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Canadian journal of otolaryngology最新文献

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Palliation in the management of laryngeal cancer. Surgical concepts in palliation of advanced disease. 缓和在喉癌治疗中的应用。晚期疾病缓和的外科概念。
Canadian journal of otolaryngology
Pub Date : 1975-01-01
L H Hiranandani

Every science has limits to its operation, including medical science concerning malignancy. Beyond a certain stage of a disease, palliation is the only recourse. The word "palliation" amounts to an acceptance of defeat by a clinician while trying to salvage his cancer patients. It means that the patient should breathe and eat without much pain till death takes pity on him. Palliative surgery in laryngeal cancer amounts to doing tracheostomies and gastrostomies and administering painkillers. Most of my cases belong to this category. I extended the accepted parameters of surgical excisions for primary lesion and metastatic nodes. These excisions include laryngectomy with cervical esophagectomy, total laryngectomy, total cervical esophagetomy, total glossectomy, and total mandibulectomy. The extended radical neck dissections include carotid artery, vagus nerve, and sympathetic trunk on one side. Removal of these so-called vital structures was not only compatible with life but proved curative in 20 per cent of these cases.

每一门科学都有其应用范围，包括有关恶性肿瘤的医学。超过疾病的某个阶段，姑息治疗是唯一的办法。“姑息”一词相当于临床医生在试图挽救癌症患者的过程中接受失败。它的意思是病人应该呼吸和吃饭没有太多的痛苦，直到死亡怜悯他。喉癌的姑息性手术相当于做气管造口术和胃造口术以及使用止痛药。我的大多数案子都属于这一类。我扩展了手术切除原发性病变和转移性淋巴结的可接受参数。这些手术包括喉切除术合并颈性食管切除术、全喉切除术、全颈性食管切除术、全舌切除术和全下颌切除术。伸展根治性颈椎病包括一侧颈动脉、迷走神经和交感干。切除这些所谓的重要结构不仅与生命相容，而且在这些病例中有20%被证明是可以治愈的。
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引用次数: 0
Palliation in the management of laryngeal cancer. Summary of workshop on palliation. 缓和在喉癌治疗中的应用。姑息治疗讲习班总结。
Canadian journal of otolaryngology
Pub Date : 1975-01-01
R J Evans
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引用次数: 0
Combined therapy in the management of laryngeal carcinoma. 喉癌的综合治疗。
Canadian journal of otolaryngology
Pub Date : 1975-01-01
L H Hiranandani
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引用次数: 0
Roles and limitations of conservation surgical therapy for laryngeal cancer. 喉癌保守手术治疗的作用及局限性。
Canadian journal of otolaryngology
Pub Date : 1975-01-01
J H Ogura, D G Sessions, G J Spector, W A Alonso

This paper deals with the limitations of conservation surgical therapy for cancer in various sites. The detailed techniques are not included in this paper, but rather its pathophysiological approach to partial surgery. The technique has been reported many times previously.

本文讨论了保留手术治疗不同部位肿瘤的局限性。详细的技术不包括在本文中，而是其病理生理途径部分手术。这项技术以前已经被报道过很多次。
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引用次数: 0
Anterior commissure cancer--a clinical and laboratory study of 39 cases. 前联合癌——39例临床及实验室研究。
Canadian journal of otolaryngology
Pub Date : 1975-01-01
J A Kirchner, J J Fischer

Of 13 anterior commissure cancers treated by radiation therapy and reported in 1970, eight had residual or recurrent cancer at the primary site and required total laryngectomy. All but one of the 13 had been treated prior to 1958 by Orthovoltage radiation. A total of 19 patients with anterior commissure lesions were treated at the Yale-New Haven Hospital using a 2MEV Van de Graaf generator between mid 1958 when this supervoltage source first became available and December 1971. None was lost to follow-up and thus all are available for evaluation after more than two years. Results in this group have been compared with 20 glottic carcinomas with involvement of the anterior commissure treated surgically during the same period of time. Thirteen of the resulting 20 surgical specimens have been studied by serial section.

在1970年报道的13例放疗治疗的前联合癌中，有8例在原发部位有肿瘤残留或复发，需要全喉切除术。除一人外，其余13人在1958年之前都接受过正电压辐射治疗。从1958年中期到1971年12月，耶鲁-纽黑文医院共使用2MEV Van de Graaf发电机治疗19例前联合损伤患者，当时这种超电压源首次可用。没有一例因随访而丢失，因此两年后所有病例均可用于评价。该组的结果与同期手术治疗的20例声门癌并累及前连合的结果进行了比较。所得到的20例手术标本中有13例已通过连续切片进行了研究。
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引用次数: 0
[Prognathism: surgical treatment]. [前突:手术治疗]。
Canadian journal of otolaryngology
Pub Date : 1975-01-01
P Giguere
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引用次数: 0
Tracheo-esophageal shunt for speech rehabilitation after total laryngectomy. 气管-食管分流术在全喉切除术后语言康复中的应用。
Canadian journal of otolaryngology
Pub Date : 1975-01-01
T C Calcaterra
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引用次数: 0
Chemodectoma of the larynx. 喉部化学肿瘤。
Canadian journal of otolaryngology
Pub Date : 1975-01-01
R E Greenway, H Heeneman

The ninettenth reported case of chemodectoma of the larynx is presented and its management discussed. Some reflections on the laryngeal paraganglia are made and the past literature is reviewed.

本文报告第90例喉部化学细胞瘤，并讨论其处理方法。本文对喉副神经节作了一些思考，并对以往的文献进行了回顾。
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引用次数: 0
Immunotherapy in cancer of the larynx - an overview. 喉癌的免疫治疗综述。
Canadian journal of otolaryngology
Pub Date : 1975-01-01
R C Bone
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引用次数: 0
Research opportunities at the Institute of Laryngology and Otology, London. 伦敦喉耳科研究所的研究机会。
Canadian journal of otolaryngology
Pub Date : 1975-01-01
G Buchanan

Emphasis is placed on the need to encourage original research in our training programs. This implies an obligation to help trainees inexperienced in research to bridge the gap between theory and practice. Four examples of patterns of research at a postgraduate institute are presented. All are in areas in some way relevant to carcinoma of the larynx: a) the effect of experimental hypothermia on transplanted tumors in rats; b) isotope detection of deep vein thrombosis following head and neck surgery; c) stomal calibre after laryngectomy related to airflow, esophageal voice and cineradiographic appearances; d) a case-controlled study of the etiologic role of asbestos in laryngeal cancer. These studies are still in progress but some preliminary observations can be reported.

在我们的培训项目中，重点放在鼓励原创研究的必要性上。这意味着有义务帮助没有研究经验的受训者弥合理论与实践之间的差距。介绍了研究生院研究模式的四个例子。所有这些都在某种程度上与喉癌相关的领域:a)实验性低温对大鼠移植肿瘤的影响;B)头颈部手术后深静脉血栓的同位素检测;C)喉切除术后口口径与气流、食管声音和x线片表现的关系;D)石棉在喉癌中的病因学作用的病例对照研究。这些研究仍在进行中，但可以报告一些初步观察结果。
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引用次数: 0
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