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Biomedical subjects

M Hardingham

Publications and source records attributed to M Hardingham.

At least 19 recordsLinked to original sources

Adenoma of the middle ear.

Adenomas, although the most common benign tumors in the middle ear, are of low incidence. They may arise in a previously normal adult ear, causing a conductive deafness and later an aural discharge. Histologic definition may be difficult in these tumors, which are assumed to arise from middle ear epithelium. Fairly extensive surgery may be required for their eradication. Two cases are described.

Adenoma↗

Peritonsillar infections.

The preferred antibiotic treatment for tonsillar and peritonsillar infections remains high dosages of penicillin. Peritonsillar swelling can be probed by needle aspiration. Where necessary, immediate incision and drainage of an abscess can be achieved. Quinsy tonsillectomy may be carried out for the best abscess exposure. Interval tonsillectomy is advised for those patients who give histories of previous tonsillar infections.

Anti-Bacterial Agents↗

Cancer of the floor of the mouth: surgical management.

After discussing the changing incidence and known difficulties in the management of mouth floor cancer, reasons are given for the increased use of surgery in treating the more extensive lesions. The significance of the topographic anatomy, patterns of lymph drainage and surgical pathology is emphasized. Principles of treatment, indications and types of operation are discussed for the main lesions encountered. Following this the preparation of patients for surgery, the methods of anaesthesia and certain technical details of surgical treatment are given. The importance of after-care and particular measures to avoid complications are stressed and conclusions reached. The paper is based on experience in the Head and Neck Unit of the Royal Marsden Hospital, London, mainly since 1965. It also derives from an extensive report on 189 cases of floor of mouth cancer seen and treated at the Hospital from 1950-1974.

Anesthesia↗

The treatment of a congenital laryngeal web.

Past descriptions of the surgical treatment of congenital laryngeal webs have involved a laryngofissure to achieve division of the web and the insertion of a tantalum keel to prevent its reformation. The technique described below obviates the need for an open operation on the larynx. The web is divided under magnified vision through a laryngoscope using a Zeiss operating microscope. A silastic keel is secured between the vocal cords at the anterior commissure by means of a loop of nylon passing externally through the crico-thyroid and crico-hyoid membranes.

Child↗