海军总医院成功举办第十四届全军耳鼻咽喉头颈外科学术会议

2011年6月26-28日,来自全军各大军区、各军兵种、军医大学、总部直属单位的70余家医院,500余名代表齐聚浙江舟山,参加第十四届全军耳鼻咽喉头颈外科学术会议,共同交流研讨当前耳鼻咽喉头颈外科的研究热点和发展方向。会议选举产生了第九届全军耳鼻咽喉头颈外科专业委员会委员及顾问,来自全军14个大单位的40家医院共55人当选,海军总医院孙建军主任当选为第九届全军耳鼻咽喉头颈外科专业委员会副主任委员。大会由海军总医院全军耳鼻咽喉头颈外科中心主办,共收到论文500余篇,参会人数及论文数量为历届之最。其中,海军总医院     

第九届全军耳鼻咽喉、头颈外科专业学术会议召开

第九届全军耳鼻咽喉、头颈外科专业学术会议于２０００年３月２４～２９日在广东省番禺市召开。来自全军近１７０位代表参加了会议。大会共收到论文３８８篇,其中分会交流耳鼻咽喉科基础研究论文７８篇,临床研究论文１７６篇,临床护理论文３１篇。１４位专家分别就耳鼻喉科临床研究、电子耳蜗、喉返神经麻痹的治疗、耳神经外科、ＳＡＳ诊断和治疗等进展作专题报告。全军耳鼻咽喉、头颈外科专业学会全体委员就“十五”规划进行了热烈的讨论,并决定第十届会议于２００２年在西安召开。第九届全军耳鼻咽喉、头颈外科专业学术会议召开@翟所…     

医院船接诊拉美三国耳鼻咽喉头颈外科疾病谱调查与分析

目的：调查了解“和谐使命-2011”任务期间医院船接诊拉美三国耳鼻咽喉头颈外科疾病谱。方法：由同一医师进行病例登记、统计,对耳鼻咽喉头颈外科429例疾病谱进行调查分析。同一患者同时患有2种或以上耳鼻咽喉头颈外科疾病时,按第一诊断单病种计算。结果：429例耳鼻咽喉头颈外科疾病谱中,居前10位的疾病占82．O％。其中,居前5位的疾病分别为变态反应性鼻炎、耵聍栓塞（含油耳）、慢性咽炎、神经性聋及耳鸣、急慢性扁桃体炎,占60．6％;居第6～10位的疾病分别为鼻中隔偏曲、鼻炎鼻窦炎、中耳炎、外耳道炎、神经痛,占21．4％。结论：变态反应性鼻炎、耵聍栓塞（含油耳）、慢性咽炎等,是拉美三国耳鼻咽喉头颈外科主要就诊疾病,应根据医疗服务国耳鼻咽喉头颈外科疾病前期调研反馈信息及不同任务需要,合理配备医务人员、专科医疗设备、耗材及药品。     

海军总医院耳鼻咽喉头颈外科成功举办全军学术会议

6月26-28日,来自全军各大军区、各军兵种、军医大学、总部直属单位的70余家医院,500余名代表齐聚浙江舟山,参加第十四届全军耳鼻咽喉头颈外科学术会议,共同交流研讨当前耳鼻咽喉头颈外科的研究热点和发展方向。会议选举产生了第九届全军耳鼻     

2012年全国《眩晕医学专业化》高峰论坛暨第七届武警部队耳鼻咽喉-头颈外科专业学术会议成功举行

本刊讯2012年全国《眩晕医学专业化》高峰论坛暨第七届武警部队耳鼻咽喉一头颈外科专业学术会议于2012年7月13。15日在天津市成功举行。会议由武警部队耳鼻咽喉头颈外科专业委员会主办,武警后勤学院附属医院耳鼻咽喉头颈外科承办,来自武警部队及地方医院的159名专家代表参加了会议。     

全军第九届耳鼻咽喉-头颈外科专业学术会议纪要

全军第九届耳鼻咽喉 头颈外科专业学术会议于 2 0 0 0年 3月 2 4 2 9日在广东省番禺市召开。大会共收到论文 388篇 ,由 3位专家所作的大会论文报告拉开了本次专业学术会议的序幕 ,分会交流的有耳鼻咽喉科基础研究论文 78篇、耳科临床研究论文 58篇、鼻科学临床研究论文 48篇、咽喉及头颈创伤方面的论文 70篇、临床护理论文 31篇 ;1 3位专家分别作了耳鼻咽喉科基础和临床研究最新进展的专题报告。来自全军的近 1 70位代表参加了会议 ,广东省的 1 6位代表列席了会议。大会开得生动活泼 ,讨论热烈有序。在耳生理与耳病治疗基础研究方面 ,有作者…     

全军军事耳鼻咽喉科研讨会纪要

全军军事耳鼻咽喉科专题研讨会于1990年5月11日至13日在青岛市召开,代表84人,共报告论文102篇。与会代表就头颈颌面外伤、位听功能损伤及气压伤等方面进行研讨,交流了近4年来我军在耳鼻咽喉创伤方面的临床经验和实验研究。现分5方面分述如下。     

三维数字模型在耳鼻咽喉头颈外科手术中的应用

 目的 了解三维数字模型在耳鼻咽喉头颈外科手术中的应用价值.方法 依据41例术前CT断层扫描数据,通过计算机辅助设计(Automation Computer Aided Design,AutoCAD) 和SketchUp软件构建三维数字模型,提供任意视野观察,进行手术计划,虚拟术后术腔的空间变化,与术中及术后图像对比.结果 成功构建鼻腔、鼻窦、颞骨、颈部及相邻解剖结构的三维模型,为耳鼻咽喉头颈外科手术入路提供帮助,使用者可与模型进行交互作用并可任意操作模型(包括射线模式,内部观察),术中随时观察,为手术计划提供准确的形态信息.结论 AutoCAD及SketchUp构建三维数字模型,方法简单可行,并可用于耳鼻咽喉头颈外科的解剖教学和手术模拟,证实了其临床应用的价值.     

海军总医院全军耳鼻咽喉头颈外科中心继续医学教育项目通知

海军总医院全军耳鼻咽喉头颈外科中心将于2006年下半年举办下列继续医学教育项目:①国家级继续医学教育项目“睡眠呼吸障碍学习班”,项目编号【2006-07-01-049(国)】。时间:10月10~13日;地点:福建省厦门市;学分:国家级Ⅰ类学分8分。②军队继续医学教育Ⅰ类项目“激光技术在耳鼻     

"和谐使命-2010"非洲四国耳鼻咽喉头颈外科疾病调查

"和谐使命-2010"任务非洲4国医疗服务中,耳鼻咽喉头颈外科作为一个独立的科室全程参与并圆满地完成了任务.笔者调查分析了4国的专科疾病情况,为指导今后相关任务用药提供参考. 一、资料与方法 1.临床资料:"和谐使命-2010"任务非洲4国即吉布提、肯尼亚、坦桑尼亚、塞舌尔的耳鼻咽喉头颈外科确诊患者共627例,男291例,女336例;年龄2～77岁,平均(34.3±10.8)岁.     

Clinical evaluation of intensity-modulated radiotherapy for head and neck cancers

Radiotherapy and surgery are the principal curative modalities in treatment of head and neck cancer. Conventional two-dimensional and three-dimensional conformal radiotherapy result in significant side effects and altered quality of life. Intensity-modulated radiotherapy (IMRT) can spare the normal tissues, while delivering a curative dose to the tumour-bearing tissues. This article reviews the current role of IMRT in head and neck cancer from the point of view of normal tissue sparing, and also reviews the current published literature by individual head and neck cancer subsites. In addition, we briefly discuss the role of image guidance in head and neck IMRT, and future directions in this area.     

MR imaging of recurrent head and neck tumours following flap reconstructive surgery

AIM: The purpose of this study was to evaluate the magnetic resonance imaging (MRI) characteristics of recurrent tumours in patients who had undergone resection of primary head and neck tumours with flap reconstruction. MATERIALS AND METHODS: MR examinations obtained from 25 patients who had undergone resection and flap reconstructive surgery for malignancy were analysed retrospectively. Tumour recurrence was confirmed by biopsy in 22 patients, and clinically in 3 patients. The features of the recurrent tumours in the scars were reviewed. RESULTS: Twenty-one patients had a locally recurrent mass, while 4 had a locally recurrent mass in addition to regional lymph node metastases. Twenty-four of the recurrent tumours were localized in the recipient flap beds, near the anastomotic site. In 9 of 25 (36%) patients, the recurrent tumours extended intracranially, either directly, or through the foramina at the skull base. CONCLUSION: Tumour recurrence after flap reconstruction most often occurred at or near the anastomotic site. MRI is useful for detection of recurrence after flap reconstructive surgery in patients with head and neck cancer.     

MR imaging in the management of extracranial malignant tumors of the head and neck.

Methods of treating malignant tumors of the extracranial portion of the head and neck have become more sophisticated. Cross-sectional imaging is extremely important in the evaluation of patients with a tumor in the head or neck. Although the complexities of head and neck radiology may be overwhelming, a uniform approach that first determines the location and extent of the primary tumor and then examines the nodal chains for metastatic adenopathy takes much of the mystery out of the process. MR imaging allows improved soft-tissue contrast and direct multiplanar acquisition of data, two advantages over CT. This review describes the current role of imaging in the clinical assessment of a patient with a malignant tumor in the head and neck, including the questions that must be answered before surgery and when MR imaging is the preferred technique.     

中美空军飞行学员医学选拔对照实证研究——头颈部异常

目的 分析我军招飞医学选拔头颈部体检情况,对中美头颈部体检标准进行实证研究,提出头颈部招飞医学选拔标准修改建议.方法 对比分析中美飞行学员医学选拔头颈部标准差异,统计我军2012—2015年招飞定选头颈部体检情况,将体检结论 为不合格及综评合格的人员重新纳入美军标准进行统计分析.结果 2012—2015年我军招飞中头颈部体检不合格例数12例,6例符合美军入选标准,3例不合格,3例需进一步检查;体检综评合格6例,5例符合美军入选标准,1例需进一步检查.结论 我军头颈部招飞体检标准偏重形态学检查,建议注重功能学检查,借鉴美军招飞标准对我军现有标准进行修订,有助于扩大优质生源比例.     

MR imaging of the head and neck

The purpose of this paper is to describe current imaging protocols for MR imaging of the head and neck region and to define results and clinical impact. Depending on the clinical question, different MRI protocols are presented for imaging of the head and neck. The appearance of different pathologic findings on imaging studies and how adapted imaging protocols help to improve differential diagnosis is discussed. In summary, MRI is the method of choice for imaging of the head and neck.     

Application of fluorodeoxyglucose positron emission tomography in the management of head and neck cancers

The use of fluorodeoxyglucose positron emission tomography (FDG PET) scan technology in the management of head and neck cancers continues to increase. We discuss the biology of FDG uptake in malignant lesions and also discuss the physics of PET imaging. The various parameters described to quantify FDG uptake in cancers including standardized uptake value, metabolic tumor volume and total lesion glycolysis are presented. PET scans have found a significant role in the diagnosis and staging of head and neck cancers. They are also being increasingly used in radiation therapy treatment planning. Many groups have also used PET derived values to serve as prognostic indicators of outcomes including loco-regional control and overall survival. FDG PET scans are also proving very useful in assessing the efficacy of treatment and management and follow-up of head and neck cancer patients. This review article focuses on the role of FDG-PET computed tomography scans in these areas for squamous cell carcinoma of the head and neck. We present the current state of the art and speculate on the future applications of this technology including protocol development, newer imaging methods such as combined magnetic resonance and PET imaging and novel radiopharmaceuticals that can be used to further study tumor biology.     

Experience of high-dose-rate brachytherapy for head and neck cancer treated by a customized intraoral mold technique

Radiotherapy of head and neck cancer has become more successful with the advances in treatment modalities and use of a multidisciplinary approach. Higher quality treatment and a team approach to radiotherapy have thus been required for head and neck cancer. This study presents the clinical experience of high-dose-rate (HDR) brachytherapy for head and neck cancer treated by a customized intraoral mold technique. Two patients are reported for whom we created dental prostheses as the radiation carriers for HDR brachytherapy of their head and neck cancers. HDR brachytherapy with the dental prostheses reported here was feasible and effective for eradicating the head and neck cancer. It has been demonstrated that HDR brachytherapy using a customized intraoral technique can be a treatment option for patients who are not candidates for surgery or external irradiation. It is strongly suggested that specialized dentists are needed who are familiar with not only the anatomy and function of the head and neck region but also radiotherapy. Dental radiologists should take responsibility for constructing irradiation prostheses. If they do, they have the potential to improve the quality of life of patients who undergo radiotherapy for head and neck cancer.     

Feeding the Data Monster: Data Science in Head and Neck Cancer for Personalized Therapy

ObjectiveHead and neck carcinomas are clinically challenging malignancies because of tumor heterogeneities and resilient tumor subvolumes that require individualized treatment planning and delivery for an improved outcome. Although current approaches to diagnosis and therapy have boosted locoregional control, the long-term survival in this patient group remains unchanged over the last decades. A new approach to head and neck cancer management is therefore needed to better identify patient subgroups that are responsive to specific therapies. The aim of this article is to review the current status of knowledge and practice utilizing big data toward personalized therapy in head and neck cancers based on CT and PET imaging modalities.MethodsLiterature published in English since 2000 was searched using Medline. Additional articles were retrieved via pearling of identified literature. Publications were reviewed and summarized in tabulated format.ResultsStudies based on big data in head and neck cancer are limited; however, the field of radiomics is under continuous development and provides valuable input for personalized treatment. Using PET/PET CT biomarkers for patient treatment individualization and response prediction seems promising, especially in regard to detection of hypoxia and clonogenic cancer stem cells. Literature shows that macroscopic changes in medical images (whether structural or functional) are correlated with biologic and biochemical changes within a tumor.ConclusionCurrent trends in data science suggest that the ideal model for decision support in head and neck cancers should be based on human-machine collaboration, namely, on (1) software-based algorithms, (2) physician innovation collaboratives, and (3) clinician mix optimization.     

Clinical photodynamic therapy of head and neck cancers—A review of applications and outcomes

As local control is tantamount to cure in head and neck cancer, an aggressive regimen of surgery and radiation remains the standard of care for most patients. Despite significant technical advances, these treatments are highly morbid. Further, patients who fail treatment have limited salvage options.Photodynamic therapy (PDT) and photodiagnosis (PD) of head and neck cancer offer significant potential for improved outcomes in a myriad of clinical indications ranging from in situ to recurrent disease. However, despite promising results, these modalities remain at the fringe of head and neck treatment options.Photofrin^®, Photosan and Foscan^® are photosensitizers used clinically in head and neck PD/PDT. In addition, aminolevulinic acid (ALA), which gives origin to Protoporphyrin IX, an endogeneous photosensitizer, is also used for PD/PDT. We review the clinical literature on these photosensitizers to assist in the integration of these important modalities into the mainstream of head and neck oncological therapy.     

Comparison of sonography of the soft tissues of the neck with computerized tomography and magnetic resonance

Ultrasound B-scan, computed tomography and magnetic resonance imaging are currently used in the diagnosis of head and neck tumours. Screening of head and neck tumours should be performed by high resolution B-scan. Its high diagnostic sensitivity, minimal imaging artifacts, real-time recording and its minimal costs are outstanding features. CT is superior in imaging of bony structures; on the other hand, MR is superior in demonstrating site, border and topography of tumours and lymph nodes. Postoperative and/or post-irradiation follow-up of head and neck tumours should be done by sonography which allows differentiation of oedema, scars and tumour recurrence. The parapharyngoscopic sonography, echography, CT and MR can deliver different aspects in planning of neck surgery. An adequate diagnostic schedule is presented.