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Biomedical subjects

A A Clairmont

Publications and source records attributed to A A Clairmont.

At least 19 recordsLinked to original sources
PubMed1984

The incidence of occult metastases for cancer of the oral tongue and floor of the mouth: treatment rationale.

One hundred thirty-six surgical cases of squamous cell carcinoma of the oral tongue and floor of the mouth at the Emory University Hospitals were reviewed for the incidence of occult metastases. Thirty-five percent of the T1 T2 lesions of the anterior tongue had occult metastases. The figure was 31.5% for similarly staged lesions of the floor of the mouth. The presence of regional metastases resulted in a 2-year determinate survival rate of 37% and 32% for patients with oral tongue and floor of the mouth lesions, respectively. The poor prognosis in the study for delayed cervical metastases and the high incidence of occult cervical metastases have led the authors to propose a more aggressive therapy for the clinically negative necks in these two sites of squamous cell carcinoma of the oral cavity.

Adolescent↗
PubMed1984

Advanced applications of revascularized free jejunal flaps for difficult wounds of the head and neck.

The rationale, technique, and an example of full utilization of the jejunomesenteric free flap have been described as a means of reconstructing complex wounds of the head and neck. Not only jejunum, but also well-vascularized mesentery will protect vascular structures and intestinal anastomoses and, in addition, accept a skin graft. No additional muscular or other flaps are necessary to achieve these ends. Finally, no additional donor-site morbidity is incurred by harvesting the supplementary mesentery.

Craniocerebral Trauma↗
PubMed1983

Complications of parotidectomy.

Parotidectomy, whether subtotal or total, is a surgical procedure associated with certain possible complications--namely, facial nerve injury, hemorrhage, infection, salivary fistula, seroma, keloid formation, greater auricular nerve anesthesia, gustatory sweating, and recurrent tumor. We review these complications to help the surgeon with preoperative patient counseling, as well as postoperative reassurance, and discuss those that are amenable to further treatment, either medical or surgical or both.

Facial Nerve Injuries↗
PubMed1979

Facial nerve in recurrent benign pleomorphic adenoma.

Improvements in the treatment of benign and malignant tumors in the parotid gland have substantially reduced the incidence of recurrence. This has come about primarily be the abandonment of the enucleation techniques and the development of lateral lobectomy operation. The recurrence rate for benign mixed tumor in the parotid gland is variously reported in the ranges of 0.5% to 10%. Because the benign mixed tumor comprises approximately 65% of the tumors in this gland, this complication assumes an important and specific role. A review of this problem establishes the principles of management, extending from simple reexcision through total parotidectomy with preservation of the facial nerve, and radical parotidectomy with resection of the facial nerve and immediate nerve grafting.

Adenoma, Pleomorphic↗
PubMed1979

Carcinoma of Stensen's duct.

The authors present 2 cases of carcinoma primary in Stensen's duct, one a mucoepidermoid carcinoma and the other an adenoid cystic carcinoma. This is an unusual site for a primary carcinoma and these are apparently the thirteenth and fourteenth cases to be reported in the English literature. The authors review the diagnosis and treatment for primary carcinoma of Stensen's duct.

Carcinoma↗
PubMed1978

Submandibular gland tumors.

Tumors involving the submandibular gland are rare. However, the incidence of malignancy is much higher than in the parotid (approaching 50 percent). In addition, the 5-year survival rate in patients with malignant tumors of the submandibular gland is much poorer in our series--28 percent versus 71.8 percent for the parotid gland. Because of the poor prognosis in patients with malignant tumors involving the submandibular gland we feel that composite resections should be carried out for all tumors except low-grade mucoepidermoid tumors. In addition, postoperative radiation should be given for specific indications (detailed in the article).

Age Factors↗
PubMed1978

Cystic lesions of the parotid gland.

In a series of 708 parotidectomies (partial or total), we found 23 cystic lesions. Of these, 16 met the criteria for so-called "branchial cysts"; five were retention cysts of duct origin, and the remaining two were epidermal inclusion cysts. The principles of diagnosis and treatment of parotid cysts are presented.

Adenolymphoma↗
PubMed1978

Tumors of the parapharyngeal space.

A variety of tumors of the parapharyngeal space were operated upon during one training year at the Pack Medical Foundation, New York. These tumors characteristically present as a mass of the upper neck, behind the angle of the mandible and/or as a lateral pharyngeal mass bulging medially. Surgeons who operate in the parapharyngeal space must be thoroughly familiar with the complex anatomy of blood vessels, nerves, and muscles in this area and possess a thorough knowledge of the variety of tumors in this region of the head and neck.

Carotid Body Tumor↗
PubMed1978

Malignant mixed tumor of the soft palate.

Malignant mixed tumor (carcinoma within a pleomorphic adenoma) is an unusual tumor that rarely occurs in the minor salivary glands of the soft palate. We have reported a cases and a review of the terminology, diagnosis, and treatment.

Adenoma, Pleomorphic↗
PubMed1978

The eyelid flap.

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Eyelids↗
PubMed1978

The uses and limitations of auricular composite grafts.

Composite autografts of skin and cartilage from the auricule are useful in the reconstruction of defects in many areas of the head and neck. However, their use has certain limitations if minimal loss of the graft is to be achieved. A variety of examples are presented by the authors and the limitations are summarized.

Cartilage↗
PubMed1977

Subdermal fascial augmentation.

A technique is described whereby limited soft tissue defects may be cosmetically improved using autogenous fascial strips. These strips of fascia lata are threaded onto a cadaveric needle that is tunneled subdermally, in a "basket weaving," criss-crossed fashion, augmenting the soft tissue defect and separating the scar from the underlying tissue. There are minimal incisions in the skin for this augmentation and there is very little local tissue reaction.

Adolescent↗