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Outcomes Following Transoral Laser Microsurgery for T1b and T2a Glottic Squamous Cell Carcinoma With and Without Anterior Commissure Involvement: A Retrospective Chart Review.
ImportanceThere is a limited understanding of anterior commissure (AC) involvement in glottic squamous cell carcinoma (SCC), particularly when comparing T1b, T2a with AC involvement (T2AC), and T2a without AC involvement (T2noAC).ObjectiveT…
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Oncologic and Functional Outcomes of T3 Glottic Squamous Cell Carcinoma Following Transoral Laser Microsurgery: A Retrospective Chart Review.
ImportanceFew centers globally use transoral laser microsurgery (TLM) for primary treatment of T3 glottic squamous cell carcinoma (SCC); consequently, data on its use in this setting are sparse.ObjectiveThe aim of this study was to evaluate…
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"Close Then Clear" Margins in Transoral Resection of p16+ Oropharyngeal Squamous Cell Carcinoma.
[OBJECTIVE] Standard 5-mm surgical margins in the oropharynx are challenging due to the intimate relationship with neurovascular structures and patient function. De-escalation of therapy with the acceptance of close surgical margins may imp…
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The Complications of Osseous Reconstruction in the Head and Neck: A Systematic Review and Meta-analysis.
[OBJECTIVE] To compare the postoperative complications of the fibular free flap (FFF), scapula free flap (SFF), and osteocutaneous radial forearm free flap (OCRFFF) following osseous reconstruction in the head and neck. [DATA SOURCES] PUBM…
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Management of positive resection margins following transoral laser microsurgery for glottic cancer.
[OBJECTIVES] The current literature provides limited guidance on the management of positive margins (PMs) following transoral laser microsurgery (TLM) for glottic squamous cell carcinoma (SCC). Long-term data exploring the treatment of PMs …
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Oncological and functional outcomes following treatment of T1a glottic squamous cell carcinoma with transoral laser microsurgery.
[BACKGROUND] Laryngeal cancers of glottic origin comprise a large proportion of head and neck malignancies. Transoral laser microsurgery (TLM) and radiation therapy are mainstays in the treatment of early stage glottic cancer, but debate pe…
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Injection laryngoplasty during transoral laser microsurgery for early glottic cancer: a randomized controlled trial.
[BACKGROUND] Transoral laser microsurgery is widely used for treating T1/T2 glottic cancers. Hyaluronic acid (HA) is commonly used in vocal cord augmentation. We investigated the impact of intra-operative injection laryngoplasty on voice ou…
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Functional and Oncologic Outcomes of Octogenarians Undergoing Transoral Laser Microsurgery for Laryngeal Cancer.
[OBJECTIVE] To evaluate the oncologic and functional outcomes of transoral laser microsurgery (TLM) for glottic cancers in patients ≥80 years. [STUDY DESIGN] Prospectively collected case series. [SETTING] QEII Health Sciences Centre, Hali…
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Oncological and functional outcomes after repeat transoral laser microsurgery for the treatment of recurrent early glottic cancer.
[BACKGROUND] Transoral laser microsurgery for glottic squamous cell carcinoma is the standard of care at many institutions. Repeat transoral laser microsurgery for recurrence may avoid the need for radiotherapy and total laryngectomy. This …
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Composite submental flaps in facial reconstructive surgery involving the zygoma and orbit.
[BACKGROUND] The submental island flap (SIF) is a reliable option for reconstructing defects in the facial region and offers several advantages when compared to free-flap alternatives. While the reconstructive applications of the SIF have b…
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Prospective outcomes following drainless superficial parotidectomy with sternocleidomastoid flap reconstruction.
[BACKGROUND] Patients undergoing superficial parotidectomy for benign parotid lesions are at risk of postoperative complications, most notably cosmetic complications such as facial paralysis and contour defects, and functional complications…
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Open resection and reconstruction of a Nasoseptal Chondrosarcoma: case report and literature review.
[BACKGROUND] Primary chondrosarcomas of the nasal septum are rare, with a variety of clinical features that evade detection and treatment. While endoscopic surgery has become increasingly accessible, open approaches may be needed to provide…