phenylephrine-hydrochloride and Palatal-Neoplasms

Palate carcinoma often challenges to the treatment options. It depends on the histologic type, local invasion, and nodal or distant metastasis. Hard palate tumors that invade the nasal cavity can be operated by midfacial degloving approach, lateral rhinotomy approach, and lip splitting incision with infrastructure maxillectomy. These approaches inevitably coincide with facial scars, nerve injuries, facial swelling, and long hospital stay. Transoral robotic assisted surgery can be applied; however, this needs high price and has a weakness of accurate handling about intranasal lesion. The authors have performed transoral and intranasal endoscopic-assisted palatal removal of recurrent palatal carcinoma for a patient and herein report their technique and result.

Topics: Adenoma, Pleomorphic; Aged; Humans; Male; Natural Orifice Endoscopic Surgery; Neoplasm Recurrence, Local; Nose; Oral Surgical Procedures; Palatal Neoplasms

The successful harvest and transplant of a fibular flap depends on many factors, including healthy inflow and outflow systems. A contraindication to harvesting a fibular flap is disease of the lower extremity arterial system; therefore, preoperative evaluation of the arterial system is routine. Preoperative evaluation of the venous system is not routine, unless there is clinical suspicion of venous disease.. Retrospective chart review.. Two cases of occult deep venous thrombosis (DVT) were encountered intraoperatively resulting in nontransplantable flaps.. This finding represents a serious concern, and we believe that venous imaging should be considered in patients with significant risk factors for harboring an occult DVT. Laryngoscope, 2009.

Topics: Adult; Bone Transplantation; Female; Humans; Intraoperative Complications; Magnetic Resonance Angiography; Male; Mandibular Injuries; Maxilla; Melanoma; Middle Aged; Nose; Palatal Neoplasms; Reoperation; Suicide, Attempted; Surgical Flaps; Tissue and Organ Harvesting; Ultrasonography, Doppler; Venous Thrombosis; Wounds, Gunshot

With previous prosthetic restorations of bilateral maxillary resections, tissue erosion and bleeding on the cephalic parts of the cavity have been caused by movement and pressure from the prosthesis. Retention of a prosthesis is a major determinant in its successful use. Physical and psychologic stresses are common when one is unable to use a prosthesis comfortably. The use of a musculocutaneous flap and an obturator prosthesis had provided near-immediate reconstruction of a massive midfacial defect. This method of reconstruction resulted in soft tissue replacement for appearance and functional rehabilitation of the upper lip while maintaining sound oncologic principles.

Topics: Adult; Bone Nails; Humans; Magnetics; Male; Maxillary Sinus Neoplasms; Maxillofacial Prosthesis; Melanoma; Nose; Nose Neoplasms; Palatal Neoplasms; Palatal Obturators; Prostheses and Implants; Prosthesis Failure; Prosthesis Fitting; Surgery, Plastic; Surgical Flaps

Various surgical approaches to the region are discussed, and the procedure according to Hernandez Altemir (1986) described in detail. Six cases are presented to illustrate how this versatile osteoplastic technique may be adapted for individual patients.

Topics: Adenocarcinoma; Adenoma, Pleomorphic; Adolescent; Adult; Carcinoma, Adenoid Cystic; Carcinoma, Squamous Cell; Ethmoid Bone; Face; Female; Head and Neck Neoplasms; Histiocytoma, Benign Fibrous; Humans; Male; Maxilla; Middle Aged; Neoplasms, Multiple Primary; Neurilemmoma; Nose; Nose Neoplasms; Osteoma; Osteotomy; Palatal Neoplasms; Pharynx; Skull Neoplasms

Topics: Aged; Dentures; Female; Humans; Male; Maxillofacial Prosthesis; Middle Aged; Nose; Palatal Neoplasms; Palatal Obturators

Topics: Candidiasis, Oral; Chordoma; Darier Disease; Dermatitis; Diagnosis, Differential; Erythema; Gingival Neoplasms; Herpes Simplex; Humans; Hypersensitivity; Nose; Palatal Neoplasms; Papilloma; Precancerous Conditions; Purpura; Skin Diseases; Skin Neoplasms; Syndrome

Topics: Acoustics; Cleft Palate; Hemiplegia; Humans; Nose; Palatal Neoplasms; Palate; Phonetics; Speech; Tape Recording

Topics: Adenocarcinoma; Adenocarcinoma, Mucinous; Adenocarcinoma, Papillary; Adenoma, Pleomorphic; Adolescent; Adult; Aged; Carcinoma, Adenoid Cystic; Carcinoma, Intraductal, Noninfiltrating; Carcinoma, Papillary; Carcinoma, Small Cell; Carcinoma, Squamous Cell; Child; Female; Follow-Up Studies; Humans; Larynx; Lymphatic Metastasis; Male; Middle Aged; Nasopharyngeal Neoplasms; Nasopharynx; Nose; Palatal Neoplasms; Palate; Salivary Gland Neoplasms

Topics: Adult; Child; Child, Preschool; Ethmoid Sinus; Female; Head and Neck Neoplasms; Humans; Infant; Lymph Nodes; Male; Maxillary Neoplasms; Mesenchymoma; Neoplasm Metastasis; Nose; Palatal Neoplasms; Pregnancy; Pregnancy Complications; Respiratory Tract Neoplasms; Rhabdomyosarcoma