Long-term recurrence rate of pleomorphic adenoma and postoperative facial nerve paresis (in parotid surgery)

2007 ◽  
Vol 35 (3) ◽  
pp. 189-192 ◽  
Author(s):  
Oliver Zernial ◽  
Ingo N. Springer ◽  
Patrick Warnke ◽  
Franz Härle ◽  
Christian Risick ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Pleomorphic Adenoma ◽  
Recurrence Rate ◽  
Parotid Surgery ◽  
Nerve Paresis ◽  
Long Term Recurrence Rate

scholarly journals Factors associated with facial nerve palsy in patients undergoing superficial parotidectomy for pleiomorphic adenoma: our experience of eight and half years

2019 ◽  
Vol 6 (1) ◽  
pp. 60
Author(s):  
Dheer S. Kalwaniya ◽  
Goutam Kothathi Chowdegowda ◽  
Monish Raj ◽  
Jaspreet S. Bajwa ◽  
Satya V. Arya ◽  
...  
Keyword(s):  
Parotid Gland ◽  
Facial Nerve ◽  
Pleomorphic Adenoma ◽  
Surgical Approaches ◽  
Depth Of Invasion ◽  
Tumor Depth ◽  
Facial Paresis ◽  
Superficial Parotidectomy ◽  
Parotid Surgery ◽  
Nerve Paresis

<p class="abstract"><strong>Background:</strong> The pleomorphic adenoma comprises 45-60% of all salivary gland tumors most often in parotid gland up to 80%. The association between the facial nerve and the gland is responsible for most of the technical difficulties and complications of the surgical approaches.</p><p class="abstract"><strong>Methods:</strong> This is a retrospective observational study performed in a unit of General Surgery, Safdarjung Hospital, New Delhi from May 2011 to October 2019 of all patients who underwent superficial parotidectomy for pleomorphic adenoma of parotid gland. The data was tabulated and results made using SPSS 21.0 system.  </p><p class="abstract"><strong>Results:</strong> Male:female ratios are 29:33. Average age was 47.1 years (31-61). Average duration of disease was 2.2 years (0.3-5). 4 were operated for recurrence. Facial paresis occurred in 7 out of 62 patients (11.3%), 4 females and 3 males. 11 patients have tumor greater than 4 cm, out of these 11 patients 2 patients had pre-op facial paresis. Out of 51 patients (size &lt;4 cm), 2 suffered facial paresis and out of 11 patients (size &gt;4 cm), 5 suffered same. Out of 59 patients with depth of tumor &lt;2 cm, 4 patients had post-op facial paresis. All the three patients having tumor depth &gt;2 cm suffered post op facial paresis. Patients with pre-op facial nerve paresis had mean duration of tumor 3.35 year (±0.92) while with post-op facial nerve paresis had mean duration of tumor 2.99 year (±1.35).</p><p class="abstract"><strong>Conclusions:</strong> Meticulous separation of facial nerve from parotid tissue is key to preservation of the facial nerve. But factors like size of tumor, depth of invasion, previous surgery do affect the outcome in parotid surgery.</p>

1903: Long-Term Recurrence Rate After ESWL of Isolated Lower Calyx Stones in Relation to the Collecting System Anatomy

2004 ◽  
Vol 171 (4S) ◽  
pp. 503-503
Author(s):  
Roger M. Mueller ◽  
Bernard Descoeudres ◽  
Werner W. Hochreiter ◽  
Urs E. Studer ◽  
Hansjoerg Danuser
Keyword(s):  
Recurrence Rate ◽  
Collecting System ◽  
Long Term Recurrence Rate

Schwannomas

2019 ◽  
pp. 255-270
Author(s):  
Tiit Mathiesen ◽  
Petter Förander ◽  
David Pettersson
Keyword(s):  
Facial Nerve ◽  
Cranial Nerve ◽  
Cerebellopontine Angle ◽  
Treatment Options ◽  
Life Quality ◽  
Intracranial Tumours ◽  
Tumour Control ◽  
Nerve Paresis

Sporadic vestibular schwannoma (VS) is the commonest tumour of the cerebellopontine angle and comprise 6–8% of all intracranial tumours. The incidence varies between 12 and 20 cases per million inhabitants and years in different reports; a large minority of these tumours grow during follow-up. Treatment options include wait and scan, microsurgery, radiosurgery, and radiotherapy. Micro- and radiosurgery are well validated to offer long-term tumour control, but patients may suffer from hearing deficit and facial nerve paresis. Unexpectedly, long-term life quality is more affected by vertigo and headaches. Other cranial nerve schwannomas cause symptoms depending on the affected nerves and respond to the same therapies when treatment is indicated.

Stationary facial nerve paresis after surgery for recurrent parotid pleomorphic adenoma: a follow-up study of 219 cases in Denmark in the period 1985–2012

2016 ◽  
Vol 273 (10) ◽  
pp. 3313-3319 ◽  
Author(s):  
Anders Nøhr ◽  
Simon Andreasen ◽  
Marianne Hamilton Therkildsen ◽  
Preben Homøe
Keyword(s):  
Facial Nerve ◽  
Pleomorphic Adenoma ◽  
Follow Up Study ◽  
Nerve Paresis

Long-term, Prospective, Multicenter Study of Isolated Bankart Repair for a Patient Selection Method Based on the Instability Severity Index Score

2019 ◽  
Vol 47 (5) ◽  
pp. 1057-1061 ◽  
Author(s):  
Hervé Thomazeau ◽  
Tristan Langlais ◽  
Alexandre Hardy ◽  
Jonathan Curado ◽  
Olivier Herisson ◽  
...  
Keyword(s):  
Recurrence Rate ◽  
Severity Index ◽  
Index Score ◽  
Bankart Repair ◽  
Prospective Multicenter Study ◽  
Severity Index Score ◽  
Bony Lesions ◽  
Long Term Recurrence Rate

Background: An isolated arthroscopic Bankart repair carries a high mid- and long-term risk of recurring instability. Preoperative patient selection based on the Instability Severity Index Score should improve outcomes. Purpose: To report the overall long-term recurrence rate for isolated Bankart repair, investigate the predictive factors for recurrence, analyze time to recurrence, and determine a quantitative cutoff point for recurrence in terms of Instability Severity Index Score. Study Design: Cohort study; Level of evidence, 2. Methods: This was a prospective multicenter study. Inclusion criteria were recurring anterior instability and an Instability Severity Index Score of 4 or less. Of the 125 patients included, 20 patients had a score of 0, 31 patients scored 1, 29 patients scored 2, 34 patients scored 3, and 11 patients scored 4. All centers used the same arthroscopic technique and rehabilitation protocol. Follow-up data were collected at 3, 6, 12, and 24 months and 3 and 9 years. The primary endpoint was recurrence of instability (total or partial dislocation). The statistical analysis was performed by use of the software package SAS 9.4. Results: We initially identified 328 patients, of whom 125 patients were prospectively included. The main reason for excluding the 202 patients was the presence of bony lesions, which carry 2 points each in the Instability Severity Index Score (humeral head notch and/or glenoid lesion visible on standard radiographs). Of the 125 eligible patients, 73% were athletes and 22.5% competitors; 16% were lost at the last follow-up. At the endpoint, 23% had experienced a recurrence after a mean interval of 35 months (range, 5.5-103 months). No statistical differences were found between patients with and without bony lesions in the overall group of 125 patients or in the subgroup with an Instability Severity Index Score of 3 or 4 points ( P = .4). According to univariate analysis, the only predictive factor for recurrence was age less than 20 years at the time of surgery, with a 42% rate of recurrence in this group ( P = .03). Multivariate analysis showed that the Instability Severity Index Score was the only predictive factor with a quantitative cutoff point (namely, a score of ≤2 points) that was statistically associated with a decreased long term recurrence rate ( P = .02). The recurrence rate was 10% for a preoperative Instability Severity Index Score of 2 or less compared with 35.6% for a score of 3 or 4. The survival curves demonstrated no new dislocations after year 4 for patients with an Instability Severity Index Score of up to 2 points. Conclusion: In a preselected population, mainly without bony lesions, the Instability Severity Index Score cutoff value that provides an acceptable recurrence rate at 9 years after isolated Bankart repair is 2 out of 10.

Surgery reduces long-term recurrence rate in chronic venous leg ulcers

2000 ◽  
Vol 87 (4) ◽  
pp. 502-503 ◽  
Author(s):  
J. R. Barwell ◽  
M. Taylor ◽  
A. S. K. Ghauri ◽  
L. K. Phillips ◽  
M. R. Whyman ◽  
...  
Keyword(s):  
Recurrence Rate ◽  
Leg Ulcers ◽  
Venous Leg Ulcers ◽  
Long Term Recurrence Rate

scholarly journals Does Full Wound Rupture following Median Pilonidal Closure Alter Long-Term Recurrence Rate?

2015 ◽  
Vol 24 (6) ◽  
pp. 571-577 ◽  
Author(s):  
Dietrich Doll ◽  
Edouard Matevossian ◽  
Markus M. Luedi ◽  
Ralf Schneider ◽  
Dominic van Zypen ◽  
...  
Keyword(s):  
Recurrence Rate ◽  
Wound Rupture ◽  
Long Term Recurrence Rate

scholarly journals Long-Term Recurrence Rate of Large and Difficult to Treat Cutaneous Squamous Cell Carcinomas after Superficial Radiotherapy

Dermatology ◽  
2012 ◽  
Vol 224 (1) ◽  
pp. 59-65 ◽  
Author(s):  
Marjam J. Barysch ◽  
Nina Eggmann ◽  
Mirjam Beyeler ◽  
Renato G. Panizzon ◽  
Burkhardt Seifert ◽  
...  
Keyword(s):  
Recurrence Rate ◽  
Squamous Cell ◽  
Squamous Cell Carcinomas ◽  
Long Term Recurrence Rate

Recurrent craniopharyngiomas in children and adults: long-term recurrence rate and management

2013 ◽  
Vol 156 (1) ◽  
pp. 113-122 ◽  
Author(s):  
Juraj Šteňo ◽  
Ivan Bízik ◽  
Andrej Šteňo ◽  
Viktor Matejčík
Keyword(s):  
Recurrence Rate ◽  
Long Term Recurrence Rate
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