Aims: Evaluation of patients undergoing total glossectomy (GT). Material and Methods: Retrospective study that included patients undergoing GT between 2009 and 2018 at the Otorhinolaryngology Service of IPOLFG. Results: 27 patients were included. The vast majority of patients (78%) had advanced tumor (stage IV). GT was performed as a salvage treatment in 56% of cases. The reconstruction was mostly performed usi...
Objectives: To analyse clinicopathological findings, treatment and outcomes of Adenoid Cystic Carcinoma (ACC) of the nasal cavity and paranasal sinuses.Material and methods: Retrospective study of patients with ACC nasal cavity and paranasal sinuses of Instituto Português de Oncologia of Lisbon from 1997 to 2016.Results: There were 30 patients, being 60% female. The mean age was 65 years old. The commonest symp...
Scope: Approximately 90% of head-neck carcinomas are squamous cell carcinomas (HNSCC), that includes the oral cavity, nasopharynx, larynx, hypopharynx and oropharynx. It is a disease with a complex etiology with the alcohol and tobacco consumption being the main risk factors. In last decade, there has been an increase in incidence of oropharyngeal carcinoma (OPSCC), that includes tumors of the amygdala and the ...
Introduction: nasal mucosal melanomas represent uncommon tumors with high rate of relapse and poor prognosis.Methods and material: the authors analyzed the medical files of patients with nasal mucosal melanomas, between 1995 and 2010 and described the gender, age, staging based on the American Joint Committee on Cancer, overall survival and survival free of disease. The authors established the relation between ...
Introduction: Parapharyngeal space neoplasms are rare, accounting for only 0.5% of head and neck tumors. The majority of PPS tumors are benign, but a wide spectrum of pathologies, both benign and malignant, has been encountered in this region. This range of histopathologies in combination with the complex anatomy of the parapharyngeal space creates complex diagnostic and management challenges.Objective: To desc...
Introduction: The nasal tumors are classically addressed by external but, recently, also endoscopically. However, in locally advanced tumors, it may not be possible to achieve complete removal.Material and methods: We analyzed the medical records of 14 patients with nasal fossa tumor removed endoscopically in IPOLFG between 2005 and 2012.Results: Of the 14 patients, 8 had malignant tumor and 5 benign. There was...
Objective: The horizontal supraglottic laryngectomy (HSL) is an oncologic surgical technique that allows preservation of laryngeal functions of speech and swallowing with airway protection, but with adequate capacity for tumor excision. The objective of this study is to review a series of patients submitted to HSL.Methods: Retrospective study of HSL carried out in the Department of Otolaryngology of the IPOLFG ...
For selected glottic and supraglottic cancers it is possible to perform conservation laryngeal surgery with supracricoid partial laryngectomy (SCLP). Depending on the extension of surgical resection achieved reconstruction can be done by cricohyoidopexy (CHP) or Cricohyoidoepiglottopexy (CHEP). The possibility of speech preservation without a permanent stoma is an advantage in successful reconstructions, howeve...
Adjuvant radiotheropy plays nowadays an important role in the treatment of patients with laryngeal and hypopharyngeal squamous cell carcinoma. When used alone, radiotherapy has similar results as surgery in local control of tumors in early stage (I and 11). The effectiveness of radiotherapy in the treatment of cervical ganglionar metastasis remains controversial and there is a conviction that these metastasís a...
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