• Contribution of endoscopi...
Price 8.50 €
• An unusual cause of neona...
Price 5.50 €
• The expanding domain of i...
Price 10.50 €
• Descriptive anatomy of th...
Price 10.50 €
• Validation of a self-asse...
Price 10.50 €
• Middle ear barotraumas du...
Price 8.50 €
• Hearing evaluation on you...
Price 8.50 €
• Hearing aid : practical a...
Price 8.50 €
• Balance disorders in the ...
Price 8.50 €
• Understanding the use of ...
Price 10.50 €
• Vertigo and pathology of ...
Price 10.50 €
• Bilateral and recurrent f...
Price 5.50 €
• Metastatic angiosarcoma t...
Price 5.50 €
• Laryngeal schwannomas...
Price 5.50 €
• Recent advances in surger...
Price 5.50 €
• Presentation of a prototy...
Price 10.50 €
• Temporomandibular dysfunc...
Price 10.50 €
• Papillary thyroid microca...
Price 8.50 €
• Retropharyngeal abscess i...
Price 10.50 €
• Quality of life after oro...
Price 10.50 €
• The domes crossover: A ne...
Price 10.50 €
• Cranial fasciitis of chil...
Price 8.50 €
• An unusual case of intrat...
Price 5.50 €
• Eye rings: Morphological ...
Price 10.50 €
• Speech intelligibility in...
Price 10.50 €
• A giant lipoma of parapha...
Price 8.50 €
• The uses of computer-assi...
Price 10.50 €
• Follow up of tracheostoma...
Price 12.00 €
• Notes on voice and speech...
Price 8.50 €
• Association of Bezold’s a...
Price 8.50 €
• Post-traumatic otoscleros...
Price 8.50 €
• Anterior cerebrospinal fl...
Price 10.00 €
• Autologous bone pate in m...
Price 10.50 €
• Distortion product otoaco...
Price 10.50 €
• Subacute tuberculous otit...
Price 8.50 €
• The value of fine-needle ...
Price 10.50 €
• Voice related quality of ...
Price 10.50 €
• Lingual granuloma of preg...
Price 5.50 €
• Thyroid tuberculosis asso...
Price 5.50 €
• Adolescence and cochlear ...
Price 10.50 €
• Sphenoid arachnoidocele: ...
Price 8.50 €
• Nystagmus and vibratory t...
Price 10.50 €
• Hypersensitivity to inhal...
Price 10.50 €
• Microsurgical reconstruct...
Price 10.50 €
• Hygiene and sterilisation...
Price 10.50 €
• Facial nerve outcome af...
Price 12.50 €
• Airbag and hearing loss: ...
Price 8.50 €
• Choanal atresia: therapeu...
Price 10.50 €
• Vestibular-evoked myogeni...
Price 10.50 €
• Migrating esophageal fore...
Price 5.50 €
• The effect of the speaker...
Price 10.50 €
• Nasal cutaneous cryptococ...
Price 5.50 €
• A detailed examination of...
Price 10.50 €
• Evolution of facial nerve...
Price 10.50 €
• Tinnitus: first symptom o...
Price 5.50 €
• Major orbital complicatio...
Price 8.50 €
• Invasive cholesteatoma in...
Price 10.50 €
• How to manage post staped...
Price 5.50 €
• A survey of current wound...
Price 5.50 €
• From barotrauma otitis to...
Price 8.50 €
• Are we sectioning the coc...
Price 10.50 €
• Effect of vestibular neur...
Price 10.50 €
• Positioning in the oropha...
Price 8.50 €
• Subcutaneous emphysema an...
Price 5.50 €
• Diagnosis management of W...
Price 10.50 €
• Traditional and emerging ...
Price 10.50 €
• Dehiscence of the superio...
Price 10.50 €
• Can homograft ossicles st...
Price 5.50 €
• Vestibular dysfunction af...
Price 10.50 €
• Facial nerve monitoring d...
Price 12.50 €
• Endoscopic-assisted retro...
Price 10.50 €
• Voice handicap evaluation...
Price 10.50 €
• Pleomorphic adenoma of th...
Price 8.50 €
• Cleft palate and otitis m...
Price 10.50 €
• Exploration of the otolit...
Price 10.50 €
• Postural study on healthy...
Price 10.50 €
• Ambulatory stapedectomy: ...
Price 8.50 €
• Influence of the relapse ...
Price 10.50 €
• Partial allotransplantati...
Price 10.50 €
• Reconstruction after tumo...
Price 10.50 €
• Partial allotransplantati...
Price 10.50 €
• A new case of osseointegr...
Price 12.50 €
• Total ossicular reconstru...
Price 10.50 €
• Recovery of saccular func...
Price 8.50 €
• Otolaryngological aspects...
Price 8.50 €
• The pedicled musculo-cuta...
Price 8.50 €
• Cellular, extracellular a...
Price 10.50 €
• Pre-Congress of the Ameri...
Price 8.50 €
• One-stage surgery of midd...
Price 8.50 €
• Esophageal foreign body: ...
Price 5.50 €
• Sphenochoanal polyp: Repo...
Price 5.50 €
• Electrorhinomanometric ev...
Price 10.50 €
• Pure sensorineural hearin...
Price 5.50 €
• Epidermoid carcinoma of p...
Price 10.50 €
• Focus on the BPPV: Semont...
Price 12.50 €
• Intranasal surgery: the r...
Price 5.50 €
• Chondrocalcinosis of the ...
Price 8.50 €
• Description of complicati...
Price 5.50 €
Total Order 888.00 €
|
2019
N#
1
|
2018
N#
1
|
2
|
3
|
4
|
5
|
2017
N#
1
|
2
|
3
|
4
|
5
|
2016
N#
1
|
2
|
3
|
4
|
5
|
2015
N#
1
|
2
|
3
|
4
|
5
|
2014
N#
1
|
2
|
3
|
4
|
5
|
2013
N#
1
|
2
|
3
|
4
|
5
|
2012
N#
1
|
2
|
3
|
4
|
5
|
2011
N#
1
|
2
|
3
|
4
|
5
|
2010
N#
1
|
2
|
3
|
4
|
5
|
2009
N#
1
|
2
|
3
|
4
|
5
|
2008
N#
1
|
2
|
3
|
4
|
5
|
2007
N#
1
|
2
|
3
|
4
|
5
|
2006
N#
1
|
2
|
3
|
4
|
5
|
2005
N#
|
1
|
2
|
3
|
4
|
5
|
2004
N#
1
|
2
|
3
|
4
|
5
|
2003
N#
1
|
2
|
3
|
4
|
5
|
2002
N#
1
|
2
|
3
|
4
|
5
|
2001
N#
1
|
2
|
3
|
4
|
5
|
2000
N#
|
1
|
2
|
3
|
4
|
5
|
1999
N#
1
|
2
|
3
|
4
|
5
|
1998
N#
1
|
2
|
3
|
5
|
1997
N#
1
|
2
|
3
|
4
|
5
|
1996
N#
4
|
5
|
Click on the number of the review to see the content
|
|
List of all teaching bulletins CME.
|
|
Editor reading committee.
|
|
Select of books and press articles.
|
|
If you wish to adjust the size of the displayed characters, click in
the high menu on "Your account" and choose the desired size.
|
|
Issue N# 4 - 2009
CANCER
Interest of peri-operative immunonutrition in head and neck cancers
Authors : Abou Mayaleh H, Vayer C, Amsellem C, Bouvet A, Duval N, Poiree B, Tran M, Lepeltier V, Hitier M, Rame JP, Louis Y, De Raucourt D. (Lisieux, Caen)
Ref. : Rev Laryngol Otol Rhinol. 2009;130,4:235-240.
Article published in french 
Downloadable PDF document french
Summary :
Objective: Authors reported the results of a study on the application of immunonutrion in peri-operative (pre and post-operative) in head and neck cancer for all patients malnourished or not. In preoperative we used an oral treatmentand in postoperative an enteral one. Materials and methods: Prospective study concerning 78 patients (47 malnourished versus 31 not) having had heavy head and neck curative cancerology surgery. The mean follow up was of 10 months (from 7 to 16 month). They peri-operative immuno-enriched diet consisted, in pre-operative of 1000 kcal/j during 7 days of oral immunonutrition (Impact®), and in post-operative, 1500 kcal/j during 10 days of enteral immunonutition (Crucial®). The nutritional state was evaluated in pre-operative by simple clinical and biological parameters (size, weight, CMI «Corporal Mass Index», albumin, NRI «Nutritional Risk Index»), and in post-operative by the evolution of the weight and the CMI. The palatability of the product used in pre-operative and the patients’ compliance to the treatment are studied using the satisfaction’s multiple choice question paper. Results: The study showed an improvement of the patients’ nutritional and general state (regain appetite, less marked asthenia) and of the quality of life. The product used in pre-operative was well tolerated, this oral supplementation led to the same beneficial effects of the enteral’s. At eight days in pre-operative, the average weight was 62.35 kg, the average CMI was 20.93, and the average NRI was 94.12. In post-operative the patients’ nutritional state improved: at eight days, the average loss of weight was 2.82 kg, the average CMI was 22.2. At one and six months after, respectively the average gain of weight was 2.17 kg and 6.11 kg, the average CMI was 23.71 and 25.16. The application of this protocol decreased the post-operative complications (13% reduction of the infectious complications and 6% diminution of the fistulas). The time of hospitalization is then reduced (1.7 days), and the life’s longevity is improved. Conclusion: The results produced by this study, demonstrate the necessity to apply a peri-operative immuno-enriched diet systematically for all the patients with and without a degraded nutritional state, undergoing a heavy head and neck curative cancerology surgery.
Price : 10.50 €
|
|
|
|
