The Experts below are selected from a list of 117 Experts worldwide ranked by ideXlab platform
Jürgen Klempnauer - One of the best experts on this subject based on the ideXlab platform.
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Invasive differentiated thyroid carcinoma: Tracheal Resection and reconstruction procedures in the hands of the endocrine surgeon.
Surgery, 1999Co-Authors: Thomas J. Musholt, Petra B. Musholt, Matthias Behrend, Rudolf Raab, Georg F. W. Scheumann, Jürgen KlempnauerAbstract:Abstract Background: Although differentiated carcinoma of the thyroid gland is a relatively benign tumor, up to 20% of patients are endangered by potentially fatal complications resulting from infiltrating tumor growth into the upper aerodigestive tract. Methods: This study included 33 patients who underwent 34 Tracheal or laryngoTracheal procedures for invasive differentiated thyroid carcinoma under the direction of a single surgeon (G.F.W.S.). From 1990 to 1994, radical tumor extirpation was performed by “window” Resection, and from 1995 to 1998, radical surgery consisted of either circumferential sleeve Resection or laryngoTracheal “step” Resection—a novel method of reconstruction in cases of unilateral tumor infiltration into the larynx and Trachea. Resection was limited to laminar ablation in 17 cases. The mean follow-up of 16 patients who survived was 42.5 months (range, 2 months to 8.9 years). Results: Procedures resulting in primary end-to-end anastomosis of the upper airways were associated with lower perioperative morbidity and improved recurrence-free survival when compared with “window” Resections with muscle flap reconstruction. In cases of superficial Tracheal tumor infiltration, laminar ablations were sufficient for local tumor control. Conclusions: Radical eradication of differentiated thyroid carcinoma infiltrating the upper airways followed by radioiodine application should be considered the treatment of choice. LaryngoTracheal “step” Resection allows tumor extirpation with preservation of neural and muscular structures of the larynx. (Surgery 1999;126:1078-88.)
Thomas J. Musholt - One of the best experts on this subject based on the ideXlab platform.
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Invasive differentiated thyroid carcinoma: Tracheal Resection and reconstruction procedures in the hands of the endocrine surgeon.
Surgery, 1999Co-Authors: Thomas J. Musholt, Petra B. Musholt, Matthias Behrend, Rudolf Raab, Georg F. W. Scheumann, Jürgen KlempnauerAbstract:Abstract Background: Although differentiated carcinoma of the thyroid gland is a relatively benign tumor, up to 20% of patients are endangered by potentially fatal complications resulting from infiltrating tumor growth into the upper aerodigestive tract. Methods: This study included 33 patients who underwent 34 Tracheal or laryngoTracheal procedures for invasive differentiated thyroid carcinoma under the direction of a single surgeon (G.F.W.S.). From 1990 to 1994, radical tumor extirpation was performed by “window” Resection, and from 1995 to 1998, radical surgery consisted of either circumferential sleeve Resection or laryngoTracheal “step” Resection—a novel method of reconstruction in cases of unilateral tumor infiltration into the larynx and Trachea. Resection was limited to laminar ablation in 17 cases. The mean follow-up of 16 patients who survived was 42.5 months (range, 2 months to 8.9 years). Results: Procedures resulting in primary end-to-end anastomosis of the upper airways were associated with lower perioperative morbidity and improved recurrence-free survival when compared with “window” Resections with muscle flap reconstruction. In cases of superficial Tracheal tumor infiltration, laminar ablations were sufficient for local tumor control. Conclusions: Radical eradication of differentiated thyroid carcinoma infiltrating the upper airways followed by radioiodine application should be considered the treatment of choice. LaryngoTracheal “step” Resection allows tumor extirpation with preservation of neural and muscular structures of the larynx. (Surgery 1999;126:1078-88.)
Edna Rico Escobar - One of the best experts on this subject based on the ideXlab platform.
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Tracheal Resection as stenosis treatment, 16 years experience in Juarez City, Mexico
European Respiratory Journal, 2013Co-Authors: Ruben Efraín Garrido Cardona, Elisa Barrera Ramírez, Edna Rico EscobarAbstract:Introduction : We present the cases of Tracheal stenosis treated surgically during 16 years in Juarez City. End to end Resection and anastomosis of the Trachea is indicated in fibrotic stenosis, the surgery consists of a cervical dissection with exposition of the Trachea, Resection of the affected segment and joining of the ends without tension. Causes of stenosis include congenital illness, traumatism, intubation, surgery, infection, granulomatous disease and tumors. All patients present progressive dyspnea. It is diagnosed with a bronchoscopy and helicoidal tomography with 3-D reconstruction. Methods: We analyzed cases between 1996 and 2012 with diagnosis of Tracheal stenosis with Resection and end to end anastomosis. Results: Seventeen patients were diagnosed with Tracheal stenosis and all of them were candidates for surgical treatment (100%), average age was 35.6, 13 men (76%) and 4 women (23%). The main etiology was endoTracheal intubation of 16 patients (94%) followed by Tracheal granuloma by foreign object in one of the cases (5%). The extension of the Resection was from 2-5 Tracheal rings. The complications were stenosis in one of the cases (5%) three months after surgery. One patient died (5%) as a consequence of a respiratory failure not related to the surgical treatment. Conclusions: Tracheal Resection with end to end anastomosis is an excellent alternative with high success rate. This procedure is a surgical challenge performed in very little hospitals in our country and it requires third level infrastructure, training and experience of the surgeon. In Juarez City, Mexico we have had extremely satisfactory results with this surgical procedure.
Rudolf Raab - One of the best experts on this subject based on the ideXlab platform.
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Invasive differentiated thyroid carcinoma: Tracheal Resection and reconstruction procedures in the hands of the endocrine surgeon.
Surgery, 1999Co-Authors: Thomas J. Musholt, Petra B. Musholt, Matthias Behrend, Rudolf Raab, Georg F. W. Scheumann, Jürgen KlempnauerAbstract:Abstract Background: Although differentiated carcinoma of the thyroid gland is a relatively benign tumor, up to 20% of patients are endangered by potentially fatal complications resulting from infiltrating tumor growth into the upper aerodigestive tract. Methods: This study included 33 patients who underwent 34 Tracheal or laryngoTracheal procedures for invasive differentiated thyroid carcinoma under the direction of a single surgeon (G.F.W.S.). From 1990 to 1994, radical tumor extirpation was performed by “window” Resection, and from 1995 to 1998, radical surgery consisted of either circumferential sleeve Resection or laryngoTracheal “step” Resection—a novel method of reconstruction in cases of unilateral tumor infiltration into the larynx and Trachea. Resection was limited to laminar ablation in 17 cases. The mean follow-up of 16 patients who survived was 42.5 months (range, 2 months to 8.9 years). Results: Procedures resulting in primary end-to-end anastomosis of the upper airways were associated with lower perioperative morbidity and improved recurrence-free survival when compared with “window” Resections with muscle flap reconstruction. In cases of superficial Tracheal tumor infiltration, laminar ablations were sufficient for local tumor control. Conclusions: Radical eradication of differentiated thyroid carcinoma infiltrating the upper airways followed by radioiodine application should be considered the treatment of choice. LaryngoTracheal “step” Resection allows tumor extirpation with preservation of neural and muscular structures of the larynx. (Surgery 1999;126:1078-88.)
Georg F. W. Scheumann - One of the best experts on this subject based on the ideXlab platform.
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Invasive differentiated thyroid carcinoma: Tracheal Resection and reconstruction procedures in the hands of the endocrine surgeon.
Surgery, 1999Co-Authors: Thomas J. Musholt, Petra B. Musholt, Matthias Behrend, Rudolf Raab, Georg F. W. Scheumann, Jürgen KlempnauerAbstract:Abstract Background: Although differentiated carcinoma of the thyroid gland is a relatively benign tumor, up to 20% of patients are endangered by potentially fatal complications resulting from infiltrating tumor growth into the upper aerodigestive tract. Methods: This study included 33 patients who underwent 34 Tracheal or laryngoTracheal procedures for invasive differentiated thyroid carcinoma under the direction of a single surgeon (G.F.W.S.). From 1990 to 1994, radical tumor extirpation was performed by “window” Resection, and from 1995 to 1998, radical surgery consisted of either circumferential sleeve Resection or laryngoTracheal “step” Resection—a novel method of reconstruction in cases of unilateral tumor infiltration into the larynx and Trachea. Resection was limited to laminar ablation in 17 cases. The mean follow-up of 16 patients who survived was 42.5 months (range, 2 months to 8.9 years). Results: Procedures resulting in primary end-to-end anastomosis of the upper airways were associated with lower perioperative morbidity and improved recurrence-free survival when compared with “window” Resections with muscle flap reconstruction. In cases of superficial Tracheal tumor infiltration, laminar ablations were sufficient for local tumor control. Conclusions: Radical eradication of differentiated thyroid carcinoma infiltrating the upper airways followed by radioiodine application should be considered the treatment of choice. LaryngoTracheal “step” Resection allows tumor extirpation with preservation of neural and muscular structures of the larynx. (Surgery 1999;126:1078-88.)