Increasingly, medicine is used to remodel, revise, and revamp as much as to heal and mend. It is tempting to say that people make merely personal choices about these new uses. But such choices have implications for everybody, and they ought to be made cautiously, slowly, and in a way that opens them to discussion.

BACKGROUND Isolated unilateral hypoglossal nerve injury is extremely rare. It may be caused by radiation therapy targeting neoplasms of the cephalic region. CASE REPORT A 51-year-old man with synovial sarcoma of the left upper arm status post extensive radiation therapy in 1980 presented in late 2014 with gradual onset of speech difficulty and difficulty moving his tongue for a couple of weeks....

OBJECTIVE To evaluate the use of topical mitomycin in choanal atresia repair to reduce the development of granulation tissue and cicatrix. DESIGN AND SETTING Retrospective case series in 2 tertiary care centers. PATIENTS Twenty patients with either unilateral or bilateral congenital choanal atresia underwent repair using the transnasal endoscopic approach, the transpalatal approach, or both...

We not infrequently meet with cases of primary and of secondary cancer of the bones, and probably if microscopical examination were made post-mortem in every case of secondary cancer it would be found that secondary infection of the bones is not nearly so uncommon as has been hitherto believed. But there are not on record many cases of general secondary cancer of the bones, and still fewer of s...

OBJECTIVE To describe a graded approach to repairing vestibular stenosis that involves restoring structural support to the ala. METHODS Retrospective review of 5 nostrils in 4 patients who presented to the senior author with vestibular stenosis. The cause was burn injury in 3 patients and congenital in 1 patient. The cornerstone is a batten graft to restore strength to the ala. A short-term t...

A Brahamanee, aged 40, married, mother of seven children, of fair complexion and delicate make, resident of a village 30 miles east of Tanjore, placed herself under treatment on the 2nd February 1883, complaining of occlusion of the vagina after a severe labour in her last or seventh confinement two years ago. She attributed her condition to the maltreatment received from the midwives in attend...

In this historical perspective article, the author outlines the evolution of his vertical scar technique, first developed in 1964. He describes the procedure and reports the results of his 42-year experience with a series of 2000 breasts.

Management of hypertrophic and keloid scars can be difficult. This article presents an initial report on use of a glycerin-based gel sheeting to manage or prevent these scars. The results were comparable to those achieved with silicone sheeting, a typical treatment. Clinically, the glycerin-based sheeting was well tolerated, appeared to be effective, and was less expensive than the silicone she...