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Biomedical subjects

S Arena

Publications and source records attributed to S Arena.

12 recordsLinked to original sources

[Intraoperative calibration of the Vater's papilla using Fogarty's biliary catheter].

The study included 20 patients affected by cholelithiasis and choledocholithiasis. Al patients underwent cholecystectomy; after choledochotomy, choledochal stones were removed using a Fogarty's biliary catheter (no. 5) and, subsequently, the papilla was calibrated by inserting the end balloon of the catheter, which and been filled with 0.3 cc of water, beyond the level of the papilla itself. The catheter was then withdrawn. No T-tubes were left in the common bile duct in any patient, no post-operative complications were observed and all patients were dismissed within seven days.

Ampulla of Vater

Palatal island flap for reconstruction of oral defects.

This communication describes the technique of the palatal island flap and its usefulness in intraoral reconstruction, with a modification for increasing its extension by means of the palatine foramen free-up procedure. The other modalities, with their attendent advantages and disadvantages for intra-oral reconstruction, are briefly reviewed.

Carcinoma

Remarkably large, benign esophageal tumor. Difficulties in diagnosis.

A patient with a leiomyoma of the esophagus is reported because it reached extraordinary size before becoming symptomatic and caused some difficulty in diagnosis despite its large size. Diagnosis was made with the fiberoptic esophagoscope after standard roentgenograms and rigid esophagoscopy were inconclusive. The tumor was removed through a cervical incision. Attention is called to the potential fatal outcome of these lesions.

Esophageal Neoplasms

The posterior scalping flap.

The posterior scalping flap is described. Hopefully, it brings another alternate method of facial reconstruction and obviates some of the problems previously existing. It is capable of resurfacing any part or the whole of the hemiface or forehead. It offers an excellent method for facila resurfacing. Further refinements and sophistications are necessary.

Dermatologic Surgical Procedures

Neurilemomas of the infratemporal space: report of a case and review of the literature.

We describe a case of a trigeminal neurilemoma in an adolescent girl. It primarily involved the infratemporal space and extended into the middle cranial fossa, and began with only ocular symptoms. The surgical management is emphasized, illustrating the approach to the infratemporal fossa through a wide osteotomy of the coronoid process of the mandible without the need for mandibular split.

Adolescent

Pain control in recurrent head and neck cancer. Retrolabyrinthine section of the fifth and ninth cranial nerves.

The present-day otolaryngologist who is amply trained in the area of head and neck cancer surgery has the additional otologic surgical skills that can be applied to the control of head and neck cancer pain, utilizing the retrolabyrinthine route to the preganglionic pain fibers. Patients who can benefit from this surgical procedure have pain in the distribution of the fifth, seventh, ninth, and tenth cranial nerves that requires administration of narcotics for control. The complications of meningitis, bleeding, facial paralysis, and hearing loss are possible and must be appropriately treated, if present.

Aged

Incisions.

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Blood Vessels

Free tissue transfer in head and neck reconstruction.

With continuing advances in microsurgery, the importance of free flap transfers in reconstruction has increased in every branch of surgery. Several free flaps (both simple and compound) will be described. The transfer of a bulk of tissue by microvascular tissue transfer is a reliable and proven method of reconstruction. The objective for microvascular surgery is to develop techniques of tissue transfer that restore function and improve appearance. There is no greater challenge than reconstructive surgery of the head and neck.

Adult