Laryngo- rhino- otologie
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Laryngo- rhino- otologie · Nov 2011
Review[Treatment related swallowing dysfunction and the potentialities of IMRT].
Altered fractionated radiotherapy and concurrent chemoradiation could improve local control and survival for patients with locally advanced head and neck cancer. However, intensified treatment seems to increase late toxicity. ⋯ Important structures seem to be the pharyngeal constrictors and the supraglottic and glottic larynx. Further prospective clinical validations using standardized diagnostic protocols for dysphagia are necessary to establish dose constraints to anatomical structures involved in swallowing.
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Laryngo- rhino- otologie · Oct 2011
Review[Benefits and importance of tonsillectomy in children and youth with PFAPA syndrome].
PFAPA syndrome is characterized by periodic fever, aphthous stomatitis, pharyngitis and cervical adenitis. Tonsillectomy and adenotonsillectomy are surgical treatment options for this periodic fever syndrome, the significance of which will be discussed. ⋯ Tonsillectomy is an effective treatment option for the PFAPA syndrome. Contrary to a general indication the decision should be personalized considering the benefit vs. the risk of operation with the advice of an ENT specialist.
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Laryngo- rhino- otologie · Sep 2011
[The implementation of risk management in a department of otolaryngology].
The reasons for introducing risk management in hospitals are manifold. Not only legal but also ethical and moral aspects are of great importance. The implementation of risk management in a German department of otolaryngology is presented. ⋯ A meaningful objectivity of the results seems difficult. A main reason is that the index "reduction of damage and medical malpractice" is too small to make a conclusive statistical analysis. However, implementation of risk management is advisable for every ENT clinic.