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T M Kidder

Publications and source records attributed to T M Kidder.

6 recordsLinked to original sources
PubMed1992

Manometric characteristics of cervical dysphagia in a patient with the Kearns-Sayre syndrome.

The manometric findings of deglutitive pharyngoesophageal function in a patient with the Kearns-Sayre syndrome and cervical dysphagia are described. These findings indicate that striated muscles of the pharynx, upper esophageal sphincter (UES), and proximal esophagus are involved. Near absence of pharyngeal peristalsis, abnormally low UES resting pressure, and absence of proximal esophageal peristalsis characterize the manometric findings in this patient. It is conceivable that in mild cases, a combination of various degrees of severity of the above findings may exist.

Adult↗
PubMed1992

Epithelioid hemangioendothelioma of the orbital bones.

PURPOSE: The authors report a case of an epithelioid hemangioendothelioma arising in the orbital bones. A review of the literature related to this rare orbital neoplasm identified eight well-documented cases, one of which occurred in a patient younger than that reported here, but none of which originated in bone. METHODS: A 3 1/2-month-old boy had a left inferior orbital mass that had grown rapidly over a 3-day period. An emergency computed tomography scan showed a large neoplasm with significant bone destruction of the zygoma and maxilla. Initial examination suggested a rhabdomyosarcoma, and a transconjunctival biopsy was performed, which was complicated by significant blood loss. The final pathologic diagnosis was an epithelioid hemangioendothelioma, or grade 2 hemangioendothelioma, of bone origin. No other sites of disease were found on metastatic survey. Subsequent treatment consisted of an en bloc tumor resection sparing the orbital soft tissues and globe. RESULTS: The patient is free of disease and has normal visual fixation and ocular motility 20 months after surgery. CONCLUSION: Epithelioid hemangioendothelioma, a vascular malignancy of endothelial cell origin, very rarely involves the orbit. This case is notable for its early development, rapid growth, bony origin, and epithelioid histology.

Biopsy↗
PubMed1992

Tracheoesophageal complications of thyroid disease.

Fine needle aspiration (FNA) biopsy in thyroid diagnosis has significantly reduced the need for diagnostic thyroidectomy. The relative proportion of therapeutic thyroid surgery is therefore increasing and, since a significant number of therapeutic procedures are indicated to alleviate tracheoesophageal complications, surgeons are likely to be confronted with an increasing percentage of potentially challenging cases in the face of declining thyroidectomy caseloads. All thyroidectomies done at the authors' institution from 1987 through 1990 were studied in order to assess the potential impact of FNA on thyroid surgery and to specifically analyze the management of those cases accompanied by tracheoesophageal complications. It is concluded that 18% of the 87 thyroidectomies in this series could possibly have been avoided had FNA been obtained routinely. The clinical manifestations and surgical management of those cases associated with tracheoesophageal complications are presented. General therapeutic strategies for such cases are also summarized.

Biopsy, Needle↗
PubMed1989

The expert witness.

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Expert Testimony↗