Sentinel Lymph Node Biopsy in Melanoma of the Head and Neck

Ebook's introduction:

The incidence of melanoma is rising more rapidly than any other malignancy. The National Comprehensive Cancer Network report that in the ear 2007, an estimated 59,940 new cases of melanoma will be diagnosed and about 8119 patients will die of the disease in the United States. They report that although melanoma is the fifth and sixth most common malignancy in men and women, respectively, melanoma ranks second to leukemia in terms of loss of years of potential life, per death. The median age at diagnosis is 45-55 years

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Malignancies of the Major Salivary Glands

It is estimated that 1 in 100,000 U.S. residents will develop a salivary malignancy at an average age of 56.6 years of age. The most common malignant histology is Tumors of the submandibular and sublingual salivary glands are more likely to be malignant than those in the parotid. Employment in the rubber industry, exposure to nickel alloys, exposure to silica dust, and the use of kerosene as cooking fuel have been associated with an increased risk of a primary salivary malignancy. A history of skin cancer has also been found to be associated with subsequent development of a primary salivary cancer when it originates in the scalp or face, it also presents a risk for metastases to the parotid gland.

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Auricular Reconstruction

Auricular reconstruction is a challenging reconstructive entity complicated by the high ratio of skin coverage to cartilage, inconsistent blood supply, and complex three-dimensional structure with subtle topographic details. The goal of reconstruction of the pinna is normal appearance, position, and symmetry with respect to the contralateral ear. Realistic expectations must be established with the patient prior to undertaking reconstruction.

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Pediatric Endoscopic Sinus Surgery

Sinus disease is a very common source of morbidity for many children. On average, children average 6-8 upper respiratory tract infections per year. 5-13% of all URIs are complicated by secondary bacterial infection of the paranasal sinuses. Young children are unable to communicate some of the symptoms of sinusitis such as headache, nasal obstruction, and sinus pain/pressure. This may pose a diagnostic challenge to clinicians who must rely on parental reporting of symptoms and physical findings. The purpose of this Grand Rounds is to explore the evidence available investigating pediatric FESS to determine its indications, safety, and long-term efficacy. A focus is kept on the management of chronic rhinosinusitis in the pediatric population.

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