301 results match your criteria: "La Conception University Hospital[Affiliation]"

Pediatric Inferior Turbinate Hypertrophy: Diagnosis and Management. A YO-IFOS Consensus Statement.

Laryngoscope

March 2024

Young Otolaryngologists-International Federation of Otorhinolaryngological Societies, Paris, France.

Objective: Pediatric inferior turbinate hypertrophy (PedTH) is a frequent and often overlooked cause or associated cause of nasal breathing difficulties. This clinical consensus statement (CCS) aims to provide a diagnosis and management framework covering the lack of specific guidelines for this condition and addressing the existing controversies.

Methods: A clinical consensus statement (CCS) was developed by a panel of 20 contributors from 7 different European and North American countries using the modified Delphi method.

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Local anesthesia with blue-dyed lidocaine for a better patient's tolerance during office-based laryngology procedures: how I do it.

Eur Arch Otorhinolaryngol

November 2023

Department of Oto-Rhino-Laryngology and Head and Neck Surgery, AP-HM, La Conception University Hospital, Aix-Marseille University, 147 Boulevard Baille, 13385 CEDEX 5, Marseille, France.

Background: In-office laryngological procedures became common alternatives to general anesthesia for biopsies, injection laryngoplasties, and laser procedures. The limiting step remains the laryngeal anesthesia whose quality can influence patients' and operators' comfort.

Methods: We propose to dye the lidocaine with methylene blue and do an instillation through a catheter introduced in the video-endoscope's operating channel, which permits a progressive anesthesia focused on the larynx, avoiding an unwanted pharyngeal anesthesia and any tracheal irritation.

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The Role of Ear, Nose, and Throat Specialists in the Nose-to-Brain Pathway.

JAMA Otolaryngol Head Neck Surg

September 2023

Department of Oto-Rhino-Laryngology Head and Neck Surgery, Aix-Marseille University, APHM, IUSTI, CNRS, La Conception University Hospital, Marseille, France.

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Sex determination by linear measurements of the bony labyrinth in cone-beam and computed tomography: a practical method.

Forensic Sci Med Pathol

March 2024

Department of Otolaryngology, Hôpital Fondation Adolphe de Rothschild, 29 Rue Manin, 75019, Paris, France.

Purpose: The determinism of the sex is of most importance for reconstruction of the biological profile of deceased individuals. In this study, we aim to implement a technique to improve the accessibility of sex determination by the study of the bony labyrinth on cone-beam computed tomography (CBCT) and computed tomography (CT) scans.

Methods: CBCT and CT scans of temporal bones performed between 2014 and 2022 were collected with demographic information.

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Impact of moderate-to-severe endometriosis on IVF cumulative live birth rate: a retrospective matched cohort study.

Reprod Biomed Online

September 2023

Department of Gynaecology, Obstetric and Reproductive Medicine, AP-HM, La Conception University Hospital, Marseille, France; IMBE, CNRS, IRD, Avignon University, Marseille, France.

Research Question: Does moderate-to-severe endometriosis have an impact on cumulative live birth rates (cLBR) and IVF outcomes?

Design: In this retrospective matched cohort study, women with moderate-to-severe endometriosis undergoing IVF or intracytoplasmic sperm injection treatment from January 2015 to December 2020 were matched 1:2 to women with other causes of infertility (control group). The main outcome was cLBR per cycle and per woman, and secondary outcomes were number of oocytes retrieved and number of mature oocytes, fertilization rate, total number of embryos and usable embryos, implantation rate, clinical pregnancy rate and miscarriage rate per cycle.

Results: In total, 195 women with endometriosis were matched with 390 women without endometriosis (323 and 646 cycles, respectively).

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Article Synopsis
  • The study reviews existing research on outpatient endoscopic enucleation of the prostate to assess its feasibility and outcomes for treating benign prostatic obstruction.
  • A thorough literature search identified ten studies for the systematic review, with a total of 1942 patients, and a meta-analysis involving 1228 patients, showing a high success rate for same-day discharge (84%) and a low unplanned readmission rate (3%).
  • The findings suggest that same-day discharge after this procedure is both feasible and safe for well-selected patients, with lower rates of postoperative readmission and complications compared to standard care protocols.
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Video-Assisted Septo-rhinoplasty, the Future of Endonasal Rhinoplasty-A Technical Note.

Aesthetic Plast Surg

December 2023

Department of Oto-Rhino-Laryngology and Head and Neck Surgery, Aix Marseille Univ, APHM, CNRS, IUSTI, La Conception University Hospital, 147 Bd Baille, 13005, Marseille, France.

Introduction: Surgeons have sought to improve outcomes in rhinoplasty through innovative techniques. Although many publications illustrate the advantages of endoscopic septoplasty over conventional methods, few have evaluated the benefits of endoscopy for rhinoplasty. In this article, the authors meticulously describe their own technique that offers a sustainable alternative to open approach rhinoplasty, with high reproducibility and enhanced knowledge for young surgeons.

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Objective: This study aimed to evaluate the long-term stability of surgical maxillary expansion using patient-specific fixation implants (PSFIs) without intraoral retention.

Materials And Methods: Fifteen patients who had undergone segmented Le Fort I osteotomy and PSFIs with available preoperative (t0) early (t1) and 1-year follow-up computed tomography (CT) scans (t2) were evaluated. The early and 1-year 3D models were superimposed to transfer the bony landmarks; the distances between each pair of landmarks at the different time points were then measured.

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Article Synopsis
  • Testicular germ cell tumors (TGCT) are the most common cancer in young men and their incidence has significantly increased over the past 40 years, prompting this study to investigate the link between certain occupations and TGCT risk in men aged 18-45.
  • The TESTIS study, conducted in metropolitan France from 2015 to 2018, included 454 TGCT cases and 670 controls, collecting comprehensive job histories, and analyzed the data using statistical methods to estimate odds ratios for different occupations.
  • Results indicated a higher TGCT risk in agricultural workers, salesmen, and electrical fitters, suggesting the need for further research to uncover specific agents or chemicals contributing to this increased risk in these professions.
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Response to: "Consistent terminology for medication-related problems in pharmacogenomic cases".

J Psychiatry Neurosci

May 2023

From the Douglas Mental Health University Institute, Department of Psychiatry, McGill University, Montréal, Que. (Korchia, Joober, Sabesan, Palaniyappan); the Lakeshore Hospital, Department of Psychiatry, McGill University, Montréal, Que. (Sabesan, Palaniyappan); the Robarts Research Institute, Western University, London, Ont. (Sabesan, Palaniyappan); the Department of Psychiatry, La Conception University Hospital, Marseille, France (Korchia, Richieri); and CNRS, Centrale Marseille, Institut Fresnel, Aix Marseille University, Marseille, France (Korchia, Richieri).

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Systematic screening for prostate cancer is widely recommended in candidates for renal transplant at the time of listing. There are concerns that overdiagnosis of low-risk prostate cancer may result in reducing access to transplant without demonstrated oncological benefits. The objective of the study was to assess the outcome of newly diagnosed prostate cancer in candidates for transplant at the time of listing, and its impact on transplant access and transplant outcomes according to treatment options.

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Objectives: Tracheoesophageal puncture (TEP) is considered the gold standard for voice rehabilitation after total laryngectomy. One of the main causes of treatment failure, and a potentially serious complication, is the TEP enlargement and/or leakage around the voice prosthesis. The injection of biocompatible material to increase the volume of the puncture surrounding tissue has been studied as a popular option for conservative treatment of enlarged tracheoesophageal fistula.

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Kidney Transplant Outcomes in Elderly Population: A Systematic Review and Meta-analysis.

Eur Urol Open Sci

May 2023

Urology Department, Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Alcalá University, Madrid, Spain.

Article Synopsis
  • The study addresses the rising number of kidney transplants in patients over 70 years old, acknowledging the complexity of choosing between dialysis and transplantation in older patients.
  • It systematically reviewed and analyzed data from 19 studies involving over 293,000 kidney transplant patients to compare outcomes between elderly and younger recipients.
  • Results indicated that elderly patients experience significantly poorer overall survival and long-term graft survival compared to those under 70, while short-term graft survival and rates of complications appeared similar across age groups.
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Renal transplantation in pediatric recipients: Considerations and preoperative assessment strategies.

Actas Urol Esp (Engl Ed)

July 2023

Unidades de Oncología y Trasplante Renal, Fundación Puigvert, Florence, Italy.

Introduction And Objective: Renal transplantation in the pediatric population differs from adults in many aspects. This review will focus on the unique issues of the pediatric recipient.

Material And Methods: A narrative review on the scarce literature regarding preoperative evaluation before kidney transplantation of the paediatric recipient with an educational focus was conducted.

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Introduction: In the last 20 years, robotic assisted procedures were evaluated in the field of kidney transplantation to provide a mini-invasive approach for this particularly fragile population. As a relatively new issue, few studies compared open kidney transplantation (OKT) and robotic-assisted kidney transplantation (RAKT), mostly in small cohorts. To improve current knowledge, we wanted here to gather comparative data of OKT vs RAKT in a systematic review.

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The observational clinical registry (cohort design) of the European Reference Network on Rare Adult Solid Cancers: The protocol for the rare head and neck cancers.

PLoS One

March 2023

Department of Epidemiology and Data Science, Evaluative Epidemiology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.

Introduction: Care for head and neck cancers is complex in particular for the rare ones. Knowledge is limited and histological heterogeneity adds complexity to the rarity. There is a wide consensus that to support clinical research on rare cancer, clinical registries should be developed within networks specializing in rare cancers.

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Kidney transplantation from elderly donors (> 70 years): a systematic review.

World J Urol

March 2023

Department of Urology and Kidney Transplantation, Toulouse University Hospital, TSA 50032 Rangueil Hospital, 31059, Toulouse Cedex 9, France.

Purpose: The incidence of kidney transplants from elderly donors over 70 years of age has increased significantly over the past 10 years to reach 20% of available kidney graft in some European countries. However, there is little data available on the outcomes of transplants from these donors. We performed a systematic review to evaluate the outcomes of transplantation from donors over 70 years of age.

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Postoperative Rectal Necrosis after Laparoscopic Multibipolar Radiofrequency Myoma Ablation.

J Minim Invasive Gynecol

June 2023

Department of Obstetrics, Gynecology and Reproductive Medicine, "Women, parents and children unit, " AP-HM La Conception University Hospital (Drs. Niddam, Netter, Agostini, and Miquel), Marseille, France.

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Surgical management of chronic rhinosinusitis with nasal polyps under local anaesthesia: indications and results.

Acta Otorhinolaryngol Ital

February 2023

Aix-Marseille Univ, APHM, IUSTI, CNRS, Department of Oto-Rhino-Laryngology and Head and Neck Surgery, La Conception University Hospital, Marseille Cedex, France.

Objective: Our objective was to specify the indications and duration of effectiveness of Awake Patient Polyp Surgery (APPS) in Chronic Rhinosinusitis with Nasal Polyps (CRSwNP). Secondary objectives were to evaluate complications and Patient-Reported Experience (PREMs) and Outcome Measures (PROMs).

Methods: We collected information regarding sex, age, comorbidities and treatments.

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Determination of 5-azacitidine in human plasma by LC-MS/MS: application to pharmacokinetics pilot study in MDS/AML patients.

Cancer Chemother Pharmacol

March 2023

Laboratoire de Pharmacocinétique, Faculté de Pharmacie de Marseille, SMARTc, Simulation and Modeling Adaptative Response for Therapeutics in Cancer, 27 Bd Jean Moulin, 13385, Marseille, France.

Purpose: Azacitidine (Vidaza®, AZA) is a mainstay for treating acute myeloid leukemia (AML) in patients unfit for standard induction and other myelodysplastic syndromes (MDS). However, only half of the patients usually respond to this drug and almost all patients will eventually relapse. Predictive markers for response to AZA are yet to be identified.

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Purpose: To analyze as the primary endpoint the accuracy, sensitivity, and specificity of the SNOT-22 assessing CRS severity and to compare the results with a version of the SNOT-8 obtained from the nasal domain items.

Methods: Data were obtained from a prospective multicenter controlled study of dupilumab in adults with moderate-severe CRSwNP. EQUATOR and STROBE network guidelines were adopted.

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Utilizing pharmacogenetics when treating first episode psychosis.

J Psychiatry Neurosci

January 2023

From the Douglas Mental Health University Institute, Department of Psychiatry, McGill University, Montreal, Que. (Korchia, Joober, Sabesan, Palaniyappan); the Lakeshore Hospital, Department of Psychiatry, McGill University, Montreal, Que. (Sabesan, Palaniyappan); the Robarts Research Institute, Western University, London, Ont. (Sabesan, Palaniyappan); the Department of Psychiatry, La Conception University Hospital, Marseille, France (Korchia, Richieri); CNRS, Centrale Marseille, Institut Fresnel, Aix Marseille University, Marseille, France (Korchia, Richieri).

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Context: De Novo nephrolithiasis in renal transplant can have severe consequences since renal transplantation involves a single functioning kidney with medical and anatomical specificities (heterotopic transplantation on iliac vessels, immunosuppressive treatments, and comorbidities).

Objective: To systematically review all available evidence on the prevalence of de novo nephrolithiasis in renal transplant, presentation, and stone characteristics, and to report in a meta-analysis the efficacy of stone treatments (extracorporeal shock wave lithotripsy [ESWL], medical treatment, percutaneous nephrolithotomy [PCNL], open surgery, and ureteroscopy).

Evidence Acquisition: Medline, Embase, and the Cochrane Library were searched up to November 2021 for all relevant publications reporting the management of de novo nephrolithiasis in renal allografts.

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Nasopharyngeal depth (ND) prediction is clinically relevant in performing medical procedures, and in enhancing technique accuracy and patient safety. Nonetheless, clinical predictive variables and normative data in adults remain limited. This study aimed to determine normative data on ND and its correlation to external facial measurements.

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