Evaluation de la voix avant et après chirurgie de la thyroide sans atteinte du nerf laryngé inférieur

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ISBN 13 :
Total Pages : 160 pages
Book Rating : 4.:/5 (866 download)

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Book Synopsis Evaluation de la voix avant et après chirurgie de la thyroide sans atteinte du nerf laryngé inférieur by : Aurélie Raingeard

Download or read book Evaluation de la voix avant et après chirurgie de la thyroide sans atteinte du nerf laryngé inférieur written by Aurélie Raingeard and published by . This book was released on 2012 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt: L'objectif de ce mémoire est de réaliser une évaluation de la voix avant et après chirurgie de la thyroïde chez des patients sans atteinte du nerf laryngé inférieur ainsi que l'analyse des conséquences vocales et sociales de cette chirurgie. Pour cela, nous avons recueilli et analysé des enregistrements vocaux ainsi que des données sur la qualité de vie de 6 patients. Des analyses objectives de la qualité vocale ont été réalisées, et un questionnaire d'évaluation de la qualité de vie a été renseigné par les patients eux-mêmes. Les résultats obtenus laissent apparaître l'existence de troubles vocaux avec un léger abaissement de certaines données acoustiques, notamment la Fo. L'analyse des conséquences vocales met en évidence l'importance des évaluations acoustiques de la voix pré et post opératoires. L'analyse des conséquences sociales met en évidence l'importance du Voice Handicap Index et de l'intérêt porté au ressenti du patient. Les conséquences vocales et sociales mettent en avant l'importance de la rééducation orthophonique.

Réséction carcinologique du nerf laryngé inférieur dans les cancers de la glande thyroïde

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ISBN 13 :
Total Pages : 92 pages
Book Rating : 4.:/5 (13 download)

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Book Synopsis Réséction carcinologique du nerf laryngé inférieur dans les cancers de la glande thyroïde by : Alexandre Dahan (otorhinolaryngologue-stomatologue).)

Download or read book Réséction carcinologique du nerf laryngé inférieur dans les cancers de la glande thyroïde written by Alexandre Dahan (otorhinolaryngologue-stomatologue).) and published by . This book was released on 2020 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt: Objectif - Évaluer la survie et la qualité vocale chez les patients opérés d'un cancer de la thyroïde avec résection de nécessité du nerf laryngé inférieur. Méthodes - Étude rétrospective descriptive incluant tous les patients opérés à l'institut Gustave Roussy de Septembre 2005 à Janvier 2020 d'un cancer thyroïdien avec résection du nerf récurrent. Évaluation de la survie globale et de la survie sans récidive. Évaluation de la qualité vocale et de la déglutition avec l'EORTC Head Neck 35 et le VHI. Les adultes et les enfants ont été étudiés séparément. Résultats - 54 patients ont été inclus (46 adultes dont 39 carcinomes différenciés et 7 carcinomes médullaires, et 8 enfants ayant un carcinome papillaire), avec un âge moyen de 61,2 ans (IC95%{56,4-66,0}) pour les adultes, 12,25 ans (IC95% {9,9- 14,6}) pour les enfants. 31 adultes (66%) et 7 enfants (87%) n'avaient pas de paralysie récurentielle préopératoire. Le suivi moyen était de 51 mois pour les adultes, 71 mois pour les enfants. La survie à 5 ans était de 86% (73-100) pour les adultes présentant un carcinome différencié, aucun enfant n'est décédé au cours du suivi. La survie sans récidive à 5 ans était de 38% {IC95% (23-61)} pour les adultes ayant un carcinome différencié (avec 36% de progression locorégionale et 68% de progression métastatique). La survie des 7 patients atteints d'un carcinome médullaire n'a pas pu être évaluée par la méthode de Kaplan-Meier. La qualité vocale était mesurée subjectivement avec un score VHI moyen de 19,7/40 pour la population adulte. L'évaluation de la qualité de déglutition a retrouvé un score EORTC H&N 35 de 60/130. Seulement 5 patients ont souhaité une médialisation de corde vocale. Conclusion - La résection du nerf récurrent pour raison carcinologique semble permettre un bon contrôle local du cancer sans altération majeure de la qualité de vie en ce qui concerne la voix et la déglutition.

Thyroïdectomie avec neuromonitoring laryngé

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ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (119 download)

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Book Synopsis Thyroïdectomie avec neuromonitoring laryngé by : Alexis Guillemaud

Download or read book Thyroïdectomie avec neuromonitoring laryngé written by Alexis Guillemaud and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: L'objectif principal était d'analyser de manière objective et subjective, après thyroïdectomie, l'évolution de la voix des patients ne présentant pas de lésion des nerfs laryngés inférieurs et supérieurs. Il s'agissait d'une étude prospective monocentrique portant sur les patients opérés d'une thyroïdectomie avec monitoring des nerfs laryngés (inférieurs et supérieurs) entre septembre 2018 et décembre 2019 incluant tous les patients majeurs, sachant lire le français. L'évaluation vocale, réalisée 1 mois avant et 3 mois après la chirurgie, était subjective (Voice Handicap Index 10 et GRBAS) et objective (Dysphonia Severity Index). Parmi les 59 patients inclus, aucune altération significative des paramètres vocaux subjectifs et objectifs étudiés n'a été observée après la chirurgie. Le Voice Handicap Index 10 a évolué de 3,39 [0,00-29,00] à 2,90 [0,00-29,00] (p = 0,62) ; le GRBAS de 0,64 [0,00-3,00] à 0,73 [0,00-4,00] (p = 0,57) ; le Dysphonia Severity index de 8,47 [4,10-10,24] à 8,31 [5,59-11,62] (p = 0,42). L'âge supérieur à 65 ans, un score préopératoire supérieur ou égal à 3 au Voice Handicap Index 10 et la réintervention thyroïdienne étaient des facteurs prédictifs d'altération vocale postopératoire. La qualité vocale, analysée de manière objective et subjective, trois mois après une thyroïdectomie, n'était pas altérée par rapport à celle préopératoire.

Tissue Engineering for Artificial Organs, 2 Volume Set

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Publisher : John Wiley & Sons
ISBN 13 : 3527338632
Total Pages : 762 pages
Book Rating : 4.5/5 (273 download)

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Book Synopsis Tissue Engineering for Artificial Organs, 2 Volume Set by : Anwarul Hasan

Download or read book Tissue Engineering for Artificial Organs, 2 Volume Set written by Anwarul Hasan and published by John Wiley & Sons. This book was released on 2017-06-19 with total page 762 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comprehensive overview of the latest achievements, trends, and the current state of the art of this important and rapidly expanding field. Clearly and logically structured, the first part of the book explores the fundamentals of tissue engineering, providing a separate chapter on each of the basic topics, including biomaterials stem cells, biosensors and bioreactors. The second part then follows a more applied approach, discussing various applications of tissue engineering, such as the replacement or repairing of skins, cartilages, livers and blood vessels, to trachea, lungs and cardiac tissues, to musculoskeletal tissue engineering used for bones and ligaments as well as pancreas, kidney and neural tissue engineering for the brain. The book concludes with a look at future technological advances. An invaluable reading for entrants to the field in biomedical engineering as well as expert researchers and developers in industry.

International Practice of Anaesthesia

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Publisher :
ISBN 13 :
Total Pages : 1316 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis International Practice of Anaesthesia by : Cedric Prys-Roberts

Download or read book International Practice of Anaesthesia written by Cedric Prys-Roberts and published by . This book was released on 1996 with total page 1316 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Cutaneous Arteries of the Human Body

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Publisher : Springer
ISBN 13 : 9781461382232
Total Pages : 149 pages
Book Rating : 4.3/5 (822 download)

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Book Synopsis The Cutaneous Arteries of the Human Body by : C. Manchot

Download or read book The Cutaneous Arteries of the Human Body written by C. Manchot and published by Springer. This book was released on 2012-03-02 with total page 149 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Laryngeal Electromyography, Third Edition

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Publisher : Plural Publishing
ISBN 13 : 1635500176
Total Pages : 257 pages
Book Rating : 4.6/5 (355 download)

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Book Synopsis Laryngeal Electromyography, Third Edition by : Robert Thayer Sataloff

Download or read book Laryngeal Electromyography, Third Edition written by Robert Thayer Sataloff and published by Plural Publishing. This book was released on 2017-05-12 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: Laryngeal Electromyography, Third Edition is an easy guide and quick reference for laryngologists, neurologists, physiatrists, and others who wish to learn the procedure of laryngeal electromyography in order to evaluate the integrity of the muscles and nerves of the larynx, and to determine the cause of movement disorders of the vocal folds and make a diagnosis. Thoroughly revised since the previous edition, Laryngeal Electromyography provides the latest advances on electromyographic procedure and diagnostics. This third edition includes concise, practical coverage on the details of the procedure and clinical applications.

A Manual of Diseases of the Throat and Nose

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Publisher :
ISBN 13 :
Total Pages : 432 pages
Book Rating : 4.0/5 (887 download)

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Book Synopsis A Manual of Diseases of the Throat and Nose by : Morell Mackenzie

Download or read book A Manual of Diseases of the Throat and Nose written by Morell Mackenzie and published by . This book was released on 1884 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Videostroboscopic Examination of the Larynx

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Publisher : Singular
ISBN 13 :
Total Pages : 268 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Videostroboscopic Examination of the Larynx by : Minoru Hirano

Download or read book Videostroboscopic Examination of the Larynx written by Minoru Hirano and published by Singular. This book was released on 1993 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt: CONTENTSIntroduction and Historical Review. Vocal Fold Vibration. Instrumentation and Operation. Clinical Procedures for Observation and Administration, Judgment and Interpretation of Vibratory Pattern. Typical Vibratory Patterns in Vocal Pathologies and Their Clinical Implications. Relating Stroboscopy to Other Clinical Data. Appendix: Instructions for Making a Zoetrope. References. Bibliography Index.

Microlaryngoscopy and Endolaryngeal Microsurgery

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Publisher :
ISBN 13 :
Total Pages : 200 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Microlaryngoscopy and Endolaryngeal Microsurgery by : Oskar Kleinsasser

Download or read book Microlaryngoscopy and Endolaryngeal Microsurgery written by Oskar Kleinsasser and published by . This book was released on 1979 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Primary Pediatric Care

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Publisher : Mosby Incorporated
ISBN 13 : 9780323008297
Total Pages : 1936 pages
Book Rating : 4.0/5 (82 download)

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Book Synopsis Primary Pediatric Care by : Robert A. Hoekelman

Download or read book Primary Pediatric Care written by Robert A. Hoekelman and published by Mosby Incorporated. This book was released on 2000-10-01 with total page 1936 pages. Available in PDF, EPUB and Kindle. Book excerpt: -- An outstanding offer, both the New Hoekelman book & CD! -- Important new information at your fingertips, whether at the office or home.

Introduction to Clinical Examination

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Publisher : Elsevier Health Sciences
ISBN 13 : 0443074178
Total Pages : 190 pages
Book Rating : 4.4/5 (43 download)

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Book Synopsis Introduction to Clinical Examination by : Michael J. Ford

Download or read book Introduction to Clinical Examination written by Michael J. Ford and published by Elsevier Health Sciences. This book was released on 2005-01-01 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt: The most important core skills for medical students to master are history taking and clinical examination. This extensively revised, eighth edition has been written with the philosophy that the acquisition of clinical skills is most effectively undertaken at the bedside. This pocketbook should be used as a companion, to be taken onto the wards and into consulting rooms where the information is most needed. The book begins with a system of history taking followed by a new chapter on the analysis of key symptoms. The remaining chapters cover physical examination of each of the major systems. Each stage of the examination starts with a detailed, step-by-step description of the examination method complemented by relevant illustrations, diagrams and tables on the facing page. This book is intended primarily for use at the outset of clinical training; once students have achieved proficiency in the basic skills of interviewing and examining, the book should also prove useful for revision. An invaluable starter book concentrating purely on the fundamentals of performing a patient examination. Covers each body system and outlines the principles of: - taking a history - how to conduct a physical examination - specific examination points as appropriate Concentrates only on the main symptoms of disease and then the normal and abnormal physical findings. Mention of specific diseases is confined to those most commonly encountered. Compact and pocket-sized to be carried around easily. · Now in full colour double-page format · Clear simple colour line drawings covering the essentials of a clinical examination. · Published simultaneously with the Eleventh Edition of Macleod's Clinical Examination

The Bereaved Child Analysis, Education and Treatment

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Publisher : Springer
ISBN 13 :
Total Pages : 296 pages
Book Rating : 4.:/5 (319 download)

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Book Synopsis The Bereaved Child Analysis, Education and Treatment by : Gillian S. Mace

Download or read book The Bereaved Child Analysis, Education and Treatment written by Gillian S. Mace and published by Springer. This book was released on 1981-06-30 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Bereaved Child: Analysis, Education, and Treatment. An ab stracted bibliography is a comprehensive abstracted bibliography focusing on the reactions and coping mechanisms of children and adolescents to the death of parents, siblings, friends, teachers, pets or even presidents. Publication~ dealing with both normative and pathological stages of bereavement are reviewed. Materials covering childhood concepts/attitudes toward death are included. Citations appear which explore child death education/counseling issues for parents and educators when they involve actual or antic ipated death. Articles are reviewed which deal with the importance of the adult role in the mourning process of the child. For example, decisions such as whether a child should attend a funeral or return to school are examined. Publications are included which explore the short and l'ong term developmental consequences of childhood death experience. It is important to note that the topic of the dying child was excluded. The Bereaved Child contains over 550 citations in author alphabetized and abstracted form. Only English-written books and periodicals are represented. A quick glance will reveal that the bulk of the material is post-1960. This reflects the recency of in terest and study in the area of childhood bereavement. Literature across multiple disciplines was scanned and included. Psychology, medicine, social work, and education are heavily represented, while no theological, literary, or popular sources were examined.

Selected Monographs

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ISBN 13 :
Total Pages : 368 pages
Book Rating : 4.:/5 ( download)

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Book Synopsis Selected Monographs by : New Sydenham Society

Download or read book Selected Monographs written by New Sydenham Society and published by . This book was released on 1861 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Esophagus and Pharynx

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ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (139 download)

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Book Synopsis Esophagus and Pharynx by :

Download or read book Esophagus and Pharynx written by and published by . This book was released on 1997 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: