共查询到20条相似文献,搜索用时 15 毫秒
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Salvage surgery for recurrent oropharyngeal cancer: post-operative oncologic and functional outcomes
Dorian Culié Karen Benezery Emmanuel Chamorey Marc Ettaiche Jonathan Fernandez Gilles Poissonnet 《Acta oto-laryngologica》2015,135(12):1323-1329
Conclusion: Post-operative outcomes of salvage surgery for recurrent oropharyngeal squamous-cell carcinoma (OPSCC) were acceptable. Pathologic overall, T- or N-stage and patient comorbidities were the main predictors of patient clinical outcomes. Objectives: To evaluate post-operative outcomes of salvage surgery in patients with recurrent OPSCC and to determine their predictive factors. Materials and methods: This study retrospectively reviewed the electronic medical records of all patients who underwent salvage surgery for recurrent OPSCC, between 2000–2013, in our institution. Overall survival (OS) and cause-specific survival (SS) were determined by Kaplan-Meier analysis. Predictive factors of post-operative outcomes were investigated by using univariate and multivariate analyses. Results: A total of 34 patients were included in this study. Local and general post-operative complication rates were 26% and 27%, respectively. A high level of comorbidity (Kaplan Feinstein Index: KFI ≥ 2) was the only factor associated with a higher risk of local (p = 0.03) and general (p = 0.04) complications. OS and SS rates at 3 years were 48% and 61%, respectively. In multivariate analysis, pathologic overall stage ≥ III was a significant predictor of OS (p = 0.02) and pathologic T-stage ≥ 3 was a significant predictor of SS (p = 0.01). Mean pre-operative and post-operative DOSS (dysphagia outcome and severity scale) scores were 4.4 and 3.9, respectively. 相似文献
12.
13.
14.
Improving quality outcomes in head and neck free flap surgery with the use of a physician inpatient coordinator 下载免费PDF全文
Varun V. Varadarajan MD Raja Sawhney MFA MD FACS Stewart H. Bernard MD Brian Boyce MD Dustin M. Lang MD Sanjeev Balamohan MD Robert M. Baskin MD Peter T. Dziegielewski MD FRCS 《The Laryngoscope》2018,128(2):336-342
15.
16.
17.
18.
19.
20.
Hypothermia during head and neck surgery 总被引:2,自引:0,他引:2
Agrawal N Sewell DA Griswold ME Frank SM Hessel TW Eisele DW 《The Laryngoscope》2003,113(8):1278-1282
OBJECTIVE: To determine the predictors and incidence of hypothermia in patients undergoing head and neck surgery. STUDY DESIGN: Retrospective analysis. METHODS: Patients were either not warmed (n = 43) or actively warmed with forced-air warming (n = 25). Clinical variables that were assessed as predictors of core body temperature included age, body mass, duration of procedure, estimated blood loss, amount of intravenous fluids administered, and the use of forced-air warming. The incidence of severe intraoperative hypothermia and potential hypothermia-related complications was also examined. RESULTS: The study demonstrated that advanced age is a risk factor for hypothermia and decreased body mass is associated with lower final body temperatures in the groups of patients that was not warmed. After adjusting for differences in the ages and weights between the two groups, the mean core body temperature was found to be 0.4 degrees C lower in the patients who were not warmed. Severe intraoperative hypothermia occurred in 5 of 38 patients (11.6%) who were not warmed and 2 of 23 patients (8.0%) who were warmed. The complications associated with hypothermia included delayed time to extubation, the development of neck seromas, and flap dehiscence. CONCLUSIONS: Patients undergoing head and neck surgery are at risk for the development of intraoperative hypothermia and require careful temperature monitoring. Elderly patients and patients with low body mass are more prone to develop low intraoperative core body temperatures. Active warming with forced-air warmers should be considered for patients at risk for intraoperative hypothermia and for patients who develop hypothermia intraoperatively, to avoid hypothermia-related complications. 相似文献