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Permanent Orthopedic Hand Job in Orthopaedic Surgeon - Temecula, CA California with Universal Health Services, Inc.
Southern California Orthopedic Hand Specialist Opportunity! Southwest Healthcare System in Temecula, CA is assisting an Orthopedic Surgery group in their recruitment of an Orthopedic Surgeon / Hand Specialist.
Permanent Orthopedic Hand Job in Florence South Carolina with Community Health Systems
Orthopedic Group Seeks Hand Specialist This practice is seeking another Orthopedic Surgeon to join the current seven physicians. The group recognizes the need for a Surgeon who will do a significant
Permanent Orthopedic Hand Job in Florence South Carolina with Community Health Systems
Orthopedic Group Seeks Hand Specialist This practice is seeking another Orthopedic Surgeon to join the current seven physicians. The group recognizes the need for a Surgeon who will do a significant

Head and Neck Surgery - Google News

Early-stage Head and Neck Cancer in Patients 80 Years of Age or ... - Cancer Consultants
Wed, 19 Nov 2008 16:02:05 -0000
Early-stage Head and Neck Cancer in Patients 80 Years of Age or ...Cancer Consultants, ID - 22 minutes agoResearchers from France have reported that patients 80 years of age or older with Stage I-II head and neck cancer have good outcomes following surgery or ...
Changing Perspectives in Cleft Lip and Palate From Acrylic to Allele - Archives of Facial Plastic Surgery
Mon, 17 Nov 2008 21:10:44 -0000
Changing Perspectives in Cleft Lip and Palate From Acrylic to AlleleArchives of Facial Plastic Surgery - Nov 17, 2008Author Affiliations: Cleft and Craniofacial Program, Facial Plastic and Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, ...Advances in Craniofacial Surgery Archives of Facial Plastic Surgeryall 2 news articles
Ten Years With the Archives of Facial Plastic Surgery - Archives of Facial Plastic Surgery
Mon, 17 Nov 2008 21:11:18 -0000
Ten Years With the Archives of Facial Plastic SurgeryArchives of Facial Plastic Surgery - Nov 17, 2008The Archives of Otolaryngology–Head & Neck Surgery, The Laryngoscope, and other journals included a section editor for facial . ...Lasers and Optical Technologies in Facial Plastic Surgery Archives of Facial Plastic Surgeryall 6 news articles
Vertigo in Ménière's Responds to Time, Surgery - MedPage Today
Tue, 18 Nov 2008 23:28:54 -0000
Vertigo in Ménière's Responds to Time, SurgeryMedPage Today, NJ - 16 hours agoTheir study was one of two on Ménière's disease in the November issue of Otolaryngology-Head & Neck Surgery. The condition affects both sexes and both ears ...
Time, surgery appear to reduce episodes of dizziness in patients ... - EurekAlert (press release)
Mon, 17 Nov 2008 21:11:58 -0000
Time, surgery appear to reduce episodes of dizziness in patients ...EurekAlert (press release), DC - Nov 17, 2008(Arch Otolaryngol Head Neck Surg. 2008;134[11]: 1149-1154, 1144-1148. Available pre-embargo to the media at www.jamamedia.org.) Editor's Note: Please see ...
With clear head, Gagne fills goal - Cherry Hill Courier Post
Wed, 19 Nov 2008 08:21:51 -0000
With clear head, Gagne fills goalCherry Hill Courier Post, NJ - 8 hours ago"I know I came back quick (from sports hernia surgery), but I really felt I was ready to go when I came back and then this thing happened. ...

Head & Neck

Abstracts
Wed, 29 Oct 2008 22:07:00 -0000
No abstract.
Comparison of 4 modalities for distant metastasis staging in endemic nasopharyngeal carcinoma
Melvin Lee Kiang Chua, Seng Chuan Ong, Joseph Tien Seng Wee, David Chee Eng Ng, Fei Gao, Terence Wee Kiat Tan, Kam Weng Fong, Eu Tiong Chua, James Boon Kheng Khoo, John Seng Hooi Low Tue, 28 Oct 2008 18:27:00 -0000
Endemic nasopharyngeal carcinoma (NPC) commonly metastasizes to the lungs, liver, and bones. This study aims to assess the efficacy of 4 distant metastasis staging modalities, namely (1) conventional work-up comprising chest X-ray, liver ultrasound, and skeletal scintigraphy, (2) CT of the thorax, abdomen, and skeletal scintigraphy, (3) (18)F-fluorodeoxyglucose positron emission tomography (FDG-PET), and (4) integrated FDG-PET/CT.Seventy-eight consecutive patients diagnosed with NPC were enrolled and followed up for a minimum of 6 months to confirm the staging at diagnosis.Six patients (7.7%) had distant metastases at diagnosis. The sensitivities and specificities of conventional work-up, combined CT and skeletal scintigraphy, FDG-PET, and FDG-PET/CT were 33.3%, 66.7%, 83.3%, and 83.3%; and 90.3%, 91.7%, 94.4%, and 97.2%, respectively. The corresponding accuracies were 85.9%, 89.7%, 93.6%, and 96.2%.FDG-PET/CT is the most sensitive, specific, and accurate modality for distant metastasis staging of endemic NPC. © 2008 Wiley Periodicals, Inc. Head Neck, 2008
Transoral robotic surgery for the management of head and neck cancer: A preliminary experience
Eric M. Genden, Shaun Desai, Chih-Kwang Sung Tue, 28 Oct 2008 18:27:00 -0000
The aim of this prospective study was to determine the technical feasibility, safety, and efficacy of transoral robotic surgery (TORS) for a variety of malignant head and neck lesions.From April 2007 to November 2007, 20 patients were enrolled in an institutional review board-approved prospective trial using the daVinci surgical robot. Inclusion criteria for the study consisted of adults with early head and neck cancer involving the oral cavity, oropharynx, hypopharynx, and larynx.Twenty patients were included in this study. In 2 cases, access to the tumor was inadequate and the procedure was terminated. In all 18 cases, negative resection margins were achieved. Intraoral reconstruction was performed in 8 patients. Fifteen of 18 patients underwent concomitant unilateral (n = 10) or bilateral (n = 5) selective neck dissections. None of the patients required tracheotomy and there were no intraoperative or postoperative complications. The average setup time was 54.6 minutes (range, 140-20 minutes), with a precipitous decrease in the setup time as the study progressed.TORS is a safe, feasible, and minimally invasive alternative to classic open surgery or endoscopic transoral laser surgery in patients with early cancer of the head and neck. With increasing experience, surgical setup as well as operative time will continue to decrease. © 2008 Wiley Periodicals, Inc. Head Neck, 2008
Patient perception of risk factors in head and neck cancer
Leeor Sommer, Doron D. Sommer, David P. Goldstein, Jonathan C. Irish Tue, 28 Oct 2008 18:27:00 -0000
A previous study at our institution noted that only 15% of newly diagnosed patients with oral cancer could identify smoking or alcohol abuse as major risk factors for the development of their cancer. The objective of this study was to determine the effectiveness of a simple educational intervention in 189 consecutively identified patients with head and neck malignancy.Patients were interviewed prior to and immediately following reading a written educational pamphlet. The patients were then interviewed 5 weeks later to determine longer-term recall. Recall success was correlated to patient demographic parameters including level of education, occupation, sex, age, and place of residence.Immediate recall success increased, on average, 27% from preintervention knowledge, with the largest increase for the risk factor of alcohol abuse. Five-week postintervention recall success decreased on average 10.5% for all risk factors with the largest decrease being seen for smokeless tobacco use (12%). The immediate and 5-week recall success increases were both statistically significant when compared to the preintervention recall success (p <.05). Patient education level had the greatest impact on recall success at all time points (ANOVA, p <.001). Long-term recall for patients over the age of 60 was also statistically poorer.An educational intervention can have significant impact on patient knowledge of cancer risk. More effective educational interventions for poorly educated patients and the elderly may have to be devised to increase intervention success. Whether this knowledge translates into behavior change still needs to be studied. © 2008 Wiley Periodicals, Inc. Head Neck, 2008
Management of head and neck paragangliomas: Review of 120 patients
Konstantinos Papaspyrou, Wolf J. Mann, Ronald G. Amedee Tue, 28 Oct 2008 18:27:00 -0000
Head and neck paragangliomas (PGL) are rare, mostly benign tumors. About 10% to 15% of PGL are caused by mutations in the succinate dehydrogenase genes B, C, or D and may appear multifocally.A retrospective review of 120 patients with 146 head and neck PGL, including 46 carotid body tumors (CBT), 13 vagal tumors, 55 jugulotympanic tumors (JTT), 25 tympanic tumors (TT) and 7 tumors in other locations are included. The internal carotid artery was preserved in 97.5% of CBT resections. Preservation of hearing was achieved in 92% of JTT and 88% of TT resections.According to our experience, the treatment of PGL must be individualized, taking into account the patient's age, medical condition, tumor site and size, multiple occurrences, and preexisting cranial nerve deficits. Tumor control is high whether treatment is by surgery or radiotherapy. Patients with solitary lesions whose disease is potentially resectable with acceptable morbidity are better treated surgically. © 2008 Wiley Periodicals, Inc. Head Neck, 2008
Primary cancer of the sphenoid sinus - A GETTEC study
Pierre Olivier Vedrine, Juliette Thariat, Olivier Merrot, Josiane Percodani, Xavier Dufour, Olivier Choussy, Bruno Toussaint, Olivier Dassonville, Jean-Michel Klossek, José Santini, Roger Jankowski Tue, 28 Oct 2008 18:27:00 -0000
Primary involvement of the sphenoid sinus occurs in 2% of all paranasal sinus tumors and is associated with dismal prognosis. Optimal management remains debatable.A total of 23 patients were treated for a primary cancer of the sphenoid sinus from 1988 to 2004. Charts were reviewed for patient-, tumor-, and treatment-related parameters. Univariate and multivariate analyses were conducted to identify prognostic factors for locoregional control and survival.Cranial neuropathies were present in 12 patients. Pathologic findings included adenoid cystic carcinoma, adenocarcinoma, lymphoma, squamous cell carcinoma, sarcoma, neuroendocrine carcinoma, melanoma, and malignant hemangiopericytoma. All but 2 patients had stages III to IV cancer. Radiotherapy was performed in 18 patients and chemotherapy in 12. Of 10 patients undergoing surgery, total excision with grossly negative margins was achieved in 4 patients and subtotal resection in 6. Median locoregional control and overall survival were 12 and 41 months, respectively. On multivariate analysis, cranial neuropathy was associated with worse locoregional control and survival. Surgery was rarely complete because of advanced stages at presentation, but it yielded better outcomes than other treatments without surgery in non lymphoma-cases.Early CT and MRI should be performed when facing aspecific, rhinological, or neuro-ophtalmological symptoms. Cranial neuropathies indicate a worse prognosis. Surgery, including debulking surgery, may be preferred to combined modality treatments without surgery. Its apparently favorable impact on prognosis would need to be tested in homogenous histological groups of patients, which is impossible because of the rarity of the disease. Highly conformal radiotherapy (adjuvant or definitive) should be encouraged and optimized with concurrent chemotherapy in advanced stages. Aggressive multidisciplinary management including surgery, chemotherapy, and radiotherapy should be encouraged and adapted on histology and tumor extensions. Progress is still warranted to improve outcomes. © 2008 Wiley Periodicals, Inc. Head Neck, 2008

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