摘要:

AbstractThere are approximately 400 reported cases of undescended thyroid glands. Ninety percent of these are located in the base of the tongue, and 10 percent in the anterior neck superficial to the hyoid bone. The presumptive diagnosis is usually made by scintiphotography. These glands are probably quantitatively deficient and function at marginal levels. Apparently, TSH stimulation causes hypertrophy, usually at an early age, producing undesirable symptoms or local cosmetic change.The treatment varies, depending upon the problems that arise: observation, suppressive doses of thyroid, isotope suppression, surgical excision, and autotransplantation are methods used in attempting to benefit these patients.This communication deals with guidelines for therapy and attempts to evaluate allotransplantation based on the available data. To date, some degree of success has been obtained by autotransplantation; however, a more vigorous effort by the medical community is needed to obtain and report clinical and laboratory data to evaluate autotransplantation fully.

ISSN:0023-852X    

DOI:10.1288/00005537-197404000-00001

出版商:John Wiley&Sons, Inc.    

年代:1974

数据来源: WILEY

摘要:

AbstractEpiglottic involvement in systemic lupus erythematosus may produce the clinical and laryngoscopic manifestations of acute epiglottitis. This complication is most likely to occur during acute exacerbations of the underlying disease.Other reported laryngeal manifestations of SLE include mucosal ulceration and hemorrhagic bullae, diffuse edema, corditis, cord tumor, laryngitis sicca, chronic hyperplastic laryngitis, cricoarytenoid arthritis or vocal cord paralysis.The larynx may be significantly affected by lupus erythematosus in as many as one‐third of all case

ISSN:0023-852X    

DOI:10.1288/00005537-197404000-00002

出版商:John Wiley&Sons, Inc.    

年代:1974

数据来源: WILEY

摘要:

AbstractA case report of pilomatrixoma masquerading as a parotid, tumor is presented. Although well known to dermatologists and knowledgeable pathologists, this is, to our knowledge, the first time this entity has been presented in the otolaryngologic literature. Radiographic, sialographic, and histopathologic features of this tumor are presented with differential diagnoses. Because this is strictly a benign lesion, treated by local excision, the importance of correct histopathologic diagnosis is emphasized. The ultimate intent of this report is to make otolaryngologists aware of this entity so that they might include it in the differential diagnosis of calcified masses presenting in the parotid region.

ISSN:0023-852X    

DOI:10.1288/00005537-197404000-00003

出版商:John Wiley&Sons, Inc.    

年代:1974

数据来源: WILEY

摘要:

AbstractPostoperative edema was investigated in 50 consecutive rhinoplasty patients utilizing essentially the same technique. All patients were operated upon by the author. Thirty‐five patients were positioned so that the head was elevated 90† postoperatively, and 15 patients were placed in the more commonly utilized position of 30† elevation. Photographs were obtained at 24 hours following surgery. The periorbital edema was then graded on a scale 0 to 3 by four rhinoplastic surgeons who were unaware of any change in postoperative care. Using the chi‐square test there was a statistically significant difference between the two groups. This study allows one to expect less postoperative edema if the patient's head is maximally e

ISSN:0023-852X    

DOI:10.1288/00005537-197404000-00004

出版商:John Wiley&Sons, Inc.    

年代:1974

数据来源: WILEY

摘要:

AbstractTumors arise much less frequently in the submaxillary gland than in the parotid gland; however, the incidence of malignancy is higher in submaxillary neoplasms. The records of 50 patients with submaxillary gland tumors were reviewed and the findings compared with those of other recent series. Malignant tumors of the submaxillary gland were found to behave aggressively, and poor results were obtained in treating these lesions, especially when recurrences were present. It is felt that a planned approach consisting of adequate initial resection would lead to improved results.

ISSN:0023-852X    

DOI:10.1288/00005537-197404000-00005

出版商:John Wiley&Sons, Inc.    

年代:1974

数据来源: WILEY

摘要:

AbstractA method of ventilating patients during laryngoscopy was described in 40 patients. The technique used a combination of a small endotracheal tube and a high pressure oxygen jet with general anesthesia. A plastic chest tube 3.5 mm internal diameter (I.D.) was used as an endotracheal tube. The patients were ventilated with intermittent high pressure oxygen jet (50 p.s.i.) using a 1.5 mm I.D. intravenous plastic catheter introduced into the end of the endotracheal tube. Three holes were made in the proximal end of the endotracheal tube to permit air entrainment which was measured. Anesthesia was obtained with sodium thiamylal and In‐novar®. Muscular relaxation was maintained with succinylcholine. Arterial blood gases were monitored and showed adequate ventilation in the majority of the patients. In 18 patients the endotracheal pressure was measured. In two instances the pressure was elevated (35 cm H2O). No postoperative complications occurred. This technique was useful, safe, and well accepted by the surgeons. The authors consider that this technique avoids the disadvantages of conventional endotracheal anesthesia as well as those of the ventilating laryngoscope. It is contraindicated in patients with poor lung and chest wall compliance, particularly the obese. Subsequent to this study, 85 additional patients were similarly anesthetized without complicatio

ISSN:0023-852X    

DOI:10.1288/00005537-197404000-00006

出版商:John Wiley&Sons, Inc.    

年代:1974

数据来源: WILEY

摘要:

AbstractAngiosarcomas are comparatively rare neoplasms that present more commonly in the head and neck. Treatment of these tumors has been generally unsatisfactory because of a tendency to local recurrence regardless of the modality of therapy used. A case of anfiosarcoma involving the soft tissue of the premaxilla is presented. This was treated with carefully controlled radiation. The results have been highly satisfactory with preservation of facial tissue and with no evidence of recurrence after 40 months. The relevant literature is discussed.

ISSN:0023-852X    

DOI:10.1288/00005537-197404000-00007

出版商:John Wiley&Sons, Inc.    

年代:1974

数据来源: WILEY

摘要:

AbstractA case of an evasive radiolucent foreign body of the infratemporal fossa is reported in which the simple technique of sinography permitted localization and successful excision. The technique is recommended for the evaluation of chronically draining wounds to determine the extent and course of the sinus tract and to aid in the detection of radiolucent foreign bodies.

ISSN:0023-852X    

DOI:10.1288/00005537-197404000-00008

出版商:John Wiley&Sons, Inc.    

年代:1974

数据来源: WILEY

摘要:

AbstractTympanic neurectomy has been performed on 13 patients. Four patients were treated for the Frey syndrome, four for parotitis, four for sialorrhea (bilateral tympanic neurectomy and unilateral chordatympaneurectomy in these patients), and one for aural pain. Twelve of 13 of these patients have good results from two to 23 months postoperatively. Two patients with cerebral palsy were treated successfully with bilateral tympanic neurectomy and unilateral chordatympaneurectomy. These are the first two patients reported to have undergone this procedure for cerebral palsy. Additional indications and a review of the subject is presented.

ISSN:0023-852X    

DOI:10.1288/00005537-197404000-00009

出版商:John Wiley&Sons, Inc.    

年代:1974

数据来源: WILEY

摘要:

AbstractThis paper describes a new surgical technique of vidian neurectomy. Although the vidian canal is approached transantrally, it differs from the conventional technique in that this procedure does not require dissection of the pterygopalatine fossa.The maxillary sinus is opened, using Caldwell‐Luc's procedure; a U‐shaped mucosal incision is made and lifted up, exposing the posterior bony wall as well as a posterior part of the medial bony wall of the antrum. After removing the bony wall, the periosteum covering the pterygopalatine fossa and the nasal mucosa (underside) are revealed. There is a crevice between these soft tissues. The maxillary surface of the sphenoid can be easily touched by a small periosteal elevator inserted into the crevis. The medial corner of the pterygopalatine fossa is pushed aside laterally with the covering periosteum. This exposes a part of the bony surface of the maxillary surface of the sphenoid. Go upward, touching on the maxillary surface until the elevator goes into the funnel‐like opening of the vidian canal. The content of the vidian canal is electrocauterized and sectioned. It is important to expose the whole circumference of the bony opening of the vidian canal. This guarantees the complete section of the vidian nerve. The canal is plugged with a piece of gelatine sponge and bone wax. The mucosal flap is returned back.This surgical procedure may be properly termed as “Transantral Subperiosteal Vidian Neur

ISSN:0023-852X    

DOI:10.1288/00005537-197404000-00010

出版商:John Wiley&Sons, Inc.    

年代:1974

数据来源: WILEY