Publications by authors named "R P Feller"

Prion diseases pose a challenge for flexible reusable endoscopes. Especially for the new variant of Creutzfeld Jakob disease (vCJD) there is currently no suitable processing procedure. In these patients only disposable endoscopes are hygienically safe.

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Background: The optimal treatment for odontoid fractures in older people remains debated. Odontoid fractures are increasingly relevant to clinical practice due to ageing of the population.

Methods: An international prospective comparative study was conducted in fifteen European centres, involving patients aged ≥55 years with type II/III odontoid fractures.

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A small proportion of children with a sudden onset torticollis ("wry neck") presents with an atlantoaxial rotatory subluxation, usually after mild trauma or recent head or neck infection. Torticollis is a clinical diagnosis and imaging is usually not indicated, though often performed in clinical practice. Atlantoaxial rotatory subluxation on imaging is often a physiological phenomenon in torticollis, and concomitant neurological symptoms are therefore rare.

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Article Synopsis
  • The study assessed the outcomes of trimodality therapy (induction concurrent chemoradiotherapy followed by surgical resection) for patients with superior sulcus tumors (SSTs) of the lung that invaded the spine, revealing significant treatment challenges.
  • Eighteen patients were analyzed, with 94% achieving complete surgical resection and a median follow-up of 30 months, while postoperative morbidity was noted at 44% but with no related mortality.
  • Results indicated a 5-year overall survival rate of 55% and disease-free survival of 40%, highlighting the need for further research on improving distant disease control.
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