テキサス大学Dr. Mac Comb臨床に於けるHead and Neck Surgeryについて

抄録

While I often treated as a part of my practice the patients suffering from tumors in herd and neck which are actually important in the clinic of Otorhinolaryngology and Bronchoesophagology, I always wanted to have an opportunity to observe personally the head and neck service as practised in the United States which I came to know through medical literatures.
My opportunity came last fall when I visited the United States and through the kindness of Dr. William S. MacComb, Chief of Head and Neck Service, The University of Texas, M. D. Anderson Hospital and Tumor Institute, I was invited to observe his operations.
I would like to offer here in Otologia Fukuoka the brief summary of my findings at Dr. Mac Comb's Head and Neck Clinic.
What I found unusual in comparison to my experience in Japan was that in Texas there was a large number of cases of cancer of the skin of the face. I was impressed with actual practice of Dacron arterial graft as well as pathological examinations by aspiration biopsy and frozen section during an operation. The methods in treatment which I found most enlightening are as follows:
1) Planned combination of surgery and radiation in treatment of advanced primary head and neck cancers.
2) Efforts to explaine and recommend an operation to the patient by a hospital expert and efforts to prevent as much as possible post-operative disorder and defects, so that the patients would easily accept the rational treatment.
3) Strict practice of follow-up cases so that recurrence, if any, can be accurately detected. The cases of recurrence thus detected can be recorded in detail which will be a valuable data in determining the method of treatment in the future.
At the end of my address. I would like to say a few words of gratitude here from Japan to Dr. MacComb and his staff Dr. Jesse who offered me their kind help in many ways.
I also am indebted to Professor Seiichi Kawata of Kyushu University and Dr. Shinji Yoshida, Fukuoka whose kindness has made it possible for me to have a presentation about Dr. MacComb's Clinic at 276th meeting of Kyushu district of Oto-Rhino-Laryngological Society of Japan and to have this paper published in the Otologia Fukuoka.