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 · 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.