bluuebunny/crossref_metadata_2025_split huggingface dataset:
Computed tomography of the nose
Authors: Osborn Anne G. , McIff E. Bruce 
Published: February 2007

AbstractThe nose is presented as a roentgenographic entity. The gross anatomy of the nasal fossa is reviewed, and its normal appearance on computed to‐mographic scan is described. The roentgenographic appearance of congenital, metabolic, traumatic, and inflammatory nonneoplastic mass lesions and malignant neoplasms is discussed, and an algorithmic approach to the roentgenographic evaluation of nasal masses is suggested.
The role of suprahyoid neck dissection in the management of cancer of the tongue and floor of the mouth
Authors: Donegan J. Oliver , Gluckman Jack L. , Crissman John D. 
Published: February 2007

AbstractSuprahyoid lymph node dissection often is used as part of the surgical treatment of cancers of the anterior two thirds of the tongue and the floor of the mouth. In recent years the use of this procedure has become less widespread, but it is still advocated by some surgeons as a sound operation in the treatment of cancer. Anatomic, roentgenographic, and pathologic evidence is presented to show that this may not be the case. The evidence points out that such neoplasms do not metastasize in an orderly or predictable pattern. These patients may have isolated metastases in any region of the neck. If the decision is made to treat the neck in these situations, the whole neck should be treated. We feel that suprahyoid neck dissection has a very limited role to play in the management of cancers of the anterior two thirds of the tongue and the floor of the mouth and should be employed only when it will be of help in developing an adequate margin around the primary lesion.
Traction diverteculum: A complication of cervical esophagostomy
Authors: Kaplan Harold J. , Bray David A. , Eichel Berkley S. 
Published: February 2007

AbstractCervical esophagostomy has become a preferred technique for a long‐term enteral alimentation in chronically ill patients. It has relatively few complications and many benefits. We present a case of traction diverticulum as a complication of the procedure. This complication will probably become more prevalent as more esophagostomas are reversed. Management of the complication by a “tack‐up” operation is discussed.
Osteonecrosis of the jaws: A complication of cancer chemotherapy
Authors: Schwartz Harry C. 
Published: February 2007

AbstractTwo unusual cases of osteonecrosis of the jaws in edentulous patients are described. One case involved the maxilla and the other the mandible. Both patients were compromised hosts who were undergoing cancer chemotherapy. Both developed local mucosal infections beneath their dentures before the bone became involved. The role of dentures in producing local irritation and in masking the problem is discussed.
Malignant lymphoma of the thyroid gland: A clinicopathologic study
Authors: Kapadia Silloo B. , Dekker Andrew , Cheng Vincent S. , Desai Uma , Watson Charles G. 
Published: February 2007

AbstractThis study reviews 21 cases of thyroid lymphoma diagnosed between 1969 and 1980. The thyroid gland was the primary site in all but two cases. The 20 patients with non‐Hodgkin lymphoma had a mean age of 66 years, 75% were women, and all were Caucasian. A rapidly growing thyroid mass with hoarseness, dysphagia, and difficulty in breathing was the initial finding. Most patients had diffuse histiocytic lymphomas. Associated Hashimoto thyroiditis was found histologically in 57% of the cases. Using the immunoperoxidase stain method on tissue sections, intracytoplasmic monoclonal immunoglobulin was demonstrated in 5 of 15 cases. All but two patients received radiation therapy, and 13 received chemotherapy. The median survival was 8 months; 20% died of unrelated causes and 32% are alive (average duration: 27 months). Dissemination, after local control by radiation therapy, was the leading cause of death. The prognosis was better in men, in patients under the age of 65 years, and in those patients who, on biopsy, did not have involvement of the extrathyroid soft tissue or regional lymph nodes.
Free flaps to the head and neck
Authors: Achauer Bruce M. , Salibian Arthur H. , Furnas David W. 
Published: February 2007

AbstractEarly attempts at microvascular reconstruction in the head and neck area with free tissue flaps failed, leading some authors to feel that these techniques would have a limited role, especially when such flaps had to be used in recipient sites in which they were in contact with saliva or when the microvascular anastomoses had to be done with recipient vessels that had been irradiated. Today, however, many aspects of neck and facial reconstruction routinely use composite free tissue transfer. These methods are the first choice for reconstruction in traumatic amputations and repair of large mandibular defects, and for some facial contour and skin loss situations. Free composite tissue transfer is an excellent alternative for esophageal reconstruction (small bowel) and has great potential for facial animation (free muscle) and total nose reconstruction (dorsalis pedis).
Familial osteodysplasia
Authors: Schendel Stephen A. , Delaire Jean 
Published: February 2007

AbstractA family with characteristics that have striking similarities to the syndrome of familial osteodysplasia is reported. The inheritance pattern appears to be autosomal dominant. The typical facies has a lack of vertical facial development and a functional prognathism caused by overclosure of the mandible and opening of the gonial angle. Midfacial hypoplasia and a pointed chin are characteristic. Alveolar and sutural bone growth in the face is diminished and associated with partial dental agenesis. Variable cranial digital markings and possible synostosis are also seen. These typical facial changes are associated with other bony and systemic abnormalities. The long bones have a flask shape and occasionally have increased cortical thickness. The superior pubic ramus is often thin and scoliosis is common. The dermatoglyphic pattern demonstrates a distal triradius and small whorl abnormalities. The most significant laboratory values are an increased erythrocyte sedimentation rate and C3 complement found on the erythrocytes. The plasma fibrinogen level was low in all family members.
cis‐Platinum and 5‐fluorouracil as initial therapy in advanced epidermoid cancers of the head and neck
Authors: Weaver Arthur , Fleming Susan , Vandenberg Henry , Drelichman Anibal , Jacobs John , Kinzie Jeannie , Loh John J.‐K. , Al‐Sarraf Muhyi 
Published: February 2007

AbstractA total of 44 patients with previously untreated Stage IV squamous cell carcinomas of the head and neck were treated with a combination of cis‐platinum (100 mg/sq m) and 96‐hour infusion of 5‐fluorouracil (5‐FU) (1,000 mg/sq m/day) in two courses or with cis‐platinum (100 mg/sq m) and 120‐hour infusion of 5‐FU (1,000 mg/sq m/day) in three courses. In the 26 patients receiving the two course regimen, the tumor response rate was 88.5%. In five of the 26 patients complete disappearance of the tumor was achieved; partial remission was obtained in 18 of 26 patients. The main side effects were nausea and vomiting (70%), leukopenia (27%), and mild‐to‐moderate renal toxicity (27%). In the 18 patients who received the three course regimen of 5‐FU and cis‐platinum, there were 11 (61%) complete responses, 6 (33%) partial responses, and 1 (6%) minimal response. The incidence of complete response was increased with each course given. No added toxicity was observed with surgery or radiotherapy.
Paranasal sinus radiology, part 1 B: The frontal sinuses
Authors: Dolan Kenneth D. 
Published: February 2007

AbstractAlteration in the appearance of the mucosa, fluid accumulations, and changes in the shape and texture of the sinus wall form the basis of the radiologic information that aids in the diagnosis of frontal sinus disease. Inflammatory disease of the frontal sinuses was discussed in Part 1A of this article; other disease processes of the frontal sinuses as they appear in the various roentgenographic modalities are described and illustrated here.
The role of nuclear scanning in head and neck surgery
Authors: Pretorius Dolores , Taylor Andrew 
Published: February 2007

AbstractA number of procedures in nuclear medicine are available to assist the surgeon in evaluating pathologic conditions of the head and neck. Gallium‐67 citrate scanning is occasionally useful in determining the extent of head and neck tumors but rarely can it detect an occult tumor and it cannot distinguish between an infection and a tumor. Technetium‐99m pertechnetate can be used to evaluate diseases of the salivary glands including parotitis, duct obstructions, and tumors. Iodine 123 and technetium‐99m pertechnetate are commonly used to obtain images of the thyroid, but some malignant thyroid nodules will accumulate technetium‐99m pertechnetate and the suspicious character of the nodule may be only appreciated by iodine scanning. The use of iodine 131 is generally limited to the detection of a substernal thyroid, therapeutic thyroid ablation, and the treatment of hyperthyroidism and thyroid cancer. Bone scanning has been used experimentally to evaluate the healing of mandibular bone grafts and to detect local extension of primary head and neck tumors to skull and facial bones.
The newer microsurgical techniques in neurosurgery
Authors: Camp Perry E. 
Published: February 2007

AbstractThe application of microsurgical techniques to neurological surgery has changed the treatment of several important neurological and neurosurgical diseases. Microsurgical decompression of the 5th and 7th nerves for trigeminal neuralgia and hemifacial spasm has become established as an accepted and effective technique. Application of the newer microvascular techniques in neurological surgery has increased the number of patients for whom surgical correction is possible and has, additionally, revolutionized the treatment of giant intracerebral aneurysms.
Preoperative chemo‐radiotherapy in advanced head and neck cancer
Authors: Pearlman Nathan W. , Meyers Arlen D. , Johnson F. Bing , Dibella Nicholas J. 
Published: February 2007

AbstractIn a prospective evaluation, two preoperative courses of methotrexate, bleomycin, and cisplatin combined with 2,000 rad/10 fractions (“chemo‐radiotherapy”) yielded 78% response rates in previously untreated advanced head and neck cancer. Similarly staged patients receiving preoperative irradiation of 5,000 rad alone had a 67% response rate. Treatment‐related mortality in the chemo‐radiotherapy patients was equal to that seen with standard combinations of surgery and preoperative or postoperative irradiation. At 24 months, disease‐free survival is 47% with chemo‐radiotherapy vs 33% with standard therapy; however, patients benefiting most from the former approach were those with T4 primary lesions or N3a neck nodes.
Verrucous carcinoma of the oral cavity
Authors: McDonald John S. , Crissman John D. , Gluckman Jack L. 
Published: February 2007

AbstractSince verrucous carcinoma was first identified as a distinct clinicopathologic entity, a great deal of confusion has developed in interpreting the proper criteria for diagnosis. Various authors, therefore, have developed considerably different concepts of the features that make this lesion a unique variant of squamous cell carcinoma. Consequently, there is great confusion in the literature as to the appropriate therapeutic approach, the incidence of recurrence, and the frequency of anaplastic transformation of verrucous carcinoma. The literature was reviewed to identify all cases of verrucous carcinoma of the oral cavity that appear to meet the clinical and histopathologic criteria for this lesion as originally set forth by Ackerman.1 The problems encountered in arriving at the diagnosis of verrucous carcinoma are discussed. Cases with at least a 1‐year reported follow‐up were grouped according to the primary modality of therapy employed and were evaluated as to the effectiveness of the initial therapy. The frequency of anaplastic transformation following radiation therapy is also addressed.
The pathology of head and neck tumors: verrucous carcinoma, part 15
Authors: Batsakis John G. , Hybels Roger , Crissman John D. , Rice Dale H. 
Published: February 2007

AbstractVerrucous squamous cell carcinoma is a distinctive clinicopathologic entity. The lesion's biologic activity places it between conventional (nonverrucous) carcinomas and nonautochthonous hyperplasias of squamous epithelium. The diagnosis of the lesion requires full communication and cooperation between surgeon and pathologist. Once the diagnosis is confirmed, the selection of surgery over radiotherapy should be based on the recorded effectiveness of each modality and not on the phenomenon of anaplastic transformation reported to follow radiotherapy.
Ulceration and stenosis of the hypopharynx and its surgical management
Authors: Kobayashi Takeo , Kikawada Toru , Shima Kazuharu , Fukuda Osamu 
Published: February 2007

AbstractTwo patients presented with ulcerative lesions of the hypopharynx. One patient developed dysphagia due to a stenotic hypopharynx which followed an ulcerating mucosal lesion. The stenotic site was reconstructed using a subcutaneous pedicle flap. The advantages of this method are the possibility of a one‐stage operation and a good cosmetic result. In our review of the medical literature, we were unable to find other cases with a similar manifestation treated by surgery. The most likely diagnostic possibilities are Behicet's disease and Crohn's disease. Differential diagnoses are discussed.
The pathology of head and neck tumors: The lymphoepithelial lesion and sjögren's syndrome, part 16
Authors: Batsakis John G. 
Published: February 2007

AbstractThe clinical disorder Sjögren's syndrome and its putative histologic marker in salivary tissues, the lymphoepithelial lesion, have been and continue to be sources of confusion as well as the subjects of extensive immunologic and pathologic research. At the present time, Sjögren's syndrome is defined as a lymphocyte‐mediated exocrinopathy but definition does little justice to the profound immunogenetic basis of the syndrome. This report presents a contemporary review of the lymphoepithelial lesion and the syndrome and presents a hypothesis of pathogenesis based on a graft vs host disease‐like disorder. The hypothesis incorporates the immunogenetic, immunoregulatory, and neoplastic aspects of Sjögren's syndrome.
Local control of T1 vocal cord cancer with radiation therapy: The importance of tumor character VS. Treatment parameters
Authors: Hintz Brace L. , Kagan A. Robert , Wollin Myron , Miles John , Flores Luis , Nussbaum Herman , Rao Aroor R. , Chan Paul Y. M. , Ryoo Monica C. 
Published: February 2007

AbstractNinety‐one patients with T1 vocal cord carcinoma received primary irradiation treatment. The 5‐ and 10‐year determinate disease‐free survival was 80%; the 5‐ and 10‐year determinate survival including surgical salvage was 92%. Tumors involving more than one‐half of a vocal cord or involving the anterior commissure or exhibiting an exophytic growth pattern had numerically, but not statistically, higher local failure rates than tumors without these characteristics. Precise radiation treatment technique appears more important for local control (LC) than tumor character. The crucial treatment factors for high LC with few radiation complications are reproducible daily patient positioning, use of contour‐compensating devices (wedges), field size of 5 × 5 cm, and a radiation prescription with a time‐dose fractionation value of 101 to 106.
Sternoclavicular joint hypertrophy following radical neck dissection
Authors: Cantlon Gary E. , Gluckman Jack L. 
Published: February 2007

AbstractThe classic radical neck dissection continues to dominate therapy for cervical metastasis. While the morbidity, complications, and sequelae of this procedure are well documented, sternoclavicular joint hypertrophy appears to have escaped attention. In order to establish the true incidence of this frequently noted but poorly documented condition, 50 randomly selected patients who had undergone radical neck dissection were evaluated retrospectively. Significant sternoclavicular hypertrophy was noted in 54% of the patients, but in only 4 (8%) was the condition severe enough to cause patient or physician concern. Surgical exploration was performed in 2 cases. The etiology of this condition is discussed, as are the radiologic findings, which may be suggestive of metastasis. The major clinical significance is an awareness of the condition and avoidance of overinvestigation and surgical exploration except in the most suspicious circumstances.
Benign lipoblastoma in the mandible
Authors: Obwegeser Hugo L. , Makek Miro S. 
Published: February 2007

AbstractLarge benign tumors and cysts of the mandible cause such massive bulging in the soft tissue of the cheek that one is tempted to try to find an external approach to the tumor. In our experience an oral approach has proven to be sufficient and advantageous in most cases of benign mandibular tumors even when they were very large. This is demonstrated in an unusual case of lipoblastoma of the ascending mandibular ramus. It is the first endosteal case of this rare tumor in the literature.
Acral lentiginous melanoma of the oral cavity
Authors: McDonald J. S. , Miller R. L. , Wagner W. , Giammara B. 
Published: February 2007

AbstractLentiginous melanomas may be classified clinicopathologically as either lentigo maligna melanomas or acral lentiginous melanomas. Lentigo maligna melanoma is generally characterized by its slow rate of growth, lateness of metastasis, and relatively good prognosis. Acral lentiginous melanoma, while demonstrating a radial growth phase which is histologically similar to that of lentigo maligna, appears biologically more similar to superficially spreading malignant melanoma once the vertical growth phase supervenes. Mucous membrane melanomas with lentiginous characteristics are likely to be aggressive lesions with a marked propensity for metastasis and a uniformly poor prognosis, much like the acral lentiginous type of melanoma. It would seem, therefore, that superficial melanomas of the oral mucous membranes with a lentiginous pattern should best be termed acral lentiginous melanomas instead of lentigo maligna melanomas so as to more accurately predict their true biologic potential. An amelanotic case is presented which we believe illustrates this point.
Surgical management of advanced scalp cancer
Authors: Lang Nicholas P. , Kendrick John H. , Flanigin Herman , Wetmore Steve J. , Suen James Y. , Westbrook Kent C. 
Published: February 2007

AbstractA series of 53 advanced scalp cancer patients treated with surgery is presented. A review of these patients concludes: 1) local tumor growth—not distant metastasis—is the primary problem; 2) management is based on the tendency of a tumor to spread laterally early in its development with a deep invasion occurring later on; 3) when deep invasion occurs, radical excision and reconstruction is indicated to control the disease; 4) recurrence following adequate local therapy requires a change in treatment modality.
Expression plasty: A new approach to esthetic surgery
Authors: Fanous Nabil 
Published: February 2007

AbstractTraining in esthetic surgery focuses on correcting crooked noses, wrinkled skin, bald scalps, and other unsightly facial structures. However, little importance is placed upon facial expressions—eg, “weak,” “serious,” “feminine,” etc. Surgeons have discovered, through experience, that a recessed chin gives one a “dumb” expression, that a drooping nose denotes an “aging” expression, and that baggy eyelids confer a “tired” expression; yet few efforts have been made to study this area in more depth. This article explores the field of facial expression and its place in facial esthetic surgery.
Meningiomas presenting in the paranasal sinuses and temporal bone
Authors: Granich Mark S. , Pilch Ben Z. , Goodman Max L. 
Published: February 2007

AbstractHead and neck meningiomas are primarily intracranial neoplasms; they rarely present in extracranial locations. Two cases of meningiomas in the paranasal sinuses and seven cases in the temporal bone are described. The pathology, pathogenesis, clinical evaluation, and therapy are discussed. It is stressed that intracranial components of such meningiomas be sought and, as appropriate, treated.
Paranasal sinus radiology, part 4A: Maxillary sinuses
Authors: Dolan Kenneth D. , Smoker Wendy R. K. 
Published: February 2007

AbstractThe maxillary sinus is frequently involved by inflammatory change. It is also the sinus that is most affected by intrinsic or nearby neoplasms. Since neoplasia and inflammatory disease may mimic each other, radiologic examination often becomes the principal means of differentiating them. Principles of radiologic diagnosis, with attention to changes in the various bony margins in maxillary disease processes, form the basis of this article.
Head and neck cancer in the elderly
Authors: Jun Moo Young , Strong Elliot W. , Saltzman Eric I. , Gerold Frank P. 
Published: February 2007

AbstractOne hundred fifty‐nine patients, 80 years of age or older, with cancer of the head and neck were reviewed. Patients tolerated head and neck resection well and an absolute survival of 36 months for all treated patients and 41 months for all surgically treated patients suggests the efforts are worthwhile. Treatment offered the elimination of uncontrolled cancer in 68% of the patients. Prompt and adequate treatment reduces time, effort, cost, and the actual suffering of the patients. There is little justification for therapeutic nihilism even in the elderly patient.
Computed tomography of orbital medial wall fractures
Authors: Coker Newton J. , Brooks Betty Sue , El Gammal Taher 
Published: February 2007

AbstractIncreasing experience with computed tomographic evaluation of head trauma reveals this radiologic modality to be superior to conventional polytomography in the assessment of certain areas of maxillofacial injury. A comparison of hypocycloidal polytomography and computed tomography in nine patients with fractures of the medial wall of the orbit reveals CT to be superior in localization of the fracture site, delineation of displaced bone fragments, and recognition of herniation of intraorbital contents into the ethmoid labyrinth. Information regarding damage to the nasolacrimal duct and associated intraorbital abnormalities such as the presence and location of hemorrhage and foreign bodies is also available from the CT scan.
Paranasal sinus radiology, part 4B: Maxillary sinuses
Authors: Dolan Kenneth D. , Smoker Wendy R. K. 
Published: February 2007

AbstractThe maxillary sinus is frequently involved by inflammatory change. It is also the sinus that is most often affected by intrinsic or neighboring neoplasms. Since neoplasia and inflammatory disease may mimic each other, radiologic examination often becomes the principal means of differentiating them. Principles of radiologic diagnosis, with attention to changes in the various bony margins in maxillary disease processes, form the basis of this article.