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New Techniques and Breakthroughs in Head and Neck Surgery
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New Techniques and Breakthroughs 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: 10 June 2025 | Viewed by 1170

Special Issue Editors

Dr. Giuseppe Consorti

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Guest Editor
Unit of Maxillofacial Surgery, Marche University Hospital—Umberto I, Ancona, Italy
Interests: craniofacial surgery; cleft lip and palate; orbit; facial trauma and surgery; facial fracture; cancer; stem cell; oncology; reconstructive surgery; microsurgery; tumor resection; squamous cell carcinoma; malformation; rare disease; craniofacial malformation; new technologies; CAD-CAM; genetics; oral surgery
Special Issues, Collections and Topics in MDPI journals
Dr. Paolo Balercia

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Guest Editor
Department of Maxillo-Facial Surgery, Ospedali Riuniti di Ancona, Ancona, Italy
Interests: head and neck surgery; minimally invasive procedures; robotic-assisted surgery
Dr. Luigi Angelo Vaira

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Guest Editor
1. Maxillofacial Surgery Operative Unit, Department of Medical, Surgical and Experimental Sciences, University of Sassari, 07100 Sassari, Italy
2. Biomedical Science Department, PhD School of Biomedical Science, University of Sassari, 07100 Sassari, Italy
Interests: oral and maxillofacial surgery; plastic surgery; otolaryngology
Special Issues, Collections and Topics in MDPI journals
Dr. Alessandro Tel

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Guest Editor
Clinic of Maxillofacial Surgery, Head-Neck and NeuroScience Department, University Hospital of Udine, 33100 Udine, Italy
Interests: oral and maxillofacial surgery; medical device design; 3D printing and rapid prototyping
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

This Special Issue presents cutting-edge advancements and methodologies in head and neck surgery, showcasing innovative techniques and breakthroughs. Covering a spectrum of topics crucial to this field, this Special Issue explores novel surgical approaches, emerging technologies, and refined diagnostic and therapeutic modalities. Contributions delve into minimally invasive procedures, virtual surgical planes, precision medicine applications, and the integration of robotics and artificial intelligence in surgical practice. Additionally, this Special Issue highlights recent developments in reconstructive surgery, oncological interventions, and functional outcome assessments. With a focus on advancing patient care and improving surgical outcomes, this collection serves as a comprehensive resource for clinicians and researchers in the field of head and neck surgery.

Dr. Giuseppe Consorti
Dr. Paolo Balercia
Dr. Luigi Angelo Vaira
Dr. Alessandro Tel
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • head and neck surgery
  • minimally invasive procedures
  • robotic-assisted surgery
  • precision medicine
  • reconstructive surgery
  • immunotherapy
  • emerging therapies
  • custom- made
  • virtual surgical plane
  • oral cancer

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Further information on MDPI's Special Issue policies can be found here.

Published Papers (1 paper)

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Research

11 pages, 763 KiB  
Article
Outcome of Facial Nerve Integrity After Parotid Gland Surgery With and Without Intraoperative Monitoring: A Ten-Year Retrospective Study
by Giulio Cirignaco, Gabriele Monarchi, Enrico Betti, Mariagrazia Paglianiti, Lisa Catarzi, Alessandro Tel, Luigi Angelo Vaira, Paolo Balercia and Giuseppe Consorti
J. Clin. Med. 2025, 14(4), 1156; https://doi.org/10.3390/jcm14041156 - 11 Feb 2025
Viewed by 641
Abstract
Background: Facial nerve injury is one of the most concerning complications of parotid gland surgery, with temporary and permanent dysfunction rates varying widely in the literature. This study aimed to identify factors associated with facial nerve injury during surgery for benign parotid [...] Read more.
Background: Facial nerve injury is one of the most concerning complications of parotid gland surgery, with temporary and permanent dysfunction rates varying widely in the literature. This study aimed to identify factors associated with facial nerve injury during surgery for benign parotid tumors and assess the protective efficacy of intraoperative nerve monitoring (NIM) in preventing nerve injury. Methods: This retrospective study analyzed 329 patients who underwent parotid gland surgery between 2010 and 2023. Data collected included patient demographics, tumor characteristics (size, location, histology), surgical parameters (operation time, NIM usage), and postoperative nerve function evaluated using a modified House–Brackmann scale. Descriptive and inferential statistical analyses, including Chi-square tests and logistic regression, were employed to identify predictors of facial nerve outcomes. Results: Facial nerve injury occurred in 5.2% of patients, comprising 4.6% temporary and 0.6% permanent damage. Tumors located in the deep and inferior lobes significantly increased the risk of facial paralysis/palsy (p = 0.035), while tumor size and histology showed no significant associations. Using NIM significantly reduced the risk of facial nerve injury (p < 0.05; OR: 0.35, 95% CI: 0.25–0.50). Age was also identified as a significant predictor of nerve dysfunction (p < 0.05). Conclusions: The findings emphasize the importance of NIM in mitigating facial nerve injury, especially in anatomically complex tumor locations. Tailored surgical approaches based on tumor location and patient-specific factors, combined with the routine use of NIM, are recommended to optimize nerve preservation and improve postoperative outcomes. Full article
(This article belongs to the Special Issue New Techniques and Breakthroughs in Head and Neck Surgery)
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