Assuntos
Neoplasias Maxilares/congênito , Neoplasias Nasofaríngeas/congênito , Neoplasias Embrionárias de Células Germinativas/congênito , Pré-Escolar , Feminino , Humanos , Incisivo/patologia , Lactente , Recém-Nascido , Masculino , Neoplasias Maxilares/diagnóstico , Neoplasias Nasofaríngeas/diagnóstico , Neoplasias Embrionárias de Células Germinativas/diagnósticoRESUMO
Two rare (as they were cervical) cases of so-called spontaneous rupture of the esophagus are reported, and similar cases treated in the C.H.U. Rennes, over the last 8 years reviewed. The historical background and pathogenic mechanism of this affection are recalled, and its difficult diagnosis emphasized, the latter being the result of the almost total lack of precise symptoms, which associate thoracic, abdominal, and cervical features to varying degrees. Therapy is difficult and the prognosis poor.
Assuntos
Doenças do Esôfago/diagnóstico , Adulto , Doenças do Esôfago/etiologia , Doenças do Esôfago/terapia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Ruptura EspontâneaAssuntos
Doenças Transmissíveis/tratamento farmacológico , Otorrinolaringopatias/tratamento farmacológico , Sulfamoxol/uso terapêutico , Trimetoprima/uso terapêutico , Doença Aguda , Adulto , Idoso , Criança , Infecção Hospitalar/tratamento farmacológico , Combinação de Medicamentos/uso terapêutico , Resistência Microbiana a Medicamentos , Feminino , Humanos , MasculinoRESUMO
The authors studied the local postoperative course and period of hospitalisation after 890 total and partial pharyngo-laryngectomies according to whether the operation was started under general anaesthesia by intubation or after tracheotomy under local anaesthesia. The authors show the improvement in postoperative course as well as the decrease in the period of hospitalisation when intubation was used first.
Assuntos
Carcinoma/cirurgia , Neoplasias Laríngeas/cirurgia , Neoplasias Faríngeas/cirurgia , Traqueotomia , Anestesia , Humanos , Intubação , Período Pós-Operatório , Estudos Retrospectivos , Traqueotomia/métodosRESUMO
213 squamous carcinomas of the pharyngo-larynx (piriform fossa, pharyngo-laryngeal junction and larynx) received preoperative chemotherapy in the form of oncovin, methotrexate and bleomycin (OMB). All the patients then underwent total or partial laryngectomy, associated with lymph node excision of some sort, followed by radiotherapy. A symptomatic improvement after OMB was seen in 21.2% of cases. Overall tumour response regardless of the site was 32%. Tumour response was all the better when lymph nodes were histologically free of disease (38.7% tumour response in N- as against 26.7% in N+). There was no significant difference in 1 year survival rates between those patients in whom there was a tumour response and those in whom tumour size remained the same.