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S L PERZIK

Publications and source records attributed to S L PERZIK.

At least 19 recordsLinked to original sources
PubMed1958

Parotid sialography; roentgenologico-surgical correlation in a series of 70 cases.

A study was made of the correlation of sialographic, clinical and surgical observations in a series of 70 cases. Sialography is a useful tool in the differentiation between extrinsic and intrinsic space-occupying masses in the parotid region. It permits differentiation between inflammatory lesions and neoplasms, thus eliminating needless surgical explorations. It alerts the surgeon to masses involving the deep lobe. It can be easily performed and causes little discomfort. Bearing in mind its limitations, sialography is an important diagnostic and preoperative aid in the management of parotid lesions.

Humans↗
PubMed1957

End results in parotid tumors.

Management of parotid tumors can be based on a clinical classification of these lesions as being either "encapsulated" or infiltrating. The Warthin tumor (papillary cystadenolymphomatosum) is a benign encapsulated tumor, often occurring multicentrically or bilaterally especially in the lower pole area of the parotid. It is characterized clinically by its softness and fluctuation in size and a high incidence in elderly men. The so-called "capsule" of well demarcated mixed and mucoepidermoid tumors is represented by a condensation of host fibrous stroma, in the interstices of which tumor cells may be present. The "encapsulated" tumors should be excised with a "shell" of uninvolved parotid tissue. To do this safely, the facial nerve should first be isolated. Total parotidectomy is necessary only if the size of the tumor, the multiplicity of recurrences, or the infiltrating nature of the tumor are such that complete eradication of the primary site must be done. Radical neck dissection is never performed electively except in the small group of nonencapsulated infiltrating primary lesions. In a series of cases of previously untreated parotid tumors treated by the method outlined, the local parotid recurrence rate was less than 1 per cent.

Adenolymphoma↗
PubMed1956

Parotid tumor operations; the case against enucleation.

So-called mixed "encapsulated" parotid tumors are best managed by surgical procedures which avoid contact with the "capsule." Enucleation is often a hazardous and incomplete procedure. Subtotal or total parotidectomy with exposure of the facial nerve to avert accidental damage to it is the treatment of choice. Microscopic study of the periphery of such tumors reveals that the "capsule" does not fully encapsulate; hence, enucleation and lesser procedures may leave neoplastic tissue behind.Surgical procedures to achieve complete excision without endangering the facial nerve were carried out in 123 cases. There was local recurrence in one case.

Adenoma, Pleomorphic↗
PubMed1953

One-stage bilateral radical neck dissection; indications and technique.

Simultaneous bilateral radical neck dissection is an operation entailing acceptable risk if used in propertly selected cases. The procedure is indicated for patients with bilateral cervical lymph node metastases so situated that a two-stage radical neck dissection could not be done without cutting through cancer tissue. Such patients are those with intraoral or cervical visceral midline primary lesions or those in whom, either by direct extension or lymph node involvement, the submental and submaxillary triangles are solidly permeated with cancer. The operation is indicated only for cure; for prophylaxis or palliation, lesser or staged procedures would be more productive of better results with less morbidity and mortality.

Humans↗