Application of da Vinci Surgical System in tumors of head and neck / 中国癌症杂志

The da Vinci Surgical System has developed and great progress has been made recently in surgery. Despite lack of applications in tumors of head and neck, its advantages, such as minimally invasive procedure and rapid recovery, show great prospects. In this article, we reviewed the surgical method, indication, advantages and prospects of its application in tumors of head and neck.

Schwannomas no vestibulares de cabeza y cuello: presentación de 6 casos clínicos / Nonvestibular schwannomas of the head and neck: presentation of 6 clinical cases

Introducción: Los schwannomas no vestibulares de cabeza y cuello son tumores benignos, de baja frecuencia, que pueden producir gran morbilidad dependiendo de su ubicación. Objetivo: Describir la experiencia del Servicio de Otorrinolaringología del Hospital Clínico de la Universidad de Chile en el manejo de schwannomas no vestibulares de cabeza y cuello. Material y método: Estudio retrospectivo, descriptivo de los casos de schwannomas no vestibulares de cabeza y cuello diagnosticados entre los años 1998 y 2010. Se revisaron fichas clínicas, estudio de imágenes, protocolos operatorios y seguimiento clínico. Resultados: De un total de 6 pacientes: cuatro de sexo masculino y dos femenino; promedio de edad de 36 años. El tiempo promedio de evolución fue de 15,6 meses con una variación de 2 a 48 meses. En todos los pacientes se resecó completamente el tumor. El diagnóstico fue confirmado con histología en todos los casos. Conclusiones: Los schwannomas no vestibulares de cabeza y cuello son tumores de crecimiento lento, poco sintomáticos. Dado que el diagnóstico de certeza sólo se realiza por biopsia, se debe tener un alto índice de sospecha preoperatoria.

Introduction: Non vestibular head and neck schwannomas are benign tumors of low frequency that can produce great morbidity, depending on its location. Objective: Describe the experience of Otolaryngology Department from the Clinical Hospital of the University of Chile in the management of non vestibular head and neck schwannomas. Material and method: Retrospective, descriptive study of the non vestibular schwannomas of head and neck diagnosed between the year 1998 and 2010. Clinical history, study of images, operative protocols and clinical follow-up were analyzed. Results: A total of 6 patients four male and two female, with a mean age of 36 years. The average time of evolution was 15.6 months with a range from 2 to 48 months. In all patients the tumor was excised completely. The diagnosis was confirmed by histology in all cases. Conclusions: The non vestibular schwannomas of head and neck are slow- grow tumors with few symptoms. Provided that the diagnosis of certainty is only realized by biopsy, it is necessary to have a high index of pre-operative suspicion.

Radioterapia em cabeça e pescoço: complicações bucais e a atuação do cirurgião dentista / Head and neck radiotherapy: oral complications and the performance of the surgeon dentist

Objetivo: explicitar as alterações sofridas pelo paciente submetido a tratamento radioterápico e salientar a importância do cirurgião dentista como parte integrante de uma equipe multidisciplinar que assistirá o doente. Método: pesquisa bibliográfica nas fontes: periódicos, livros e acesso à internet. Considerações finais: o cirurgião dentista é o profissional com melhores condições de avaliar e tratar as alterações bucais, assim como, aplicar medidas preventivas de acompanhamento da saúde bucal do paciente radiado na área da cabeça e pescoço, visando minimizar os efeitos estomatológicos e funcionais causados por essa terapia.

Objective: set out alterations and to point out the importance of the surgeon dentist as integrant of a medical team. Method: literature review in: cientific magazine, books and web access. Final considerations: the surgeon dentist is the professional with better conditions to to evaluate and to treat the sick person, as well as applying writ of prevention of accompaniment of the oral health of the patient radiated in the area of the head and neck, aiming at to minimize the estomatologic and functional effect caused by this therapy.