摘要:

AbstractCancer of the paranasal sinuses is not frequently encountered in otolaryngological practice. These tumors constitute less than 1 per cent of the cases seen at the Brooklyn Cancer Institute. During 1937, there were five malignant tumors of the sinuses among 737 admissions. Most of these cases are seen when the disease is far advanced and therefore present special problems. Fear, ignorance and the unfortunate circumstance of the absence of symptoms are factors in the late appearance of these patients for treatment. Fortunately, in many cases, a late diagnosis does not mean a hopeless prognosis. These neoplasms are usually out of sight and are frequently painless. When pain occurs it may be referred to the alveolar process, suggesting a dental condition, or it may be referred to the cheek, suggesting an antrum suppuration. Irrigation of the antrum may be negative or may reveal the presence of pus. When blood or sanguineous material are returned with the irrigation, the diagnosis is fairly certain. If a malignancy of the antrum is suspected because of the symptoms or because of the Roentgen findings, the interior of the sinus should be examined by means of an exploratory opening.

ISSN:0023-852X    

DOI:10.1288/00005537-193809000-00001

出版商:John Wiley&Sons, Inc.    

年代:1938

数据来源: WILEY

摘要:

AbstractThe multiplicity of surgical procedures for the attempted relief of persistent frontal sinusitis in itself suggests their inadequacy. Every rhinologist is almost constantly haunted by the spectre of unrelieved patients who have left the operating table with adequate surgical endonasal ostia only to return six months later with bony or fibrous stenosis and recurrent symptoms. Further surgery serves only to create new additions to the already impressive group of surgical nihilists among the general medical advisers, as well as the discouraged laity. This seems to be the only too frequent experience after the extensive external operation, as well as the various ingenious intranasal manipulations. The only outstanding exception to this situation appears to be the obliterating collapse operation, which, unfortunately, is so deforming in the large sinus usually present in serious frontal disease that both patient and surgeon rightfully hesitate until everything else possible has been tried.

ISSN:0023-852X    

DOI:10.1288/00005537-193809000-00002

出版商:John Wiley&Sons, Inc.    

年代:1938

数据来源: WILEY

摘要:

AbstractThis study of carcinoma of the larynx is an attempt to analyze for myself the results of treatment and to determine, if possible, any indications for the selection of the type of treatment most likely to be successful in any particular case. It is true that the number of cases in this series is relatively small and in some instances the time elapsed after treatment has been too short for clear‐cut conclusions. Nevertheless, some of the patients have been observed sufficiently long to evaluate the results of treatment. I am of the opinion that the general viewpoint of time elapsed after treatment of laryngeal cancer in relationship to cure is of little help in studying the results. The usual periods selected are three or five years after therapy. As a matter of fact, most recurrences, local or glandular, take place in much less than one year. In this series of cancer cases there has been no local or glandular recurrence after the first year, with one exception, which occurred 12 years postoperative. I do not for a moment deny that recurrences or metastases take place two, three or five years after operation, but they are comparatively infrequent. I am of the opinion that if patients are observed routinely by follow‐up every two or four weeks, as I do with all my patients, recurrences will be noted early; long before they fall into the two‐ or three‐year recurrence group. On the other hand, the three‐ or five‐year period is much too short because patients do occasionally get late local or distant metastases seven, 10 or 20 years after treatment. Therefore, reliable definitive statistics on the treatment of laryngeal carcinoma can only be obtained after many years of observation, a longer period of time than any one man is likely to cover in his active medical years. There are exceptions, such as Chevalier Jackson and St. Clair Thomson, who are able to report lengthy follow‐ups on their thyrotomy cases. It will require relays of laryngologists following the courses of therapeutic procedures for many years to estimate the value of each procedure if in the meantime the specific etiology and treatment of cancer are not discovered. For we must remember that we have not been treating carcinoma itself, but a local manifestation of a general disease or tendency. In the interim tentative reports such as this are in order so that a mass of material may be available for the study of various procedures and their indications in the treatment of lar

ISSN:0023-852X    

DOI:10.1288/00005537-193809000-00003

出版商:John Wiley&Sons, Inc.    

年代:1938

数据来源: WILEY

摘要:

AbstractPhysicians in general, and especially otolaryngologists, should all be very much interested in voice‐production. The writer refers tocorrectvoice‐production;i.e., goodtone‐production. A good natural voice may be regarded as a “gift of God”; but the poor voice can be improved in the presence of a larynx that is normal in its anatomy and innervation, and therefore need not remain a lifelong a

ISSN:0023-852X    

DOI:10.1288/00005537-193809000-00004

出版商:John Wiley&Sons, Inc.    

年代:1938

数据来源: WILEY

ISSN:0023-852X    

DOI:10.1288/00005537-193809000-00005

出版商:John Wiley&Sons, Inc.    

年代:1938

数据来源: WILEY

摘要:

AbstractMalignant disease originating in the external auditory canal and meatus is one of the most uncommon lesions seen in otolaryngological practice. Many of the textbooks do not even mention the condition, although Politzer1has accurately described it. Even in the larger clinics it is seldom seen. Robinson2states that among 212,000 cases at the Manhattan Eye and Ear Hospital, New York between 1904 and 1924, only 19 cases were seen of carcinoma of the external ear and canal. Story3reports that no case was seen in the largest aural hospital in Ireland in 17 years. Fraser4says that only three cases of malignancy of the external auditory canal were seen by him in private practice among 646 patients between 1906 to 1929, inclusive. In the Department of Otology, Royal Infirmary, Edinburgh,5of 6,605 cases of disease of the external ear and meatus, 13 were malignant. Connal6mentions four carcinomas and two sarcomas among 15,000 cases in the General Ear Hospital, of Glasgow. Pritchard7stated that he had not seen a dozen cases of epithelioma beginning in the skin of the meatus in over 25 years' practice. McBride8had seen only three cases in 20 years at the Edinburgh Infirmary and in private practice. Bezold9found only four among 20,000 as cases. Broders10reports by far the highest incidence, 14.28 per cent of involvement of the external auditory canal among 63 cases of carcinoma of the ear. The experience of West11alikewise is unusual. In two years, seven cases were seen by him in St. Bartholomew's Hospital, London, six at least presenting good evidence of origin in the meatus. Bonner12aclaimed that they were fairly common and often overlooked. He had seen five or six in a period of a few years.

ISSN:0023-852X    

DOI:10.1288/00005537-193809000-00006

出版商:John Wiley&Sons, Inc.    

年代:1938

数据来源: WILEY

摘要:

AbstractReporting two cases of tetanus occurring about the same time; coming to St. Luke's and Children's Hospital, Philadelphia, from northeastern Philadelphia. Both cases were boys under 12 years of age; one recovered, the other died about six hours after entering the hospital. Both were given the same amount of antitoxin. Both had acute otitis media a short time before the onset of the symptoms of tetanus. Neither of them had any scar, inflammation or history of any injury that might have caused this infection, except the acute otitis media. In one case, D. L., we were able to get a history of the enlarging of a cesspool in the yard of his home and that he played around the working men. He developed acute otitis media at this time.

ISSN:0023-852X    

DOI:10.1288/00005537-193809000-00007

出版商:John Wiley&Sons, Inc.    

年代:1938

数据来源: WILEY

摘要:

AbstractAlready, the number of cases of hemolytic streptococcic meningitis responding favorably to the therapeutic effect of sulfanilamide or its compounds and assisting factors is increasing daily. No attempt is herein made to review the literature, to group the cases collectively according to the mode of entry, or to embark upon any lengthy discussion. Suffice it to say, that there arises in each case, no matter how closely it may resemble some other reported one, an entirely different picture; and, again, we realize that every case is a law unto itself. Everyone is cognizant of the fact that the features bearing on this variability are involved with anatomical background and influenced by developmental and intercurrent phenomena, such as infection and immunity.

ISSN:0023-852X    

DOI:10.1288/00005537-193809000-00008

出版商:John Wiley&Sons, Inc.    

年代:1938

数据来源: WILEY

摘要:

AbstractMyxofibroma of the larynx occurs rarely enough to be reportable. Of the two cases reported in this paper, one is a private case of my own, and the other is from the service of Dr. Philip Leibowitz, Attending Otolaryngologist, Jewish Hospital, Brooklyn.

ISSN:0023-852X    

DOI:10.1288/00005537-193809000-00009

出版商:John Wiley&Sons, Inc.    

年代:1938

数据来源: WILEY

ISSN:0023-852X    

DOI:10.1288/00005537-193809000-00010

出版商:John Wiley&Sons, Inc.    

年代:1938

数据来源: WILEY