Advanced carcinoma of the tongue. Management by total glossectomy without laryngectomy.

A major goal of any surgical program for patients with tumors is to cure their cancer. Patients requiring total glossectomy usually are seen initially with far-advanced disease, often after failure of other treatment modalities. As a result, they may be suffering from constant pain as well impairment of speech and deglutition.

Facial paralysis in children: differential diagnosis.

The differential diagnosis in 170 patients between birth and 18 years of age is reviewed. There are a number of obvious physical findings and historical features that allow one to make a diagnosis rather quickly. Pain, vesicles, a red pinna, vertigo, and sensorineural hearing loss suggest herpes zoster oticus.

Complications of angiography in children and means of prevention.

In 267 consecutive angiographic examinations in children 14 thromboembolic complications occurred: following surgical exposure 8 complications in 14 cases and 6 complications in 253 percutaneous angiographies. The origin of thrombus during angiography has recently been clarified. Technical advances such as thin walled catheters, systemic heparinization and lately heparinized catheters decreased the complication rate significantly, no complication occurred among the last 153 examinations.