Biomedical subjects
Publications and source records attributed to Y B Leitner.
Maxillary sinusitis resulting from nasotracheal intubation is rare, occurring in approximately 2% of patients receiving ventilatory assistance. We have described two examples of this situation. In one case, the sinusitis caused bacteremia. The diagnosis can be made easily by a portable Water's view of the paranasal sinuses. Clinicians should be aware of this potentially serious complication in intubated patients.
The traditionally poor prognosis of squamous cell carcinoma of the posterior pharyngeal wall is examined. The significance of lymph nodal metastasis, and particularly retropharyngeal lymph node involvement, is discussed. The authors' experience with five patients treated with combination therapy including excision of the primary neoplasm through an extended posterolateral pharyngectomy approach and postoperative radiation therapy suggests that T2 and T3 lesions may thus be controlled. They emphasize the use of a multidisciplinary approach to treatment of carcinomas of the head and neck.