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Introduction Supracricoid laryngectomy still has selected indications; there are few studies in the literature, and the case series are limited, a fact that stimulates the development of new studies to further elucidate the structural and functional aspects of the procedure. Objective To assess voice and deglutition parameters according to the number of preserved arytenoids. Methods Eleven patients who underwent subtotal laryngectomy with cricohyoidoepiglottopexy were evaluated by laryngeal nasofibroscopy, videofluoroscopy, and auditory-perceptual, acoustic, and voice pleasantness analyses, after resuming oral feeding. Results Functional abnormalities were detected in two out of the three patients who underwent arytenoidectomy, and in six patients from the remainder of the sample. Almost half of the sample presented silent laryngeal penetration and/or vallecular/ hypopharyngeal stasis on the videofluoroscopy. The mean voice analysis scores indicated moderate vocal deviation, roughness and breathiness; severe strain and loudness deviation; shorter maximum phonation time; the presence of noise; and high third and fourth formant values. The voices were rated as unpleasant. There was no difference in the number and functionality of the remaining arytenoids as prognostic factors for deglutition; however, in the qualitative analysis, favorable voice and deglutition outcomes were more common among patients who did not undergo arytenoidectomy and had normal functional conditions. Conclusion The number and functionality of the preserved arytenoidswere not found to be prognostic factors for favorable deglutition efficiency outcomes. However, the qualitative analysis showed that the preservation of both arytenoids and the absence of functional abnormalities were associated with more satisfactory voice and deglutition patterns. [ABSTRACT FROM AUTHOR]

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Copyright of Revista Brasileira de Cirurgia de Cabeça e Pescoço is the property of Revista Brasileira de Cirurgia de Cabeca e Pescoco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Laryngeal cancer is one of the most important of the cases of head and neck cancer, accounting for about 25% of all cases of head and neck cancer in the United States .In our population total laryngectomy is presented as important form of treatment of laryngeal cancer, bringing with it one of the most morbid and problematic complications, pharyngocutaneous fistula, whose incidence varies in the literature, may range from 3% to 65%) depending on the analyzed source. Objectives: To analyze the population treated in our service by laryngeal tumors, to determine our rates pharyngocutaneous fistula, its risk factors and ways to prevenção. Método: 104 patients, 83 men and 21 women were analyzed, aged between 43 and 83 years (mean 61.7 years) treated between July 2009 and June 2014. All patients underwent total laryngectomy or full pharyngolaryngectomy as a treatment of squamous cell carcinomas of larynx (T2: 8 cases, T3: 21 cases, T4: 73 cases). In order to investigate possible risk factors evaluated the following criteria: Age, hematocrit (from 35.0 to 47.0%), serum albumin (3.4 to 4.8 g / dL), hormone Tireo - Stimulating / TSH serum (0.27 to 4.20 μIU / mL), preoperative BMI (18.5 to 25 kg / m²), Tumor stage (TNM), Patchwork Use the Neo-pharynx, the Neo-closing type pharynx (absorbable suture Manual polyglactine or Mechanical with Linear Cutting Stapler). Results: Analysis of our data showed a 38.5% fistula rate in our population, consistent with the literature mundial. Dentre all factors analyzed, only three statistically relevant: serum albumin, tumor stage and use of linear stapler. The serum albumin concentration in these patients, with values less than or equal to 2.7 g / dl had rates of 77.8% fistula (p = 0.001), placing the albumin of less than 2.7 g / dL as a risk factor for pharyngocutaneous fistula formation with about five times more likely to fistula formation (OR = 5.519). The stadium you are in the initial tumor patient also showed a significant influence on fistula rates, with the most advanced stages (stage 4) presented fistula rate of 43.8%, against 20.8% of the earliest stages (stages 2 and 3) with p = 0.035. The use of stapler presented fistula rates (without stapler use: 48.7% versus with stapler use: 10.7%, p = 0.000), which allow us to put it as a protective factor against the formation of fistulas (OR = 0.181). Conclusion: The results of this study allow us to conclude that for the formation of pharyngocutaneous fistula, serum albumin below 2.7 g / dL and the advanced stage (stage IV) are important risk factors, and the use of mechanical suture by linear stapler a strong protective factor. [ABSTRACT FROM AUTHOR]

Introduction: Giant Cell Tumors (GCT) are bone benign neoplasms that although, may have a locally aggressive behavior. Its incidence in the craniofacial skeleton is rare. Literature review and differential diagnosis: The TCG arises from mesenchymal cells from bone marrow, usually monostotic. Prevalent in females, with a peak incidence between 20 and 40 years old. Its signs and symptoms are local pain and mass effect dependent on the topography of origin and its differential diagnosis are aneurysmal bone cyst, giant cell reparative granuloma, Cherubism and brown tumor. The best treatment is surgery, such as curettage, marginal resection or with wide margins, and may require the use of local flaps, such as the submental. Case report: KS, female, 29 years old, with extensive lesion of 2.0 cm in the lower alveolar ridge for 6 months with CT scan showing mass lesion in the left hemisphere of the jaw, with cortical bone rupture. Total resection was performed with surgical margins and reconstruction with submental flap. Discussion: The TGC was described in 1918 and better characterized in 1940, with a benign tumor may present an aggressive behavior. Surgical treatment, depending on their staging, should be aggressive with total resection. The submental flap is a good alternative for the reconstruction of the floor of the mouth in benign lesions for its versatility. Conclusion: Although rare, the TGC should be considered in differential diagnosis of bone lesions at this location and the surgical treatment considered by the behavior that can be locally aggressive. [ABSTRACT FROM AUTHOR]

Introduction: White light laryngoscopy is the most employed method for the evaluation of laryngeal lesions, however, in the last years, several optic methods have been developed in order to improve the diagnostic accuracy of malignant lesions of the larynx, specially in early stage. Aim: To describe a new optic method of light distortion based on surface balance, to differentiate benign from malignant larynx lesions. Methods and Results: The proposed optic method uses red-orange surface balance, named Red Balance Image (RBI), in which the most expressive color presents between green and blue, being available in the majority of the commercial laryngoscopes. Discussion: The laryngoscopy with surface balance is an accessible auxiliary diagnostic method that can be used by the head and neck surgeon wont to laryngoscopy examination. [ABSTRACT FROM AUTHOR]

Objective: Translate to brazilian portuguese, culturally adapt and test the rating and classification scales of cervicofacial lymphedema of the MD Anderson Cancer Center Head and Neck Lymphedema Protocol (MDACC HNL) in patients undergoing treatment for head and neck cancer. Methods: The process followed international guidelines and translation stages by two head and neck surgeons, and back translation independently by two native Americans. The test of final version was based on the evaluation of 18 patients by one speech pathologist and one physical therapist who applied the scales in Portuguese. Results: The translation of the three scales was carried out independently and the translators reached a consensus for the final version. Minor modifications were made by translating two terms into the Assessment of the Face. Versions of back-translation were similar to each other. The instrument was successfully applied to patients independently. Conclusion: The translation and cultural adaptation of the assessment and rating scale of the cervicofacial lymphedema of the MD Anderson Cancer Center Head and Neck Lymphedema Protocol to the Brazilian Portuguese were successful. [ABSTRACT FROM AUTHOR]