Posts Tagged ‘pathologist’

Surgical versus pathological excision margins—an excision too far?

Abstract  A common observation by clinicians who surgically excise skin pathology is the discrepancy between the measured size of the
surgical specimen and that of the measurements reported by the examining pathologist. This discrepancy can often be the difference
between whether, in the case of skin malignancies, the patient requires further wider excision, follow-up and, in cases where
relevant, discharge. Could it therefore mean that patients are needlessly undergoing further excisions that could be avoided
with more careful attention to specimen measurements and specimen ‘shrinkage,’ both surgically and pathologically? We measured
the length and width of skin lesions excised pre- and post-operatively and compared these measurements with the reported histopathological…

Communication disorders in individuals with cleft lip and palate: An overview

This article provides an introduction to communication disorders in individuals with cleft lip and palate for members of cleft care teams. The speech pathologist is involved in identifying those infants who are at risk for communication disorders and also for initiating early intervention to prevent or mitigate communication disorders caused by the cleft. Even with early cleft repair, some children exhibit 'cleft palate speech' characterized by atypical consonant productions, abnormal nasal resonance, abnormal nasal airflow, altered laryngeal voice quality, and nasal or facial grimaces. These manifestations are evaluated to identify those that (a) are developmental, (b) can be corrected through speech therapy alone, and, (c) those that may require both surgery and speech ther…