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Results of the surgical treatment of selected patients with squamous cell cancer of the mouth and throat.

The five year results of excision of cancer of the oral cavity and oropharynx in 172 patients selected for surgical treatment are reported. The overall survival rate was 48.8%, with 39.5% of patients dying with persistent or recurrent disease. An unexpectedly high survival rate of 42.2% was achieved in 45 patients with residual or recurrent tumour resected after failed initial radiation therapy.

Carcinoma, Squamous Cell↗

Further studies of twitching Streptococcus sanguis isolated from the human throat. Isolation of strains with a new antigen.

alpha-haemolytic streptococci, classified as Streptococcus sanguis, with spreading growth due to twitching mobility were isolated from 41% of 121 swab cultures from the human pharynx. Sixty-five out of 70 isolates with spreading growth belonged to Lancefield's group H, while 5 isolates constituted a new serological entity. None of 159 non-spreading alpha-haemolytic streptococci isolated from the same cultures possessed either of these antigens. An examination of strains of types I, II and I/II described by Washburn et al., in the group H antisera employed in the present study indicated that type I and type I/II differ from one another in the degree of cross-reactivity with anti-type II serum. (The type II antigen was not demonstrated in any of the isolated strains). We support the opinion that type II should not be considered as S. sanguis.

Antigens, Bacterial↗

Management of foreign bodies in the ear, nose and throat.

This article presents a summary of the common foreign bodies (FB) and a practical approach to diagnosis and management. Removal of FB requires good lighting, a cooperative or fully restrained patient and a gentle approach by the clinician. An accurate diagnosis of the FB should be made prior to attempts to remove it and most, if not all FB could be safely removed the following day under better lighting conditions, sedation or anaesthesia in a fasted patient by a more senior clinician.

Causality↗