William D Clark

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  • W D Clark
  • 1981
Physicians fail to recognize alcoholism if patients do not attribute their suffering to drinking problems. Underutilization of logical diagnostic strategies reflects lack of knowledge of the multitude of presentations of alcoholism, as well as lack of supervised experience with patients who are unable to be forthright about problems because of psychologic(More)
Age-related autopsy rates were computed from 99,145 death certificates and disclosed a striking decline with advancing age, the peak (82.5%) occurring in the third decade of life, the nadir (2.4%) by age 90 years. The trend was the same for both sexes, although at all ages men were more likely to undergo autopsies than women. There was a significant decline(More)
Nasal dermoids are unusual lesions resulting from embryopathology. They are diagnosed easily by physical examination. Treatment is complete surgical excision, aided by microsurgical techniques. Involvement of the skullbase is common with "deep-seated" ND, and intracranial involvement is not uncommon. The high-resolution CT scanner is believed to be valuable(More)
Juvenile laryngeal papillomatosis (JLP), usually a benign, self-limited disease, occasionally has a highly aggressive course characterized by extension of neoplastic cells into the tracheobronchial tree, lung, and soft tissues. Less frequently, squamous carcinoma has arisen in JLP, most commonly following radiation therapy. Rarely, carcinoma has occurred(More)
OBJECTIVE To describe the presentation, diagnosis, and treatment of late-onset laryngomalacia in children with obstructive sleep apnea syndrome (OSAS). DESIGN Retrospective study. SETTING Tertiary care children's hospital. PATIENTS Seventy-seven children were identified who had OSAS diagnosed by polysomnography and underwent airway endoscopy to(More)
Receptors responding to transmural pressure, airflow, and contraction of laryngeal muscles have been previously identified in the larynx. To assess the relative contribution of these three types of receptors to the reflex changes in breathing pattern and upper airway patency, we studied diaphragmatic (DIA) and posterior cricoarytenoid muscle (PCA) activity(More)
Hallux varus deformity, which may be either congenital or acquired, can be very painful and disabling, in addition to having a poor cosmetic appearance. In this paper, the author discusses the acquired type. He believes the abductor hallucis tendon transfer to be the procedure of choice for correction of hallux varus deformity, and he discusses its use and(More)
We report a case of 'matured' lipoblastoma occurring within the parotid gland of a 7-month-old male. This benign fatty tumor is considered to represent localized continuation of fetal fat development into the post-birth period. At least 7 cases have been reported in the head and neck region, but this is the first known occurrence within a salivary gland.