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Lipoma of the tongue
404
Abstrncts
mad Reviews
In addition to the special considerations given to injuries in the maxillofacial region, the author discusses the pathology of war wounds in general. The factor det,ermining tho extent of tissue damage is the distribution of force carried by the missile. In ot,her words, when the wound of entry is small, there is greater probability of increased damage to the deeper structures than when the wound of entry is extensive. The immediate complications of all war wounds are hcmmorhage, shock, and edema with infection. Of chief concern is infection, and all war wounds are so regarded. Certain important factors are presented which determine the maximal time any wound may await surgical intervention. Among these are the nature and locat,ion of t,he wound, the presence or absence of foreign bodies, and the type of contaminating micro-organisms. 8. J. Kresho@er.
Major Trigeminal Neuralgia: By E’rancis C. Grant, Weekly Roster and Medical Digest 36: 1062, April 12, 1941. The upper or lower lip, the tongue, the ala of the nose, the cheek, or the forehead are sites of intense paroxysmal pain which is always unilateral. Trigger zones are located in the skin area supplied by one of the three branches of the trigeminal nerve. Washing the face, shaving, eating, drinking, or talking may be responsible for a sudden burst of pain, and this pain map disappear as quickly as it starts. After the age of 50 years the pain is more frequent, and it may affect both sexes alike. The pain should be differentiated from that which may result from disease affecting the teeth, or the sinus, and from migraine. Trentntent.-The injection of alcohol, the use of vit,amin B, or surgery is suggested. A successful alcohol injection will relieve pain from twelve to eighteen months and is considered an essential preliminary t,rcatment to operations upon the sensory root. In surgical treatment, section of the sensory root is done behind the gasserian ganglion, either through the middle fossa or through the posterior fossa. At the University Hospital 1,060 cases have been operated upon through the subt,emporal approach, and this treatment has been found to be very successful, with the low mortality rate of 1.71 per cent, in spite of the fact that 80 per cent of the patients were 60 years of age or older. It is stated that permanent cure is possible through surgery with very slight risk. T. J. Cook.
Lipoma of the Tongue : By BBla Halpert,
Arch. P&h. 31: 510, April,
1941.
The normal tongue contains adipose tissue: yet lipoma of the tongue is rare. Less than 50 such tumors are on record, and they occur more frequently in men than in women. This is the first case reported in a negro.
Abstracts
and Reviews
405
The patient, aged 55 years, a domestic servant, had mass present in tongue for 10 years. It was not painful, did not bleed, and was annoying only by its presence. This tumor was removed surgically. Section was stained with hematoxylin and eosin and disclosed varioussized lobules of adipose tissue cells, with loose connective tissue septums containing blood vessels. A delicate connective tissue capsule surrounded the growth and blended with both the int,ermuscular connective tissue and the tunica propria of the mucosa. In the stratified squamous epithelium covering the surface intercellular bridges were clearly discernible, and keratinization was marked toward the surface. T. J. Cook.
Artifkal Respiration and Inhalation. The Principle Determining the Efficiency of Various Methods: By Yandell Henderson, Ph.D., and J. McCulough Turner, (April 5), 1941.
Ph.B.,
New Haven,
Conn., J. A. M. A. 116: 1508-1515
A review of the various methods of artificial respiration indicates that in carbon monoxide (and nitrous oxide) asphyxia the best method of resuscitation is the one that most rapidly eliminates the asphyxiant gas from the blood. Where the patient is apneic, breathin g should be initiated by prone pressure artificial respiration until natural breathing is again established. The Schafer manual method of artificial respiration is the most desirable method. This can be initiated without any loss of time, which is of great importance because complete anoxia for five minutes causes irreparable damage to vital centers in the brain. Once natural breathing has been established, carbon dioxide and oxygen inhalation should be initiated. The carbon dioxide induces a large volume of respiration by stimulating the respiratory center. The large amount of inhaled oxygen will quickly displace the carbon monoxide (or nitrous oxide) from the blood. It has been the practice to give 5 per cent carbon dioxide in oxygen but 7 to 8 per cent induces a more rapid resuscitation. G. D. Amy, D.D.S.
A Review of Malignant
Melanoma of the Mouth: Surg., New Series Vol. 51: 376. 1941.
By Hamilton
Boxter,
Am. J.
This tumor, which macroscopically appears dark brown‘ or black in color and whose surface is often nodular or warty and whose base may be pedunculated, is observed microscopically as a pigmented tissue caused by extracellular clumps or intracellular granules of yellowish or brownish pigment and whose degree of pigmentation is no indicator as to the malignancy of the tumor. The neoplasm occurs more frequently in the male of middle age and is more common in the white race. It occurs more frequently on the hard or soft palate and is known to metastasize early, for 55 per cent of the patients had enlarged cervical glands when first examined and 77 per cent. cervical metastasis during the course of the disease. Melanoma of the mouth tends to metastasize primarily through the lymphatic channels.
Abstrncts
mad Reviews
In addition to the special considerations given to injuries in the maxillofacial region, the author discusses the pathology of war wounds in general. The factor det,ermining tho extent of tissue damage is the distribution of force carried by the missile. In ot,her words, when the wound of entry is small, there is greater probability of increased damage to the deeper structures than when the wound of entry is extensive. The immediate complications of all war wounds are hcmmorhage, shock, and edema with infection. Of chief concern is infection, and all war wounds are so regarded. Certain important factors are presented which determine the maximal time any wound may await surgical intervention. Among these are the nature and locat,ion of t,he wound, the presence or absence of foreign bodies, and the type of contaminating micro-organisms. 8. J. Kresho@er.
Major Trigeminal Neuralgia: By E’rancis C. Grant, Weekly Roster and Medical Digest 36: 1062, April 12, 1941. The upper or lower lip, the tongue, the ala of the nose, the cheek, or the forehead are sites of intense paroxysmal pain which is always unilateral. Trigger zones are located in the skin area supplied by one of the three branches of the trigeminal nerve. Washing the face, shaving, eating, drinking, or talking may be responsible for a sudden burst of pain, and this pain map disappear as quickly as it starts. After the age of 50 years the pain is more frequent, and it may affect both sexes alike. The pain should be differentiated from that which may result from disease affecting the teeth, or the sinus, and from migraine. Trentntent.-The injection of alcohol, the use of vit,amin B, or surgery is suggested. A successful alcohol injection will relieve pain from twelve to eighteen months and is considered an essential preliminary t,rcatment to operations upon the sensory root. In surgical treatment, section of the sensory root is done behind the gasserian ganglion, either through the middle fossa or through the posterior fossa. At the University Hospital 1,060 cases have been operated upon through the subt,emporal approach, and this treatment has been found to be very successful, with the low mortality rate of 1.71 per cent, in spite of the fact that 80 per cent of the patients were 60 years of age or older. It is stated that permanent cure is possible through surgery with very slight risk. T. J. Cook.
Lipoma of the Tongue : By BBla Halpert,
Arch. P&h. 31: 510, April,
1941.
The normal tongue contains adipose tissue: yet lipoma of the tongue is rare. Less than 50 such tumors are on record, and they occur more frequently in men than in women. This is the first case reported in a negro.
Abstracts
and Reviews
405
The patient, aged 55 years, a domestic servant, had mass present in tongue for 10 years. It was not painful, did not bleed, and was annoying only by its presence. This tumor was removed surgically. Section was stained with hematoxylin and eosin and disclosed varioussized lobules of adipose tissue cells, with loose connective tissue septums containing blood vessels. A delicate connective tissue capsule surrounded the growth and blended with both the int,ermuscular connective tissue and the tunica propria of the mucosa. In the stratified squamous epithelium covering the surface intercellular bridges were clearly discernible, and keratinization was marked toward the surface. T. J. Cook.
Artifkal Respiration and Inhalation. The Principle Determining the Efficiency of Various Methods: By Yandell Henderson, Ph.D., and J. McCulough Turner, (April 5), 1941.
Ph.B.,
New Haven,
Conn., J. A. M. A. 116: 1508-1515
A review of the various methods of artificial respiration indicates that in carbon monoxide (and nitrous oxide) asphyxia the best method of resuscitation is the one that most rapidly eliminates the asphyxiant gas from the blood. Where the patient is apneic, breathin g should be initiated by prone pressure artificial respiration until natural breathing is again established. The Schafer manual method of artificial respiration is the most desirable method. This can be initiated without any loss of time, which is of great importance because complete anoxia for five minutes causes irreparable damage to vital centers in the brain. Once natural breathing has been established, carbon dioxide and oxygen inhalation should be initiated. The carbon dioxide induces a large volume of respiration by stimulating the respiratory center. The large amount of inhaled oxygen will quickly displace the carbon monoxide (or nitrous oxide) from the blood. It has been the practice to give 5 per cent carbon dioxide in oxygen but 7 to 8 per cent induces a more rapid resuscitation. G. D. Amy, D.D.S.
A Review of Malignant
Melanoma of the Mouth: Surg., New Series Vol. 51: 376. 1941.
By Hamilton
Boxter,
Am. J.
This tumor, which macroscopically appears dark brown‘ or black in color and whose surface is often nodular or warty and whose base may be pedunculated, is observed microscopically as a pigmented tissue caused by extracellular clumps or intracellular granules of yellowish or brownish pigment and whose degree of pigmentation is no indicator as to the malignancy of the tumor. The neoplasm occurs more frequently in the male of middle age and is more common in the white race. It occurs more frequently on the hard or soft palate and is known to metastasize early, for 55 per cent of the patients had enlarged cervical glands when first examined and 77 per cent. cervical metastasis during the course of the disease. Melanoma of the mouth tends to metastasize primarily through the lymphatic channels.