Radiofrequency Ablation of Osteoid Osteomas: Analgesia and Patient Satisfaction in Long-term Follow-up

Autor: C. Bruger, P. U. Tunn, Federico Collettini, Klaus-Dieter Schaser, Ingo Melcher, Florian Streitparth, Bernhard Gebauer
Rok vydání: 2013
Předmět:
Image-Guided Biopsy
Adult
Male
Reoperation
Osteoid osteoma
medicine.medical_specialty
Adolescent
Visual analogue scale
Radiofrequency ablation
medicine.medical_treatment
Osteoma
Osteoid

Bone Neoplasms
Catheter ablation
Radiology
Interventional

Anesthesia
General

law.invention
Interviews as Topic
Young Adult
Postoperative Complications
Patient satisfaction
law
Image Interpretation
Computer-Assisted

medicine
Humans
Pain Management
Radiology
Nuclear Medicine and imaging

Child
Retrospective Studies
Pain
Postoperative

medicine.diagnostic_test
business.industry
Anti-Inflammatory Agents
Non-Steroidal

Interventional radiology
Retrospective cohort study
Middle Aged
medicine.disease
Ablation
Magnetic Resonance Imaging
Surgery
Patient Satisfaction
Child
Preschool

Fluoroscopy
Catheter Ablation
Female
Radiology
Analgesia
Neoplasm Recurrence
Local

Tomography
X-Ray Computed

business
Zdroj: RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren. 184:959-966
ISSN: 1438-9010
1438-9029
DOI: 10.1055/s-0033-1350347
Popis: To review the long term clinical outcomes in the treatment of osteoid osteoma (OO) using radiofrequency ablation (RFA).Our retrospective study included 59 patients who were treated in the period from April 2001 to December 2012 due to a symptomatic OO using RFA. Here, the occurrence of complications and postoperative recurrence, as well as postoperative patient satisfaction were examined. Patients satisfaction was assessed by means of a telephone interview with the visual analogue scale (VAS).Mean follow-up was 50 months (2 - 116 months). The average size of the nidus was 6 mm (range 2 - 14 mm). After initial radiofrequency ablation 11.8 % (7/59) of patient showed a recurrence of symptoms. Symptoms could successfully be treated by a second ablation in 5 patients. Assisted success rate was therefore 96.6 % (57/59). The complication rate was 5.1 % (2 major and one minor complication). Furthermore we report a very high patient satisfaction and acceptance of therapy.RFA is a very successful therapy of symptomatic OOs with a high patient satisfaction.▶ Osteoid osteomas (OO) are rare benign bone tumors of the childhood and adolescence. ▶ Treatment of OOs with minimal-invasive radiofrequency ablation (RFA) shows a high patient satisfaction. ▶ RFA is by now the standard therapy of symptomatic OOs.
Databáze: OpenAIRE