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Publications (3)

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    [Show abstract] [Hide abstract] ABSTRACT: Background The 2 most frequently used endoscopic methods to treat Zenker's diverticulum are staple-assisted and CO2 laser esophagodiverticulostomy.Methods The study centered around a retrospective evaluation of 107 patients with Zenker's diverticulum who were treated endoscopically by CO2 laser (n = 72) or staple-assisted diverticulostomy (n = 35).ResultsPatients in the staple-assisted group had a shorter duration of postoperative hospitalization, attributed to earlier oral intake, than patients in the CO2 laser group. There were no serious postoperative complications in either group. Postoperative fever and emphysema in the neck or mediastinum occurred more frequently in the CO2 laser group, but this did not lead to any complications. Most patients reported partial or complete relief of their symptoms and there was no significant difference in the number of reoperations between the 2 treatment groups.Conclusions Zenker's diverticulum was treated safely and effectively by the 2 endoscopic techniques, but the staple-assisted method seemed to be the most favorable. © 2010 Wiley Periodicals, Inc. Head Neck, 2011
    Full-text Article · Feb 2011 · Head & Neck
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    [Show abstract] [Hide abstract] ABSTRACT: The management of patients with head and neck cancer is complex, and implementation of an integrated care program might improve the quality of care. A prospective before–after study was performed in 1 clinic for head and neck oncology on 311 adults with head and neck cancer to evaluate an integrated care program. Scores on the integrated care indicators showed that the implementation of the integrated care program led to relevant improvements, eg, waiting time for diagnostic procedures less than 10 days (improvement of 37%), support for stopping smoking (+37%), nutrition support (+44%), assessment of CT and MRI scans by a an expert radiologist (+23%), and number of patients in contact with the specialist nurses (+37%). The program had no relevant effects on the outcome indicators. An integrated care program can improve several aspects of the management of patients with head and neck cancer. © 2009 Wiley Periodicals, Inc. Head Neck, 2009
    Full-text Article · Jul 2009 · Head & Neck
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    [Show abstract] [Hide abstract] ABSTRACT: All patients treated for laryngeal cancer are offered the same follow-up schedule to detect asymptomatic locoregional recurrences. In this study, we evaluated the prognostic profile of patients for cancer recurrence and estimated the lead time. A cohort study was performed between 1990 and 1995. Cox proportional hazards model was used to analyze the prognostic factors. The effect of altering the follow-up for asymptomatic recurrence detection was determined after estimating the lead time. The variables cT classification, smoking, and histologic grade proved to be prognostic factors. The risk of locoregional failure was 15% in the low-risk group versus 29% in the high-risk group. The estimated lead time was 2 to 4 weeks. Risk profiles for locoregional relapse were defined. Intensifying the follow-up schedule is not advisable because the lead time is very short. An excessively high number of routine visits would have to be performed to increase the detection rate for asymptomatic recurrences. © 2006 Wiley Periodicals, Inc. Head Neck, 2007
    Full-text Article · May 2007 · Head & Neck