The use of an endoscopic approach for the division of glottic webs or stenosis has been reported in the literature and has been mainly confined to the anterior commisure. We report a rare case of caustic injury to the upper aerodigestive tract that resulted in extensive web formation along the membranous vocal cord which was successfully treated with endoscopic lysis of the adhesions and the us...

This technique, which has already been described in detail (Chawla, 1970), was used on two aphakic eyes which had already undergone unsuccessful surgery for retinal detachment and had shown early signs of preretinal retraction. Briefly, a 7 mm. silastic sponge is halved lengthwise to produce a broad shallow implant. Monitored cryopexy is applied to the retinal tears and any suspect areas. Subre...

persistent dysphagia, severe gastroesophageal reflux disease, and refractory vomiting. She had undergone vertical banding gastroplasty (VBG) 5 years earlier to manage her obesity and had successfully lost 90 kg in weight. This was performed following failed laparoscopic adjustable gastric banding (LAGB), in which significant reflux symptoms required deflation of the band. Physical examination w...

We would like to acknowledge our indebtedness to Roche Products Limited for financial assistance and to Dr. John Garrod for his interest and helpful advice. We are grateful to Dr. Denis Harriman for the necropsy findings in Case 9 and to Dr. Kenneth Exley for help with the manuscript. We should also like to thank Mrs. Grace Murray for help in preparing the illustrations and Miss Hilary Stevens ...

A post-right pneumonectomy syndrome is described which manifests symptoms of exertional dyspnea and inspiratory stridor on rapid inspiration. These symptoms were associated with marked rightward and posterior deviation of the trachea, over-distention of the left lung with its herniation into the right side of the chest and kinking of the left lower lobe bronchus. At the time of surgery, the tra...

A 54-year-old male sustained a fractured right orbital floor 33 years ago, which was treated with a silastic implant. His diplopia never resolved, and he presented to us with an acute orbital cellulitis. Computerized tomography showed a displaced inferior rectus and entrapment of both inferior and medial recti. The implant was removed surgically via a Caldwell-Luc approach and his diplopia comp...

Postpneumonectomy syndrome (PPS) is a rare late complication of pneumonectomy. It occurs more often in children than in adults, and is characterized by respiratory failure resulting from bronchial compression caused by severe mediastinal shift. Various methods have been used to treat PPS, including aortopexy and the insertion of plastic balls, silastic implants, and saline-filled breast prosthe...

P OSTIMPLANTATION ALTERATION of the physicochemical properties of the silastic poppet ( ball variance ) has been reported in some patients with aortic ball valve prostheses.12 Clinical recognition of this situation is difficult, and the diagnosis is usually made at autopsy. This report concerns a patient with ball variance manifested primarily by traumatic intravascular hemolysis and hemoglobin...