Browse Health
Urologist
11 years of experience
Accepting new patients

Education ?

Medical School Score
Philadelphia College of Osteopathic Medicine (1999)
  • Currently 1 of 4 apples

Awards & Distinctions ?

Awards  
American Osteopathic Association
Castle Connolly's Top Doctors™ (2012 - 2013)
Associations
American Urological Association

Affiliations ?

Dr. Harmon is affiliated with 12 hospitals.

Hospital Affilations

Score

Rankings

  • Chestnut Hill Hospital
    8835 Germantown Ave, Philadelphia, PA 19118
    • Currently 4 of 4 crosses
    Top 25%
  • Jeanes Hospital
    7600 Central Ave, Philadelphia, PA 19111
    • Currently 3 of 4 crosses
    Top 50%
  • Albert Einstein Medical Center
    5501 Old York Rd, Philadelphia, PA 19141
    • Currently 3 of 4 crosses
    Top 50%
  • Mercy Fitzgerald Hospital
    1400 Lansdowne Ave, Darby, PA 19023
    • Currently 2 of 4 crosses
  • Mercy Suburban Hospital
    2701 Dekalb Pike, Norristown, PA 19401
    • Currently 2 of 4 crosses
  • Hahnemann University Hospital
    230 N Broad St, Philadelphia, PA 19102
    • Currently 2 of 4 crosses
  • Cooper University Hospital
    Urology
    1 Cooper Plz, Camden, NJ 08103
    • Currently 1 of 4 crosses
  • Northeastern Hospital of Philadelphia
    2301 E Allegheny Ave, Philadelphia, PA 19134
  • Temple University Hospital - Episcopal Campus
    100 E Lehigh Ave, Philadelphia, PA 19125
  • Northeastern Hospital
  • Tenet HealthSystem Hahnemann LLC
  • Cooper Hospital Umc
  • Publications & Research

    Dr. Harmon has contributed to 23 publications.
    Title Comparison of Steer Behavior when Housed in a Deep-bedded Hoop Barn Versus an Open Feedlot with Shelter.
    Date September 2011
    Journal Journal of Animal Science
    Excerpt

    The use of hoop barns as an alternative housing system for beef cattle has not been widely researched. The objectives of this study were to determine the main effects of behavior of steers 1) over winter and summer, 2) when housed in either a hoop barn or a conventional feedlot, and 3) interactions between season and housing system. A total of 960 crossbred Bos taurus steers were used [August 2006 to April 2008 (2 winter and 2 summer trials)]. Steers were housed in either 1 deep-bedded hoop barn (n = 12 pens; 4.65 m(2)/steer) or 1 open feedlot with shelter (n = 12 pens; 14.7 m(2)/steer). Steers were ear tagged, implanted, and weighed (414 ± 36 kg) on arrival and allotted to treatments that were balanced for source, BW, and hide color. Behavioral data (3 postures and 2 behaviors) were collected using a 10-min live scan. The experimental unit for behavior was a pen of steers. Behavioral data were arcsine transformed to achieve a normal distribution. There were no (P > 0.05) differences for time spent at bunk or waterer for steers between housing treatments. Steers housed in an open feedlot with shelter spent less time lying and more time standing and walking (P < 0.05) compared with steers housed in a hoop barn. There were no (P = 0.32) differences between seasons for standing. Steers spent more time at the bunk (P < 0.0001) and waterer (P < 0.0001) in the summer compared with the winter. In the winter, steers engaged in more lying (P = 0.0002) and walking (P < 0.0001). Overall, steers stood less (P = 0.006) and spent more time lying (P = 0.024) when housed in a hoop barn than in the open feedlot with shelter regardless of season. Steers housed in the open feedlot with shelter walked more (P < 0.0001) than steers housed in the hoop barn and walked more (P < 0.0001) in winter than in summer months (6 vs. 3%). There were no (P > 0.05) differences in time spent at bunk and waterer between housing systems within season, but time spent at the waterer and bunk decreased (P < 0.05) for both housing systems during the winter. In conclusion, housing 40 steers per pen in a cornstalk-bedded hoop barn at 4.65 m(2)/steer does not result in adverse behavioral alterations and can be considered as a housing alternative for finishing steers in the Midwestern United States when compared with steers fed in an open feedlot with shelter provided.

    Title Performance and Carcass Characteristics of Finishing Beef Cattle Managed in a Bedded Hoop-barn System.
    Date October 2010
    Journal Journal of Animal Science
    Excerpt

    The use of bedded hoop barns in finishing systems for beef cattle has not been widely researched. In this management system, beef cattle are confined to hoop barns throughout finishing, and bedding is used to absorb animal waste, which results in minimal effluent. The objective of this study was to compare the performance and carcass characteristics of finishing beef steers (n = 1,428) managed in a bedded hoop-barn management system vs. an open-feedlot system with shelter. Six feeding trials were conducted over a 3-yr period. Three trials were conducted during summer-fall and 3 trials were conducted during winter-spring. Crossbred steers were allotted to 3 pens in the hoop-barn system and to 3 pens in the open-lot system (approximately 40 steers per pen in both facility systems). Stocking densities for the steers were 4.65 m(2) per steer in the hoop-barn system and 14.7 m(2) per steer in the open-lot system. The steers were begun on trial weighing 410 and 411 kg (SD = 21), were fed for 102.3 and 103.0 d (SD = 3.8), and were weighed off test at 595 and 602 kg (SD = 21) for the hoop-barn and open-lot systems, respectively. Steer performance measures consisted of ADG, DMI, and G:F. Carcass characteristics were HCW, fat thickness, LM area, KPH percentage, marbling score, USDA yield grade, and USDA quality grade. No year, season, or pen (management system) main effects, or season x management system and year x management system interactions were observed for any of the items measured related to cattle performance or carcass characteristics (P > 0.05). Final mud scores (a subjective evaluation of the amount of soil and manure adhering to the hair coat of the animals) were greater for the steers from the open-lot system compared with those from the hoop-barn system (P < 0.02), suggesting steers in the hoop-barn system carried less mud than steers from the open-lot system. Average daily cornstalk bedding use in the hoop-barn system was 2.3 kg/steer during summer-fall and 2.6 kg/steer during winter-spring. The performance of finishing cattle managed in a hoop-barn system was not different from the performance of cattle managed in an open-feedlot system with shelter during summer and winter. Managing beef cattle in hoop barns required more bedding but resulted in decreased mud scores compared with cattle managed in an open-lot system with shelter. Hoop barns are a viable alternative housing management system for finishing beef cattle.

    Title Performance of Gestating Sows in Bedded Hoop Barns and Confinement Stalls.
    Date June 2007
    Journal Journal of Animal Science
    Excerpt

    The effects of gestation housing systems on sow and litter performance were evaluated for 2.5 yr in southwest Iowa. Gestation housing system treatments were as follows: 1) individual gestation stalls in a mechanically ventilated confinement building with a partially slatted floor and a manure flush system and 2) group pens with individual feed stalls in deep-bedded, naturally ventilated hoop barns. In all, 957 litters from 353 sows were evaluated. Number of pigs born alive per litter differed for the 2 housing treatments (P = 0.002). Sows gestated in hoop barns gave birth to more live pigs per litter (10.0 +/- 0.2 pigs) than sows gestated in stalls (9.3 +/- 0.2 pigs). Preweaning mortality was not different for the 2 housing treatments (P = 0.70). Cross-fostering was done to equalize litter size within 24 h of birth, which resulted in an equal number of weaned pigs per sow (P = 0.50) regardless of gestation housing treatment. The weaning-to-breeding interval was different (P = 0.01), with sows kept in stalls (4.3 +/- 0.6 d) returning to estrus sooner than sows gestated in hoop barns (6.0 +/- 0.6 d). These results indicate that gestating sows can be housed as groups in deep-bedded hoop barns equipped with individual feeding stalls and will perform comparably to gestating sows housed in confinement systems with individual gestation stalls.

    Title Oncologic Control After Open or Laparoscopic Nephroureterectomy for Upper Urinary Tract Transitional Cell Carcinoma: a Single Center Experience.
    Date May 2007
    Journal Urology
    Excerpt

    OBJECTIVES: To determine the surgical and oncologic outcomes in patients who underwent either open nephroureterectomy (ONU) or laparoscopic nephroureterectomy (LNU) for upper urinary tract transitional cell carcinoma. METHODS: We performed a retrospective review of data for patients who underwent ONU or LNU for upper urinary tract transitional cell carcinoma from 1994 to 2004 at one institution. The recorded data included sex, age, mode of diagnosis, smoking, history of bladder cancer, type of surgery, complications, tumor site, tumor size, tumor stage, tumor grade, length of hospital stay, recurrence, and progression. We also determined the recurrence and survival rates. RESULTS: We reviewed the data for 46 patients. The median age was 70 years. Seven patients had a history of bladder cancer. Overall, 26 patients underwent ONU and 20 LNU. No differences in the complication rate (15% versus 15%) were observed. The median hospital stay was 4 days (range 3 to 6) after LNU and 9 (range 7 to 12) after ONU (P <0.001). The tumor stage and grade were independent prognostic factors for survival on multivariate analysis (P <0.05). The 5-year disease-specific survival rate was 89.4% for low-grade tumors and 63.1% for high-grade tumors (P = 0.04). ONU was associated with high-grade (P = 0.02) or invasive (P = 0.001) tumors. The 5-year tumor-free survival rate after ONU and LNU was 51.2% and 71.6%, respectively (P = 0.59). CONCLUSIONS: LNU does not affect the mid-term oncologic control and enables a shorter hospital stay. It can be recommended as an alternative to ONU in the management of low-risk upper urinary tract transitional cell carcinoma (Stage T1-T2 and/or low-grade disease). However, long-term follow-up is necessary to recommend it for highly invasive tumors (Stage T3-T4 or N+).

    Title Laparoscopic Distal Ureterectomy and Anastomosis for Management of Low-risk Upper Urinary Tract Transitional Cell Carcinoma: Preliminary Results.
    Date May 2007
    Journal Bju International
    Excerpt

    OBJECTIVE: To determine the surgical feasibility and early oncological outcomes of laparoscopic distal ureterectomy in patients with low-grade upper urinary tract transitional cell carcinoma (UUT-TCC). PATIENTS AND METHODS: We retrospectively reviewed patients treated laparoscopically with conservative management for a UUT-TCC between 2001 and 2005. We collected data on gender, age, mode of diagnosis, smoking, history of bladder cancer, complications, tumour site, size, stage, grade, hospital stay, recurrence and progression. RESULTS: Data were analysed for six patients with a mean (range) age of 68.5 (54-76) years. Four patients had a diagnostic ureteroscopy with biopsy. The operative duration was 173.3 (120-240) min, the estimated blood loss was 75 (50-200) mL and the length of ureteric resection was 5.23 cm. Two patients required a psoas hitch. JJ stents were maintained for 25.8 (15-30) days. The hospital stay was 6 (5-8) days. There were minor complications in three patients after surgery. The follow-up was 32 (17-46) months. The tumour size was 1.7 (0.8-2.6) cm. There were low-grade tumours in four patients and pTa in five. All patients are alive and free of disease; there were no anastomotic strictures. Two patients developed a recurrence, one in the ipsilateral renal pelvis and one in the bladder. CONCLUSION: Laparoscopic distal ureterectomy with direct re-implantation is technically feasible for low-risk UUT-TCC (i.e. low-grade, noninvasive), in the properly selected patient. Early oncological outcomes are promising but strict surveillance protocols must be followed.

    Title [place of Laparoscopic Nephroureterectomy in the Treatment of Upper Urinary Tract Transitional Cell Carcinoma]
    Date November 2006
    Journal Progrès En Urologie : Journal De L'association Française D'urologie Et De La Société Française D'urologie
    Excerpt

    The current reference treatment for upper urinary tract transitional cell carcinoma is open nephroureterectomy via a lumbar incision and an iliac incision with resection of a large bladder cuff: Since the first laparoscopic nephroureterectomy performed in 1991, several teams have studied this approach for the treatment of urinary tract tumours. Laparoscopy has the advantage of decreased morbidity for the patient and allows early return to work. Recent published series do not demonstrate any difference in terms of cancer control between open and laparoscopic nephroureterectomy. However, the follow-up of laparoscopic nephroureterectomy is still limited and the safety of this technique has not been fully demonstrated. It therefore appears preferable to limit the indications for laparoscopic nephroureterectomy to small and/or low-grade tumours to avoid excessive manipulation of large transitional cell carcinomas in a gaseous atmosphere that can predispose to dissemination during dissection. Diagnostic ureteroscopy has therefore become a useful tool in the preoperative assessment. Biopsies can determine the tumour grade and guide the surgeon's choice of surgical approach.

    Title Performance of Finishing Pigs in Hoop Structures and Confinement During Winter and Summer.
    Date December 2003
    Journal Journal of Animal Science
    Excerpt

    Performance of finishing pigs in hoop structures or confinement during winter and summer was evaluated in Iowa. Hoops are large, tent-like shelters with cornstalks or straw for bedding. During summer and winter seasons for 3 yr (1998 to 2001), six trials were conducted using three hoop barns (designed for 150 pigs per pen, one pen per hoop) or a mechanically ventilated confinement barn with slatted floors (designed for 22 pigs per pen, six pens in the barn). A total of 3,518 pigs started the trials. Summer trials were June through October, and winter trials were December through April. Target stocking density was 1.11 m2/pig in hoops and 0.74 m2/pig in confinement. Identical corn-based diets were fed ad libitum from 16 to 118 kg for 127 d. Pigs were scanned before harvest for backfat and loin muscle area. When seasons were merged (season x housing interaction, P > or = 0.05), hoop-fed pigs had more backfat (21.8 +/- 0.3 vs 20.8 +/- 0.2 mm; P < 0.001), smaller loin muscle area (41.3 +/- 0.3 vs 43.0 +/- 0.2 cm2; P < 0.001), less lean percentage (51.1 +/- 0.2 vs 52.1 +/- 0.1%; P < 0.001), and less yield (74.9 vs 75.8 +/- 0.1%; P < 0.001) than confinement-fed pigs. When season x housing type interactions were observed (P < 0.004), summer hoop-fed pigs had greater ADG (834 +/- 5 vs 802 +/- 3 g/d; P < 0.001), required fewer days to 113 kg (174.9 +/- 0.9 vs 178.5 +/- 0.6 d; P < 0.01), had similar ADFI (2.40 +/- 0.03 vs 2.35 +/- 0.02 kg/d, as-fed basis) and gain:feed (G:F; 348 +/- 4 vs 342 +/- 3 g/kg) compared with confinement-fed pigs. Lean gain/day and efficiency of lean gain did not differ between housing systems. During winter, hoop-fed pigs had similar ADG (794 +/- 5 vs 801 +/- 3 g/ d), required more days to 113 kg (176.7 +/- 0.9 vs 172.9 +/- 0.6 d; P < 0.01), had greater ADFI (2.54 +/- 0.03 vs 2.35 +/- 0.02; P < 0.001), less G:F (313 +/- 4 vs 341 +/- 3; P < 0.001), less lean gain/day (312 +/- 2 vs 322 +/- 1 g/d; P < 0.01), and less efficiency of lean gain (130 +/- 2 vs 144 +/- 1 g lean gain/kg feed; P < 0.01) than confinement-fed pigs. Percentage of mortalities and culls did not differ between housing systems. During summer, there was a trend for fewer light pigs at marketing (< 100 kg) from hoops (0.8 vs 1.7%; P = 0.10). During winter, there were more light pigs at marketing from hoops (3.9 vs 1.3%; P = 0.01) than from confinement. Bedding use in hoops was 92 and 122 kg/pig for summer and winter, respectively. Performance of finishing pigs in bedded hoop structures depends in part on thermal environment.

    Title Improved Continence After Radical Retropubic Prostatectomy Using Two Pubo-urethral Suspension Stitches.
    Date March 2002
    Journal Urologia Internationalis
    Excerpt

    OBJECTIVES: To determine if placement of urethral suspension stitches during radical retropubic prostatectomy improves postoperative urinary continence. METHODS: Between January 1997 and January 1998 we performed radical retropubic prostatectomy on 50 men. The first 25 consecutive men had their surgery without urethral suspension stitches while the next 25 received placement of two anastomotic urethral suspension stitches anchored to the lower portion of the pubic bone. Patients were interviewed six months postoperatively and each underwent valsalva leak-point pressure measurement. Patients were categorized as either completely continent (requiring no pads and having no measurable valsalva leak point), socially continent (zero or one pad per day), or incontinent (two or more pads per day). RESULTS: In the urethral suspension group, 8/25 (32%) patients were completely continent and did not have a measurable valsalva leak-point pressure while 3/25 (12%) without urethral suspension were completely continent. Of the remaining patients in the urethral suspension group, 13/17 (76%) patients were socially continent while 4/17 (24%) were incontinent. The mean valsalva leak-point pressure in the 17 patients with suspension stitches was 89.6 +/- 21.6 cm H2O. In the patients without urethral suspension, there were 22 patients who had some degree of incontinence. Among non-stitch patients, 13/22 (59%) were socially continent while 9/22 (41%) were incontinent. The average valsalva leak-point pressure in these patients was 74.0 +/- 16.7 cm H2O, which was significantly lower than those with the suspension (p = 0.015). CONCLUSIONS: Placement of anastomotic urethral suspension stitches during radical retropubic prostatectomy may increase the likelihood of complete postoperative urinary continence. The urethral suspension stitches also increase valsalva leak-point pressure, which may improve the percentage of patients with socially acceptable incontinence.

    Title Pretreatment with Finasteride Decreases Perioperative Bleeding Associated with Transurethral Resection of the Prostate.
    Date May 2000
    Journal Urology
    Excerpt

    OBJECTIVES: The efficacy of finasteride in the treatment of gross hematuria associated with benign prostatic hyperplasia is well established. We evaluated a regimen of pretreatment with finasteride in decreasing perioperative bleeding associated with transurethral resection of the prostate (TURP). METHODS: A prospective analysis compared 25 patients pretreated with finasteride for 2 to 4 months before TURP with 50 patients without pretreatment. Patients in each group were further separated by the amount of prostate tissue resected. Patients were then followed up for perioperative bleeding, defined as a perioperative blood transfusion requirement or a return visit to the emergency room with gross hematuria or clot retention. RESULTS: None of the patients with less than 30 g of prostate tissue resected experienced perioperative bleeding. In patients with 30 g or more resected, several episodes of bleeding occurred. In the patients pretreated with finasteride, 1 (8.3%) of 12 experienced perioperative bleeding; in the control group, 7 (36.8%) of 19 had an episode of bleeding. CONCLUSIONS: In patients with large prostate glands undergoing TURP, pretreatment with finasteride appears useful in reducing perioperative bleeding.

    Title Role of Urologic Evaluation in the Adult Spina Bifida Patient.
    Date April 2000
    Journal Urologia Internationalis
    Excerpt

    OBJECTIVE: To evaluate a population of adult spina bifida patients performing clean intermittent catheterization (CIC) and determine the indications for urologic consultation and intervention. METHODS: We evaluated 52 adults (ages 18-37 years) with a history of lumbar myelomeningocele, all of whom performed CIC and were dry between catheterizations. We excluded 12 patients with conditions potentially predisposing to renal insufficiency (staghorn calculus, n = 3; multiple admissions for pyelonephritis, n = 5; history of vesicoureteral reflux, n = 2, and renal scarring on ultrasound, n = 2), leaving 40 patients evaluable. Each patient kept a catheterization diary for 2 weeks from which an average catheterized volume was recorded. RESULTS: In patients with normal ultrasound and normal serum creatinine (<1.5 mg/dl), there were no individuals (0/20) whose average catheterized volume corresponded to a bladder pressure of >40 cm H(2)O on cystometry. However, in the patients with hydronephrosis and/or elevated creatinine, 30% (6/20) had average catheterized volumes corresponding to a bladder pressure of >40 cm H(2)O, and are therefore theoretically at risk for upper tract deterioration. CONCLUSION: Many spina bifida patients receive urologic care only as children, and those without urinary calculi or urinary incontinence are assumed to be urologically stable. However, certain patients have urodynamic parameters which put them at risk for renal deterioration even if they appear to be problem-free. We recommend a yearly renal ultrasound and serum creatinine determination in all adult spina bifida patients with immediate urologic consultation and urodynamics if either is abnormal.

    Title Stuttering Priapism in a Liver Transplant Patient with Toxic Levels of Fk506.
    Date April 2000
    Journal Urology
    Excerpt

    This is the first report of stuttering priapism in a liver transplant patient with toxic levels of the immunosuppressive agent FK506. To date, stuttering priapism has only been reported in patients with sickle cell disease and is not currently listed in the toxicity profile of FK506 or cyclosporine, a drug with a similar mechanism of action. The erections resolved when the FK506 levels normalized. We review the possible mechanisms by which FK506 may have caused these erections.

    Title Evaluation of Immunocompetency in Juvenile Laryngeal Papillomatosis.
    Date August 1990
    Journal Annals of Allergy
    Excerpt

    The morbidity from juvenile laryngeal papillomatosis (JLP), a disease process characterized by recurrent growth of multiple epithelial papillomas, has greatly improved with the advent of immunomodulating agents used in combination with the surgical approach of CO2 laser vaporization. In prospectively evaluating the immunologic status of four pediatric patients with this disorder, one patient repeatedly demonstrated IgG2 subclass deficiency. One of two children found to have subnormal functional natural killer (NK) activity received thrice weekly intramuscular administration of 3,000,000 units/m2 body surface area of human leukocyte (alpha) interferon (IFN). Natural killer function normalized, but therapy was discontinued after 4 months; however, no clinical benefits from IFN administration were observed. Further in vitro evaluation of NK function and lymphokine production is needed, in order eventually to offer more effective immunomodulating agents to such patients. A brief review of the literature concerning JLP is also presented.

    Title Sleep Apnea: Morbidity and Mortality of Surgical Treatment.
    Date March 1989
    Journal Southern Medical Journal
    Excerpt

    We have analyzed the complications in 132 patients who had surgical treatment of sleep apnea or excessive snoring. In this series there were 34 (26%) complications and two patients (1.5%) died. Complications related to uvulopalatopharyngoplasty in 126 patients included rhinolalia (2%) and oropharyngeal hemorrhage (6%). In the 41 patients who had tracheostomy, complications included hemorrhage from tracheostomy (5%), tracheomalacia (5%), peristomal infection (15%), tracheostomy tube intolerance (Montgomery tube 100%, Shiley tube 7%), pneumonia (2%), hypoxia necessitating emergency tracheotomy (2%), and other perioperative complications.

    Title Simultaneous Mucoepidermoid Carcinoma and Paget's Disease of the Maxillary Sinus.
    Date November 1987
    Journal Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-head and Neck Surgery
    Title Therapeutic Effect of Posture in Sleep Apnea.
    Date October 1986
    Journal Southern Medical Journal
    Excerpt

    Four patients with mild to moderate obstructive sleep apnea were monitored first in the supine posture to establish a diagnosis of obstructive sleep apnea (apnea indices 33, 12, 22, 36). A second polysomnogram, obtained while the patients slept in the lateral posture, showed a dramatic decrease in apnea (apnea indices 5, 0, 0.2, and 0) and snoring. Each patient had an enlarged uvula, which moved to the side in the lateral posture. We conclude that sleeping in the lateral posture may be therapeutic in some patients with obstructive sleep apneas.

    Title Staining of Surgical Specimens with Toluidine Blue Prior to Frozen Section Examination.
    Date June 1986
    Journal The Laryngoscope
    Title Uvulopalatoplasty and Obstructive Sleep Apnea.
    Date March 1986
    Journal Southern Medical Journal
    Excerpt

    We present results of uvulopalatoplasty (UPP) in 22 patients with obstructive sleep apnea who had preoperative and postoperative polysomnograms. Symptomatic improvement in daytime somnolence, snoring, and quality of sleep was reported by 20 patients. After operation, ten of 22 patients had more than a 50% improvement in the apnea index and apnea/sleep percentage, and the number of apneas, apnea index, apnea/sleep percentage, apneic duration, lowest oxygen saturation and longest apneas were significantly better (P less than .05). In the remaining 12 patients there was significant improvement in only the lowest oxygen saturation and longest apneic duration categories. We conclude that UPP is an effective alternative to tracheostomy in the treatment of obstructive sleep apnea; we observed symptomatic improvement in 91%, objective improvement in 46%, and cure in 36% of the patients. Because of the discordance in subjective improvement and objective assessment, we believe all patients should have follow-up polysomnograms after UPP.

    Title Subglottic Foreign Bodies in Pediatric Patients.
    Date February 1986
    Journal American Journal of Diseases of Children (1960)
    Excerpt

    Impacted subglottic foreign bodies may produce upper airway obstruction and clinical signs simulating croup or asthma. We identified the roentgenologic and clinical features in six patients. In four of these patients, the parent had not observed the aspiration episode, so that the diagnosis was delayed. Roentgenologic studies demonstrated subglottic narrowing of the upper airway with a homogeneous, poorly defined radiodensity within the narrowed segment. These roentgenologic studies are usually diagnostic; therefore, if infants or young children present with stridor of undetermined cause, soft-tissue upper airway roentgenography is indicated.

    Title Cisplatin and Doxorubicin. An Effective Chemotherapy Combination in the Treatment of Advanced Basal Cell and Squamous Carcinoma of the Skin.
    Date April 1985
    Journal Cancer
    Excerpt

    Eleven patients with advanced basal cell carcinoma (BCC) or squamous cell carcinoma (SCC) of the skin were treated with cis-diamminedichloroplatinum II (cisplatin) and doxorubicin. Seven patients had prior surgery and six of these seven had prior radiation therapy. All patients had an adequate trial of chemotherapy. One patient received a second course of chemotherapy after relapse. Responses were seen in 10 of 12 (87%) of chemotherapy courses, and 5 of 11 patients (46%) have an unmaintained complete remission lasting 2 to 31 months. Toxicity was acceptable and consisted primarily of gastrointestinal side effects. These results indicate the combination of cisplatin and doxorubicin has significant activity in both advanced BCC and SCC of the skin. In addition, a portion of patients treated with the combination achieve a long-term unmaintained disease-free state.

    Title Liposarcoma of the Larynx.
    Date April 1985
    Journal Archives of Pathology & Laboratory Medicine
    Excerpt

    To our knowledge, only seven cases of laryngeal liposarcoma have been reported in the English language literature. We add an eighth case and review the other seven cases. Our patient presented with a pedunculated mass arising from the left aryepiglottic fold and obstructing both the larynx and pharynx. The lesion has recurred locally three times in a period of four years. We discuss pathologic findings and management of this patient.

    Title Cervical Spine Hemangiomas: Report of a Case.
    Date February 1983
    Journal Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-head and Neck Surgery
    Excerpt

    A cervical spine hemangioma in a 32-year-old woman is reported. Because of herniation of the mass between the deep muscles of the posterior triangle, the clinical differential diagnosis was confusing. The lesion required a two-stage procedure in conjunction with neurosurgical evaluation for total removal. The amount of bone destruction of the spine and exact location of the lesion are graphically displayed in a computed tomography (CT) scan of the neck. An arteriogram showing partial occlusion of the vertebral artery and a myelogram displaying extrinsic spinal cord compression, along with the CT scan, showed the full extent of the lesion.

    Title Head and Neck Neoplasms: Outpatient Chemotherapy.
    Date July 1979
    Journal Ear, Nose, & Throat Journal
    Title Single Port Access Adrenalectomy.
    Date
    Journal Journal of Endourology / Endourological Society
    Excerpt

    OBJECTIVE: To report the first single port access (SPA) adrenalectomy to minimize patient discomfort through a less invasive procedure. METHODS/RESULTS: We performed the first SPA in a 63-year-old, otherwise healthy Caucasian female who had a 4.5-cm left adrenal mass that was incidentally discovered on computed tomography scan of the abdomen and pelvis. Through a 2-cm single longitudinal supraumbilical incision extended down to the abdominal fascia, three 5-mm ports were placed through separate facial entry points, to make a triangular port arrangement. The adrenal vein was identified and ligated using hemoclips. The remainder of the dissection was done using hemocoagulation. The adrenal gland was extracted via an EndoCatch bag device by removing one 5-mm port and upsizing to a 12-mm port. CONCLUSION: We report on the first SPA adrenalectomy. Although this technology is still in its infancy, the use of a single port for surgery provides a means to provide a potentially better patient outcome with a less invasive procedure.

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