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Komplikationen nach Tumoroperationen im HNO-Bereich

Ein Vergleich präoperativ ausbestrahlter mit primär operierten Patienten

Complications after surgery of ENT-tumors

A comparison between preoperatively irradiated and nonirradiated patients

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Summary

Complications after preoperative high-dosage radiation of head and neck cancer are reported:

  1. 1.

    Preoperative radiation leads to complications in 42% compared to surgery alone in 20%. The results are statistically significant (α=2%).

  2. 2.

    The complications after preoperative radiation are more severe (three ruptures of the carotid artery, three defects, which could only be managed by flap rotation).

These results indicate that preoperative high-dosage radiation implies the risk of major surgical complications.

Zusammenfassung

In einer retrospektiven Studie werden die postoperativen Heilverläufe von 55 primär mit voller Tumordosis bestrahlten mit einer gleich großen Gruppe primär operierter Patienten verglichen. Dabei fanden sich folgende Ergebnisse:

  1. 1.

    Bei den zuvor bestrahlten Patienten war die Komplikationsrate mit 42% gegenüber 20% bei den primär operierten signifikant (α=2%) höher.

  2. 2.

    Nach Bestrahlung nimmt die Schwere der Komplikationen erheblich zu (drei Carotisblutungen; drei Defekte, die nur durch langwierige plastische Maßnahmen zu decken waren).

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Laniado, K., Schumann, K. & Silber, T. Komplikationen nach Tumoroperationen im HNO-Bereich. Arch Otorhinolaryngol 229, 99–105 (1980). https://doi.org/10.1007/BF00454233

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Key words

  • Surgery of cancer
  • Oto-rhino-laryngology
  • Complications
  • Preoperative irradiation

Schlüsselwörter

  • Tumoroperation
  • Oto-Rhino-Laryngologie
  • Komplikationen
  • Präoperative Bestrahlung