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Biomedical subjects

R C Bryarly

Publications and source records attributed to R C Bryarly.

10 recordsLinked to original sources
PubMed1985

The method and management of thyroid surgery in the pediatric patient.

Thyroid surgery in the pediatric age patient accounts for a small minority of all thyroid surgery. Batsakis and Nishiyama reported only 136 patients under the age of 18 who underwent thyroid surgery in 27 years at the University of Michigan. In most series involving the pediatric age group, the majority of thyroid procedures are performed on adolescents. Thyroid surgery in the young child requires special precautions in addition to those routinely associated with thyroidectomy in the adult. The techniques and perioperative management of the pediatric thyroidectomy employed at our institution has evolved as experience is gained. Our experience with five such patients with adequate follow-up will be presented.

Adenoma↗
PubMed1984

Management of nasal trauma in children.

The management of nasal trauma in children differs considerably from that in adults. In children, the evaluation is decidedly more difficult because of lack of patient cooperation and different anatomical features. The controversy regarding surgical manipulation of the pediatric nose has resulted in confusion as to the proper management of nasal trauma in this age group. On the basis of our experience with these problems, we have developed a philosophy of management; its principles and techniques are described herein.

Adolescent↗
PubMed1981

Recurrent cementifying fibroma of the jaws.

The cementifying fibroma is a benign fibro-osseous tumor of the jaws, and is generally believed to originate from the periodontal ligament. The tumor commonly presents as an asymptomatic mass lesion, and is usually well-circumscribed clinically so that conservative excisions have been the treatment of choice. From 1970-1980, 94 cases of cementifying fibromas involving either the maxilla or the mandible were accessioned by the Tumor Registry of the Armed Forces Institute of Pathology. Recurrences were found in 11 of these cases, of which 6 involved the mandible. Experiences with these cases are described, as well as experiences with two patients who were managed at the National Naval Medical Center and National Institutes of Health. Conclusions indicate that preferred management for most recurrent cementifying fibromas involves conservative removals which attempt to preserve form and function of the affected site. Residual disease when unavoidable often remains quiescent for extended periods of time without compromise to the patient involved.

Adolescent↗
PubMedDate not supplied

Metastasizing auricular basal cell carcinoma.

Basal cell carcinoma represents the most common skin cancer and involves the head and neck area in 80% to 85% of all patients treated. Despite their frequent occurrence, metastatic spread from these tumors is rare. This paper presents a case of a patient who had a metastasizing basal cell carcinoma. Despite control of primary disease by radical surgery and adjunctive irradiation, bony metastasis was found within nine months of therapy. Palliative therapy was given, but the patient died five months later. The pathophysiology of the metastasizing basal cell carcinomas is described, and a rationale for therapy presented.

Bone Neoplasms↗
PubMedDate not supplied

Synovial cell sarcoma.

Synovial sarcoma of the head and neck is a rare lesion. Based on previous literature reports, these lesions carry a poor prognosis. Case reports of two patients diagnosed and treated recently for head and neck lesions of this type are presented. A review of pathologic sections at the Armed Forces Institute of Pathology (AFIP) suggests that this lesion is more colmon than believed previously.

Adolescent↗