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  1. Article: A Review and Comparative Analysis of Transoral Surgical Treatment versus Conservative Management in Early-Stage Oropharyngeal Cancer.

    Rujan, Simona Andreea / Bertesteanu, Serban Vifor Gabriel / Grigore, Raluca / Popescu, Bogdan / Condeescu-Cojocarita, Mihnea / Alexandru, Nicolaescu / Bertesteanu, Gloria Simona / Schipor-Diaconu, Teodora Elena / Cirstea, Anca Ionela / Tudosie, Mihai Dumitru / Popescu, Irina-Doinita / Taher, Bianca Petra

    Journal of personalized medicine

    2024  Volume 14, Issue 3

    Abstract: Introduction: Oropharyngeal cancer requires a comprehensive evaluation of treatment options, including surgery, radiation therapy, and chemotherapy. It is crucial to customize these treatments based on the stage of the tumor and the overall health of ... ...

    Abstract Introduction: Oropharyngeal cancer requires a comprehensive evaluation of treatment options, including surgery, radiation therapy, and chemotherapy. It is crucial to customize these treatments based on the stage of the tumor and the overall health of the patient, enabling personalized or combined approaches. Transoral surgical techniques have regained popularity due to the advancements and limitations of non-surgical strategies. The potential influence of surgical procedures on patients' quality of life highlights the need for careful intervention selection; among them, the transoral approach has proven to be especially beneficial for early-stage oropharyngeal neoplasms.
    Methods: To explore potential treatments for early-stage oropharyngeal malignancies, this study carefully reviews the literature, using information from papers, current research, and global databases. The review protocol commenced on November 2023. A comprehensive search of the PUBMED database was undertaken, employing pertinent terms associated with oropharyngeal, transoral surgery or radiotherapy, robotic surgery, and chemotherapy.
    Results: Treating early-stage oropharyngeal neoplasms is particularly intriguing due to the multitude of variables influencing treatment decisions, leading to ongoing debates in specialized literature. Regardless of the chosen approach, maintaining a high quality of life is crucial. To assess this, standardized questionnaires from the European Organization for Research and Treatment of Cancer were employed, revealing superior outcomes for patients solely undergoing surgical intervention. Additionally, in the realm of specialized literature, cases of HPV-positive oropharyngeal neoplasms are recognized for their heightened radiosensitivity and more favorable long-term prognosis.
    Conclusions: Surgical intervention and radiotherapy are the main treatment options for oropharyngeal cancer, and they can be used separately or together for maximum effectiveness. Amid ongoing discussions, determining the superior effectiveness between the two options continues to be a matter of debate. This study provides a comprehensive analysis, offering valuable perspectives for future discussions. Neoplasm in the oropharynx can be effectively treated using transoral microsurgery.
    Language English
    Publishing date 2024-03-04
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2662248-8
    ISSN 2075-4426
    ISSN 2075-4426
    DOI 10.3390/jpm14030283
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Tympanojugular paragangliomas. Two case reports

    Raluca GRIGORE / Anca I. CIRSTEA / Paula BEJENARU / Catrinel B. SIMION-ANTONIE / Gloria S. MUNTEANU / Alexandru NICOLAESCU / Mihnea CONDEESCU-COJOCARITA / Serban V.G. BERTESTEANU

    Archives of the Balkan Medical Union, Vol 55, Iss 2, Pp 339-

    2020  Volume 344

    Abstract: Introduction. Paragangliomas are benign tumours that arise from the paraganglionic system. The most frequently encountered symptoms of tympanojugular paragangliomas are pulsatile tinnitus and conductive hearing loss. High resolution computed tomography, ... ...

    Abstract Introduction. Paragangliomas are benign tumours that arise from the paraganglionic system. The most frequently encountered symptoms of tympanojugular paragangliomas are pulsatile tinnitus and conductive hearing loss. High resolution computed tomography, with reconstruction in axial and coronal planes, is mandatory in every suspected case of tympanojugular paraganglioma. The treatment is guided by the classification of Fish. Cases presentation. We present two cases in whom the clinical manifestations and paraclinical investigations established the diagnosis of tympanojugular paraganglioma. Both surgery and postoperative evolution are described for each case. In most of these tumours, surgery remains the mainstay treatment. According to the preoperative plan of the first case, it was decided that the tumour can be resected safely, without compromising the cranial nerves. In the second case, the entire tumour was removed, but with the sacrifice of the inferior cranial nerve, caught in the tumour mass. Conclusions. These tumours have the tendency to involve multiple vital structures of the skull base. A detailed preoperative plan of treatment is required to maximize tumour resection, while minimizing morbidity of the great vessels and lower cranial nerves.
    Keywords tympanojugular ; paraganglioma ; skull base ; Medicine ; R ; Medicine (General) ; R5-920
    Subject code 616
    Language English
    Publishing date 2020-06-01T00:00:00Z
    Publisher Balkan Medical Union
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: THE QUALITY OF LIFE IN PATIENTS WITH TOTAL LARYNGECTOMY

    Raluca GRIGORE / Alina L. A. OANCEA / Catrinel SIMION-ANTONIE / Bogdan POPESCU / Liliana NITU / Paula BEJENARU / Gloria MUNTEANU / Anca CIRSTEA / Mihnea CONDEESCU / Luiza SIRETEANU / Amer OTHMAN / Bianca TAHER / Simona RUJAN / Ruxandra NEDELCU / Teodora DIACONU / Denisa MITRAN / Elena ARJOCA / Teodora POPA / Claudiu CURCA /
    Roxana ANDRONE / Alisa DIMCEA / Alexandru NICOLAESCU / Serban V.G. BERTESTEANU

    Archives of the Balkan Medical Union, Vol 55, Iss 1, Pp 87-

    2020  Volume 97

    Abstract: Introduction. The quality of life of patients after total laryngectomy is influenced by both the disease and the radical therapeutic interventions. After surgical treatment, vocal rehabilitation, along with pulmonary and deglutition rehabilitation, are ... ...

    Abstract Introduction. The quality of life of patients after total laryngectomy is influenced by both the disease and the radical therapeutic interventions. After surgical treatment, vocal rehabilitation, along with pulmonary and deglutition rehabilitation, are necessary. The objective of the study was to assess the quality of life in patients with total laryngectomy. Materials and methods. A questionnaire with 14 questions was randomly addressed to 100 patients with total laryngectomy who presented to Coltea Clinical Hospital, Bucharest, Romania, over a period of three months. Results. Fifty patients answered that they had no pain. Regarding everyday activities, 34 patients answered that they were as active as before surgery. Regarding their appearance, 50 patients answered that there is no change, or the change is minor, while 39 answered that their appearance bothers them, but they remain active, and 5 answered that they feel disfigured and limit their activity, while 6 patients answered that they cannot be with other people because of their aspect. 34 patients answered that they could swallow as well as prior to surgery, other 34 patients answered that they cannot swallow certain foods, while 21 answered that they only swallow liquid food or are dependent on a feeding tube. Regarding everyday activity, 67 patients answered there are times when they cannot keep up with their old pace, but they get out of the house and enjoy life. About their mood, 38 patients answered that they were not in a good mood, nor depressed, while 36 said their mood is generally good and only occasionally affected by cancer. Six patients answered that their mood is excellent, while 15 patients were somewhat depressed and 5 were extremely depressed. Conclusions. The quality of life is influenced by the patients’ appearance after total laryngectomy, and their ability to maintain everyday activities. Swallowing, taste and saliva quality have a great impact on the quality of life of patients with total laryngectomy and also influence their nutritional status.
    Keywords quality of life ; total laryngectomy ; voice rehabilitation ; Medicine ; R ; Medicine (General) ; R5-920
    Subject code 610
    Language English
    Publishing date 2020-03-01T00:00:00Z
    Publisher Balkan Medical Union
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: The laryngocele; case presentation

    Gabriel V. Berteșteanu / Alexandru Nicolaescu / Radu C. Popescu / Bogdan Popescu / Liliana Nițu / Oana Păun / Beatrice C. Antonie / Paula Pașcu / Raluca Grigore

    Journal of Clinical and Investigative Surgery, Vol 1, Iss 1, Pp 28-

    2016  Volume 32

    Abstract: Laryngocele is a rare pathology, but because of their clinical evolution and the symptoms they generate, they should always be considered as a differential diagnosis when investigating neck masses. A laryngocele is basically a herniation of the mucosa of ...

    Abstract Laryngocele is a rare pathology, but because of their clinical evolution and the symptoms they generate, they should always be considered as a differential diagnosis when investigating neck masses. A laryngocele is basically a herniation of the mucosa of the laryngeal ventricle (Morgagni's ventricle) arising usually from the saccular region. This herniation may remain confined to the larynx - in which case the laryngocele is internal- or expand through the thyro-hyoid membrane into the structures of the neck - thus being called an external laryngocele. Usually the laryngocele has both an internal and external component thus being a mixed laryngocele. Diagnosis of laryngoceles still relies heavily on clinical signs such as tympanism, easily depressible neck mass, indirect laryngoscopy, but is now simplified by imagistic investigations (ultrasound, CT and MRI). However, the treatment of this condition is exclusively surgical and consists of total excision of the laryngocele, as well as proper identification of the point of origin from the saccule and also the final suture of the breach in order to prevent recurrence. Investigation of possible causes of obstruction of the laryngeal ventricle should always be performed (because of the possibility of an underlying malignancy) as well as a follow-up protocol of the patient, given the risk of relapse. We present a recently diagnosed case of a 32 year old man with mixed laryngocele, which we have operated in our clinic.
    Keywords laryngocele ; laryngeal saccule ; neck dissection ; Medicine ; R
    Language English
    Publishing date 2016-05-01T00:00:00Z
    Publisher Digital ProScholar Media
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Research and Science Today Supplement No. 2/2018

    Maria MANEA / Dragoş MARCU / Camelia DIACONU / Bogdan SOCEA / Vlad-Dumitru BĂLEANU / Ovidiu BRATU / Raluca GRIGORE / Şerban BERTEŞTEANU / Vlad Denis CONSTANTIN / Lucian IORGA / Radu ANGHEL / Dan MISCHIANU / Catrinel ANTONIE-SIMION / Bogdan POPESCU / Paula PASCU / Gloria MUNTEANU / Anca CÎRSTEA / Mihnea CONDEESCU / Amer OTHMAN /
    Cristian Radu POPESCU / Alexandru NICOLAESCU / Tiberiu Stefanita TENEA COJAN / Mihai DIMITRIU / Simona BOBIC / Yair Levy MORDECHAI / Speranta SCHMITZER / Ioana Claudia POPTEANU / Alina GHEORGHE

    Research and Science Today, Pp 1-

    2018  Volume 104

    Keywords CHRONIC KIDNEY DISEASE ; GALLBLADDER CARCINOMA ; NECROTIZING FASCIITIS ; TOTAL LARYNGECTOMY ; OBSTRUCTIVE SLEEP APNEA ; COLONIC TUMORS ; THROMBOPROPHYLAXIS ; COLONIC DIVERTICULAR DISEASE ; RENAL TUBERCULOSIS ; MALIGNANT LYMPHOMA ; Science (General) ; Q1-390 ; Social sciences (General) ; H1-99
    Language German
    Publishing date 2018-12-01T00:00:00Z
    Publisher RST Journal
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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