A clinical-functional evaluation of facial paralysis.

A clinical-functional evaluation of facial paralysis is presented in order to suggest a uniform and standard classification. The outcome of this disease treated with various modalities may be similarly appraised by all medical disciplines. A score of 50 per cent is allotted to each of the main divisions of the facial nerve, namely, eye and oral commissure; 15 per cent is given to the symmetry in repose of the eye and oral commissure respectively; and 35 per cent to the sphincteric function of the orbicularis oculus and oris respectively.

Primary oat-cell carcinoma of head and neck.

Summary--A case of primary oat-cell carcinoma of the larynx in a 68-year-old white female is described, bringing to a total of three the reported cases in the world literature. The tumor is highly malignant and notorious for the speed with which it metastasizes. Treatment should be aggressive from the beginning. We believe that even for a localized tumor of this kind, a minimal procedure should be widefield laryngectomy with elective radical neck dissection even if clinically, nodes are not palpable. Since the tumor is highly radiosensitive, radiotherapy should be used postoperatively.