Publications by authors named "Padraig O'Leary"

Introduction: Retrograde cricopharyngeal dysfunction (R-CPD) is the inability to belch due to impaired upper oesophageal sphincter relaxation. Botulinum toxin A injection shows promise, but standardised protocols are lacking.

Objective: To evaluate the effect of botulinum toxin A for R-CPD in a Danish population.

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Importance: Early-stage oropharyngeal squamous cell carcinoma (OPSCC) is challenging to diagnose using clinical examination and cross-sectional imaging. Ultrasonography performed transorally can provide high-resolution images of oropharyngeal structures; however, whether it improves diagnostic evaluation of patients with suspected OPSCC is unknown, and yet there is a need for improved early detection and T staging.

Objectives: To compare the accuracy of clinical examination, ultrasonography, and magnetic resonance imaging (MRI) in detection of oropharyngeal tumors.

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Purpose: We present a case of dysphagia caused by an aberrant internal carotid artery (ICA). By reporting this rare occurrence, we hope to highlight the anomaly as a differential in cases of persistent, progressive dysphagia.

Results: Even though the symptomatic mass effect of the ICA warranted the option of surgical intervention, due to a patient-centered approach with an emphasis on personal preference, the patient was instead referred for specialized ergotherapy.

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Purpose: To examine patient-centred outcome following endoscopic treatment of central airway stenosis in terms of days alive and out of hospital (DAOH), need for re-intervention, and complications, with reference to aetiology of disease and applied treatment methodology.

Methods: Analyses were based on data from consecutive adult patients treated endoscopically for benign central airway obstruction at Aarhus University Hospital from 2012 to 2022, with a minimum follow-up of one year. DAOH was calculated for 30 and 365 days.

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Background: The Glasgow Benefit Inventory (GBI) is a widely used patient-reported outcome measure in otorhinolaryngology. A Danish version would serve as a validated tool for assessing quality of life among Danish patients after otorhinolaryngological interventions, enabling both cross-intervention, cross-country and cross-cultural comparisons.

Aims/objectives: This study aimed to translate, culturally adapt and linguistically validate the GBI into Danish.

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Article Synopsis
  • This study protocol outlines a clinical trial evaluating transoral and transcervical ultrasonography (US) for diagnosing oropharyngeal cancer in patients referred to specialized centers.
  • The trial will assess the effectiveness of US in detecting tumors and estimating their size and T-stage before confirming results with other methods like MRI and histopathology.
  • Key outcome measures will include diagnostic accuracy metrics such as sensitivity and specificity, along with comparisons between US, MRI, and CT for estimating tumor size, with a focus on providing valuable insights for clinical practice.
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Article Synopsis
  • Pain is common after TransOral Robotic Surgery (TORS), especially affecting swallowing, but current pain management techniques are not well understood.
  • A clinical trial tested the effects of high-dose versus low-dose dexamethasone on pain intensity and various secondary outcomes in patients undergoing TORS lingual tonsillectomy.
  • Results showed no significant differences in pain levels or secondary outcomes between the two dexamethasone groups, highlighting a need for further research in optimizing pain management after TORS.
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Background: The reported hospital length of stay (LOS) following transoral robotic surgery lingual tonsillectomy (TORS-L) is variable, with limited understanding of the factors requiring hospitalization and no evidence-based criteria for discharge.

Aims/objectives: This observational cohort study investigated factors hindering discharge following TORS-L in a well-defined postoperative care program.

Methods: Patients were included between August 2020 and October 2022.

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This case report presents an elderly male patient who on diagnosis with a large oropharyngeal tumour had no specific symptomatology apart from severe obstructive sleep apnoea. Histopathology revealed the tumour to be an adult rhabdomyoma, a rare but benign tumour arising from striated muscle cells. The tumour obstructed most of the oropharyngeal space and almost occluded the patient's airway when lying in a supine position.

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The incidence of head and neck squamous cell carcinoma has risen steadily over the past decade due to the increase in cancers associated with the human papillomavirus (HPV). The prognosis for the treatment of this type of cancer with radiotherapy and chemoradiotherapy is good. However, because these treatments can have detrimental effects on organ function and quality of life, researchers are looking into transoral robotic surgery (TORS) as a possible alternate therapy.

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Introduction: The purpose of this article was to assess our experience with the facial artery musculomucosal (FAMM) flap technique for reconstruction of the oral cavity after tumour ablation. We also introduce new surgical developments for this technique.

Material And Methods: We retrospectively examined 22 cases involving FAMM flap surgery during the period from July 2007 to December 2009, focusing on postoperative complications and flap survival.

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