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  Vol. 129 No. 8, August 2003 TABLE OF CONTENTS
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  Clinical Challenges in Otolaryngology
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Time-Proven Efficacy of Microsurgery

Arch Otolaryngol Head Neck Surg. 2003;129:907.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

As otolaryngologists, we have a unique and long-term perspective on the treatment of benign lesions with radiation therapy. In the first half of the last century, radiation was advocated as a safe and effective treatment for adenotonsillar hyperplasia. Experience has proven that radiation therapy for this indication is medically unwise because it is associated with a significant incidence of radiation-induced head and neck tumors, many of them malignant. The recent resurgence of interest on irradiating benign lesions, this time acoustic tumors, has led to skepticism among many otolaryngologists who remember this history.


 
Figure appears in full text version.
Clough Shelton, MD


Our experience with surgical treatment of acoustic tumors is of long duration, and the results are predictable. These tumors can be completely removed with an extremely low incidence of morbidity and mortality. This is well documented in the review by McMenomey and Kaylie. The main issue concerning the role of radiation therapy for acoustic tumor . . . [Full Text of this Article]

Clough Shelton, MD
Salt Lake City, Utah



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