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Biomedical subjects

R A Ord

Publications and source records attributed to R A Ord.

At least 73 records · Page 4Linked to original sources

Parotid lymph node metastases from primary intra-oral squamous carcinomas.

Intra-oral carcinomas, depending on their primary sites, metastasis to various groups of cervical lymph nodes. Tumour involvement of the lymph nodes related to the parotid gland is unusual and controversy exists in the literature as to whether direct drainage from the oral cavity to parotid nodes is possible. The possible mechanisms of spread to the parotid nodes are reviewed. 2 cases of intraoral carcinoma which involved the parotid lymph nodes are reported.

Carcinoma, Squamous Cell↗

An evaluation of different doses of soluble aspirin and aspirin tablets in postoperative dental pain.

1. The efficacy of three different single doses (600, 900 and 1200 mg of soluble aspirin and aspirin tablets) was determined in a randomized placebo-controlled parallel study in 140 patients (70 females) with postoperative pain after removal of impacted third molars. 2. Patients treated with soluble aspirin 600 mg, 900 mg, 1200 mg and aspirin tablet 1200 mg reported significantly less pain (P less than 0.01) throughout the investigation period than those treated with placebo. 3. Overall pain scores after treatment with aspirin tablets 600 and 900 mg did not differ significantly from those after treatment with placebo (P greater than 0.05). 4. On a comparative dose basis, soluble aspirin was significantly more potent (P less than 0.05) than aspirin tablets.

Adolescent↗

Osteomyelitis of the mandible in children--clinical presentations and review of management.

Four cases of osteomyelitis of the mandible in children are reported to illustrate the spectrum of presentation. A proliferative rather than a lytic bony response is usually seen due to attenuation of the causative organisms and the improved immunological status of children in Britain. The importance of penicillin-resistant organisms and anaerobes, early diagnosis by scintigraphy and the use of hyperbaric oxygen therapy are highlighted.

Acute Disease↗

The surgical management of lip cancer.

The history of surgical reconstruction of the lips is outlined and a series of procedures described, which together enable lip reconstruction to be successfully undertaken in a variety of different circumstances.

Carcinoma↗

Congenital lip pits and facial clefts.

Two families with congenital lower lip pits in association with cleft lip and palate, and isolated cleft palate are described. The presentation, mode of inheritance, aetiology, treatment and genetic significance are reviewed.

Child↗

A re-evaluation of the role of tracheostomy in Ludwig's angina.

Ten cases of Ludwig's angina that required surgical decompression in addition to intravenous antibiotic therapy are reviewed. The vocal cords were visualized in all ten patients following deep inhalational anesthesia to relieve trismus. Only one case required tracheostomy, which has previously been recommended as the treatment of choice for airway management; the other nine were intubated under direct vision.

Adult↗

Neurofibromatosis of the head and neck: clinical presentation and treatment.

The clinical features of neurofibromatosis of the head and neck in 28 Nigerians are presented. The disease produced varying degrees of cosmetic and functional deformity. Total excision of the lesions, where feasible, with skin grafting, when indicated, gave satisfactory cosmetic and functional results. Incomplete excision was unsatisfactory for all eyelid and other more extensive lesions. Intraoperative bleeding was prominent and postoperative follow-up poor.

Adolescent↗

Surgical parotid disease in Nigeria: a review of 100 cases.

100 cases of surgical parotid disease are reviewed. Parotid cyst was the commonest non-neoplastic disease, followed by a parotid fistula. 73% of the cases were neoplastic conditions of which approximately 50% were malignant and the patients were much younger than those reported in other series.

Adolescent↗

Giant frontal sinus mucocoele. Report of two cases.

The giant frontal sinus mucocoele is best approached surgically using a bi-coronal flap to give an ample view of orbital and intra-cranial extensions. The size of the cystic cavity necessitates packing rather than obliteration with autografts. Reconstruction of the frontal bone may be carried out as a secondary procedure.

Female↗