Open research questions in Head and Neck Surgical Oncology
85 gap statements mined from Head and Neck Surgical Oncology papers in our 4.5M-paper local library, which holds 612 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
There is a lack of detailed morphometric data on the foramen rotundum. Prior studies have not fully considered the anatomical variations of the foramen rotundum.
There is a lack of understanding of the clinical presentation, management outcomes, and causes of recurrence of spontaneous CSF otorrhea or otorhinorrhea from skull base defects. The condition has a low incidence and insidious onset, making it challenging to diagnose and manage.
Diagnosis and management of spontaneous CSF otorrhea associated with skull base defects · 2026 · DOIThere is a need for a simple, reproducible, and low-cost reconstructive technique for dural and osseous defect closure after anterior petrosectomy. Prior reconstructive strategies have limitations related to increased morbidity, longer operative time, high costs, or limited availability.
Reconstrucción de bajo costo mediante técnica “tejida” para defectos de la fosa media después de petrosectomía anterior · 2026 · DOIThe association of a meningioma and a meningoencephalocele is extremely rare and poses diagnostic and therapeutic challenges. There is a need for further research on the diagnosis and treatment of this condition.
A rare combination of a meningioma and an ethmoidal meningoencephalocele with osteo-dural defect: Diagnostic and therapeutic challenges · 2026 · DOIWhether such a predisposition modulates recovery after surgical CSF leak repair remains an open question that prospective studies with adequate longitudinal follow-up should address. Beyond the question of pre-existing headache vulnerability, the postoperative symptom trajectories themselves reveal a clinically important and poorly understood degree of heterogeneity.
Persistent headache burden after surgical treatment of post-dural puncture headache: a cross-sectional study · 2026 · DOIRadical surgery for LA-MSC is associated with substantial cosmetic deformity and functional impairment. The outcomes of systemic chemotherapy for LA-MSC remain unsatisfactory compared with those of curative surgical treatment.
Clinical effectiveness of intra-arterial chemoradiotherapy for advanced maxillary sinus carcinoma: based on the reports of the head and neck cancer registry of Japan · 2026 · DOIThe outcomes of systemic chemotherapy for LA-MSC remain unsatisfactory compared with those of curative surgical treatment. There is a need to evaluate the effectiveness of IA-CRT compared with IV-CRT in patients with LA-MSC.
Clinical effectiveness of intra-arterial chemoradiotherapy for advanced maxillary sinus carcinoma: based on the reports of the head and neck cancer registry of Japan · 2026 · DOIFurther studies are needed to assess the long-term outcomes of patients undergoing the endoscopic-assisted transoral approach. Comparison to other surgical approaches is necessary to determine the optimal treatment strategy. Assessment of the technique for malignant PPS tumors is required.
Assessment of endoscopic-assisted transoral approach excision to benign parapharyngeal space tumors · 2026 · DOIThe study has a retrospective design. There is a lack of a control group. The follow-up time is variable. A non-validated VAS was used for cosmetic assessment.
Endoscope-assisted transoral removal of benign midline cervical neoplasms: A preliminary study · 2026 · DOIThe need to identify factors associated with successful outcomes of endoscopic techniques for re-establishing CSF circulation.
Endoscopic Techniques for Re-establishing Cerebrospinal Fluid Circulation in Ventricular Tumors · 2026 · DOIHowever, unlike ASD, patent foramen ovale, or LAAO devices, data regarding endothelialization and thrombotic risk after tPVLc remain scarce, and no dedicated recommendations currently exist.
Antithrombotic therapy after percutaneous closure of paravalvular leaks: Patterns of use and clinical outcomes in a single-center retrospective registry · 2026 · DOICurrent guidelines limit the indication for PFO closure to patients with a prior ischemic cerebral event. There is a need for more research on PFO closure for other indications.
The study faced challenges in terms of selection bias and limited completeness of data collection due to its retrospective design. The study had to adapt to the inconsistent use of FESS and ESS terminology in the operative records.
The study has a retrospective design, which may have introduced selection bias and limited the completeness of data collection. The study did not use frozen-section margin assessment routinely. The study had a limited sample size.
The need for a reliable and safe reconstructive technique after unilateral resection of sinonasal tumors. The lack of understanding of the impact of graft type on the efficacy and safety of the reconstructive strategy.
Septal flip flap after endoscopic unilateral resection of sinonasal tumors: a multicenter experience of 133 patients · 2026 · DOIThe complexity of the defect and the need for a multidisciplinary approach. The risk of complications, such as cerebrospinal fluid leakage and meningitis.
Multidisciplinary management of frontoethmoidal meningoencephalocele: an institutional experience highlighting the role of endoscopic skull base reconstruction · 2026 · DOIThere is a lack of data on the use of endoscopic skull base reconstruction in the treatment of FMEC. The role of the otolaryngologist-head and neck surgeon in the management of FMEC is not well established.
Multidisciplinary management of frontoethmoidal meningoencephalocele: an institutional experience highlighting the role of endoscopic skull base reconstruction · 2026 · DOIThe evidence base for the use of dexamethasone as a perineural adjuvant in scalp blocks is predominantly from regional techniques other than the scalp block. The extrapolation to transsphenoidal surgery remains to be confirmed by dedicated trials.
Multimodal Neuroanesthesia with an Ultrasound-Guided Dexamethasone-Adjuvanted Scalp Block for Endoscopic Transsphenoidal Resection of a Giant Sellar-Suprasellar Rathke Cleft Cyst: A Case Report · 2026 · DOITo date, no reports have detailed use of a CNN to identify subtle osseous changes and potentially detect PitNETs based on CT bone windows alone.
Clinical application of artificial intelligence algorithms in detecting clival remodeling in the setting of pituitary neuroendocrine tumors/pituitary adenomas · 2026 · DOIThere is still no universal agreement on the ideal approach to frontal sinus trauma. The management of frontal sinus fractures requires careful evaluation and treatment to avoid long-term problems.
Limited follow-up period of 10 days to 6 weeks postoperatively.
Herein, the authors describe the successful performance of a C1–2 CSF tap in a 6-month-old infant for diagnostic evaluation of suspected meningitis, highlighting the technical considerations, safety measures, and clinical implications of this rarely reported approach in infancy.
Further study of the functional significance of the occipital emissary vein and its foramina. Examination of the anatomy of the occipital emissary vein and its foramina in other age groups. Development of new surgical techniques for skull base surgery informed by the study's findings.
The enigmatic occipital emissary vein, foramina, and canals: anatomical study with application to skull base surgery · 2026 · DOIFurther validation of this procedure in a larger patient population. Prospective trials to evaluate long-term outcomes. The use of validated instruments for aesthetic outcomes assessment.
Endoscope-assisted transoral removal of benign midline cervical neoplasms: A preliminary study · 2026 · DOIFurther study of the clinical, radiological, and histopathological variability of intradural spinal tumors. Investigation of the optimal surgical management of intradural spinal tumors. Examination of the long-term outcomes of patients with intradural spinal tumors.
Most-cited papers in Head and Neck Surgical Oncology
- Spontaneous Spinal Cerebrospinal Fluid Leaks and Intracranial Hypotension · JAMA · 2006 · 858 citations
- Incidental durotomy during spine surgery: Incidence, management and complications. A retrospective review · Injury · 2011 · 229 citations
- The effect of a rigid collar on intracranial pressure · Injury · 1996 · 170 citations
- Management of cerebrospinal fluid leak associated with craniomaxillofacial trauma · Journal of Oral and Maxillofacial Surgery · 2004 · 158 citations
- Stability of anterior openbite correction with multiloop edgewise archwire therapy: A cephalometric follow-up study · American Journal of Orthodontics and Dentofacial Orthopedics · 2000 · 138 citations
- Comparison of reliability in anatomical landmark identification using two-dimensional digital cephalometrics and three-dimensional cone beam computed tomographyin vivo · Dentomaxillofacial Radiology · 2009 · 128 citations
- Evaluation of different treatments for oroantral/oronasal communications: experience of 112 cases · International Journal of Oral and Maxillofacial Surgery · 2005 · 117 citations
- Corticosteroid Administration in Oral and Orthognathic Surgery: A Systematic Review of the Literature and Meta-Analysis · Journal of Oral and Maxillofacial Surgery · 2010 · 113 citations
- The role of a posteriorly inclined condylar neck in condylar resorption after orthognathic surgery · Journal of Cranio-Maxillofacial Surgery · 2000 · 106 citations
- A sella turcica bridge in subjects with severe craniofacial deviations · European Journal of Orthodontics · 2000 · 104 citations
Most recent work
- A Scent of Doubt: The Dilemmas of Adjuvant Therapy in Esthesioneuroblastoma · International Journal of Radiation Oncology*Biology*Physics · 2026
- Sinonasal Inverted Papillomas: Predictors of Recurrence and Malignant Transformation · Life · 2026
- Nerve Wracking: Approaches to Locally Advanced Skull Base Adenoid Cystic Carcinoma With Extensive Perineural Spread · International Journal of Radiation Oncology*Biology*Physics · 2026
- Venous sinus stenting: where does it fit in the treatment paradigm for cerebrospinal fluid leaks? · Neurosurgical FOCUS · 2026
- Letter: Optimizing Endoscopic Approaches for Sphenoid Lateral Recess Cerebrospinal Fluid Leaks: Proposal of a New Algorithm · Operative Neurosurgery · 2026
- Reservoir placement and surgical considerations: A narrative review · International Journal of Impotence Research · 2026
- Defining response-adapted surgery after neoadjuvant systemic therapy in sinonasal squamous cell carcinoma · Oral Oncology · 2026
- Sentinel Node Biopsy in the Neck Management of cN0 Sinonasal Squamous Cell Carcinoma: A Multicenter Pilot Trial on Safety and Feasibility · Annals of Surgical Oncology · 2026
- Clinical features of high intracranial pressure and prevalence of idiopathic intracranial hypertension among patients presenting with spontaneous CSF leaks · Neurosurgical FOCUS · 2026
- Torsion of Caudate Papillary Process · Radiology · 2026
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