ISSN:0023-852X    

DOI:10.1288/00005537-197601000-00001

出版商:John Wiley&Sons, Inc.    

年代:1976

数据来源: WILEY

摘要:

AbstractBecause of consistent and unique radiographic features of JNA, it is not necessary, nor is it advisable, to biopsy these tumors to establish a diagnosis. In addition, the carotid arteriograms show the major feeding vessels to the lesion and also completely delineate the periphery of the tumor, thus establishing operability versus non‐operability. If a JNA is treated by radiotherapy, the changes effected can be followed by carotid arteriograph

ISSN:0023-852X    

DOI:10.1288/00005537-197601000-00002

出版商:John Wiley&Sons, Inc.    

年代:1976

数据来源: WILEY

摘要:

AbstractThe successful management of swellings in the parotid gland region is dependent upon the establishment of a clinical and/or histologic diagnosis of the condition responsible for the production of the abnormal swelling.All mobile parotid tumors are removed as an excisional biopsy with preservation of the facial nerve. A preoperative biopsy will not influence the subsequent management of these lesions.An aspiration biopsy is employed to evaluate all primary, previously undiagnosed, non‐ulcerative parotid tumors suspected of being clinically malignant. An experienced pathologist views with confidence evaluation of solid material that has been carefully separated from the aspirated specimen.It is our opinion that when the biopsy tract is removed with the tumor, there is less risk of surgical wound contamination by tumor than when there is an incisional biopsy or incomplete excision of the tumor for frozen or permanent section diagnosis.One should not expect to derive as much information from an aspiration biopsy as may be derived from a formal incisional biopsy. If the histologic interpretation of the aspirated material is inconclusive, one may proceed to accept the added risk of an open biopsy.If it is known preoperatively that the tumor is malignant, that it is other than a low grade cancer, and that the tumor should be treated surgically, management of the facial nerve and the cervical nodes may be anticipated. This may be accomplished by an aspiration biops

ISSN:0023-852X    

DOI:10.1288/00005537-197601000-00003

出版商:John Wiley&Sons, Inc.    

年代:1976

数据来源: WILEY

摘要:

AbstractDiagnosis of parotid gland swellings can be approached by attempting to answer the following questions:1. Is it parotid?2. Is it inflammatory or neoplastic?3. If it is neoplastic, is it benign or malignant?Diagnosis is made by following the classical physical diagnostic procedures of inspection, palpation, and auscultation. These are followed by radiographic procedures, such as plain films, sialography and technetium scanning. Since approximately one in four parotid neoplasms is malignant, a definitive step should be biopsy. Excisional biopsy is recommended.

ISSN:0023-852X    

DOI:10.1288/00005537-197601000-00004

出版商:John Wiley&Sons, Inc.    

年代:1976

数据来源: WILEY

摘要:

AbstractThe facial nerve is protected in parotid surgery by finding the main trunk first and peripherally dissecting free the branches. The most constant landmark is the groove between the mastoid and the bony ear canal. Wide exposure of this groove should be obtained without “tunnelling”. The thick (2–3 mm) white trunk is dissected forward using the electric stimulator before cutting parotid tissue. Nerve injury is more common in the peripheral branches.Nerve location in recurrent parotid tumors is more difficult. The main trunk may be found more posteriorly than in the previous surgery, but often peripheral branches must be identified crossing the masseter, facial vessels, or the parotid duct; retrograde dissection to the trunk follows.For proven invading malignancy, the trunk or branches may be sacrificed, but immediate grafting should be attempted usually with the greater auricular

ISSN:0023-852X    

DOI:10.1288/00005537-197601000-00005

出版商:John Wiley&Sons, Inc.    

年代:1976

数据来源: WILEY

ISSN:0023-852X    

DOI:10.1288/00005537-197601000-00006

出版商:John Wiley&Sons, Inc.    

年代:1976

数据来源: WILEY

摘要:

AbstractGranular cell myoblastoma is an uncommon benign tumor. The diagnosis is rarely suspected preoperatively, and the clinician is frequently baffled or frightened by an unfamiliar diagnosis.Twenty‐eight patients with the diagnosis of granular cell myoblastoma presented for treatment at Richmond Eye and Ear Hospital and the Medical College of Virginia Hospitals between January 1, 1952, and December 31, 1974. The authors believe that this is one of the largest series of cases reported in the world literature. The tumor presents most often in the fourth decade of life and about equally in the sexes. Of interest is the nearly 5:1 predominance in the Negro race compared to the Caucasian rac

ISSN:0023-852X    

DOI:10.1288/00005537-197601000-00007

出版商:John Wiley&Sons, Inc.    

年代:1976

数据来源: WILEY

ISSN:0023-852X    

DOI:10.1288/00005537-197601000-00008

出版商:John Wiley&Sons, Inc.    

年代:1976

数据来源: WILEY

摘要:

AbstractSupratip convexities following rhinoplasty present a challenge to the surgeon. The correct diagnosis as to cause is necessary for proper correction. The pertinent anatomy of this area — the theories, causes, suggested methods of prevention and correction — are presen

ISSN:0023-852X    

DOI:10.1288/00005537-197601000-00009

出版商:John Wiley&Sons, Inc.    

年代:1976

数据来源: WILEY

摘要:

AbstractOne of the most annoying complications of rhinoplasty is the supra‐tip hump (pollybeak). Possible causes are failure to surgically compensate for:1. The increased skin thickness above the tip.2. Supra‐tip keloid tendency.3. Overactive depressor septi muscles.4. Loss of natural tip support by the upper lateral cartilages and sep

ISSN:0023-852X    

DOI:10.1288/00005537-197601000-00010

出版商:John Wiley&Sons, Inc.    

年代:1976

数据来源: WILEY