Lymphomas presenting in Waldeyer's ring.
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Antineoplastic Combined Chemotherapy Protocols↗
Biomedical subjects
A Smitheringale
Publications and source records attributed to A Smitheringale.
Hemoptysis in children: the hospital for sick children experience.
Causes of hemoptysis in children have not been well documented in the paediatric otolaryngology literature. The aim of this retrospective review is to determine the commonest causes of hemoptysis in the paediatric age group presenting to an otolaryngologist. We reviewed the charts of patients presenting to an otolaryngologist at The Hospital for Sick Children, Toronto, Ontario, over a 10-year period. A total of 37 inpatients beyond the neonatal period were referred for further assessment of hemoptysis. Thirty-two patients (86.5%) underwent bronchoscopy to determine the cause, the hemoptysis resolving spontaneously in the remaining five patients without a diagnosis. Four patients who had a bronchoscopy also had no identifiable pathology. Tracheobronchitis was the commonest diagnosis (19%), followed by tracheotomy-related problems (15.5%) Other causes included bronchiectasis, aspiration of blood, pulmonary hemorrhage, foreign-body aspiration, cystic fibrosis, A-V malformation, tracheobronchial hemangioma, hereditary telangiectasia, laceration of a vocal cord, and pneumonia. Otolaryngologists need to be aware of the etiology of hemoptysis in children. The commonest causes are infection and trauma, and not vascular anomalies or neoplasms as often perceived.
Bronchitis↗
Muco-epidermoid carcinoma of the palate.
Muco-epidermoid carcinoma is the second most frequently occurring malignancy of the minor salivary glands representing 25 per cent of all malignancies, adenoid cystic being the more common tumor. It invariably presents as an asymptomatic lung without mucosal ulceration, 50 per cent of which occur on the palate. It is of great interest to the physician because it may be divided into two distinct categories dependent upon its cell composition - low grade malignancy or high grade. These have widely differing prognostic significance and require different modes of therapy. This is illustrated by five case histories which span the past seven years of the author's experience.
Adult↗
A bizarre pharyngeal injury.
A youth impaled his neck when thrown from a car. No major vessels were damaged but the pharyngeal wall was so extensively disrupted that no repair was possible on the left side. Skin closure was effected and a large drain withdrawn slowly over several days during which he was hyperalimented. He made a rapid and complete recovery from this injury which also included mandibular damage and penetration of the brain.
Adolescent↗
Stapedectomy - a 10 year review at Sunnybrook Hospital.
The authors wonder if the success rate with stapedectomy performed by a group of surgeons in a local general hospital can be expected to equal the results published from certain major centres. A 10 year review at Sunnybrook where 12 surgeons performed 160 operations showed a 78 per cent favorable result and an eight per cent unfavorable result in primary stapedectomy. In general older patients with more extensively affected footplates did worse. There were only minor differences between the results achieved with different prostheses, and virtually none between the various surgeons. Revision stapedectomy showed considerably worse results with 21 per cent achieving a favorable result against 42 per cent whose hearing became worse. A conservative approach to revision surgery is advised.
Adult↗