ISSN:0148-6403    

DOI:10.1002/hed.2890080102

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1985

数据来源: WILEY

摘要:

AbstractThe incidence of palpable and occult cancer and the absence of cancer in lymph nodes were determined for individual sites in the larynx and pharynx of 540 patients who underwent neck dissection. The incidence of palpable cancer in lymph nodes was lowest for cancers of the central supraglottis and transglottis (32–41%), intermediate for cancers of the marginal supraglottis and glossoepiglottis (48–57%), and highest for cancers of the pyriform sinus (69%). The incidence of occult cancer in lymph nodes for individual sites in the larynx and pharynx was determined by pathologic study of neck dissection specimens from 253 patients without palpable lymph nodes (NO neck). The incidence of occult lymphatic metastases in the NO neck and the need for elective neck irradiation were least for cancers of the transglottis and central supraglottis (14–16%), intermediate for cancers of the glossoepiglottis and the marginal supraglottis (20–38%), and greatest for cancers of the pyriform sinus (47%). The risk of nodal recurrence increased from 8% for those without cancer in lymph nodes to 38% for those with occult or palpable cancer in lymph nodes. A policy of observing the NO neck in patients with a low incidence of occult lymphatic metastases and a low risk of neck recurrence to avoid the unnecessary irradiation of many to benefit a few is di

ISSN:0148-6403    

DOI:10.1002/hed.2890080103

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1985

数据来源: WILEY

摘要:

AbstractThere are few studies that have addressed themselves to measuring speech, swallowing function and the “quality of life” of patients that have been treated for oral cavity cancer. The goal of this study was to develop a test series to assess the oral cavity function and the general health of patients treated for oral cavity cancer. The results of 51 patients treated for oral cavity cancer will be compared by the site and stage of the lesion, as well as by treatment mode. In addition, the functional results achieved by different reconstructive techniques in the oral cavity will be presented. Radiotherapy patients as a group have the best speech and swallowing function while the patients treated with combined therapy have the worst function. In the surgical group, those patients treated with intraoral skin grafts had the best speech results and those with primary closures had the best swallowing performa

ISSN:0148-6403    

DOI:10.1002/hed.2890080104

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1985

数据来源: WILEY

摘要:

AbstractOur long‐term experience with Staffieri's procedure in 42 patients is presented. Our results were evaulated regarding voice production, aspiration problems, and pharyngocutaneous fistula formation. Approximately 50% of the patients were successfully rehabilitated. Twenty‐five percent of the patients did not use the neoglottis for speech production, mostly because of stenosis of the neoglottis. The remaining 25% had serious aspiration problems that needed treatment. It was striking that half of these patients initially benefitted from the Staffieri procedure and had no aspiration problems. These 42 patients were compared with a group of 43 patients who underwent conventional total laryngectomy in the same period. After total laryngectomy and Staffieri's procedure,>35% of the patients had a pharyngocutaneous fistula, while after conventional total laryngectomy the fistula rate was<20%. The average postoperative stay in the hospital was longer in the Staffieri group. In the long run, the results of this surgical technique do not justify its further use, especially after previous radiother

ISSN:0148-6403    

DOI:10.1002/hed.2890080105

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1985

数据来源: WILEY

摘要:

AbstractThe advent of the flexible fiberoptic gastroscope has revolutionized clinical gastroenterology. The morbidity and mortality rates with flexible fiberoptic endoscopes are comparable to those associated with rigid and semirigid scopes. Insufflation devices are routinely used with flexible fiberoptic scopes. This may lead to complications, differing from those associated with rigid endoscopy. A case involving an insufflation injury to the piriform sinus is presented. The pathophysiology of insufflation injuries and their management are discussed.

ISSN:0148-6403    

DOI:10.1002/hed.2890080106

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1985

数据来源: WILEY

摘要:

AbstractEpidermoid carcinoma of the hard palate has most commonly been treated by surgical procedures such as total maxillectomy, hemimaxillectomy, palatectomy, intraoral maxillectomy, and local resection, which leaves the patient with problems of velopharyngeal incompetence, oral‐nasal or oral‐antral fistula, or an inability to wear a denture. This article describes a surgical procedure that uses a partial core palatomaxillary ostectomy for ablation and multiple buccal and palatal flaps for primary closure, thereby avoiding these postoperative probl

ISSN:0148-6403    

DOI:10.1002/hed.2890080107

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1985

数据来源: WILEY

ISSN:0148-6403    

DOI:10.1002/hed.2890080108

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1985

数据来源: WILEY

ISSN:0148-6403    

DOI:10.1002/hed.2890080109

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1985

数据来源: WILEY

ISSN:0148-6403    

DOI:10.1002/hed.2890080110

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1985

数据来源: WILEY

ISSN:0148-6403    

DOI:10.1002/hed.2890080112

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1985

数据来源: WILEY