The Laryngoscope
-
A technique for indirect laryngeal color photography for the office or clinic using rigid rod-lens angled telescopes is outlined. The photographic equipment can be used for documentation at both direct and indirect laryngoscopy except that the latter requires purpose-designed 70 degrees or 90 degrees telescopes. The method, which requires practice and patience, and the equipment are described in detail, and the difficulties and frustrations that are encountered are discussed.
-
The detection and management of submandibular metastases are fundamental to the treatment of oral carcinoma. Detailed investigation of submandibular lymphatic anatomy and subsite predilection for metastases, as well as a comprehensive method for submandibular space dissection, have been lacking. This thesis explores submandibular lymphatic anatomy through a review of the literature and cadaver dissections. ⋯ Overall, 39% of patients manifested submandibular disease. The majority of submandibular metastases in this study measured 1 cm or less and most commonly involved the perivascular (primarily prevascular) nodes followed by the preglandular and, previously ill-defined, deep nodes. These findings are discussed with regard to the rationale for currently used neck dissections.