Biomedical subjects
M Forer
Publications and source records attributed to M Forer.
Lingual thyroid.
Lingual thyroid is a rare cause of dysphagia and airway obstruction. A case is presented, with a discussion of the diagnosis and management.
Endonasal dacryocystorhinostomy--primary and secondary.
An endonasal approach was used to restore lacrimal drainage in both primary and secondary obstructions. Patients in the primary group had a history of keloid scar formation, or wished to avoid a scar and declined to have surgery performed via an external approach. Patients in the secondary group had undergone one or more previous unsuccessful lacrimal drainage repairs. A fibreoptic endonasal telescope, linked to a video monitor, and appropriate nasal and lacrimal instruments, were used. The approach proved highly successful, in both anatomical and functional terms, in each group. In the secondary group, the endonasal approach allowed direct visualisation and repair of both nasal and lacrimal causes of failure; this approach is our preference in this group. In the primary group, endonasal instrumentation had no advantage over a conventional external operation, other than avoiding a scar. The application of laser technology may make the endonasal approach a realistic option in primary DCRs as well.
Otitis media.
It is obvious to any clinician that otitis media is a major health problem among children. As there are numerous presentations of otitis media, treatment needs to be individualised. The author provides guidelines for the treatment of young patients.
Acoustic tumor in a young adult: documented growth rate.
The diagnosis of acoustic neuroma is being made more easily with the advent of late-generation, high-resolution computed tomography. It is known that acoustic tumor growth in the elderly is often slow. On the other hand, it is believed that an acoustic tumor can grow very rapidly in the young. A case of acoustic neuroma in a young man with computed tomographic evidence of extremely rapid growth over a period of fifteen months is presented.
Pneumatic rupture of the posterior pharyngeal wall.
A fourth case of pharyngeal injury after an attempt to open a bottle of 'home brew' is presented. For the first time the potential barotrauma causing this injury is recognized. The principles of diagnosis, investigation and treatment are described. Early surgical intervention will minimize contamination and allow adequate drainage of the contaminated space. Early institution of antibiotics will minimize local and generalized toxic phenomena. Alternate routes of alimentation allow local healing and rapid recovery of the patient.
Home drug use by fixed-income patients.
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[Opiate receptors and morphine like peptides in the brain: a breakthrough in neuropharmacological research].
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Evaluation of professional personnel and programs.
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