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Cysts and Sinuses of the Head and Neck
Published in John C Watkinson, Raymond W Clarke, Christopher P Aldren, Doris-Eva Bamiou, Raymond W Clarke, Richard M Irving, Haytham Kubba, Shakeel R Saeed, Paediatrics, The Ear, Skull Base, 2018
Keith G. Trimble, Luke McCadden
CMCC may present at birth with a cleft extending from the mentum to the sternum. There may be no external defect seen but a characteristic ‘cord’ seen or palpated below the skin when the neck is extended. If a cleft is present, serous discharge may be evident and the upper end will have a pseudonipple appearance.23
Does the mandibular lingual release approach impact post-operative swallowing in patients with oral cavity and/or oropharyngeal squamous cell carcinomas: a scoping review
Published in Speech, Language and Hearing, 2023
N. M. Hardingham, E. C. Ward, N. A. Clayton, R. A. Gallagher
The MLRA is appropriate for large or inaccessible OC/OPSCC and is referred to in the literature as the ‘mandibular lingual release approach’ (Song et al., 2013; Stanley, 1984; Stringer et al., 1992) and in conjunction with the term ‘visor flap’ (Cilento, Izzard, Weymuller, & Futran, 2007). Where clinically indicated, the technique is preceded by a unilateral or bilateral neck dissection. This is then followed by an incision from the mastoid to mastoid, with an apron flap raised to the level of the mandible. The mandibular periosteum is then incised at the lower border. The alveolar mucosa is also incised around the lingual surface at the teeth from angle to angle, if teeth are absent, the incision is continued along the apex of the alveolus. The anterior belly of digastric is detached from the mentum. The geniohyoid and genioglossus muscles are detached from the genial tubercle. The periosteum is then elevated to the insertion of the mylohyoid muscle. This then allows delivery of the tongue and floor of mouth (FOM) into the neck. Following appropriate resection, closure of site can be done locally or via a free flap.
Bright light shows promise in improving sleep, depression, and quality of life in women with breast cancer during chemotherapy: findings of a pilot study
Published in Chronobiology International, 2021
Horng-Shiuann Wu, J. E. Davis, L. Chen
Each participant who agreed to PSG checked into a hospital-based sleep center for electrode placement between 1400–17:00 h on a weekday. The BraiNet ® (Jordan NeuroScience, Inc.) was placed on the individual’s head to determine EEG electrode placement. The electrodes were then applied by a registered sleep technician following a standard sleep montage, which included central and occipital EEG electrodes right and left referenced to a mastoid, right and left eye EOG electrodes referenced to the opposite mastoid, and chin EMG electrode referenced to a mentum electrode. All electrodes were connected to the Easy Ambulatory 2 System. After activating the recording, participants returned home with the ambulatory devices. Once the individual completed 24 h of continuous recording, the investigator visited the participant at home to remove the electrodes and collect the device.
Ultrasonography versus conventional methods (Mallampati score and thyromental distance) for prediction of difficult airway in adult patients
Published in Egyptian Journal of Anaesthesia, 2020
B. S. Abdelhady, M. A. Elrabiey, A. H. Abd Elrahman, E. E. Mohamed
The study was performed at Benha University Surgical Hospital, Egypt .The study was conducted from June 2018 to January 2020.The study was approved by Institutional Ethical committee of Benha University Hospitals and was recorded on clinicaltrial.gov(NCT03799055,principal investigator: Baher Abdelhady). Written informed consent was obtained from each patient during the preoperative visit. We enrolled patients (18–60 years old) with an American Society of Anesthesiologists physical status classification score of I to III, scheduled for elective surgical procedure requiring endotracheal intubation and body mass index less than 40 kg/m2. The exclusion criteria were patient refusal, unable to give consent, pre-existing airway malformations or pathology like facial or cervical fractures, maxillofacial abnormalities, cervical tumors or goiter, history of difficult or intubation, patients with tracheostomy tubes, pregnant patients and body mass index greater than 40 kg/m2. During pre-anesthetic evaluation of the patients, demographic variables were collected from each patient and clinical screening tests to predict a difficult airway were performed in the form of Mallampati score, thyromental distance and ultrasonographic measured distance from skin to epiglottis (DSE). During Mallampati score assessment, patients were seated, head held in neutral position, mouth open as wide as possible and tongue protruded out maximally and patients were instructed not to speak. Thyromental distance (in centimeters) was measured with the patient’s neck fully extended with closed mouth. Distance was measured from the thyroid notch to the tip of the mentum.