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Biomedical subjects

A C Swift

Publications and source records attributed to A C Swift.

43 records · Page 3Linked to original sources

The presentation and management of the nasal glioma.

Nasal gliomata are rare and experience in management is therefore not widespread. Clinical details of 5 children with nasal gliomata are presented. In each case the glioma was excised by an external approach without the need for craniotomy. These cases demonstrate the variability of presenting features and problems in management. They illustrate a relatively conservative surgical approach to treatment which we consider to be safe and effective. The characteristics of these unusual neural malformations are reviewed, and the management is discussed.

Female↗

The gastro-oral pathway of intestinal bacteria after head and neck cancer surgery.

Intestinal aerobic Gram negative bacilli (IAGB) are frequently associated with wound infection after head and neck surgery. The origin of these organisms has not been previously identified. The stomach was investigated as a potential endogenous source. Saliva was examined in 15 patients 24 h before surgery. Following surgery, saliva and gastric aspirates were cultured daily for 10 days. All feeds were sterile. Though IAGB were never isolated pre-operatively, 29 species were detected in both the mouth and stomach of 14 patients post-operatively. Biochemically identical strains, initially present in the stomach, were detected 1-4 days later in the mouth in 8 patients. Three patients developed fistulae associated with IAGB but frank wound infection did not occur. Evidence demonstrating the gastric origin of faecal micro-organisms in the operative field and upper aerodigestive tract is presented and discussed.

Aged↗

Dual primary adenocarcinoma of the duodenum and jejunum in a patient with previous colonic cancers.

Primary adenocarcinoma of the small intestine is an uncommon tumour, the incidence being 40-60 times less frequent than carcinoma of the colon. Multiple primary neoplasia of the small bowel, although not infrequently seen with benign growths, is an extremely rare event with malignant lesions. A patient is described who had an adenocarcinoma of the duodenum and jejunum, with a previous history of colonic carcinomas. The case is discussed together with a brief review of the literature.

Adenocarcinoma↗

Functional endoscopic sinus surgery.

Functional endoscopic sinus surgery (FESS) is a minimally invasive dissection technique of in which the air cells and ostia of the paranasal sinuses are opened under direct vision via an endoscope. This article considers the relevant surgical anatomy, indications, techniques and potential complications of FESS.

Endoscopy↗