Sialographic techniques and interpretation in Warthin's tumor of the parotid gland.
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Biomedical subjects
Publications and source records attributed to A H Friedlander.
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A case of progressive osteoradionecrosis after cobalt-60 radiation has been presented. A rational, but aggressive, treatment has been described. The morbidity of the procedure is minimal when proper instrumentation is available. The postoperative results are esthetically pleasing because, with radiation, there is so much fibrosis that facial contour is satisfactory even after a hemimandibulectomy.
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Inadequate function frequently follows extensive obliterative surgery in the oral cavity. Extra tissue will allow closure and reconstruction of the defect with improvement of oral competency. We describe a method wherein a free dorsalis pedis arterialized flap is used for closure of intraoral defects. This method has the following advantages: (1) The flap may be raised while the extirpative portion of the procedure is in progress. (2) There is no need for prior delays of the flap. (3) The skin of the dorsalis pedia area is thinner than that of other flap ares, allowing the flap to be twisted along several planes. (4) A second procedure is not needed to return the base of the "flap pedicle." (5) The time of operation was not found to be greater than that in cases in which a forehead or deltopectoral flap was used.
Described is the case of a 30-year-old black man with a history of acute pansinusitus, headaches, and intermittent right nasal stuffiness. The history, clinical signs and symptoms, and roentgenographic findings were consistent with the diagnosis of a transantral complex odontoma. Finding of this entity is extremely rare in this region.
A rare metastatic cancer in the soft tissues of the oral cavity has been discussed. The importance of a good clinical examination and the interrelationship between medicine and dentistry have been emphasized.
A case report of a dentigerous cyst of the mandible with respiratory epithelium has been described. A review of the literature shows this to be only the fourth case reported. The three most current theories to explain this phenomenon have been presented.
A combined surgical-prosthetic approach for the treatment of the unstable lower denture due to displacement by the circumoral musculature has been presented. This procedure increases the stabilizing forces of the tongue and obicularis oris muscles, while eliminating the displacing forces of muscles which attach high on the crest of the residual ridge.
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A review of basic prosthodontic principles and the muscle physiology on which they are based is presented. Proper reduction of fractures of the edentulous mandible and maxilla requires the incorporation of a correctly determined freeway space into either the patient's preexisting dentures or into the split Gunning-type splints.
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Sialography of the submandibular gland which is often deferred because of inability to isolate, dilate, and cannulate Wharton's duct, can be safely accomplished with minimal morbidity with use of a modification of the surgical procedure to remove a salivary ductal calculus. It can be accomplished as an office procedure in ambulatory patients.
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