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Biomedical subjects

D M Barrs

Publications and source records attributed to D M Barrs.

27 records · Page 2Linked to original sources
PubMed1984

Facial nerve anastomosis in the cerebellopontine angle: a review of 24 cases.

Facial nerve repair during translabyrinthine tumor surgery was performed in twenty-four patients. Nineteen patients (79 percent) had return of facial function. Different techniques of facial nerve anastomosis were evaluated. Suture anastomosis was more reliable than other anastomotic methods, especially if cable nerve grafts were used. Facial function began to return within twelve months in all patients whose function returned.

Brain Neoplasms↗
PubMed1981

Arthrotomography of the temporomandibular joint.

Temporomandibular joint (TMJ) dysfunction may cause facial or aural pain. Conventional roentgenograms are useful to define bony pathologic conditions. However, TMJ arthrotomography may disclose joint meniscus abnormalities in two thirds of patients with persistent dysfunction despite normal roentgenograms.

Cartilage, Articular↗
PubMed1980

Acute nasal trauma: emergency room care of 250 patients.

The completeness of the Emergency Room evaluation of the injured nose was determined by reviewing 250 cases of acute nasal injury. A recorded examination of intranasal structures was found for only 42 (21 percent) of 200 patients with blunt nasal trauma. In another group of 50 patients with roentgenographically documented nasal fractures, only 21 (42 percent) had a recorded intranasal examination. Failure to examine the internal nose thoroughly will leave undiagnosed such serious pathologic conditions as septal hematomas, mucosal tears, and fractures and dislocations of the bony and cartilaginous septum, which may cause permanent functional disturbances (nasal airway obstruction) and cosmetic deformities.

Adult↗
PubMed1979

Squamous cell carcinoma of the tonsil and tongue-base region.

From 1969 through 1975, 145 patients were treated for squamous cell carcinoma of the tonsil and tongue-base region; 119 received initial treatment, and salvage operations were done in 26. The overall five-year survival rate was 42%. Cervical metastasis was the most important determinant of survival. Pathologic stage I or II disease was controlled by surgical treatment. In patients with stage III or IV disease, operation alone controlled the primary lesion better than radiation alone or combined preoperative radiation and surgical treatment. With operation alone, however the rate of neck recurrence was higher than with the other two methods of treatment. In advanced disease, surgical treatment combined with postoperative radiation should be considered. Mandibular osteotomy and excision of the primary lesion are as effective in local tumor control as composite resection. In patients with a tumor-free margin, osteotomy can be used to preserve the mandible.

Aged↗
PubMed1979

Metastatic tumors to the sphenoid sinus.

Patients with cranial nerve palsies and roentgenographic evidence of sphenoid sinus destruction present diagnostic problems. Although the presence of local primary neoplasms may be considered first, metastatic disease from distant sites also should be considered. We report on eight patients with metastatic tumors to the sphenoid sinus seen at the Mayo Clinic from 1950 through 1976. Primary sites of the lesions included the breast, thyroid gland, lung, kidney, and prostate (two patients). Metastatic myeloma was seen in two patients. Symptoms resulted from involvement of the structures adjacent to the sphenoid sinus and in all patients included diplopia or decreased visual acuity. In four patients, these ocular symptoms were the first sign of disease, after which a complete general examination disclosed the occult primary sites.

Adenocarcinoma↗
PubMed1979

Sjögren's syndrome involving the larynx: report of a case.

Sjögren's syndrome is a presumably autoimmune disease with pathologic findings of lymphocytic infiltration of the involved structures. Although the salivary and lacrimal glands are the most commonly involved sites, extraglandular lymphoproliferation also occurs. Upper and lower respiratory tract lymphoproliferation is known, but only one case of Sjögren's disease of the larynx has been previously reported. We present a case of laryngeal involvement in which the gross pathologic appearance is different from that in the earlier case report. The otolaryngologist should consider Sjögren's disease in the differential diagnosis of diffuse laryngeal lesions.

Female↗