Head and Neck Surgery | Links Medicus Content Curation & Alerts in Medicine

Retrospective cohort study: Association of patient characteristics with postoperative mortality in children undergoing tonsillectomy.

22 Jun, 2022 | 11:14h | UTC

Association of Patient Characteristics With Postoperative Mortality in Children Undergoing Tonsillectomy in 5 US States – JAMA (free for a limited period)

Editorials: Mortality After Pediatric Tonsillectomy—Does the “D” Word Have a Place in Tonsillectomy Discussions? – JAMA Otolaryngology-Head & Neck Surgery

Neck circumference measurement for surveillance and early detection of hemorrhage after thyroidectomy: a diagnostic accuracy study.

10 Jun, 2022 | 11:39h | UTC

Neck Circumference Measurement for Surveillance and Early Detection of Hemorrhage After Thyroidectomy: A Diagnostic Accuracy Study – JAMA Otolaryngology-Head & Neck Surgery (free for a limited period)

Commentary on Twitter

Study evaluated neck circumference measurements as a diagnostic tool to improve patient’s safety in thyroid surgery. An increase of 7% or more seemed to be specific for post-thyroidectomy hemorrhage along with other clinical signs. https://t.co/HQqjv3svRx #thyroidectomy

— JAMA Otolaryngology – Head & Neck Surgery (@JAMAOto) June 9, 2022

Cohort Study: Analysis of comorbidities, clinical outcomes, and parathyroidectomy in adults with primary hyperparathyroidism.

8 Jun, 2022 | 10:38h | UTC

Analysis of Comorbidities, Clinical Outcomes, and Parathyroidectomy in Adults With Primary Hyperparathyroidism – JAMA Network Open

Commentary on Twitter

This national cohort study from Sweden found patients with primary hyperparathyroidism had an increased risk of fractures and cardiovascular events, and parathyroidectomy was associated with reduced risks for these outcomes. https://t.co/9dQAR9dqtk

— JAMA Network Open (@JAMANetworkOpen) June 3, 2022

Difficult and complicated oral ulceration: an expert consensus guideline for diagnosis.

6 Jun, 2022 | 11:19h | UTC

Difficult and complicated oral ulceration: an expert consensus guideline for diagnosis – International Journal of Oral Science

Alcoholic chlorhexidine skin preparation or triclosan-coated sutures to reduce surgical site infection: a systematic review and meta-analysis of high-quality randomized controlled trials.

31 May, 2022 | 11:50h | UTC

Alcoholic chlorhexidine skin preparation or triclosan-coated sutures to reduce surgical site infection: a systematic review and meta-analysis of high-quality randomised controlled trials – The Lancet Infectious Diseases

Commentary from one of the authors on Twitter (thread – click for more)

1. Today: our @TheLancetInfDis meta-analysis based on @FalconRct – triclosan sutures and alcoholic skin prep to reduce surgical site infection.

Link to open access PDF:https://t.co/cj7yFdbNpB pic.twitter.com/VkKRaxCAtm

— Aneel Bhangu (@aneelbhangu) May 27, 2022

Guidelines for clothing in the operating theatre.

30 May, 2022 | 11:52h | UTC

Guidelines for clothing in the operating theatre, 2021 – Anaesthesia Critical Care & Pain Medicine

Systematic Review: Airway complications resulting from pediatric esophageal button battery impaction.

27 May, 2022 | 11:49h | UTC

Airway Complications Resulting From Pediatric Esophageal Button Battery Impaction: A Systematic Review – JAMA Otolaryngology-Head & Neck Surgery (free for a limited period)

Invited Commentary: Pediatric Button Battery Injuries—Current State and What’s Next? – JAMA Otolaryngology-Head & Neck Surgery

Health Technology Assessment: Molecular testing for thyroid nodules of indeterminate cytology.

25 May, 2022 | 10:42h | UTC

Molecular Testing for Thyroid Nodules of Indeterminate Cytology: A Health Technology Assessment – Ontario Health Technology Assessment Series

M-A: Complication rates of total thyroidectomy vs. hemithyroidectomy for treatment of papillary thyroid microcarcinoma.

11 May, 2022 | 10:59h | UTC

Complication Rates of Total Thyroidectomy vs Hemithyroidectomy for Treatment of Papillary Thyroid Microcarcinoma: A Systematic Review and Meta-analysis – JAMA Otolaryngology-Head & Neck Surgery (link to abstract – $ for full-text)

Commentary on Twitter

In this systematic review and #meta-analysis, complications in the surgical management of micropapillary #thyroid carcinoma increased with the extent of surgery performed, although complications and recurrence were low for both operations. https://t.co/Itf14o38Vu @wiscsurgery

— JAMA Otolaryngology – Head & Neck Surgery (@JAMAOto) May 6, 2022

ESMO Clinical Practice Guideline update on the use of systemic therapy in advanced thyroid cancer.

5 May, 2022 | 10:16h | UTC

ESMO Clinical Practice Guideline update on the use of systemic therapy in advanced thyroid cancer – Annals of Oncology

RCT: Sintilimab vs. placebo in combination with chemotherapy as first line treatment for locally advanced or metastatic esophageal squamous cell carcinoma.

20 Apr, 2022 | 09:28h | UTC

Sintilimab versus placebo in combination with chemotherapy as first line treatment for locally advanced or metastatic oesophageal squamous cell carcinoma (ORIENT-15): multicentre, randomised, double blind, phase 3 trial – The BMJ

Commentary on Twitter

Compared with placebo, sintilimab in combination with chemo showed significant benefits in overall survival and progression free survival as first line treatment in patients with advanced or metastatic oesophageal squamous cell carcinoma, finds study https://t.co/m8Gn3SBmCu

— The BMJ (@bmj_latest) April 19, 2022

Development and validation of machine learning models for predicting occult nodal metastasis in early-stage oral cavity squamous cell carcinoma.

20 Apr, 2022 | 09:14h | UTC

Development and Validation of Machine Learning Models for Predicting Occult Nodal Metastasis in Early-Stage Oral Cavity Squamous Cell Carcinoma – JAMA Network Open

Commentary on Twitter

In this diagnostic modeling study, #MachineLearning models built with multi-institutional data showed potential to reduce morbidity from elective neck dissections with similar cancer outcomes in patients with early-stage oral cavity squamous cell carcinoma https://t.co/aRktgc0ms6

— JAMA Network Open (@JAMANetworkOpen) April 13, 2022

M-A of randomized trials: Intraoperative recurrent laryngeal nerve monitoring vs. visualization alone.

19 Apr, 2022 | 01:17h | UTC

Intraoperative recurrent laryngeal nerve monitoring versus visualisation alone – A systematic review and meta-analysis of randomized controlled trials – American Journal of Surgery

Development and validation of a decision analytical model for posttreatment surveillance for patients with oropharyngeal carcinoma.

14 Apr, 2022 | 07:52h | UTC

Development and Validation of a Decision Analytical Model for Posttreatment Surveillance for Patients With Oropharyngeal Carcinoma – JAMA Network Open

M-A: The clinical effect and safety of new preoperative fasting time guidelines for elective surgery.

12 Apr, 2022 | 09:51h | UTC

The clinical effect and safety of new preoperative fasting time guidelines for elective surgery: a systematic review and meta-analysis – Gland Surgery

An international multidisciplinary consensus statement on fasting before procedural sedation in adults and children – Anaesthesia

Does my hospitalized patient need an NPO-after-midnight order preoperatively?

ESPEN practical guideline: Clinical nutrition in surgery – “Preoperative fasting from midnight is unnecessary in most patients. Patients undergoing surgery, who are considered to have no specific risk of aspiration, shall drink clear fluids until 2 h before anesthesia. Solids shall be allowed until 6 h before anesthesia.”

Pro-Con Debate: 1- vs 2-Hour Fast for Clear Liquids Before Anesthesia in Children.

Editorial: The rationale for the recommendations of the European Pediatric Fasting Guideline – “the authors of the 2021 ESAIC pediatric guideline have found reasons to recommend reductions to the minimum fasting times for infant formula to 4 h, for breast milk to 3 h and for clear fluids to 1 h”.

Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures: An Updated Report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration

Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology

Clear fluids fasting for elective paediatric anaesthesia: The European Society of Anaesthesiology consensus statement – European Journal of Anaesthesiology

Canadian Pediatric Anesthesia Society statement on clear fluid fasting for elective pediatric anesthesia – Canadian Journal of Anesthesia (free)

M-A: Advanced computed tomographic localization techniques for primary hyperparathyroidism.

6 Apr, 2022 | 09:57h | UTC

Advanced Computed Tomographic Localization Techniques for Primary Hyperparathyroidism: A Systematic Review and Meta-analysis – JAMA Otolaryngology-Head & Neck Surgery (link to abstract – $ for full-text)

Podcast: Deep dive into deep neck infections in children.

31 Mar, 2022 | 07:57h | UTC

#47: Deep Dive into Deep Neck Infections with Dr. Travis Crook – The Cribsiders

SEOM-TTCC clinical guideline in nasopharynx cancer.

25 Mar, 2022 | 08:20h | UTC

SEOM-TTCC clinical guideline in nasopharynx cancer (2021) – Clinical and Translational Oncology

Consensus Statement | Minimally-invasive treatments for benign thyroid nodules: recommendations for information to patients and referring physicians.

24 Mar, 2022 | 08:42h | UTC

Minimally-invasive treatments for benign thyroid nodules: recommendations for information to patients and referring physicians by the Italian Minimally-Invasive Treatments of the Thyroid group – Endocrine

Position Paper | Individualized treatment of differentiated thyroid cancer: The value of surgery in combination with radioiodine imaging and therapy.

24 Mar, 2022 | 08:34h | UTC

Individualized treatment of differentiated thyroid cancer: The value of surgery in combination with radioiodine imaging and therapy – A German position paper from Surgery and Nuclear Medicine – Nuclear Medicine

RCT: Elective upper-neck vs. whole-neck irradiation of the uninvolved neck in patients with nasopharyngeal carcinoma.

9 Mar, 2022 | 08:17h | UTC

Elective upper-neck versus whole-neck irradiation of the uninvolved neck in patients with nasopharyngeal carcinoma: an open-label, non-inferiority, multicentre, randomised phase 3 trial – The Lancet Oncology (link to abstract – $ for full-text)

Commentaries:

Elective Upper-Neck vs Whole-Neck Irradiation in Nasopharyngeal Carcinoma – The ASCO Post

Lower Neck-Sparing RT Succeeds in Nasopharyngeal Carcinoma— Phase III trial also shows that upper-neck irradiation leads to fewer late toxicities – MedPage Today (link to abstract – $ for full-text)

RCT: In operated patients with head and neck cancer, chemoradiotherapy with weekly cisplatin is noninferior to 3-weekly cisplatin and is associated with reduced toxicity.

3 Mar, 2022 | 08:11h | UTC

Weekly Cisplatin Plus Radiation for Postoperative Head and Neck Cancer (JCOG1008): A Multicenter, Noninferiority, Phase II/III Randomized Controlled Trial – Journal of Clinical Oncology

Commentary from the author on Twitter

Dear friends,
Finally, the results of JCOG1008, post operative CRT (weekly CDDP vs. 3-weekly CDDP) has published on Journal of Oncology.
Weekly CDDP+RT is a new treatment option with equal efficacy and better safety profile.
Please check the manuscript!!https://t.co/XG6mkGeo4Y

— Naomi Kiyota (@kiyota_naomi) March 1, 2022