Abstract：
PURPOSE:The aim of this study is to evaluate the evolution of supracricoid partial laryngectomy (SCPL) in indications, surgical techniques and outcomes through last decades. MATERIALS AND METHODS:A retrospective analysis of 146 patients affected by laryngeal cancer treated with SCPL was carried on. We defined: (1) group A, 100 patients treated by cold instruments between 1995 and 2004; (2) group B, 46 patients treated by harmonic scalpel between 2005 and 2010. Complications rate, and functional and oncological results were documented and a comparison between the two groups was made; histopathological analysis of surgical margins was evaluated and correlated with local incidence of recurrence. RESULTS:Significant differences in age mean-value (p=0.02), T classification (p=0.007), and in indication for more advanced-staged patients were found in group B (p=0.001). Surgical procedure was shorter in group B (p<0.001), with shorter swallowing recovery (p=0.003). Oncological outcomes did not report any significant differences. Group B showed a higher incidence of post- operative arytenoid edema (p=0.03) associated with a lower rate of pneumonia (p=0.038). Despite a higher rate of close or positive-margins found in group B no higher incidence of local-recurrence was reported (p=0.02) compared to group A. CONCLUSIONS:We documented changing in indications and surgical technique for SCPL because of the development of modern diagnostic techniques and the introduction of low-thermal injury device allowing a more challenging tumor excision as well as with a shorter swallowing recovery in our series.
journal_name
Am J Otolaryngoljournal_title
American journal of otolaryngologyauthors
Mannelli G,Meccariello G,Deganello A,Fiorini FR,Paiar F,Gallo Odoi
10.1016/j.amjoto.2014.07.010subject
Has Abstractpub_date
2014-11-01 00:00:00pages
719-26issue
6eissn
0196-0709issn
1532-818Xpii
S0196-0709(14)00163-Xjournal_volume
35pub_type
杂志文章abstract：:Clinical characteristics of 99 consecutive patients with acquired and perioperatively established aural cholesteatoma were compared with those of 81 patients with chronic otitis without cholesteatoma (controls). The patients answered a questionnaire, and preoperative and perioperative clinical observations were record...
journal_title：American journal of otolaryngology
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journal_title：American journal of otolaryngology
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journal_title：American journal of otolaryngology
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journal_title：American journal of otolaryngology
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journal_title：American journal of otolaryngology
pub_type： 杂志文章,评审
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更新日期：2013-05-01 00:00:00
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journal_title：American journal of otolaryngology
pub_type： 杂志文章
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更新日期：1998-05-01 00:00:00
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更新日期：2021-01-01 00:00:00
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更新日期：2021-01-01 00:00:00
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journal_title：American journal of otolaryngology
pub_type： 杂志文章
doi：10.1016/j.amjoto.2013.02.004
更新日期：2013-09-01 00:00:00
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journal_title：American journal of otolaryngology
pub_type： 杂志文章
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更新日期：2019-01-01 00:00:00
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journal_title：American journal of otolaryngology
pub_type： 杂志文章,随机对照试验
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abstract：PURPOSE:Few studies in the past decade have focused on antimicrobial resistance of bacteria in pediatric rhinosinusitis. This study aimed to characterize organisms cultured from pediatric chronic rhinosinusitis, as well as current resistance patterns of pathogens. MATERIALS AND METHODS:The study was conducted from Jan...
journal_title：American journal of otolaryngology
pub_type： 杂志文章
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journal_title：American journal of otolaryngology
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journal_title：American journal of otolaryngology
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journal_title：American journal of otolaryngology
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journal_title：American journal of otolaryngology
pub_type： 杂志文章
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更新日期：2010-01-01 00:00:00
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更新日期：2013-01-01 00:00:00
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更新日期：2011-11-01 00:00:00
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更新日期：2021-01-04 00:00:00
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journal_title：American journal of otolaryngology
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更新日期：2021-01-01 00:00:00
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journal_title：American journal of otolaryngology
pub_type： 杂志文章
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更新日期：1998-03-01 00:00:00
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journal_title：American journal of otolaryngology
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更新日期：2017-01-01 00:00:00
abstract：OBJECTIVE:Laryngopharyngeal reflux (LPR) symptoms are often resistant to management and cause significant quality of life impairment to patients with this disease. This study assesses the utility of a sleep-positioning device (SPD) in treating LPR. DESIGN:Single center prospective cohort study. SETTING:Tertiary medic...
journal_title：American journal of otolaryngology
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更新日期：2017-01-01 00:00:00
