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Purpose: To examine the role of the silicone stent in palliation of malignant central airway obstruction and identify potential preprocedural predictors for postprocedural outcome. Methods: Patients treated with endoscopic insertion of tracheobronchial silicone stents for malignant central airway obstruction at Aarhus University Hospital from 2012 to 2022 were identified from electronic medical records. Statistical analyses were carried out to identify factors affecting Days Alive and Out of Hospital, complications and overall survival. Results: 81 patients underwent a total of 90 tracheobronchial stent insertions. Days Alive and Out of Hospital (DAOH) for the first 30 days were affected negatively by urgent intervention, p < 0.001, preprocedural non-invasive respiratory support, p < 0.001, and preprocedural intubation, p = 0.02. Post-procedural oncological treatment was associated with a significant improved DAOH, p = 0.04. Symptomatology and lesion characteristics were not significantly associated with any impact on DAOH. Overall survival was poor (mean survival was 158 days), and only significantly affected by severe degree of dyspnea, p = 0.02, and postprocedural oncological treatment, p < 0.001. Complication where registered in 25.6% of cases within the first 30 days was observed. Procedure-related mortality was 3.7%. Based on chart annotations by an ENT-surgeon, 95% of the patients experienced relief of symptoms following stent insertion. Conclusions: Palliative tracheobronchial airway stenting with silicone stents is found to have a beneficial impact, more research is required for identification of predictors for postprocedural outcome based on preprocedural classifications. [ABSTRACT FROM AUTHOR]

As bleeding in the neck region is a potentially life-threatening complication, we found it imperative to concretize the frequency and to identify possible reasons for this complication. A national database of all thyroid surgery performed inside the specialty of ENT Head and Neck Surgery (THYKIR) was established in January 2001. This nationwide cohort study represents 5,490 patients included until December 2007. Overall hemorrhage frequency was 4.2% with a wide variation among departments. Multiple regression analysis identified age, male gender, malignant histology and extent of surgery as independent risk factors for hemorrhage. Increased hospital stay and infection rates were found in patients treated with drainage. The median time for onset of postoperative hemorrhage was 3 h (range 0–105). Compared with international literature our incidence of post-thyroidectomy hemorrhage is relatively high. Improvement might be reached by the exchange of experience between departments with focus on adequate surgical technique and careful hemostasis. [ABSTRACT FROM AUTHOR]

Many individual researchers have used line transect counts to estimate forest primate abundance. They have devoted less attention to the interpretation of line transect data obtained by several observers, as is often the case in long-term monitoring programs. We present primate relative abundance data that 5 observers collected over 6 yr (not continuous) along 4 different transects each 4 km long in the Mwanihana Forest, Udzungwa Mountains National Park, Tanzania. Total distance walked during transect repetitions is ca. 700 km. The species we saw most frequently was the endemic Udzungwa red colobus Procolobus gordonorum (mean 0.59 groups/km walked), followed by the Angolan black-and-white colobus Colobus angolensis (0.43 groups/km) and Sykes’s monkey Cercopithecus mitis (0.35 groups/km). We sighted the endemic Sanje mangabey Cercocebus galeritus sanjei and the yellow baboon Papio cynocephalus infrequently, the latter being confined to the deciduous forest parts of the transects. We analyzed sighting frequency by gross habitat type, transect, season, and observer. Interobserver differences in the relative abundance of each species were moderate and the few cases of significant variations were due to discordance of only 1 observer from the others. Estimated distances of primate group sightings differ significantly among observers, thus preventing us from deriving estimates of absolute density. Frequency distributions of distance-class intervals are not significantly different among observers, which may indicate gross interobserver consistency in the width of the area sampled. We conclude that unless consistency in data collection is checked, as we did for 2 observers who collected data simultaneously, potential interobserver differences remain an underlying source of variance in the results that cannot be separated from other sources of variance. [ABSTRACT FROM AUTHOR]

Histological investigation of skin biopsies in four patients with osteogenesis imperfecta, nine patients with Otosclerosis and 13 sex- and age-matched normal controls was carried out blindly. The dermal thickness was markedly reduced in osteogenesis imperfecta and slightly reduced in otosclerosis. Minor degenerative changes in the elastic fibres were seen in otosclerosis, while the elastic fibres were found to be more degenerated and more numerous in osteogenesis imperfecta. Our study does not support the hypothesis of otosclerosis being a localized form of osteogenesis imperfecta. The minor changes in the elastic fibres in otosclerosis indicate that further studies of the elastic fibres and of collagen will be necessary to determine whether otosclerosis is a localized disease or part of a general connective tissue disorder. [ABSTRACT FROM AUTHOR]