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Biomedical subjects

M S Strong

Publications and source records attributed to M S Strong.

100 records · Page 6Linked to original sources

Otolaryngologic manifestations of orbital pseudotumors.

Orbital pseudotumor is believed to be a nonspecific, acute or chronic inflammatory process involving the intraorbital soft tissue. Orbital pseudotumor may masquerade as sinusitis with orbital complications or as a severe upper respiratory tract infection. Five cases are presented to illustrate the difficulties in diagnosis when initial symptoms relate to the upper respiratory system rather than to an isolated orbital mass. In these cases, orbital ultrasound and computed tomograms were helpful in making the diagnosis. Treatment consisted of systemic corticosteroids in four of the five patients. Recognition of early symptoms and findings, along with earlier involvement with the ophthalmologist, will make a more effective treatment regimen possible.

Adult↗

Simultaneous carcinomas of the esophagus and upper aerodigestive tract.

A review of 150 consecutive head and neck cancer patients over a 22-month period revealed a multiple primary cancer rate of 19%, 9% in the head and neck region. Nine patients (6%) had simultaneous esophageal and head and neck cancers. Complete systematic esophagoscopic examinations, in addition to barium swallow radiographic studies, are recommended for all patients with head and neck cancers.

Adult↗

Diagnostic value of fine needle aspiration biopsy in neoplasms of the head and neck.

In this paper, the cytologic findings of 90 aspirates obtained by the fine needle aspiration technique from head and neck masses are compared with the histology of the permanent section. The overall concurrence rate between cytologic and histologic findings for benign and malignant tumors is 80%. There is a 6.6% false negative rate. There are no false positive results. Fine needle aspiration biopsy is found to be safe, complication free, and most helpful in treatment planning.

Biopsy, Needle↗

Pretreatment airway management in obstructing carcinoma of the larynx.

Partial endoscopic excision of obstructing laryngeal carcinoma with the CO2 laser is an alternative to emergency tracheotomy or emergency laryngectomy whenever the airway control can be initially ensured by endotracheal intubation. The practical advantages of this approach are elimination of the septic complications of tracheotomy, the opportunity for planned preoperative chemotherapy or radiation therapy, and better nutritional and psychologic preparation of the patient for surgery.

Adult↗

The use of CO2 laser in otolaryngology: a progress report.

Since 1971 the CO2 laser has been used in otolaryngology at Boston University School of Medicine, University of Illinois, and the Eye, Ear, Nose, and Throat Hospital, New Orleans; over 560 patients have been cared for and over 1,000 operations performed. The instruments have proved to be reliable and the use of CO2 laser relatively free of complications when appropriate precautions are taken. The nature of the laser wound is such that laser surgery has facilitated the management of numerous benign and malignant lesions of the larynx as well as the oral cavity, pharynx, and tracheobronchial tree. Laser surgery is associated with a minimal morbidity, excellent healing, minimal scar formation, and excellent residual function. The instrument has been most useful in the management of lesions situated in relatively inaccessible areas such as the nasopharynx, subglottic area of the larynx, and tracheobronchial tree. The advantages of laser surgery in otolaryngology are so significant that it can be recommended for continued usage. Many applications of this unique surgical instrument have been identified but others need to be explored in the future.

Carbon Dioxide↗