Laryngeal cancer represents an important problem in the public health department, mainly due to the fact that the lack of early symptoms leads to most cases being diagnosed in advanced stages, when surgical procedures must be extensive and will affect the quality of life of the patient. Nowadays, the problem of early diagnosis of laryngeal cancer and procedures that may facilitate it is of great importance, with contact endoscopy following in vivo methilene blue coloration being one of the most promising options.
The purpose of this article is to analyse the facial nerve electrophysiological monitoring effective ness in preventing injuries of this nerve during parotid surgery. To achieve this goal we analysed relevant data available in the literature on both the surgical technique and intraoperative continuous monitoring principles. In order to draw the conclusions of this paper we correlated the obtained data with our own experience.
Tongue localization of squamous cell carcinomas is one of the most common sites of intraoral carcinomas, representing nearly 40% of these. The most frequent localization of the tumor is on the posterior lateral border and the ventral surface of the tongue. Recent papers have mentioned an ascendant trend in the incidence of tongue carcinoma in young adults. Early detection of the tongue carcinoma is mandatory because the prognosis of the patient depends on the early diagnostic. The aim of the paper is to analyze the use of lugol iodine solution staining in early diagnostic of tongue carcinoma. The authors propose a protocol for using lugol iodine solution in the screening of tongue carcinoma.
The objectives of the study: Advanced or recurrent sinonasal malignancies sometimes need, besides an ablative step, a reconstructive step. If this occurs, the reconstructive step may require advanced knowledge of reconstructive surgery because of the complex remnant defects after ablation. The methodology: The authors present a surgical reconstructive solution that can be used in cases of advanced sino nasal tumors which associate the destruction of the malar region. This requires a midfacial flap which will provide a solid support for the paramedial forehead flap. Conclusions: The use of the reversed midfacial flap is an original method that can provide a good mechanical support for any reconstructive flap in the midfacial region.
Early detection of the vocal fold malignancies is usually done using the flexible or rigid endoscopic exam. Video stroboscopy can be used to early detect an abnormal vibration of a portion from the vocal fold. Video contact endoscopy is an endoscopic technique that will provide the surgeon to observe histological modifications of the superficial layer and the superficial vascular network of the vocal fold. The authors started to use the contact endoscopy 10 years ago and try to have a critical point of view regarding this method. Observing the abnormal vessel patterns and histological characters will guide the surgeon to perform a targeted biopsy that will be used in early detection and follow up in patients with vocal fold malignancies.
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