Better outcome for parotid versus neck metastasis of head and neck cutaneous squamous cell carcinoma: a new report on reemerging data

Girardi, Fábio Muradás; Wagner, Vivian Petersen; Martins, Manoela Domingues; Abentroth, Aliende Lengler; Hauth, Luiz Alberto

doi:10.1016/j.bjorl.2019.10.007

Cited by 4 publications

(2 citation statements)

References 19 publications

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“…[4][5][6] One should consider the etiological study of patients with injuries to cranial nerves IX, X, XI, XII, investigating skull, brain and cervical images (skull tomography and magnetic resonance imaging) to assess the presence of other alterations such as bleeding, fractures of the base of the skull and vascular study (neurosonology, angiotomography and/or magnetic resonance of the supra-aortic trunks) that exclude vascular lesion of the carotid or vertebral artery, which are alternative etiologies to the lesion of instrumentation of the airways. [7][8][9][10] The parapharyngeal space is considered an area of complex anatomical relationships and is involved in a variety of benign and malignant neoplasms. 11,12 Among the primary neurogenic tumors in this region are schwannomas, which are extremely rare, mostly benign (70-80%) and represent less than 1% of head and neck tumors.…”

Section: Introductionmentioning

confidence: 99%

Speech therapy rehabilitation in Tapia´s syndrome: case report

Spacassassi¹,

Pereira²

2023

IPMRJ

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Tapia’s syndrome is charaterized by damage to the recurrent laryngeal nerve (branch of the Xth) and the hypoglossal nerve (XIIth), and in some cases, the accessory nerve (XIth) may also be affected. The cause is usually trauma to the point where the hypoglossal and vagus intersect. This results in lingual hemiparesis, vocal fold paralysis and dysphagia. Objective: to present the results of speech therapy in a case that evolved with Tapia´s Syndrome after the excision of a tumour in the parapharyngeal space. Case report: male patient, 71 years old, submitted to excision of a Schwannoma in the vagus nerve, with parotid invasion. Evolved with: dysarthria; severe dysphagia; lack of flow control; dysphonia; facial paralysis and dyspnoea. Six months after surgery, thyroplasty and botulinum toxin injections were performed in the cricopharyngeal muscle and salivary glands, which ensured a temporary improvement in voice and control of salivary flow. Results: The rehabilitation process consisted of stimulating the mobility of the muscles responsible for facial mimicry, reintegration of stomatognathic functions, swallowing and voice. After two years of speech therapy, the patient showed improvement in the mobility of the facial mimic muscles, a slight improvement in the vocal pattern, in addition to an improvement in the breathing pattern. Conclusion: despite the limitations and functional complexities encountered in the postoperative period, there was evidence of improvement in the patient’s quality of life after performing clinical procedures combined with the therapeutic process.

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Section: Introductionmentioning

confidence: 99%

Speech therapy rehabilitation in Tapia´s syndrome: case report

Spacassassi¹,

Pereira²

2023

IPMRJ

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“…Therefore, these parotid tumours are in fact representing CSCC-derived lymph node metastases [ 13 ]. Eighty percent of all CSCC are found in the head and neck region [ 14 ]. High exposure to ultraviolet (UV) and ionising radiation as found in Australia was reported to foster the formation of CSCC [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Survival after parotid gland metastases of cutaneous squamous cell carcinoma of the head and neck

Meyer

Wolber

Arolt

et al. 2021

Oral Maxillofac Surg

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Purpose Malignant tumours in the parotid gland can originate either from the gland itself or as a result of metastatic spread of other tumours, such as cutaneous squamous cell carcinomas (CSCC) of the head and neck area. The aim of this study was to analyse and compare the clinical behaviour of primary as well as CSCC metastatic parotid cancers with special emphasis on therapy and oncologic outcome. Methods Clinical and histopathological data of 342 patients with parotid gland malignomas surgically treated in a tertiary referral centre between 1987 and 2015 were retrospectively assessed. Oncologic outcomes of all cases with CSCC metastasis of the parotid gland (n = 49) were compared to those of primary parotid gland carcinomas (n = 293). Results Mean age at diagnosis was 72.3 years for CSCC patients versus 56.8 years in patients with primary parotid carcinoma. A total of 83.7% of CSCC patients were male, compared to 48.8% in the group of primary carcinomas. Forty-five out of 49 CSCC patients underwent total parotidectomy and neck dissection (91.8%). A total of 93.9% out of all CSCC patients received adjuvant radiotherapy. Five-year overall survival (OS) was 32.6% in CSCC patients versus 77.2% in primary parotid carcinoma patients. Conclusion As compared to primary parotid cancers, we could show that patients suffering from CSCC metastases to the parotid gland presented with significantly higher age and worse survival.

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