Biomedical subjects
Publications and source records attributed to T H McElroy.
The use of Silastic Medical Adhesive Type A in the fabrication of facial prostheses may cause health hazards to the patient and the operator because of acetic acid emissions. Caution must be exercised to remove acetic acid vapors from the air and unliberated acetic acid from material applied directly to the skin.
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Because of the various factors associated with the disease process and its treatment, the patient receiving chemotherapy for cancer is highly susceptible to infection, and infection accounts for approximately 70% of patient fatalities. When potential sources of infection are considered in the patient receiving chemotherapy for cancer, the mouth provides ideal conditions for microbial growth, particularly in the debilitated patient, and is a portal of entry for contamination of the lungs, the digestive tract, and the circulatory system. These patients are more susceptible to oral infection because of alteration of oral flora toward greater pathogenicity and impairment of host-defense mechanisms. Oral/dental management of the patient receiving chemotherapy for cancer will enhance the general health and comfort of the patient and will prevent or reduce oral complications including mucositis and local and systemic infection.
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Voice rehabilitation practices among head and neck surgeons were surveyed to determine the proportional contribution of various methods of speech support and the impact of recent developments in this field. Of the 400 head and neck surgeons contacted, 212 (53%) responded and 196 provided data. Noninvasive methods of speech support continue to predominate in this country. Esophageal speech is used by all surgeons in some of their patients. The introduction of tracheoesophageal puncture techniques for prosthetic placement has added a new dimension to speech rehabilitation and is used almost 30% of the time by those who use it (88% of surgeons surveyed). The proportional use of the most common methods of speech support is almost identical between head and neck surgeons of a general surgical background and otolaryngologists. The incidence of total failures to achieve voice rehabilitation is less than 10%.
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