Nasopharyngeal carcinoma in adolescent patients: A Case Series

xlomafota13 shared this article with you from Inoreader Nasopharyngeal carcinoma in adolescent patients: A Case Series Via Clinical Otolaryngology Abstract 1. Majority of adolescent nasopharyngeal carcinoma (NPC) patients present with advanced locoregional disease. 2. The ethnic distribution of patients with adolescent NPC could be different from that of adult NPC suggesting a possible difference in aetiopathogenesis. 3. The late presentation of adolescent NPC underlies the importance of recognizing the clinical presentation and characteristics of this cancer. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Prognostic value of hypothyroidism in patients undergoing intensity‐modulated radiation therapy for nasopharyngeal carcinoma

xlomafota13 shared this article with you from Inoreader Prognostic value of hypothyroidism in patients undergoing intensity‐modulated radiation therapy for nasopharyngeal carcinoma Via Head & Neck Abstract Background The purpose of this study was to investigate the effect of hypothyroidism and thyroxine replacement therapy on the prognosis of nasopharyngeal carcinoma (NPC) patients. Methods The clinical data of 284 NPC patients, who received intensity-modulated radiation therapy (IMRT) between January 2011 and December 2016, were retrospectively analyzed. Results Hypothyroidism occurred in 38% of patients. Patients with hypothyroidism had significantly better disease-free survival (DFS) (p = 0.002) and relapse-free survival (RFS) (p = 0.008). Multivariate analysis showed that hypothyroidism was a positive independent prognostic factor (DFS and RFS). Among the patients with hypothyroidism, thyroxine replacement therapy did not yield inferior survival (DFS, RFS, all p > 0.05). Conclusions The NPC patients with complete response are at risk of hypothyroidism, which is attributable to escalating dose. These patients experienced clinical hypothyroidism could be adequately treated with thyroid hormone replacement. Further investigation of the underlying biological mechanism and potential therapeutic implications are required. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Aryl Hydrocarbon Receptor/nuclear factor E2‐related factor 2 (AHR/NRF2) Signaling: A Novel Therapeutic Target for Atopic Dermatitis

xlomafota13 shared this article with you from Inoreader Aryl Hydrocarbon Receptor/nuclear factor E2‐related factor 2 (AHR/NRF2) Signaling: A Novel Therapeutic Target for Atopic Dermatitis Via Experimental Dermatology Abstract Aryl hydrocarbon receptor (AHR)/nuclear factor-erythroid 2-related factor 2 (NRF2) modulation are emerging as novel targets in the treatment of atopic dermatitis and other inflammatory skin disorders. Agonist activation of this pathway has downstream effects on epidermal barrier function, immunomodulation, oxidative stress reduction, and cutaneous microbiome modulation. Tapinarof, a dual agonist of the AHR/NRF2 signaling pathway, has shown promise in phase 2 trials for atopic dermatitis. In this review, we summarize current knowledge of the AHR/NRF2 pathway and implications in skin disease process. We also review the therapeutic potential of current AHR agonists and propose future directions to address knowledge gaps. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Impact of Liposomal Bupivacaine on Post-Operative Pain and Opioid Usage in Thyroidectomy

xlomafota13 shared this article with you from Inoreader Impact of Liposomal Bupivacaine on Post-Operative Pain and Opioid Usage in Thyroidectomy Via otol rhinol Ann Otol Rhinol Laryngol. 2022 Feb 16:34894221079095. doi: 10.1177/00034894221079095. Online ahead of print. ABSTRACT OBJECTIVES: Opioid analgesia has been integral in post-operative pain control for decades. The over-prescription of opioids, commonly in the surgical patient, has contributed to the current opioid epidemic. Liposomal bupivacaine (LB), a long-acting analgesia formulation, has demonstrated decreased post-operative pain and opioid requirements in patients treate d across multiple surgical subspecialties. The aims of this retrospective study are to assess post-operative pain and opioid use in patients who received LB at the time of thyroidectomy. METHODS: A cohort-matched retrospective review of patients who underwent thyroidectomy by 2 surgeons between January 2010 and December 2019 was performed. Patients were divided into those that received LB intraoperatively and those that did not. Statistical analyses were performed using the Chi-square or Fisher's exact test, and 2-sample T-test or Wilcoxon rank sum test. RESULTS: Of the 201 patients included in this study, 113 patients received LB and 88 did not. Patients who received LB had a lower median visual analog scale (VAS) pain score (2 vs 3, P = .2252), lower maximum VAS pain score (6 vs 7, P = .0898), were less likely to require opioid medications (73.5% vs 85.2%, P = .0434), and had a lower percentage of daily morphine milligram equivalent value � �45 (89.8% vs 95.3%, P = .1581) during the post-operative period when compared to those that did not. CONCLUSION: This study suggests a role for incisional infiltration with LB for post-operative pain management in patients undergoing transcervical thyroidectomy. We report reduced post-operative pain scores and opioid analgesia requirements in patients who received LB. PMID:35172629 | DOI:10.1177/00034894221079095 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Subclinical breast lymphedema as a possible risk of breast angiosarcoma

xlomafota13 shared this article with you from Inoreader Subclinical breast lymphedema as a possible risk of breast angiosarcoma Via Journal of plastic, reconstructive & aesthetic surgery : JPRAS J Plast Reconstr Aesthet Surg. 2022 Feb 2:S1748-6815(22)00049-3. doi: 10.1016/j.bjps.2022.01.041. Online ahead of print. NO ABSTRACT PMID:35172950 | DOI:10.1016/j.bjps.2022.01.041 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Association Between Body Mass Index and Thyroid Cancer in Children With Thyroid Nodules

xlomafota13 shared this article with you from Inoreader Association Between Body Mass Index and Thyroid Cancer in Children With Thyroid Nodules Via JAMA Otolaryngology–Head & Neck Surgery Online First This cross-sectional study examines whether body mass index in children with thyroid nodules is associated with thyroid cancer and a greater likelihood of undergoing thyroid surgery. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Leveraging Molecular Assays to Aid Decision-making in Large Indeterminate Thyroid Nodules

xlomafota13 shared this article with you from Inoreader Leveraging Molecular Assays to Aid Decision-making in Large Indeterminate Thyroid Nodules Via JAMA Otolaryngology–Head & Neck Surgery Online First To the Editor We read with great interest the recently published article by Dublin et al in JAMA Otolaryngology–Head & Neck Surgery, where it was shown that for indeterminate nodules larger than 4 cm, the positive-predictive value of a genomic classifier test (ThyroSeq) was 50% and the negative predictive value (NPV) was 89%. These values were noted to be improved relative to the test's performance on smaller nodules. The authors point out that the 2015 American Thyroid Association guidelines suggest that total thyroidectomy may be preferred for indeterminate nodules that are large (>4 cm) to limit completion thyroidectomy and conclude from their analysis that thyroid lobectomy may be sufficient for genomic classifier-negative indeterminate nodules. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Laryngeal High-Speed Videoendoscopy with Laser Illumination: A Preliminary Report

xlomafota13 shared this article with you from Inoreader Laryngeal High-Speed Videoendoscopy with Laser Illumination: A Preliminary Report Via Polyps Otolaryngol Pol. 2021 Sep 7;75(6):1-10. doi: 10.5604/01.3001.0015.2575. ABSTRACT <br><b>Introduction:</b> Advances in computer image analysis have enabled the use of new functional imaging methods in the diagnosis of laryngeal diseases. Particularly interesting techniques of dynamic laryngeal imaging involve High Speed Videoendoscopy (HSV). This still-developed technique allows to overcome the limitations of laryngovideostroboscopy (LVS) and a more detailed analysis of the glottal function based on the image of the actual vibrations of the vocal folds. It also enables the determination of objective coefficients parameterizing phonatory vibrations of the vocal folds.</br> <br><b>Aim:</b> The aim of this pilot study was to evaluate the use of a high-speed videoendoscopy set with laser illumination for the diagnosis of glottic pathology in ENT practice.</br> <br><b>Material and methods: </b> The study included 40 patients who underwent LVS followed by HSV. The modern HSV examination kit - Advanced Larynx Imager System (ALIS), used for the first time in a clinical setting in Poland, is characterized by significantly improved, compared to the previously used high-speed cameras, operational parameters - a light head, the possibility of continuous lighting operation without excessive heating of the head tip, registration of the image in full color scale. Thanks to such modernization, the safety and course of the examination do not differ from laryngoscopy conducted with commonly used recorders. The device owes some of these improvements to a laser illuminator which was used for the first time as the main light source in a high-speed camera. In the study, two cases were selected to present the results of HSV and the analysis of the generated kymograms - a woman with no glottic pathology and a man with a polyp of the right vocal fold. In the first case, the HSV exa mination compared with the LVS revealed a discrete glottis functional disorder in the form of a tendency to hyperphonation. The patient with an organic lesion had a clearly visible irregularity of vocal fold vibrations, which also allowed to trace mucosal wave disturbances related to its reflection from the pathological structure of the glottis and the formation of a return wave, both on the fold affected by the lesion and, to a lesser extent, contralaterally. The glottic dysfunctions observed in the studied patients were confirmed in the generated kymograms and the graphs of the glottal width waveform (GWW), as well as in the parameters calculated on their basis, assessing the frequency and amplitude of phonatory vibrations.</br> <br><b>Conclusions:</b> The use of high-speed videoendoscopy allows for a much more accurate assessment of the phonatory function of the glottis than in laryngovideostroboscopy. The presented HSV system allows for obtaining high qua lity kinematic images of the larynx, color fidelity, and contrast. The use of this technology in laryngological practice enables precise structural and functional assessment of the glottis and detection of discrete phonation disorders that elude the techniques used so far.</br&gt. PMID:35175220 | DOI:10.5604/01.3001.0015.2575 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Patulous Eustachian tube: Deep breath for a diagnosis

xlomafota13 shared this article with you from Inoreader Patulous Eustachian tube: Deep breath for a diagnosis Via ear nose throat Ear Nose Throat J. 2022 Feb 17:1455613211051793. doi: 10.1177/01455613211051793. Online ahead of print. ABSTRACT Significance Statement: Eustachian tube disorders are common outpatient otologic presentations that can present a diagnostic challenge due to overlapping symptoms. This article will focus on patulous Eustachian tube, how the symptoms can overlap with those of Eustachian tube dysfunction, and the diagnostic insight offered by a close inspection of the tympan ic membrane. PMID:35175873 | DOI:10.1177/01455613211051793 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.