Neoglottis Reconstruction Following Total Laryngectomy: The Emory Experience

A number of studies over the last decade have reported on a viability of the primary neoglottis reconstruction after total laryngectomy. Early results have been encouraging, although operative and perioperative complications are higher than with a classic laryngectomy. This article reports on a series of 13 neoglottis reconstructions performed at Emory University Medical School using the techniques developed by Mario Staffiert, MD. During the course of the study, the overall success rate has fallen from 80% at three years to 54% at five years. With each succeeding year there has been an increasing need for revision surgery. The series emphasizes the need for long-term follow-up in any vocal rehabilitation procedure.

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Long-Term Follow-up of Tracheoesophageal Puncture Results

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348949610500701 ◽

1996 ◽

Vol 105 (7) ◽

pp. 501-503 ◽

Cited By ~ 21

Author(s):

James A. Geraghty ◽

Bonnie E. Smith ◽

Barry L. Wenig ◽

Louis G. Portugal

Keyword(s):

Low Socioeconomic Status ◽

Total Laryngectomy ◽

Success Rates ◽

Vocal Rehabilitation ◽

Speech Rehabilitation ◽

Long Term Follow Up ◽

Tracheoesophageal Speech ◽

Tracheoesophageal Puncture

Since its introduction by Blom and Singer in 1980, tracheoesophageal puncture with a voice prosthesis has become the most frequently recommended choice for speech rehabilitation of total laryngectomees. Many studies have reviewed the initial speech acquisition success rates following tracheoesophageal puncture; however, long-term follow-up in these initial successes has been lacking. In addition, factors predictive of long-term success with tracheoesophageal speech have not been defined. Over a 10-yearperiod, we retrospectively reviewed all total laryngectomy patients, including those who have undergone primary or secondary tracheoesophageal puncture, at the University of Illinois Hospital and Clinics and the Westside Veterans Administration Hospitals. Survival in the total laryngectomy cohort of 202 patients ranged from 35% to 50%. Forty of these patients underwent tracheoesophageal puncture, in whom survival was 75%. Short-term success with tracheoesophageal speech was approximately 70% for our patients, while long-term success was achieved in 66%. Despite low socioeconomic status and relatively high alcoholism rates, successful maintenance of tracheoesophageal speech was achieved in the majority of cases. Tracheoesophageal speech should therefore be considered as a primary method of vocal rehabilitation in all patients undergoing total laryngectomy.

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Long-Term Follow-Up After Maxillary Sinus Balloon Sinuplasty and ESS

Ear Nose & Throat Journal ◽

10.1177/0145561320986030 ◽

2021 ◽

pp. 014556132098603

Author(s):

Anni Koskinen ◽

Marie Lundberg ◽

Markus Lilja ◽

Jyri Myller ◽

Matti Penttilä ◽

...

Keyword(s):

Maxillary Sinus ◽

Revision Surgery ◽

University Hospital ◽

Sinus Surgery ◽

Control Group ◽

University Hospitals ◽

Balloon Sinuplasty ◽

Long Term Follow Up

Objectives: The aim of this controlled follow-up study was to compare the need for revision surgery, long-term efficacy, and satisfaction in chronic rhinosinusitis patients who had undergone maxillary sinus operation with either balloon sinuplasty or traditional endoscopic sinus surgery (ESS) technique. Methods: Thirty-nine ESS patients and 36 balloon patients of our previously described cohort, who had been primarily operated in 2008 to 2010, were contacted by phone. Symptoms, satisfaction, and need for revision surgery were asked. In addition, we collected data of patients who had undergone primary maxillary sinus balloon sinuplasty in the Helsinki University Hospital during the years 2005 to 2019. As a control group, we collected data of patients who had undergone primary maxillary sinus ESS at 3 Finnish University Hospitals, and 1 Central Hospital in years 2005, 2008, and 2011. Results: Altogether, 77 balloon patients and 82 ESS patients were included. The mean follow-up time was 5.3 years in balloon group and 9.8 years in ESS group. Revision surgery was performed on 17 balloon patients and 6 ESS patients. In the survival analysis, the balloon sinuplasty associated significantly with a higher risk of revision surgery compared to ESS. According to the phone interviews, 82% of ESS patients and 75% of balloon patients were very satisfied with the primary operation. Conclusion: Although the patient groups expressed equal satisfaction and change in symptoms after the operations, the need for revision surgery was higher after balloon sinuplasty than after ESS. This should be emphasized when counselling patients regarding surgical options.

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Tubularized proximally-incised plate in distal/midshaft hypospadias repair

La Pediatria Medica e Chirurgica ◽

10.4081/pmc.2017.151 ◽

2017 ◽

Vol 39 (2) ◽

Author(s):

Antonio Marte ◽

Lucia Pintozzi

Keyword(s):

Perioperative Complications ◽

Foley Catheter ◽

Case Series ◽

Functional Results ◽

Inclusion Criteria ◽

Urethral Plate ◽

Age At Surgery ◽

Long Term Follow Up

The aim of this study was to verify the validity, feasibility, and the functional results, by uroflowmetry, of Tubularized proximallyincised plate technique in selected case of distal/midshaft hypospadias. Out of 120 patients scheduled to undergo TIP (or Snodgrass) procedure, 23 were selected between January 2013 and January 2016 (19.1%). This case series comprised 16 patients with distal and 7 with midshaft hypospadias. Mean age at surgery was 2.9 years. The inclusion criteria were a deep and wide glandular groove and a proximal narrow urethral plate. The procedure was carried out as described by Snodgrass but the incision of the urethral plate, including the mucosal and submucosal tissue, was made only proximally, between the original meatus and the glandular groove in no case extending to the entire length of the plate. Postoperatively a foley catheter was left in place from 4 to 7 days. Uroflowmetry was performed when the patients age ranged from 2.5 to 5.7 years (mean age 3.11 years and mean follow-up 1.8 years, body surface 2). No patient presented fistulas nor perioperative complications. At uroflowmetry, eighteen patients presented values above the 25<sup>th</sup> percentile and 5 showed a borderline flow. All patients in this group remained stable without urinary symptoms. In selected cases, the tubularized proximally-incised plate yields satisfactory cosmetic and functional results for the treatment of midshaft proximal hypospadias. A long-term follow-up study is needed for further evaluation. Patient selection is crucial for the success of this technique.

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RETROSPECTIVE EVALUATION OF SUCCESS OF IMPLANT SUPPORTED PROSTHESIS: EARLY RESULTS

International Journal of Research -GRANTHAALAYAH ◽

10.29121/granthaalayah.v7.i12.2019.311 ◽

2020 ◽

Vol 7 (12) ◽

pp. 189-198

Author(s):

Zeynep Başağaoğlu Demirekin ◽

Yavuz Findik ◽

S. Süha Turkaslan ◽

Timuçin Baykul ◽

Merve Erken

Keyword(s):

Treatment Options ◽

Clinical Results ◽

Long Term Results ◽

Retrospective Evaluation ◽

Early Results ◽

Single Crown ◽

Long Term Follow Up ◽

Implant Therapy

Introduction: The interpretation of clinical results of dental implant supported prosthesis treatment is very crucial to be able to make a comparison between different implant systems and treatment options and furthermore to benefit the experiences of the other clinicians. However, the clinical outcomes of these studies should be reported in an objective way and be independent from the system used and also be prepared in accordance with certain criteria and standards that have been accepted scientifically world-wide for being reliable and describing long-term results. Aim: Three-hundred and eighty-two consecutive NTA implants were performed on ninety-nine patients. The implants used in 2016 and the constructed restorations were retrospectively analyzed. In addition, the effect of the experience of clinician was evaluated related with the success of the implant therapy. Materials and Method: This retrospective study was conducted in the Department of Prosthodontics Süleyman Demirel University. Three-hundred and eighty-two consecutive NTA implants were performed on ninety-nine patients. The implants used in 2016 and the constructed restorations were retrospectively analyzed. Results: The implants were followed for at least 2 years. In total, 239 implants were inserted. It was found in 143 mandibles. Prosthetic restorations were determined to be partial prosthetics (219), single crown (81) and overdenture prosthetics (64). During the evaluation period, 6 implants failed before prosthetic treatment, ten decementations, six retentive screw loosening and five porcelain chipping were detected. Discussion and Conclusions: The early results of our study are consistent with the results of other studies. However, long-term follow-up is required for more accurate assessments.

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Completely Intracorporeal Robotic-Assisted Laparoscopic Ileovesicostomy

Case Reports in Urology ◽

10.1155/2014/823813 ◽

2014 ◽

Vol 2014 ◽

pp. 1-3

Author(s):

MaryEllen T. Dolat ◽

Greg Wade ◽

B. Mayer Grob ◽

Lance J. Hampton ◽

Adam P. Klausner

Keyword(s):

Perioperative Complications ◽

Da Vinci Surgical System ◽

Robotic Assisted ◽

Estimated Blood Loss ◽

Long Term Follow Up ◽

Spastic Paresis ◽

Vinci Surgical System ◽

Surgical System

We present a report of a completely intracorporeal robotic-assisted laparoscopic ileovesicostomy with long term follow-up. The patient was a 55-year-old man with paraplegia secondary to tropical spastic paresis resulting neurogenic bladder dysfunction. The procedure was performed using a da Vinci Surgical system (Intuitive Surgical, Sunnyvale, CA) and took 330 minutes with an estimated blood loss of 100 mL. The patient recovered without perioperative complications. He continues to have low pressure drainage without urethral incontinence over two years postoperatively.

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Breast sensation following reduction mammaplasty

Canadian Journal of Plastic Surgery ◽

10.1177/229255039400200102 ◽

1994 ◽

Vol 2 (1) ◽

pp. 28-31

Author(s):

Joel S Fish ◽

James R Bain ◽

Ronald Levine

Keyword(s):

Surgical Technique ◽

Reduction Mammaplasty ◽

Threshold Values ◽

Early Results ◽

Long Term Follow Up ◽

Breast Sensation

This study has quantitatively measured breast sensation following reduction mammaplasty using a vertical bipedicle technique. Breast sensation was quantitatively assessed by determining pressure and vibratory threshold values preoperatively in 20 subjects, and postoperatively in 15 patients. The nipple, areola and breast body were all independently assessed. Early results, less than one month postoperatively, revealed significant reductions in vibratory and pressure thresholds in the nipple and areola. Long term follow-up revealed that breast sensation returned to normal using this surgical technique.

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Long-term follow-up results of selective VIM-thalamotomy

Journal of Neurosurgery ◽

10.3171/jns.1986.65.3.0296 ◽

1986 ◽

Vol 65 (3) ◽

pp. 296-302 ◽

Cited By ~ 126

Author(s):

Yoshishige Nagaseki ◽

Tohru Shibazaki ◽

Tatsuo Hirai ◽

Yasuhiro Kawashima ◽

Masafumi Hirato ◽

...

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Essential Tremor ◽

The Other ◽

Content Type ◽

Early Results ◽

Initial Surgery ◽

Long Term Follow Up

✓ The authors report the results of a long-term follow-up study of the effects of the physiologically defined selective VIM (nucleus ventralis intermedius)-thalamotomy on tremor of Parkinson's disease in 27 patients and essential tremor in 16 patients. The follow-up period ranged from 3.25 to 10 years (mean 6.58 years). In 43 patients a total of 50 operations (including four bilateral operations and three reoperations) were carried out. The early (2 to 4 weeks after surgery) and late effects on the tremors were determined clinically and electromyographically. Fourteen parkinsonian cases were treated with minimal lesions (about 40 cu mm). Their late results were very similar to the early results: in 10, the tremors were completely abolished, three had a slight residual tremor, and one underwent reoperation 3 months after the first surgery. Eleven essential tremor cases were treated with minimal lesions. Six of these tremors were completely abolished, four patients had slight residual tremors, and one patient with a recurrence underwent reoperation 2 years after the initial surgery. In these 23 successful operations with minimal lesions (excluding two cases with reoperation), the tremor was abolished without discernible long-lasting side effects. The other 23 operations on 16 patients with Parkinson's disease (including one reoperation) and on seven with essential tremor (one of whom also had a minimal lesion on the other side) involved relatively large lesions. In this group, the surgery was successful in almost every case. It was concluded that radiographically and physiologically monitored selective VIM-thalamotomy for parkinsonian and essential tremor is effective even when lesioning is minimal. Moreover, the beneficial effect is maintained over a long period of time.

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Modified neoglottis reconstruction following total laryngectomy: Long-term follow-up and results

The Laryngoscope ◽

10.1288/00005537-199507000-00008 ◽

1995 ◽

Vol 105 (7) ◽

pp. 714-716 ◽

Cited By ~ 3

Author(s):

James H. Brandenburg ◽

Namrata Patil ◽

Edie W. Swift

Keyword(s):

Total Laryngectomy ◽

Long Term Follow Up

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Early Results of a Modified Brunelli Procedure for Scapholunate Instability

Journal of Hand Surgery (European Volume) ◽

10.1016/s0266-7681(98)80191-5 ◽

1998 ◽

Vol 23 (2) ◽

pp. 258-261 ◽

Cited By ~ 119

Author(s):

K. L. S. VAN DEN ABBEELE ◽

Y. C. LOH ◽

J. K. STANLEY ◽

I. A. TRAIL

Keyword(s):

Subjective Improvement ◽

Short Term ◽

Ulnar Deviation ◽

Radiological Appearance ◽

Scapholunate Instability ◽

Follow Up Study ◽

Early Results ◽

Long Term Follow Up

Twenty-two patients with a diagnosis of scapholunate instability underwent a modified Brunelli procedure. The overall results of this short follow-up study showed that a majority of patients (17 out of 22) had relief of pain. Grip strength recovered well. Postoperative range of motion was reduced in extension and flexion, remained unchanged for radial deviation and improved for ulnar deviation. The radiological appearance of dynamic or static scapholunate instability did not change after the procedure. Most patients (17 out of 22) felt subjective improvement and would have the operation again. A significantly poorer result was seen in those patients with an unresolved medicolegal claim. Although short-term results are encouraging for some patients, the authors feel that more long-term follow-up is needed before recommending the procedure.

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