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Lower leg (49)/" Anatomical locations of liposarcoma (AFIP 1067 cases) ANATOMICALOCATION NO. OFCASES % Head-neck 60 5.6 Neck (36), face 03) Scalp(4) Trunk 452 42.4 Retroperitoneum(198) Inguinalregion (130) Back(29), chest (29) Upperextremities 113 10.6 Shoulder-axilla(44) Upperarm (44), forearm (19) Lower extremities 442 41.4 Thigh-knee(321) Buttock(62) Lower leg (49) TOTAL 1067 100,0 ]01
THE LATERAL NASAL WALL IN FILIPINOS: A STUDY BASED ON FIFTY CONSECUTIVE CADAVER DISSECTIONS" AUTHORS CHARLOI-fEM. CHIONG,M.D.* ARMANDOM.CHIONG,JR.M.D.* CESARANTHONYP.YABUT,M.D.* EDITHC.YAP,M.D.* ARMANO0T,CHIONG,M.D.'* JACOBS. MATUSIS,M.D.*** ABSTRACT within the major sinuses. Obstruction in this area either due to osteomeatal inflammaztion or anatomic This study investigated anatomical variations and variation can perpetuate sinus infection. Functional actual measurements of anatomic structures in the lateral endoscopic sinus surgery emphasizes endoscopic idennasal wait in fifty consecutive Filipino cadavers tification and operation of the diseased ethmoidal dissected. Such measurements were compared with infundibulum with the aim of reestablishing drainage values published in anatomy textbooks. This study and ventilation of the dependent large sinuses via their proves that Caucasian-based figures need not reflect physiological ostia. Van Alyea and Myerson, with thOSe in Filipinos. Anatomic variations were noted the knowledge of this important physiologic concept, and their clinical significance discussed. This study gave impetus to cannulation of the ostium maxillare gives baseline values in Filipinos and is of potential to treat seemingly "irreversible" sinus pathology. use for the clinician in practice as well as for instru- Zuckekandl recognized the importance of anatomic ment design for specific use in nasal surgery on Filipino variations in the middle meatal area responsible for patients, pathogenesis of sinus disease. The basic knowledge of the anatomy, of this critical importance. In this respect, the rhinologist who wants to cannulate the INTRODUCTION maxillary ostium or the sinonasal endoscopist must be familiar with the dimensions and spatial orientation The specialty of Otorhinolaryngology-Head and of the important structures in this area. In our setting, Neck Surgery has recently gained major advances in these advances are now being introduced. However, the area of rhinology and sinus surgery. There has basic anatomy textbooks deal mainly with measurebeen increased discussion regarding the advantages of ments and anatomic observations made on Caucasians. newer surgical techniques like functional endoscopic Considering that Filipinos are generally anthorpomsurgery over conventional sinus surgery and vice-versa, etrically smaller, idiosyncrasies and variable dimen- The area of osteomeatal complex, while poorly visu- sions of the structures are expected. Consequently, alized on anterior rhinoscopy or plain radiographs is these values may dictate the use of indigenous spemost important in the pathogenesis of secondary disease cialized instruments designed for Filipinos as well as guide the surgeons _in performing simple surgical •intervention or during endoscopy of the sinonasal areas. Clinical correlation with certain unique rhinopathol- + First prize, <strong>PSO</strong>-HN$ 8th Annual Residez_ts" Research Contest held ogic conditions and surgical intervention deserve special on October 26, 19t_$, Manila Midtown Hotel consideration. To investigate the hypothesis that foreign * Residents,, Department of OtollLryngology, UP-PGH Medical Center published data on the anatomy of lhe lateral nasalwall need not reflect those of the Filipinos, actual meas- ** Chairman, Department of Otolaryngology, UP-PGH Medical Center uremcnts and description of the anatomy of the lateral *** Consultant, Department ofOtola_yngology, UP-PGHMedic_I nasal wall was based on fifty consecutive cadaver Center dissections of Filipino adult skulls. Particular attem 102
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Iq4LIPl:qut=S TABLE OF CONTENTS NEC
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HEAD AND NECK SURGERY - TO ADD OR N
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PRESIDENT'S PAGE The years 1989-90
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RIZAL MEDICAL CENTER DEPARTMENT OF
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muscles. Again it is likely possibl
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area measuring 4.8 x 3.7 cm extendi
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tend to recur locally, even after p
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UNIVERSITY OF THE PHILIPPINES PHILI
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The majority of patients with hyper
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mass wa uttrasonograImy. Neck explo
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Figure 2 : Parathyroid Adcnoma vs.
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E.wa_ileMassonLe_Maxilla "salt& pep
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of some clinical features as well a
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MCU HOSPITAL DEPARTMENT OF OTOLARYN
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JOSE REYES MEMORIAL MEDICAL CENTER
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nonetheless stated: "We have the im
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to the diagnostic know-how of the c
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PATIENTS & METHODS: These signs and
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Most patients in group 1 complained
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DISCUSSION: and septal deviation mi
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OSPITAL NG MAYNILA DEPARTMENT OF OT
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..temporary relief. According to Ha
Page 53 and 54: CASE REPORT phonuclear cells. The r
Page 55 and 56: TITLE:Cleft Lip Surgeryfor Rural Fi
Page 57 and 58: After intubation and the endoctrach
Page 59 and 60: BIBLIOGRAPHY Converse, J.M., Recons
Page 61 and 62: UNIVERSITY PHILIPPINE DEPARTMENT OF
Page 63 and 64: Table 3. Distribution of Organism b
Page 65 and 66: J BIBLIOGRAPHY Y MACKOWIAK, P.A., J
Page 67 and 68: Figure 3. SENSITIVITY PATTERN OF Pr
Page 69 and 70: Figure 3. Percent SENSITIVITY PATTE
Page 71 and 72: loradatine 10 mg/tabletgiven once a
Page 73 and 74: 1. Severity of Symptoms 3. Comparis
Page 75 and 76: -J;r,ceiving 40 mg of loratadine da
Page 79 and 80: : ' : _ : ::::::: : : i : ::
Page 81 and 82: These patients are new patients see
Page 83 and 84: - Table Vl Baseline Signs and Sympt
Page 85 and 86: The following Table VII will show t
Page 87 and 88: • 14.Drowsiness: None 30 2 4 10 2
Page 89 and 90: Actifed's side effect of drowsiness
Page 91 and 92: " to be packed with one type of pac
Page 93 and 94: With regard to microbiology of nasa
Page 95 and 96: TABLE 6: MANNER OF CONTROL OF REBLE
Page 97 and 98: APPENDIX C MICROBIALGROWTH POTENTIA
Page 99 and 100: EAST AVENUE MEDICAL CENTER DEPARTME
Page 101 and 102: type (20%-30% of cases) varies from
Page 103: TABLE Ii HistologicalClassification
Page 107 and 108: MIDDLE MEATUS: Diameter of ostium:
Page 109 and 110: .;4".,..:'.-" ............. '---.",
Page 111 and 112: Figure 4. Variation in the location
Page 113 and 114: This study presents variations with
Page 115: ACKNOWLEDGMENT The authors would li
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