Journal Reviews

B-Ent journal cover image.

Lymph node metastases in papillary thyroid cancer

4 March 2024 | | Head and Neck, Laryngology / Swallowing / Voice | Lymph node dissection, metastasis, neck dissection, papillary thyroid cancer, thyroid

This retrospective Korean cohort study looked at the risk factors associated with bilateral lateral lymph node metastases in patients with unilateral papillary thyroid cancer. There were 11 patients who met the inclusion criteria across an 11-year period from 2009 to...

Clinical Otolaryngology cover

Are elective neck dissections needed during salvage laryngectomy?

1 November 2019 | | Rhinology / Sinus | hypopharyngeal neoplasms, laryngeal neoplasms, laryngectomy, lymphatic metastasis, radiotherapy, salvage therapy

There has recently been a move away from elective neck dissections in the setting of salvage laryngectomy. This has mainly resulted from an appreciation of the increase in morbidity, in particular pharyngocutaneous fistula formation, and an improvement in cross-sectional imaging...

The lateral neck cystic mass – diagnostic dilemma. Can HPV status help?

1 January 2019 | | Branchial cleft cyst, Cystic lymph node metastasis, Cystic neck mass, Fine needle aspiration cytology, HPV DNA

Solitary cystic masses in the lateral neck can present a significant diagnostic dilemma as they can be metastases from tumours of the oro or nasopharynx. This retrospective paper detailed all patients presenting to a university hospital in Germany, from September...

Neck dissection in adenoid cystic carcinoma is a risk worth taking?

9 October 2017 | | SEER program, adenoid cystic carcinoma, head and neck cancer, lymph node, neoplasm metastasis, salivary gland cancer

This paper from Stanford University presents impressive figures to guide the debate on the extent of surgical management in adenoid cystic disease. Adenoid cystic carcinomas present a particular problem in that they can recur even after 20 years. They have...

Sentinel nodes and UADT tumours

1 September 2017 | | micrometastasis, Sentinel Ganglion, Squamous cell carcinoma of the head and neck, N0, lymphoscintigraphy, Cancer, GETTEC

This is the review of a multicentre study to set practical guidelines for sentinel node techniques (SLN) in upper aerodigestive tract (UADT) squamous cell carcinomas including classical and extended indications. SLN biopsies are strictly indicated in patients with clinically and...

First signs of late nodal metastases

1 August 2017 | | oral cancer, first sign, lymph node metastasis, palpation, ultrasonography, computed tomography, subjective symptom, body mass index

This is a retrospective review of 65 patients who had late metastases during follow-up after initial curative treatment. They analyse the detection methods of palpation, ultrasound, CT and subjective symptoms. Palpation detected the nodes in 31 patients, ultrasound in 17,...

Carotid artery involvement with head and neck metastases

1 May 2016 | | carotid artery, carotid peeling, neck metastasis, prognosis

This is a retrospective review of 27 patients radiologically diagnosed as having metastases involving the common or internal carotid arteries. All patients underwent a salvage neck dissection with surgical carotid peeling. Thirteen of the 27 achieved loco-regional control, five developed...