Facial hemihypertrophy, first described by Beck in 1836, aroused some interest in the early part of this century among European and American clinicians. However, a search of the otolaryngologic literature failed to reveal hemihypertrophy of the head and neck area as a well-recognized entity. We recently encountered a case of ...

The origin of squamous papillae of the vulvar vestibule is controversial. Although some are considered as asymptomatic normal variants of pelvic anatomy, a review of 12 cases of vulvar squamous papillae in patients visiting the Infectious Diseases Clinic at UCLA reveals a distinctly symptomatic variety. A syndrome complex of premonitory ...

Intramuscular myxomas are extremely rare tumors in the neck. In reviewing the world literature, we found a total of five cases of intramuscular myxoma that occurred in the head and neck region. The purpose of this study is to report an unusual case of intramuscular myxomas that were found bilaterally ...

We found that fibreoptic bronchoscopy was a useful, simple, safe and accurate method in the diagnosis of inhalation injury, determining the type, the site and the extent of damage sustained. The most common mucosal damage was erythema and oedema of the supraglottic and glottic tissues, though in a few cases ...

This study examines the epidemiology of flame burn injuries in 173 patients treated in four regional burn centres. During this study, recurring and predictable burn accident scenarios were found identifying who was being burned, the circumstances surrounding the burn injury, the burn victim's response to the flame burn situation and ...

A 62-year-old man sustained a barium chloride burn after his jackhammer penetrated a pocket of molten barium chloride. He subsequently developed signs of systemic barium poisoning including bigeminy and hypokalemia. Treatment consisted of early thorough debridement and intravenous potassium supplementation. Serum barium levels were determined. In a review of the ...

Indications for tracheotomy in patients with respiratory burns have been unclear. Much of the literature is inconclusive or misleading. A thorough understanding of the pathogenesis, diagnosis, and therapy of inhalation injury is necessary to understand the role of tracheotomy. A critical review reveals relatively clearcut indications for the use of ...

A case report describing a complication following the use of the sitting position and an extreme flexed position of the neck is presented. The patient developed unilateral oedema of the face, tongue and soft tissues of the mouth. The trachea was reintubated and the oedema subsided without treatment. The cause ...

We have presented the management of a case of benign lipoblastomatosis in the face. Knowledge of this rare condition will enable the surgeon to make intelligent intraoperative decisions when confronted with similar findings.

An opportunity to assess the completeness of reporting to the Massachusetts Burn Registry arose when data on the incidence of inpatient burns in Massachusetts became available from an independent source, the New England Regional Burn Program. The assessment showed that the level of reporting to the registry was approximately 20 ...

Since opening of the Shriners Burns Institute, Cincinnati Unit, 501 operations for release of burn scar-related contractures of the axilla have been carried out with skin grafting. Six of these cases, 1.2%, resulted in intraoperative stretch injuries to the brachial plexus. In two cases, isolated axillary nerve involvement was encountered. ...

Fifty-four cases of Perthes' disease each suffering from total involvement of the femoral head were investigated to establish the relative merits of total weight relief and containment in management. It was found that using Catterall's criteria, once the femoral head is "at risk", containment is the only treatment of value; ...

Proper investigation of injury and death from electrocution requires a high level of suspicion, as examination of the victim will often prove negative. Careful photographic documentation of the scene must be done in every case. In low voltage cases, the equipment that may have been involved should be photographed, x-rayed, ...

Even though metal refineries require workers to wear safety boots, molten metal splash causes serious burns to the feet and ankles of these employees. Twenty cases are reported which illustrate the need for safety boot top protection. In analyzing these cases, it was found that these molten aluminum and brass ...

An extremely rare case of parasitic head protruding from the right side of the face is presented. It differs from all the other cases previously reported in the literature. The patient had a parasitic head with an abnormal brain, two eyebrows, two underdeveloped eyes, nose, mouth, 12 teeth, a tongue ...

The discovery in 1934 of the badly burned, pyjama clad body of a young woman protruding from a roadside culvert near Albury, N.S.W., led to one of the largest investigations in the history of Australian crime. Two simple errors, made by a local dentist with no previous experience in forensic ...

A fatal case of notoedric mange is described in an adult male bobcat, Felis rufus, from south Texas. This cat was extremely weak and emaciated. Skin lesions consisted of greatly thickened, gray encrustations and alopecia of the muzzle, eyes, crown, ears and parietal scalp extending down the neck to the ...

The thirteenth case of erythromelanosis follicularis o the face and neck is reported and attention is called to this entity. Characteristically, it affects males in adolescence or young adulthood. It begins symmetrically on the preauricular cheeks and imperceptibly spreads onto the temples and lateral aspects of the neck. It presents ...

Necrotizing fascitis of the head and neck is a rare condition with only 7 cases recorded in the literature. Two cases are presented in which there was massive necrosis of the soft tissues of the neck with extension into the mediastinum. The offending organisms were a mixed bacterial flora which ...

There were an estimated 656 cases of vaporizer-related injuries seen in hospital emergency departments in 1979. Two cases of burns with respiratory involvement are described. Both children were directly exposed to steam from commercial vaporizers and suffered cutaneous and respiratory burns. These cases emphasize the hazards of steam vaporizers, devices ...

The National Institute for Occupational Safety and Health and the Bureau of Epidemiology of the Center for Disease Control investigated episodes of red spots appearing on the skin of flight attendants during various Eastern Airlines flights in the first three months of 1980. Review of 132 cases reported during January ...

The incidence of fungal infections of burn wounds is increasing because of the dramatic improvement in antibacterial chemotherapy and burn wound care. Species of Fusarium, common soil fungi and plant pathogens, are rarely isolated from burn wounds, and invasive disease due to these organisms is also rare. Therefore, a case ...

Extracardiac rhabdomyomas are rare benign neoplasms that in the past have been divided by histologic criteria into adult and fetal types. In this series, 15 previously unpublished cases are presented and analyzed in combination with 51 acceptable cases from the literature. The adult type of rhabdomyoma occurs almost exclusively in ...

Fractures of the neck of femur under the age of 14 years are so rare that few surgeons have much experience with them. Hamilton (1961) predicted that an orthopaedic surgeon would see one case in a lifetime, Quinlan et al (1980) reviewing the literature from 1885 when the first case ...

Embryonal rhabdomyosarcoma is a rare condition that tends to occur in the head and neck in children. This disease carried a very poor prognosis until 10 years ago when a multidisciplinary approach (with surgery, therapy and multiple drug chemotherapy) was instituted. In this article a review of the literature on ...

Reference is made to five cases appearing as expansive lesions in the head and neck. In all cases angiography allowed a precise diagnosis of the nature and extent of the lesion. Biopsy which could have been hazardous was thus unnecessary. Moreover, therapeutic embolization in a case of juvenile nasopharyngeal angiofibroma ...

Eighty-six cases of caustic ingestion seen over a 10 year period at the Montreal Children's Hospital are presented in an analytical retrospective fashion. All the patients were hospitalized. Ingestion was more common in males than females. Sixty-two patients were less than four years of age. Thirty-five of the 86 cases ...

After leaving the neighborhood of Jupiter in December 1974, the Pioneer 11 spacecraft headed toward Saturn; it encountered Saturn on 1 September 1979. Its trajectory and general features are described in this report.

Heterotopic gastric epithelium in the head and neck area is a little-known entity, unsuspected by clinician and pathologist alike. We have reviewed the literature and discovered 14 cases of this entity. While previous reviews of the subject have, unfortunately, included reports of cases with heterotopic intestinal epithelium, our study addresses ...

Three cases of 'vertical' hydrocephalus are described, characterised by absence of the bones of the skull vault, progressive vertical soft-tissue growth of the head, and normal occipito-frontal head circumference. The management of the condition by ventriculo-peritoneal shunt is discussed, and a theory proposed as to the causation of this unusual ...

Mesenchymal chondrosarcoma, in both osseous and extra-skeletal forms, has a decided predilection for the head and neck region. The two cases presented in this report affirm this tendency and also illustrate the capricious biologic behavior of the neoplasms as manifested by the 30 additional cases recorded in the literature. Histopathologic ...

Two cases of elastic cartilage choristoma in the skin and subcutaneous tissues of the lower midline of the neck are reported.

A case of accidental shock to the head, caused by a cardiac defibrillator, is presented. The shock resulted in minor burns and symptoms similar to those of postelectro-convulsive shock therapy (ECT). A physician participating in an advanced life support course, and familiar with the equipment, was the victim. An assumption ...

Acne keloidalis is characterized by infected keloid-like nodules in the short-cut nuchal region probably caused by recurving, ingrowing hairshafts. A case with a deep, partial-thickness burn of the hair-bearing part of the face of a man is reported. After healing, the patient started shaving himself thus inducing a severe state ...

For 55 years much has been written about a peculiar benign intravascular process which can be misdiagnosed as angiosarcoma unless careful attention is paid by the pathologist to its benign cellular morphology and growth pattern. The cases reported in the literature demonstrate an increased incidence in the extremities and the ...

We present a case report of a patient with toxic epidermal necrolysis (TEN), associated with therapy with trimethoprin and sulfamethoxazole. Because of the similarity of TEN to an extensive partial-thickness burn, and the favorable response to the treatment used in burns, surgeons who treat burns should be familiar withe disease ...

The diagnosis of cervicofacial actinomycosis is usually not simple, but may be essential for adequate treatment. Cases seen in a Head and Neck Service illustrate some of the many guises under which actinomycosis may be concealed, and a review of recent literature confirms its propensity to be a masquerader. A ...

Fantasies concerning an amputated limb can contribute to the occurrence of persistent phantom limb pain. We report a case in which burning pain perceived as located in the amputated lower extremities was related to the patient's feelings about incineration of the removed limbs against her wishes. Hypnotherapy involving elucidation of ...

Fractures of the radial head and neck occur frequently. Although reports in the literature advocate both operative and nonoperative modes of treatment, the trend is toward the nonoperative approach. In many instances this yields results that are comparable, if not superior, to those obtained by surgical intervention-as in the 62-year-old ...

Upon ingestion of lye and its compounds severe corrosive lesions may develop not only in the oesophagus but also of the stomach. These are frequently not recognized until life-threatening complications have set in. Two case histories are reported to point to the need for early endoscopic examinations. Brown-black discoloration of ...

Hexachlorophene (HCP), a chlorinated phenolic hydrocarbon with bacteriostatic properties against Staphylococcus, is used in a number of topical products. Absorption through normal and damaged human skin has been appreciated and neurologic changes have been described in experimental animals, but instances of human toxicity have been reported infrequently. A 10-year-old boy ...

Whereas lymphangiomas of the neck, axilla, or mediastinum are not uncommon in children, they are rarely found in the adult, and primary lymphangioma of bone is very rare. The authors report a case of multiple lymphangiomas of the neck, axilla, mediastinum, and bones in a 34-year-old man, which they believe ...

We present 14 free flap transfers, 9 of which were completely successful (74 percent), two of which were partial successes (14 percent), and 3 of which were failures (22 percent). All the 5 cases involving free flaps to the head and neck region were successful. In the 9 cases involving ...

The types of injury which occur as a result of the civil disturbances in the north of Ireland are described. Four cases of gunshot wounds to the head and neck are described, each of particular clinical interest. The recent literature on the subject is reviewed and the consensus of opinion ...

Twelve thermally injured patients were admitted to the burn ward of the University of Cincinnati Medical Center from penal institutions in the past six years. Six case histories were reviewed. The mortality rate was 66% and there were some with pulmonary complications. The problem of fires and burns in locked ...

A case of profound hypochloremic alkalosis with hypopotassemia is reported, showing electrocardiographic changes of electrical alternans of the repolarization wave (probably the U wave) without any change in the QRS complex. Transient concomitant P-pulmonale was noted. Hypopotassemia is discussed as a possible mechanism for the development of the electrical alternans.

Hypernephroma is one of the most common visceral adenocarcinomas which metastasize to the head and neck. The metastasis may precede discovery of the primary or follow it. The most common sites of metastatic hypernephroma to the head and neck are the sinonasal tract, skin, cervical lymphatics, and mandible. Three cases ...

A case of Curling's ulceration of the duodenum in a child with 50 per cent burns, requiring operative arrest of the bleeding, is reported, and this condition is reviewed. Inquiry among the surgical units treating burns in Great Britian showed that only 18 cases of alimentary bleeding had been seen ...

In a recent review of 100 cases of dental identification, 60 were involved with fire. This figure excluded 3 air crashes in which 120 victims died, and in which fire was of a minimal consideration. This preponderance of burn cases prompted some observations and some queries, relative to fire, their ...

This report calls attention to a bizarre, almost pathognomonic, cutaneous feature of lightning injury. It has been variously described as "lightning prints," "arborescent" burns, or "feathering," and has long been neglected in the dermatologic literature. Its recognition may be lifesaving in the unaccompanied comatose patient and is important because even ...