Volume 13 Number I?
ABSTRACTS
OF CURRENT
LTTERATTTR~E
1 f, 1 ::
A group of 142 patients, aged 3.5 to 9.5 l-ears, who underwent tonsillectomy ant! adenoidectomy, is reported. Twenty-four hours before operation the patients were ad. The preoperative ritual was explaineli mitted to a special ward and treated as a group. and demonstrated. Atropine alone was used as premeditation. Thiopentone was givetl intravenously to induce anesthesia, and suxamethonium chloride was given to facilitatld Anesthesia was maintained with thiopentone intravenously folnasotracheal intubation. lowed by 60 to 70 per cent nitrous oxide in oxygen through an endotracheal tube. Asoon as possible after consciousness was regained and at least once before discharge front the hospital, patients were interviewed for reassurance and discussion. The children WY(‘P seen as outpatients one month after operation. The results demonstrate that psychic trauma is not an inherent part of an&he& and surgery and that good results can be achieved without any premeditation. This serivq may he useful as a base line for assessing premedicants given to children. T. ,I. (‘.
Hypnosis as an Adjunct
in Anesthesiology.
A. M. Utttcher.
Sew
York
.T. Med.
60: 811;,
1960. Children are very easy to hypnotize during the induction of anesthesia. They make good subjects because they are imaginative. The posthypnot,ic suggestion that they will have no pain on awakening is helpful. The disadvantage is t,hat hypnosis is time-coltsuming and special training is required to combine hypnosis with chemoanesthesia. T. .7. t’.
Experimental Reddy,
Production
of Caster With
and R. Ramochandra.
Tobacco Tar and Heat.
Rao. Cancer,
1). G. Reddy,
I). (3.
May,, 1960.
Tar obtained from cigar smoke was used for painting the skin of laboratory mire, which were then exposed to heat. It is felt that the heat functioned as a cocarcinogen and accelerated neoplastic changes in the skin. The study was stimulated by the fact that women in India who smoke cigars wi I h the burning end in the mouth have a higher frequency of palatal cancer than men who smoke in the normal way. T. .I. (‘.
The Treatment
of Leukoplakia
I. T. Nathanson
Buccalis and Belated
and D. FL Weisberger.
Lesions With Estrogenic
New England
Hormone.
,T. Med. 221: 556. October,
1950.
Evidence is presented which suggests that leukoplakia buccalis and similar lesions are associated with alterations in the menstrual cycle iu women and with a deficiency or disturbed metabolism of the sex hormones in both sexes. The authors report an improvement in the majority of cases which were treatetl with estrogen and add: “It is snggested that this type of therapy in combination with other well-recognized procedures may prove of value in the treatment of leukoplakia buccalis.” T. .I. cr.
Spontaneous Begeneration and J. M. Meagher.
of the Seventh Nerve. Arch.
A. S. .Tames, M. Karlon, Surg. 81: 223, August, 1960.
I). I,. T
This interesting experimental study was done on dogs. The right facial nerve was exposed at its point of emergence from the stylomastoid foramen to its major peripheral divisions. A 3 cm. arc of the main trunk and peripheral division was excised. The first notic.eable defect was the inability to blink on the side operated upon. Return of facial function can occur after wicle excision of the seventh nerx-e in 11ogs. The nerve has tremendous regenerative potential. This al,ticle is recommended reading for the surgeon who handles facial bone trauma. T. J. c.