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From Needle to Diagnosis: Correlation Between Fine Needle Aspiration and Parotid Tumour Histopathology

100%

Markusiewicz K., Wiśniewski B., Bieńkowska-Pluta K.

Polski Przegląd Otorynolaryngologiczny

2025

vol. 14

issue 1

1-5

Introduction: This study assesses the efficacy of fine-needle aspiration biopsy (FNAB) in diagnosing parotid gland tumours by comparing fine needle aspiration biopsy (FNAB) results with postoperative histopathology, which is the gold standard procedure. Materials and Methods: The study included 179 patients who underwent parotidectomy between January 2019 and December 2022, with both pre-operative FNAB and post-operative pathology results available. The most common benign tumour identified in histopathology was Warthin’s tumour (57 patients, 46%), while squamous cell carcinoma was the most frequent malignant lesion (11 patients, 9%). Malignant tumours comprised 21% of the cases. Results: FNAB demonstrated a diagnostic accuracy of 85.48%, with a sensitivity of 76.92% and a specificity of 87.7% for detecting malignancy. The positive likelihood ratio was 6.28, meaning a positive FNAB result significantly increases the likelihood of malignancy, while the negative likelihood ratio was 0.26, indicating a negative result substantially reduces the likelihood of cancer. Discussion: The findings suggest that FNAB is a valuable diagnostic tool, particularly effective at identifying benign lesions, making it useful in pre-operative planning. However, the study also emphasises the importance of integrating FNAB with clinical and radiological evaluations to improve diagnostic accuracy and minimise false-positive and false-negative outcomes. FNAB’s high specificity and accuracy support its continued use in the diagnostic workup of parotid gland tumours, aiding in the differentiation between benign and malignant lesions and informing surgical decisions.

Thumb-up modification of the radial forearm free flap in oral cavity reconstruction: a description of a surgical technique

88%

Gałązka A., Bieńkowska-Pluta K., Kalecińska Z., Krupa Z., Woźniczko K.

Polski Przegląd Otorynolaryngologiczny

2024

vol. 13

issue 2

36-39

Introduction: Head and neck surgeons face the challenge of achieving maximum patient benefit that includes simultaneously curing the cancer and preserving the function of the affected organ. This is particularly challenging in patients with oral cancer. Aim: The aim of this study was to present the ‘thumb-up’ modification of the radial forearm free flap (RFFF) paddle in the reconstruction of postoperative oral cavity defects. Material and methods: The fasciocutaneous paddle of the RFFF flap in the ‘thumb-up’ modification was designed to form a rectangle with a narrow thumb-like extension. A three-dimensional canopy-like structure was then created after the sides forming the indentation in the flap paddle were properly sutured. Results: The three-dimensional roof-like structure fits perfectly into the resected tumour site of the soft palate, tongue root, and oral vestibule. Another advantage of this technique is that there is less risk of compression of the flap pedicle and better control of the pedicle during reconstruction. Conclusions and significance: the ‘thumb-up’ modification of the RFFF appears to provide a satisfactory functional outcome, with better control of the flap pedicle during surgery in oral cavity reconstruction compared with the two-dimensional shape of the RFFF paddle.

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2 Polski Przegląd Otorynolaryngologiczny

1 2025

1 2024

2 Bieńkowska-Pluta K.

1 Gałązka A.

1 Kalecińska Z.

1 Krupa Z.

1 Markusiewicz K.

1 Wiśniewski B.

1 Woźniczko K.

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From Needle to Diagnosis: Correlation Between Fine Needle Aspiration and Parotid Tumour Histopathology

Thumb-up modification of the radial forearm free flap in oral cavity reconstruction: a description of a surgical technique