Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Société d'oto-laryngologie des hôpitaux de Paris
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Ann Otolaryngol Chir Cervicofac · Sep 2009
Comparative Study[Postoperative complications in total thyroidectomy for Graves disease: comparison with multinodular benign goiter surgery].
To study and compare postoperative complications of total thyroidectomy for Graves disease and multinodular benign goiters. ⋯ Total thyroidectomy in the surgical management of Graves disease, after a cautious medical preoperative preparation, appears to be a safe technique. Total thyroidectomy must be performed instead of subtotal thyroidectomy in order to avoid recurrences.
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Ann Otolaryngol Chir Cervicofac · Jun 2009
[Internet information on head and neck oncology in French].
Internet has become the first place where patients go when seeking information on their disease. The type and the quality of the medical information available on French-language websites is poorly known, especially in the field of head and neck surgery. The purpose of this study was to evaluate the quality of these sites. ⋯ This study again shows that the search for medical information on the Internet is time-consuming and often disappointing: very few websites provide information that is both clear and exhaustive. However, we also found that very few websites contained information that was seriously inaccurate. Given the growing popularity of the Internet, a high-quality French-language website specializing in head an neck surgery would be highly beneficial to patients, as would an ENT portal that would take them to selected websites, saving time and providing a guarantee of quality.
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Ann Otolaryngol Chir Cervicofac · Apr 2009
[Complications after insertion of a totally implantable venous access port in patients treated with chemotherapy for head and neck squamous cell carcinoma].
To review the occurrence of early and delayed complications after insertion of a totally implantable venous access port (Tivap) in patients treated with chemotherapy for head and neck squamous cell carcinoma. ⋯ Our study suggests that: (1) complications are rare provided careful implantation and manipulation methods are followed by health personnel; (2) surgical cephalic cut-down is a very reliable method; and 3) antibiotic prophylaxis or long-term anticoagulant medications are not mandatory.
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To assess the incidence of permanent recurrent laryngeal nerve paralysis and permanent hypoparathyroidism after central neck lymph node compartment (level VI) reoperation. ⋯ A central lymph node compartment reoperation can be performed with minimal morbidity when the recurrent laryngeal nerve is not invaded: 5.2% resulted in permanent recurrent laryngeal nerve paralysis and 9% in permanent hypoparathyroidism. Careful identification and exposure of the inferior laryngeal nerve in a previously non dissected area is recommended.
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Ann Otolaryngol Chir Cervicofac · Apr 2009
[Interpretation and memorization of information provided to the patient for parotidectomy].
A prospective analysis of patient memorization and perception of the preoperative information provided on the surgical risks related to parotidectomy for benign tumor. ⋯ Patient information regarding the surgical risks resulted in substantial stress for the patient and modified the patient-surgeon relation. This information caused a certain number of patients to decide not to follow the surgeon's advice.