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Biomedical subjects

M E Pizer

Publications and source records attributed to M E Pizer.

At least 19 recordsLinked to original sources

Adenoid cystic carcinoma of the upper lip.

An elderly man had a large adenoid cystic carcinoma (ACC) of the upper lip. Because of the patient's desire not to have a major surgical resection, the primary modality of treatment was irradiation. A local recurrence following radiation therapy did require surgery, however without morbidity. During the postoperative course extreme physical deterioration of the patient necessitated a complete medical work-up. This revealed lung nodules, not seen previously, which were suspected of being malignant. A barium enema also revealed a sigmoid lesion suggestive of malignancy. Since none of the suspected distant sites were histologically examined, the course of the ACC is left to conjecture. Also, it is left to conjecture as to what course might have followed had the patient been treated initially with a surgical resection. The patient died 20 months after the original diagnosis of the lip tumor was made.

Aged↗

Patient's perceptions of the scope of oral and maxillofacial surgery.

The primary purpose of this study was to determine a measure of selected patients' perceptions of the scope of services provided by the oral and maxillofacial surgeon. Data were collected from 403 patients by a questionnaire and were combined with data from the participating patients' charts. Analysis and interpretation of the data disclosed two trends: patients perceived that problems of odontogenic origin should be treated by dentists or oral surgeons, and patients perceived that problems of nonodontogenic origin should be treated by medical professionals rather than by oral and maxillofacial surgeons. If these patients are representative of the general population, then these trends strongly suggest a need for greater public and professional dental educational opportunities about the scope of services rendered by the oral and maxillofacial surgeon. It is recommended that dental societies and dental schools assume the lead in offering these opportunities.

Adolescent↗

Psychosexual dysfunction in patients with immobilized jaws.

The purposes of this study were to determine and evaluate the psychosexual behavior of selected patients whose jaws were immobilized. Data for this pilot study were collected by using a standardized interview protocol with ten patients whose jaws were immobilized. The interview questions were designed to ascertain whether sexual problems existed, the nature and management of these problems, and the suggested role the operating surgeon might assume in assisting the patient. The data revealed that sexual difficulties were experienced by nine of these patients, and many of their problems were similar. The chief complaints included: (1) shortness of breath during sexual intercourse, (2) difficulty in oral foreplay, (3) poor verbal communication, (4) altered self-image, (5) sexual dysfunctions induced by pain medication, (6) depression, and (7) a lack of ability to exercise oral-genital sexual contact. Nine of the ten patients agreed that the operating surgeon should inform his or her patients with immobilized jaws of potential sexual disability. We believe that additional studies of these problems could enhance the management of patients with oral and maxillofacial injuries.

Adult↗