摘要:

AbstractThis study categorizes the diseases of 376 children with inflammatory or neoplastic masses of the nose and paranasal sinuses treated at the University of Pittsburgh or reviewed at the Armed Forces Institute of Pathology. The presenting symptoms and signs of these masses, patient evaluations, and the outcome of management are reviewed. A plan for therapy of the various masses presenting in this area is suggested based on the outcome of this study.

ISSN:0023-852X    

DOI:10.1288/00005537-197912000-00001

出版商:John Wiley&Sons, Inc.    

年代:1979

数据来源: WILEY

摘要:

AbstractMany etiologic factors have been implicated in delayed language development in the preschool child including: low birth weight, perinatal insults to the CNS, and chronic/recurrent middle ear disease with conductive hearing impairment during the first years of life.The results of an in‐depth evaluation of 24 children, who manifested preschool language delay significant enough to require remedial intervention, are reported. A suggested early identification model employing High Risk Factors and a Developmental Screening Questionnaire for use by otolaryngologists, pediatricians and audiologists is presente

ISSN:0023-852X    

DOI:10.1288/00005537-197912000-00002

出版商:John Wiley&Sons, Inc.    

年代:1979

数据来源: WILEY

摘要:

AbstractA review of 150 cases of mid‐face skin cancers treated by the fresh tissue technique of microscopic controlled excision has revealed local epithelial cancer spread to be markedly influenced by embryological fusion planes. Knowledge of facial embryology which is reviewed in this article should allow the surgeon to better predict and treat mid‐facial skin can

ISSN:0023-852X    

DOI:10.1288/00005537-197912000-00003

出版商:John Wiley&Sons, Inc.    

年代:1979

数据来源: WILEY

摘要:

AbstractThirty‐four patients with advanced squamous cell carcinoma of the head and neck have been treated with sequential combination chemotherapy consisting of Cytoxan, methotrexate, oncovin, bleomycin and adriamycin, followed by Leucovorin (COMBAL). All patients had undergone extensive prior radiation and/or surgery. All the patients had recurrent cancer.Toxicity included two deaths from drug induced pancytophenia and one from sepsis. Treatment was well tolerated and could be given in the outpatient clinic. No bleomycin pulmonary or adriamycin cardiac toxicity was seen. Results include 4 patients who achieved complete remission, objective improvement in measurable lesions in 6 others, stabilization of disease for 1 to 3 mo. in 5, and progression of disease in 13. Survival has ranged from 1 to 19+ months with a median of 10.7 mo. for patients that were evaluated. We conclude that COMBAL produces objective evidence of improvement in approximately 45% of patients with far advanced, previously treated squamous cell carcinoma of the head and nec

ISSN:0023-852X    

DOI:10.1288/00005537-197912000-00004

出版商:John Wiley&Sons, Inc.    

年代:1979

数据来源: WILEY

摘要:

AbstractThe risk of facial nerve paresis after parotidectomy is thought to be within acceptable limits, although it is difficult to find published data regarding the specific magnitude of this risk. This study reviews the subject and reports postoperative facial function in 100 consecutive patients who had parotidectomies at the Henry Ford Hospital during a 9‐year period. Permanent weakness of a major branch was identified in 2 of 77 patients having lateral lobectomy for parotid disease. Both patients demonstrated marginal mandibular paresis after surgery for adenolymphoma. No weakness was noted in 16 patients undergoing total parotidectomy. No unanticipated nerve disability was noted in 4 patients having partial nerve sacrifice in extended procedures; 3 patients had complete sacrifice of the nerv

ISSN:0023-852X    

DOI:10.1288/00005537-197912000-00005

出版商:John Wiley&Sons, Inc.    

年代:1979

数据来源: WILEY

摘要:

AbstractInjury to the spinal accessory nerve may occur during conservation neck dissection. In supraglottic laryngectomy preservation of the internal branch of the superior laryngeal nerve has largely been ignored. Cadaver dissection and diagrams are used to review the surgical anatomy of these two structures. Particularly important are the relationship of the spinal accessory nerve to the sternocleidomastoid muscle, its interaction with the cervical plexus, and its superficial path inferiorly. Landmarks for the identification of the internal branch of the superior laryngeal nerve are indicated, and technique for preservation is described. An intact accessory nerve can be efficiently preserved thereby eliminating the shoulder syndrome. Significant sparing of the internal branch of the superior laryngeal nerve can be routinely accomplished as an aid in minimizing postoperative aspiration.

ISSN:0023-852X    

DOI:10.1288/00005537-197912000-00006

出版商:John Wiley&Sons, Inc.    

年代:1979

数据来源: WILEY

摘要:

AbstractDuring exploratory tympanotomy for conductive deafness, the surgeon is occasionally perplexed to find no apparent cause for the air‐bone gap. This unexplained deafness has been called “inner ear conductive hearing loss” because of the apparent absence of pathology in the middle ear.The incudostapedial joint was studied in 68 vertically sectioned temporal bones and the anatomy is presented. Varying amounts of laxity is observed in the normal joint capsule at the time of surgery. A theory is suggested in which an elongated capsule allows incus motion without energy transmission to the stapes. It is proposed that hypermobility of the incudostapedial joint may exist and explain conductive hearing loss of undetermined eti

ISSN:0023-852X    

DOI:10.1288/00005537-197912000-00007

出版商:John Wiley&Sons, Inc.    

年代:1979

数据来源: WILEY

摘要:

AbstractFrontal sinus fractures cover a spectrum of injury. A series of 52 primarily treated patients from the University of Cincinnati Medical Center is presented. Initial systematic management was applied to these patients and consisted of complete radiographic evaluation supplemented by wound care and cosmetic restoration when needed. All patients were followed on a long‐term basis; both clinically and radiographically. Results to date are that 49 patients have had an uneventful post‐traumatic course with re‐establishment of normal sinus aeration. From the cosmetic standpoint no contour revisions have been needed and only two patients required elective scar revision. Three patients developed chronic suppurative sinus disease within the first post‐traumatic year which was readily diagnosed and managed without complication by osteoplastic frontal sinusotomy and adipose oblit

ISSN:0023-852X    

DOI:10.1288/00005537-197912000-00008

出版商:John Wiley&Sons, Inc.    

年代:1979

数据来源: WILEY

摘要:

AbstractA review of the literature reveals a surprisingly sparse amount of true documentation concerning the validity of using tuning forks as an adjunctive measure in the diagnosis of hearing impairment. Most reports are historical or anecdotal. With this in mind, a protocol was set up to identify the value of three standard tuning fork tests ‐ the Rinne, the Weber, the Bing Occlusion ‐ at frequencies of 256, 512 and 1024 Hz. The data were compared to otologic examination, audiometry and acoustic impedance. Results indicate the Rinne, Weber and Bing Occlusion tests do not accurately predict the type of hearing impairment as frequently as the literature sugge

ISSN:0023-852X    

DOI:10.1288/00005537-197912000-00009

出版商:John Wiley&Sons, Inc.    

年代:1979

数据来源: WILEY

摘要:

AbstractRecent clinical evidence implicates transient upper airway obstruction as a cause of potentially fatal cardiorespiratory disturbances. This investigation identifies age‐related neurologic mechanisms which may be pertinent to the production of abnormal laryngeal closure as a possible cause of unexpected infant death.A period of transient laryngeal hyper‐excitability is identified in pups 50‐75 days postnatally. The mechanism of the hyper‐excitable state resulting in increased risk of laryngeal spasm, appears related to: 1. the completion of central synaptic maturation: 2. transient reduction in central latency; and 3. a reduction in central inhibition. Such observations provide clues to neurologic vulnerability occurring not immediately after birth, but during a discrete time period thereafter, prior to complete neurologic maturation. As such, these observations fulfill a criterion of utmost importance in the search for etiologic significance in the Sudden Infant Death Syndrome, and, in a broad sense, support the concept of selective maturational failure as a possible cause for age‐dependent, unexpected inf

ISSN:0023-852X    

DOI:10.1288/00005537-197912000-00010

出版商:John Wiley&Sons, Inc.    

年代:1979

数据来源: WILEY