Publications by authors named "R F Aarstad"
Article Synopsis
- A woman with multiple illnesses experienced persistent rhinorrhea despite using nasal corticosteroids following a fall and alcohol consumption, leading to hospitalization for observation and hydration.
- A physical exam in the clinic raised suspicion of cerebrospinal fluid (CSF) rhinorrhea, which was eventually confirmed through testing and imaging, revealing significant sinus issues.
- Treatment involved placing a lumbar drain, repairing the dural tear with a graft, and resulted in the resolution of symptoms, highlighting the importance of considering CSF leaks in rhinitis cases to prevent serious complications.
Objective: The most appropriate treatment of locally advanced carcinoma of the larynx remains to be ascertained. Management of T4 laryngeal cancer patients with postoperative radiotherapy after total laryngectomy is generally advocated and not often debated. However, the effects of this combined treatment approach are poorly documented.
View Article and Find Full Text PDFNine patients with recurrent cutaneous cancers of the midface were treated by definitive surgery (with adjuvant radiotherapy in five individuals). The clinical courses were marked by local and regional relapses in six cases. Although the prognosis may be generally poor, aggressive therapy, as feasible, seems warranted in these patients because death was not typically rapid after reappearance of disease in several patients.
View Article and Find Full Text PDFObjective: We sought to determine whether induction chemotherapy followed by concomitant chemoradiation (ICCR)-induced advanced neck disease regression could predict outcome, especially the need for complete neck dissection in patients with N2-3 stage IV head and neck cancer (HNC).
Methods: A retrospective study of 339 patients evaluated for treatment of stage IV HNC during the years 1988 to 1997 revealed 36 individuals with N2-3 cervical lymphadenopathy who were treated with ICCR. Responses to treatment, patterns of failure, and survival rates were analyzed.
Laryngeal evoked brainstem responses (LBRs) were recorded in normal human subjects in an attempt to develop a central laryngeal function test and enhance our understanding of neurolaryngologic disorders. The results showed that the human LBR consists of five positive peaks and five negative peaks reproducible within 10 ms after a vibratory stimulation to the superior laryngeal nerve (SLN). The waveform reproducibility was verified by blocking the SLN and topically anesthetizing the hypopharyngeal cavity.
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