Clinical outcome of T1 glottic carcinoma since the introduction of endoscopic CO2laser surgery as treatment option

Head & Neck ◽  
2008 ◽  
Vol 30 (9) ◽  
pp. 1167-1174 ◽  
Author(s):  
Elisabeth V. Sjögren ◽  
Ton P. M. Langeveld ◽  
Robert J. Baatenburg de Jong
Keyword(s):  
Clinical Outcome ◽  
Treatment Option ◽  
Glottic Carcinoma

Survivorship Rate and Clinical Outcomes 10 Years After Arthroscopic Correction of Symptomatic Femoroacetabular Impingement

2021 ◽  
pp. 036354652110554
Author(s):  
Patrick Carton ◽  
David Filan ◽  
Karen Mullins
Keyword(s):  
Clinical Outcome ◽  
Treatment Option ◽  
Femoroacetabular Impingement ◽  
Activity Level ◽  
Harris Hip Score ◽  
High Satisfaction ◽  
Sf 36 ◽  
Patient Reported ◽  
Chi Square Analysis ◽  
Survivorship Rate

Background: Femoroacetabular impingement (FAI) is a common mechanical hip condition, prevalent in both the athletic and the general population. Surgical intervention is an effective treatment option that improves both symptoms and function in short- to medium-term follow-up. Few studies within the literature have reported the longer-term success of arthroscopic surgery. Purpose: The aim of this study was to quantify the 10-year survivorship and clinical outcome for patients treated arthroscopically for symptomatic FAI. Study Design: Case series; Level of evidence, 4. Methods: Patients from our hip registry (n = 119) completed patient-reported outcome measures (PROMs) including the modified Harris Hip Score (mHHS), University of California Los Angeles (UCLA) activity scale, 36-Item Short Form Health Survey (SF-36), and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) at a minimum of 10 years after arthroscopy (range, 10-12 years). Results were compared with baseline scores using the Wilcoxon signed rank test. The associations among several prognostic factors, which included age, sex, Tönnis grade, and labral treatment, and subsequent conversion to total hip replacement (THR) or repeat hip arthroscopy (RHA) were analyzed using the chi-square analysis. Relationships between range of motion and radiological findings with clinical outcome were also examined using Pearson correlation analysis. Minimal clinically important difference (MCID) was calculated using a distribution method (0.5 standard deviation of the change score), and substantial clinical benefit (SCB) was determined using an anchor method. Finally, receiver operating characteristic curves with subsequent Youden index were used to determine cutoffs for PROMs, which equated to a Patient Acceptable Symptom State (PASS). Results: A total of 8.4% of cases required conversion to THR, and 5.9% required RHA. Statistically significant improvements in mHHS, SF-36, and WOMAC scores, with high satisfaction (90%), were observed 10 years after surgery. No significant change was seen in activity level (UCLA score) despite patients being 10 years older. A high percentage of patients achieved MCID for mHHS (88%), SF-36 (84%), and WOMAC (60%). The majority of patients also achieved PASS (62% for mHHS, 85% for UCLA, 78% for SF-36, and 84% for WOMAC) and SCB (74% for mHHS, 58% for UCLA, 52% for SF-36, and 56% for WOMAC). Conclusion: Arthroscopic intervention is a safe and viable treatment option for patients with symptomatic FAI, and patients can expect long-term improvements and high satisfaction. Results indicated a high satisfaction (90%) and survivorship rate (91.6%), with excellent clinical outcome, 10 years after the initial procedure.

Endoscopic Management of Selected Early Vocal Cord Carcinoma

1985 ◽  
Vol 94 (6) ◽  
pp. 560-564 ◽  
Author(s):  
Robert H. Ossoff ◽  
George A. Sisson ◽  
Stanley M. Shapshay
Keyword(s):  
Carbon Dioxide ◽  
Vocal Cord ◽  
Treatment Option ◽  
Carbon Dioxide Laser ◽  
Excisional Biopsy ◽  
Squamous Cell Carcinomas ◽  
Endoscopic Management ◽  
Partial Laryngectomy ◽  
Glottic Carcinoma ◽  
Early Glottic Carcinoma

Twenty-five previously untreated patients with selected early midcordal squamous cell carcinomas have been treated by endoscopic excisional biopsy with the carbon dioxide laser and followed for a minimum of 3 years. Twenty-four of the 25 patients are alive and free of disease, and one patient died of local and regional recurrence 2 years after attempted endoscopic excision followed by partial laryngectomy. Indications, contraindications, advantages, and complications associated with this treatment option for patients with early glottic carcinoma are discussed.

scholarly journals Early Functional Treatment and Modern Cast Making for Indications in Hand Surgery

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
S. Bohr ◽  
N. Pallua
Keyword(s):  
Clinical Outcome ◽  
Patient Compliance ◽  
Treatment Option ◽  
Hand Surgery ◽  
Hand Injuries ◽  
Nonsurgical Treatment ◽  
Joint Movement ◽  
Conflicting Objectives ◽  
Early Functional Treatment ◽  
Contracture Formation

Cast treatment can serve both as a nonsurgical treatment option and as a means for providing postoperative protection. However, with the duration of immobilization intervals, the benefits of cast treatment, especially in hand surgery, are at risk of being outweighed by undesired drawbacks such as joint stiffening and contracture formation. In order to minimize potential complications commonly associated with cast treatment, efforts to further improve cast making must attempt to reconcile two conflicting objectives: (1) to achieve stability and rigidity at the site of injury (e.g., fracture retention) and (2) to allow free range of joint movement as early as possible. In addition, in order to assure patient compliance, modern cast treatments should aim to improve wearing-comfort of the cast. This paper describes modern cast designs for four common types hand injuries, with sample cases highlighting the clinical outcome of each treatment.

scholarly journals Combined posteromedial or posterolateral PCL injuries: Anatomic repair and ligament bracing as a new treatment option - first results of a multicentre study

2020 ◽  
Vol 8 (5_suppl4) ◽  
pp. 2325967120S0030
Author(s):  
Tobias J. Gensior ◽  
Richard Glaab ◽  
Pierre Hepp ◽  
Johannes Zellner ◽  
Bastian Mester ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Multicentre Study ◽  
Treatment Option ◽  
Lysholm Score ◽  
Anatomic Repair ◽  
One Stage ◽  
Ligament Bracing ◽  
Ikdc Score ◽  
Tegner Score

Aims and Objectives: Acute, isolated PCL injuries can succesfully be managed non-operatively whereas combined PCL injuries usually require surgical management. Currently, there is a lack of evidence regarding the standard of treatment (repair vs. reconstruction, one-stage vs. two-stages procedures). Suture augmented repair leads to good and excellent results in cases of acute knee dislocations. This technique has not been investigated clinically in combined PCL injuries, yet. The aim of this multicentre study was to evaluate the clinical outcome after surgical repair with additional suture augmentation (ligament bracing) of all torn ligaments in acute combined pcl injuries (posteromedial or posterolateral). Materials and Methods: From 2016 to 2018, 25 patients with an acute combined PCL injury were treated with one stage anatomical repair and ligament bracing of the torn ligaments within 14 days at 6 trauma centres (5xGER, 1x SUI). Inclusion criteria: Follow-up min. 6 months, age > 18y. Exclusion criteria: ACL Injury, posteromedial AND posterolateral injury. During the follow-up evaluation, various scores were collected (International Knee Documentation Committee IKDC Score, Tegner Score , KOOS and Lysholm Score). Additional stress radiography was performed (TelosTM) postoperatively. Results: For now 14 combined PCL injuries (posteromedial or -lateral) with a follow-up of 20 months (range 8-33) were evaluated. 10 patients had a posteromedial (PCL + MCL/POL), 4 patients had a posterolateral (PCL + LCL) injury. 10 additional articular lesions were detected (6 meniscus tears, 4 grade IV chondral lesions) and 1 transitional peroneal nerve injury. The average IKDC score was 62.2±18.5, the average Lysholm score was 78±19.2, average KOOS 88.7±7.6. Median loss of activity in the Tegner score was 1 (range 0-5) point. Side-to-side pcl-stress-radiographs showed a difference at a mean of 4.8±3.0mm (range 1-10). 2 cases with symptomatic knee instability, both posterolateral, and 3 patients with knee stiffness needed reoperation. Interestingly, patients with posteromedial injuries showed predominantly good or excellent results according to Lysholm score and were graded as A (4/10) or B (2/10) whereas ligament bracing in posterolateral combined injuries had a high failure rate (Grade D 2/4). Conclusion: Primary anatomic repair and additional suture augmentation predominantly leads to good and excellent clinical results in cases of combined posteromedial PCL injuries. Patients with posterolateral injuries showed inferior clinical outcome and relatively high instability rates following ligament bracing. In conclusion, primary augmented suture repair seems to be a promising treatment option. The overall results of this study have to be evaluated for more exact recommendations.

Clinical outcome of early glottic carcinoma in Serbia

2013 ◽  
Vol 40 (4) ◽  
pp. 394-399 ◽  
Author(s):  
Jovica Milovanovic ◽  
Vojko Djukic ◽  
Aleksandar Milovanovic ◽  
Ana Jotic ◽  
Bojan Banko ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Glottic Carcinoma ◽  
Early Glottic Carcinoma

Clinical outcome and long-term survival following radical esophagectomy in the elderly

2001 ◽  
Vol 120 (5) ◽  
pp. A747-A748
Author(s):  
S DRESNER ◽  
A IMMMANUEL ◽  
P LAMB ◽  
S GRIFFIN
Keyword(s):  
Clinical Outcome ◽  
The Elderly ◽  
Radical Esophagectomy ◽  
Term Survival ◽  
Long Term Survival

101: Clinical Outcome of Acute Prostatitis, a Multicenter Study

2005 ◽  
Vol 173 (4S) ◽  
pp. 28-28 ◽  
Author(s):  
In Rae Cho ◽  
K.S. Lee ◽  
J.S. Jeon ◽  
S.S. Park ◽  
L.C. Sung ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Multicenter Study ◽  
Acute Prostatitis

51: Analysis of Repeat Nephron-Sparing Surgery as a Treatment Option in Patients with a Solid Mass in a Renal Remnant

2005 ◽  
Vol 173 (4S) ◽  
pp. 14-15
Author(s):  
Igor Frank ◽  
Bradley C. Leibovich ◽  
Christine M. Lohse ◽  
Horst Zincke ◽  
Michael L. Blute
Keyword(s):  
Treatment Option ◽  
Nephron Sparing Surgery ◽  
Solid Mass ◽  
Nephron Sparing
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