Faculty Opinions recommendation of Surgical options in benign parotid tumors: a proposal for classification.

F.NA.C has been used for ages as a safe and economical tool for fast preoperative diagnosis of parotid tumors. It has certain pitfall which sometimes leads to misdiagnosis and consequently it may have affect on treatment of the tumors. Keeping in view of the diverse classification of parotid tumors’ information from cytology should be combined with radiology as well as clinical diagnosis. Aim: To discuss some cases where there was discrepancy between cytological diagnosis and histopathological result and also suggest measures to improve the efficacy of F.N.A.C. Material and methods: The study includes 50 cases of parotid tumours who presented to the department of ENT at Government medical college Haldwani which is a tertiary referral centre during 2009 to 2016. Only adult patients were included and inflammatory swelling were excluded from the study. All patients evaluated Contrast enhanced computerized tomography(CECT) and Magnetic resonance imaging (MRI) followed by Fine needle aspiration cytology .Preoperative diagnosis was made upon the findings of the above investigations and different types of parotid surgeries were done. . Final diagnosis was made on histopathological examination. Result :The most common tumour came out to be pleomorphic adenoma (23 cases-46%) followed by mucoepidermoid carcinoma(12cases-24%). In ten cases there was no clear cut association between cytological diagnosis and final histopathological diagnosis. Conclusion: FNAC is highly sensitive and specific technique for diagnosis of many salivary gland swellings. FNAC can be used preoperatively to avoid unnecessary surgery and biopsy. Details of clinical information and radiologic features may help the pathologist to arrive at the appropriate diagnosis and reduce false interpretation. Pitfalls may also occur with improper technique of FNAC which can be overcome by proper caution.

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Experience with Various Surgical Options for the Treatment of Atrial Fibrillation

The Heart Surgery Forum ◽

10.1532/hsf98.20041013 ◽

2004 ◽

Vol 7 (4) ◽

pp. E333-E336 ◽

Cited By ~ 4

Author(s):

William H. Ryan ◽

Hillary B. Prince ◽

Grayson H. Wheatley, III ◽

Morley A. Herbert ◽

Christina M. Worley ◽

...

Keyword(s):

Atrial Fibrillation ◽

Surgical Options

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Retrospective study on parotid gland tumors

ORL ro ◽

10.26416/orl.33.4.2016.155 ◽

2016 ◽

Vol 4 (1) ◽

pp. 22-23

Author(s):

Ibric Cioranu ◽

Vlad Petrescu Seceleanu ◽

Viorel Ibric Cioranu ◽

Andreea Smarandache ◽

Sorin Vasilescu ◽

...

Keyword(s):

Malignant Tumors ◽

Maxillofacial Surgery ◽

Squamous Carcinoma ◽

Benign Tumors ◽

Warthin Tumor ◽

Parotid Tumors ◽

Non Hodgkin Lymphoma ◽

Adenoid Cystic ◽

Modal Treatment ◽

Surgery Department

During 2011-2012, 56 patients diagnosed with parotid tumors were admitted to the Maxillofacial Surgery Department of “Lucian Blaga” University and in Euroclinic Hospital. 72% were benign tumors and 28% malignant. All patients received surgical treatment (total or partial parotidectomy). For the malignant tumors, radiotherapy was added to the modal treatment (94% of the cases). Pleomorphic adenoma was encountered in 70% of the benign cases, followed by Warthin tumor in 15%. Adenoid cystic carcinoma was noticed in 31% of the malignant cases, mucoepidermoid carcinoma in 25% of the cases, and squamous carcinoma and non-Hodgkin lymphoma on 12.5% of the malignant cases.

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Faculty Opinions recommendation of Lichen sclerosus of the male genitalia and urethra: surgical options and results in a multicenter international experience with 215 patients.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.1163301.793513201 ◽

2016 ◽

Author(s):

Christopher Chapple ◽

Nadir Osman

Keyword(s):

Male Genitalia ◽

Lichen Sclerosus ◽

International Experience ◽

Surgical Options

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Faculty Opinions recommendation of Extracapsular dissection for benign parotid tumors: a meta-analysis.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.717954087.793459866 ◽

2012 ◽

Author(s):

Marco Merlano

Keyword(s):

Meta Analysis ◽

Parotid Tumors ◽

Extracapsular Dissection

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Surgical options in glaucoma

Glaucoma: Basic and Clinical Perspectives ◽

10.2217/ebo.12.536 ◽

2013 ◽

pp. 96-107

Author(s):

Mathew K George ◽

Ramesh S Ayyala

Keyword(s):

Surgical Options

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Applying a Sensing-Enabled System for Ensuring Safe Anterior Cingulate Deep Brain Stimulation for Pain

Brain Sciences ◽

10.3390/brainsci9070150 ◽

2019 ◽

Vol 9 (7) ◽

pp. 150 ◽

Cited By ~ 5

Author(s):

Yongzhi Huang ◽

Binith Cheeran ◽

Alexander L. Green ◽

Timothy J. Denison ◽

Tipu Z. Aziz

Keyword(s):

Deep Brain Stimulation ◽

Pain Relief ◽

Brain Stimulation ◽

Brain Activity ◽

Anterior Cingulate ◽

Chronic Therapy ◽

Provide Pain Relief ◽

Surgical Options ◽

Effective Pain Relief ◽

Deep Brain

Deep brain stimulation (DBS) of the anterior cingulate cortex (ACC) was offered to chronic pain patients who had exhausted medical and surgical options. However, several patients developed recurrent seizures. This work was conducted to assess the effect of ACC stimulation on the brain activity and to guide safe DBS programming. A sensing-enabled neurostimulator (Activa PC + S) allowing wireless recording through the stimulating electrodes was chronically implanted in three patients. Stimulation patterns with different amplitude levels and variable ramping rates were tested to investigate whether these patterns could provide pain relief without triggering after-discharges (ADs) within local field potentials (LFPs) recorded in the ACC. In the absence of ramping, AD activity was detected following stimulation at amplitude levels below those used in chronic therapy. Adjustment of stimulus cycling patterns, by slowly ramping on/off (8-s ramp duration), was able to prevent ADs at higher amplitude levels while maintaining effective pain relief. The absence of AD activity confirmed from the implant was correlated with the absence of clinical seizures. We propose that AD activity in the ACC could be a biomarker for the likelihood of seizures in these patients, and the application of sensing-enabled techniques has the potential to advance safer brain stimulation therapies, especially in novel targets.

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