bluuebunny/crossref_metadata_2025_split huggingface dataset:
An approach to face‐lift surgery
Authors: McCurdy John A. 
Published: February 2007

AbstractAn approach to the aging face based upon an analysis of surgical principles and dynamics is presented. This approach emphasizes that the face‐lift operation should be directed toward areas in which its potential for improvement is greatest, that is, the jowl and neck. Correction of associated manifestations of aging is best accomplished using ancillary procedures specifically designed for rejuvenating these areas rather than by extension of the face‐lift operation per se.
Digital subtraction angiography: Applications in otolaryngology—head and neck surgery
Authors: Miller Roger W. , Carmody Raymond F. , Seeger Joachim S. , Coulthard Stanley W. , Smith Jan R. L. , Koopmann Charles F. 
Published: February 2007

AbstractDigital electronic technology has made its most notable contribution to radiology in the form of the CT scanners which have so greatly benefited medical practice. Experience with intravenous angiography using a digital fluoroscopy unit developed at the University of Arizona gives promise of a further major benefit in the area of angiography. The majority of examinations are conducted on an outpatient basis with a risk level comparable to that of an intravenous pyelogram. The authors review their experience with this unit, including it's diagnostic and therapeutic applications to congenital and acquired vascular diseases, neoplasms, and vascular trauma of the head and neck.
The complex nasal dermoid
Authors: Bradley Patrick J. 
Published: February 2007

AbstractIn a series of 74 nasal dermoids, 45 (61%) were of the simple variety involving skin only. Twenty nine (39%) were of the complex variety with deeper tissue involvement requiring more extensive surgery. Of the 29 complex dermoids, 9 (31%) extended to the cribriform plate region but only 3 (10%) of these had an extradural extension. All of the complex nasal dermoids were adequately managed by a transnasal approach. On these findings a preliminary craniotomy should only be considered in exceptional circumstances.
Preradiation dental extractions and the incidence of bone necrosis
Authors: Beumer John , Harrison Richard , Sanders Bruce , Kurrasch Madeline 
Published: February 2007

AbstractStudies were done with 120 patients submitting to preradiation dental extraction within the radiation treatment volume. Bone necroses developed at the extraction sites in 17 patients (14.1%). The risk of bone necrosis in these patients is primarily dependent upon the size of the radiation treatment volume, radiation dose to mandibular bone, and healing time for the extraction wounds. Of the 13 mandibular bone necroses occurring at preradiation extraction sites, only two have not responded favorably to conservative management. Our data indicates that a policy of selected tooth removal, before radiation treatment, will minimize the risk of osteoradionecrosis. Mandibular molars with advanced chronic periodontal bone loss, residing within the proposed radiation field should be considered for removal before commencement of radiation treatment.
Scaling of disfigurement and dysfunction in postoperative head and neck patients
Authors: Dropkin Mary Jo , Malgady Robert G. , Scott Diane W. , Oberst Marilyn T. , Strong Elliot W. 
Published: February 2007

AbstractThe primary purpose of this investigation was to construct a quantitative scale to measure the perception of severity of visible disfigurement and dysfunction following ablative head and neck cancer surgery. Facial disfigurement and disruption of physical function induced by head and neck surgery pose formidable obstacles to the medical and psychosocial adaptation of cancer patients. Although this problem is widely acknowledged, virtually no research has attempted reliable and valid measurement of such concepts. Consequently, the present study investigated the psychological perceptions of 100 registered nurses regarding 11 disfiguring surgical procedures and loss of associated functions. Results indicated that the nurses' judgments of disfigurement and dysfunction were highly consistent and not a function of patient gender. Judgments of the severity of disfigurement, moreover, were independent of the perceived severity of associated dysfunction. It was concluded that this is a reliable method for measuring the relative degree of disfigurement and dysfunction and represents a critical precursor to prediction of a patient's psychological rehabilitation and compliance with medical care after surgery.
The restoration of resected mandibles in children without the use of bone grafts
Authors: Boyne Philip J. 
Published: February 2007

AbstractFollowing resection of the mandible for various types of neoplastic disease, six patients between the ages of 5 and 14 were followed for a period of 8 to 12 years after osseous surgical reconstructive surgery. It was found in children of this age group that a surgical technique may be employed which will effect complete bone regeneration without the use of bone graft materials. All six of the patients spontaneously regenerated large segments of the mandible from full‐body ostectomy to hemimandibulectomy defects. The surgical procedure involves the use of a titanium mesh implant between the ostectomized bone fragments to maintain the surrounding soft tissues in a distracted position. It is found that if the soft tissues of the growing child are surgically prepared using the described technique, a new periosteum and bone will be formed along the titanium mesh implant. The titanium mesh may be removed at a later date or, depending on its method of placement, may be allowed to remain as the child grows, regenerating additional bone structure. It was found that in only one case was additional grafting necessary to obtain osseous union between the spontaneously regenerated mandibular bone and the host‐bone ostectomized fragments. The technique is advocated for bone restoration in cases of large osseous discontinuity defects of the mandible in children.
Surgery versus combined therapies for cancer of the anterior floor of the mouth
Authors: Grandi Cesare , Chiesa Fausto , Cervia Marco , Sala Luigi , Barbano Pier R. , Molinari Roberto 
Published: February 2007

AbstractWe report the results of treatment in a consecutive series of 75 patients operated on at the Istituto Nazionale Tumori of Milan, from January 1965 to December 1979, for cancer of the anterior floor of the mouth. Most of the tumors were advanced: 39 were treated with simple resection, and 36 underwent combined treatment, consisting of surgery associated with either chemotherapy or surgery. Three‐ and five‐year observed survival rates of the whole series were good (41% and 25%, respectively), considering the tumor stage of these patients, but the determined survival rates were particularly high (56% and 46%, respectively). No real advantage was found in the use of multiple planned sequential therapies over surgery alone, and deaths from intercurrent diseases seemed to be more frequent in the patients who underwent combined therapies. We conclude that for patients in poor general condition, such as those with carcinomas of the anterior floor of the mouth, aggressive and complex treatments should be considered with caution in controlled clinical trials.
Mohs surgery: Techniques, indications, and applications in head and neck surgery
Authors: Swanson Neil A. , Grekin Roy C. , Baker Shan R. 
Published: February 2007

AbstractMohs surgery, as it has evolved since its inception by Dr. Mohs, is a technique for removal of certain cancers using careful, precise microscopic marginal control. The contemporary technique using fresh tissue is detailed, illustrating advantages that include maximal conservation of normal surrounding tissue and structures, an extremely high cure rate, and a tumor‐free defect which can be reconstructed immediately. The indications and applications for Mohs surgery, once limited to large recurrent basal cell carcinomas, have expanded to include several cutaneous and paracutaneous neoplasms. These, with an emphasis on certain basal cell carcinomas, are discussed in detail. With better understanding of the Mohs technique, its indications, applications, and advantages, an interdisciplinary approach to certain cutaneous and paracutaneous neoplasms is proposed.
Second malignant neoplasms in patients successfully treated with multimodality treatment for advanced head and neck cancer
Authors: Vikram Bhadrasain , Strong Elliot W. , Shah Jatin P. , Spiro Ronald 
Published: February 2007

AbstractOne hundred fourteen patients with advanced (stage III or IV) epidermoid carcinoma of the oral cavity, pharynx, larynx, and hypopharynx were treated by surgery and postoperative radiation therapy between 1975 and 1980. Twenty‐seven patients also received preoperative platinum‐containing chemotherapy. Sixteen patients developed second malignant neoplasms. The site of the second malignant neoplasm was in the esophagus in seven patients (44%), in the lung in six patients (37.5%), and at other sites in three patients (18.5%). Relapse of the head and neck cancer (at the primary site in 6 patients, in the neck in 11 patients, and at distant sites in 20 patients) appeared within the first 2 years in virtually all cases. In contrast, second malignant neoplasms have appeared at a steady rate of approximately 6% per year, for at least the first 4 years. Future efforts at improving the survival of patients with advanced head and neck cancer, therefore, must include strategies aimed at decreasing the incidence and the morbidity and mortality from second malignant neoplasms.
Cyclophosphamide, adriamycin, and 24‐hour infusion of cis‐diamminedichloroplatinum (II) in the management of patients with advanced head and neck neoplasms
Authors: Creagan Edward T. , O'Fallon Judith R. , Schutt Allan J. , Rubin Joseph , Woods John E. 
Published: February 2007

AbstractTwenty‐eight patients with measurable or evaluable, regionally advanced or metastatic head and neck cancer received the combination of cyclophosphamide (C), adriamycin (ADR), and a 24‐hour infusion of cis‐diamminedichloroplatinum (II) (P). Most patients had received extensive prior surgery and radiation therapy, but only two had prior chemotherapy. We observed a 46% response rate (13/28) which included five complete responders and eight partial responders. Nine of the 13 patients responded within the initial month of treatment. The median response duration for the 13 responding patients was 7.5 months. Moderate to severe nausea and vomiting, and alopecia were the most significant toxicities. Myelosuppression (WBC < 4,100 cells/mm3) occurred in 90% of patients but there were no episodes of sepsis, nor did we detect any meaningful impairment in renal function.
Approach to and reconstruction for lesions of the posterior third of the tongue via midline labiomandibular glossotomy
Authors: Alperin Kenneth M. , Levine Howard L. , Wood Benjamin G. , Tucker Harvey M. 
Published: February 2007

AbstractMost benign and malignant lesions of the posterior third of the tongue may be approached through a median labiomandibular glossotomy. This is accomplished by splitting the lower lip, mandible, floor of the mouth, and tongue in the midline to expose such areas as the posterior tongue, pharynx, and nasopharynx. This technique is useful for lesions of the posterior third of the tongue for several reasons: 1) it provides excellent exposure, 2) it is cosmetically superior to most other approaches, 3) it allows for several alternatives to reconstruction, such as retrusion or rotation tongue flaps, 4) the procedure sustains minimum blood loss since the tongue is bisected in the midline in an avascular plane, (5) when preoperative radiation therapy has been included, this approach minimizes the amount of surgery performed through the radiated field, and 6) postoperative tongue mobility is usually sufficient to permit articulation and deglutition to approach normal. The Cleveland Clinic Foundation's experience with this approach is reviewed, the technique is described, and a variety of cases are presented to illustrate its applicability.
Malignant tumors of the paranasal sinuses: Radiologic, clinical, and histopathologic evaluation of 200 cases
Authors: Weber Alfred L. , Stanton Andrea C. 
Published: February 2007

AbstractMalignant tumors of the paranasal sinuses are often found to be greatly advanced by the time a clinical or radiologic diagnosis is established. Therefore, the overall cure rate is low, even when surgery and radiation therapy are combined. The clinical manifestations and pathologic findings are analyzed in 200 cases to illustrate the wide spectrum of these tumors as to their type, specific location, and the extent to which they can spread within the sinuses and to adjacent anatomic areas. The various radiologic modalities, including conventional x‐ray films, angiography, and conventional and computed tomography are presented. Their relative merit in the diagnosis and staging of these tumors is evaluated.
Neurofibromatosis of the head and neck
Authors: Maceri Dennis R. , Saxon Keith G. 
Published: February 2007

AbstractNeurofibromatosis (von Recklinghausen's disease) is an autosomal dominant disease that affects one in 2,500–3,000 births. Because the head and neck is unique in its anatomical compartmentalization of the central and peripheral nervous systems, the potential for involvement of these areas with neurofibromas is substantial and accounts for a myriad of clinicopathologic presentations. In the present study, the incidence of involvement in the head and neck is 37%. We found 81% of the patients had café au lait spots, 63% had positive family histories, and 66% had multiple cutaneous nodules. An incidence of malignant transformation was documented in 3.5% of the cases. Management of benign neurofibromatosis must be individualized for each patient and ranges from incisional biopsy to wide local excision. In every case, the risk of severe neurologic deficit must be weighed against the benefits of surgical resection, which is usually incomplete. Genetic counseling is advised for all patients with this disease, since no cure is available.
The value of the prognostic nutritional index in the management of patients with advanced carcinoma of the head and neck
Authors: Goodwin W. Jarrard , Torres Julio 
Published: February 2007

AbstractNutritional status was evaluated in 50 consecutive patients with advanced squamous cell carcinoma of the head and neck. Using a linear equation developed by Busby, the prognostic nutritional index (PNI) was calculated from the serum albumin, triceps skin‐fold thickness, serum transferrin, and delayed hypersensitivity reaction. The treatment plan was determined by the patient's attending physician and complications were retrospectively evaluated. The patients were divided into three groups by the value of the PNI. The complication rate was not significantly higher in patients with moderate malnutrition (PNI between 20% and 39%). However, with severe malnutrition (PNI greater than 39%), the incidence of iatrogenic complications was prohibitive and 12 of 14 patients were dead within 6 months. We conclude that the PNI is a simple, objective measure of nutritional status that will identify patients at high risk for therapy‐related complications and early death.
Thyroid function following radiation and surgical therapy in head and neck malignancy
Authors: Zohar Yuval , Tovim Reuben Ben , Laurian Nello , Laurian Lydia 
Published: February 2007

AbstractA retrospective 10‐year review of thyroid function in 144 patients treated for cancer of the head and neck by radiation therapy, surgery, and combined surgery and radiation therapy was done. In five patients, hypothyroidism had been found in the posttreatment period. Two of them had developed a pharyngeal fistula resistant to intensive local care and surgical procedures, and a third patient had edema and necrosis of the skin flap. The five hypothyroid patients reported here have all been treated for laryngeal malignancy. In any other group of patients treated for head and neck malignancies studied within this article, we did not find clinical or chemical signs of thyroid hypofunction. Our report stresses the importance of periodic evaluation of thyroid function in patients who underwent irradiation of the neck or combined therapy for malignancy in the neck, even if they were clinically euthyroid. Hypofunction may be more frequent than generally recognized after multimodality treatment, and hormonal replacement therapy may be the keystone in curing rebellious pharyngeal fistula and shortening the disabled state of the patient.
Uncommon clinical manifestations in a case of thyroid carcinoma
Authors: Tovi Ferit , Leiberman Alberto , Hirsch Menachem 
Published: February 2007

AbstractA case of multiple, functional bone metastases from a previously operated follicular thyroid carcinoma is reported in an apparently euthyroid patient. Additional uncommon clinical manifestations encountered in this case were: 1) mandibular metastasis mimicking an intraoral arteriovenous malformation, 2) extensive, destructive, and expansive intraspinal metastases in the thoracic vertebral column protruding into the posterior mediastinum and causing severe spinal lesions, and 3) the precipitation of a fatal thyroid crisis following radioactive iodine treatment.
The current status of mandibular reconstruction using autogenous frozen mandibular grafts
Authors: Leipzig Bruce , Cummings Charles W. 
Published: February 2007

AbstractA review of recent developments in experimental canine surgery using autogenous frozen grafts for mandibular reconstruction has elicited enthusiasm for their human application in cancer surgery. They do reossify, even under adverse conditions of perioperative irradiation, to regenerate a mandibular graft in the dog. Our experience with six patients who underwent immediate autogenous mandibular graft reconstruction is dismal. All failed because of intraoral complications; none evidenced recurrence of tumor in bone. A delayed procedure, in which revascularization of the midportion of the bone graft may be improved, may prevent many of these problems.
A safe technique for thyroidectomy with complete nerve dissection and parathyroid preservation
Authors: Karlan Mitchell S. , Catz Boris , Dunkelman Daniel , Uyeda Robert Y. , Gleischman Stewart 
Published: February 2007

AbstractA series of 1,000 consecutive thyroid operations is presented, without a case of permanent recurrent laryngeal nerve injury. Emphasis is placed on the identification of variations and complete dissection of the recurrent laryngeal nerve, including peripheral branches and technical aspects of the dissection. Sixty‐five percent of the cases had multiple terminal branches of the recurrent laryngeal nerve and five cases on the right side had a nonrecurrent course. A low incidence of hypoparathyroidism is presented, due in part to the avoidance of ligating the inferior thyroid artery in continuity and the technique of extracapsular dissection of the thyroid gland. The external branch of the superior laryngeal nerve was protected by the early mobilization of the superior thyroid vessels and ligatures placed flush on the capsule of the superior pole.
Pure squamous cell carcinoma and mixed adenosquamous cell carcinoma of the thyroid gland
Authors: Segal Karl , Sidi Jack , Abraham Aristide , Konichezky Miriam , Ben‐Bassat Mina 
Published: February 2007

AbstractFour cases of pure squamous cell carcinoma and two cases of mixed squamous cell and glandular carcinoma are reported. Obviously, there is a possibility that squamous cell carcinoma of the thyroid gland develops from the existing squamous cells or as a result of metaplasia of follicular cells. Metastases and direct extension of squamous cell carcinoma in the thyroid gland are much more frequent and must be excluded before the diagnosis can be established. Although the gross and microscopic pathology of these lesions presents no unusual features, follicles lined by metaplastic squamous cells offer strong presumptive evidence of a primary thyroid neoplasm. These tumors are comparatively radioresistant and biologically highly malignant. The treatment of choice is radical surgical resection, and these neoplasms must be treated more aggressively in the initial stage.
Advanced supraglottic carcinoma: A comparative study of sequential treatment policies
Authors: Seiden Allen M. , Mantravadi Rao P. , Haas Richard B. , Applebaum Edward L. 
Published: February 2007

AbstractData from 131 consecutive patients with operable stage III or IV (American Joint Committee) supraglottic carcinoma were analyzed. Based on existing treatment policies at the time of presentation, patients received either preoperative radiation therapy (RT) (48 patients), surgery alone (42 patients), or postoperative RT (41 patients). Preoperative RT dose levels were either 2,000 rad in five fractions (33 patients) or 5,000 rad in 25 fractions (15 patients). Postoperative RT dosages were 5,000 to 6,000 rad in 6 to 6 1/2 weeks. Surgical procedures included either subtotal or total laryngectomy and radical neck dissection. Tumor control was achieved in 21 of 42 patients (50%) treated with surgery alone, 23 of 48 patients (48%) treated with preoperative RT, and 29 of 41 patients (71%) treated with postoperative RT (P = 0.005). The actuarial, recurrence‐free survival at 5 years was 36% and 35%, respectively, in the surgery alone or preoperative RT groups as compared to 55% in postoperatively irradiated patients. The authors conclude that advanced but resectable supraglottic carcinomas may be best treated with surgery followed by RT, rather than with surgery alone or with combined preoperative RT and surgery.
The “Crossbow” incision and nasal FLAP—Its blood supply and clinical application
Authors: Hassard Alexander Daniel , Holness Renn Osmond 
Published: February 2007

AbstractAn anatomical study of the blood supply of the nose and upper lip was done on 10 specimens. This demonstrated the blood supply of an inferiorly based nasal flap, which was successfully used to gain access for an en bloc resection of adenoid cystic carcinoma of the ethmoid sinuses, frontal sinuses, and nose. The “crossbow” incision and inferiorly based nasal flap facilitate the tridimensional excision of lesions in the anterior base of the skull, the midline portion of middle base of the skull, and the paranasal sinuses.
Temporal approach to the TMJ, the orbit, and the retromaxillary–infracranial region
Authors: Obwegeser Hugo L. 
Published: February 2007

AbstractAnatomical and surgical details of the author's temporal approach to the temporomandibular joint (TMJ), the orbit, and the retromaxillary–infratemporal space are described using drawings and photographs taken during surgery. The approach is advocated because it gives any desirable access to the operating fields without leaving a visible scar in the face and because it preserves the condyle and, thereby, the integrity of the TMJ.
Occipital arteriovenous fistulae
Authors: Mikalov Abraham , Nussbaum Moses , Raifman Leonard , Lozman Harvey 
Published: February 2007

AbstractOccipital arteriovenous fistulae may be congenital or traumatic. The distinguishing characteristics of each and diagnosis by dynamic computed tomographic (CT) scanning, obviating the need for angiography, is outlined and illustrated by a case report. The indications for surgery and operative approach are discussed.
Multiple facial hemangiomas and iron‐deficiency anemia: Blue rubber‐bleb nevus syndrome
Authors: Ohishi Masamichi , Tanaka Yoichi , Higuchi Yoshinori , Otsuka Teruhisa , Kagimoto Masaaki , Niho Yoshiyuki 
Published: February 2007

AbstractA 21‐year‐old female complained of bluish soft tumors on her face. Her past history of anemia led us to investigate a possibility of “Blue Rubber‐Bleb Nevus syndrome.” Subsequent examinations revealed a severe iron‐deficiency anemia and gastrointestinal tract hemangiomas. The facial hemangiomas were removed after controlling anemia. It is important to examine the gastrointestinal tract when multiple cutaneous hemangiomas are associated with anemia.