• Two cases of primary mali...
Price 8.50 €
• Reconstruction after hemi...
Price 14.00 €
• Assessing efficacy of voi...
Price 5.50 €
• Interest of the chest CT ...
Price 10.50 €
• Metastatic angiosarcoma t...
Price 5.50 €
• Partial allotransplantati...
Price 10.50 €
• Smile "forced" smile vers...
Price 10.50 €
• Kikuchi-Fujimoto’s diseas...
Price 10.50 €
• Functional results of vel...
Price 5.50 €
• The effects of pregnancy ...
Price 14.00 €
• An unusual case of intrat...
Price 5.50 €
• Advantages of combined th...
Price 10.50 €
• Botulinum toxin, descript...
Price 12.50 €
• Unsteadiness and drunkenn...
Price 10.50 €
• Rhinitis and allergy test...
Price 8.50 €
• Mucormycosis – early diag...
Price 10.50 €
• Giant laryngeal sarcomato...
Price 12.00 €
• Pharyngeal pouch surgery ...
Price 5.50 €
• CT scan, MR imaging and a...
Price 10.50 €
• Enlarged marginal incisio...
Price 10.50 €
• Value of the preservation...
Price 14.00 €
• Nasal polyposis and olfac...
Price 10.50 €
• Mycobacterial cervical ly...
Price 10.50 €
• Drop weld thermal injurie...
Price 8.50 €
• Supra and infra hyoid mid...
Price 10.50 €
• Identification and locali...
Price 8.50 €
• The importance of the sta...
Price 5.50 €
• Social consequence of a d...
Price 10.50 €
• Tumours of the accessory ...
Price 10.50 €
• Recurrent mandibular amel...
Price 12.50 €
• Aneurysmal bone cyst of t...
Price 5.50 €
• Pyogenic granuloma of the...
Price 8.50 €
• Stuttering and Tourette’s...
Price 5.50 €
• Carotid body paragangliom...
Price 8.50 €
• Moderate leukocyte infilt...
Price 10.50 €
• Follow up of tracheostoma...
Price 12.00 €
• Analysis of the possibili...
Price 8.50 €
• Blepharoplasty...
Price 10.50 €
• Autologous cartilaginous ...
Price 10.50 €
• Interests of multimedia s...
Price 10.50 €
• Sinonasal hemangiopericyt...
Price 5.50 €
• Atelectasis of the maxill...
Price 8.50 €
• A report of two cases of ...
Price 5.50 €
• Pulsatile tinnitus and ve...
Price 8.50 €
• Voice handicap evaluation...
Price 10.50 €
• The neurotologic evaluati...
Price 10.50 €
• Surgery of mucocele of th...
Price 10.50 €
• The uses of computer-assi...
Price 10.50 €
• How I do it: Salivary duc...
Price 8.50 €
• The ultra-low resistance ...
Price 5.50 €
• Brain stem cavernous angi...
Price 8.50 €
• The supracricoid laryngec...
Price 10.50 €
• Clinico-radiological cons...
Price 10.50 €
• Long term results of tymp...
Price 5.50 €
• Management of peritonsill...
Price 5.50 €
• Occupational therapy in t...
Price 8.50 €
• Cosmetic radiofrequency...
Price 10.50 €
• A perceptual study of the...
Price 8.50 €
• Hearing aid : practical a...
Price 8.50 €
• Notes on voice and speech...
Price 8.50 €
• The cholesteatomatous rin...
Price 5.50 €
• Training strategies of th...
Price 8.50 €
• Cholesteatoma by osteoma ...
Price 8.50 €
• Malignant melanoma of the...
Price 10.50 €
• Management of cervical ly...
Price 10.50 €
• MIF in Head and Neck canc...
Price 10.50 €
• Voice after supracricoid ...
Price 10.50 €
• Anterior cerebrospinal fl...
Price 10.00 €
• Observational study to as...
Price 14.00 €
• Type 1 tympanoplasties in...
Price 12.00 €
• Evaluation of the handica...
Price 10.50 €
• Hearing loss and vestibul...
Price 10.50 €
• Cervical liposuction: A r...
Price 10.50 €
• Petrosal presigmoid appro...
Price 8.50 €
• Bronchogenic cyst of the ...
Price 10.50 €
• A new technique for the u...
Price 5.50 €
• The effects of treatments...
Price 14.00 €
• Cochlear implants in chil...
Price 10.50 €
• Benign tumors of the nasa...
Price 14.00 €
• The Voice Handicap Index:...
Price 10.50 €
• Artistic anatomy of the n...
Price 8.50 €
• Overlay versus underlay t...
Price 10.50 €
• Functional anatomy of the...
Price 14.00 €
• Total ossicular reconstru...
Price 10.50 €
• Minimising radiation dose...
Price 5.50 €
• Surgical exploration of t...
Price 10.50 €
• A retrospective study of ...
Price 10.50 €
• Interest of MIBI scintigr...
Price 10.50 €
• A rare and unusual cause ...
Price 8.50 €
• Decompression surgery for...
Price 8.50 €
• Early ENT manifestations ...
Price 10.50 €
• Pleomorphic adenoma of th...
Price 8.50 €
• Benign paroxysmal positio...
Price 5.50 €
• Comparative results of ty...
Price 10.50 €
• Hearing evaluation on you...
Price 8.50 €
• Nasal cutaneous cryptococ...
Price 5.50 €
• Floating stapes footplate...
Price 12.00 €
• Predictive factors for su...
Price 15.00 €
• CT scanning in "second lo...
Price 5.50 €
• A case of laryngeal sialo...
Price 10.50 €
• Laryngeal tracheal post-i...
Price 8.50 €
• Dehiscence of the anterio...
Price 8.50 €
• Newborn and infant nasal ...
Price 5.50 €
• Importance of swallowing ...
Price 10.50 €
• Validation of a clinical ...
Price 10.50 €
• The application of tusso...
Price 10.50 €
• Vision preference in dyna...
Price 10.50 €
• Prognostic value of senti...
Price 10.50 €
• Objective tinnitus and es...
Price 5.50 €
• Validation of a self-asse...
Price 10.50 €
• BAHA in single sided deaf...
Price 12.50 €
• Cytokines profile in cyst...
Price 10.50 €
• Inverted naso-sinus papil...
Price 10.50 €
• A survey of current wound...
Price 5.50 €
• The ENT in operations … T...
Price 5.50 €
• Study of the predictive v...
Price 10.50 €
• Which face lift for which...
Price 14.00 €
• Neurofibromatosis Type1 r...
Price 8.50 €
Total Order 1116.00 €
|
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 €
|
|
|
|
