caa a22 4500 388083565 CHVBK 20180307125224.0 cr unu---uuuuu 161130e199901 xx s 000 0 eng 10.1017/S0022215100143117 doi S0022215100143117 pii (NATIONALLICENCE)cambridge-10.1017/S0022215100143117 Endoscopic ultrasound-guided brachytherapy of head and neck tumours. A new procedure for controlled application [Elektronische Daten] Brachytherapy is an established procedure in primary and in recurrent cancer. We perform afterloading brachytherapy during general anaesthesia. The target organ is punctured with hollow needles which are loaded with 192iridium via remote control. The depth and number of needles depend on tumour extension. In the interdisciplinary approach of our departments, this method has been improved and supplied by B-scan ultrasound control. Needles are positioned under continuous ultrasonographic guidance, and adjacent structures (e.g. the carotid artery) are localized ultrasonographically. Thus violation of the large vessels is avoided and the exact position of the needles within the tumour is improved. In this paper, we report results on 22 patients suffering from recurrent carcinoma of the head and neck following surgery and curative radiation, and 17 patients with first onset of cancer. We did not observe any severe complications such as haemorrhage, osteomyelitis, or dyspnoea. The only side-effect was temporary oedema, sometimes associated with a short-term increase of pain. No systemic side-effects occurred. The method is described and results from both patient groups are reported in detail. We conclude from our data that ultrasonographically-controlled endoscopic brachytherapy is a valuable procedure in locally-advanced primary, and in recurrent head and neck cancer. Copyright © JLO (1984) Limited 1999 Head and neck neoplasms nationallicence Brachytherapy nationallicence Maier Wolfgang Department of Oto-Rhino-Laryngology Universität Freiburg, Germany. Henne Karl Department of Radiotherapy Universität Freiburg, Germany. Krebs Annette Department of Oto-Rhino-Laryngology Universität Freiburg, Germany. Schipper Jörg Department of Oto-Rhino-Laryngology Universität Freiburg, Germany. The Journal of Laryngology & Otology Cambridge University Press 113/1(1999-01), 41-48 0022-2151 113:1<41 1999 113 JLO https://doi.org/10.1017/S0022215100143117 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S0022215100143117 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Maier Wolfgang Department of Oto-Rhino-Laryngology Universität Freiburg, Germany NATIONALLICENCE 700 1- Henne Karl Department of Radiotherapy Universität Freiburg, Germany NATIONALLICENCE 700 1- Krebs Annette Department of Oto-Rhino-Laryngology Universität Freiburg, Germany NATIONALLICENCE 700 1- Schipper Jörg Department of Oto-Rhino-Laryngology Universität Freiburg, Germany NATIONALLICENCE 773 0- The Journal of Laryngology & Otology Cambridge University Press 113/1(1999-01), 41-48 0022-2151 113:1<41 1999 113 JLO CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge