Synovial sarcoma of the temporomandibular joint.
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Biomedical subjects
Publications and source records attributed to R M Steckler.
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Encouraged by the success of outpatient thyroid surgery, we have performed outpatient parotidectomy in more than 56 selected patients during the past 5 years. As a result of the success of the procedure and the enthusiastic patient response, the proportion of parotid operations performed on an inpatient basis has declined in the latter part of the series. The indication for surgery in virtually all cases was a mass in the parotid gland. The surgical technique used for inpatient or outpatient parotidectomy was the same. If a diagnosis of carcinoma was made based on frozen section examination, definitive surgery was performed, and the patient was admitted to the hospital. Postoperative interviews were conducted with all patients who had outpatient parotid surgery. There was almost uniform patient satisfaction with the performance of the procedure on an outpatient basis. Outpatient parotid surgery permits more efficient use of hospital facilities and more effective use of the surgeon's time. Outpatient parotid surgery was found to be a safe, cost-effective procedure, convenient for both the patient and the surgeon in selected patients.
In a group of 48 highly selected patients, thyroid surgery was performed on an outpatient basis. It was found to be a safe, cost-effective procedure, convenient for both the patient and the surgeon. Economic factors, although definitely a consideration, were not the compelling reason to perform thyroidectomy in this manner.
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In early June 1884, seven years after leaving office as President of the United States, General Ulysses S. Grant was found to have carcinoma of the right tonsillar pillar. The General's physicians kept a detailed record of the course of their patient's disease. Speaking was quite painful for the patient, and his words and thoughts have been preserved on the scraps of paper on which he communicated to family, physicians, and friends. The diagnosis, symptomatic treatment, and inexorably progressive course of General Grant's mouth cancer taking place in an atmosphere of personal financial ruin are discussed in detail.
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We report a rare case of an intratracheal neurilemmoma which presented as advanced upper airway obstruction. The tumor was successfully excised by laryngofissure. A review of the world literature is provided.