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Biomedical subjects

C Helmus

Publications and source records attributed to C Helmus.

12 recordsLinked to original sources
PubMed1997

Subtotal parotidectomy: a 10-year review (1985 to 1994).

A subtotal parotidectomy is a conservative resection in which less than a superficial lobectomy is performed and less than a full facial nerve is dissected. From 1985 to 1994, 146 subtotal parotidectomies were performed for a variety of benign and limited, low-grade malignant tumors. The procedure is based on the premises that adequate margins are necessary, that the procedure can be terminated when these margins are obtained, and that the true margin is usually the tumor-to-nerve margin. For selective neoplasms the subtotal parotidectomy has many advantages with results that equal or surpass the classic superficial lobectomy.

Biopsy, Needle↗
PubMed1992

Same-day-stay head and neck surgery.

The purpose of this study was to determine if selective head and neck surgical procedures on a same-day basis are justifiable. Two hundred consecutive head and neck same-day procedures were reviewed, including 84 parotidectomies and 116 other procedures previously managed as inpatients. Of the 200 patients, 36 (18%) were admitted, 33 for overnight observation, and 164 (82%) were discharged the same day. There were no complications reported in the discharged patients and a later questionnaire showed that 97% of the patients were satisfied. The advantages of selective same-day procedures outweigh the disadvantages for otolaryngologist and patient. The study shows that same-day-stay head and neck surgery for selective procedures is safe, reasonable, and cost-effective, but the combined efforts of the otolaryngologists, nurses, and administrators are required. Because of rising healthcare costs, experts are predicting a significant increase in the next few years of outpatient surgery, including surgery of the head and neck.

Adult↗
PubMed1990

Same-day-stay adenotonsillectomy.

The records of 1088 consecutive adenotonsillectomy patients at Butterworth Hospital's Same Day Stay Department were reviewed. Of 1088 patients, 1082 were discharged the same day. Only one of the 1082 discharged patients had a significant bleeding complication during the first postoperative night, and no patient had vomiting or dehydration problems. With the special combined efforts of the otolaryngologist, the anesthesiologist, the nurses, and the hospital administration, same-day-stay adenotonsillectomy is a justifiable and cost-effective procedure.

Adenoidectomy↗
PubMed1979

Tonsillectomy and adenoidectomy in the one and two-year-old child.

In an effort to substantiate the efficacy of adenotonsillectomy in very young children, 108 procedures in one and two-year-old children were reviewed. After rigid preoperative criteria are met, a meticulous, conservative adenotonsillectomy is performed. A review of all hospital and office records shows the procedure can be safely and simply performed without significant complications. Seventy-nine parents were questioned regarding postoperative problems and results. Of the parents, 96% were satisfied and would have the procedure done again if they had the chance. Eighty-four referring physicians were polled and 87% thought the procedure solved the children's problem altogether or mostly. In conclusion, the results of this study show that, in carefully selected young children using expert anesthesia and atraumatic surgical technique, adenotonsillectomy under the age of three is a safe and gratifying procedure.

Adenoidectomy↗
PubMedDate not supplied

Neck dissection: radical or conservative.

Four hundred and forty-five neck dissections for epidermoid carcinoma over a 10-year period are reviewed as to local recurrence of neck disease. Three hundred and forty-seven dissections were radical en bloc procedures and in 98 a modified conservative technique was utilized. Cervical lymph node classification was applied and a comparison made of the two techniques. A review of the anatomy of cervical fascias and the technique of conservative neck dissection is given. Evaluation of this series of cases indicate that the control of local disease in the neck in the N0 and N1 groups is is accomplished as well with conservative dissection as with radical neck dissection. The number of conservative neck dissections for N2 disease was too limited for accurate comparison. There were no conservative neck dissections done for N3 disease. We suggest that conservative neck dissection be utilized for subclinical and N1 disease and that the classic en bloc dissection be reserved for N2 and N3 situations.

Carcinoma, Squamous Cell↗