Otorrinolaringologia/Cabeça e Pescoço

Estudo randomizado | Em pacientes com câncer de cabeça e pescoço submetidos a cirurgia, a quimioterapia com cisplatina semanal é não inferior à cisplatina a cada 3 semanas e está associada com toxicidade reduzida.

3 Mar, 2022 | 15:41h

Weekly Cisplatin Plus Radiation for Postoperative Head and Neck Cancer (JCOG1008): A Multicenter, Noninferiority, Phase II/III Randomized Controlled Trial – Journal of Clinical Oncology

 

Comentário do autor no Twitter

Dear friends,
Finally, the results of JCOG1008, post operative CRT (weekly CDDP vs. 3-weekly CDDP) has published on Journal of Oncology.
Weekly CDDP+RT is a new treatment option with equal efficacy and better safety profile.
Please check the manuscript!!https://t.co/XG6mkGeo4Y

— Naomi Kiyota, MD, PhD (@kiyota_naomi) March 1, 2022

 

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Diretriz atualizada | Momento da cirurgia eletiva e avaliação de risco após infecção por SARS-CoV-2 – “Mantemos a orientação de que os pacientes devem evitar cirurgias eletivas dentro de 7 semanas da infecção, a menos que os benefícios superem o risco de aguardar por tal período.”

1 Mar, 2022 | 15:38h

Timing of elective surgery and risk assessment after SARS-CoV-2 infection: an update – Anaesthesia

Conteúdos relacionados:

Perioperative cardiovascular considerations prior to elective noncardiac surgery in patients with a history of Covid-19.

Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery

Study from 116 countries suggests surgery should be delayed for at least seven weeks following a COVID-19 diagnosis to reduce mortality risk

BJS commission on surgery and perioperative care post-COVID-19.

The risk of postoperative complications following major elective surgery in active or resolved COVID-19 in the United States – Major, elective surgery 0–4 weeks after Covid-19 is associated with greatly increased risk of postoperative complications; surgery performed 4–8 weeks after infection is still associated with an increased risk of pneumonia.

ASA Guidance: Preoperative testing for COVID-19 is essential, regardless of vaccination.

Position statement: Perioperative management of post-COVID-19 surgical patients.

Cohort study: Postoperative in-hospital mortality of patients with COVID-19 infection was more than double that in patients without COVID-19

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Câncer orofaríngeo associado ao HPV: epidemiologia, biologia molecular e tratamento clínico.

1 Mar, 2022 | 15:03h

HPV-associated oropharyngeal cancer: epidemiology, molecular biology and clinical management – Nature Reviews Clinical Oncology (se o acesso a este link for pago, tente este)

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Estudo randomizado | Momento da recuperação funcional após tonsilectomia a laser feita sob anestesia local vs. tonsilectomia convencional com anestesia geral em adultos.

22 Fev, 2022 | 15:12h

Time to Functional Recovery After Laser Tonsillotomy Performed Under Local Anesthesia vs Conventional Tonsillectomy With General Anesthesia Among Adults: A Randomized Clinical Trial – JAMA Network Open

 

Comentário no Twitter

RCT found laser tonsillotomy under local anesthesia had faster functional recovery but lower resolution of the chief complaint leading to surgery vs conventional tonsillectomy under general anesthesia; it may offer a feasible alternative. https://t.co/yfaWeFJeEl pic.twitter.com/DDYxlEhZEp

— JAMA Network Open (@JAMANetworkOpen) February 21, 2022

 

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Diretriz de consenso | Cuidados com os sobreviventes do câncer de cabeça e pescoço.

17 Fev, 2022 | 14:30h

Head and neck cancer survivorship consensus statement from the American Head and Neck Society – Laryngoscope Investigative Otolaryngology

Conteúdos relacionados:

Head and Neck Cancer Survivorship Care Guideline

American Cancer Society Head and Neck Cancer Survivorship Care Guideline

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Tratamento do paciente pós-laringectomia no departamento de emergência.

14 Fev, 2022 | 15:38h

ED Management of the Post-Laryngectomy Patient – emDocs

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Diretriz de consenso ETA | Quais são as indicações para terapia com iodo radioativo pós-cirurgia no câncer diferenciado de tireoide?

11 Fev, 2022 | 13:50h

2022 ETA Consensus Statement: What are the indications for post-surgical radioiodine therapy in differentiated thyroid cancer? – European Thyroid Journal

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Diretriz de prática clínica para uso de tubos de timpanostomia em crianças.

10 Fev, 2022 | 13:58h

Executive Summary of Clinical Practice Guideline on Tympanostomy Tubes in Children (Update) – Otolaryngology–Head and Neck Surgery

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Atualização | Terapias para disfunções olfatórias.

7 Fev, 2022 | 13:32h

Therapies for Olfactory Dysfunction — an Update – Current Allergy and Asthma Reports (se o acesso a este link for pago, tente este)

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M-A de 26 estudos observacionais mostrou que a perda auditiva e a perda sensorial dupla estão ligadas ao excesso de mortalidade por todas as causas e cardiovascular.

4 Fev, 2022 | 16:21h

Associations of Hearing Loss and Dual Sensory Loss With Mortality: A Systematic Review, Meta-analysis, and Meta-regression of 26 Observational Studies With 1 213 756 Participants – JAMA Otolaryngology—Head & Neck Surgery (link para o resumo – $ para o texto completo)

Entrevista com o autor: Associations of Hearing Loss and Dual Sensory Loss With Mortality

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