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S V Petersen

Publications and source records attributed to S V Petersen.

10 recordsLinked to original sources

[CO2 laser treatment of proximal pharyngo-esophageal diverticula (Zenker's diverticula)].

The pharyngo-esophageal diverticulum (Zenker's diverticulum) has traditionally been treated operatively by an external approach. Since the 1950's the endoscopic technique has been performed increasingly as a good alternative. Since 1989, we have treated Zenker's diverticulum endoscopically as a standard procedure, and hereby we present our results here. We use the Benjamin-Hollinger diverticuloscope, through which the septum between the diverticulum and esophagus is divided by a CO2-laser. Nine patients have been treated, five men and four women. Mean age 77 years (range 59-93). Diverticulum size varied between 1x2 cm and 6x6.5 cm. No major complications occurred. One patient had recurrence of symptoms after three months and was reoperated with the same technique. The mean observation period is 12 months (range 4-28). We find the endoscopic CO2-laser technique safe, and for the elderly age group suffering from Zenker's diverticulum, less traumatic than the external approach.

Aged

Results of uvulopalatopharyngoplasty in snoring.

Twenty-one patients (4 females and 17 males) with very annoying snoring were subjected to UPPP with CO2-laser technique. All patients were overweight (bodymass index average 30.3 kg/m2). In 71%, narrowing were found at the naso/oropharyngeal border. All had either abnormal uvula or soft palate. In 17 patients, snoring was reduced to a degree no longer socially annoying. Three were annoying to some extent. In only one patient, snoring was completely unchanged. UPPP is not very difficult to perform and we did not notice any troublesome sequelae. We think that UPPP is an effective operation for severe snoring, although it does not eliminate the symptom.

Female

[Functional endoscopic endonasal sinus surgery. First experiences with a new method].

A material of 46 patients who were treated operatively on account of chronic recurrent sinusitis by functional endoscopic sinus surgery by Messerklinger's method is presented. In 80% the operation was bilateral. As a serious complication, one case of dural lesion occurred. This healed without further complications and without sequelae. Just under 30% experienced slight per- or postoperative complications in the form of haemorrhage and infection. All of the patients participated in a follow-up examination after an average of 13 months' observation. 80-85% stated that they were free from symptoms or had improved after operation. Late complications were insignificant. Half of the patients had synechia formation in the resection area but the presence of synechia was not found to have any significant relationship to the postoperative course. When it is taken into consideration that the first experience with a new method is concerned, the results are considered to be satisfactory. A more extensive patient material with more prolonged observation and experience from other departments are necessary before the employability of the method in the Danish therapeutic system can be assessed.

Adolescent

[Thyroid surgery performed at a head and neck oncologic department].

During a period of ten years, 1977-1986, 778 patients were treated for diseases of the thyroid gland. Of these, 678 were benign and 100 malignant. The reasons for referral were most frequently a lump in the thyroid gland, possibly with suspected malignant changes. In the group with benign conditions, there were five times as many women as men whereas the proportion in the malignant group was 1.5 to 1. Technetium-scintigraphy and fine-needle aspiration were undertaken routinely preoperatively. As a rule, none of the preoperative investigations could reveal with certainty whether the condition was benign or malignant but, in certain cases, the investigations may provide indication and guidance for the continued treatment or control of the patients concerned. Treatment with particular attention to the recurrent nerve and the complications, particularly recurrent paresis, is mentioned.

Denmark

Fine-needle aspiration biopsy of the thyroid gland.

Fine-needle aspiration biopsy is a diagnostic procedure used routinely in the evaluation of patients referred with a thyroid swelling. The technique and the results in our series of 233 patients, which included 39 carcinomas, are presented. A relatively high diagnostic specificity of 81% was found, whereas the diagnostic sensitivity was considerably lower (58%). It is concluded that fine-needle aspiration biopsy is a valuable diagnostic procedure in the preoperative assessment of patients with thyroid swellings. A definitive treatment, however, must never be based entirely on the results of a fine-needle aspiration biopsy. It is concluded that the results can be improved if the procedure is performed by a few highly skilled clinicians and pathologists.

Adenoma

Thyroid surgery.

In a 5-year period we treated 233 patients referred to us with a thyroid swelling. Among them, 39 patients (17%) had a malignant tumor. Seventy-eight percent of the patients were women. The preoperative examination procedure is discussed. Preoperatively, recurrent nerve palsy was found in 2.6% of patients with benign tumors and in 28% of patients with malignant tumors. The histologic features of the benign and the malignant tumors are described. The operative procedure in the benign group consisted of enucleation, resection, or lobectomy. In the patients with malignant tumors a radical operation was performed, consisting of lobectomy (unilateral or bilateral) when possible, eventually combined with radical neck dissection. The operative complications are discussed.

Adolescent