Term
| Epidemiologicl associaion for nasopharyngeal carcinoma |
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Definition
| EBV - titers can be used to follow response to tx |
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Term
| Primary tx modality(s) for nasopharyngeal ca |
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Definition
| Radiation and chemo therapy |
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Term
| MC source of epistaxis: ant or post |
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Definition
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Term
| Management of a posteriornose bleed |
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Definition
| posteriorpacking; if this doesn't work, needs to be admittedand monitored |
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Term
| Epidemiological risk factor for posteriornose bleed |
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Definition
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Term
| Source of bleeding from a posteriornose bleed |
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Definition
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Term
| MC type of parotid tymors; Malignant or benign |
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Definition
Pleomorphic adenomas (AKA benign mixed tumor);
80% of parotid tumors are benign |
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Term
| Percentages of tumors that are malignant in: parotid, sublingual and sublmandibular, minor glands |
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Definition
Parotid: 20%
Submand/subling: 50%
Minor glands: most |
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Term
Management of:
# benign parotid tumors
# malignant |
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Definition
# superficial parotidectomy
# every effort should be made to preserve the facial nerve |
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Term
| Management of thyroglossal duct cysts |
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Definition
Sistrunk procedure, romoves:
# the cyst
# tract
# central portion of the hyoid bone
# portion of tongue base up to the foramen cecum |
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Term
Cystic Hygroma
# pathogenesis
# 1st and 2nd MC sites
# epdemilogy
# management |
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Definition
# lymphatic malformation
# posterior neck and axilla
# 1/2 present at birth, other half within first 2 years
# complete surgical excision except if adjacent to nerves, then conservaive |
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Term
| Tender neck mass with sinus draining sulfur granules, morphology/taxonomy of responsible agent, and optimal management |
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Definition
# Actinomyces israelii abcess;
# anaerobic, gram possitive branhing filamentous bacteria
# presents after trauma or tooth extraction
# PCN and surgical drainage |
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Term
| Treatment of carotid body tumor |
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Definition
| Excision in a periadventital plain with pre-operative angioembolization in tumors > 4 cm |
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Term
| Management of melanoma of the face/scalp/ear with and without palpable region nodes |
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Definition
# No palapable nodes: wide re-excicsion and sentinal node bx
# palpable nodes: above + superficial parotidectomy and any nodes b/w the lesion and the regional nodes |
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Term
| Most likely site of origin for a metachronous cancer in a pt with h/o primary laryngeal ca |
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Definition
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Term
| Most likely site of origin for a metachronous cancer in a pt with h/o primary oral or pharyngeal ca |
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Definition
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Term
Lip cancers:
# MC location
# Risk factors
# Histology/type
# Treatment |
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Definition
Lower lip (90-95%)
# Sun and tobacco
# SCC
# Surgery (+/- radiation for early lesions)
# Upper lip (basal cell; ulcerative lesion on vermilion or skin surface |
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Term
| 2nd MC type of benign salivary gland tumor and risk factor(s) |
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Definition
| Warthin Tumor (benign); smoking |
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Term
| Risk of malignant transformation in pleomorphic adenoma |
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Definition
| 10-15% when present beyond 10-15 years |
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Term
| Ratio of benign to malignant tumors of the salivary gland |
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Definition
Varies by location:
# parotid- 80:20
# submandibular/sublingual: 50:50
# minor glands: 25:75 |
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Term
| Method of diagnosis for a salivary gland tumor |
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Definition
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Term
| Clinical finding highly suggestive of malignancy of a salivary gland tumor |
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Definition
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Term
| MC type of malignant salivary gland tumor |
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Definition
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Term
| 2nd MC type of salivary gland malignancy |
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Definition
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Term
| Management of malignant salviary gland tumors |
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Definition
Superficial parotidectomy for superficial lesions;
Total parotidectomy for those that extend into deep lobe with every effort made to spare CN VII |
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Term
| Management of a persistant neck mass |
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Definition
| If > 2 cm, likely cancer, and must determine if malignant or benign with FNA; if malignant, must find primary- CXR, CT of H&N, and upper endoscopy of pharynx, hypopharynx, and larynx + bxs; if still no primary identified, then PET scan |
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Term
| CN most commonly injured in a temporal bone fx |
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Definition
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Term
| Management of traumatic facial nerve injury |
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Definition
| If partial or delayed paralysis, will resolve on it's own; Immediate paralysis needs decompression |
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