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Impact of the new TNM Staging System (8th edition) on oral tongue cancers

Original article
Ammann Y, Beutner U, Vital DG, Morand G, Broglie Daeppen MA, Born D, Stoeckli SJ, Huber GF
Swiss Med Wkly. 2021;151:w20493

For tumours of the oral tongue, the most recent 8th edition of the AJCC/UICC staging system has introduced depth of infiltration (DOI) as a novel parameter. The authors of this study investigated its impact regarding this risk stratification compared with the preceding 7th edition. The recent TNM 8th edition provides a more accurate prediction of overall and disease-specific survival for this subgroup of patients. Hence, a more aggressive treatment should be considered for patients re-staged to pT3 due to depth of infiltration.

ASA score and procedure type predict complications and costs in maxillofacial reconstructive surgery: a retrospective study using a hospital administrative database

Original article
Mehra T, Schönegg D, Ebner J, Moos RM, Schumann P, Gander T, Essig H, Lanzer M
Swiss Med Wkly. 2021;151:w20497

The ASA score allows a reliable preoperative assessment of patient outcomes and financial burden in maxillofacial reconstructive flap surgery. The type of flap reconstruction significantly influences complications and ultimately total costs. The current reimbursement system via diagnosis-related groups (DRGs) does not take sufficient account of this fact. Adaptations are therefore needed to prevent misplaced incentives to the detriment of patients.

Risk factors for peritonsillar abscess in streptococcus A-negative tonsillitis: a case control study

Original article
Helfenberger L, Fischer R, Giezendanner S, Zeller A
Swiss Med Wkly. 2021;151:w20404

The Centor criteria, as well as C-reactive protein and white blood cell count, have a low discriminatory performance, and the FeverPAIN score is not useful in identifying patients at risk for peritonsillar abscess in group A haemolytic streptococcus-negative tonsillitis. 

Cochlear implants in single-sided deafness – clinical results of a Swiss multicentre study

Original article
Peter N, Kleinjung T, Probst R, Hemsley C, Veraguth D, Huber A, Caversaccio M, Kompis M, Mantokoudis G, Senn P, Wimmer W
Swiss Med Wkly. 2019;149:w20171

Single-sided deafness often has a significant impact in communication skills owing to impaired sound localisation and decreased speech understanding in noise. Hearing loss is also a general risk factor for the development of tinnitus.

Dysphagia in the intensive care unit in Switzerland (DICE) – results of a national survey on the current standard of care

Original article
Zuercher P, Moret C, Schefold JC
Swiss Med Wkly. 2019;149:w20111

In critically ill patients, oropharyngeal dysphagia (OD) is often observed, persists in most affected patients throughout their hospital stay, and negatively impacts on clinical outcomes.

Designing artificial senses: steps from physiology to clinical implementation

Review article: Biomedical intelligence
Pérez Fornos A, Van de Berg R, Sommerhalder J, Guinand N
Swiss Med Wkly. 2019;149:w20061

The goal of this review is to highlight the multiple challenges involved in the development of sensory neuroprostheses, the current state of the technology, and to briefly discuss future clinical and research prospects.

Risk factors for hypocalcaemia after completion hemithyroidectomy in thyroid cancer

Original article
Aqtashi B, Ahmad N, Frotzler A, Bähler S, Linder T, Müller W
Swiss Med Wkly. 2017;147:w14513

Completion of thyroidectomy is necessary when a malignancy larger than a microcarcinoma is detected in one lobe. In this case, the risk for temporary hypocalcaemia might be lower since the remaining parathyroid glands might recover function between the two surgeries.

Bilateral congenital deafness: What investigations should be performed?

Review article: Biomedical intelligence
Gürtler N, Gysin C, Schmid N, Pieren C, Vischer M, Schumacher S, Oppermann P, Leuba D, Veraguth D
Swiss Med Wkly. 2017;147:w14416

Rapid preoperative blockage of thyroid hormone production / secretion in patients with Graves’ disease

Original article
Fischli S, Lucchini B, Müller W, Slahor L, Henzen C
Swiss Med Wkly. 2016;146:w14243

Does airway intervention before primary nonsurgical therapy for T3/T4 laryngeal squamous cell carcinoma impact on oncological or functional outcomes?

Original article
Schariatzadeh R, Pezier T, Studer G, Schmid S, Huber G
Swiss Med Wkly. 2015;145:w14213

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