João Olias

Circumferential Tracheal Reconstruction for the Functional Treatment of Airway Compromise

Objectives/Hypothesis: The objective was to describe a surgical technique for replacement of long tracheal defects with a totally autologous free prefabricated cutaneous chondromucosal forearm tubular flap, applied to humans.

Tumores del espacio parafaríngeo. Nuestra experiencia-i.p.o. francisco gentil-lisboa

Primary parapharyngeal space tumours are rare, representing only a 0.5% of head and neck neoplasms. the authors report a case series review of 38 patients with parapharyngeal tumours who underwent surgical excision between 1975 and 1998. twenty-six of them were female (68%) and twelve male (32%). thirty-three tumours (87%) were benign and five (13%) were malignant being the pleomorphic adenoma the most common neoplasm (39%). all patients were treated surgically: the trans-cervical approach was used in 19 cases, cervical-parotid in 5, the trans-parotid approach in 7 patients, transoral in 5, the cervical-parotid approach with mandibulectomy in 2 and the combined transoral-cervical approach in 1 case. out of the 33 patients with benign neoplasms, 1 (a pleomorphic adenoma treated through a transoral approach) had a recurrence. amongst the 5 with malignant disease, recurrence or persistent local tumour was seen in 4 cases; and of these, 3 with persistent local tumour after incomplete excision died