: Neurology Authors: B. Edvardsson, S. Persson Source Type: journals

Functional polymorphisms in matrix metalloproteinases -1, -3, -9 and -12 in relation to cervical artery dissection.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Alleles of these 5 functional polymorphisms of MMPs seem not to be associated with structural alterations in the blood vessel wall of sCAD patients. However, this does not exclude a pathogenetic role for MMPs in sCAD via secondary factors such as cytokines that are able to induce these enzymes in cervical blood vessel walls. (Source: BMC Neurology)
Source: BMC Neurology - August 8, 2009 Category: Neurology Authors: Armin BussKatrin PechSusanne RoelverBrunhilde BloemekeChristoph KlotzschSebastian Breuer Source Type: journals

Current State of Neck Dissection in the United StatesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The status of the cervical lymph nodes is the most important prognosticator in head and neck squamous cell carcinoma. The neck dissection is both a therapeutic and staging procedure and has evolved to include various types with standardized level designations (I–VI) for lymph node groups: the radical neck dissection, modified radical neck dissection, the selective neck dissection, and the extended neck dissection. The gross and histologic examination of a neck dissection should provide the critical information (size of metastasis, number of lymph nodes involved) for staging purposes. Additionally,...
Source: Head and Neck Pathology - August 7, 2009 Category: Pathology Tags: Head and Neck Pathology Source Type: journals

Common pitfalls in interpretation of medical evidence: a case demonstration of misleading interpretation in the analysis of cervical spine fusionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions based on low-quality information or post hoc analysis of high-quality information must be interpreted with caution.Purpose: To present a clinical research “case report” as means to describe common pitfalls faced by authors, editors, and readers of the medical literature with a focus on spinal surgery.Study design/setting: This article describes a historical cohort study performed at a university hospital.Patient sample: One hundred thirty-eight consecutive patients treated with single-level anterior cervical discectomy and fusion (ACDF) by a single surgeon.Outcomes measure: The primary outcome measure was t...
Source: The Spine Journal - August 6, 2009 Category: Orthopaedics Authors: Daniel K. Resnick, Sharad Rajpal, Michael P. Steinmetz Tags: Clinical Studies Source Type: journals

[Surgical lymph-node evaluation in cervical cancer.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Lymph-nodal involvement is a major prognostic factor of cervical cancer. Lymph-node status is classically evaluated by lymph-node dissection. This surgical approach has mainly a prognostic interest. The morbidity related to the lymph-node dissection is not nil, so numerous imaging or surgical techniques have been recently developed in order to reduce this morbidity. Currently, even with the progress of the imaging techniques, surgical lymph-node dissection is the standard approach. For the management of early cervical cancer, surgery is usually the sole treatment. In association with a laparoscopic lymph-node dissectio...
Source: Cancer Radiotherapie - August 3, 2009 Category: Cancer & Oncology Authors: Mathevet P Tags: Cancer Radiother Source Type: journals

Impact of surgical staging in locally advanced cervical cancer and subsequent chemotherapyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Surgical staging (SS) is the gold standard for determination of the true extent of a patient's disease and is an important prognostic factor in cervical cancer. We investigated whether lymph node dissection (LND) prior to chemotherapy (CT) followed by radical surgery (RS) could modified overall (OS) and disease-free survival (DFS).We performed a cohort analysis of 98 patients with cervical carcinoma. The experimental group consisted of 36 patients who underwent SS followed by neoadjuvant chemotherapy, and then by RS (objective response) or chemo-radiation therapy (with or without subsequent surgery when not possible). The ...
Source: Journal of Surgical Oncology - August 2, 2009 Category: Cancer & Oncology Authors: Heitor Ricardo Cosiski Marana, Jurandyr Moreira de Andrade, Francisco José Cândido dos Reis, Daniel Guimarães Tiezzi, Fábio Eduardo Zola, Willan Simões Clagnan, Alexandre Pavan Garieri Source Type: journals

Axillary nodal metastasis at primary presentation of an oropharyngeal primary carcinoma: a case report and review of the literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Whilst previous reports in the literature suggest routine examination of the axilla is advisable in patients with previously treated neck cancer and recurrence of head and neck cancer, we propose that the axilla should be routinely examined in new cases, particularly when there is involvement of the level 5 nodes. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - August 2, 2009 Category: Journals (General) Source Type: journals

Comparison between open procedure and tubular retractor assisted procedure for cervical radiculopathy: results of a randomized controlled study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, TAF/TAFD should increase patient's compliance and is as clinically effective as much as the OF/OFD. PMID: 19654947 [PubMed - in process] (Source: J Korean Med Sci)
Source: J Korean Med Sci - July 31, 2009 Category: Journals (General) Authors: Kim KT, Kim YB Tags: J Korean Med Sci Source Type: journals

Techniques for cervical interbody grafting.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Current evidence does not support the routine use of interbody grafting for cervical arthrodesis. Multiple strategies for interbody grafting have been successful with Class II evidence supporting the use of autograft, allograft, and titanium cages. PMID: 19769500 [PubMed - in process] (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - July 31, 2009 Category: Neurosurgery Authors: Ryken TC, Heary RF, Matz PG, Anderson PA, Groff MW, Holly LT, Kaiser MG, Mummaneni PV, Choudhri TF, Vresilovic EJ, Resnick DK Tags: J Neurosurg Spine Source Type: journals