Biomedical subjects

N J Szymula

Publications and source records attributed to N J Szymula.

2 recordsLinked to original sources

PubMed1980

Superior mediastinal exposure.

Removal of disease from the superior mediastinum requires adequate visualization. This article reports another technique to gain access to this anatomic area. We describe here a selective series of nine patients who underwent resection of the medial one third of the clavicle in conjunction with primary surgery to remove disease from the superior mediastinum. The procedure is described in detail. Possible complications such as pneumothorax, transection of the subclavian artery or vein, hematoma, or abscess formation have not occurred. We recommend this procedure for patients with mediastinal lymph node disease as well as for patients with large substernal thyroid disease where exposure of the superior mediastinum is required.

Aged↗

PubMed1978

Neuroblastoma of the head and neck.

We reviewed 105 cases of neuroblastoma, which were seen at the Buffalo Children's Hospital between 1936 and 1976. We describe seven patients with primary neuroblastoma of the head and neck. The results of postmortem examination in two of these patients proved without any doubt that the tumor was primarily in the head and neck region. Although metastasis of neuroblastomas to the head and neck from more common primary sites in the abdomen, pelvis, or thorax is common, to our knowledge, well-documented primary head and neck lesions are quite rare. The prognosis of invasive neuroblastoma of the head and neck is poor, with rapid and widespread metastasis being the rule. However, some success has been reported with early and massive therapy that involves surgery, chemotherapy, and radiation therapy.

Child↗