Brent A. Chang
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View article: Practice Patterns in Management of Low‐ to Intermediate‐Grade Salivary Gland Carcinoma: A Multi‐Institutional Study
Practice Patterns in Management of Low‐ to Intermediate‐Grade Salivary Gland Carcinoma: A Multi‐Institutional Study Open
Objectives To characterize practice patterns and outcomes in the management of low‐ and intermediate‐grade salivary gland carcinoma prior to the existence of treatment guidelines. Methods Analysis of a registry of patients who underwent pa…
View article: Characteristics of Patients Requiring Prolonged Mechanical Ventilation Following Head and Neck Microvascular Reconstructive Procedures
Characteristics of Patients Requiring Prolonged Mechanical Ventilation Following Head and Neck Microvascular Reconstructive Procedures Open
View article: Extracorporeal Membrane Oxygen Assisted Intubation for Complex Airways
Extracorporeal Membrane Oxygen Assisted Intubation for Complex Airways Open
Objective: Airway management in patients with severely-narrowed tracheal lumens presents significant challenges, especially when traditional intubation methods are not feasible. In such cases, failed intubation attempts can worsen airway c…
View article: Perioperative Transfusion Following Total Laryngectomy: A Nationwide Study
Perioperative Transfusion Following Total Laryngectomy: A Nationwide Study Open
Objective Total laryngectomy (TL) represents a major operation often performed on medically complex patients. The impact of blood transfusion in TL patients is not well defined. Here, we utilize a national database to characterize these pa…
View article: Identification of clinical and pathologic features associated with extranodal extension in patients with HPV-mediated oropharyngeal squamous cell carcinoma
Identification of clinical and pathologic features associated with extranodal extension in patients with HPV-mediated oropharyngeal squamous cell carcinoma Open
Increased count of involved lymph nodes, size of largest involved lymph node, and presence of perineural invasion in patients with HPV(+)OPSCC are strongly associated with increased odds of ENE. These data suggest that ENE presence can be …
View article: Initial Proof‐of‐Concept Study on Immediate Effects of External Advanced Pneumatic Compression on Pharyngeal and Laryngeal Internal Lymphedema Using a Fluoroscopic Measurement Tool
Initial Proof‐of‐Concept Study on Immediate Effects of External Advanced Pneumatic Compression on Pharyngeal and Laryngeal Internal Lymphedema Using a Fluoroscopic Measurement Tool Open
Background External and internal head and neck cancer related lymphedema (HNCRL) is a common consequence of radiation treatment (RT). Currently, internal HNCRL can be clinically assessed endoscopically using a visuoperceptual, ordinal rati…
View article: Systematic Review of the Profunda Artery Perforator Free Flap for Head and Neck Reconstruction
Systematic Review of the Profunda Artery Perforator Free Flap for Head and Neck Reconstruction Open
Objective The profunda artery perforator (PAP) flap has gained popularity in head and neck reconstruction with a favorable donor site providing a relatively hidden scar and the ability to harvest a large amount of pliable tissue with consi…
View article: 140-year history of pharyngoesophageal reconstruction
140-year history of pharyngoesophageal reconstruction Open
Objective For over a century, circumferential pharyngoesophageal junction reconstruction posed significant surgical challenges. This review aims to provide a narrative history of pharyngoesophageal junction reconstruction from early surgic…
View article: First Bite Syndrome in Transoral Surgery for Oropharyngeal Cancer
First Bite Syndrome in Transoral Surgery for Oropharyngeal Cancer Open
Objective First bite syndrome (FBS) is a rare complication of transoral surgery (TOS) for oropharyngeal cancer (oropharyngeal squamous cell carcinoma [OPSCC]). Risk factors for developing this complication are not well described. In this s…
View article: Transoral Robotic Surgery for Eagle Syndrome: A Systematic Review
Transoral Robotic Surgery for Eagle Syndrome: A Systematic Review Open
Objectives: Transoral robotic surgery (TORS) is gaining popularity and has been introduced for the treatment of Eagle syndrome. This review aims to evaluate the safety and efficacy of TORS for the treatment of Eagle syndrome. Methods: A sy…
View article: Oncologic Safety of Close Margins in Patients With Low- to Intermediate-Grade Major Salivary Gland Carcinoma
Oncologic Safety of Close Margins in Patients With Low- to Intermediate-Grade Major Salivary Gland Carcinoma Open
Importance: Postoperative radiation therapy for close surgical margins in low- to intermediate-grade salivary carcinomas lacks multi-institutional supportive evidence. Objective: To evaluate the oncologic outcomes for low- and intermediate…
View article: Oncologic Safety of Close Margins in Patients With Low- to Intermediate-Grade Major Salivary Gland Carcinoma
Oncologic Safety of Close Margins in Patients With Low- to Intermediate-Grade Major Salivary Gland Carcinoma Open
Importance Postoperative radiation therapy for close surgical margins in low- to intermediate-grade salivary carcinomas lacks multi-institutional supportive evidence. Objective To evaluate the oncologic outcomes for low- and intermediate-g…
View article: Large mandibular mass with several floating teeth: granular cell ameloblastoma
Large mandibular mass with several floating teeth: granular cell ameloblastoma Open
Ameloblastomas are benign, locally aggressive, odontogenic epithelial neoplasms. We present a patient with a rare granular cell ameloblastoma. This is a case report and literature review conducted from July 2022 to the present. Our 52-year…
View article: Regional pedicled flap salvage options for large head and neck defects: The old, the new, and the forgotten
Regional pedicled flap salvage options for large head and neck defects: The old, the new, and the forgotten Open
Objectives The objective of this article is to review options for regional pedicled reconstruction for large head and neck defects in a salvage setting. Methods Relevant regional pedicled flaps were identified and reviewed. Expert opinion …
View article: Should Neck Dissection Be Done After Positive Sentinel Node Biopsy for Head and Neck Melanoma?
Should Neck Dissection Be Done After Positive Sentinel Node Biopsy for Head and Neck Melanoma? Open
Sentinel lymph node biopsy (SLNB), first introduced in the 1990s, has become standard of practice for most initial presentations of cutaneous melanoma without gross nodal involvement. Traditionally, a completion lymph node dissection (CLND…
View article: Trend Analysis of Cutaneous Squamous Cell Carcinoma of the External Lip From 1975 to 2016
Trend Analysis of Cutaneous Squamous Cell Carcinoma of the External Lip From 1975 to 2016 Open
This population-based cohort study found that incidence of cSCC of the external lip decreased among men; however, cases increased along US coastal regions and in more northern US latitudes. Tumor grades were increasingly advanced, and pati…
View article: What Is the Role of Radiofrequency Ablation for Benign Thyroid Nodules?
What Is the Role of Radiofrequency Ablation for Benign Thyroid Nodules? Open
Benign thyroid nodules (BTNs) are common in the general population, with the majority remaining asymptomatic. However, certain BTN cause significant patient concerns including compression symptoms and cosmetic issues. Traditional treatment…
View article: Cervical ganglioneuroma mimicking a carotid body tumour
Cervical ganglioneuroma mimicking a carotid body tumour Open
A 30-year-old woman was referred to the ear, nose and throat clinic by her primary care physician for a 10-year history of an asymptomatic, large, right-sided neck mass. On examination, the patient had a palpable, non-tender, five-by-four …
View article: When Should Elective Neck Dissection Be Performed for Parotid Gland Malignancy?
When Should Elective Neck Dissection Be Performed for Parotid Gland Malignancy? Open
Salivary gland cancers are rare with an incidence of about 1.3 per 100,000. Surgery is the treatment of choice for the primary as well as clinico-radiologically positive metastasis to the neck (cN+), followed by radiotherapy, depending upo…
View article: What is the Role of Trans‐Oral Robotic Surgery (<scp>TORS</scp>) in <scp>HPV</scp> Negative Oropharyngeal Cancer?
What is the Role of Trans‐Oral Robotic Surgery (<span>TORS</span>) in <span>HPV</span> Negative Oropharyngeal Cancer? Open
Transoral robotic surgery (TORS) has become increasingly accepted as a treatment modality in Human papillomavirus (HPV) positive T1/T2 oropharyngeal squamous cell carcinoma (OPSCC). Various studies have shown better oncologic and survival …
View article: Systematic review of microvascular coupling devices for arterial anastomoses in free tissue transfer
Systematic review of microvascular coupling devices for arterial anastomoses in free tissue transfer Open
Background Coupling devices have become commonplace in performing venous anastomoses during microvascular free tissue transfer (FTT). However, arterial anastomoses are still most commonly performed using traditional microvascular suture te…
View article: What Is the Extent of Neck Dissection in Medullary Thyroid Carcinoma?
What Is the Extent of Neck Dissection in Medullary Thyroid Carcinoma? Open
Medullary thyroid carcinoma (MTC) is a relatively rare thyroid cancer accounting for about 5% to 10% of all thyroid cancers. MTC can present as hereditary (25%) or sporadic (75%). Calcitonin, which is secreted by the parafollicular cells (…
View article: What is the Role of Transoral Thyroidectomy?
What is the Role of Transoral Thyroidectomy? Open
Over the years many alternative surgical approaches, so-called “remote-access” techniques, have been described for thyroid surgery, driven by cosmetic concerns. Such techniques have used both endoscopic and robotic approaches from differen…
View article: Is primary radiotherapy an acceptable treatment modality for verrucous carcinoma of the larynx?
Is primary radiotherapy an acceptable treatment modality for verrucous carcinoma of the larynx? Open
Verrucous carcinoma is a well-differentiated variant of squamous cell carcinoma. The oral cavity is the most common site of occurrence, followed by the larynx. Treatment of laryngeal verrucous carcinoma (LVC) is controversial. LVC is often…
View article: A systematic approach to the recurrent laryngeal nerve dissection at the cricothyroid junction
A systematic approach to the recurrent laryngeal nerve dissection at the cricothyroid junction Open
Background To describe and evaluate a four step systematic approach to dissecting the recurrent laryngeal nerve (RLN) starting at the cricothyroid junction during thyroid surgery (subsequently referred to as the retrograde medial approach)…
View article: Needle aspiration versus incision and drainage for the treatment of peritonsillar abscess
Needle aspiration versus incision and drainage for the treatment of peritonsillar abscess Open
Although a number of studies have sought to evaluate whether or not needle aspiration or incision and drainage is more effective in patients with peritonsillar abscess, there is no high-quality evidence to allow a firm conclusion to be dra…
View article: Ectopic parathyroid adenoma in the soft palate: A case report
Ectopic parathyroid adenoma in the soft palate: A case report Open
Background Ectopic parathyroid adenomas can occur in numerous anatomic locations. While ectopic parathyroid adenomas can rarely occur in the pharyngeal region, this has not previously been described in the soft palate. Case presentation We…