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Otorhinolaryngology Clinics An International Journal最新文献

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Malignant Transformation of Nonirradiated Recurrent JuvenileLaryngeal Papillomatosis 非辐照复发性青少年咽乳头状瘤病的恶性转化
Otorhinolaryngology Clinics An International Journal Pub Date : 2010-09-25 DOI: 10.5005/JP-JOURNALS-10003-1047
A. Hakeem, Jagadish Tubachi, Raja Kumar, S. Pawar
{"title":"Malignant Transformation of Nonirradiated Recurrent JuvenileLaryngeal Papillomatosis","authors":"A. Hakeem, Jagadish Tubachi, Raja Kumar, S. Pawar","doi":"10.5005/JP-JOURNALS-10003-1047","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1047","url":null,"abstract":"Very few cases of spontaneous malignant transformation of nonirradiated recurrent juvenile laryngeal papillomatosis (JLP) have beenreported in literature. We document a case of invasive laryngeal carcinoma arising in pre-existing juvenile laryngeal papillomatosis. Aftermultiple CO2 Laser resections, a 29-year-old female, non-smoker, who had never received radiation therapy, developed a florid exophytictransglottic squamous cell carcinoma. Therefore, regular extensive biopsies and careful histopathological examination are required in casesof JLP. We also emphasize the need to maintain a high index of suspicion for malignant transformation in long standing cases.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128665717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Special Considerations in Anesthesia forLaryngeal Cancer Surgery 喉癌手术麻醉的特殊注意事项
Otorhinolaryngology Clinics An International Journal Pub Date : 2010-09-25 DOI: 10.5005/JP-JOURNALS-10003-1034
S. Flory, I. Appadurai
{"title":"Special Considerations in Anesthesia forLaryngeal Cancer Surgery","authors":"S. Flory, I. Appadurai","doi":"10.5005/JP-JOURNALS-10003-1034","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1034","url":null,"abstract":"The airway is not only shared but operated upon during laryngeal cancer surgery. Patients with laryngeal cancer may require generalanesthesia for diagnostic endoscopic procedures, for endolaryngeal laser surgery or for major cancer resectional surgery. This reviewoutlines the importance of careful assessment of the airway and medical comorbidities and discusses the options for anesthetic and ventilatorymanagement whilst ensuring a safe airway, adequate oxygenation and the best possible view of the surgical field. Laryngeal cancer surgerymay improve the airway or create new problems and the need for meticulous planning, multidisciplinary input, good communication andclose cooperation between all members of the team is emphasized.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114856016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Treatment Decision in the Management of Laryngeal Cancer: An Overview 喉癌的治疗决策:综述
Otorhinolaryngology Clinics An International Journal Pub Date : 2010-09-25 DOI: 10.5005/JP-JOURNALS-10003-1035
S. Pradhan, R. Kannan
{"title":"Treatment Decision in the Management of Laryngeal Cancer: An Overview","authors":"S. Pradhan, R. Kannan","doi":"10.5005/JP-JOURNALS-10003-1035","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1035","url":null,"abstract":"A spectrum of treatment plans and surgical procedures are available for management of laryngeal cancer. Transoral laser resection hasproved an effective, minimally invasive and functionally satisfactory procedure for management of suitable T1 and T2 glottic cancers, andstage I-III supraglottic cancers. Introduction of chemoradiotherapy has also made great impact on the laryngeal preservation. The treatmentof laryngeal cancer should be individualized according to the size and extent of the tumor, the age and physical condition of the patient, andthe skill and experience of the surgeon with various treatment modalities and surgical procedures.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115476122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Imaging in Laryngeal Tumors 喉肿瘤的影像学研究
Otorhinolaryngology Clinics An International Journal Pub Date : 2010-09-25 DOI: 10.5005/JP-JOURNALS-10003-1032
Sanjay N Jain, R. Varma
{"title":"Imaging in Laryngeal Tumors","authors":"Sanjay N Jain, R. Varma","doi":"10.5005/JP-JOURNALS-10003-1032","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1032","url":null,"abstract":"Imaging plays an important role in the diagnostic evaluation of laryngeal cancers. This article discusses important technical issues relatedto cross-sectional imaging modalities, imaging anatomy, patterns of tumor spread and the contribution of imaging inpretreatment staging and post-treatment surveillance.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"46 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116936201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Chemoradiation for Laryngeal Cancer:Present Scenario 喉癌的放化疗:目前的情况
Otorhinolaryngology Clinics An International Journal Pub Date : 2010-09-25 DOI: 10.5005/JP-JOURNALS-10003-1039
A. Gore, Pushkal Dwiwedi, Dhabhar Bn, T. Saikia
{"title":"Chemoradiation for Laryngeal Cancer:Present Scenario","authors":"A. Gore, Pushkal Dwiwedi, Dhabhar Bn, T. Saikia","doi":"10.5005/JP-JOURNALS-10003-1039","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1039","url":null,"abstract":"The management of locally advanced squamous cell carcinoma of the larynx is complex. Data from recent clinical trials have refined the useof existing therapies, such as radiation therapy and chemotherapy, and providing new treatment options, such as cetuximab. Selecting themost appropriate treatment for an individual patient requires a multidisciplinary approach and careful assessment of the relative advantagesand disadvantages of each treatment approach. Chemoradiation is more effective than conventional radiation therapy, but also more toxic.Cetuximab plus radiation therapy is more effective than radiation alone and does not substantially increase radiation-related toxicity. Multimodalityapproach for laryngeal cancer has shown better organ preservation rates and survival. Ideally, multidisciplinary teams should weighall these factors when making individual treatment decisions. Data from current trials will help further optimize multimodality treatment forLaryngeal Cancer.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123096392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Learning Esophageal Speech 学习食道言语
Otorhinolaryngology Clinics An International Journal Pub Date : 2010-09-25 DOI: 10.5005/JP-JOURNALS-10003-1046
Z. Rangwalla
{"title":"Learning Esophageal Speech","authors":"Z. Rangwalla","doi":"10.5005/JP-JOURNALS-10003-1046","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1046","url":null,"abstract":"There are various methods of rehabilitating speech in a laryngectomee, amongst which esophageal speech is the oldest technique, which though requires extensive training, can be learnt anywhere, and does not require specialized equipment/surgery. At our institute, we have been successfully conducting a laryngectomee club, wherein few of our patients have now become trainers, as well as role models for the newer inductees. However, it is vital that the patients as well as their families are highly motivated for a successful outcome. The following steps will help a new comer and his or her family member/caregiver to understand how this technique can be applied.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"18 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134011090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Oncological Outcome of Transoral Laser Surgery in Laryngeal Carcinomas 经口激光手术治疗喉癌的预后
Otorhinolaryngology Clinics An International Journal Pub Date : 2010-09-01 DOI: 10.5005/jp-journals-10003-1042
H. Sadick, K. Hrmann
{"title":"Oncological Outcome of Transoral Laser Surgery in Laryngeal Carcinomas","authors":"H. Sadick, K. Hrmann","doi":"10.5005/jp-journals-10003-1042","DOIUrl":"https://doi.org/10.5005/jp-journals-10003-1042","url":null,"abstract":"The principles of treatment of laryngeal carcinoma have undergone changes over the last few years and can be very complex with early(I-II) and advanced (III-IV) stage diseases to be differentiated. Recent emphasis is on organ preservation and laryngeal function.Transoral CO2 laser surgery has become a standard surgical procedure not only in early stage I and II laryngeal carcinomas but also inadvanced stage III cases in combination with postoperative adjuvante radiochemotherapy. This retrospective study reflects the role oftransoral laser surgery as a single or multimodality treatment regime with neck dissection and postoperative radiochemotherapy inlaryngeal carcinomas.From January 1997 to February 2007, 239 patients (215 men and 24 women; mean age 61 years) were examined with laryngealsquamous cell carcinoma (stage I-IV). 220 out of these 239 patients underwent transoral laser surgery, depending on their tumor stageeither as a single or as a multimodality treatment regimen in combination with bilateral neck dissection and postoperative radio-chemotherapy.Thirteen patients underwent a transcervical tumor resection, 5 patients underwent radiochemotherapy alone and one patient refused atreatment of his tumor disease. Median follow-up time was 60 months.The 5-year overall survival rate of the 220 patients who were treated with laser surgery was 86%. The 5-year recurrence-free survivalrate was 69.5%. After laser surgical interventions, postoperative complications occurred in 16%.The oncological outcome of transoral laser surgery as a single mode in early laryngeal carcinomas or in combination with bilateral neckdissection and postoperative adjuvant radiochemotherapy in advanced tumor stages is satisfying if clean surgical tumor margins (R0) canbe reached. If tumor-free margins cannot be achieved (R1 and R2 resection) and transoral revision is not possible, transcervicalprocedures (total or partial laryngectomy) must be considered.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114571882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Auditory Brainstem Implants 听觉脑干植入物
Otorhinolaryngology Clinics An International Journal Pub Date : 2010-05-01 DOI: 10.5005/JP-JOURNALS-10003-1029
S. Raghunandhan, M. Kameswaran, B. Hathiram, V. Khattar
{"title":"Auditory Brainstem Implants","authors":"S. Raghunandhan, M. Kameswaran, B. Hathiram, V. Khattar","doi":"10.5005/JP-JOURNALS-10003-1029","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1029","url":null,"abstract":"Auditory brainstem implants (ABIs) are currently indicated for patients with neurofibromatosis type 2 (NF-2) tumors involving both vestibulocochlear nerves. The ABI helps bypass the damaged cochlear nerves and stimulates the cochlear nucleus in the brainstem directly thereby restoring auditory sensation. The implant is usually placed in the lateral recess of the fourth ventricle after tumor resection. The indications for ABI have recently expanded onto even nontumoral cases, such as congenital bilateral cochlear nerve aplasia. In such cases, the ABI helps bypass the nonfunctioning hypoplastic or absent cochlear nerves and stimulates the cochlear nucleus directly thereby restoring auditory sensation. This article reviews the nuances of this sophisticated implant, shares our experience with auditory brainstem implantation and its current status in world literature.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115875210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Investigation Protocol for Sensorineural Hearing Loss 感音神经性听力损失调查方案
Otorhinolaryngology Clinics An International Journal Pub Date : 2010-05-01 DOI: 10.5005/JP-JOURNALS-10003-1023
A. Bhattacharyya, J. Thaj, B. Hathiram, V. Khattar
{"title":"Investigation Protocol for Sensorineural Hearing Loss","authors":"A. Bhattacharyya, J. Thaj, B. Hathiram, V. Khattar","doi":"10.5005/JP-JOURNALS-10003-1023","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1023","url":null,"abstract":"The etiology of sensorineural hearing loss is multifactorial which makes the diagnosis a challenging exercise and often an unsolved mystery. Whilst pure tone audiometry is a mandatory investigation, others such as laboratory and radiology are based on clinical evaluation. This paper puts forward a protocol for the investigation for sensorineural hearing loss.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131960272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Hearing with Bone-anchored Hearing Aid (BAHA) 骨锚助听器助听(BAHA)
Otorhinolaryngology Clinics An International Journal Pub Date : 2010-05-01 DOI: 10.5005/JP-JOURNALS-10003-1025
G. Mankekar, Payal Bhattacharya Chitranshi, M. Kirtane, B. Hathiram, V. Khattar
{"title":"Hearing with Bone-anchored Hearing Aid (BAHA)","authors":"G. Mankekar, Payal Bhattacharya Chitranshi, M. Kirtane, B. Hathiram, V. Khattar","doi":"10.5005/JP-JOURNALS-10003-1025","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10003-1025","url":null,"abstract":"BAHA is a surgically implantable system for treatment of hearing loss in patients wherein conventional hearing aids are unable to provide benefit. e.g. patients with microtia, chronic ear discharge or single sided hearing loss.","PeriodicalId":235775,"journal":{"name":"Otorhinolaryngology Clinics An International Journal","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130928770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
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