Postoperative results and the effects of extended partial laryngectomy on the quality of life

ABSTRACT Objective: To evaluate whether the presence of osteolysis around the pedicle screws affects the quality of life of patients who underwent posterolateral arthrodesis of the lumbosacral spine. Methods: A retrospective study of patients undergoing lumbar posterolateral or lumbosacral arthrodesis due to spinal degenerative disease. CT scans of the operated segments were performed at intervals of 45, 90, 180, and 360 postoperatively. In these tests, the presence of a peri-implant radiolucent halo was investigated, which was considered present when greater than 1mm in the coronal section. Concurrently with the completion of CT scans, the participants completed the questionnaire Oswestry Disability Index (ODI) to assess the degree of disability of the patients. Results: A total of 38 patients were evaluated, and 14 (36.84%) of them showed some degree of osteolysis around at least one pedicle screw at the end of follow-up. Of the 242 analyzed screws, 27 (11.15%) had osteolysis in the CT coronal section, with the majority of these occurrences located at the most distal level segment of the arthrodesis. There was no correlation between the presence of the osteolysis to the quality of life of patients. The quality of life has significantly improved when comparing the preoperative results with the postoperative results at different times of application of ODI. This improvement in ODI maintains linearity over time. Conclusion: There is no correlation between the presence of peri-implant osteolysis to the quality of life of patients undergoing lumbar or posterolateral lumbosacral arthrodesis in the follow-up period up to 360 days. The quality of life in postoperative has significantly improvement when compared to the preoperative period.

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Successful laparoscopic management of accessory cavitated uterine mass: a rare case

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20210761 ◽

2021 ◽

Vol 10 (3) ◽

pp. 1198

Author(s):

Dinesh D. Pratapwar ◽

Sarika Pramod Zunjare ◽

Fasiha Tasneem

Keyword(s):

Quality Of Life ◽

Congenital Anomaly ◽

Rare Case ◽

Postoperative Results ◽

Duration Of Symptoms ◽

Laparoscopic Management ◽

Laparoscopic Excision ◽

High Degree

Accessory cavitated uterine mass (ACUM) is a rare and unique congenital anomaly. The dysmenorrhea presented by these patients is almost never resolved by any medications but only by surgical line of management. Herein, we are discussing a case of ACUM who had medically refractory dysmenorrhea and treated by laparoscopic excision and repair. ACUM is the newly identified popping up cause of dysmenorrhoea requiring surgical line of management only. Fewer than 40 cases, worldwide, have been reported in the literature with the youngest case being a 13-year-old girl. Laparoscopic excision has shown good postoperative results. Dysmenorrhea is a significant cause of reduced quality of life. High degree of suspicion, early investigations and identification of such cases help in appropriate management and reduce the duration of symptoms and thus the seamy side of life can be made better.

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Quality of life after anterior vertical partial laryngectomy

Otorhinolaryngology ◽

10.23736/s2724-6302.21.02344-4 ◽

2021 ◽

Vol 71 (2) ◽

Author(s):

Giuseppe RIVA ◽

Isabella POLLICINA ◽

Beatrice DELLA GATTA ◽

Flavio PEROTTINO ◽

Giancarlo PECORARI

Keyword(s):

Quality Of Life ◽

Partial Laryngectomy

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Vox-Implants Injection after Partial Laryngectomy

Otolaryngology ◽

10.1016/j.otohns.2008.05.167 ◽

2008 ◽

Vol 139 (2_suppl) ◽

pp. P52-P52

Author(s):

Angelo Ghidini ◽

Giuseppe Bergamini ◽

Matteo Alicandri-Ciufelli ◽

Gabriele Molteni ◽

Francesco Mattioli ◽

...

Keyword(s):

Quality Of Life ◽

Acoustic Analysis ◽

Life Assessment ◽

Partial Laryngectomy ◽

Dysphagia Score ◽

Average Improvement ◽

Swallowing Rehabilitation ◽

Eortc Qlq ◽

Penetration Aspiration Scale

Objective To illustrate a surgical technique for swallowing rehabilitation of patients after partial laryngectomy and to evaluate quality of life after treatment. Methods A longitudinal prospective study. 11 patients with persistent swallowing impairment after partial laryngectomy were included in the study. Swallowing disorders were diagnosed with videofluoroscopy and FEES (fiberoptic endoscopic evaluation of swallowing), and were quantified by 2 scales (a dysphagia score and a modified Penetration-Aspiration scale). A self-evaluation questionnaire about quality of life after polydimethylsiloxane (PDMS) injection was submitted to each patient (EORTC-QLQ 30). After identification of site of inhalation of bolus, PDMS was injected into the neoglottis to fill the neoglottic gap in order to obtain a better continence of the neolarynx. Aerodynamics and acoustic analysis were assessed before and after treatment. Results Average follow-up was 25 months (range 5–39). All patients showed an improvement both in the dysphagia score and in the modified Penetration-Aspiration scale. Average improvement was 2.6 points in the dysphagia score (p=0.0042) and 2.1 in the modified Penetration-Aspiration scale (p=0.0043). MPT showed an average improvement of 5 sec (p=0,037). The quality of life assessment showed a subjective improvement in each patient. Conclusions PDMS injection can be a useful technique in surgical rehabilitation of swallowing in patients who underwent partial laryngectomy. FEES is a very important tool in identifying anatomical alterations that can cause incorrect passage of bolus in the airways during deglutition. Filling these regions with PDMS can avoid passage of food into the airways, thus improving deglutition and voice and by consequence, patients’ quality of life.

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