ISSN:1043-3074    

DOI:10.1002/hed.2880170112

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

年代:1995

数据来源: WILEY

摘要:

AbstractBackground.Previously, the importance of providing skin for intraoral lining for full‐thickness mucocutaneous defects has been emphasized. More recently, simple skin grafting of the intraoral portion of muscle flaps has been described.Methods.Six patients were evaluated who had full‐thickness mucocutaneous defects reconstructed by means of free muscle flaps with skin grafting of the intraoral muscle surface. An illustrative case is provided. A technique of preplacing the skin graft on the muscle prior to microvascular transfer is described. Mucosal biopsies were performed at the reconstruction site.Results.All patients had complete take of the skin grafts. No fistulas occurred. Functional and esthetic results were satisfactory.Conclusions.The ideal candidate for this form of reconstruction is one in whom there is a large, full‐thickness mucocutaneous defect. Preplacement of the skin graft reduces ischemia time, allows suturing of the skin graft to the muscle surface outside the narrow confines of the oral cavity, and enables placement of multiple quilting sutures that secure the graft against shear forces and so obviate the need for a stent dressing. © 1995 Jons Wiley&Son

ISSN:1043-3074    

DOI:10.1002/hed.2880170113

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

年代:1995

数据来源: WILEY

摘要:

AbstractBackground.Not every patient with Kaposi's sarcoma (KS) has acquired immunodeficiency syndrome (AIDS). The “classic” form of KS is rare, and is associated with an indolent course. It is very distinct from AIDS‐associated KS in which oral involvement is common and may be the initial presenting feature of this disease. Two other types of KS are recognized, the African and renal transplant‐associated, which also are rarely associated with oral involvement.Methods.We present the case of a 76‐year‐old man of Mediterranean ancestry who was found to have a biopsyproven classical KS lesion of the hard palate. The patient was followed by the Radiation Therapy and Otolaryngology Services during and after his treatment. A review of the literature was also conducted.Results.Radiotherapy was ineffective at a dose considered “standard” for KS in AIDS patients (1,500 cGy), but was effective when continued to 4,800 cGy. A 24‐month follow‐up showed no evidence of recurrence in the oral cavity.Conclusions.KS of the oral cavity, is almost always associated with AIDS in the United States, However, it can occur in any of the four types of KS. Although this neoplasm is typically highly radiosensitive, the treatment for each patient needs to be individualized. © 1995

ISSN:1043-3074    

DOI:10.1002/hed.2880170114

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

年代:1995

数据来源: WILEY

摘要:

AbstractBackground: Bilateral chylothorax, as a complication of neck dissection, is extremely rare, and was first described in 1907. Ten cases are reported in the literature.Methods.This presentation illustrates an additional case of bilateral chylothorax occurring after neck dissection. Anatomic and physiologic considerations are presented and possible mechanisms of pathogenesis are discussed.Results.Chylothorax has two major complications: respiratory and metabolic. The modern concepts of treatment are summarized.Conclusions.After neck dissection, the clinician should suspect chylothorax if the patient had respiratory embarrassment and an abnormal chest x‐ray postoperatively. © 1995 Jons Wiley&Sons, I

ISSN:1043-3074    

DOI:10.1002/hed.2880170115

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

年代:1995

数据来源: WILEY

ISSN:1043-3074    

DOI:10.1002/hed.2880170116

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

年代:1995

数据来源: WILEY

ISSN:1043-3074    

DOI:10.1002/hed.2880170117

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

年代:1995

数据来源: WILEY

ISSN:1043-3074    

DOI:10.1002/hed.2880170119

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

年代:1995

数据来源: WILEY

ISSN:1043-3074    

DOI:10.1002/hed.2880170120

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

年代:1995

数据来源: WILEY

ISSN:1043-3074    

DOI:10.1002/hed.2880170101

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

年代:1995

数据来源: WILEY