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Salivary adenomas of the buccal cavity
Volume 12 Number 1
ABSTRACTS
Local Anesthesia September, This article A pertinent pressed:
OF CURRENT
and Surgical Training.
LITERATURE
D. M. Glover.
125
A. M. A. Arch.
Surg. 77: 356,
1958. deals with the training of the general surgical resident in local anesthesia. observation as to the use of local anesthesia in the dental office is ex-
‘(Many patients give a history of being ‘allergic’ to procaine, on the basis of some disturbing reaction to procaine when used for some minor dent& procedure or tumor removal. When investigated, the untoward reaction was thought to have been due to a more toxic agent than procaine, or a relatively large dose of epinephrine. Most have occurred All patients when the operation was performed with the patient in a sitting position. giving such a history are skin tested with several dilutions of procaine prior to operation. In several thousands of patients so test,ed, no positive skin reaction has occurred, and no reaction has taken place during operation that could reasonably be interpreted as due to sensitivity to the drug. It should not be implied t,hat intolerance or sensitivity to procaine does not exist, however; it is meant merely that it occurs infrequently, on the basis of our experience. “Many patients have been prejudiced against local anesthesia by an unpleasant experience with some minor procedure performed by an inept physician or dentist. For this reason, as well as for synergistic effect, it is usually advisable to give an adequate dose of sedative and a small dose of narcotic preoperatively.”
584 Foreign Bodies Removed From the Esophagus: P. P. Vinson.
Virginia
M. Monthly
A Statistical
85: 61-64, February,
Study.
E. S. Ray and
1958.
This report is concerned with the 584 cases in which the foreign body was located in the esophagus. Contrary to the general belief, foreign bodies are found in the esophagus more frequently in adults than in children. Of the patients whose records were reviewed, 269 were under 10 years of age, while 315 were 10 years of age or older. The youngest patient was 2 months old, and the oldest was 94 years. The absence of teeth is a major factor in the impaction of a foreign body in the esophagus. In adults inadequate mastication and the loss of sensation in the mouth which results from artificial dentures are Dentists should warn all responsible for bones and meat sticking in the esophagus. patients, when they are provided with partial or complete dentures, of this hazard and This should explain that care should be taken in the preparation and mastication of food. applies particularly to chops, hash, and to chicken served a la king, in a salad, and in a pie. The authors also take issue with dentists who recommend that removable dentures, complete or partial, be left in a patient’s mouth during sleep. Several of the patients swallowed dentures while they were asleep.
Hazards of the Immediate
Postoperative
Period.
R. D. Dripps.
J. A. M. A. 165: 795,
Oct. 19, 1957. When an operation is finished and the recovery period from the anesthetic is at hand, a number of events may take place and lead to complications unless strict supervision is in force. Vomiting, excitement, pain, and hypotension may follow emergence from anesthesia in which high concentrations of oxygen have been used. Removal of the endotrachael tube may be followed by laryngospasm or previously unrecognized vocal cord paralysis. The period of immediate recovery is all important following general anesthesia.
Salivary
Adenomae of the Buccal Cavity.
459, June,
K. Harrison.
Ann.
Otol.,
Rhin.
& Laryng.
66:
1957.
In a study of sixty-three salivary tumors of the buccal cavity, it was found that twenty-seven were mixed adenomas and thirty-six were adenomas showing a pattern of cylindroma.
-4BSTRACT8
126
Ok’ CURRENT
0. s.. 0. II. & 0. I). Jnnunry, 19i9
LITERATURK
In the mixed adenomas a typical mixture of epitholial and meseuchymal elements In the cylinllroma it was found to be an (‘pithewas demonstrat4 under the microscopP. lial tumor with adenoid >tructures which appeared lo arise in the ducts of thr mu~o~~s glands. The cylindroma is rarely encapsulated common site being the hard palate. The treatment
of mixed
adenoma
and infiltrates
is complete
surgical
the
surrounding
removal,
tissues,
and the prognosis
I he is
good. The treatment of cylindroma, when it occurs on the hard palate, cludes removal of the overlying palatal bone. The prognosis is poor.
is surgical
and in-
ABSTRACTS
Local Anesthesia September, This article A pertinent pressed:
OF CURRENT
and Surgical Training.
LITERATURE
D. M. Glover.
125
A. M. A. Arch.
Surg. 77: 356,
1958. deals with the training of the general surgical resident in local anesthesia. observation as to the use of local anesthesia in the dental office is ex-
‘(Many patients give a history of being ‘allergic’ to procaine, on the basis of some disturbing reaction to procaine when used for some minor dent& procedure or tumor removal. When investigated, the untoward reaction was thought to have been due to a more toxic agent than procaine, or a relatively large dose of epinephrine. Most have occurred All patients when the operation was performed with the patient in a sitting position. giving such a history are skin tested with several dilutions of procaine prior to operation. In several thousands of patients so test,ed, no positive skin reaction has occurred, and no reaction has taken place during operation that could reasonably be interpreted as due to sensitivity to the drug. It should not be implied t,hat intolerance or sensitivity to procaine does not exist, however; it is meant merely that it occurs infrequently, on the basis of our experience. “Many patients have been prejudiced against local anesthesia by an unpleasant experience with some minor procedure performed by an inept physician or dentist. For this reason, as well as for synergistic effect, it is usually advisable to give an adequate dose of sedative and a small dose of narcotic preoperatively.”
584 Foreign Bodies Removed From the Esophagus: P. P. Vinson.
Virginia
M. Monthly
A Statistical
85: 61-64, February,
Study.
E. S. Ray and
1958.
This report is concerned with the 584 cases in which the foreign body was located in the esophagus. Contrary to the general belief, foreign bodies are found in the esophagus more frequently in adults than in children. Of the patients whose records were reviewed, 269 were under 10 years of age, while 315 were 10 years of age or older. The youngest patient was 2 months old, and the oldest was 94 years. The absence of teeth is a major factor in the impaction of a foreign body in the esophagus. In adults inadequate mastication and the loss of sensation in the mouth which results from artificial dentures are Dentists should warn all responsible for bones and meat sticking in the esophagus. patients, when they are provided with partial or complete dentures, of this hazard and This should explain that care should be taken in the preparation and mastication of food. applies particularly to chops, hash, and to chicken served a la king, in a salad, and in a pie. The authors also take issue with dentists who recommend that removable dentures, complete or partial, be left in a patient’s mouth during sleep. Several of the patients swallowed dentures while they were asleep.
Hazards of the Immediate
Postoperative
Period.
R. D. Dripps.
J. A. M. A. 165: 795,
Oct. 19, 1957. When an operation is finished and the recovery period from the anesthetic is at hand, a number of events may take place and lead to complications unless strict supervision is in force. Vomiting, excitement, pain, and hypotension may follow emergence from anesthesia in which high concentrations of oxygen have been used. Removal of the endotrachael tube may be followed by laryngospasm or previously unrecognized vocal cord paralysis. The period of immediate recovery is all important following general anesthesia.
Salivary
Adenomae of the Buccal Cavity.
459, June,
K. Harrison.
Ann.
Otol.,
Rhin.
& Laryng.
66:
1957.
In a study of sixty-three salivary tumors of the buccal cavity, it was found that twenty-seven were mixed adenomas and thirty-six were adenomas showing a pattern of cylindroma.
-4BSTRACT8
126
Ok’ CURRENT
0. s.. 0. II. & 0. I). Jnnunry, 19i9
LITERATURK
In the mixed adenomas a typical mixture of epitholial and meseuchymal elements In the cylinllroma it was found to be an (‘pithewas demonstrat4 under the microscopP. lial tumor with adenoid >tructures which appeared lo arise in the ducts of thr mu~o~~s glands. The cylindroma is rarely encapsulated common site being the hard palate. The treatment
of mixed
adenoma
and infiltrates
is complete
surgical
the
surrounding
removal,
tissues,
and the prognosis
I he is
good. The treatment of cylindroma, when it occurs on the hard palate, cludes removal of the overlying palatal bone. The prognosis is poor.
is surgical
and in-