Revisiting Swallowing Function Following Contemporary Surgical Interventions for Oral/Oropharyngeal Cancer: Key Underlying Issues

2015 ◽  
Vol 24 (3) ◽  
pp. 89-98 ◽  
Author(s):  
Tessa Goldsmith ◽  
Marlene Carno Jacobson
Keyword(s):  
Patient Outcomes ◽  
Oropharyngeal Cancer ◽  
Surgical Techniques ◽  
Holistic Approach ◽  
Swallowing Function ◽  
Papilloma Virus ◽  
Surgical Interventions ◽  
Technological Advances ◽  
Ablative Procedures ◽  
Swallow Function

There has been resurgence in surgical interventions for oral cavity and oropharyngeal cancer in tandem with technological advances in reconstructive and ablative procedures. This paper considers the mechanisms of impact of these surgical techniques on swallow function and patient outcomes especially in light of the shifting demographics of human papilloma virus (HPV) associated oropharyngeal cancer. We present a framework for considering physiologic impairment within the context of a holistic approach to patient care based on a series of key underlying considerations.

Associations between voice quality and swallowing function in patients treated for oral or oropharyngeal cancer

2013 ◽  
Vol 21 (7) ◽  
pp. 2025-2032 ◽  
Author(s):  
Marieke J. de Bruijn ◽  
Rico N. P. M. Rinkel ◽  
Ingrid C. Cnossen ◽  
Birgit I. Witte ◽  
Johannes A. Langendijk ◽  
...  
Keyword(s):  
Oropharyngeal Cancer ◽  
Voice Quality ◽  
Swallowing Function

Reconstruction of the Mandibular Condyle

2021 ◽  
Author(s):  
Spencer R. Anderson ◽  
Kaitlynne Y. Pak ◽  
Aurora G. Vincent ◽  
Adrian Ong ◽  
Yadranko Ducic
Keyword(s):  
Gold Standard ◽  
Traumatic Injury ◽  
Tumor Resection ◽  
Surgical Techniques ◽  
Mandibular Condyle ◽  
Facial Aesthetics ◽  
Mandibular Growth ◽  
Alloplastic Materials ◽  
Technological Advances ◽  
Integral Structure

AbstractThe mandibular condyle is an integral structure in the temporomandibular joint (TMJ) serving not only as the hinge point for mandibular opening, but also facilitating mandibular growth and contributing to facial aesthetics. Significant compromise of the TMJ can be debilitating functionally, psychologically, and aesthetically. Reconstruction of the mandibular condyle is rarely straightforward. Multiple considerations must be accounted for when preparing for condylar reconstruction such as ensuring eradication of all chronically diseased or infected bone, proving clear oncologic margins following tumor resection, or achieving stability of the surrounding architecture in the setting of a traumatic injury. Today, there is not one single gold-standard reconstructive method or material; ongoing investigation and innovation continue to improve and transform condylar reconstruction. Herein, we review methods of condylar reconstruction focusing on autologous and alloplastic materials, surgical techniques, and recent technological advances.

Swallowing Function after Chemoradiation for Advanced Stage Oropharyngeal Cancer

2004 ◽  
Vol 131 (2) ◽  
pp. P236-P236
Author(s):  
Samuel Gardner Shiley ◽  
Judith M Skoner ◽  
John M Holland ◽  
Mark K Wax
Keyword(s):  
Oropharyngeal Cancer ◽  
Advanced Stage ◽  
Swallowing Function

scholarly journals Trends in surgical and catheter interventions for isolated congenital shunt lesions in the UK and Ireland

Heart ◽  
2019 ◽  
Vol 105 (14) ◽  
pp. 1103-1108 ◽  
Author(s):  
Mehreen Farooqi ◽  
John Stickley ◽  
Rami Dhillon ◽  
David J Barron ◽  
Oliver Stumper ◽  
...  
Keyword(s):  
Ventricular Septal Defect ◽  
Patent Foramen Ovale ◽  
Septal Defect ◽  
Surgical Techniques ◽  
Foramen Ovale ◽  
Patient Age ◽  
Surgical Interventions ◽  
Patient Âgé ◽  
Duct Ligation ◽  
The Uk

ObjectiveTo evaluate time trends in the use of catheter and surgical procedures, and associated survival in isolated congenital shunt lesions.MethodsNationwide, retrospective observational study of the UK National Congenital Heart Disease Audit database from 2000 to 2016. Patients undergoing surgical or catheter procedures for atrial septal defect (including sinus venosus defect), patent foramen ovale, ventricular septal defect and patent arterial duct were included. Temporal changes in the frequency of procedures, and survival at 30 days and 1 year were determined.Results40 911 procedures were performed, 16 604 surgical operations and 24 307 catheter-based interventions. Transcatheter procedures increased over time, overtaking surgical repair in 2003–2004, while the number of operations remained stable. Trends in interventions differed according to defect type and patient age. Catheter closure of atrial septal defects is now more common in children and adults, although surgical interventions have also increased. Patent foramen ovale closure in adults peaked in 2009–2010 before falling significantly since. Surgery remains the mainstay for ventricular septal defect in infants and children. Duct ligation is most common in neonates and infants, while transcatheter intervention is predominant in older children. Excluding duct ligation, survival following surgery was 99.4% and ≈98.7%, and following catheter interventions was 99.7% and ≈99.2%, at 30 days and 1 year, respectively.ConclusionsTrends in catheter and surgical techniques for isolated congenital shunt lesions plot the evolution of the specialty over the last 16 years, reflecting changes in clinical guidelines, technology, expertise and reimbursement, with distinct patterns according to lesion and patient age.

scholarly journals Minimum Invasive Stabilizing and Decompressive-Stabilizing Methods of Surgical Treatment for Degenerative-Dystrophic Lesions of Spine

2011 ◽  
Vol 18 (4) ◽  
pp. 3-10
Author(s):  
A V Krut'ko ◽  
Shamil' Al'firovich Akhmet'yanov ◽  
D M Kozlov ◽  
A V Peleganchuk ◽  
A V Bulatov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Lumbar Spine ◽  
Surgical Techniques ◽  
Pain Syndrome ◽  
Early Postoperative Period ◽  
Main Group ◽  
Control Group ◽  
Surgical Interventions ◽  
Comparative Group ◽  
Operative Wound

Results of randomized prospective study with participation of 94 patients aged from 20 to 70 years with monosegmental lumbar spine lesions are presented. Minimum invasive surgical interventions were performed in 55 patients from the main group. Control group consisted of 39 patients in whom decompressive-stabilizing operations via conventional posteromedian approach with skeletization of posterior segments of vertebral column were performed. Average size of operative wound in open interventions more than 10 times exceeded that size in minimum invasive interventions and made up 484 ± 56 and 36 ± 12 sq.cm, respectively. Mean blood loss was 326.6 ± 278.0 ml in the main group and 855.1 ± 512.0 ml in the comparative one. In the main group no one patient required substitution hemotransfusion, while in 13 patients from the comparative group donor erythrocytic mass and/or fresh-frozen plasma were used to eliminate the deficit of blood components. Intensity of pain syndrome in the zone of surgical intervention by visual analog scale in the main group was lower than in comparative group. In the main and comparative groups the duration of hospitalization made up 6.1 ± 2.7 and 9.7 ± 3.7 bed days, respectively. In no one patient from the main group complications in the zone of operative wound were noted. Three patients from the comparative group required secondary debridement and in 1 patient early deep operative wound suppuration was observed. Application of low invasive surgical techniques for the treatment of patients with degenerative lumbar spine lesions enabled to perform radical surgical treatment with minimal iatrogenic injury. The method possessed indubitable advantages over the conventional open operations especially intraoperatively and in early postoperative period.

scholarly journals Radical Dorsal Interventions in Treatment of Kyphotic Deformities (Literature Review)

2015 ◽  
Vol 22 (2) ◽  
pp. 66-75
Author(s):  
M. V Mikhailovskiy ◽  
V. V Novikov ◽  
I. G Udalov
Keyword(s):  
Clinical Practice ◽  
Literature Review ◽  
Vertebral Column ◽  
Surgical Techniques ◽  
Pedicle Subtraction Osteotomy ◽  
Treatment Results ◽  
Vertebral Column Resection ◽  
Surgical Interventions ◽  
Ponte Osteotomy ◽  
Spine Deformities

Widely used in clinical practice surgical interventions directed to the correction of severe kyphotic spine deformities, i.e. Ponte osteotomy, Smith-Peterson osteotomy, pedicle subtraction osteotomy and vertebral column resection are presented. Surgical techniques, surgery planning based on spinal and pelvic sagittal contour parameters, treatment results are described.

Lower limb wounds in diabetes: the challenges of wound healing

2021 ◽  
Vol 26 (Sup9) ◽  
pp. S20-S24
Author(s):  
Krishna Gohil
Keyword(s):  
Wound Healing ◽  
Peripheral Arterial Disease ◽  
Patient Outcomes ◽  
Lower Limb ◽  
Holistic Approach ◽  
Arterial Disease ◽  
Delayed Wound Healing ◽  
Early Referral ◽  
Peripheral Arterial

Managing ulceration in the lower limb for a patient with diabetes can be complex and challenging, requiring a multiprofessional, patient-centred, holistic approach with early referral for specialist review as key. Any delay in referral and intervention can be catastrophic, as time is tissue. Peripheral arterial disease and neuropathy both contribute significantly to the delays in wound healing, and it is important to rapidly recognise the problems with an informed assessment and understand the possible reasons for delayed wound healing, so that management is appropriate, rapid referrals are made and patient outcomes are optimised. This article discusses some of the reasons why wound healing is complicated in those with diabetes as a comorbidity.

Robotics in Surgical Techniques Robotics in Surgical Techniques

2019 ◽  
pp. 1528-1542
Author(s):  
Vassilia Costarides ◽  
Apollon Zygomalas ◽  
Kostas Giokas ◽  
Dimitris Koutsouris
Keyword(s):  
Large Scale ◽  
Surgical Techniques ◽  
Interdisciplinary Approach ◽  
The Elderly ◽  
Cellular Level ◽  
Exciting Field ◽  
Technological Advances ◽  
Quality Of Life Indicators ◽  
The Disabled ◽  
Robotic Devices

Healthcare robotic applications are a growing trend due to rapid demographic changes that affect healthcare systems, professionals and quality of life indicators, for the elderly, the injured and the disabled. Current technological advances in robotic systems offer an exciting field for medical research, as the interdisciplinary approach of robotics in healthcare and specifically in surgery is continuously gaining ground. This chapter features a review of current applications, from external large scale robotic devices to nanoscale swarm robots programmed to interact on a cellular level.

Robotics in Surgical Techniques Robotics in Surgical Techniques

2020 ◽  
pp. 2033-2047
Author(s):  
Vassilia Costarides ◽  
Apollon Zygomalas ◽  
Kostas Giokas ◽  
Dimitris Koutsouris
Keyword(s):  
Large Scale ◽  
Surgical Techniques ◽  
Interdisciplinary Approach ◽  
The Elderly ◽  
Cellular Level ◽  
Exciting Field ◽  
Technological Advances ◽  
Quality Of Life Indicators ◽  
The Disabled ◽  
Robotic Devices

Healthcare robotic applications are a growing trend due to rapid demographic changes that affect healthcare systems, professionals and quality of life indicators, for the elderly, the injured and the disabled. Current technological advances in robotic systems offer an exciting field for medical research, as the interdisciplinary approach of robotics in healthcare and specifically in surgery is continuously gaining ground. This chapter features a review of current applications, from external large scale robotic devices to nanoscale swarm robots programmed to interact on a cellular level.

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