{"title":"[Incidental ultrasound detection of thyroid nodule: what next?].","authors":"F Bandhauer","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>The routine use of ultrasonography in ENT to investigate the lymphatic system of the neck leads to a number of incidentally found thyroid nodules.</p><p><strong>Methods: </strong>After reevaluating our patients from 7/95 to 12/98 we searched the relevant literature for a reasonable diagnostic pathway for these findings.</p><p><strong>Results: </strong>67 patients had one or more incidentally found thyroid nodules. 23 were followed sonographically. 8 patients had fine needle biopsy as a first diagnostic step. One nodule was cytologically suspect for papillary carcinoma, which was confirmed later histologically after resection.</p><p><strong>Discussion: </strong>Autopsy studies showed a 5% malignancy rate in the occult thyroid nodules. Most of these occult growths are papillary carcinomas with a relatively good prognosis, especially when they measure less than one centimeter. We recommend performing a fine needle biopsy in any patient with a thyroid nodule > 1 cm, with a history of prior irradiation of the neck or with medullary carcinoma in the family. Clinical and sonographic follow-up should be done after 6 to 12 months in the rest of the cases.</p>","PeriodicalId":76532,"journal":{"name":"Schweizerische medizinische Wochenschrift. Supplementum","volume":"116 ","pages":"66S-69S"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21628601","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}
{"title":"[Endonasal dacryocystorhinostomy: technique and results].","authors":"M McMasters, J Messerli, M Wolfensberger","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Endonasal dacryocystorhinostomy has recently become an important alternative to the classical external Toti procedure.</p><p><strong>Objective: </strong>To analyse the outcome after endonasal dacryocystorhinostomy.</p><p><strong>Methods: </strong>For this purpose 28 of 34 patients treated by endonasal dacryocystorhinostomy between May 1994 and November 1998 were investigated.</p><p><strong>Results: </strong>After an average follow-up of 28 months, 23 of the 28 patients (82%) are free of symptoms. Two additional patients became symptom-free after revision surgery. The total success rate is 89%. The only complications seen were 2 cases of asymptomatic synechiae and one case of mild hyposmia.</p><p><strong>Conclusions: </strong>Endonasal dacryocystorhinostomy is a rapid, safe, and elegant method for the treatment of post-saccal nasolacrimal duct obstructions.</p>","PeriodicalId":76532,"journal":{"name":"Schweizerische medizinische Wochenschrift. Supplementum","volume":"116 ","pages":"74S-76S"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21629144","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}
{"title":"[Reconstruction of the anterior mouth floor by surgical flap microanastomosis: oncologic and functional results].","authors":"J Gagnebin, B Jaques, P Pasche","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>The purpose of this retrospective study was to evaluate oncological and functional results after reconstruction of the anterior floor of the mouth using free flaps.</p><p><strong>Methods: </strong>From 1992 to 1998, 30 patients with squamous cell carcinoma of the anterior floor of the mouth underwent surgical excision and primary reconstruction with either free forearm- or bone-composed flaps. Functional assessment included evaluation by the Karnofsky scale, Performance Status Scale for Head and Neck Cancer (PSS-HNC), articulation test and videofluoroscopic examination.</p><p><strong>Results: </strong>16 patients underwent reconstruction with a free forearm flap, 13 with an iliac crest flap and 1 with a fibula flap. The most serious local complication was partial flap necrosis in two cases. Local control was 90% at 24 months and the specific survival rate was 92% at five years. Functional evaluation was performed on 19 patients: PSS-HNC median score for diet was 70 (range 50-100), the score for speech was 70 (range 50-100) and the score for \"eating in public\" was 65 (range 25-100). Patients with a major mobile tongue resection had a lower score compared to patients with minor or no mobile tongue resection. Videofluoroscopy showed swallowing alterations following large resections of soft tissues.</p><p><strong>Discussion: </strong>Our study confirms that wide resection of mobile tongue is associated decreased rehabilitation quality. Mandibulectomy does not influence rehabilitation.</p>","PeriodicalId":76532,"journal":{"name":"Schweizerische medizinische Wochenschrift. Supplementum","volume":"116 ","pages":"39S-42S"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21629233","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}
{"title":"65th Annual meeting of the Swiss Society of Gastroenterology and Hepatology joined with the Swiss Society of Visceral Surgery. Lucerne, 5-7 October 2000. Abstracts.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76532,"journal":{"name":"Schweizerische medizinische Wochenschrift. Supplementum","volume":"121 ","pages":"1S-32S"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21968831","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}