One-Stage Complete Resection of Cholesteatoma With Labyrinthine Fistula: Hearing Changes and Clinical Outcomes

2018 ◽  
Vol 127 (4) ◽  
pp. 241-248 ◽  
Author(s):  
Yoon Chan Rah ◽  
Won Gue Han ◽  
Jae Woo Joo ◽  
Kuk Jin Nam ◽  
Jihye Rhee ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Complete Resection ◽  
One Stage ◽  
Labyrinthine Fistula

scholarly journals The influence of simultaneous lateral grafting on clinical outcomes following one‐stage implant placement A cross‐sectional analysis

2020 ◽  
Vol 31 (S20) ◽  
pp. 174-174
Author(s):  
Ausra Ramanauskaite ◽  
Karina Obreja ◽  
Amira Begic ◽  
Puria Parvini ◽  
Frank Schwarz
Keyword(s):  
Clinical Outcomes ◽  
Cross Sectional ◽  
One Stage ◽  
Cross Sectional Analysis ◽  
Implant Placement ◽  
Sectional Analysis

scholarly journals Combined petrosal approach for petroclival meningioma

2017 ◽  
Vol 43 (videosuppl2) ◽  
pp. V6 ◽  
Author(s):  
Omar Arnaout ◽  
Ossama Al-Mefty
Keyword(s):  
Clinical Outcomes ◽  
Clinical Symptoms ◽  
Complete Resection ◽  
Two Stage ◽  
Petroclival Meningioma ◽  
Microsurgical Technique ◽  
Link Type ◽  
Brainstem Compression

The authors present the case of a 56-year-old patient who presented with a large petroclival meningioma and clinical symptoms of brainstem compression and hydrocephalus. The authors describe a two-stage combined petrosal approach for complete resection of the tumor. The nuances of the approach and microsurgical technique are discussed, as well as the radiographic and clinical outcomes.The video can be found here: https://youtu.be/T90vUIPKQsA.

Complete removal of an intraspinal and extraspinal cervical chordoma in one stage using the lateral approach

2006 ◽  
Vol 5 (5) ◽  
pp. 471-475 ◽  
Author(s):  
Cédric Barrey ◽  
Ghislaine Saint-Pierre ◽  
Didier Frappaz ◽  
Marc Hermier ◽  
Carmine Mottolese
Keyword(s):  
Histopathological Examination ◽  
Complete Removal ◽  
Radicular Pain ◽  
Lateral Approach ◽  
Complete Resection ◽  
Resonance Imaging ◽  
Postoperative Course ◽  
One Stage ◽  
Cervical Chordoma ◽  
Posterior Anterior

✓The authors describe a precise surgical technique in which a large intraspinal and extraspinal, multivertebral, cervical chordoma was completely removed in one stage using the lateral approach. The patient in this case was a 29-year-old woman who presented with signs of radicular pain in the left C-3 area. Computed tomography and magnetic resonance imaging demonstrated a large intra- and extraspinal multivertebral tumor from C-2 to C-5, a finding that suggested a cervical chordoma. The tumor was completely removed in one stage using the lateral approach while controlling the vertebral artery (VA), and a partial corporectomy of C2–5 was also performed. Results from a postoperative histopathological examination confirmed that the tumor was a typical chordoma. The patient’s postoperative course was uneventful. Cervical chordomas are typically excised using a posterior–anterior surgical approach with partial resection of the tumor. The lateral approach was appropriate in this patient for complete resection in one stage, because it enabled the surgeons to control the VA and access both extraspinal and intraspinal components of the chordoma.

scholarly journals Clinical outcomes and cost analysis of one- versus two-stage bilateral hip arthroplasty. A retrospective study of a single surgeon experience

2020 ◽  
pp. 221049172097183
Author(s):  
M Hefny ◽  
F Syed ◽  
A Ugwuoke ◽  
P Saunders ◽  
SK Young
Keyword(s):  
Clinical Outcomes ◽  
Hip Arthroplasty ◽  
Lower Cost ◽  
Financial Analysis ◽  
Secondary Outcome ◽  
Two Stage ◽  
One Stage ◽  
Surgeon Experience ◽  
Oxford Hip Score ◽  
The One

Purpose: One in 10 patients presenting for total hip arthroplasty (THA) will have significant osteoarthritis in both hips. In appropriately selected individuals, one-stage bilateral THA is a treatment option. This study aims to compare outcomes of one-stage bilateral THA with two-stage procedure. Methods: A retrospective review of a single surgeon series was conducted comparing One-stage bilateral THA (n = 59) with two-stage bilateral THA (n = 50). The primary outcomes were post-operative complication and the Oxford Hip Score. The secondary outcome was a financial analysis. Results: Complications were infrequent and comparable between both groups. Oxford hip scores were slightly higher in the one-stage group. One-staged bilateral THA had a lower cost but hospital tariff is higher for two-stage bilateral THA. Conclusion: In appropriately selected patients with bilateral hip arthritis, one-stage bilateral THA gives good clinical outcomes. However, the current payment system in the NHS makes two-stage bilateral THA more financially viable to the hospital.

scholarly journals A Comparison of Clinical Outcomes between Endoscopic Resection and Surgical Resection in Ampullary Tumors

Medicina ◽  
2020 ◽  
Vol 56 (10) ◽  
pp. 546
Author(s):  
Jung-Soo Pyo ◽  
Byoung Kwan Son ◽  
Hyo Young Lee ◽  
Il Hwan Oh ◽  
Kwang Hyun Chung
Keyword(s):  
Clinical Outcomes ◽  
Surgical Resection ◽  
Endoscopic Resection ◽  
Meta Analysis ◽  
Complete Resection ◽  
Recurrence Rates ◽  
Papillary Stenosis ◽  
Significant Difference ◽  
Ampullary Tumors ◽  
Regression Tests

Background and objectives: This study aimed to elucidate the clinical outcomes of endoscopic resection (ER) through comparison with surgical resection (SR) through a meta-analysis. Materials and Methods: This meta-analysis was performed using 32 studies. The complete resection and recurrence rates of treatment for ampullary tumors were investigated and compared between ER and SR. In addition, complications, including pancreatitis, cholangitis, cholecystitis, perforation, and papillary stenosis, and mortality of ER and SR, respectively, were estimated. Results: The rates of complete resection were 0.812 (95% confidence interval, CI, 0.758–0.856) and 0.929 (95% CI 0.739–0.984) in ER and SR, respectively. Recurrence rates were 0.145 (95% CI 0.107–0.193) and 0.126 (95% CI 0.057–0.257) in ER and SR, respectively. There were no significant differences in complete resection and recurrence rates between ER and SR in the meta-regression tests (p = 0.164 and p = 0.844, respectively). The estimated rates of pancreatitis, cholangitis/cholecystitis, perforation, and papillary stenosis were 12.8%, 4.4%, 5.2%, and 4.3% in ER and 9.9%, 5.6%, 2.3%, and 5.6% in SR, respectively. There was no significant difference in complications between ER and SR. The mortality rate of SR was slightly higher than that of ER (0.041, 95% CI 0.015–0.107 vs. 0.031, 95% CI 0.005–0.162). Our results show that ER had no significant differences in terms of complete resection and recurrence rates compared to SR, regardless of tumor behaviors. Conclusions: By comparing the complication and mortality rates between ER and SR, the safety of ER was proven.

scholarly journals Clinical Outcomes of Endoscopic Submucosal Dissection for Early Esophageal Squamous Cell Neoplasms: A Retrospective Single-Center Study in China

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Yanfang Chen ◽  
Ye Zhao ◽  
Xiaojing Zhao ◽  
Ruihua Shi
Keyword(s):  
Clinical Outcomes ◽  
Squamous Cell ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Complete Resection ◽  
Resection Rate ◽  
En Bloc ◽  
End Points ◽  
Squamous Cell Neoplasms

Aims. To retrospectively analyze the clinical outcomes for a large number of endoscopic submucosal dissections (ESDs) in early esophageal squamous cell neoplasms (ESCNs) at the First Affiliated Hospital of Nanjing Medical University.Patients and Methods. From January 2010 to February 2014, 296 patients (mean age 61.4 years, range 31–85 years; 202 men) with 307 early ESCNs (79 intramucosal invasive esophageal squamous cell carcinomas (ESCCs) and 228 high-grade intraepithelial neoplasia (HGIN) cases) were included from a total of 519 consecutive patients who were treated by esophageal ESD at our hospital. The primary end points of the study were rates of en bloc resection and complete resection. Secondary end points were complications, residual and recurrence rates, and mortality during follow-up.Results. The en bloc resection rate and complete resection rate were 93.5% and 78.2%, respectively. Complications included strictures (8.4%), perforations (1.0%), and bleedings (0.7%). Twenty-seven (9.1%) patients experienced residual and 18 (6.1%) patients experienced recurrence during a mean follow-up period of 30 months. Thirteen patients died from causes unrelated to ESCC, and no cancer-related death was observed.Conclusions. Our study showed that ESD is a successful and relatively safe treatment for intramucosal invasive ESCC and HGIN, fulfilling the criteria of lymph node negative tumors. This should encourage clinicians to select ESD performed by experienced operators as a potential or even preferred treatment option for lesions amenable to endoscopic treatment.

Sign in / Sign up

Export Citation Format

Share Document