摘要:

AbstractDespite advances in radiotherapy, chemotherapy, and immunotherapy, radical surgery still remains by far the single most effective means for controlling advanced cancers of the cheek, including their local extensions and regional metastases into lymph nodes. The destructive and incapacitating nature of radical extirpative management, however, is prohibitive unless they can be neutralized by the judicious application of reconstructive techniques for effective, safe, and expeditious rehabilitation.

ISSN:0022-4790    

DOI:10.1002/jso.2930060402

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1974

数据来源: WILEY

摘要:

AbstractThe fact that conventional methods of speech rehabilitation do not succeed in all patients has led various investigators to evaluate alternative approaches. A review of these approaches indicates progress in both air tunnel methods and the Reed Fistula method, each of which is applicable to a specific category of patients.

ISSN:0022-4790    

DOI:10.1002/jso.2930060403

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1974

数据来源: WILEY

摘要:

AbstractOral cancer is a really serious problem and the control of it rests with physicians and dentists who are able to detect cancer at an early stage, that is, at a time when proper management and treatment of the case will cure the patient with a minimum amount of deformity. Oral cancer comprises somewhere between 6 and 7% If all malignant tumors. Detection depends upon the ability of the clinician to be observant and to recognize any abnormality in the region of the head and neck. Recognition is best accomplished by a thorough oral examination. Diagnosis may be possible by clinical observation or x‐ray, however diagnostic aids such as the use of exfoliative cytology, toluidine blue (Niebel and Chomet, 1964; Shedd, et al., 1965; Myers, 1970) and various forms of biopsy are most useful for a definitive diagnosis.The methods used in detection and diagnosis of oral malignancy were discussed and indications and contra‐indications for their use were noted. The proper management and referral were also emphasized since this is an important aspect in the treatment of the oral cancer prob

ISSN:0022-4790    

DOI:10.1002/jso.2930060404

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1974

数据来源: WILEY

摘要:

AbstractIn the dental treatment and maintenance of cancer patients the dentist is often confronted with particularly and peculiarly accented situations which require knowledge of disease and therapy‐related problems. Surgery, radiotherapy, chemotherapy, and basic disease may present a constellation of conditions which require for their control the efforts of the entire health profession team. Dental care of the irradiated head and neck cancer patient requires close follow‐up and meticulous oral hygiene. There are definite indications for preirradiation extractions, basic rules for maintenance during and after irradiation, and certain precepts for post‐irradiation extractions. Chemotherapy has introduced new considerations in the dental treatment of cancer patients. As most anti‐tumor drugs cause thrombocytopenia, this effect on hemostasis is of great concern when contemplating oral surgery. During the acute phase of hematologic disorders dental maintenance must be limited to atraumatic procedures to control periodontal and pulp involvement. Good oral hygiene plays an important part in the dental maintenance of all patients. Dentists must take an active part in the therapy and rehabilitation of cancer p

ISSN:0022-4790    

DOI:10.1002/jso.2930060405

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1974

数据来源: WILEY

摘要:

AbstractThe interested general dentist does have an opportunity at times to provide prosthetic rehabilitation services for the head and neck cancer patient who arises in his practice. Also if the dentist is associated with a hospital that does head and neck cancer surgery, he will find that his services will be requested more frequently. Although the scope of maxillofacial prosthetics encompasses many complicated types of prostheses for the head and neck area, the general dentist using equipment and supplies readily available in his office can prepare many kinds of simple oral prostheses. These prostheses can return a patient who is unable to speak, eat, or swallow appropriately back to full function. In addition to providing routine general dental care for these patients it is the responsibility of the dentist to provide these prosthetic rehabilitative prostheses to the head and neck cancer patient in his practice or see to it that the patient is referred to a nearby maxillofacial prosthetic center.

ISSN:0022-4790    

DOI:10.1002/jso.2930060406

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1974

数据来源: WILEY

摘要:

AbstractCancer of the maxillary sinus is a relative rare malignancy. It occurs most frequently in the 50 to 70 year age group and is more frequent in males. Histologically, the majority of the tumors are of the squamous cell type. Diagnosis is rarely, if ever, made when it is still limited to the antral cavity. Cervical node metastases are found infrequently at the time of diagnosis.The most widely accepted treatment at the present time is radical surgery as the primary mode of therapy alone or in combination with radiation therapy.Five year survival figures are in the 20 to 30% range, indicating improvement, but yet falling considerably below the survival figures for cancer of other sites in the head and neck region.

ISSN:0022-4790    

DOI:10.1002/jso.2930060407

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1974

数据来源: WILEY

摘要:

AbstractAn understanding of the behavior of oral malignancy is necessary to insure early detection of this disease by the dentist. Alterations in oral mucosa such as keratotic plaque, erythematous granular erosions, and foci of pigmentation'often demonstrate a microscopic spectrum of epithelial atypia. Of primary concern to the dentist is the fact that carcinoma may mimic periodontal disease and often occurs in inaccessible areas of the mouth such as the base of the tongue. Metastasis occurs more often in lesions over 2 cm in size and studies suggest that a large percentage of patients have positive nodes at the time of initial examination. The dentist's approach to oral malignancy must include adequate examination, proper use of biopsy and cytology techniques, and expeditious referral.

ISSN:0022-4790    

DOI:10.1002/jso.2930060408

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1974

数据来源: WILEY

摘要:

AbstractOver 90% of malignant tumors of the head and neck are squamous cell cancers. These originate in the epithelium of the upper respiratory and alimentary tracts. Some thirty or more primary sites are recognized. Though there are specific therapeutic problems relative to each of these sites, there are general principles which apply to many.I have attempted to present a general outline of therapy for squamous cell carcinoma of the head and neck. It is hoped that this will help the physician who is not intimately involved with the details of therapy to understand why some patients with malignancy are treated one way while others are directed along other avenues of therapy.

ISSN:0022-4790    

DOI:10.1002/jso.2930060409

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1974

数据来源: WILEY

ISSN:0022-4790    

DOI:10.1002/jso.2930060410

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1974

数据来源: WILEY

ISSN:0022-4790    

DOI:10.1002/jso.2930060401

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1974

数据来源: WILEY