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Chronic granulomata of the upper air passages
P 152
Otolaryngology Head and Neck Surgery May 1995
instruction Courses-- Tuesday
4. Neck masses are very common in patients with HIV infection; when to watch, when to needle aspirate, mad when to biopsy will be discussed based on patients' history and signs and symptoms. After attending this course participants will be able to recognize early signs of HIV infection manifesting in the head and neck in previously undiagnosed patients and initiate appropriate treatment.
COURSE 3818-1 One-period course ($20)
Room NOCC-80 4:15-5:15
Diagnosis and Treatment of Pediatric Cervicofacial Masses DAVID E. TUNKEL,MD, and STEVEN KELLY,MD Baltimore, Md.
Educational objectives: To understand differential diagnosis of head and neck masses in young children, to employ cost and time-efficient evaluation, and to understand medical and surgical therapies of congenital and inflammatory neck masses in children.
The causes of pediatric cervicofacial masses include chronic and acute inflammatory conditions, congenital abnormalities, and benign and malignant neoplasms. The diagnostic evaluation of head and neck masses in young children includes trials of antimicrobial therapy, imaging with CT and MRI scans, and excisional or incisional biopsy. We have used fine-needle aspiration biopsy (FNAB) for cytology and Culture as an early step in the evaluation of these masses in children. A full discussion of the differential diagnosis of cervicofacial masses in young children will be presented. Emphasis on history and examination to determine the most prudent or efficient steps to eventual diagnosis and treatment will be detailed. Particular emphasis will be placed on surgical treatment of branchial cleft and thyroglossal duct cysts. Patient presentations of postsurgical recurrences will be used to outline variations in techniques to reduce complications or recurrences. The use of fine-needle aspiration of young children in the outpatient setting will be detailed. The utility and limitations of this technique will be fully described. Treatment of childhood mycobacterial adenitis will be addressed, with full descriptions of techniques of surgical excision and curettage. Use of FNAB for early diagnosis of this condition is also addressed.
COURSE 3821 - I One-period course ($20)
Room NOCC-83 4:15-5:15
Chronic Granulomata of the Upper Air Passages MOSTAFA SHEHATA,MD Alexandria, Egypt
This group of chronic, specific inflammatory diseases of the nose, pharynx, larynx, and trachea include scleroma, tuberculosis syphilis, leprosy, lupus vulgaris, and fungus infection, in addition to some other rare diseases. In tropical, subtropical, and some temperate zones, these conditions are occasionally met with and form medical and social problems to many countries. The clinical picture of such diseases is similar and makes it very difficult to differentiate between them clinically, and hence histopathological, radiological, serological, and other investigations are essential for the correct diagnosis. The treatment is mostly medical and is generally effective, but some cases are resistant to complete cure and the rate of recurrence is still high.
COURSE 3822-1 One-period course ($20)
Room NOCC-84 4:15-5:15
Pharyngoesophogeal Reconstruction RICHARD E. HAYDEN, MD, and DAVID W. STEPNICK,MD Philadelphia, Pa,, a n d Moreland Hills, Ohio
Educational objectives: To assess the relative merits of each current reconstructive technique and to offer the optimal reconstructive option for each patient.
The defect created by total laryngopharyngectomy is one of the most challenging for the reconstructive head and neck surgeon. This course provides a detailed review of the current surgical techniques available for this repair and objectively compares their relative merits. Local cervical skin flaps, deltopectoral flaps, pedicled myocutaneous flaps, visceral transfer including stomach pull-up, colon interposition, and free jejunal transfer are described. The use of free fasciocutaneous flaps such as the lateral thigh flap transferred by microvascular technique is described in detail. The parameters for proper flap selection are discussed.
Otolaryngology Head and Neck Surgery May 1995
instruction Courses-- Tuesday
4. Neck masses are very common in patients with HIV infection; when to watch, when to needle aspirate, mad when to biopsy will be discussed based on patients' history and signs and symptoms. After attending this course participants will be able to recognize early signs of HIV infection manifesting in the head and neck in previously undiagnosed patients and initiate appropriate treatment.
COURSE 3818-1 One-period course ($20)
Room NOCC-80 4:15-5:15
Diagnosis and Treatment of Pediatric Cervicofacial Masses DAVID E. TUNKEL,MD, and STEVEN KELLY,MD Baltimore, Md.
Educational objectives: To understand differential diagnosis of head and neck masses in young children, to employ cost and time-efficient evaluation, and to understand medical and surgical therapies of congenital and inflammatory neck masses in children.
The causes of pediatric cervicofacial masses include chronic and acute inflammatory conditions, congenital abnormalities, and benign and malignant neoplasms. The diagnostic evaluation of head and neck masses in young children includes trials of antimicrobial therapy, imaging with CT and MRI scans, and excisional or incisional biopsy. We have used fine-needle aspiration biopsy (FNAB) for cytology and Culture as an early step in the evaluation of these masses in children. A full discussion of the differential diagnosis of cervicofacial masses in young children will be presented. Emphasis on history and examination to determine the most prudent or efficient steps to eventual diagnosis and treatment will be detailed. Particular emphasis will be placed on surgical treatment of branchial cleft and thyroglossal duct cysts. Patient presentations of postsurgical recurrences will be used to outline variations in techniques to reduce complications or recurrences. The use of fine-needle aspiration of young children in the outpatient setting will be detailed. The utility and limitations of this technique will be fully described. Treatment of childhood mycobacterial adenitis will be addressed, with full descriptions of techniques of surgical excision and curettage. Use of FNAB for early diagnosis of this condition is also addressed.
COURSE 3821 - I One-period course ($20)
Room NOCC-83 4:15-5:15
Chronic Granulomata of the Upper Air Passages MOSTAFA SHEHATA,MD Alexandria, Egypt
This group of chronic, specific inflammatory diseases of the nose, pharynx, larynx, and trachea include scleroma, tuberculosis syphilis, leprosy, lupus vulgaris, and fungus infection, in addition to some other rare diseases. In tropical, subtropical, and some temperate zones, these conditions are occasionally met with and form medical and social problems to many countries. The clinical picture of such diseases is similar and makes it very difficult to differentiate between them clinically, and hence histopathological, radiological, serological, and other investigations are essential for the correct diagnosis. The treatment is mostly medical and is generally effective, but some cases are resistant to complete cure and the rate of recurrence is still high.
COURSE 3822-1 One-period course ($20)
Room NOCC-84 4:15-5:15
Pharyngoesophogeal Reconstruction RICHARD E. HAYDEN, MD, and DAVID W. STEPNICK,MD Philadelphia, Pa,, a n d Moreland Hills, Ohio
Educational objectives: To assess the relative merits of each current reconstructive technique and to offer the optimal reconstructive option for each patient.
The defect created by total laryngopharyngectomy is one of the most challenging for the reconstructive head and neck surgeon. This course provides a detailed review of the current surgical techniques available for this repair and objectively compares their relative merits. Local cervical skin flaps, deltopectoral flaps, pedicled myocutaneous flaps, visceral transfer including stomach pull-up, colon interposition, and free jejunal transfer are described. The use of free fasciocutaneous flaps such as the lateral thigh flap transferred by microvascular technique is described in detail. The parameters for proper flap selection are discussed.