Biomedical subjects

J Teichgraeber

Publications and source records attributed to J Teichgraeber.

6 recordsLinked to original sources

PubMed1986

Functional analysis of treatment of oral cavity cancer.

There are few studies that have addressed themselves to measuring the speech, swallowing results, and quality of life that patients are left with after the treatment of oral cavity cancer. We developed a test series to assess the oral cavity function and the general health of patients treated for oral cavity cancer. The results of 51 patients treated for oral cavity cancer were compared by site and stage of the lesion as well as by treatment modality. In addition, the functional results achieved by different reconstructive techniques in the oral cavity were evaluated. The series also identified site-specific speech and swallowing problems.

Combined Modality Therapy↗

PubMed1984

Skin grafts in intraoral reconstruction. A new stenting method.

The results of skin graft reconstruction in intraoral cancer in 65 consecutive cases were uniformly good. There were only 11 wound complications and all resolved spontaneously without additional surgery. Skin grafts were used successfully in conjunction with coronal resections of the mandible, incontinuity modified neck dissections, and composite resections. Postoperative radiation therapy had no ill effects on the grafts or oral hygiene. A new stenting method with a dental tissue conditioner was employed. When used to immobilize intraoral skin grafts, it improved oral hygiene and patient deglutition, thereby hastening rehabilitation. The success of grafts performed with the new stent was equal to (if not better than) the success of grafts performed with the traditional stent.

Adult↗

PubMed1981

Low-dose topical atropine for rhinorrhea.

One hundred years ago, atropine sulfate was commonly used to treat rhinorrhea. Atropine sulfate was applied topically at a dose of approximately 0.08 mg to each nostril in seven patients with rhinorrhea caused by allergic rhinitis and in 24 patients with rhinorrhea caused by viral rhinitis. All but one of the 31 patients had symptomatic relief. Twenty-four of the 31 patients showed a visible decrease in secretions, and three patients showed an obvious vasoconstriction of nasal blood vessels. None of the patients experienced any of the side effects of atropine. Since this was a one-dose pilot study, there are no data available on possible rebound or chemical rhinitis effects.

Administration, Topical↗

PubMedDate not supplied

New test series for the functional evaluation of oral cavity cancer.

There are few studies that have addressed themselves to measuring speech, swallowing function and the "quality of life" of patients that have been treated for oral cavity cancer. The goal of this study was to develop a test series to assess the oral cavity function and the general health of patients treated for oral cavity cancer. The results of 51 patients treated for oral cavity cancer will be compared by the site and stage of the lesion, as well as by treatment mode. In addition, the functional results achieved by different reconstructive techniques in the oral cavity will be presented. Radiotherapy patients as a group have the best speech and swallowing function while the patients treated with combined therapy have the worst function. In the surgical group, those patients treated with intraoral skin grafts had the best speech results and those with primary closures had the best swallowing performance.

Adult↗

PubMedDate not supplied

Airway-obstructing epiglottic cyst.

Laryngeal cysts, particularly epiglottic cysts, are generally benign lesions which cause mild dysphagia or hoarseness. We report a case of an epiglottic cyst that caused almost complete airway obstruction. A 43-year-old man presented with progressive dysphagia, hoarseness, and airway obstruction secondary to a large cystic mass involving the entire epiglottis and filling the hypopharynx. He required emergency tracheotomy to secure the airway, and the cyst was incised and drained. Following a subsequent recurrence, laser excision of the cyst was performed and the problem resolved. The cystic mass was found to fill the valleculae, and involved the lingual and laryngeal surfaces of the epiglottis and the left false vocal cord. A review of laryngeal cysts is presented with emphasis on anatomic and embryologic considerations. The potential lethal nature of these lesions is emphasized.

Adult↗

PubMedDate not supplied

Neoglottis reconstruction following total laryngectomy: the Emory experience.

A number of studies over the last decade have reported on a viability of the primary neoglottis reconstruction after total laryngectomy. Early results have been encouraging, although operative and perioperative complications are higher than with a classic laryngectomy. This article reports on a series of 13 neoglottis reconstructions performed at Emory University Medical School using the techniques developed by Mario Staffieri, MD. During the course of the study, the overall success rate has fallen from 80% at three years to 54% at five years. With each succeeding year there has been an increasing need for revision surgery. The series emphasizes the need for long-term follow-up in any vocal rehabilitation procedure.

Adult↗