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New Updates in Head and Neck Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "General Surgery".

Deadline for manuscript submissions: closed (7 November 2024) | Viewed by 1166

Special Issue Editors


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Guest Editor
Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Universitario Donostia, San Sebastian, Spain
Interests: reconstruvtive surgery; molecular pathology; salivary gland; artificial intelligence; laryngeal cancer
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
Faculty of Medicine and Surgery, University of Enna Kore, Enna, Italy
Interests: perforator flap for nasal defects; plastic surgery; head and neck surgery

Special Issue Information

Dear Colleagues,

Within the field of head and neck surgery, significant advancements have been made in various areas. These include refined surgical techniques aimed at improving the outcomes and reducing patient morbidity. Minimally invasive approaches, such as endoscopic and robotic-assisted surgeries, continue to gain prominence, offering reduced scarring, shorter hospital stays and faster recovery times for patients. Additionally, there is a growing emphasis on personalized medicine, with the integration of molecular diagnostics and targeted therapies to tailor treatment plans based on individual patient characteristics and tumor biology. Enhanced imaging modalities, such as 3D imaging and intraoperative navigation systems, are aiding surgeons in achieving more precise tumor resection while minimizing damage to the surrounding healthy tissue. Furthermore, advancements in reconstructive techniques, including microvascular surgery and tissue engineering, are improving functional and aesthetic outcomes for patients undergoing complex head and neck reconstructions. These updates collectively reflect a commitment to advancing the field of head and neck surgery, with a focus on optimizing patient care and the quality of life, and represent the main focus of this Special Issue.

Dr. Antonino Maniaci
Prof. Dr. Carlos M. Chiesa-Estomba
Dr. Giuseppe Angelo Giovanni Lombardo
Guest Editors

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Keywords

  • minimal invasive
  • transoral
  • robotic
  • reconstructive
  • 3D printing
  • targeting therapies
  • imaging

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Published Papers (1 paper)

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Research

12 pages, 1117 KiB  
Article
Malignant Salivary Gland Tumors in a Tertiary University Hospital in Northern Spain
by Carlos M. Chiesa-Estomba, Alfonso Rodriguez-Urzay, Maria Landa-Garmendia, Ekhiñe Larruscain-Sarasola, Jose A. González-García, Jon A. Sistiaga-Suarez, Leyre González-Vallejo and Carlos Blanco-García
J. Clin. Med. 2025, 14(1), 46; https://doi.org/10.3390/jcm14010046 - 25 Dec 2024
Viewed by 729
Abstract
(1) Background: Salivary gland tumors (SGTs) are a rare and diverse group of neoplasms arising in the parotid, submandibular, sublingual, and minor salivary glands distributed throughout the upper aerodigestive tract. Given the rarity and complexity of MSGTs, understanding their epidemiology across diverse [...] Read more.
(1) Background: Salivary gland tumors (SGTs) are a rare and diverse group of neoplasms arising in the parotid, submandibular, sublingual, and minor salivary glands distributed throughout the upper aerodigestive tract. Given the rarity and complexity of MSGTs, understanding their epidemiology across diverse populations is crucial for improving diagnostic and therapeutic strategies. (2) Methods: A retrospective analysis involving 45 patients diagnosed with malignant salivary gland tumors and treated with curative intention between 1 July 2016 and 1 July 2021 in a tertiary academic hospital was performed. (3) Results: Histologically, the most common subtype was adenoid cystic carcinoma in 12 (26.7%) cases, followed by carcinoma ex-pleomorphic adenoma in 7 (15.6%) cases, mucoepidermoid carcinoma in 6 (13.3%) cases, and adenocarcinoma in 6 (13.3%) cases. The majority of tumors were located in the parotid gland in 28 cases (62.2%). The three-year overall survival rate was 80% and the three-year specific survival rate was 86.7%. Tumor grade was significantly associated with local recurrence and the appearance of distant metastasis during the follow-up period (p = 0.04). We also evidenced a worse survival in patients with advanced T-Stage (p = 0.038) and positive nodes in the neck (p = 0.015). (4) Conclusions: Overall, our study reinforces the prognostic significance of tumor grade, T-Stage and N-Stage while challenging the conventional understanding of factors such as PNI, LNM, and margin status. Full article
(This article belongs to the Special Issue New Updates in Head and Neck Surgery)
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