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  1. AU="Ingrams, Duncan"
  2. AU=Liu Rong
  3. AU="Musselman, Kristin E"
  4. AU=Abrams M J
  5. AU="Paul, Archi Sundar"
  6. AU=Yoon Hyuk
  7. AU="Gonzalez, Emily"
  8. AU="Dunnill, M S"
  9. AU=Kuo Chih-Hung
  10. AU=Geronimo Carly L.
  11. AU=Stafforini D M
  12. AU="Sytse J. Piersma"
  13. AU="Peng, Hongke"
  14. AU="Kelly, Geoffrey"
  15. AU=Schwartzenburg Joshua AU=Schwartzenburg Joshua
  16. AU="Deshpande, Sneha Satish"
  17. AU="Ganhewa, Aparna D" AU="Ganhewa, Aparna D"
  18. AU="Flanagan, T L"
  19. AU=Davila Eduardo
  20. AU="Miroli, Augusto"
  21. AU="Stahl, B"
  22. AU="Dehari, Hironari"
  23. AU="Pinheiro, Silviane Bezerra"
  24. AU="Jamal Al Deen Alkoteesh"
  25. AU="Chen, Dingqiang"
  26. AU="Jeremy C. Ganz"
  27. AU="Lee, Ta-Sheng"
  28. AU="Shi, Jin-Ming"
  29. AU=Kristoffersen K B
  30. AU=Du Chao
  31. AU="Anton I. Skaro"

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Treffer 1 - 6 von insgesamt 6

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  1. Artikel ; Online: How reliably can computed tomography predict thyroid invasion prior to laryngectomy?

    Harris, Andrew S / Passant, Carl D / Ingrams, Duncan R

    The Laryngoscope

    2017  Band 128, Heft 5, Seite(n) 1099–1102

    Abstract: Objectives/hypothesis: There is little evidence to support the removal of thyroid tissue during total laryngectomy. Although oncological control of the tumor is the priority, thyroidectomy can lead to hypothyroidism and hypoparathyroidism. This study ... ...

    Abstract Objectives/hypothesis: There is little evidence to support the removal of thyroid tissue during total laryngectomy. Although oncological control of the tumor is the priority, thyroidectomy can lead to hypothyroidism and hypoparathyroidism. This study aimed to test the usefulness of preoperative computed tomography in predicting histological invasion of the thyroid.
    Study design: Ambispective cohort study.
    Methods: All patients undergoing total laryngectomy for squamous cell carcinoma at one center from 2006 to 2016 were included. Data were recorded prospectively as part of the patients' standard care, but were collated retrospectively, giving this study an ambispective design. The histology report for thyroid invasion was taken as the gold standard. The computed tomography report was categorized by invasion of tumor into intralaryngeal, laryngeal cartilage involvement, and extralaryngeal tissues.
    Results: Seventy-nine patients were included. Nine patients had thyroid involvement on histology, translating to an incidence of 11.29% in this population. The positive predictive value for cartilage involvement on computed tomography for thyroid invasion was 52.9% (95% confidence interval [CI]: 28.5%-76.1%) and the negative predictive value was 100% (95% CI: 92.7%-100%).The positive predictive value for extralaryngeal spread on computed tomography for thyroid involvement was 100% (95% CI: 62.9%-100%), and the negative predictive value was also 100% (95% CI: 93.5%-100%).
    Conclusions: This study has shown that preoperative computed tomography is an effective method of ruling out thyroid gland invasion. The absence of extralaryngeal spread on computed tomography has been shown to be the most useful finding, with a high negative predictive value and a narrow 95% CI.
    Level of evidence: 4. Laryngoscope, 128:1099-1102, 2018.
    Mesh-Begriff(e) Adult ; Aged ; Aged, 80 and over ; Carcinoma, Squamous Cell/diagnostic imaging ; Carcinoma, Squamous Cell/surgery ; Female ; Humans ; Laryngeal Neoplasms/diagnostic imaging ; Laryngeal Neoplasms/surgery ; Laryngectomy ; Male ; Middle Aged ; Neoplasm Invasiveness/diagnostic imaging ; Neoplasm Invasiveness/pathology ; Predictive Value of Tests ; Prospective Studies ; Retrospective Studies ; Thyroid Gland/diagnostic imaging ; Thyroid Gland/pathology ; Tomography, X-Ray Computed
    Sprache Englisch
    Erscheinungsdatum 2017-10-08
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 80180-x
    ISSN 1531-4995 ; 0023-852X
    ISSN (online) 1531-4995
    ISSN 0023-852X
    DOI 10.1002/lary.26927
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: First branchial arch fistula: diagnostic dilemma and improvised surgical management.

    Prabhu, Vinod / Ingrams, Duncan

    American journal of otolaryngology

    2011  Band 32, Heft 6, Seite(n) 617–619

    Abstract: First branchial cleft anomalies are uncommon, and only sporadic case reports are published in the literature. They account for 1% to 8% of all the branchial abnormalities. The often variable presentation and tract siting of first arch fistulae have led ... ...

    Abstract First branchial cleft anomalies are uncommon, and only sporadic case reports are published in the literature. They account for 1% to 8% of all the branchial abnormalities. The often variable presentation and tract siting of first arch fistulae have led to misdiagnosis. The misdiagnosis results in inappropriate/ineffective treatment and recurrence of the sinus tract. We present a 19-year-old woman who presented to the ENT outpatient department with episodic discharge from a long-standing fistula anterior to the left sternomastoid muscle. This was associated with repeated episodes of ipsilateral tonsillitis. In relation to the history and because of the position of the fistula, a diagnosis of second branchial arch fistula was made. An attempt at excision was unfortunately followed by early recurrence of discharge. At review following the procedure, a defect of the left tympanic membrane in the form of a fibrous band was noted, and a revised diagnosis of first branchial arch sinus was made. Wide surgical excision of the tract with partial parotidectomy was performed. An uneventful postoperative course followed, with no recurrence of symptoms after 24 months of review. We discuss the case, the diagnostic pathway, and the wide local excision technique used for removal of branchial fistulae.
    Mesh-Begriff(e) Branchial Region/abnormalities ; Branchial Region/pathology ; Branchial Region/surgery ; Branchioma/diagnosis ; Branchioma/surgery ; Ear Canal/pathology ; Ear Canal/surgery ; Female ; Follow-Up Studies ; Head and Neck Neoplasms/diagnosis ; Head and Neck Neoplasms/surgery ; Humans ; Otorhinolaryngologic Surgical Procedures/adverse effects ; Otorhinolaryngologic Surgical Procedures/methods ; Parotid Gland/surgery ; Recurrence ; Reoperation/methods ; Tonsillectomy/methods ; Treatment Outcome ; Tympanic Membrane/pathology ; Tympanic Membrane/surgery ; Young Adult
    Sprache Englisch
    Erscheinungsdatum 2011-11
    Erscheinungsland United States
    Dokumenttyp Case Reports ; Journal Article
    ZDB-ID 604541-8
    ISSN 1532-818X ; 0196-0709
    ISSN (online) 1532-818X
    ISSN 0196-0709
    DOI 10.1016/j.amjoto.2010.09.008
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel: Mucoepidermoid carcinoma - unknown primary and late distant metastasis: an unusual course of the disease.

    Prabhu, Vinod / Johnston, James / Ingrams, Duncan / Passant, Carl

    Clinics and practice

    2011  Band 1, Heft 4, Seite(n) e97

    Abstract: The authors report the case to understand this unusual presentation and prognosis of mucoepidermoid carcinoma following treatment. We present a case of mucoepidermoid carcinoma in a 67-year-old man. The cancer was diagnosed in the right side of his neck ... ...

    Abstract The authors report the case to understand this unusual presentation and prognosis of mucoepidermoid carcinoma following treatment. We present a case of mucoepidermoid carcinoma in a 67-year-old man. The cancer was diagnosed in the right side of his neck but the primary tumor remained unknown despite attempts at staging. The neck was treated successfully and followed up for 2 years. Metastasis of the primary lesion to the left triceps was diagnosed following a swelling noticed by the patient during the 2-year follow up period. Mucoepidermoid carcinoma can be a low, intermediate or high-grade malignancy and can metastasize to different parts of the body. However, this is the first case report of a metastasis to the triceps muscle.
    Sprache Englisch
    Erscheinungsdatum 2011-11-02
    Erscheinungsland Switzerland
    Dokumenttyp Case Reports
    ZDB-ID 2605724-4
    ISSN 2039-7283 ; 2039-7275
    ISSN (online) 2039-7283
    ISSN 2039-7275
    DOI 10.4081/cp.2011.e97
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  4. Artikel ; Online: Comparing the efficacy of alkaline nasal douches versus decongestant nasal drops in postoperative care after septal surgery: a randomised single blinded clinical pilot study.

    Prabhu, Vinod / Pandey, Anita / Ingrams, Duncan

    Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India

    2011  Band 63, Heft 2, Seite(n) 159–164

    Abstract: To compare the efficacy of alkaline nasal douches and decongestant nasal drops following nasal septal surgery. This was a prospective, randomised, single-blind pilot study. Twenty patients were included in each arm of the study undergoing elective nasal ... ...

    Abstract To compare the efficacy of alkaline nasal douches and decongestant nasal drops following nasal septal surgery. This was a prospective, randomised, single-blind pilot study. Twenty patients were included in each arm of the study undergoing elective nasal septal surgery. The primary outcome measure was nasal congestion. Secondary outcome measures were anosmia, facial pain, nasal discharge, and sneezing/itching. This study does not show any statistically significant difference between the two treatment groups. Symptoms of nasal congestion (P = 0.3), facial pain (P = 0.932), nasal discharge (P = 0.98), sneezing (P = 0.59) and anosmia (P = 0.208) were analysed before conclusion. Three patients in saline group and one patient in the nasal drops group had poor compliance to follow the advice, scoring 2 on a VAS score but the treatment was tolerated well in majority of the patients. No statistical significant differences were noted on analysing the post operative complications in either group. In this study, both nasal douches and decongestant nasal drop were well tolerated. Both treatments provided good postoperative relief from nasal congestion, nasal discharge, sneezing, facial pain and anosmia as days progressed. The post operative examination of the nose among these patients revealed no significant complications in either of the study arm.
    Sprache Englisch
    Erscheinungsdatum 2011-04-06
    Erscheinungsland India
    Dokumenttyp Journal Article
    ZDB-ID 1471137-0
    ISSN 0973-7707 ; 0019-5421 ; 2231-3796
    ISSN (online) 0973-7707
    ISSN 0019-5421 ; 2231-3796
    DOI 10.1007/s12070-011-0231-9
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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    Verfügbar in ZB MED Köln/Königswinter

    Zs.A 5300: Hefte anzeigen Standort:
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  5. Artikel: Consent and the use of Foley catheters in epistaxis.

    Pellard, Sarah / Boyce, Jamie / Ingrams, Duncan R

    The Journal of laryngology and otology

    2005  Band 119, Heft 10, Seite(n) 822–824

    Abstract: The Medicines and Healthcare Products Regulatory Agency stated in 2003 that doctors should endeavour to avoid using products in treatments not covered by their product licence. Foley catheters are commonly used in the management of epistaxis although ... ...

    Abstract The Medicines and Healthcare Products Regulatory Agency stated in 2003 that doctors should endeavour to avoid using products in treatments not covered by their product licence. Foley catheters are commonly used in the management of epistaxis although their product licence does not cover this. We undertook a questionnaire survey of members of the British Association of Otorhinolaryngologists--Head & Neck Surgeons to study the extent of the use of these catheters and the knowledge that members had of their legal status. Most members appear to use Foley catheters in the management of epistaxis; however, many are not aware that the product is not licensed for this purpose. Because of this lack of knowledge, only half obtain verbal consent for treatment with this device and only a very small number obtain written consent from patients. In the era of increasing litigation, documentation of informed consent could be considered mandatory to protect us from possible legal action, and this needs to be known by all practising otolaryngologists.
    Mesh-Begriff(e) Catheterization/adverse effects ; Catheterization/standards ; Catheterization/utilization ; Epistaxis/therapy ; Health Care Surveys ; Humans ; Informed Consent/legislation & jurisprudence ; Informed Consent/statistics & numerical data ; Licensure ; Medical Records/standards ; Professional Competence/statistics & numerical data ; Professional Practice/statistics & numerical data ; Surveys and Questionnaires ; United Kingdom
    Sprache Englisch
    Erscheinungsdatum 2005-10
    Erscheinungsland England
    Dokumenttyp Journal Article
    ZDB-ID 218299-3
    ISSN 1748-5460 ; 0022-2151
    ISSN (online) 1748-5460
    ISSN 0022-2151
    DOI 10.1258/002221505774481318
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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    Ul II Zs.64: Hefte anzeigen Standort:
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  6. Artikel: HLA class II polymorphisms and susceptibility to recurrent respiratory papillomatosis.

    Gelder, Colin M / Williams, O Martin / Hart, Keith W / Wall, Siôn / Williams, Gareth / Ingrams, Duncan / Bull, Peter / Bunce, Mike / Welsh, Ken / Marshall, Sara E F / Borysiewicz, Leszek

    Journal of virology

    2001  Band 77, Heft 3, Seite(n) 1927–1939

    Abstract: Recurrent respiratory papillomatosis (RRP) is characterised by multiple laryngeal papillomas. Left untreated, the lesions enlarge, spread, and endanger the airway. Medical treatments are unsatisfactory, and repeated surgery remains the mainstay of ... ...

    Abstract Recurrent respiratory papillomatosis (RRP) is characterised by multiple laryngeal papillomas. Left untreated, the lesions enlarge, spread, and endanger the airway. Medical treatments are unsatisfactory, and repeated surgery remains the mainstay of therapy. RRP is caused by human papillomavirus (HPV) infection. However, since oral HPV infection is common and RRP is rare, other host and/or viral factors may contribute to pathogenesis. In an attempt to identify such factors, we have investigated 60 patients. The patients were HLA class I, II, and tumor necrosis factor TNF typed by sequence-specific primer PCR, and the results compared to those for 554 healthy controls by using Fisher's exact test. Peripheral blood mononuclear cell proliferative responses of 25 controls and 10 patients to HPV-11 L1 virus-like particles (VLP) were compared. Short-term VLP-specific T-cell lines were established, and recognition of L1 was analyzed. Finally, the L1 open reading frames of HPV isolates from four patients were sequenced. Susceptibility to RRP was associated with HLA DRB1*0301 (33 of 60 patients versus 136 of 554 controls, P < 0.0001). The three most severely affected patients were homozygous for this allele. A range of T-cell proliferative responses to HPV-11 VLP were observed in DRB1*0301-positive healthy donors which were comparable to those in DRB1*0301-negative controls. Individuals with juvenile-onset RRP also mounted a range of VLP responses, and their magnitude was negatively correlated with the clinical staging score (P = 0.012 by the Spearman rank correlation). DRB1*0301-positive patients who responded to L1 recognized the same epitope as did matched controls and produced similar cytokines. Sequencing of clinical isolates excluded the possibility that nonresponsiveness was the result of mutation(s) in L1.
    Mesh-Begriff(e) Adolescent ; Adult ; Capsid Proteins ; Child ; Child, Preschool ; Female ; Genes, MHC Class II ; Genetic Predisposition to Disease ; Genotype ; Humans ; Infant ; Laryngeal Neoplasms/genetics ; Laryngeal Neoplasms/immunology ; Male ; Middle Aged ; Neoplasm Recurrence, Local/genetics ; Neoplasm Recurrence, Local/immunology ; Oncogene Proteins, Viral/immunology ; Papilloma/genetics ; Papilloma/immunology ; Papillomaviridae/immunology ; Papillomavirus Infections/genetics ; Papillomavirus Infections/immunology ; Polymorphism, Genetic ; Tumor Virus Infections/genetics ; Tumor Virus Infections/immunology ; Virion/immunology
    Chemische Substanzen Capsid Proteins ; L1 protein, Human papillomavirus type 11 ; Oncogene Proteins, Viral
    Sprache Englisch
    Erscheinungsdatum 2001-09-18
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 80174-4
    ISSN 1098-5514 ; 0022-538X
    ISSN (online) 1098-5514
    ISSN 0022-538X
    DOI 10.1128/jvi.77.3.1927-1939.2003
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 609: Hefte anzeigen Standort:
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