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Otolaryngology, ENT & Sinus News Provided by the California Sinus CentersRole of Radiotherapy in the Treatment of Nasoethmoidal Adenocarcinoma [Original Article]February 1, 2010, 12:00 pm by Archives of Otolaryngology Head & Neck SurgeryObjective To assess the efficacy of radiotherapy in the treatment of nasoethmoidal adenocarcinoma. Design Multicenter, retrospective study. Setting Eleven French hospitals. Patients The medical records of 418 patients who presented with nasoethmoidal adenocarcinoma from January 1, 1976, through December 31, 2001, were evaluated. A total of 324 patients were treated with a combination of surgery and radiotherapy, and 55 were treated with surgery only. Main Outcome Measures Survival rates, disease recurrence, and postoperative complications. Results The 5-year Kaplan-Meier survey revealed survival rates of 64.5% for the surgery-only group and 70.8% for the combined-treatment group. In the surgery-only group, 28 patients (51%) had disease recurrence (24 local, 2 regional, and 2 distant). Of the 55 patients in the combined-treatment group, 31 patients (56%) had disease recurrence (29 local, 1 regional, and 1 distant). Immediate postoperative complications in the combined-treatment group were hemorrhages in 2 patients, meningitis in 3 patients, and cerebrospinal fluid leakage in 4 patients, but no deaths occurred. In the surgery-only group, 1 patient had meningitis, 2 had cerebrospinal fluid leaking but no hemorrhage, and 5 died postoperatively. Conclusion The results of this retrospective study suggest that radiotherapy can be used to treat nasoethmoidal adenocarcinoma, but its usefulness should be confirmed with further prospective studies.
More from Archives of Otolaryngology Head & Neck Surgery Long-term Results of Radiofrequency Turbinoplasty for Allergic Rhinitis Refractory to Medical Therapy [Original Article] Archives of Otolaryngology Head & Neck Surgery: July 19, 2010, 12:00 pm Objective To study the long-term outcomes of radiofrequency (RF) turbinate surgery for the treatment of allergic rhinitis refractory to medical therapy.Design A retrospective review of a prospective data set.Setting Tertiary referral center.Patients Sea view at Palma de Mallorca [About the Cover] Archives of Otolaryngology Head & Neck Surgery: July 1, 2010, 12:00 pm About This Journal [About This Journal] Archives of Otolaryngology Head & Neck Surgery: July 1, 2010, 12:00 pm Lack of Financial Barriers to Pediatric Cochlear Implantation: Impact of Socioeconomic Status on Access and Outcomes [Original Article] Archives of Otolaryngology Head & Neck Surgery: July 1, 2010, 12:00 pm Objectives (1) To analyze if socioeconomic status influences access to cochlear implantation in an environment with adequate Medicaid reimbursement. (2) To determine the impact of socioeconomic status on outcomes after unilateral cochlear Propranolol in the Management of Airway Infantile Hemangiomas [Original Article] Archives of Otolaryngology Head & Neck Surgery: July 1, 2010, 12:00 pm Objective To report our experience with propranolol in managing airway infantile hemangiomas. Design Case series of 3 consecutive patients who had extensive, symptomatic airway infantile hemangiomas treated with propranolol. Setting Tertiary academic medical center. Patients
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