Journal Reviews

Postoperative delirium

1 December 2018 | | Maxillofacial Surgery | delirium, free flap reconstruction, oral cancer, risk factors

This is a retrospective study from Japan analysing 102 patients who underwent oral cancer resection and free flap reconstruction. Postoperative delirium occurred in a third of these patients. An increased risk was identified in those with high preoperative albumin, postoperative...

Significance of exterior capsular spread in a clinically negative neck

1 August 2017 | | Maxillofacial Surgery | oral cancer, lymph node metastasis, extracapsular spread, recurrence, survival

This is a retrospective paper from Zagreb of 61 patients with a clinically T1-T3 N0 squamous cell carcinoma undergoing primary surgical treatment. All patients had a level I-IIII/IV elective neck dissection. Those who had adverse histological features, including extracapsular spread,...

First signs of late nodal metastases

1 August 2017 | | Maxillofacial Surgery | oral cancer, first sign, lymph node metastasis, palpation, ultrasonography, computed tomography, subjective symptom, body mass index

This is a retrospective review of 65 patients who had late metastases during follow-up after initial curative treatment. They analyse the detection methods of palpation, ultrasound, CT and subjective symptoms. Palpation detected the nodes in 31 patients, ultrasound in 17,...