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1,731 results on '"Laccourreye, O"'

22. Internal mammary pedicle for head-and-neck reconstruction.

Author

Zugun-Eloae, C., Trandafir, C.-M., Laccourreye, O., and Mirghani, H.

Subjects
INTERNAL thoracic artery, CANCER relapse
Abstract

Free-flap reconstruction for recurrence of head-and-neck cancer with vessel depletion is a technical challenge, and the literature is sparse. The present technical note describes the key-points of an approach harvesting the internal mammary pedicle. Results are reported in 3 patients, and pros and cons are discussed. [ABSTRACT FROM AUTHOR]

Published
2024
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24. Styloglossus muscle: a critical landmark in head and neck oncology

Author

Laccourreye, O, Orosco, RK, Rubin, F, and Holsinger, FC

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Rare Diseases, Patient Safety, Cancer, Clinical Research, Dental/Oral and Craniofacial Disease, Biomedical Imaging, Anatomic Landmarks, Carcinoma, Squamous Cell, Facial Muscles, Humans, Oropharyngeal Neoplasms, Oropharynx, Oropharyngectomy, Squamous cell carcinoma, Styloglossus muscle, Clinical sciences
Abstract

GoalTo document the role of the styloglossus muscle (SG) in head and neck oncology and at the time of surgical treatment and mandibular preservation surgery for squamous cell carcinoma of the lateral oropharynx (SCCLO).MethodBased on a search conducted within the Pubmed, Embase, and Cochrane databases, using the key words SG muscle, parapharyngeal space and oropharynx, the authors discuss the embryology, physiology, anatomy and radiology of this muscle as well as its role in the oncologic staging surgery of SCCLO.ResultsThe most specific radiologic exam to evaluate the involvement of SG muscle in SCCLO is magnetic resonance imaging (MRI). According to the eigth international staging classification systems, radiologic invasion of the SG muscle, at the time of MRI, leads to reclassify as T4a many tumors considered as T1-3 at the time of clinical and/or on computerized tomography evaluation. This must lead to extreme care when comparing oncologic results from series published prior and after the MRI era. When transoral resection of the SG muscle is advocated for SCCLO, one must know that this maneuver brings numerous arterial and venous structures within the operative field. If difficulties to achieve safe margins of resection and/or to control bleeding are encountered, a simple trans cervical maneuver described herein is most useful.ConclusionThe importance of the SG muscle should be emphasized as a touchstone for staging and surgeon's guide to mandibular preservation surgery of SCCLO. The various approaches allowing the control of this muscle and its vascular environment must be taught at the time of initial training.

Published
2018

31. Cervical approach for prestyloid parapharyngeal pleomorphic adenoma resection.

Author

Laccourreye, O., Gaultier, A.-L., Haroun, F., and Mirghani, H.

Subjects
PLEOMORPHIC adenoma, CRANIAL nerves, FACIAL paralysis, SURGICAL complications, ADENOMA
Abstract

To describe the key points of cervical resection for prestyloid parapharyngeal pleomorphic adenoma and to discuss the role of modern imaging. Retrospective case series of 10 patients (4 women and 6 men, age 29–63 years) with prestyloid parapharyngeal pleomorphic adenoma with 2 to 8 cm largest diameter on MRI, consecutively resected via a cervical approach between 2000 and 2020 in a French tertiary university referral care center. Seven patients had a minimum 10 years' follow-up, and one was lost to follow-up before the fifth postoperative year. Peri- and postoperative complications comprised great auricular nerve transection without subsequent symptomatic neuroma (2 patients), associated transoral approach to free the upper pole of the adenoma (2 patients), capsule effraction (3 patients), and hematoma (1 patient). There were no cases of facial paresis or palsy, other cranial nerve impairment, trismus, auriculotemporal or first-bite syndrome. One of the three patients with capsule effraction showed local recurrence at month 17. In agreement with previous reports, the present case series confirmed the role of the cervical approach to resect prestyloid parapharyngeal pleomorphic adenoma, and hence the need to continue teaching it. [ABSTRACT FROM AUTHOR]

Published
2024
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