scholarly journals Sarcoma of the Maxillofacial/Head and Neck Region

Author(s):  
D’ Souza Jacob ◽  
Boyapati Raghu

AbstractSarcomas are malignant mesenchymal tumours. They are relatively uncommon in the head and neck region. They are diverse affecting both soft and hard tissues. Multiple histological subtypes are recognised. There is considerable variation in their behaviour and response to treatment, both in adults and children. Historically, poor outcomes are due to multiple reasons such as paucity of standardised treatment approaches and the complex anatomy of the head and neck region. Nevertheless, surgery plays a key part in the management of sarcomas, both from an ablative and reconstructive viewpoint. The modern reconstructive techniques have improved quality of life for those undergoing surgical ablation.

2021 ◽  
pp. 1-3
Author(s):  
Ihsan Ceceli ◽  
Ihsan Ceceli ◽  
Seyit Mehmet Ceylan

Sinonasal undifferentiated carcinoma is a rare malignancy of the head and neck region. Its diagnosis and treatment are difficult due to its rare and aggressive tumor nature and the complex anatomy of its localization. A 70-year-old male who presented with symptoms caused by this rare tumor was reported. The patient presented with pain on the left side of the head and vision loss in the left eye for 1 month, and his endoscopic biopsy was reported as undifferentiated carcinoma. This case report aimed to discuss the diagnosis and treatment of sinonasal undifferentiated carcinoma.


Brachytherapy ◽  
2013 ◽  
Vol 12 ◽  
pp. S63
Author(s):  
Grzegorz Zwierzchowski ◽  
Grzegorz Bieleda ◽  
Janusz Skowronek

2015 ◽  
Vol 24 (1) ◽  
pp. 99-103
Author(s):  
Peng Li ◽  
Sun Liyan ◽  
Xu Zhang ◽  
Rui-Hua Luo ◽  
Jin-Xing Qi ◽  
...  

2019 ◽  
Vol 35 (03) ◽  
pp. 256-259
Author(s):  
Zhe Hou ◽  
Patrick K. Lee

AbstractMedical tattooing has been used in various circumstances. In this review, the authors focus on the utilization of medical tattooing in the head and neck region as a minimally invasive alternative to corrective surgeries. It is mostly used to camouflage noticeable surgical scars on scalp, face, and perioral areas. Its use has also been described in cases of concealing depigmentation or hypopigmentation, hair loss, postirradiation telangiectasia, and congenital vascular malformation. These procedures are well-tolerated and safe. Its effects are long-lasting and satisfactory, leading to improvement in self-esteem and increased quality of life in treated patients. The limitations of medical tattooing in such uses include high technical requirement, color fading and alteration, unpredictable outcomes in scarred tissue, and potential cutaneous reactions. It also carries a risk of infection, albeit very low due to standardized sterilization process in a medical setting. The authors conclude that medical tattooing in the head and neck region may serve as an excellent option for patients who seek for cosmetic improvement in their deformities and/or discoloration but would prefer to avoid surgery.


2020 ◽  
Vol 7 (9) ◽  
pp. 3060
Author(s):  
Surya Rao Rao Venkata Mahipathy ◽  
Alagar Raja Durairaj ◽  
Narayanamurthy Sundaramurthy ◽  
Anand Prasath Jayachandiran

Reconstruction of defects of the head and neck remains a challenge to the reconstructive surgeon. This is due to the complex anatomy of the region as well as the age and comorbidities of the patients, which prevent the use of free tissue transfer as the primary tool of reconstruction. The supraclavicular artery (SCA) island flap is a well vascularised tissue and provides a thin and pliable skin for cutaneous and mucosal defects of the head and neck region. Here, we had done this flap for eight patients with no major complications and hence, we concur that it is a safe, reliable and versatile reconstructive option for these defects. The study period was from January 2015 to June 2016 where we operated on 8 patients, 5 for post burn contracture neck and 3 for post oncologic resection. The flap was used as a pedicled fascio-cutaneous and was based on the transverse supraclavicular artery. Eight cases underwent supraclavicular artery flap of which 5 were males and 3 females. Mean defect size was 15×10 cm. All the donor sites were closed with a split skin graft. One patient had distal necrosis which was managed with debridement and secondary suturing. The supraclavicular artery flap is a thin, versatile, reliable and easy to harvest flap for reconstructing head and neck defects, with good cosmetic and functional outcome.


Author(s):  
Chavan Shrinivas

Introduction: Special senses are group of sensory organs that help us to connect with external environment by various modes of elements like sound, sight, touch and smell. Any damage to these organs though may not be physically handicapping but can affect the quality of life of any individual. Bullet injuries to the head and neck region are life-threatening and demand a detailed clinical examination and meticulous operative management due to the complexity of craniofacial anatomy. Head and neck region also house sense organs, but most of the time their functions are not properly assessed during the primary care provided in firearm injuries. The main aim of this study was – To study the long term effects of firearm injuries on special senses. To study the impact of these injuries on facial visage causing impairment on quality of life. To set a standard protocol that can be applied in such injuries for a bedside evaluation of sense organs of victims. Materials and Methods: The following study was conducted by the Department of Otorhinolaryngology & Head and Neck Surgery, Department of Forensic Medicine and Department of Community Medicine, at Grant Government Medical College and Sir JJ Group of Hospitals. A retrospective study of 532 patients who were victims of various firearm injuries in isolated civil incidents and terrorist attacks in Mumbai between January 1990 to July 2018. Institutional ethical clearance was obtained prior to initiating the study. Data regarding the patients were obtained from hospital records. Results: The age group which was most affected was between 20- 40 years i.e.; the working population of the country. Most of the patients were of the male gender, nearly 70.3%. The sense organ to be affected the most in these incidents was ear(55.2%) ,followed by eyes(39.3%) . Facial scar caused a significant social impact on the quality of life among females. Conclusion: This study aims to set a standard protocol in the post-critical phase in firearm injuries; giving priority to functions of sense organs and facial visage to ensure a good quality of life in the post-trauma period.


2015 ◽  
Vol 129 (S2) ◽  
pp. S83-S85 ◽  
Author(s):  
R Yasumatsu ◽  
T Nakashima ◽  
M Yamauchi ◽  
S Toh ◽  
S Komune

AbstractPurpose:The management of extrapulmonary small cell carcinoma has not been standardised to date. This study reviewed the clinical course, management and survival outcomes of patients with extrapulmonary small cell carcinoma in the head and neck region.Methods:Nine patients with extrapulmonary small cell carcinoma in the head and neck were included in this study.Results:Five patients received radical surgery followed by adjuvant chemotherapy or radiotherapy or both. Two other patients were treated with chemotherapy consisting of CPT11 plus cisplatin or CPT11 plus cisplatin plus VP-16 three times. Two other patients received chemoradiotherapy consisting of S-1 or CPT11 plus cisplatin. The median overall survival was 14.5 months, with a three-year survival rate of 23.7 per cent.Conclusions:The prognosis of extrapulmonary small cell carcinoma is generally poor. Further prospective multicentre studies are required for better understanding of disease entities and response to treatment modalities.


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