Endoscopic ultrasound-guided brachytherapy of head and neck tumours. A new procedure for controlled application
Brachytherapy is an established procedure in primary and in recurrent cancer. We perform afterloading brachytherapy during general anaesthesia. The target organ is punctured with hollow needles which are loaded with 192iridium via remote control. The depth and number of needles depend on tumour exte...
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| Veröffentlicht in: | Journal of laryngology and otology 1999-01, Vol.113 (1), p.41-48 |
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| creator | Maier, Wolfgang Henne, Karl Krebs, Annette Schipper, Jörg |
| description | Brachytherapy is an established procedure in primary and in recurrent cancer. We perform afterloading brachytherapy during general anaesthesia. The target organ is punctured with hollow needles which are loaded with 192iridium via remote control. The depth and number of needles depend on tumour extension. In the interdisciplinary approach of our departments, this method has been improved and supplied by B-scan ultrasound control. Needles are positioned under continuous ultrasonographic guidance, and adjacent structures (e.g. the carotid artery) are localized ultrasonographically. Thus violation of the large vessels is avoided and the exact position of the needles within the tumour is improved. In this paper, we report results on 22 patients suffering from recurrent carcinoma of the head and neck following surgery and curative radiation, and 17 patients with first onset of cancer. We did not observe any severe complications such as haemorrhage, osteomyelitis, or dyspnoea. The only side-effect was temporary oedema, sometimes associated with a short-term increase of pain. No systemic side-effects occurred. The method is described and results from both patient groups are reported in detail. We conclude from our data that ultrasonographically-controlled endoscopic brachytherapy is a valuable procedure in locally-advanced primary, and in recurrent head and neck cancer. |
| doi_str_mv | 10.1017/S0022215100143117 |
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A new procedure for controlled application</title><source>MEDLINE</source><source>Cambridge University Press Journals Complete</source><creator>Maier, Wolfgang ; Henne, Karl ; Krebs, Annette ; Schipper, Jörg</creator><creatorcontrib>Maier, Wolfgang ; Henne, Karl ; Krebs, Annette ; Schipper, Jörg</creatorcontrib><description>Brachytherapy is an established procedure in primary and in recurrent cancer. We perform afterloading brachytherapy during general anaesthesia. The target organ is punctured with hollow needles which are loaded with 192iridium via remote control. The depth and number of needles depend on tumour extension. In the interdisciplinary approach of our departments, this method has been improved and supplied by B-scan ultrasound control. Needles are positioned under continuous ultrasonographic guidance, and adjacent structures (e.g. the carotid artery) are localized ultrasonographically. Thus violation of the large vessels is avoided and the exact position of the needles within the tumour is improved. In this paper, we report results on 22 patients suffering from recurrent carcinoma of the head and neck following surgery and curative radiation, and 17 patients with first onset of cancer. We did not observe any severe complications such as haemorrhage, osteomyelitis, or dyspnoea. The only side-effect was temporary oedema, sometimes associated with a short-term increase of pain. No systemic side-effects occurred. The method is described and results from both patient groups are reported in detail. We conclude from our data that ultrasonographically-controlled endoscopic brachytherapy is a valuable procedure in locally-advanced primary, and in recurrent head and neck cancer.</description><identifier>ISSN: 0022-2151</identifier><identifier>EISSN: 1748-5460</identifier><identifier>DOI: 10.1017/S0022215100143117</identifier><identifier>PMID: 10341918</identifier><identifier>CODEN: JLOTAX</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Aged ; Aged, 80 and over ; Biological and medical sciences ; Brachytherapy ; Brachytherapy - methods ; Cancer therapies ; Carotid arteries ; Child, Preschool ; Diseases of the upper aerodigestive tract ; Endoscopy ; Ent and stomatology ; Evaluation Studies as Topic ; Female ; General anesthesia ; Head & neck cancer ; Head and neck neoplasms ; Head and Neck Neoplasms - radiotherapy ; Humans ; Magnetic resonance imaging ; Main Articles ; Male ; Medical sciences ; Metastasis ; Methods ; Middle Aged ; Mouth Neoplasms - radiotherapy ; Neoplasm Recurrence, Local - radiotherapy ; Palliative Care ; Patients ; Radiation therapy ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Remote control ; Retrospective Studies ; Scintigraphy ; Surgery ; Tongue Neoplasms - radiotherapy ; Ultrasonic imaging ; Ultrasonography ; Ultrasonography, Interventional ; Veins & arteries</subject><ispartof>Journal of laryngology and otology, 1999-01, Vol.113 (1), p.41-48</ispartof><rights>Copyright © JLO (1984) Limited 1999</rights><rights>1999 INIST-CNRS</rights><rights>Copyright Headley Brothers, Ltd. 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A new procedure for controlled application</title><title>Journal of laryngology and otology</title><addtitle>J. Laryngol. Otol</addtitle><description>Brachytherapy is an established procedure in primary and in recurrent cancer. We perform afterloading brachytherapy during general anaesthesia. The target organ is punctured with hollow needles which are loaded with 192iridium via remote control. The depth and number of needles depend on tumour extension. In the interdisciplinary approach of our departments, this method has been improved and supplied by B-scan ultrasound control. Needles are positioned under continuous ultrasonographic guidance, and adjacent structures (e.g. the carotid artery) are localized ultrasonographically. Thus violation of the large vessels is avoided and the exact position of the needles within the tumour is improved. In this paper, we report results on 22 patients suffering from recurrent carcinoma of the head and neck following surgery and curative radiation, and 17 patients with first onset of cancer. We did not observe any severe complications such as haemorrhage, osteomyelitis, or dyspnoea. The only side-effect was temporary oedema, sometimes associated with a short-term increase of pain. No systemic side-effects occurred. The method is described and results from both patient groups are reported in detail. We conclude from our data that ultrasonographically-controlled endoscopic brachytherapy is a valuable procedure in locally-advanced primary, and in recurrent head and neck cancer.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Brachytherapy</subject><subject>Brachytherapy - methods</subject><subject>Cancer therapies</subject><subject>Carotid arteries</subject><subject>Child, Preschool</subject><subject>Diseases of the upper aerodigestive tract</subject><subject>Endoscopy</subject><subject>Ent and stomatology</subject><subject>Evaluation Studies as Topic</subject><subject>Female</subject><subject>General anesthesia</subject><subject>Head & neck cancer</subject><subject>Head and neck neoplasms</subject><subject>Head and Neck Neoplasms - radiotherapy</subject><subject>Humans</subject><subject>Magnetic resonance imaging</subject><subject>Main Articles</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metastasis</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Mouth Neoplasms - radiotherapy</subject><subject>Neoplasm Recurrence, Local - radiotherapy</subject><subject>Palliative Care</subject><subject>Patients</subject><subject>Radiation therapy</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Remote control</subject><subject>Retrospective Studies</subject><subject>Scintigraphy</subject><subject>Surgery</subject><subject>Tongue Neoplasms - radiotherapy</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonography</subject><subject>Ultrasonography, Interventional</subject><subject>Veins & arteries</subject><issn>0022-2151</issn><issn>1748-5460</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kVtv1DAQhS0EokvhB_CCLIT6luKJb8ljKaUgVUKrAq-W40vXbRKndiK6_x6vdkURiKeRdb45c8aD0Gsgp0BAvr8mpK5r4EAIMAogn6AVSNZUnAnyFK12crXTj9CLnG9JwSSpn6MjIJRBC80KxYvRxmziFAxe-jnpHJfRVjdLsM7iLmmz2c4bl_S0xdHjjdMW69Hi0Zk7PC9DXFI-xWfl_RNPKRpnl-SwjwmbOM4p9n2x0dPUB6PnEMeX6JnXfXavDvUYff908e38c3X19fLL-dlVZRjlc1W3hDvuKW2tB0cF6wiTtRHAHdDONIY1nErmrW8FNIJ6Y3jTagGCcwkN0GN0svctoe4Xl2c1hGxc3-vRxSUr0cqmrVtewLd_gbdlp7FkU7XkhLG2pgWCPWRSzDk5r6YUBp22CojanUL9c4rS8-ZgvHSDs3907P--AO8OgM5G9z7p0YT8yAneULmbXe2xkGf38FvW6U4JSSVX4nKtrj-uP6zJD6ZI4ekhqx66FOyNe9zo_2l_AYjzrgY</recordid><startdate>199901</startdate><enddate>199901</enddate><creator>Maier, Wolfgang</creator><creator>Henne, Karl</creator><creator>Krebs, Annette</creator><creator>Schipper, Jörg</creator><general>Cambridge University Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>199901</creationdate><title>Endoscopic ultrasound-guided brachytherapy of head and neck tumours. A new procedure for controlled application</title><author>Maier, Wolfgang ; Henne, Karl ; Krebs, Annette ; Schipper, Jörg</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c435t-2905e5f339df1e364b0472c615e13bc8c485374fdf961863fcc589a6165571813</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Brachytherapy</topic><topic>Brachytherapy - methods</topic><topic>Cancer therapies</topic><topic>Carotid arteries</topic><topic>Child, Preschool</topic><topic>Diseases of the upper aerodigestive tract</topic><topic>Endoscopy</topic><topic>Ent and stomatology</topic><topic>Evaluation Studies as Topic</topic><topic>Female</topic><topic>General anesthesia</topic><topic>Head & neck cancer</topic><topic>Head and neck neoplasms</topic><topic>Head and Neck Neoplasms - radiotherapy</topic><topic>Humans</topic><topic>Magnetic resonance imaging</topic><topic>Main Articles</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metastasis</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>Mouth Neoplasms - radiotherapy</topic><topic>Neoplasm Recurrence, Local - radiotherapy</topic><topic>Palliative Care</topic><topic>Patients</topic><topic>Radiation therapy</topic><topic>Radiotherapy. 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Thus violation of the large vessels is avoided and the exact position of the needles within the tumour is improved. In this paper, we report results on 22 patients suffering from recurrent carcinoma of the head and neck following surgery and curative radiation, and 17 patients with first onset of cancer. We did not observe any severe complications such as haemorrhage, osteomyelitis, or dyspnoea. The only side-effect was temporary oedema, sometimes associated with a short-term increase of pain. No systemic side-effects occurred. The method is described and results from both patient groups are reported in detail. We conclude from our data that ultrasonographically-controlled endoscopic brachytherapy is a valuable procedure in locally-advanced primary, and in recurrent head and neck cancer.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>10341918</pmid><doi>10.1017/S0022215100143117</doi><tpages>8</tpages></addata></record> |
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| issn | 0022-2151 1748-5460 |
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| subjects | Aged Aged, 80 and over Biological and medical sciences Brachytherapy Brachytherapy - methods Cancer therapies Carotid arteries Child, Preschool Diseases of the upper aerodigestive tract Endoscopy Ent and stomatology Evaluation Studies as Topic Female General anesthesia Head & neck cancer Head and neck neoplasms Head and Neck Neoplasms - radiotherapy Humans Magnetic resonance imaging Main Articles Male Medical sciences Metastasis Methods Middle Aged Mouth Neoplasms - radiotherapy Neoplasm Recurrence, Local - radiotherapy Palliative Care Patients Radiation therapy Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Remote control Retrospective Studies Scintigraphy Surgery Tongue Neoplasms - radiotherapy Ultrasonic imaging Ultrasonography Ultrasonography, Interventional Veins & arteries |
| title | Endoscopic ultrasound-guided brachytherapy of head and neck tumours. A new procedure for controlled application |
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