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Cervical teratoma in children
ABSTRACTS
436
INTEGUMENT AND CONNECTIVE TISSUE
Short-Term Intubation in Children with Acute Epiglottitis.
Fluid Supply to Burned Children During the Period of Shock.
R. L. Schultz and IV. V. Morrison. So Med J 75:158-160, (February), 1982.
1. Novitk, R. Ki~nigov[~, and F. Dorhg~k. Acta Chir Plast 23:189-196, (March), 1981. In 1979, 52 severely burned children aged between 1.9 and 13.6 yr were treated at the Burn Unit of Department of Plastic Surgery, Prague. Monitoring started as soon as four hrs after injury. Based on their experience and taking into consideration pathophysiology of the condition in relation to specific physiology of childhood, the authors propose a new formula for calculation of the amount of fluids for the first 24 hr after injury. The formula is as follows: 75 x body-surface in m 2 x burned area in % + 1500-1800 x body surface in m. 2 Sodium has a decisive role for the maintenance of volume and osmotic balance and for the preservation of a sufficient effectively circulating volume of blood. Colloids are not decisive for burn shock treatment, they are only suppliers of immunoglobulins provided they are offered in the form of frozen plasma. Published in English.--E. PekaroviL Escharotomy with Special Reference to a Planned Approach to Escharotomy in Burned Hands in Children.
J. R. Soloman, G. R. Barnell, E. J. Keogh. Prog Pediatr Surg 14:123, 1981. Escharotomy markedly improves the salvage rate of involved phalanges and has an important place in the early surgical management of circumferential full thickness burns. This is particularly important in the upper limbs and a planned, 6 step, approach is described in detail.--L. Rangecroft
HEAD AND NECK Split Skin Grafts from the Scalp. J. KlOtir, J. P. Poehon.
Prog Pediatr Surg 14:111, 1981. The technique for taking split skin grafts from the scalp is described and the results of donor site healing assessed. 57 grafts were taken from 31 patients available for follow-up. Healing was good with only one severe infection and one hypertrophic scar. Five small bald areas were produced which decreased in size over one year and generally regrowth of hair was good. Patient and parent acceptance of the procedure were high.--L. Rangecroft Juvenile Nasopharyngeal Angioflbroma. R. B. Sessions,
D. P. Zarin, R. H. Bryan. Am J Dis Child 135:535-537, (June), 1981. Juvenile nasopharyngeal angiofibroma is a benign but dangerous tumor because of its exclusive affinity for male children, its consistent location in the posterior nares nasopharyngeal area, and its tendency to invade the base of the skull. Eighteen cases ranging in age from 8 to 11 yr were successfully treated between the years 1970 and 1979. Surgical excision and radiotherapy, either alone or in combination, have been effective in treating all eighteen patients. Because the smaller lesions are considerably more manageable, any boy who presents with persistent epistaxis, or nasal obstruction should undergo careful nasopharyngeal examination to rule out this lesion.--,/, or. Tepas
The authors report a retrospective review of 26 children with an average age of 3 years treated for acute epiglottitis from 1971 to 1979. Included in this series are 16 consecutive patients who were treated by endotracheal intubation and simultaneous medical therapy. The use of general anesthesia in the operating room with both anesthesiologist and otolaryngologist present is advised. Fifteen of the 16 patients were extubated safely in less than 48 hr, significantly decreasing the possibility for complications.--George Holcomb, Jr. in Children. S. Watanattinon, H. B. Otlersen, Jr., and M. D. Hughson. Prog Pediatr Surg 14:225, 1981.
Cervical T e r a t o m a
Two cases of cervical teratoma in newborns are reported. One case had "metastatic" neural tissue in cervical lymph nodes but histologically and clinically the tumor appeared benign. 149 cases from the literature are reviewed. Seventy percent contained neural tissue and 16% gave a history of maternal polyhydramnios suggesting interference with fetal swallowing. Respiratory obstruction is likely with large tumors and early excision is recommended. Malignancy is known to occur in adults but has not been proven in the newborn period.--L. Rangeeroft Radioiodine Total Body Scan Versus Serum Thyroglobulin Levels in Follow-up of Patients with Thyroid Cancer. T. A.
Colacchio, P. LoGerfo, D. A. Colacchio, et al. Surgery: 91:42~,5, (January), 1982. Two groups of patients were studied to compare the efficacy of serum thyroglobulin (Tg) levels to 1131 total body scans in follow-up of patients with thyroid carcinoma. All of the group of 30 patients without recurrence had undetectable Tg levels both on and off thyroid hormone replacement and all had negative total body scan results. In a second group of 37 patients with documented recurrent or metastatic disease, 34 (92%) had positive serum Tg levels and 31 (84%) had positive total body scan results. The false negative results were not overlapping. In 5 patients, serum Tg levels were undetectable until thyroid replacement had been withdrawn. The authors feel that both total body scan and serum Tg determination should be performed in the follow-up of patients with thyroid carcinoma and these tests should be performed after withdrawal of thyroid replacement. If the first postoperative scan and Tg level are negative, then perhaps these patients can be followed periodically with Tg levels alone. This study further verifies the efficacy of follow-up Tg levels in determining recurrence of thyroid carcinoma.--Eugene S. Wiener
THORAX Results of Operative Correction of Pigeon and Funnel Chest Following a Modified Procedure of Ravltch and Hailer. W.
Ch. Hecker, G. Procher, H. G. Dietz. Z Kinderchir. 34:220227, (March), 1981. Starting with a short description of their operative procedure, a modification of the technique described by Ravitch
436
INTEGUMENT AND CONNECTIVE TISSUE
Short-Term Intubation in Children with Acute Epiglottitis.
Fluid Supply to Burned Children During the Period of Shock.
R. L. Schultz and IV. V. Morrison. So Med J 75:158-160, (February), 1982.
1. Novitk, R. Ki~nigov[~, and F. Dorhg~k. Acta Chir Plast 23:189-196, (March), 1981. In 1979, 52 severely burned children aged between 1.9 and 13.6 yr were treated at the Burn Unit of Department of Plastic Surgery, Prague. Monitoring started as soon as four hrs after injury. Based on their experience and taking into consideration pathophysiology of the condition in relation to specific physiology of childhood, the authors propose a new formula for calculation of the amount of fluids for the first 24 hr after injury. The formula is as follows: 75 x body-surface in m 2 x burned area in % + 1500-1800 x body surface in m. 2 Sodium has a decisive role for the maintenance of volume and osmotic balance and for the preservation of a sufficient effectively circulating volume of blood. Colloids are not decisive for burn shock treatment, they are only suppliers of immunoglobulins provided they are offered in the form of frozen plasma. Published in English.--E. PekaroviL Escharotomy with Special Reference to a Planned Approach to Escharotomy in Burned Hands in Children.
J. R. Soloman, G. R. Barnell, E. J. Keogh. Prog Pediatr Surg 14:123, 1981. Escharotomy markedly improves the salvage rate of involved phalanges and has an important place in the early surgical management of circumferential full thickness burns. This is particularly important in the upper limbs and a planned, 6 step, approach is described in detail.--L. Rangecroft
HEAD AND NECK Split Skin Grafts from the Scalp. J. KlOtir, J. P. Poehon.
Prog Pediatr Surg 14:111, 1981. The technique for taking split skin grafts from the scalp is described and the results of donor site healing assessed. 57 grafts were taken from 31 patients available for follow-up. Healing was good with only one severe infection and one hypertrophic scar. Five small bald areas were produced which decreased in size over one year and generally regrowth of hair was good. Patient and parent acceptance of the procedure were high.--L. Rangecroft Juvenile Nasopharyngeal Angioflbroma. R. B. Sessions,
D. P. Zarin, R. H. Bryan. Am J Dis Child 135:535-537, (June), 1981. Juvenile nasopharyngeal angiofibroma is a benign but dangerous tumor because of its exclusive affinity for male children, its consistent location in the posterior nares nasopharyngeal area, and its tendency to invade the base of the skull. Eighteen cases ranging in age from 8 to 11 yr were successfully treated between the years 1970 and 1979. Surgical excision and radiotherapy, either alone or in combination, have been effective in treating all eighteen patients. Because the smaller lesions are considerably more manageable, any boy who presents with persistent epistaxis, or nasal obstruction should undergo careful nasopharyngeal examination to rule out this lesion.--,/, or. Tepas
The authors report a retrospective review of 26 children with an average age of 3 years treated for acute epiglottitis from 1971 to 1979. Included in this series are 16 consecutive patients who were treated by endotracheal intubation and simultaneous medical therapy. The use of general anesthesia in the operating room with both anesthesiologist and otolaryngologist present is advised. Fifteen of the 16 patients were extubated safely in less than 48 hr, significantly decreasing the possibility for complications.--George Holcomb, Jr. in Children. S. Watanattinon, H. B. Otlersen, Jr., and M. D. Hughson. Prog Pediatr Surg 14:225, 1981.
Cervical T e r a t o m a
Two cases of cervical teratoma in newborns are reported. One case had "metastatic" neural tissue in cervical lymph nodes but histologically and clinically the tumor appeared benign. 149 cases from the literature are reviewed. Seventy percent contained neural tissue and 16% gave a history of maternal polyhydramnios suggesting interference with fetal swallowing. Respiratory obstruction is likely with large tumors and early excision is recommended. Malignancy is known to occur in adults but has not been proven in the newborn period.--L. Rangeeroft Radioiodine Total Body Scan Versus Serum Thyroglobulin Levels in Follow-up of Patients with Thyroid Cancer. T. A.
Colacchio, P. LoGerfo, D. A. Colacchio, et al. Surgery: 91:42~,5, (January), 1982. Two groups of patients were studied to compare the efficacy of serum thyroglobulin (Tg) levels to 1131 total body scans in follow-up of patients with thyroid carcinoma. All of the group of 30 patients without recurrence had undetectable Tg levels both on and off thyroid hormone replacement and all had negative total body scan results. In a second group of 37 patients with documented recurrent or metastatic disease, 34 (92%) had positive serum Tg levels and 31 (84%) had positive total body scan results. The false negative results were not overlapping. In 5 patients, serum Tg levels were undetectable until thyroid replacement had been withdrawn. The authors feel that both total body scan and serum Tg determination should be performed in the follow-up of patients with thyroid carcinoma and these tests should be performed after withdrawal of thyroid replacement. If the first postoperative scan and Tg level are negative, then perhaps these patients can be followed periodically with Tg levels alone. This study further verifies the efficacy of follow-up Tg levels in determining recurrence of thyroid carcinoma.--Eugene S. Wiener
THORAX Results of Operative Correction of Pigeon and Funnel Chest Following a Modified Procedure of Ravltch and Hailer. W.
Ch. Hecker, G. Procher, H. G. Dietz. Z Kinderchir. 34:220227, (March), 1981. Starting with a short description of their operative procedure, a modification of the technique described by Ravitch