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Song MS, Woo SH. Endoscope-Assisted Hairline Approach for Head and Neck Masses: A Review. Clin Exp Otorhinolaryngol 2023; 16:317-325. [PMID: 37536749 DOI: 10.21053/ceo.2022.01634] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2022] [Accepted: 07/29/2023] [Indexed: 08/05/2023] Open
Abstract
Conventional surgery through a transcervical incision is indicated for the treatment of certain tumors in the head and neck. However, this method can cause multiple problems, including scarring and cosmetic concerns. The endoscope-assisted hairline approach, which serves as an alternative to conventional surgical procedures, is gaining popularity due to its excellent cosmetic and functional outcomes. However, given the anatomical complexity involved, the endoscope-assisted hairline technique is not frequently employed in head and neck surgery. The evolution of the hairline surgical approach has been influenced by changes in disease conditions and recent advances in surgical tools. This review article discusses the use of endoscope-assisted hairline approaches in the resection of head and neck masses, focusing on the surgical procedure and postoperative clinical outcomes.
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Affiliation(s)
- Min Seok Song
- Department of Otolaryngology-Head and Neck Surgery, Dankook University College of Medicine, Cheonan, Korea
| | - Seung Hoon Woo
- Department of Otolaryngology-Head and Neck Surgery, Dankook University College of Medicine, Cheonan, Korea
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Kim H, Woo SH. Endoscopically-Assisted Scar-Free Midline Neck Mass Excision. Clin Exp Otorhinolaryngol 2021; 14:251-258. [PMID: 34407369 PMCID: PMC8373841 DOI: 10.21053/ceo.2020.02446] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2020] [Accepted: 06/25/2021] [Indexed: 11/22/2022] Open
Abstract
Traditional open surgery is indicated for the treatment of selected tumor subsites in the head and neck. However, it can cause major cosmetic problems and functional pathologies. The endoscopically-assisted transoral approach is increasingly preferred in some surgical fields due to its superior cosmetic and functional outcomes. Nonetheless, endoscopically-assisted transoral approach is not yet standard in the head and neck due to their anatomical complexity. The transoral surgical approach has been used for head and neck masses since the 1960s, and its application continues to evolve with changing disease conditions and recent innovations in surgical instruments. The potential for wide application of transoral surgery continues to be investigated, with a focus on minimizing occurrence of the complications. This review presents details of the surgical procedure and postoperative clinical outcomes, as well as endoscopically-assisted scar-free techniques for the resection of midline neck masses.
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Affiliation(s)
- Hyoyeon Kim
- Department of Otorhinolaryngology-Head and Neck Surgery, Dankook University College of Medicine, Cheonan, Korea
| | - Seung Hoon Woo
- Department of Otorhinolaryngology-Head and Neck Surgery, Dankook University College of Medicine, Cheonan, Korea
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Endoscope-assisted hairline approach for resecting maxillofacial masses. Int J Oral Maxillofac Surg 2020; 49:310-316. [DOI: 10.1016/j.ijom.2019.06.026] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2019] [Revised: 04/28/2019] [Accepted: 06/18/2019] [Indexed: 11/20/2022]
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Kim JP, Lee DK, Moon JH, Ryu JS, Woo SH. Endoscope‐assisted transoral accessory parotid mass excision: Multicenter prospective observational study. Laryngoscope 2019; 130:1218-1226. [DOI: 10.1002/lary.28190] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2019] [Revised: 05/20/2019] [Accepted: 07/02/2019] [Indexed: 02/03/2023]
Affiliation(s)
- Jin Pyeong Kim
- Department of OtolaryngologyGyeongsang National University Hospital Changwon Republic of Korea
- Institute of Health Sciences, Gyeongsang National University Jinju Republic of Korea
| | - Dong Kun Lee
- Department of Otolaryngology–Head and Neck SurgeryDong‐A University College of Medicine Busan Republic of Korea
| | - Jeong Hwan Moon
- Department of OtorhinolaryngologyNational Cancer Center Ilsan Republic of Korea
| | - Jun Sun Ryu
- Head and Neck Oncology ClinicNational Cancer Center Ilsan
| | - Seung Hoon Woo
- Department of Otolaryngology–Head and Neck surgeryDankook University College of Medicine Cheonan Republic of Korea
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Kovatch KJ, Baerg T, Ha JF, Brown DJ. Endoscopic-Assisted Removal of a Massive Pediatric Floor of Mouth Dermoid. EAR, NOSE & THROAT JOURNAL 2019; 98:554-556. [PMID: 31722570 DOI: 10.1177/0145561318824222] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- Kevin J Kovatch
- Department of Otolaryngology-Head and Neck Surgery, Michigan Medicine, Ann Arbor, MI, USA
| | - Timothy Baerg
- University of Michigan School of Medicine, Ann Arbor, MI, USA
| | - Jennifer F Ha
- Department of Otolaryngology-Head and Neck Surgery, Michigan Medicine, Ann Arbor, MI, USA
| | - David J Brown
- Department of Otolaryngology-Head and Neck Surgery, Michigan Medicine, Ann Arbor, MI, USA
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Kim JP, Lee DK, Moon JH, Park JJ, Woo SH. Transoral Dermoid Cyst Excision: A Multicenter Prospective Observational Study. Otolaryngol Head Neck Surg 2018; 159:981-986. [PMID: 30149779 DOI: 10.1177/0194599818791772] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
OBJECTIVE Transoral surgery is becoming a preferred technique because it does not leave any scar after surgery. However, transoral surgery for a dermoid cyst of the oral cavity is not standardized yet, due to the anatomic complexity of this region. The aim of this study was to evaluate the safety and efficacy of a transoral dermoid cyst excision. STUDY DESIGN Multicenter prospective observational study. SETTING University hospital. SUBJECTS AND METHODS This study was designed as a 4-year prospective multicenter evaluation of dermoid cyst excisions within the floor of mouth. Clinical outcomes and complications related to procedures were evaluated among patients. The primary outcome was the efficacy of the procedure, and the secondary outcome was cosmetic satisfaction of each procedure. RESULTS Twenty-one patients underwent transoral dermoid cyst excisions, and 22 underwent transcervical excisions. In the transoral surgery group, the mean size of the dermoid cyst was 5.35 cm (95% CI, 4.79-5.91), and in the transcervical surgery group, it was 6.19 cm (95% CI, 5.67-6.71). There was no significant differences with respect to overall demographic characteristics between the groups. However, the duration of the operation was shorter with the transoral group than with the transcervical group ( P = .001), and cosmetic satisfaction was much better in the transoral group ( P < .001). CONCLUSION Transoral dermoid cyst excision is a potentially safe and effective method that can lead to easy and quick removal of an oral cavity dermoid cyst, with excellent cosmetic outcomes.
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Affiliation(s)
- Jin Pyeong Kim
- 1 Department of Otolaryngology, Gyeongsang National University, Changwon, South Korea
- 2 Institute of Health Sciences, Gyeongsang National University, Jinju, South Korea
| | - Dong Kun Lee
- 3 Department of Otolaryngology-Head and Neck Surgery, Dong-A University College of Medicine, Busan, South Korea
| | - Jeong Hwan Moon
- 4 Department of Otorhinolaryngology, Dankook University College of Medicine, Cheonan, South Korea
| | - Jung Je Park
- 2 Institute of Health Sciences, Gyeongsang National University, Jinju, South Korea
- 5 Department of Otorhinolaryngology-Head and Neck Surgery, Gyeongsang National University, Jinju, South Korea
| | - Seung Hoon Woo
- 2 Institute of Health Sciences, Gyeongsang National University, Jinju, South Korea
- 5 Department of Otorhinolaryngology-Head and Neck Surgery, Gyeongsang National University, Jinju, South Korea
- 6 Beckman Laser Institute, University of California, Irvine, California, USA
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Lee JS, Kim JP, Ryu JS, Woo SH. Effect of wound massage on neck discomfort and voice changes after thyroidectomy. Surgery 2018; 164:965-971. [PMID: 30054014 DOI: 10.1016/j.surg.2018.05.029] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2018] [Revised: 05/20/2018] [Accepted: 05/23/2018] [Indexed: 12/20/2022]
Abstract
BACKGROUND Neck discomfort and voice change are common complications after thyroidectomy. These symptoms might be due to damaged laryngeal nerves, intrinsic structures, or extralaryngeal muscles. They can also occur without injury to any structure as with wound adhesion after thyroidectomy. The objective of this study was to determine causes of neck discomfort and voice change after thyroidectomy and to evaluate the effect of wound massage on symptom relief. METHODS Forty-five female patients who underwent total thyroidectomy were included (21 in the experimental group and 24 in the control group). Wound massage was used as an intervention to release surgical adhesion. After wound massage education, participants in the experimental group received wound massage from 4 to 12 weeks after thyroidectomy. Analysis was performed for both groups. RESULTS No laryngeal pathology was found after thyroidectomy. The experimental group had significantly better recovery from surgical adhesion and subjective visual analog scale, voice impairment score, and swallowing impairment score (all P < .01) compared with the control group. Voice analysis results associated with laryngeal movement (speaking fundamental frequency, voice range profile maximum, voice range profile range) also indicated significant recovery (P < .01) in the experimental group. These results indicate that local adhesion after thyroidectomy might affect general movement of the larynx and that wound massage could help patients recover normal general movement of the larynx. CONCLUSION Neck discomfort and voice change after thyroidectomy are related to local wound adhesion, possibly associated with impairment of laryngeal vertical movement. Release of wound adhesion could help patients recover from neck discomfort and voice changes after thyroidectomy.
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Affiliation(s)
- Jae Seok Lee
- Department of Otolaryngology, Gyeongsang National University Hospital, Jinju, Korea
| | - Jin Pyeong Kim
- Department of Otolaryngology, Gyeongsang National University Hospital, Jinju, Korea; Institute of Health Sciences, Gyeongsang National University, Jinju, Korea
| | - Jun Sun Ryu
- Head and Neck Oncology Clinic, National Cancer Center, Ilsan, South Korea
| | - Seung Hoon Woo
- Department of Otolaryngology, Gyeongsang National University Hospital, Jinju, Korea; Institute of Health Sciences, Gyeongsang National University, Jinju, Korea; Beckman Laser Institute, University of California, Irvine, CA.
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Abstract
BACKGROUND No-scar transoral thyroglossal duct cyst (TGDC) excision is a newly developed treatment for TGDC, but limited information is available regarding the clinical outcomes in children. The aim of this study was to evaluate the safety, efficacy, and effects of transoral TGDC excision in children. METHODS Forty-four children <10 years of age received operative treatment for TGDC from January 2013 to December 2014, and follow-up was performed over 24 months. Clinicopathologic, surgical, and follow-up data were collected and analyzed. The primary outcome variable was feasibility of the procedure, and the secondary outcome was patient's cosmetic satisfaction after each operation. RESULTS Twenty-one patients underwent transoral TGDC excision, and 21 patients underwent conventional excision. No significant differences were observed between the two groups in terms of the overall patient and operation factors. However, the rate of identifying the thyroglossal duct during transoral excision was superior to that during conventional excision (p < 0.05), and cosmetic satisfaction was much better in the transoral TGDC excision group (p < 0.001). CONCLUSION No-scar transoral TGDC excision in children is a potentially safe and effective methodology that can achieve easy removal of the thyroglossal duct and excellent cosmetic outcomes.
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Affiliation(s)
- Jin Pyeong Kim
- Department of Otolaryngology—Head and Neck Surgery, Gyeongsang National University, Jinju, Korea
| | - Jung Je Park
- Department of Otolaryngology—Head and Neck Surgery, Gyeongsang National University, Jinju, Korea
| | - Seung Hoon Woo
- Department of Otolaryngology—Head and Neck Surgery, Gyeongsang National University, Jinju, Korea
- Institute of Health Sciences, Gyeongsang National University, Jinju, Korea
- Beckman Laser Institute, University of California, Irvine, California
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Kim K, Gu MO, Jung JH, Hahm JR, Kim SK, Kim JH, Woo SH. Efficacy of a Home-Based Exercise Program After Thyroidectomy for Thyroid Cancer Patients. Thyroid 2018; 28:236-245. [PMID: 29258382 DOI: 10.1089/thy.2017.0277] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
BACKGROUND The objective of this study was to determine the effect of a home-based exercise program on fatigue, anxiety, quality of life (QoL), and immune function of thyroid cancer patients taking thyroid hormone replacement after thyroidectomy. METHOD This quasi-experimental study with a non-equivalent control group included 43 outpatients taking thyroid hormone replacement after thyroidectomy (22 in the experimental group and 21 in the control group). After education about the home-based exercise program, subjects in the experimental group underwent 12 weeks of aerobic, resistance, and flexibility exercise. A comparative analysis was conducted between the two groups. RESULTS Patients in the experimental group were significantly less fatigued or anxious (p < 0.01). They reported significantly improved QoL (p < 0.05) compared to those in the control group. Natural killer cell activity was significantly higher in the exercise group compared to that in the control group (p < 0.05). CONCLUSION A home-based exercise program is effective in reducing fatigue and anxiety, improving QoL, and increasing immune function in patients taking thyroid hormone replacement after thyroidectomy. Therefore, such a home-based exercise program can be used as an intervention for patients who are taking thyroid hormone replacement after thyroidectomy.
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Affiliation(s)
- Kyunghee Kim
- 1 Department of Otolaryngology, Gyeongsang National University , Jinju, Korea
- 2 Department of Nursing Graduate School, Gyeongsang National University , Jinju, Korea
| | - Mee Ock Gu
- 3 College of Nursing, Gyeongsang National University , Jinju, Korea
- 4 Institute of Health Sciences, Gyeongsang National University , Jinju, Korea
| | - Jung Hwa Jung
- 4 Institute of Health Sciences, Gyeongsang National University , Jinju, Korea
- 5 Department of Internal Medicine, Gyeongsang National University , Jinju, Korea
| | - Jong Ryeal Hahm
- 4 Institute of Health Sciences, Gyeongsang National University , Jinju, Korea
- 5 Department of Internal Medicine, Gyeongsang National University , Jinju, Korea
| | - Soo Kyoung Kim
- 4 Institute of Health Sciences, Gyeongsang National University , Jinju, Korea
- 5 Department of Internal Medicine, Gyeongsang National University , Jinju, Korea
| | - Jin Hyun Kim
- 6 Biomedical Research Institute, Gyeongsang National University , Jinju, Korea
| | - Seung Hoon Woo
- 1 Department of Otolaryngology, Gyeongsang National University , Jinju, Korea
- 5 Department of Internal Medicine, Gyeongsang National University , Jinju, Korea
- 7 Beckman Laser Institute, University of California , Irvine, California
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Woo SH, Park JJ, Kwon M, Pyeong Kim J. “Hidden scar” submandibular gland excision using an endoscope-assisted hairline approach. Oral Oncol 2017; 65:83-88. [DOI: 10.1016/j.oraloncology.2016.12.018] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2016] [Revised: 12/16/2016] [Accepted: 12/17/2016] [Indexed: 10/20/2022]
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Woo SH, Park JJ, Hong JC, Wang SG, Park GC, Eun YG, Kim JP, Jeong HS. Endoscope-assisted transoral removal of a thyroglossal duct cyst using a frenotomy incision: A prospective clinical trial. Laryngoscope 2015; 125:2730-5. [DOI: 10.1002/lary.25508] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2015] [Revised: 06/02/2015] [Accepted: 06/22/2015] [Indexed: 11/06/2022]
Affiliation(s)
- Seung Hoon Woo
- Department of Otolaryngology; Gyeongsang National University; Jinju Korea
- Institute of Health Sciences, Gyeongsang National University; Jinju Korea
| | - Jung Je Park
- Department of Otolaryngology; Gyeongsang National University; Jinju Korea
| | - Jong Chul Hong
- Department of Otorhinolaryngology-Head and Neck Surgery; Dong-A University Hospital; Busan Korea
| | - Soo-Geun Wang
- Department of Otorhinolaryngology-Head and Neck Surgery; Busan National University School of Medicine; Busan Korea
| | - Gi Cheol Park
- Department of Otolaryngology; Samsung Changwon Hospital, Sungkyunkwan University School of Medicine; Changwon Korea
| | - Young Gyu Eun
- Department of Otolaryngology; Kyung Hee University School of Medicine; Seoul Korea
| | - Jin Pyeong Kim
- Department of Otolaryngology; Gyeongsang National University; Jinju Korea
| | - Han-Sin Jeong
- Department of Otorhinolaryngology-Head and Neck Surgery; Sungkyunkwan University School of Medicine, Samsung Medical Center; Seoul Korea
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Woo SH. Endoscope-assisted transoral accessory parotid mass excision. Head Neck 2015; 38:E7-12. [DOI: 10.1002/hed.24092] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/14/2015] [Indexed: 12/11/2022] Open
Affiliation(s)
- Seung Hoon Woo
- Department of Otorhinolaryngology; Gyeongsang National University; Jinju Korea
- Institute of Health Sciences; Gyeongsang National University; Jinju Korea
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Woo SH, Kim JP, Baek CH. Endoscope-assisted extracapsular dissection of benign parotid tumors using hairline incision. Head Neck 2015; 38:375-9. [DOI: 10.1002/hed.23901] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2014] [Revised: 07/22/2014] [Accepted: 10/24/2014] [Indexed: 11/09/2022] Open
Affiliation(s)
- Seung Hoon Woo
- Department of Otolaryngology; Gyeongsang National University; Jinju Korea
- Institute of Health Sciences; Gyeongsang National University; Jinju Korea
| | - Jin Pyeong Kim
- Department of Otolaryngology; Gyeongsang National University; Jinju Korea
| | - Chung-Hwan Baek
- Department of Otorhinolaryngology - Head and Neck Surgery; Sungkyunkwan University School of Medicine, Samsung Medical Center; Seoul South Korea
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Endoscopic-Assisted Total Thyroidectomy via Lateral Keloid Scar Incision. Clin Exp Otorhinolaryngol 2014; 7:338-41. [PMID: 25436057 PMCID: PMC4240495 DOI: 10.3342/ceo.2014.7.4.338] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2013] [Revised: 11/08/2013] [Accepted: 11/09/2013] [Indexed: 11/08/2022] Open
Abstract
Thyroidectomy is traditionally performed by the transcervical approach. To avoid or reduce visible scarring, diverse innovative surgical trials have been reported. Here we report a patient who underwent endoscopic thyroidectomy via a lateral keloid scar due to a previous traffic accident. A 30-year-old woman presented with a papillary thyroid carcinoma. Total thyroidectomy was performed via a keloid scar incision. The keloid scar was then revised. The total thyroidectomy was successful, resulting in no acute complications, such as neural injury, hematoma, or seroma formation. The keloid scar healed with excellent cosmetic results and the patient remains free of disease 12 months after excision. Endoscopic total thyroidectomy via a lateral keloid scar incision healed not only the physical disease but also the mental disease.
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Woo SH. Endoscope-Assisted Transoral Thyroidectomy Using a Frenotomy Incision. J Laparoendosc Adv Surg Tech A 2014; 24:345-9. [DOI: 10.1089/lap.2014.0110] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Seung Hoon Woo
- Department of Otolaryngology and Institute of Health Sciences, Gyeongsang National University, Jinju, Korea
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