ISSN:0148-6403    

DOI:10.1002/hed.2890030503

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

年代:1981

数据来源: WILEY

摘要:

AbstractA technique using a bilateral Z‐flap pharyngoplasty in the treatment of rhinolalia is reviewed. Also reviewed is the historical development of the surgical treatment of rhinolalia. Sixteen patients with rhinolalia and 3 patients with pharyngitis sicca who were treated by this technique have been followed for up to 16 years, and have shown marked improvement in speec

ISSN:0148-6403    

DOI:10.1002/hed.2890030504

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

年代:1981

数据来源: WILEY

摘要:

AbstractThis study reviews the history, indications, and operative technique for median mandibulotomy with paralingual extension (mandibular “swing”). A 21‐year experience is presented, during which this operative approach was used in 49 patients with tongue cancer and 16 others with oropharyngeal lesions. Mandibular “swing” appears to offer more versatility and fewer problems than either median labiomandibular glossotomy or lateral mandibulotomy. Good local control can be anticipated in properly selected patients because the tumor exposure is comparable to that achieved in operations involving jaw

ISSN:0148-6403    

DOI:10.1002/hed.2890030505

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

年代:1981

数据来源: WILEY

摘要:

AbstractDespite the development of many alternative methods of reconstruction in head and neck surgery, the deltopectoral skin flap still remains a useful method in our armamentarium. Its use as a nondelayed procedure in 44 patients with various defects in the head and neck following tumor surgery is discussed. The reliability of the deltopectoral flap is evaluated. Major necrosis of the flap occurred in 6 (13.6%) of our patients. As to the cause of failure, more than one factor could be identified in the individual patient. However, the failure rate was higher when the flap was used in the reconstruction of defects in the anterior part of the oral cavity, particularly the floor of the mouth, than at other sites in the head and neck.

ISSN:0148-6403    

DOI:10.1002/hed.2890030506

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

年代:1981

数据来源: WILEY

摘要:

AbstractUnder the auspices of the University of New Mexico Cancer Research and Treatment Center, trials are under way at the Los Alamos Meson Physics Facility to evaluate the effects of pi meson irradiation on locally advanced human tumors. This paper summarizes the preliminary results in patients with locally advanced head and neck tumors treated under Phase I and Phase II studies. A total of 26 patients were treated between June 1977 and May 1979 with a minimum follow‐up of 9 months and a maximum follow‐up of 33 months. Sites of disease included the oropharynx in 10 cases (base of tongue in 7, tonsil in 2, and pharyngoepiglottic fold in 1), the supraglottic larynx in 4, the nasopharynx in 5, the oral cavity in 4, the hypopharynx in 2, and the sublingual salivary gland in 1. Twelve of the 26 patients are alive, and 10 survive with no evidence of disease. Doses employed ranged from a minimum of 1,000 peak pion rad in 7 fractions over 9 days to a maximum of 5,400 peak pion rad in 51 fractions over 89 days. The minimum dose employed for any patients treated with peak pions alone was 3,000 rad. These data are analyzed according to dose, site, histology, tumor response, local control, and survival. Results from these cases form the basis of the Phase III randomized trials for advanced squamous‐cell carcinomas of the head and neck, which are currently in pro

ISSN:0148-6403    

DOI:10.1002/hed.2890030507

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

年代:1981

数据来源: WILEY

摘要:

AbstractCarcinoma of the posterior pharyngeal wall is an aggressive disease that demands vigorous therapy, often in the form of combined surgery and radiotherapy. Surgical excision of wide areas of the posterior pharyngeal wall may allow acceptable swallowing function in many patients. This article reviews the methods of surgical exposure utilized in conservation pharyngeal surgery and emphasizes the important principles involved in the preservation of laryngeal and pharyngeal functions.

ISSN:0148-6403    

DOI:10.1002/hed.2890030508

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

年代:1981

数据来源: WILEY

摘要:

AbstractThe otolaryngologist who treats children must have knowledge of the neoplasms that can occur in childhood. Such tumors are usually mesenchymal in origin and may be benign or malignant. Diagnosis and management of the more common benign tumors are undertaken by the otolaryngologist because local excision is generally curative. The proper treatment of malignant lesions requires a more extensive, multidisciplinary team, which includes a pediatric oncologist, diagnostic and therapeutic radiologist, and pathologist, in addition to the otolaryngologist. The purposes of this paper are to outline the types of benign and malignant neoplasms that occur in childhood and to discuss current approaches to therapy.

ISSN:0148-6403    

DOI:10.1002/hed.2890030509

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

年代:1981

数据来源: WILEY

ISSN:0148-6403    

DOI:10.1002/hed.2890030510

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

年代:1981

数据来源: WILEY

摘要:

AbstractMetastases from carcinomas to the head and neck, either to lymph nodes or to extranodal sites, arise most often from known primary neoplasms. However, some are from a clinically inapparent neoplasm—the so‐called occult primary. If the metastasis is an epidermoid carcinoma in a lymph node, the odds clearly favor the primary being in the upper aerodigestive tract. The success rate of discovery is variable, however, and a significant number of primaries remain undetected. Metastatic adenocarcinomas, to either nodal or extranodal sites, are most often from infraclavicular neoplasms. In general, the incidence of metastases to the head and neck from visceral primaries below the clavicle follows the general incidence of the primary cancer itself. Renal‐cell carcinoma is the exception since its frequency of metastases to the head and neck exceeds the expected incidence in the general population. Branchiogenic carcinoma is more a conceptual than a literal clinicopathologic entity. The diagnosis should be made with reluctance and only after fulfillment of several rather stringent cri

ISSN:0148-6403    

DOI:10.1002/hed.2890030511

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

年代:1981

数据来源: WILEY

摘要:

AbstractAdvances in pediatric head and neck surgery in the past decade have been on broad fronts. The laser coupled with the microscope has become an invaluable tool in the management of laryngeal pathologic entities such as papilloma, cysts, hemangiomas, and granulation tissue secondary to endotracheal tube damage. Its use in the management of choanal stenosis is increasing. Improvements in radiation and combination chemotherapy have spectacularly increased the survival rates in rhabdomyosarcoma. Newer surgical procedures for correction of drooling are obtaining good results. Reconstructions of extensive laryngotracheal stenoses in children are being performed with considerable success. Better techniques are available for revision surgery of defects remaining after primary palatoplasty.

ISSN:0148-6403    

DOI:10.1002/hed.2890030512

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

年代:1981

数据来源: WILEY