Oncologic and functional results after transhyoid surgical approach for cancer of the base of tongue

Head & Neck ◽  
2010 ◽  
Vol 33 (8) ◽  
pp. 1079-1084 ◽  
Author(s):  
Juan P. Rodrigo ◽  
Juan Pablo Díaz-Molina ◽  
Carla Moreno ◽  
Carlos Suárez
Keyword(s):  
Surgical Approach ◽  
Functional Results ◽  
Base Of Tongue

SURGICAL APPROACH FOR KNEE JOINT ARTHROPLASTY IN CHILDREN WITH CANCER: THE INTRODUCTION OF A LATERAL APPROACH FOR SEGMENTAL RESECTION OF THE PROXIMAL TIBIA

2021 ◽  
Vol 100 (3) ◽  
pp. 227-233
Author(s):  
N.A. Bolshakov ◽  
◽  
A.Yu. Artemov ◽  
A.S. Slinin ◽  
E.O. Bezdolnova ◽  
...  
Keyword(s):  
Knee Joint ◽  
Surgical Approach ◽  
Ewing’S Sarcoma ◽  
Rating Scale ◽  
Ewing's Sarcoma ◽  
Functional Results ◽  
Lateral Approach ◽  
Joint Arthroplasty ◽  
Lateral Side ◽  
Significant Difference

The aim of the study was to analyze our own experience of using the lateral approach in knee joint arthroplasty in children with oncopathology. Materials and methods of research: the results of a retrospective nonrandomized uncontrolled single-center study are analyzed, within the framework of which 97 endoprosthetics of the knee joint were performed in children and adolescents with oncological pathology over 7 years (2012–2018). Lateral approach was used in 28 patients. The functional results were assessed using the MSTS rating scale 6 and 12 months after the surgery. Postoperative complications were analyzed according to the Henderson classification (modified by the ISOLS committee). Results: when comparing the functional outcome depending on the surgical approach, no statistically significant difference was found either after 6 months (p=0,124) or after 12 months (p=0,755). There is no more frequent development of complications detected (p=0,551). The access used also did not affect overall survival in osteosarcoma (p=0,577), in Ewing's sarcoma (p=0,493), as well as on event-free survival in osteosarcoma (p=0,829) and in Ewing's sarcoma (p=0,886). Conclusion: the use of the lateral surgical approach for knee arthroplasty in children with oncopathology does not affect the treatment results, however, it provides the surgeon with greater variability of actions during preoperative planning. This is especially true for patients whose biopsy tract is located on the lateral side.

scholarly journals RESULTADOS CLINICOS Y RADIOLOGICOS POSTERIORES AL TRATAMIENTO QUIRURGICO DE FRACTURA DE MESETA TIBIAL EN PACIENTES MILITARES EN ACTIVO DEL CENTRO MEDICO NAVAL DE MEXICO

2021 ◽  
Vol 9 (11) ◽  
pp. 1089-1094
Author(s):  
Camargo-Garcia R. ◽  
◽  
Diaz-De Jesus B. ◽  
Keyword(s):  
Surgical Approach ◽  
Tibial Plateau ◽  
Tibial Plateau Fracture ◽  
Medical Center ◽  
Functional Results ◽  
Daily Activities ◽  
Joint Fractures ◽  
Plateau Fracture ◽  
Military Patients ◽  
The Military

Objective: To lay foundations in the population of theNavy Secretary from Mexico on the frequency, surgical approach, and recovery time of tibial plateau fractures, which would help in the future to develop more efficient protocols for the treatment of these patients and achieve their faster recovery, incorporating into their daily activities of high impact without complications. Materials and methods: We evaluated the functional and radiographic recovery of 20 active military patients with tibial plateau fracture undergoing surgical treatment at the Naval Medical Center of Mexico (CEMENAV) during the period from 2018 to 2021. Results: Of the patients evaluated in this study, it was found that 70% were men, in addition, it was observed that the most frequent tibial plateau fracture was type III, based on the Schatzker scale. Highlighting that the surgical approach most frequently was the previous one >80% of patients. In addition, 45% of patients showed excellent functional recovery, but 15% were poor. However, 90% of the patients had a very good radiographic recovery. Conclusion: The management of proximal tibial joint fractures that occur in the military, which are treated surgically at the Naval Medical Center of Mexico, show favorable functional results accompanied by an adequate radiological evaluation.

scholarly journals Unstable Fractures Osteosynthesis of Malleoli and Posterior Edge of the Tibia Using Posterolateral Surgical Approach

2021 ◽  
Vol 27 (3) ◽  
pp. 29-42
Author(s):  
Igor’ G. Belen’kii ◽  
Boris A. Maiorov ◽  
Aleksandr Yu. Kochish ◽  
Gennadii D. Sergeev ◽  
Viktor E. Savello ◽  
...  
Keyword(s):  
Ankle Joint ◽  
Surgical Approach ◽  
Early Mobilization ◽  
Functional Results ◽  
Medial Malleolus ◽  
Posterior Edge ◽  
Short Term ◽  
Results Of Treatment ◽  
Mid Term Results ◽  
Unstable Fractures

The malleoli fractures in combination with the fractures of posterior edge of the tibia are considered unstable injuries and present particular difficulties in surgical treatment. The aim of the study was to evaluate short-term and mid-term results of osteosynthesis on account of unstable fractures of malleoli and posterior edge of the tibia using posterolateral surgical approach. Materials and Methods. The analysis of short-term and mid-term results of the treatment of 29 patients with malleoli fractures types 44-B3 and 44-C1.3, C2.3 and C3.3 (according to the AO classification) with the involvement of the Volkman`s posterior tibia fragment was performed in traumatology departments of three hospitals during the period from January 2019 to September 2020. In all 29 cases the fracture of the posterior edge of the tibia was classified as type 1 according to the classification of N. Haraguchi et al. All patients underwent osteosynthesis of the posterior edge of the tibia and the lateral malleolus via posterolateral surgical approach. Combined fracture of the medial malleolus was fixed via classical medial approach. 5 patients (17.2%) with continued instability of the distal tibiofibular syndesmosis underwent fixation with positional screw. Functional results, as well as the range of motions in the ankle joint were evaluated with the use of AOFAS and Neer scales 3, 6 and 12 months after surgery. Results. Statistically significant improvement in functional outcomes over time was noted when evaluated on the AOFAS scale (p0.05) and on the Neer scale (p0.01). 12 months after the surgery these points were 83.213.4 and 87.816.8 respectively. Complications were noted in 5 patients (17.24%). Deep periimplant infection was registered just in one case, another patient had marginal necrosis of the operative wound. Three patients had clinically significant post-traumatic deforming arthritis of the ankle joint. Conclusion. Posterolateral surgical approach has advantages when performing osteosynthesis in patients of the studied profile and enables anatomical reduction and stable fixation of fragments of the Volkman`s posterior edge of the tibia, which provides the possibility of early mobilization of the ankle joint and has positive effect on the results of treatment.

Oncologic and functional results of surgical treatment for base of tongue carcinomas

2010 ◽  
Vol 61 (5) ◽  
pp. 351-357
Author(s):  
Juan Pablo Díaz Molina ◽  
Juan Pablo Rodrigo ◽  
José Luis Llorente ◽  
César Álvarez Marcos ◽  
Carla Moreno ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Functional Results ◽  
Base Of Tongue

scholarly journals Transmandibular and transcervical surgical approach in treatment of tongue base cancers - ten-year results

2014 ◽  
Vol 67 (suppl. 1) ◽  
pp. 12-19
Author(s):  
Rajko Jovic ◽  
Danijela Dragicevic ◽  
Karol Canji ◽  
Jugoslav Gasic ◽  
Masa Djozic
Keyword(s):  
Survival Rate ◽  
Tongue Cancer ◽  
Distant Metastases ◽  
Functional Results ◽  
Second Primary ◽  
Swallowing Function ◽  
Patients With Cancer ◽  
Base Of Tongue ◽  
Neck Metastases ◽  
Transmandibular Approach

Introduction. The aim of this study was to present oncological and functional results of surgical treatment of the base of tongue cancer by analyzing retrospectively 115 patients treated during a ten-year period. During this period, 150 patients with cancer of the base of tongue were diagnosed, which accounts for 5.6% of all diagnosed head and neck cancers and 24.1% of all oropharyngeal cancers. In 111 patients (96.5%), planocellular carcinoma with various degrees of differentiation was pathohistologically verified. Neck metastases were found in 88 (76.5%) patients. Advanced III and IV stages of disease were verified in 92.9% of patients (stage III in 23.4%, IV A in 59.1%, IV % B in 10.4%). Transmandibular approach was performed in 5.2% of patients, while 94.8% of patients were approached through pharynx The defects were covered by primary reconstruction; the pectoralis major myocutaneous flap was used in 4 patients . During immediate postoperative period, 17 (14.7%) patients developed complications: bleeding occurred in 7 patients (6%), fistula and wound infection developed in 5 (4.3%) and 11 (9.5%) patients, respectively. Postoperatively, 61 (53%) patients were treated by radiation therapy. Swallowing function was resumed in all patients except in three, who underwent gastrostomy due to the lesion of both hypoglossal nerves. Gasrostoma was closed after six months when swallowing was resumed. Local and regional recurrence developed in 13 (11.3%) and 24 (20.8%) patients, respectively, and distant metastases developed in 4 (3.5%) patients. Second primary cancer was diagnosed in 9 (7.8%) patients Disease-specific 3-year survival rate (according to the T category) was 73%, 60%, 45% and 21% in patients with T1, T2, T3 and T4, respectively. Diseasespecific 3-year survival rate (according to category N) was 68% in N0 and 32%) in N +. The overall 3-year survival rate was 42%.

scholarly journals LipStaT® Surgery, A Novel Technique for the Treatment of Gummy Smile: Case Report

2020 ◽  
Vol 10 (2) ◽  
pp. 137-146
Author(s):  
Isabella Manzur Villalobos ◽  
Eilien Gisek Tovío Martínez ◽  
Eliana Marcela Guzmán Menco ◽  
Adel Martínez Martínez
Keyword(s):  
Case Report ◽  
Surgical Approach ◽  
Preoperative Evaluation ◽  
Functional Results ◽  
Outpatient Procedure ◽  
Novel Technique ◽  
Post Procedure ◽  
Low Incidence ◽  
Stabilization Technique ◽  
Gummy Smile

Introduction: The lip stabilization technique (LipStaT®) is a novel surgical approach for the management of gummy smile. It is an outpatient technique, minimally invasive, with low risk of morbidity and low incidence of complications. The goal of the technique is to reduce the excessive gingival display during smile. Objective: to describe the LipStaT® technique including its indications, preoperative evaluation, surgical approach and patient post procedure care instructions. Clinical Cases: the authors present two female patients, aged 20 and 31 years, with excessive gingival display (over 3mm) and with experiences of failures with other procedures. The LipStaT® technique allowed to achieve aesthetic, harmonic and functional results. Conclusion: The LipStaT® technique is a safe outpatient procedure that allows to obtain predictable results, which are well accepted by patients.

Base of Tongue Reduction: Endoscopic Approach vs. Transoral Robotic Surgical Approach

CSurgeries ◽  
2020 ◽  
Author(s):  
Julian Martinez ◽  
Mica Glaun ◽  
Julian Martinez ◽  
Deepak Mehta ◽  
Umamaheswar Duvvuri
Keyword(s):  
Surgical Approach ◽  
Endoscopic Approach ◽  
Base Of Tongue ◽  
Tongue Reduction
Sign in / Sign up

Export Citation Format

Share Document