Voice restoration following total laryngectomy.
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Biomedical subjects
Publications and source records attributed to N P Warwick-Brown.
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An extremely rare case of intracranial metastasis from a laryngeal carcinoma is reported associated with multiple pulmonary metastatic deposits.
The results of turbinate reduction surgery carried out on 307 patients are reviewed. This is a retrospective study over 16 years. The results of submucosal diathermy with and without outfracture, partial inferior turbinectomy and linear cautery were all equally disappointing in the long term. At 1 month postoperatively the overall success rate, as defined by patient satisfaction, was 82%, but this declined steadily with time to 60% at 3 months, 54% at 1 year and 41% at 1-16 years. There was no significant difference found in the success rates between methods of turbinate reduction used. These findings are compared with more optimistic reports in the literature and their relevance to current surgical practice is discussed.
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A case of non-progressive severe laryngeal incompetence is described in which, in addition to the already established operation of epiglottopexy and cricopharyngeal myotomy, a laryngeal suspension using a carbon fibre implant is performed. This provides additional protection to the laryngeal inlet, thus obviating the need for a long-term tracheostomy.
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An unusual case of glomus vagale tumour is presented where severe pain was a predominant feature. The pathological and clinical features of this rare tumour are reviewed and the investigations and treatment are discussed.
An unusually extensive case of fronto-ethmoidal sinusitis is presented in which normal conservative surgical measures failed to achieve clearance. A modified form of craniofacial resection was therefore performed with effective clearance of disease.
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