Pub Date : 1970-06-01DOI: 10.1001/ARCHOTOL.1970.00770040773010
G. Fitz‐Hugh, R. Cowgill
Chylous fistula, one case of which was associated with chylothorax, appeared in three patients. Attention is directed to the variations in the anatomical distribution of the cervical lymphatics. Evidence of chyle extravasation occurs within hours after neck dissection, and is not difficult to diagnose. Experience and surgical knowledge dictate that prompt exploration of the wound and control of the leaking areas by ligatures or pressure packing or both is indicated, although in certain less severe cases, external pressure and dietary control may be effective. In one case presented here, by the time reexploration was carried out, a chyloma had developed and it was impossible to identify the structures in the neck. An unusual treatment modality, surgical glue, was utilized to plug the fistula.
{"title":"Chylous fistula.","authors":"G. Fitz‐Hugh, R. Cowgill","doi":"10.1001/ARCHOTOL.1970.00770040773010","DOIUrl":"https://doi.org/10.1001/ARCHOTOL.1970.00770040773010","url":null,"abstract":"Chylous fistula, one case of which was associated with chylothorax, appeared in three patients. Attention is directed to the variations in the anatomical distribution of the cervical lymphatics. Evidence of chyle extravasation occurs within hours after neck dissection, and is not difficult to diagnose. Experience and surgical knowledge dictate that prompt exploration of the wound and control of the leaking areas by ligatures or pressure packing or both is indicated, although in certain less severe cases, external pressure and dietary control may be effective. In one case presented here, by the time reexploration was carried out, a chyloma had developed and it was impossible to identify the structures in the neck. An unusual treatment modality, surgical glue, was utilized to plug the fistula.","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1970-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80727023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1970-05-01DOI: 10.1097/00006534-197005000-00044
F. LaVenuta, W. Flynn, J. Moore
{"title":"Facial nerve paralysis secondary to benign parotid tumor.","authors":"F. LaVenuta, W. Flynn, J. Moore","doi":"10.1097/00006534-197005000-00044","DOIUrl":"https://doi.org/10.1097/00006534-197005000-00044","url":null,"abstract":"","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1970-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84823702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1970-04-01DOI: 10.1097/00132586-197004000-00038
W. M. Jones, G. A. Fee, R. Bell, H. W. Boyes
{"title":"Neuroleptanalgesia for stapes surgery.","authors":"W. M. Jones, G. A. Fee, R. Bell, H. W. Boyes","doi":"10.1097/00132586-197004000-00038","DOIUrl":"https://doi.org/10.1097/00132586-197004000-00038","url":null,"abstract":"","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1970-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83516624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1970-01-01DOI: 10.1148/radiology.146.2.567
D. M. Lierle, G. F. Reed
A 28-year-old male was referred from his dentist for further investigation of an asymptomatic expansion of the anterior mandible. The patient reported periodical mild pain in the area for the past 12 months and mild paresthesia of the left side of the lower lip for the last 4 months. Panoramic radiograph revealed a unilocular radiolucency with thin sclerotic border, extending from the right first premolar to the distal aspect of the left second premolar and causing thinning of the lower border of the mandible in the midline area (fig. 1). The left mental foramen was not demonstrated. An open biopsy, under local anesthesia was performed and the histopathological examination revealed a cystic cavity lined by thin epithelium with a corrugated parakeratotic surface and a palisaded basal cell layer, devoid of rete ridges (fig. 2). The involved teeth were preoperatively treated with root canal therapies and the cyst was completely surgically excised, under local anesthesia, after identification, dissection and preservation of the left mental nerve. No clinical and radiological findings of recurrence were noticed 15 months postoperatively.
{"title":"Continuing medical education.","authors":"D. M. Lierle, G. F. Reed","doi":"10.1148/radiology.146.2.567","DOIUrl":"https://doi.org/10.1148/radiology.146.2.567","url":null,"abstract":"A 28-year-old male was referred from his dentist for further investigation of an asymptomatic expansion of the anterior mandible. The patient reported periodical mild pain in the area for the past 12 months and mild paresthesia of the left side of the lower lip for the last 4 months. Panoramic radiograph revealed a unilocular radiolucency with thin sclerotic border, extending from the right first premolar to the distal aspect of the left second premolar and causing thinning of the lower border of the mandible in the midline area (fig. 1). The left mental foramen was not demonstrated. An open biopsy, under local anesthesia was performed and the histopathological examination revealed a cystic cavity lined by thin epithelium with a corrugated parakeratotic surface and a palisaded basal cell layer, devoid of rete ridges (fig. 2). The involved teeth were preoperatively treated with root canal therapies and the cyst was completely surgically excised, under local anesthesia, after identification, dissection and preservation of the left mental nerve. No clinical and radiological findings of recurrence were noticed 15 months postoperatively.","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1970-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78137554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1970-01-01DOI: 10.1097/00006534-197011000-00027
D. Millard, R. Pickard
{"title":"Darwin's tubercle belongs to Woolner.","authors":"D. Millard, R. Pickard","doi":"10.1097/00006534-197011000-00027","DOIUrl":"https://doi.org/10.1097/00006534-197011000-00027","url":null,"abstract":"","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1970-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83013507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1969-11-01DOI: 10.1097/00006534-197005000-00023
S. Goldberg
ONE OF THE areas of the face which has not always benefited from plastic surgery includes the deep nasolabial folds as well as the infralabial and frown lines. Even in a radical rhytidectomy with extensive undermining, these areas have not always responded with satisfactory results. 1 Chemabrasion affects only the superficial (epidermal) layer of the skin and will not always diminish deep furrows 2 ; at any rate, it cannot be extended too close to the nose. 3 Chemexfoliation has been used in the treatment of nasolabial folds in combination with intradermal silicone injection, 4,5 but this procedure entails the risk of foreign-body reaction, hardening of injected substance, or settling into an undesirable pattern. Fomon's technique of inserting a graft from the fascia lata (first described in 1939) involves a relatively radical procedure 6 ; in addition, the implant may have a tendency to drift. This report describes a simple technique of
{"title":"Diminishing facial wrinkles by linear eversion.","authors":"S. Goldberg","doi":"10.1097/00006534-197005000-00023","DOIUrl":"https://doi.org/10.1097/00006534-197005000-00023","url":null,"abstract":"ONE OF THE areas of the face which has not always benefited from plastic surgery includes the deep nasolabial folds as well as the infralabial and frown lines. Even in a radical rhytidectomy with extensive undermining, these areas have not always responded with satisfactory results. 1 Chemabrasion affects only the superficial (epidermal) layer of the skin and will not always diminish deep furrows 2 ; at any rate, it cannot be extended too close to the nose. 3 Chemexfoliation has been used in the treatment of nasolabial folds in combination with intradermal silicone injection, 4,5 but this procedure entails the risk of foreign-body reaction, hardening of injected substance, or settling into an undesirable pattern. Fomon's technique of inserting a graft from the fascia lata (first described in 1939) involves a relatively radical procedure 6 ; in addition, the implant may have a tendency to drift. This report describes a simple technique of","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1969-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76389917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1969-07-01DOI: 10.1097/00006534-197003000-00046
J. O. Stallings, W. C. Huffman, L. Bernstein
THERE has been a great deal written about the properties of a dermis graft.1-3Several uses of this type of graft have been enumerated.4-6A widespread conception is that a skin graft will not take on bare bone (bone denuded of periosteum) except, perhaps, in the orbit7-10(written communication with W. C. Huffman and C. M. Kos). A recent work by us11was concerned with the ability of full thickness skin grafts and split thickness skin grafts to take on bare bone. There was an average percentage take of 18% of full thickness skin graft on bare bone and an average percentage take of 22% of split thickness skin graft on bare bone. It is common surgical knowledge that bare bone is not as good as periosteum or granulation tissue as a host bed. It was decided to test the ability of the reverse dermis graft
关于真皮层移植物的特性已经有了大量的报道。已经列举了这种接枝的几种用途。4-6一个广为流传的观念是，皮肤移植物不会植入裸骨(骨膜脱落的骨)，除非在眶内7-10(与W. C. Huffman和C. M. Kos的书面交流)。us11最近的一项工作是关于全层皮肤移植和分层皮肤移植在裸骨上的能力。裸骨全层植皮的平均植皮率为18%，裸骨裂层植皮的平均植皮率为22%。这是常见的外科知识，裸骨不如骨膜或肉芽组织作为宿主床。决定测试反向真皮层移植物的能力
{"title":"Reverse dermis grafts on bare bone.","authors":"J. O. Stallings, W. C. Huffman, L. Bernstein","doi":"10.1097/00006534-197003000-00046","DOIUrl":"https://doi.org/10.1097/00006534-197003000-00046","url":null,"abstract":"THERE has been a great deal written about the properties of a dermis graft.1-3Several uses of this type of graft have been enumerated.4-6A widespread conception is that a skin graft will not take on bare bone (bone denuded of periosteum) except, perhaps, in the orbit7-10(written communication with W. C. Huffman and C. M. Kos). A recent work by us11was concerned with the ability of full thickness skin grafts and split thickness skin grafts to take on bare bone. There was an average percentage take of 18% of full thickness skin graft on bare bone and an average percentage take of 22% of split thickness skin graft on bare bone. It is common surgical knowledge that bare bone is not as good as periosteum or granulation tissue as a host bed. It was decided to test the ability of the reverse dermis graft","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1969-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85711931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1969-07-01DOI: 10.1097/00006534-196907000-00056
J. Walike
{"title":"Tube feeding syndrome in head and neck surgery.","authors":"J. Walike","doi":"10.1097/00006534-196907000-00056","DOIUrl":"https://doi.org/10.1097/00006534-196907000-00056","url":null,"abstract":"","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1969-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91302221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1969-04-01DOI: 10.1001/ARCHOTOL.1969.00770020619013
W. Trible, H. Kahaner
THE 113 laryngeal and 103 pharyngeal cancer patients reported upon here represent all the patients with this diagnosis at the Washington Hospital Center whose treatment was initiated between Jan 1, 1959, and Dec 31, 1962. There are no omissions, and thus patients who refused or were too ill for definitive therapy are included. The Washington Hospital Center is a nonprofit community general hospital of 700 beds which opened in mid-1958. Patients seen that year are not included in this report as part of their treatment was often in another hospital, and radiotherapy was orthovoltage rather than the 2 million volt unit used since. Clinic and private patients are comingled in this report, and the socioeconomic status would represent a fair cross-section of metropolitan Washington. Of the patients, 146 were white, 68 Negro, and 2 oriental (both with nasopharyngeal carcinoma). The 32% incidence of Negroes is higher than most series; the
{"title":"Cancer of the larynx and pharynx.","authors":"W. Trible, H. Kahaner","doi":"10.1001/ARCHOTOL.1969.00770020619013","DOIUrl":"https://doi.org/10.1001/ARCHOTOL.1969.00770020619013","url":null,"abstract":"THE 113 laryngeal and 103 pharyngeal cancer patients reported upon here represent all the patients with this diagnosis at the Washington Hospital Center whose treatment was initiated between Jan 1, 1959, and Dec 31, 1962. There are no omissions, and thus patients who refused or were too ill for definitive therapy are included. The Washington Hospital Center is a nonprofit community general hospital of 700 beds which opened in mid-1958. Patients seen that year are not included in this report as part of their treatment was often in another hospital, and radiotherapy was orthovoltage rather than the 2 million volt unit used since. Clinic and private patients are comingled in this report, and the socioeconomic status would represent a fair cross-section of metropolitan Washington. Of the patients, 146 were white, 68 Negro, and 2 oriental (both with nasopharyngeal carcinoma). The 32% incidence of Negroes is higher than most series; the","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1969-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85524834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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