305 research outputs found
When politicians really decide that nation health is a top priority: the Danish model
No full textRoennegaard et al. from Odense University Hospital, Denmark report their institutional experience, as tertiary cancer centre, on a nation-based head and neck cancer (HNC) fast-track programme, taking care of patients from the general practitioner (GP) suspicion of HNC to the start of initial treatment when the diagnosis of cancer is confirmed [1].
The decision to launch such a programme was made when it was observed during the 1990s that survival rates for HNC patients were worse in Denmark than in the other Scandinavian countries [2], [3]. Long waiting time from initial cancer symptoms to the start of treatment was considered as the main reason for the poor outcome of patients in Denmark. Studies have clearly shown disease progression during waiting time [4], [5]. [...
Vascularized tissue to reduce fistula following salvage total laryngectomy: A systematic review
No full textThis article was written by members and invitees of the International Head and Neck Scientific Group (www.IHNSG.com)Paleri, V., Drinnan, M., Van Den Brekel, M.W.M., Hinni, M.L., Bradley, P.J., Wolf, G.T., De Bree, R., Fagan, J.J., Hamoir, M., Strojan, P., Rodrigo, J.P., Olsen, K.D., Pellitteri, P.K., Shaha, A.R., Genden, E.M., Silver, C.E., Suárez, C., Takes, R.P., Rinaldo, A., Ferlito, A
Chirurgie première dans les cancers de la base de langue et de l'oropharynx latéral: indications, voies d'abord et résections.
No full text[Primary surgery for base of tongue and tonsillar regions carcinoma: indications, surgical approaches and resections]. The oropharynx is a complex anatomical area gathering different subsites. Optimal treatment of oropharyngeal carcinoma remains still controversial. In early stages, surgery and radiation therapy are known to provide comparable oncologic results. Till recently, advanced tumors were best treated using primary radical surgery followed by postoperative radiotherapy, but new "organ sparing" approaches like concurent chemoradiotherapy seem now able to challenge primary surgery with a better functional outcome. This paper is focused on the role of primary surgery for cancer of the base of tongue and the lateral wall of the oropharynx. The surgical indications and the various surgical approaches are debated including advantages, disadvantages and tumor resections allowed by each of them respectively. Before to be considered, suitable oncologic surgery for oropharyngeal cancer should tackle 5 issues: complete resection of the tumor, adequate exposure, function preservation, minimal morbidity and simplicity of technique. During the past decade, significant advances have been observed in reconstructive surgical procedures through the use of microvascular free flaps routinely, which allows a more functional restoration of surgical defect. Current therapeutic strategy for oropharyngeal carcinoma should be settled not only following disease-free survival results but also the functional outcome of each treatment modality respectively
Les facteurs pronostiques dans les cancers différenciés de la thyroïde (médullaires exclus)
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Faculty Opinions recommendation of Incidence of and survival after glottic squamous cell carcinoma in Denmark from 1971 to 2011-A report from the Danish Head and Neck Cancer Group.
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