Research List
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Quality of Life After Management of Osteoradionecrosis of the Mandible
Osteoradionecrosis (ORN) of the mandible is a severe complication of radiation therapy for head and neck cancer. In this case series, THANC analyzed their treatment and quality of life (QOL)…
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Transoral Anatomy of the Tonsillar Fossa and Lateral Pharyngeal Wall
Transoral robotic assisted surgery (TORS) is becoming increasingly recognized in the management of oropharyngeal cancer (OPC). However, despite the increasing utilization of TORS in resecting oropharyngeal tumors, the medial to…
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Chondromyxoid Fibroma of the Mastoid Portion of the Temporal Bone
THANC reports a very rare case of a chondromyxoid fibroma of the mastoid portion of the temporal bone in a 38-year-old woman who presented with left-sided hearing loss. We discuss…
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A Life-Saving Surgery: Fibular Flap Reconstruction of the Cervical Spine for Repair of Osteoradionecrosis
THANC presents a unique case of a combined cervical spine and laryngectomy reconstruction that has not been described in the literature. This innovative, life-saving technique allowed for the successful preservation…
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Do Comprehensive Head & Neck Radiotherapy Dose-Volume Constraints Apply to Smaller Volumes?
Multiple studies report on radiation therapy (RT) dose values that cause permanent radiation-induced dysphagia (RID) and cerebrovascular disease (RICV). The purpose of this study was to test the hypothesis that…
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Magnetic Resonance Imaging of the Effortful Swallow
Although the physiologic effects of the effortful swallow technique have been studied using videofluoroscopy and manometry, the physiology of the effortful swallow has not been studied using dMRI imaging, which…
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Effects of Flavor on Swallowing Physiology in Head & Neck Cancer Patients
Unfortunately, treatment for head and neck cancer can reduce peripheral sensory input and impair oropharyngeal swallow. However, despite the importance of flavors to our appetite, interest, and pleasure in eating,…
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Scapular Free Flap Harvest Site: the Radiographic Post-Operative Appearances
Scapular free flap harvesting for oral cavity cancer reconstruction is an increasingly used and versatile option. In our review, however, very few radiologists reported the surgical scapular defects. In this…
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Dynamic Magnetic Resonance Imaging of Healthy Swallow Physiology
Swallowing disorders are common in head and neck cancer patients and have a significant health impact. Unfortunately, despite the significance of the disorder, major gaps in our knowledge regarding the…
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Beth Israel Medical Center Experience Using High-Dose-Rate Intraoperative Radiotherapy
Intraoperative radiotherapy (IORT) has been used to improve local disease control in patients with recurrent head and neck cancer. In this article THANC aims to present the Beth Israel Medical…
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An Alternative Reconstruction for Patients with Extensive Prior Surgery and Radiation
Patients requiring reconstruction for extensive defects often present after previous neck dissections, large resections, and chemoradiation are often vessel depleted, making the use of a free flap more perilous and…
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Total Soft Palate Reconstruction Using the Palatal Island and Lateral Pharyngeal Wall Flaps
The palatal island flap has been well described for head and neck cancer reconstruction to repair defects in oropharyngeal sites. In this article THANC reports on the use and advantages…
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Trimodality Management of Sinonasal Undifferentiated Carcinoma
Sinonasal undifferentiated carcinoma (SNUC) represents a particularly rare subtype of sinonasal cancer that is highly aggressive. There remain several areas of uncertainty in the management of this disease, including sequencing of…
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Reverse-Flow Scapular Osteocutaneous Flap for Head & Neck Reconstruction
The scapular osteocutaneous flap can be used for the reconstruction of a variety of head and neck defects. In this case series, THANC describes the use of the reverse-flow scapular…
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Tesla Turbo-Flash Magnetic Resonance Imaging of Swallow Physiology
Swallowing disorders are common in head and neck cancer patients and have a significant health impact. Unfortunately, despite the significant effects of the disorder, major gaps in our knowledge regarding…
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A Rare Case Report: Hypopharyngeal Paraganglioma
Paragangliomas are rare, vascular, and predominantly benign neoplasms that typically arise in the head and neck. Rarely, paragangliomas can occur in the larynx. Only 2 cases of hypopharyngeal paraganglioma have…
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Intraoperative Nerve Monitoring for Dissection of Vagal Nerve Schwannoma
Vagal nerve schwannomas are rare benign neural sheath tumors. Multiple treatment options exist including observation, complete tumor excision with nerve transection, and excision with nerve preservation. However, despite the use…
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Comprehensive Approach to Restoration of Pharyngeal Stenosis
The treatment for upper aerodigestive tract malignancies with external beam radiation therapy and chemotherapy can serve as a “cure,” yet often give rise to pharyngoesophageal (PE) stenosis, an unwanted side…