Article
Oncology
Pihla Pakkanen, Heikki Irjala, Taru Ilmarinen, Elina Halme, Paula Lindholm, Antti Makitie, Tuija Wigren, Leena-Maija Aaltonen
Summary: This study compared the outcomes of transoral laser surgery (TLS) and radiation therapy (RT) in patients with glottic T1a laryngeal squamous cell carcinoma (LSCC). The study found that the oncological outcomes of both treatment modalities were similar.
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS
(2022)
Article
Oncology
Flaminia Campo, Oreste Iocca, Armando De Virgilio, Francesco Mazzola, Giuseppe Mercante, Barbara Pichi, Floyd Christopher Holsinger, Pasquale Di Maio, Sara Ramella, Raul Pellini
Summary: This meta-analysis compared the swallowing function outcomes between patients treated with TORS and RT for OPSCC and found that both treatments were equivalent. However, both treatments caused impaired swallowing ability, so clinicians should take a holistic approach and work with patients to develop an individualized nutrition plan and swallowing rehabilitation protocol.
RADIOTHERAPY AND ONCOLOGY
(2023)
Article
Oncology
S. Hassid, B. Krug, S. Deheneffe, J-F. Daisne, G. Delahaut, G. Lawson, R. Crott, S. van der Vorst
Summary: Over the past decade, therapeutic options for head and neck supraglottic squamous cell carcinoma have evolved, with less invasive techniques offering comparable outcomes. However, there is currently no prospective comparison between these innovative treatments. This study aims to compare the efficacy of radiotherapy, transoral laser microsurgery (TLM), and trans-oral robotic surgery (TORS) in terms of quality of life, oncological outcomes, functional outcomes, and economic resources.
Article
Surgery
Fong -Fu Chou, Jin-Bor Chen, Yi-Chia Chan, Shun -Yu Chi, Chi-Chih Lai, Yi-Ju Wu, Huang-Chih Chang
Summary: This study aimed to evaluate the changes in voice quality, airway invasion during swallowing, pharyngeal residue after swallowing, acoustic and aerodynamic measurements, and pulmonary function in patients with secondary hyperparathyroidism who underwent total parathyroidectomy plus auto-transplantation. The results showed significant improvements in voice quality, vocal cord closure, pharyngeal residue, and pulmonary function after the surgery.
ASIAN JOURNAL OF SURGERY
(2022)
Article
Oncology
Wen-Hsuan Tseng, Tzu-Hsiang Li, Hsiang-Ling Chiu, Tsung-Lin Yang, Cheng-Ping Wang, Tseng-Cheng Chen, Chun-Nan Chen, Jen-Yuh Ko, Tzu-Yu Hsiao, Pei-Jen Lou
Summary: The study evaluated the impact of proactive swallowing rehabilitation on swallowing function and quality of life in oral cancer patients in the first two years after definitive treatment. The results showed that proactive swallowing therapy is feasible, facilitates safe oral intake and adequate nutrition, and leads to faster and better recovery in swallowing function. Approximately 90% of participants achieved safe swallowing after six months with diet modification or compensatory maneuvers.
Article
Multidisciplinary Sciences
Tsutomu Ueda, Kouhei Yumii, Yuji Urabe, Nobuyuki Chikuie, Takayuki Taruya, Takashi Kono, Takao Hamamoto, Masaya Takumida, Minoru Hattori, Takashi Ishino, Sachio Takeno
Summary: This study identified low ECOG PS, prior neck radiation therapy, and longer operative time as independent predictors for postoperative dysphagia in patients undergoing TOS for laryngopharyngeal cancers. It is recommended that patients with these risk factors undergo comprehensive preoperative assessment, and criteria for preoperative swallowing evaluation should be clarified for identifying suitable candidates for TOS in the future.
Article
Oncology
Der-Ming Chang, Yu-Fu Chen, Hong-Yaw Chen, Chong-Chi Chiu, King-Teh Lee, Jhi-Joung Wang, Ding-Ping Sun, Hao-Hsien Lee, Yu-Tsz Shiu, I-Te Chen, Hon-Yi Shi
Summary: In patients who underwent resection for hepatocellular carcinoma (HCC), most quality-of-life (QOL) scores improved significantly after 6 months and remained stable for 5 years. The QOL improvements were greater for laparoscopic or robotic surgery compared to open surgery. However, between the 2nd and 5th year postsurgery, QOL improvements were larger in robotic surgery patients.
Article
Surgery
Zehao Huang, Xiwei Zhang, Ye Zhang, Huizhu Cai, Shixu Wang, Lingdun Zhuge, Changming An, Zhengjiang Li
Summary: The study compared the efficacy of CCRT and SRT in patients with stage III/IV HPSCC, finding that SRT significantly outperformed CCRT in terms of overall survival and disease-free survival, especially for N2-N3 stage patients.
ASIAN JOURNAL OF SURGERY
(2023)
Article
Otorhinolaryngology
Nai-Hsin Meng, Chia-Ing Li, Chun-Hung Hua, Tzu-Chieh Lin, Chien-Jen Chiu, Chien-Lin Lin, Ming-Hsui Tsai, Pei-Ju Chiu, Wen-Dien Chang, Yung-An Tsou
Summary: This study aimed to explore the longitudinal changes in swallowing function among oral cancer patients who underwent surgery and proactive swallowing therapy. The results showed that all swallowing parameters worsened 1-month postoperation, but EAT-10, FOIS, and MBSImP (TM) oral and pharyngeal impairment scores improved significantly at 6 months compared to 1 month postoperation.
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
(2023)
Article
Medicine, General & Internal
Carla Enrica Gallenga, Rossella D'Aloisio, Erminia D'Ugo, Luca Vecchiarino, Luca Agnifili, Maria Beatrice Simonelli, Marta Di Nicola, Lisa Toto, Paolo Perri
Summary: The study showed that implantation of diffractive trifocal IOLs with enhanced depth of focus can significantly improve functional capacity for intermediate and near vision postoperatively, with better quality of vision compared to monofocal IOLs mainly due to a significant reduction in spherical aberration.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Otorhinolaryngology
Jong-Lyel Roh
Summary: Supraglottic laryngectomy has undergone advancements from open to transoral endoscopic approaches, particularly with the use of lasers, endoscopes, ultrasonic devices, and robotics. Transoral laser-assisted microsurgery has emerged as an effective alternative to partial laryngectomy or non-surgical therapies, providing faster functional recovery. A new technique called transoral laser-assisted infrahyoid supraglottic laryngectomy allows for tumor removal while preserving crucial structures, resulting in optimal preservation of laryngopharyngeal function and minimal complications.
OTOLARYNGOLOGY-HEAD AND NECK SURGERY
(2023)
Article
Otorhinolaryngology
Jorge Basterra, Natsuki Oishi, Jose Ramon Alba, Enrique Zapater
Summary: The aim of this study was to demonstrate the surgical technique of horizontal supraglottic laryngectomy for T3 carcinomas using transoral approach with microelectrodes and radiofrequency. The results showed that this technique has the advantages of short surgical time and high hemostatic effectiveness.
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
(2023)
Article
Oncology
Sanah Tazeen, Harsh Suri, Raj Lakshmi, Anand Subash, Vishal U. S. Rao
Summary: Functional rehabilitation is crucial in the post-operative period for tongue cancer patients. Various swallowing scales aid in timely assessment and intervention, improving rehabilitation and quality of life. The use of NG or PEG provides adequate nutrition during the immediate post-operative period and adjuvant therapy to overcome dysphagia caused by radiation.
Article
Medicine, Research & Experimental
Peter K. M. Ku, Alexander C. Vlantis, Zenon W. C. Yeung, Osan Y. M. Ho, Ryan H. W. Cho, Alex K. F. Lee, Thomas S. C. Hui, Erin P. L. So, Thomas K. T. Law, Victor Abdullah, Andrew van Hasselt, Michael C. F. Tong
Summary: The study found that TSLC surgery can control chronic aspiration while preserving phonation function of the larynx, resulting in better voice and speech quality compared to laryngectomy with a voice prosthesis.
Article
Oncology
Yuval Nachalon, Nogah Nativ-Zeltzer, Shumon I. Dhar, Daniel J. Cates, Isabella W. Leon, Lisa M. Evangelista, Peter C. Belafsky
Summary: Swallowing dysfunction can significantly impact the health and quality of life of individuals as well as their partners.
SUPPORTIVE CARE IN CANCER
(2023)