GYNAECOLOGY. By John I. Brewer, B.S., M.D., Ph.D. Second Edition. (Pp. xiv + 742; figs. 204. 120s.) London: Bailliere, Tindall & Cox, 1958. A TEXTBOOK of gynxcology of unusual presentation from a British point of view. The sectional arrangement provides much of interest, especially the presentation on childhood so often ignored in the standard works available in this country. For a work of this...

UNLABELLED Pharyngocutaneous fistula (PCF) is the most common complication after total laryngectomy. OBJECTIVES To establish the incidence of this complication and to analyze the predisposing factors. METHOD This is a cross-sectional study of a historical cohort including 94 patients who underwent total laryngectomy. The following aspects were correlated to the occurrence of PCF: gender, ag...

Surgical technique of total laryngectomy is well presented in many surgical textbooks. Essentially, it has remained the same since Gluck an Soerensen in 1922 described all its details. Generally, it stresses the U shape skin incision with releasing laryngeal structures and removing larynx from up to down. Further, pharyngeal reconstruction is performed with different kinds of sutures in two or ...

The olfactory acuity of 29 patients receiving laryngectomy was prospectively studied. The olfactory acuity was evaluated by Jet Stream Olfactometer (JSO) and Alinamin test preoperatively and at 3, 6 and 12 months postoperatively. The findings of nasal/olfactory mucosae were also observed by rigid endoscope. Based on the results of JSO, the averages of detection/recognition thresholds tended to ...

In a period in which therapeutic approaches for malignant laryngeal tumors are focused on the principle of "organ preservation", total laryngectomy is a well coded surgical procedure, addressed to the advanced laryngeal cancer which is not suitable for conservative techniques or in case of their failure. The main objective of this work is to summarize the important events that have marked the e...

OBJECTIVE To investigate the dynamics of speech shunt muscle in patients with Pearson near-total laryngectomy by needle electromyography and correlation of ability to activate shunt muscle with speech production. DESIGN AND SETTINGS Prospective study of patients with near-total laryngectomy at 2 hospital-based academic tertiary care centers. PARTICIPANTS AND INTERVENTION Fourteen patients w...

On March 11, 2020, the World Health Organization declared coronavirus disease (COVID-19), an infection caused by SARS-CoV-2, a pandemic. There have been reports of differences in results COVID-19 tests patients who underwent total laryngectomy, depending on sample collection site. The upper respiratory tract mucosa or saliva is recommended site for initial diagnosis. However, some only samples ...

INTRODUCTION Near-total laryngectomy (NTL) provides a functional alternative to total laryngectomy (TL) in T3-T4 laryngeal and hypopharyngeal cancer. It was initially advocated in extended glottic carcinoma and in hypopharyngeal carcinoma. More recently, the utility of Pearson’s NTL for supraglottic, pharyngeal, and base of tongue cancer has been reported. Its application is also described for ...

BACKGROUND Both organ-preserving concurrent (chemo)radiotherapy ((C)RT) and organ-sacrificing surgery (total laryngectomy) are used for treatment of advanced laryngeal cancer. The purpose of this study was to present the assessment of our treatment protocol for T3 (C)RT and T4 disease (total laryngectomy + postoperative RT). METHODS We conducted a retrospective cohort study in 182 consecutive...