• Complicated fungal sinusi...
Price 8.50 €
• Moderate leukocyte infilt...
Price 10.50 €
• Tympanoplasty: Experience...
Price 12.00 €
• The relevance of Choukrou...
Price 10.50 €
• Pre-Congress of the Ameri...
Price 8.50 €
• Pathophysiology, assessme...
Price 12.50 €
• Pleomorphic adenoma of th...
Price 8.50 €
• Vocal fold structure and ...
Price 10.50 €
• Interest of MIBI scintigr...
Price 10.50 €
• Parathyroid cervical haem...
Price 8.50 €
• Aesthetic augmentation of...
Price 10.50 €
• Acute mesenteric ischemia...
Price 5.50 €
• Hearing aid : practical a...
Price 8.50 €
• Technique of upper blepha...
Price 10.50 €
• Sphenoid arachnoidocele: ...
Price 8.50 €
• Cine-MRI contribution to ...
Price 10.50 €
• Postural control accordin...
Price 10.50 €
• One-stage surgery of midd...
Price 8.50 €
• Notes on voice and speech...
Price 8.50 €
• Use of inomeric cement: P...
Price 10.50 €
• Sphenochoanal polyp: Repo...
Price 5.50 €
• Inflammatory pathology an...
Price 10.50 €
• Influence of phonetic con...
Price 10.50 €
• Identification and locali...
Price 8.50 €
• Neuroplasticity in the au...
Price 10.50 €
• Planned reconstruction af...
Price 8.50 €
• Adenocarcinoma of the eth...
Price 8.50 €
• Congenital nasal pyriform...
Price 5.50 €
• F0 characteristics in Par...
Price 12.00 €
• Submental flap for auricu...
Price 8.50 €
• Long term results of tymp...
Price 5.50 €
• Intranasal surgery: the r...
Price 5.50 €
• The “Deglutition Handicap...
Price 10.50 €
• Electrorhinomanometric ev...
Price 10.50 €
• Blepharoplasty...
Price 10.50 €
• Partiturogram: (New) tool...
Price 10.50 €
• Paraganglioma of the cere...
Price 5.50 €
• Nasal cutaneous cryptococ...
Price 5.50 €
• Silent Sinus Syndrome – T...
Price 8.50 €
• Guidelines for the clinic...
Price 12.50 €
• Cervicofacial cellulitise...
Price 10.50 €
• Is coincidence detection ...
Price 10.50 €
• Supra and infra hyoid mid...
Price 10.50 €
• Endoscopic scale for eval...
Price 8.50 €
• A rare case of sarcoidosi...
Price 5.50 €
• Sinonasal malignant melan...
Price 5.50 €
• Vision preference in dyna...
Price 10.50 €
• Peptide receptor radionuc...
Price 14.00 €
• Voice Handicap Index adap...
Price 10.50 €
• Transsexuality: Speech th...
Price 10.50 €
• Ectopic thyroid basi-ling...
Price 10.50 €
• Acute acoustic trauma, a ...
Price 12.00 €
• The «intra-cordal polyp»:...
Price 5.50 €
• PET/CT in the management ...
Price 10.50 €
• Spontaneous cholesteatoma...
Price 8.50 €
• Stuttering of the “Miror”...
Price 5.50 €
• Middle ear tuberculosis e...
Price 5.50 €
• Mucormycosis – early diag...
Price 10.50 €
• Immunohistochemistry expr...
Price 10.50 €
• An unusual case of intrat...
Price 5.50 €
• Follow up of tracheostoma...
Price 12.00 €
• Sentinel lymph node biops...
Price 15.00 €
• Early PTH assay after tot...
Price 10.50 €
• Signs of upper Airways di...
Price 10.50 €
• Acute infectious complica...
Price 8.50 €
• Vestibular dysfunction af...
Price 10.50 €
• Aneurysmal bone cyst of t...
Price 5.50 €
• Sinonasal hemangiopericyt...
Price 8.50 €
• Objective analysis of pos...
Price 8.50 €
• The relationship between ...
Price 5.50 €
• Antro choanal polyp in ch...
Price 10.00 €
• Relation between actinomy...
Price 10.50 €
• Endoscopic endonasal surg...
Price 8.50 €
• Art and nose....
Price 8.50 €
• Carotid body paragangliom...
Price 8.50 €
• Otoplasty: Special attent...
Price 8.50 €
• Management of peritonsill...
Price 5.50 €
• Esophageal foreign body: ...
Price 5.50 €
• Primary sub-mandibular gl...
Price 8.50 €
• Myringoplasties for anter...
Price 10.50 €
• Central and peripherical ...
Price 8.50 €
• A new tongue plate for us...
Price 5.50 €
• Rhinophyma in a black afr...
Price 5.50 €
• Prosodic analysis of spee...
Price 10.50 €
• Melanotic neuroectodermal...
Price 8.50 €
• Vascular tumors of the n...
Price 10.50 €
• Non-functioning parathyro...
Price 5.50 €
• Toxic nodular goitre asso...
Price 5.50 €
• Surgical exploration of t...
Price 10.50 €
• Forcing the voice : the c...
Price 5.50 €
• Allergic rhinitis...
Price 8.50 €
• Botulinum toxin, descript...
Price 12.50 €
• A survey of current wound...
Price 5.50 €
• CT scan, MR imaging and a...
Price 10.50 €
• Reconstruction after tumo...
Price 10.50 €
• Failure rate and revision...
Price 10.50 €
• Decompression surgery for...
Price 8.50 €
• Pathophysiology of choles...
Price 10.50 €
• Cellular, extracellular a...
Price 10.50 €
• Sarcomatoid carcinomas of...
Price 10.50 €
• Free sorting task of spee...
Price 10.50 €
• Benign paroxysmal positio...
Price 10.50 €
• Post-traumatic carotid ca...
Price 8.50 €
• Pott’s puffy tumour, rare...
Price 8.50 €
• Cleft palate and otitis m...
Price 10.50 €
• Videonystagmography and v...
Price 10.50 €
• Time-intensity trade of b...
Price 10.50 €
• Facial aesthetic lipostru...
Price 10.50 €
• Anosmia following superio...
Price 5.50 €
• Treating vertigo with ves...
Price 10.50 €
• Speech intelligibility in...
Price 10.50 €
• Guidelines for the clinic...
Price 12.00 €
• Face and neck lift using ...
Price 14.00 €
• Audit of headache followi...
Price 5.50 €
• The place of anti-viral i...
Price 10.50 €
Total Order 1049.00 €
|
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 €
|
|
|
|
