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At least 253 records · Page 14Linked to original sources
PubMed2006

The high-density foam aeroplane splint: a modified approach to the treatment of axilla burns.

Axillary burns and contractures are physically debilitating. Early splinting and patient compliance is crucial to maximise functional outcomes. Traditional treatment of axillary contractures involves fabrication of thermoplastic aeroplane splints. However, thermoplastic splints can be time consuming to fabricate, heavy, uncomfortable and difficult to don by patients and family. Due to these problems a modified high-density foam (HDF) aeroplane splint was designed. The purpose of designing a different type of aeroplane splint was to increase compliance, comfort and ease of use for health professionals, patients and family, and to decrease fabrication time.

Axilla↗
PubMed2006

Assessment of clinical palpation of the axilla as a criterion for performing the sentinel node procedure in breast cancer.

AIMS: Clinically palpable lymph nodes (LNs) are regarded as a contraindication for performing the sentinel node (SN) procedure. Many studies have shown, however, that clinical assessment of axillary LNs is inaccurate. This study evaluated the reliability of clinical axillary LN assessment by experts and assessed whether inaccuracy can be related to LN size. METHODS: Three hundred and one consecutive breast cancer patients undergoing either axillary dissection or SN were studied prospectively. RESULTS: The risk of having metastasis to the LN was 40.4% if the preoperative clinical assessment was "non-palpable LN", 61.5% if the assessment was "palpable but benign LN" and 84.4% if it was "suspicious LN". There were no clinically significant differences in mean size either when the LN was palpable versus non-palpable, or when the LN had metastasis or not. CONCLUSIONS: The clinical assessment of axillary LNs as a criterion for offering the SN procedure is of little value.

Adult↗
PubMed2002

Treatment of the axilla by tangential breast radiotherapy in women with invasive breast cancer.

BACKGROUND: The objective of this study was to determine if standard tangential breast radiation covered the sentinel lymph node in women with invasive breast cancer. METHODS: Women with invasive breast cancer treated by lumpectomy, radiotherapy and sentinel node biopsy at our institution were included in this study if the sentinel lymph node site had been marked with a clip. Plain films were used to determine if the clip fell within the tangential fields. RESULTS: Between April 1999 and May 2001, 36 women with invasive breast cancer treated by lumpectomy, sentinel lymph node biopsy and breast radiation were identified. Median age was 56 years (range 34 to 80) with a median tumor size of 1.1 cm (range 0.3 to 2.9 cm). The clip marking the sentinel lymph node fell within the tangential fields in 34 of 36 (94%) of the patients. The radiation dose to the clip area was greater than 4,400 cGy in 50% of those calculated by three-dimensional techniques. CONCLUSIONS: The sentinel lymph node is located within classic tangential fields in the overwhelming majority of women with invasive breast cancer. The extent of the radiation fields, and ultimately the final dose, may need to be modified if the intent is for prophylactic treatment.

Adult↗
PubMed2000

The axillary arch of Langer--the most common muscular variation in the axilla.

A case of an 'Axillary Arch of Langer' is reported during a routine axillary lymphadenectomy for breast carcinoma. The features of this muscle are described together with other less common axillary muscular anomalies. Knowledge of these anomalies is important for surgeons performing safe axillary surgery [1].

Axilla↗