Sample records for HALS (neck)

Sample records 1 - 20 shown. Select sample records:


Use of the CO2-laser micropoint micromanipulator for the treatment of laryngomalacia.

Remacle, Marc; Bodart, Etienne; Lawson, Georges; Minet, Michèle; Mayné, Alain

Between September 1989 and June 1994, 21 children (17 boys, 4 girls) with moderate to severe symptoms due to laryngomalacia underwent endoscopic surgery using the CO2-laser micropoint manipulator (shot-by-shot, 0.1 s, super-pulse, 2-3 W power; 280 microns beam; 400 mm working distance). Mean age of ...

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Treatment of vocal fold scar by carbon dioxide laser and collagen injection: retrospective study on 12 patients.

Martínez Arias, Angels; Remacle, Marc; Lawson, Georges

Vocal fold scars are the result of injury to the vocal fold lamina propria. This condition leads to an impaired vibration and usually to poor voice quality. The purpose of our study was to compare the pre- and posttreatment voice assessment scores in patients treated by CO(2) laser-assisted freeing ...

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Treatment of vocal fold immobility by injectable homologous collagen: short-term results.

Remacle, Marc; Lawson, Georges; Jamart, Jacques; Delos, Monique

Various implant materials have been used to treat glottic insufficiency by means of intracordal injection. So far, autologous fat is the most commonly used. Homologous collagen is a new injectable acellular graft material. This collagen, made of 200-mu particles, is delivered as a freeze-dried powde...

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Treatment of lingual tonsillitis by transoral CO2 laser endoscopy.

Remacle, Marc; Lawson, Georges; Decat, Monique; Mayné, Alain

The authors report on their clinical experiences concerning 100 cases of chronic lingual tonsillitis. The surgical treatment employed was endoscopic vaporization of affected tissues with the CO2 laser. Prior to surgical intervention, predisposing conditions such as allergy, rhinosinusitis, and gastr...

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Tinnitus and otosclerosis.

Gersdorff, Michel; Nouwen, J; Gilain, C.; Decat, Monique; Betsch, C

Fifty patients with otosclerosis and tinnitus were studied for the course of the tinnitus after stapes surgery. Tinnitus disappeared in 64% of the cases, improved in 16%, was unchanged in 14%, and worsened in 6%. The reduction in tinnitus was more favorable after a small fenestra stapedotomy than af...

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Sinonasal involvement as a rare extraintestinal manifestation of Crohn's disease.

Eloy, Philippe; Leruth, E; Goffart, Y; Nollevaux, Marie-Cécile; Fridman, V; Dartevelle, M; Melange, Michel; Daele, Jean-Michel

Crohn's disease is a chronic idiopathic slowly developing transmural inflammation of the digestive system. It usually involves the small intestine and/or the area around the anus but can also affect the entire gastrointestinal tract anywhere from the mouth to the anus. Extra intestinal manifestation...

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Sialolithiasis in children as a diagnostic dilemma.

Karengera, D; Yousefpour, A; Sadeghi, H M; Reychler, Hervé

Sialolithiasis is an uncommon disorder in childhood. Initially asymptomatic, symptoms may appear gradually. These can vary from moderate discomfort to severe pain with large glandular swelling accompanied by trismus. The correct interpretation of symptoms and a proper investigation for localization ...

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Serum Haemolytic Complement Levels in German Dahlem Red Chickens Are Affected by Three Major Genes (Naked, Neck, Dwarf, Frizzled) of Tropical Interest

Dorny, P.; Baelmans, R.; Parmentier, H.K.; Nieuwland, M.G.B.; Demey, F.; Berkvens, D.

German Dahlem Red chickens with three different major genes of tropical interest: Nana ¿ (naked neck), Ff ¿ (frizzled) and dw ¿ (dwarf), respectively, were tested for serum haemolytic complement, which is essential in innate host defence against infectious agents. Eight different combinations of gen...

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Results of selective neck dissection in the primary management of head and neck squamous cell carcinoma.

Schmitz, Sandra; Machiels, Jean-Pascal; Weynand, Birgit; Gregoire, Vincent; Hamoir, Marc

Selective neck dissection (SND) is known to be a valid procedure to stage the clinically N0 neck but its reliability to control metastatic neck disease remains controversial. This study analysed if selective neck dissection is a reliable procedure to prevent regional metastatic disease in head and n...

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Re-use of pectoralis major myocutaneous flap for the treatment of recurrent hypopharyngeal stenosis following total laryngectomy and postoperative radiotherapy: a case report.

Van Haverbeke, Christophe; Lawson, Georges; Remacle, Marc

Management of recurrent hypopharyngeal stenosis following total laryngectomy and postoperative radiotherapy is a challenging problem. Because of previous surgery, free flaps may not always be performed. We report a case of recurrent hypopharyngeal stenosis after a first attempt of reconstruction wit...

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Quality of Life

Rogers, S.; American Head and Neck Society

German National Library of Science and Technology (GetInfo) (German)


Psychometric properties of a German version of the neck pain and disability scale

Scherer, Martin; Blozik, Eva; Himmel, Wolfgang; Laptinskaya, Daria; Kochen, Michael M.; Herrmann-Lingen, Christoph

The aim of this study is to evaluate the validity and the psychometric properties of a German version of the 20-item neck pain and disability scale (NPAD) for use in primary care settings. Four hundred and forty-eight participants from 15 general practices in the area of Göttingen Germany completed ...

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Proposal for revision of the European Laryngological Society classification of endoscopic cordectomies.

Remacle, Marc; Van Haverbeke, Christophe; Eckel, Hans; Bradley, Patrick; Chevalier, Dominique; Djukic, Votko; de Vicentiis, Marco

A classification of laryngeal endoscopic cordectomies, which included eight different types, was first proposed by the European Laryngological Society in 2000. The purpose of this proposal of classification was an attempt to reach better consensus amongst clinicians and agree on uniformity in report...

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Progressive experience in tracheal stenting with self-expandable stents.

Remacle, Marc; Lawson, Georges; Jamart, Jacques; Keghian, Jerôme

We experienced an unacceptably high 21% complication rate with the stainless steel Gianturco stent: a 68-month mean follow-up (range: 37-96 months) of 23 patients revealed three stent fractures and two migrations. Consequently, we began using nitinol mesh stents (Ultraflex) for fibrous stenoses and ...

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Prognostic value of cell proliferation markers, tumour suppressor proteins and cell adhesion molecules in primary squamous cell carcinoma of the larynx and hypopharynx.

Liu, Ming; Lawson, Georges; Delos, Monique; Jamart, Jacques; Chatelain, Bernard; Remacle, Marc; Marbaix, Etienne

In an attempt to identify molecular prognostic markers, a series of laryngeal and hypopharyngeal carcinomas was examined for PCNA, Ki67, p27(Kip1), p53, E-cadherin and CD44 by immunohistochemistry and for DNA content by flow cytometry. No correlation was found between E-cadherin, CD44, p53 or DNA pl...

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Primary combined squamous and small cell carcinoma of the larynx: Report of two cases and discussion of treatment modalities.

Barbeaux, Annelore; Duck, Lionel; Weynand, Birgit; Desuter, Gauthier; Hamoir, Marc; Gregoire, Vincent; Baurain, Jean-François

Combined small cell carcinoma (SMCC) of the larynx consists of SMCC admixed with a component of squamous cell carcinoma or adenocarcinoma. These tumors are very rare and, to date, only a few cases have been fully described. This points out the lack of information available about the correct manageme...

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Posthemicricoidectomy reconstruction with a composite hyoid-sternohyoid osseomuscular flap: the Rethi-Ward technique.

Hantzakos, A; Evrard, A-S; Lawson, Georges; Remacle, Marc

Our objective was to introduce a new technique for cricoid cartilage reconstruction. A 74-year-old male patient with a history of a 6-month progressively worsening dyspnea was found to have an extensive mass of the left cricoid cartilage. Although the extent of his disease would necessitate total la...

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Phonosurgery of the vocal folds: a classification proposal.

Remacle, Marc; Friedrich, G; Dikkers, F G; de Jong, F

The Phonosurgery Committee of the European Laryngological Society (ELS) has examined the definition and technical description of phonosurgical procedures. Based on this review, the committee has proposed a working classification. The current presentation is restricted to vocal fold surgery (VFS) wit...

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Obstructive sleep apnea syndrome after reconstructive laryngectomy for glottic carcinoma.

Rombaux, Philippe; Hamoir, Marc; Plouin-Gaudon, I; Liistro, Giuseppe; Aubert, Geneviève; Rodenstein, Daniel

Obstructive sleep apnea syndrome (OSAS) is characterized by repetitive episodes of partial or complete obstruction of the upper airway during sleep. The obstruction predominantly occurs along the pharyngeal airway but other sites of obstruction have occasionally been described. We report our experie...

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New computer-guided scanner for improving CO2 laser-assisted microincision.

Remacle, Marc; Hassan, Faridah; Cohen, David; Lawson, Georges; Delos, Monique

The objective was to clinically test a new computer-guided scanner designed for CO2 laser-assisted microincision. The scanner-assisted beam travels across the target as a straight or curved incision line. Line length and beam penetration can be adjusted. The studied population, 155 cases, encompasse...

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Is frozen section reliable in transoral CO(2) laser-assisted cordectomies?

Remacle, Marc; Matar, Nayla; Delos, Monique; Nollevaux, Marie-Cecile; Jamart, Jacques; Lawson, Georges

Endoscopic resection of laryngeal tumors is replacing external approaches. One drawback of endoscopic resection is the difficulty of interpretation of histological specimens because of thermal effect of laser on tissues. Our goal is to assess the reliability of frozen section in this setting by comp...

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Haemolytic Complement Activity and Humoral Immune Responses to Sheep Red Blood Cells in Indigenous Chickens and in Eight German Dahlem Red Chicken Lines with Different Combinations of Major Genes (dwarf, naked neck and frizzled) of Tropical Interest

Baelmans, R.; Parmentier, H.K.; Nieuwland, M.G.B.; Dorny, P.; Demey, F.; Berkvens, D.

A total of 376 chickens from different ecotypes were immunized with the non-pathogenic multideterminant antigen sheep red blood cells (SRBC). The ecotypes included indigenous chickens from various locations in Tanzania (n = 102), India (n = 86) and Bolivia (n = 89). In addition, eight German Dahlem ...

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Exudative lesions of Reinke's space: a terminology proposal.

Hantzakos, A; Remacle, Marc; Dikkers, F G; Degols, J-C; Delos, Monique; Friedrich, G; Giovanni, A; Rasmussen, N

There has been an ongoing confusion among pathologists in their attempt to accurately identify lesions of Reinke's space. Nodules, polyps and Reinke's edema fall in the same basket and differentiation between them relies largely on the clinical description of the pathologic specimen by the operating...

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Epithelial-myoepithelial carcinoma of the submandibular gland with symptomatic lung metastases treated with chemotherapy.

Pierard, Sophie; Gregoire, Vincent; Weynand, Birgit; Machiels, Jean-Pascal

This report concerns a patient with symptomatic lung metastases from an epithelial-myoepithelial carcinoma of the submandibular gland. Although the efficacy of chemotherapy is unknown in this disease, our patient was treated with cisplatin combined with 5-fluorouracil and later with paclitaxel and c...

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Endoscopic supraglottic laryngectomy: a proposal for a classification by the working committee on nomenclature, European Laryngological Society.

Remacle, Marc; Hantzakos, Anastasios; Eckel, Hans; Evrard, Anne-Sophie; Bradley, Patrick J; Chevalier, Dominique

In July 1999, the European Laryngological Society (ELS) has accepted a proposal for the classification of different laryngeal endoscopic cordectomies. This is actually a common classification system used as a tool for surgical training, documentation and comparison of results. The same harmonization...

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Endoscopic cordectomy. A proposal for a classification by the Working Committee, European Laryngological Society.

Remacle, Marc; Eckel, H E; Antonelli, A.; Brasnu, D; Chevalier, D.; Friedrich, G; Olofsson, J; Rudert, H H; Thumfart, W

The European Laryngological Society is proposing a classification of different laryngeal endoscopic cordectomies in order to ensure better definitions of post-operative results. We chose to keep the word "cordectomy" even for partial resections because it is the term most often used in the surgical ...

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Endoscopic CO2 laser-assisted surgery for cricopharyngeal dysfunction.

Lawson, Georges; Remacle, Marc; Jamart, Jacques; Keghian, Jérôme

Endoscopic cricopharyngeal myotomy was performed on 29 patients with dysphagia from failed relaxation of the cricopharyngeal muscle. The patient outcome was retrospectively evaluated. The average age at the time of treatment was 62 years (range: 38-81 years), and the mean follow-up was 18 months (ra...

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Endonasal endoscopic resection of an ethmoidal solitary fibrous tumor.

Eloy, Philippe; Nollevaux, Marie-Cécile; Watelet, J B; Van Damme, J P; Collet, S T; Bertrand, Bernard

Solitary fibrous tumor (SFT) is an uncommon spindle cell tumor that typically arises at the level of the pleura in adults. However, SFT has also been reported in various extrapleural sites including orbit, meninges, liver, lung, salivary glands, retroperitoneum, mediastinum. In the head and neck reg...

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Congenital fistula of the fourth branchial pouch.

Hamoir, Marc; Rombaux, Philippe; Cornu, A S; Clapuyt, Philippe

Between 1986 and 1995, 128 patients were treated for various head and neck congenital malformations at Saint-Luc University Hospital, Louvain. We report three cases of fourth branchial pouch cysts requiring surgical removal. One of these cases presented with a third branchial pouch remnant on the sa...

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Composite hyoid-sternohyoid interposition graft in the surgical treatment of laryngotracheal stenosis.

Keghian, J; Lawson, Georges; Orban, D; Remacle, Marc

This article reports six patients with severe laryngotracheal stenosis. The causes of stenosis were tracheotomy (two cases); prolonged endotracheal intubation (one case); laryngeal trauma (two cases); and surgery with postoperative chemo- and radiotherapy, addressing a thyroid gland follicular adeno...

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Carbon-dioxide laser-assisted tonsil ablation for adults with chronic tonsillitis: a 6-month follow-up study.

Remacle, Marc; Keghian, Jerome; Lawson, Georges; Jamart, Jacques

Sixty-six adult patients with a mean age of 44 years (range: 16-78) with chronic tonsillitis underwent laser-assisted tonsil ablation between January 1998 and January 2002. Instead of vaporization of the tonsil surface, extended serial tonsillectomy was performed, namely, vaporizing 80-90% of the pa...

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CO2 laser in the diagnosis and treatment of early cancer of the vocal fold.

Remacle, Marc; Lawson, Georges; Jamart, Jacques; Minet, Michèle; Watelet, J B; Delos, Monique

A total of 74 patients underwent cordectomy using CO2 laser for either diagnosis or treatment of an early cancer of the vocal fold. Type I cordectomy consisted in the resection of the entire epithelium, while leaving the vocal ligament intact. Type II cordectomy involved removal of the vocal fold fr...

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CO(2) laser-assisted microsurgery for intracordal cysts: technique and results of 49 patients.

Matar, Nayla; Amoussa, Kassira; Verduyckt, Ingrid; Nollevaux, Marie-Cécile; Jamart, Jacques; Lawson, Georges; Remacle, Marc

Microsurgery for intracordal cysts is a challenging procedure, because cysts are close to the vocal ligament and the risk of inducing a scar is high. In this retrospective study, our experience with the CO(2)-laser scanning system (Acublade((R))) is reported on 49 patients. There were 41% epidermoid...

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Bipolar radiofrequency-induced thermotherapy (rfitt) for the treatment of spasmodic dysphonia. A report of three cases.

Remacle, Marc; Plouin-Gaudon, Isabelle; Lawson, Georges; Abitbol, Jean

The symptoms of adductor spasmodic dysphonia are most commonly palliated by periodic botulinum toxin injections. The need for repeated injections, difficulty in obtaining injections and cost make this form of treatment intolerable for some patients. To address these concerns, we propose a new treatm...

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Australian Society of Otolaryngology Head and Neck Surgery

Australian Society of Otolaryngology Head and Neck Surgery; New Zealand Society of Otolaryngology Head and Neck Surgery

German National Library of Science and Technology (GetInfo) (German)


Activity of chemotherapy in the palliative treatment of salivary gland tumors: review of the literature.

Rizk, Sophia; Robert, Annie; Vandenhooft, Annick; Airoldi, Mario; Kornek, Gabriela; Machiels, Jean-Pascal

Chemotherapy is sometimes used as palliation for patients with salivary gland tumors not amenable to curative treatment. However, if chemotherapy improves survival is unknown. To identify some prognostic parameters in this disease, we conducted an extensive review of the literature. The prognostic v...

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Accessory or sublingual salivary gland biopsy to assess systemic disease: a comparative retrospective study.

Berquin, Kristof; Mahy, Pierre; Weynand, Birgit; Reychler, Hervé

Minor salivary gland biopsies are commonly performed as part of the diagnosis of Sjögren's syndrome or other systemic diseases. Until now, a lip biopsy taken from inside the inferior lip has been the most often performed method to assess the accessory salivary glands. Because of the risk of damaging...

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A new epiglottoplasty procedure for the treatment of intractable aspiration.

Remacle, Marc; Marza, L; Lawson, Georges

Intractable aspiration may require diversion of the airway from the pharynx. The epiglottoplasty procedure involves suturing the epiglottis onto the perimeter of the larynx without creating resistance to the natural lines of force of the epiglottic cartilage. The procedure starts by an anterior subh...

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