Search PubMed⌕ Search

Biomedical subjects

Arlen D Meyers

Publications and source records attributed to Arlen D Meyers.

9 recordsLinked to original sources

The surgical management of oral cancer.

Oral cavity cancers represent an area of head and neck oncology with some unique and interesting management themes. In spite of a significant paradigm shift in the treatment of many head and neck cancers toward us-ing primary chemoradiation, this treatment is not frequently applied to the oral cavity. Small cancers of the oral cavity are usually managed by surgery alone. Larger cancers are usually treated with primary surgery followed by chemoradiation. Neck treatment is offered to patients who have a greater than 20% chance of having lymph node metastasis or who have neck disease at the time of presentation. Neck treatment may involve surgery, radiation therapy, or both. Reconstruction of surgical defects of the oral cavity runs the gamut of techniques from the most simple to the most complex three-dimensional microvascular composite flaps. A multidisciplinary setting with a tumor board and multiple supportive services provides the best care for patients who have advanced-stage cancers.

Brachytherapy↗

Alternative surgical dissection techniques.

The bipolar scissors, coblator, harmonic scalpel, and somnoplasty techniques are widely available and offer new choices for the operating arena. There are advantages and disadvantages to all four techniques. With time, these dissection methods will prove their lasting power. Otolaryngologists have already begun to expand their applications and will surely play a role in their use and development.

Adult↗

Myxoinflammatory fibroblastic sarcoma of the neck.

BACKGROUND: Myxoinflammatory fibroblastic sarcoma (MIFS), also named inflammatory myxohyaline tumor of distal extremities with virocyte or Reed-Sternberg cells, is a rare tumor typically presenting as a painless mass in the extremities. PATIENTS: We present an unusual case of MIFS presenting as a subcutaneous neck mass. This is the first reported case of MIFS presenting in the neck. RESULTS: Therefore, this lesion must be considered in the differential diagnosis for painless subcutaneous masses presenting not only in the distal extremities, but also in the neck. CONCLUSION: MIFS has only recently been recognized. The differential diagnosis for MIFS is broad, and it can often be mistaken for several different inflammatory and neoplastic processes, which may require different treatment.

Adult↗

Temporal artery biopsy: concise guidelines for otolaryngologists.

Temporal arteritis, also known more accurately as giant cell arteritis (GCA), is a multisystem vasculitis of elderly people that involves large and medium-sized blood vessels with a particular predilection to the craniofacial branches of the carotid arteries, especially the temporal artery. Symptoms include visual loss, headaches, fever, audiovestibular symptoms, and jaw claudication. Otolaryngologists are consulted to care for these patients to confirm the diagnosis, to rule out other causes of face pain and headaches, to care for patients with audiovestibular manifestations of GCA, and to perform temporal artery biopsies. Consequently, it is important for consultants to understand the signs and symptoms and natural history of GCA and the indications, technique, and complications of temporal artery biopsy. GCA can appear with protean head and neck manifestations. Otolaryngologists should be aware of these and understand the issues concerning maximizing the yield from temporal artery biopsies.

Biopsy↗

Is the party over?

Explore the source record for details and available documents.

Career Choice↗