A retrospective study comparing organ preserving therapy with surgical intervention in advanced laryngeal cancer

ABSTRACT Objective: To evaluate the healing of the modified inverted “Y” incision in patients with scoliosis due to myelomeningocele. Methods: Retrospective study through medical records review of patients with myelomeningocele surgically treated with a modified inverted “Y” approach between January 2013 and December 2015. Results: We analyzed the medical records of six patients. Two patients progressed with skin complications in the immediate postoperative period and only one of them required surgical intervention for debridement and suturing. In another patient, it was necessary to perform two surgical reviews due to material failure without skin complications in these interventions. Conclusions: The modified inverted “Y” technique is a great alternative to traditional incision and inverted “Y” because it has good results in patients with spina bifida associated with poor skin conditions treated surgically for correction of spinal deformities. Level of Evidence IV; Case series.

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Does Hydrogen Peroxide Mouthwash Improve the Outcome of Secondary Post-Tonsillectomy Bleed? A 10-year Review

Otolaryngology ◽

10.1016/j.otohns.2005.04.002 ◽

2005 ◽

Vol 133 (2) ◽

pp. 202-205 ◽

Cited By ~ 11

Author(s):

Irumee Pai ◽

Stephen Lo ◽

Satsuki Brown ◽

Abbad G. Toma

Keyword(s):

Hydrogen Peroxide ◽

Retrospective Study ◽

Study Design ◽

Broad Spectrum ◽

Pediatric Patients ◽

Surgical Intervention ◽

Control Group ◽

Intravenous Antibiotics ◽

The Common

Objective: To determine whether hydrogen peroxide (H2O2) mouthwash influences the outcome of secondary post-tonsillectomy hemorrhage in children. Study Design: Ten-year retrospective study of all children with secondary post-tonsillectomy hemorrhage. Setting: Tertiary otolaryngology center. Results: Of the 156 patients, 59 received H2O2 and 97 did not. All patients received broad-spectrum intravenous antibiotics. The average rehospitalization duration due to hemorrhage was 1.7 days (H2O2 group) and 1.6 days (control group). In the H2O2 group, 8.5% required surgery, compared with 10.3% in the control group. Further hemorrhage episodes requiring readmission occurred in 3.4% of the H2O2 group and 3.1% of controls. There was no difference between the 2 groups in rehospitalization duration ( P = 0.49), rate of surgical intervention ( P = 0.85), and rate of readmission with further hemorrhage ( P = 0.92). Conclusion: Hydrogen peroxide mouthwash does not improve the outcome of secondary post-tonsillectomy hemorrhage in pediatric patients. Significance: This study does not support the common practice of treating post-tonsillectomy hemorrhage with H2O2.

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Surgical Ascariasis in Children in Kashmir

Tropical Doctor ◽

10.1177/004947559702700107 ◽

1997 ◽

Vol 27 (1) ◽

pp. 13-14 ◽

Cited By ~ 10

Author(s):

Satish Kumar Pandit ◽

Habib Ullah Zarger

Keyword(s):

Retrospective Study ◽

Intestinal Obstruction ◽

Endemic Area ◽

Surgical Intervention ◽

Ileal Perforation ◽

Biliary Ascariasis ◽

High Incidence ◽

Surgical Conditions

A retrospective study of 85 children aged 3–12 years revealed 25 cases who needed surgical intervention due to ascariasis. The surgical conditions found at laparotomy were intestinal obstruction (18) appendicitis (3), ileal perforation (2), biliary ascariasis (2). The study highlights the high incidence of surgical ascariasis among children with abdominal complaints in an endemic area.

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Paediatric acute mastoiditis: the Alder Hey experience

The Journal of Laryngology & Otology ◽

10.1258/0022215021911239 ◽

2002 ◽

Vol 116 (6) ◽

pp. 440-442 ◽

Cited By ~ 21

Author(s):

S. De ◽

Z. G. G. Makura ◽

R. W. Clarke

Keyword(s):

Retrospective Study ◽

Conservative Treatment ◽

Clinical Management ◽

Surgical Intervention ◽

Common Condition ◽

Acute Mastoiditis ◽

Cortical Mastoidectomy ◽

Intravenous Antibiotics ◽

One Year ◽

Alder Hey

Acute mastoiditis was a common condition in the pre-antibiotic era, but has become rare now with the widespread use of antibiotics.A retrospective study was carried out of patients with acute mastoiditis who were seen at Alder Hey Children’s Hospital, Liverpool over a five-year period. Their case records were identified and details of gender, age at presentation, symptoms, signs and clinical management were noted and analysed.Twenty-one patients who presented with acute mastoiditis were identified. The patients’ age at presentation ranged from three months to 14 years. Five cases out of 21 (23.8 per cent) were under one year of age.Eighteen cases (85.7 per cent) presented with post-aural swelling while 12 (57.1 per cent) had aural discharge.All patients were treated with intravenous antibiotics and only five patients (23.8 per cent) required surgical intervention in the form of a cortical mastoidectomy with, or without, myringotomy.A significant number of cases can be treated conservatively with intravenous antibiotics. Surgery in the form of cortical mastoidectomy can be reserved for complicated cases and in those in whom conservative treatment has failed.

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The lateral infratrigeminal transpontine window to deep pontine lesions

Journal of Neurosurgery ◽

10.3171/2014.11.jns141116 ◽

2015 ◽

Vol 123 (3) ◽

pp. 699-710 ◽

Cited By ~ 5

Author(s):

Paolo Ferroli ◽

Marco Schiariti ◽

Roberto Cordella ◽

Carlo Boffano ◽

Simone Nava ◽

...

Keyword(s):

Retrospective Study ◽

Surgical Intervention ◽

Neurological Deficits ◽

Critical Area ◽

Surgical Indications ◽

Surgical Strategies ◽

Csf Leakage ◽

New Knowledge ◽

Pontine Lesion

OBJECT Surgery of brainstem lesions is increasingly performed despite the fact that surgical indications and techniques continue to be debated. The deep pons, in particular, continues to be a critical area in which the specific risks related to different surgical strategies continue to be examined. With the intention of bringing new knowledge into this important arena, the authors systematically examined the results of brainstem surgeries that have been performed through the lateral infratrigeminal transpontine window. METHODS Between 1990 and 2013, 29 consecutive patients underwent surgery through this window for either biopsy sampling or for removal of a deep pontine lesion. All of this work was performed at the Department of Neurosurgery of the Istituto Nazionale Neurologico "Carlo Besta", in Milan, Italy. A retrospective analysis of the findings was conducted with the intention of bringing further clarity to this important surgical strategy. RESULTS The lateral infratrigeminal transpontine window was exposed through 4 different approaches: 1) classic retrosigmoid (15 cases), 2) minimally invasive keyhole retrosigmoid (10 cases), 3) translabyrinthine (1 case), and 4) combined petrosal (3 cases). No deaths occurred during the entire clinical study. The surgical complications that were observed included hydrocephalus (2 cases) and CSF leakage (1 case). In 6 (20.7%) of 29 patients the authors encountered new neurological deficits during the immediate postoperative period. All 6 of these patients had undergone lesion removal. In only 2 of these 6 patients were permanent sequelae observed at 3 months follow-up. These findings show that 93% of the patients studied did not report any permanent worsening of their neurological condition after this surgical intervention. CONCLUSIONS This retrospective study supports the idea that the lateral infratrigeminal transpontine window is both a low-risk and safe corridor for either biopsy sampling or for removal of deep pontine lesions.

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Effect of resected length in reconstructive surgery for tracheobronchial injury

Asian Cardiovascular and Thoracic Annals ◽

10.1177/0218492319876447 ◽

2019 ◽

Vol 27 (8) ◽

pp. 652-660

Author(s):

Huu Vinh Vu ◽

Quang Khanh Huynh ◽

Viet Dang Quang Nguyen ◽

Chau Phu Thi ◽

Nguyen Van Khoi

Keyword(s):

Retrospective Study ◽

Reconstructive Surgery ◽

Surgical Intervention ◽

Penetrating Trauma ◽

Severe Stenosis ◽

Factors Affecting ◽

Adult Congenital ◽

Tracheobronchial Injury ◽

Trachea And Bronchi ◽

Outcome Of Surgery

Background Mechanical injury to the trachea and bronchi may cause mild to severe stenosis requiring surgical intervention for reconstructing the damaged trachea. The location, length, and cause of injury are important factors affecting the surgical outcome. Method We conducted a retrospective study to evaluate the results of reconstructive surgery on noncancerous tracheobronchial lesions in 75 patients aged 5–55 years who had undergone reconstructive tracheobronchial surgery in our hospital from 2009 to 2018. Results The causes of tracheobronchial injury included blunt trauma in 38 patients, sharp penetrating trauma in 24, a postintubation lesion in 6, a post-tracheotomy lesion in 3, tuberculosis in 3, and an adult congenital lesion in one. In 59 cases of a lesion in the trachea, the length of missing segment before reconnection was 1–2 cm in 6 cases, 3 cm in 22, 4 cm in 18, 5 cm in 13, and >5.5 cm in 1 case. The length of the resected segment was <5.5 cm in all survivors, whereas one death occurred when the resected length was approximately 6 cm. Conclusions The length of the resected segment and precision of the surgery are crucial for determining the outcome of surgery.

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Healing rates following venous surgery for chronic venous leg ulcers in an independent specialist vein unit

Phlebology The Journal of Venous Disease ◽

10.1258/phleb.2012.011097 ◽

2013 ◽

Vol 28 (3) ◽

pp. 132-139 ◽

Cited By ~ 9

Author(s):

C A Thomas ◽

J M Holdstock ◽

C C Harrison ◽

B A Price ◽

M S Whiteley

Keyword(s):

Retrospective Study ◽

Clinical Improvement ◽

Ulcer Healing ◽

Surgical Intervention ◽

Response Rate ◽

Significant Proportion ◽

Leg Ulcers ◽

Venous Leg Ulcers ◽

Venous Surgery

Objectives This is a retrospective study over 12 years reporting the healing rates of leg ulcers at a specialist vein unit. All patients presented with active chronic venous leg ulcers (clinical, aetiological, anatomical and pathological elements [CEAP]: C6) and had previously been advised elsewhere that their ulcers were amenable to conservative measures only. Method Seventy-two patients (84 limbs) were treated between March 1999 and June 2011. Patients were contacted in August 2011 by questionnaire and telephone. Of 72 patients, two were deceased and two had moved location at follow-up, so were not contactable. Fifty patients replied and 18 did not (response rate 74%), representing a mean follow-up time of 3.1 years. Results Ulcer healing occurred in 85% (44 of 52 limbs) of which 52% (27) limbs were no longer confined to compression. Clinical improvement was achieved in 98% of limbs. Conclusions This study shows that a significant proportion of ulcers currently managed conservatively can be healed by surgical intervention.

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Laryngeal cancer management in a small, rural, multidisciplinary team setting: 15-year review

The Journal of Laryngology & Otology ◽

10.1017/s0022215113003046 ◽

2013 ◽

Vol 127 (12) ◽

pp. 1203-1207 ◽

Cited By ~ 1

Author(s):

D W Hamilton ◽

P J McMeekin ◽

P Dyson ◽

A K Robson

Keyword(s):

Laryngeal Cancer ◽

Survival Data ◽

Multidisciplinary Team ◽

Surgical Intervention ◽

Primary Treatment ◽

Salvage Procedure ◽

Cancer Management ◽

Carcinoma Of The Larynx ◽

Team Setting ◽

Very High

AbstractBackground:The Cumberland Infirmary, Carlisle, serves a largely remote, rural population of 330 000. The aim of this study was to report the treatment and survival figures for patients treated for laryngeal cancer at this centre.Methods:The study included 209 consecutive patients with squamous cell carcinoma of the larynx diagnosed between 1996 and 2010 at the Cumberland Infirmary.Results:Disease-specific survival was 100 per cent for stage one, 76 per cent for stage two, 87 per cent for stage three and 46 per cent for stage four. In total, 76 patients (36 per cent) had a laryngectomy, either as primary treatment or as a salvage procedure.Conclusion:Our tumour-specific survival rate was very high, and this success may be due in part to high rates of surgical intervention. Survival data compared favourably with other centres, despite less radical radiotherapy regimes. Laryngeal cancer can be managed effectively in a small, relatively remote, multidisciplinary team setting.

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