ABSTRACT
BACKGROUND: The tumour grading of primary parotid cancers (PPCs) remains controversial. METHODS: A 20-year standardised single centre treatment has been assessed retrospectively. The histological review of 155 consecutively treated parotid malignancies identified 96 suitable cases for univariate and multivariate survival analyses. RESULTS: Treatment involved total parotidectomy, neck dissection and post-operative radiotherapy in, respectively, 91.7%, 83.3% and 70.4% of cases. The 5-year overall survival, disease-specific and recurrence-free survival rates were 79.4%, 83.5% and 70.8%, respectively. Univariate analysis confirmed the classical prognostic factors, i.e. age>60 years, male gender, facial palsy, hardness of the tumour, clinical stage, tumour grade, facial nerve invasion and lymph node metastases. Multivariate analysis identified a three-grade classification just after the clinical stage as the most important prognostic factor. CONCLUSION: This study identifies the prognostic significance of intermediate grade tumours.
Subject(s)
Neck Dissection/methods , Neck Dissection/nursing , Parotid Gland/surgery , Parotid Neoplasms/pathology , Adolescent , Adult , Aged , Aged, 80 and over , Child , Female , Humans , Lymphatic Metastasis , Male , Middle Aged , Neoplasm Staging , Parotid Gland/pathology , Parotid Neoplasms/radiotherapy , Parotid Neoplasms/surgery , Postoperative Care/methods , Radiotherapy, Adjuvant , Retrospective Studies , Treatment Outcome , Young AdultABSTRACT
Learn how to support your patient through the physical and emotional challenges of diagnosis, treatment, and rehabilitation.
Subject(s)
Laryngeal Neoplasms/diagnosis , Laryngeal Neoplasms/therapy , Nurse's Role , Perioperative Care/nursing , Aged , Chemotherapy, Adjuvant , Continuity of Patient Care , Hoarseness/etiology , Humans , Laryngeal Neoplasms/epidemiology , Laryngeal Neoplasms/psychology , Laryngectomy/nursing , Larynx/anatomy & histology , Larynx, Artificial , Male , Neck Dissection/nursing , Nursing Assessment , Radiotherapy, Adjuvant , Risk Factors , Skin Care/nursing , Speech, AlaryngealSubject(s)
Carcinoma, Squamous Cell/surgery , Laryngeal Neoplasms/surgery , Laryngectomy , Neck Dissection , Carcinoma, Squamous Cell/diagnosis , Carcinoma, Squamous Cell/nursing , Humans , Laryngeal Neoplasms/diagnosis , Laryngeal Neoplasms/nursing , Laryngectomy/methods , Laryngectomy/nursing , Male , Middle Aged , Neck Dissection/nursing , Operating Room Nursing , Patient Discharge , Postoperative ComplicationsABSTRACT
The patient who undergoes head and neck surgery requires intense nursing management for successful recovery and rehabilitation. Although several authors have presented a nursing diagnosis format care plan, none is as extensive as the one presented here. It is hoped that the preceding nursing care plan will be helpful to nurses in their management of the patient undergoing head and neck surgery.
Subject(s)
Head and Neck Neoplasms/surgery , Laryngectomy/nursing , Neck Dissection/nursing , Patient Care Planning , Tracheotomy/nursing , Head and Neck Neoplasms/nursing , HumansABSTRACT
Hospital cost containment and nursing shortages have diminished resources available in surgical intensive care units (SICU). To provide a more quantitative approach to management of these resources, the nursing intervention scoring system (NISS) devised by Greenburg et al was instituted in the SICU at the VA Medical Center, Gainesville, Fla. The NISS scores for patients in the SICU were calculated without computer support. During a four-month study period, 725 NISS evaluations on 70 patients were collected. Characteristic curves of NISS scores versus postoperative days were generated from the data and were predictive of workloads in the unit. In addition, NISS patient scores provided a basis for day-to-day bed control and provided an effective tool for management of nursing service staffing. The hospital administrators responded positively to quantitative documentation of SICU resource requirements by providing additional personnel, equipment, and intermediate care facilities. We have concluded that the NISS is an effective means of providing optimal day-to-day use of SICU beds. In addition, the NISS also provides the data needed to quantitate unit needs for nursing service and administration.
