What's New | Decker

Janice N Cormier, MD, MPH, Christina L Roland, MD

Multimodality treatment including surgery, radiation, and chemotherapy results in improved local recurrence and survival outcomes.
Wide resection with 1 to 2 cm margin standard over amputation
Multidisciplinary planning necessary for complex resections and reconstruction

E Brennan Bollman, MD, Annelies L De Wulf, MD, MPH

Oral antibiotics for dental pain are indicated if concomitant fever, purulence, intraoral swelling, extraoral swelling, and trismus.
Penicillin is first line, with alternatives amoxicillin, amoxicillin-clavulanate, azithromycin, and clindamycin.
Dysphagia is a red flag symptom in patients with odontogenic abscess, possibly indicating deep space infection.
Gingivitis is a common condition reversible by oral hygiene, and also associated with cardiovascular disease and other systemic illnesses.
Malocclusion, unilateral swelling, trismus, jaw deviation, and bony point tenderness or step–off, and positive tongue blade test should prompt the provider to obtain a maxillofacial CT scan for mandible fracture.

Adam S Howe, MD, Lane S Palmer, MD, FACS

Complete listing of indications for performing VCUG
Review of radiation exposure experienced during VCUG study in comparison with other imaging modalities
Description of proper protocol to be performed for management of patients undergoing VCUG
Discussion of alternative techniques to VUR investigation, including cyclic VCUG, PIC cystography, and nuclear medicine VCUG
Thorough pictorial overview of the many different types of pathology that can be identified on VCUG

Cristian Calandra, MD, Federico Micheli, MD, PhD , Carolina Candelaria Ramírez Gómez, MD

Giorgos Karakousis, MD, Lauren Krumeich, MD, Madalyn G Neuwirth, MD

Management of local recurrence for extremity soft tissue sarcoma historically involved amputation, but practice has shifted to limb salvage therapy whenever feasible.
Proton therapy has developed as a means to deliver focused tumor-directed radiation therapy, particularly for patients with previous irradiation.
Limb perfusion or infusion has been used in the neoadjuvant or therapeutic setting to increase rates of limb salvage for locally advanced tumors.
Novel discoveries in genetic and molecular profiling are aimed at improving prognostication and therapy.
Intratumoral injections are being investigated for locally advanced tumors or in-transit disease.