[CURE OF A LEFT LARYNGEAL NEOPLASM: RIGHT LARYNGEAL NEOPLASM 13 YEARS LATER. GENERAL CONSIDERATIONS].
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OBJECTIVE: To study the repair methods of the defect after resecting pharyngeal neoplasm and laryngeal neoplasm. METHODS: Four kinds of tongue flap, such as 1/3 tongue flap, 1/2 tongue base flap, tongue base flap and transverse tongue flap were devised and applied in 15 patients with pharyngeal neoplasm and laryngeal neoplasm. RESULTS: These tongue flaps were alive in all patients. The wound of 13 patients healed in I stage. Two patients dehiscenced because of infection and healed after treatment. All the patients deglutited well. One-year, 3-year, disease-free survive rate were 92.9% (13/14), 72.7% (8/11) respectively. CONCLUSION: Tongue flaps are obtained easily, with enough blood flow, adapted to pharyngeal environment, easily alive and low complication in repairing the pharyngeal defect. We think that these tongue flaps should be applied in clinic.
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Original application technology of SBD (Słownikowa Baza Danych) from Szczecin in evaluation of treatment results in larynx and hypopharynx carcinoma was presented. The aim of the report is to present advantages of a system which provides multidirectional date and its particular analysis.
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Nineteen patients with laryngeal lesions each underwent diagnostic studies consisting of laryngoscopy and computed tomography (CT). Sixteen patients had linear tomography and coronal and sagittal reconstruction of their transaxial CT images. The results of each examination were compared with the surgical and pathological findings to assess their relative value. The results confirmed previous reports of the accuracy and value of transaxial CT and direct laryngoscopy, but indicated that coronal and sagittal reconstruction as well as linear tomography added no significant information.
Twenty cases of laryngeal neoplasms are presented. We analyse tumor extent, invasion of the laryngeal cartilages and cervical metastasis and findings histopathologic with computed tomography in preoperative evaluation and surgical strategy.
A cohort epidemiologic study of second primary tumours appeared in patients diagnosed of laryngeal neoplasms, between years 1988 and 1990, and a follow-up term of 5 years, is presented. An statistical analysis of several data to define a possible high risk group for developing primary tumours was performed for all patients.
The relation between allergy and cancer has been investigated within an integrated series of case-control studies of digestive tract and laryngeal neoplasms conducted in Italy since the early 1990s. These included 598 patients with incident, histologically confirmed cancer of the oral cavity and pharynx, 304 of the oesophagus, 1225 of the colon, 728 of the rectum, 460 of the larynx and 4999 controls, selected among patients admitted to the same network of hospitals as cases for acute, non-neoplastic diseases. Inverse associations with history of allergy were found for all cancer sites examined (odds ratio=0.44 for oral cavity and pharynx, 0.80 for oesophagus, 0.76 for colon, 0.54 for rectum and 0.33 for larynx). The associations were consistent in strata of age and sex, and when subjects with a first diagnosis of allergy 5 or more years before cancer diagnosis or hospital admission were considered. The present study therefore provides further evidence for a possible protective effect of prior history of allergy on cancer risk.
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This paper shows it possible to use geoinformational systems for mapping and analyzing medical statistical data on those with malignant laryngeal neoplasms. The fact that the distribution of the patients can be shown on the map of a town in relation to the location of their houses (if they have an address) allows differentiation of the ecological living conditions of these patients, which in turn makes it possible to put not only high morbidity areas on the map of a town, but also to consider the characteristics of the environment in these areas.
The case of the extensive laryngeal cancer recurrence after radiotherapy was described. The authors were discussed treatment surgery it with reconstruction of the tissue defect. The skin defect was reconstructed with the pectoralis mayor myocutaneous island flap, the pharyngeal secondary fistula was reconstructed with the Trapezius myocutaneous flap.
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