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Biomedical subjects

P I Wills

Publications and source records attributed to P I Wills.

7 recordsLinked to original sources
PubMed1982

Head and neck manifestations of tularemia.

Tularemia is a relatively uncommon infectious cause of cervical lymphadenopathy. The records were studied of 81 patients hospitalized in western Arkansas with the diagnosis of tularemia over the period of 1970 to 1980. Fourteen cases (17%) had symptoms or findings referable to the head and neck at some time during the disease. Delay in treatment was prolonged in some cases by failure to consider tularemia as a possible diagnosis. The pertinent epidemiology, pathogenesis, clinical manifestations and treatment are briefly reviewed.

Adult↗
PubMed1981

Complications of space infections of the head and neck.

Life threatening infections of odontogenic or upper airway origin may extend to potential spaces formed by fascial planes of the lower head and upper cervical area. The incidence of these "space infections" has been greatly reduced by modern antibiotic therapy. However, serious morbidity and even fatalities continue to occur. Two cases of deep neck infection, (one of odontogenic and one tonsillar in origin) with subsequent mediastinitis, empyema, pericarditis and ultimate survival are reported. One case of deep neck infection, (of odontogenic etiology) and suppurative thrombophlebitis of the internal jugular vein with ultimate fatal outcome is also reviewed. Review of the literature reveals only one previous case report of a survivor of an odontogenic deep neck infection complicated by mediastinitis, empyema and pericarditis. The anatomy, etiology and treatment of complications of these "space infections" of the head and neck are briefly reviewed.

Adult↗
PubMed1979

Percutaneous embolization to control intractable epistaxis.

Recurrent epistaxis is a common manifestation of patients with a bleeding diathesis. Two patients with epistaxis secondary to a bleeding diathesis managed by local conservative techniques are reviewed. (A case of polycythemia vera and a case of liver failure secondary to hepatoma are reviewed.) Recently bilateral, percutaneous carotid angiography examination was performed on a patient with a bleeding diathesis and intractable epistaxis. At the time of the angiographic examination, embolization of both internal maxillary arteries with Gelfoam particles was accomplished and dramatic control of the epistaxis was achieved. In a patient with severe epistaxis secondary to a bleeding diathesis that is unresponsive to local measures, percutaneous Gelfoam embolization offers substantial advantages over surgical intervention.

Adult↗
PubMed1976

Juvenile nasopharyngeal angiofibroma: radiographic aspects.

Because of consistent and unique radiographic features of JNA, it is not necessary, nor is it advisable, to biopsy these tumors to establish a diagnosis. In addition, the carotid arteriograms show the major feeding vessels to the lesion and also completely delineate the periphery of the tumor, thus establishing operability versus non-operability. If a JNA is treated by radiotherapy, the changes effected can be followed by carotid arteriography.

Adolescent↗