Subject(s)
Leeching/methods , Macroglossia/etiology , Macroglossia/therapy , Tongue/injuries , Wounds, Nonpenetrating/complications , Accidental Falls , Adult , Alcoholism/complications , Female , Humans , Infection Control/methods , Leeching/adverse effects , Leeching/nursing , Oral Hygiene , Time Factors , Treatment OutcomeABSTRACT
For more than 50 years, the Mohs technique has offered both the highest cure rate for skin cancers and the maximum preservation of surrounding normal tissue. Mohs skin cancer excision is traditionally performed by a Mohs dermatologist, followed by a secondary repair by a head and neck or plastic surgeon. This study comprises a review of 300 cases involving single-procedure Mohs therapy with immediate one-anesthetic reconstruction. The data reviewed include types of reconstructions, cosmetic results, complications, and recurrence rates. In addition to offering the psychologic and quality advantages of immediate closure, the procedure allows patients to return to work sooner. With changes in technique ranging from the chemosurgery of the 1930s to the fresh-tissue methods of the 1970s, single-procedure Mohs is the logical next step in the evolution of Mohs surgery.
Subject(s)
Carcinoma, Squamous Cell/surgery , Skin Neoplasms/surgery , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Retrospective Studies , Surgical Flaps , Treatment OutcomeABSTRACT
Isolated zygomatic arch fractures represent about 10% of facial fractures. Most are easily reduced, but about 7% require fixation. Stabilization with plates, transcutaneous wiring, and various packing materials may involve additional morbidity and other drawbacks. A double balloon epistaxis catheter may be inserted beneath the arch fracture site and inflated for 5 to 7 days as a relatively simple, reliable alternative that involves minimal morbidity.
Subject(s)
Catheterization/methods , Zygomatic Fractures/therapy , Catheterization/instrumentation , Epistaxis/therapy , HumansABSTRACT
Microcystic adnexal carcinoma is an unusual, locally aggressive tumor that recently has been recognized as a distinct clinicopathologic entity. It typically occurs on the face of young or middle-aged women and often requires extensive surgical excision to gain local control. A case involving the upper lip and columella of a young woman is described and the available literature reviewed. The difficult reconstructive challenge this lesion usually presents is illustrated in this patient who required upper lip and complete columellar reconstruction.
Subject(s)
Carcinoma/surgery , Facial Neoplasms/surgery , Mohs Surgery , Skin Neoplasms/surgery , Surgical Flaps , Adult , Carcinoma/pathology , Facial Neoplasms/pathology , Female , Humans , Lip , Nose , Skin Neoplasms/pathologySubject(s)
Bone Diseases/surgery , Keratosis/surgery , Skull/surgery , Cholesteatoma/diagnosis , Diagnosis, Differential , Frontal Bone , Humans , Infant , Parietal BoneABSTRACT
A prospective randomized study of the treatment of postpartum endometritis was conducted with 43 patients. The bacterial origin of the infection was determined by uterine aspiration. Treatment was successful in 17 of the 19 patients receiving ampicillin (12 g/d) and in 21 of the 24 patients receiving clindamycin (2.4 g/d) plus gentamicin (5.1 mg/kg daily).
Subject(s)
Ampicillin/therapeutic use , Clindamycin/administration & dosage , Endometritis/drug therapy , Gentamicins/administration & dosage , Puerperal Infection/drug therapy , Bacteriological Techniques , Drug Therapy, Combination , Endometritis/microbiology , Female , Humans , Pregnancy , Prospective Studies , Random AllocationABSTRACT
Ewing's sarcoma of the mandible occurs rarely; there have been less than 50 reported cases in the past 30 years and none of these have been in the otolaryngologic literature. They usually present in the second decade of life with pain and swelling of the soft tissue overlying the mandible. The diagnosis can only be made by an adequate mandibular biopsy, although x-rays and clinical presentation are helpful. Current treatment consists of radiation therapy and sequential adjuvant chemotherapy.
Subject(s)
Mandibular Neoplasms/diagnosis , Sarcoma, Ewing/diagnosis , Adolescent , Diagnosis, Differential , Female , Humans , Osteosarcoma/diagnosisABSTRACT
A cost-benefit analysis of biopsy techniques for deep cervical lesions reveals that the aspiration biopsy is superior in terms of cost, speed, and morbidity but inferior in accuracy. Aspiration is most accurate for the diagnosis of metastatic carcinoma in cervical lymph nodes. An early diagnosis of malignancy by needle aspiration can be of benefit in several stages of patients management.
