bluuebunny/crossref_metadata_2025_split huggingface dataset:
Simultaneous (non‐epidermoid) neoplasms involving the head and neck
Authors: Strauss Melvin , Sharkey Francis E. 
Published: October 2006

AbstractThe phenomenon of multiple primary malignant neoplasms involving the head and neck is well documented. Epidermoid carcinomas constitute the majority of these neoplasms.Case reports are made of two patients with simultaneously occurring chronic reticuloendothelial malignancies and non‐epidermoid tumors involving the head and neck. The first case is one of chronic lymphocytic leukemia (CLL) and metastatic primary retro‐peritoneal extragonadal seminoma, while the second is one of lymphocytic lymphoma (LL) and a carotid body tumor (CBT).The head and neck manifestations of metastatic seminoma, CBT, and CLL and LL are discussed. A review of the literature of the association of each of these entities to other tumors is presented. Also presented is the evidence for an increased incidence of malignancies associated with CLL and LL and the complicating factors introduced when reticuloendothelial malignancies occur simultaneously with head and neck neoplasms.
Effect of geniohyoid, cricothyroid and sternothyroid muscle stimulation on voice fundamental frequency of electrically elicited phonation in rhesus macaque
Authors: Sapir Shimon , Larson Charles , Campbell Cybil 
Published: October 2006

AbstractVocalizations were elicited in three anesthetized rhesus macaques by electrical stimulation of a site in the brain stem. At the same time, the laryngeal muscles — cricothyroid (CT), geniohyoid (GH) and sternothyroid (ST) — were electrically stimulated to assess their effect on the elicited phonation. Analysis of the recorded vocalizations indicated that stimulation of each of the muscles produced a substantial increase in the voice fundamental frequency (Fo), with the CT muscle causing the greatest Fo increase. Maximum elevation in Fo was obtained when the CT muscle was stimulated simultaneously with the GH or ST muscles. Changes in Fo were typically accompanied by changes in voice quality.
Irradiated autogenous mandibular grafts in primary reconstructions.
Authors: Hamaker Ronald C. 
Published: October 2006

AbstractThe procedure, irradiated mandibular autografts, for primary reconstruction, is presented with an immediate success rate of 88%. Eight cases have undergone primary mandibular reconstruction with the tumorous mandible irradiated to 10,000 rads in a single dose. The longest follow‐up is 2 3/4 years. The autograft has proven to be an ideal implant. Major resections of the mandible in conjunction with large myocutaneous flaps have been reconstructed utilizing this implant.
Surgery of the endolymphatic sac
Authors: Maddox H. Edward 
Published: October 2006

AbstractThe wide variation in reported success rates in endolymphatic sac surgery has been the subject of much controversy in literature. This series is a follow‐up of additional cases done since 1976 that were previously reported with 55% relief of vertigo on relatively long‐term follow‐ups of 24 months to 10 years. This present series is an additional 30 endolymphatic shunts that were done since that time. This group of patients as a rule had their disease for a shorter period of time. It is interesting that the long‐term relief of vertigo in this series is 70%. This is considerably better than the initial series of 66 patients previously reported. It is postulated that there are some benefits to earlier surgery in endolymphatic hydrops before the endolymphatic sac lumen becomes obliterated with fibrous tissue. It is always possible that the shorter follow‐up period in this group of patients also adds to this statistical improvement.
Comprehensive hearing aid program within an ear, nose, and throat office.
Authors: Pou Jack W. , Snelling Bobby Corbin , Vekovius William A. 
Published: October 2006

AbstractHearing air dispensing within an otolaryngological/audiological clinic is a well accepted fact, and offers total hearing care in a professional setting. The effectiveness of such a program as to wearing habits and acceptance of services rendered, to my knowledge, has not been studied. This paper discusses data obtained from a questionnaire sent out to 1100 hearing aid patients. The questionnaire was designed to study satisfaction with clinic services and costs, acceptance and adjustment, communication abilities and wearing habits.Statistical analysis was performed by the Department of Biometry at LSU Shreveport. The information received is valuable in determining when hearing aids are most helpful and least helpful and brings out some factors which should influence one in determining who should and should not be fitted with amplification.
total obliteration of the mastoid, middle ear, and external auditory canal. A review of 27 cases.
Authors: Bartels Loren J. , Sheehy James L. 
Published: October 2006

AbstractIn the past 22 years, 27 patients have undergone total obliteration of the mastoid, middle ear, and external auditory canal. Most of the patients had severely diseased ears, many with multiple previous operations. When performed for chronic otorrhea, the operation resulted in a dry ear in all but two cases, though healing was prolonged in some. Secondary revisions for hearing were unsuccessful.We review the indications for this procedure and the experience of others who have used similar techniques. Though seldom indicated, the mastoid obliteration operation results in a dry ear in almost all patients.
Perilymphatic fistulas.
Authors: Love J. Thom , Waguespack Richard W. 
Published: October 2006

AbstractSince 1974, 28 ears have been surgically explored for suspected perilymphatic fistulae. Of the 28 explored ears, 23 were proven to have fistulae. Eighteen of these surgically proven fistulae were from nonsurgical injuries; 5 were poststapedectomy. Mode of injury, patient descriptive data, duration of the fistulae, as well as method and tissue used to correct the leak are examined. The low morbidity of surgically exploring suspected ears with the high percentage of positive findings leads the authors to encourage surgical exploration.
Plasmacytoma arising in the vicinity of a foreign body in the nasal cavity
Authors: Ben‐David Jacob , Fradis Milo , Podoshin Ludwig , Bartal A. H. 
Published: October 2006

AbstractThe development of a plasmacytoma in the vicinity of a long residing metallic foreign body in the nasal cavity is presented. In spite of the multitude of reports concerning neoplasms associated with trauma, most of which arise in chronic scars, this presentation is very rare.It is speculated that the plasma cell proliferation, occurring nearby the foreign body, roots from an immunologic and granulomatous reaction. This case is discussed in light of the vast data on foreign body tumorigenesis obtained from laboratory animals, and the implications of this data are outlined.Further attention should be drawn to the clinical associations of malignant processes co‐existing with long‐standing foreign bodies.
The facial nerve in congenital middle ear malformations
Authors: Jahrsdoerfer Robert A. , Charlottesville  
Published: October 2006

AbstractThe two most common anomalies of the facial nerve encountered in patients with a congenital malformation of the middle ear are displacement of the nerve and lack of a bony cover, two conditions that place the nerve at risk of being injured by the unwary surgeon. Malformations of the stapes are often found in association with facial nerve anomalies and may range from underdevelopment to complete absence. A congenital absence of the oval window is not uncommon.The position of the facial nerve in relation to the location and maturation of the ossicles will determine the method of ossicular chain repair. Creation of a new oval window by drilling may require the surgeon to purposely displace the facial nerve to ensure a more direct alignment of the prosthesis with the vestibule. Any part of the incus or malleus may be contoured by drilling to accommodate the loop end of the wire‐piston prosthesis.An aberrant course of the facial nerve was found in 13/54 (24%) ears having a congenital malformation of the middle ear. All 54 ears had a patent external ear canal and an identifiable tympanic membrane. Patients with atresia or stenosis of the external ear canal were specifically excluded from this study.
Rare complications following ethmoidectomies: A report of eleven cases
Authors: Maniglia Anthony J. , Ryan Chandler J. , Jarrard Goodwin W. , Flynn John 
Published: October 2006

AbstractIntranasal ethmoidectomy is one of the most difficult operations to teach residents. An accurate knowledge of the regional topographic anatomy is of utmost importance. Friedman and Kerr reported complications of 1000 cases of consecutive intranasal ethmoidectomies performed at the Mayo Clinic from 1957 to 1972. The complication rate was 2.8%. Meningitis, cerebrospinal fluid rhinorrhea, loss of olfaction, and nasolacrimal duct obstruction were reported. No blindness, loss of occular motility, excision of brain tissue or intracranial vessel damage occurred in their series.We are reporting a series of 8 cases of very rare complications following intranasal ethmoidectomies:
Optic nerve damage resulting in total blindness (3 cases).
Loss of occular motility (2 cases).
Cerebrospinal fluid leak resulting in 8 episodes of pseudomonas meningitis and epidural abscess (1 case).
Cavernous sinus — internal carotid artery fistula (1 case).
Anterior cranial fossa brain damage resulting in death (1 case).
These cases, which were either referred to us or came up for our review, are described in detail. A search of the world literature demonstrates a lack of emphasis on such complications. The pitfalls of intranasal ethmoidectomy are considered and ways to avoid such dreadful complications are discussed.
Symposium on low frequency harmonic acceleration, the rotary chair: Responses to low‐frequency harmonic acceleration in patients with acoustic neuromas
Authors: Olson James E. , Wolfe James W. , Engelken Edward J. 
Published: October 2006

AbstractThere has been increased interest in harmonic acceleration (HA) for the evaluation of vestibular pathology in recent years. The purpose of this study was to determine the value of harmonic acceleration testing in 24 patients with surgically proven acoustic neuromas.All patients were tested preoperatively and postoperatively, and none were lost to follow‐up. Thirteen were tested one year or more after surgery. For rotational evaluation, each patient was seated in an enclosed chair driven by a D.C. torque motor turntable system and rotated utilizing five low frequency sinusoids (.01 ‐ .16 Hz). Slow eye movements in response to acceleration were analyzed by analog and digital computer techniques. Output measures were the phase relationships between the input stimulus velocity and the slow phase eye movement velocity and labyrinthine preponderance (LP) or asymmetry.Preoperative results showed that caloric examination identified 79% of patients with tumors and HA 67% (2 standard deviation criteria). When both tests were evaluated together they identified 91% of all patients with tumors. Of the 4 small tumors (less than 2 cm), HA identified 4 and caloric examination 2. All patients were tested approximately 7 days postoperatively and had statistically significant shifts in their phase and LP measures. The shifts in phase were stable up to 3 years after surgery; however, the LP returned toward normal values. These findings indicate that the vestibular system can compensate but not repair itself after the loss of one labyrinth. In those patients who continued to be symptomatic 1 year or more after surgery, the LP did not return to normal values.Harmonic acceleration testing complemented caloric testing in the identification of patients with tumors and objectively demonstrated patients with continued symptomatology after surgery.
Argon laser destruction of cutaneous telangiectatic lesions
Authors: Lyons George D. , Owens Robert E. , Mouney Daniel F. 
Published: October 2006

AbstractAn ophthalmological slit lamp argon laser was used on 8 patients with multiple cutaneous and mucosal telangiectases; 6 patients had telangiectatic lesions of various etiologies and 2 had hereditary hemorrhagic telangiectasia (Osier‐Weber‐Rendu disease). Bleeding from trauma was the primary symptom with cosmesis as a secondary consideration. The telangiectatic lesions were photocoagulated using the argon laser with precise microscopic control. The optimum dose was determined by varying the spot diameter, beam power, shutter speed and number of applications until the lesions were visually ablated. All treatments were accomplished on an outpatient basis with no anesthesia or sedation and minimal reported patient discomfort. No lesions have recurred over a 12 month follow‐up.
“How i do it” — head and neck a targeted problem and its solution: Bronchoscopy as an aid in the diagnosis of pneumonia in pediatric immunosuppressed patients. What to order
Authors: Dudley James P. , Martin William J. 
Published: October 2006

AbstractImmunocompromised hosts constitute a special group of hospitalized adult and pediatric patients. Because of their depressed immunological defenses, they are subject to many kinds of infections and an increased morbidity and mortality associated with them. One of these infections is pneumonia. When pneumonia occurs, the rapid institution of appropriate therapy is necessary. Since the use of a chemotherapeutic agent is governed by the pathogenic microorganism and since those responsible are more diverse than those usually associated with pneumonia in immunocompetent patients, identification of the offending organisms is vital. The organisms associated with infections are viruses, fungi, parasites, gram‐negative organisms, Nocardia asteroides, and Mycobacterium tuberculosis. The serological identification of many of the pathogens, although frequently done, does not generally provide information which is helpful at the start of therapy. Adult patients are bronchoscoped under local anesthesia for the purpose of obtaining a transbronchial biopsy and tracheobronchial secretions since these patients often do not produce sputum; however, immunocompromised children are seldom bronchoscoped to obtain a biopsy. The following describes the method of bronchoscopy and the kinds of specimens to be obtained.
Heat exchange in the nose
Authors: Taylor Miles 
Published: October 2006

AbstractStudies of the effects of nasal respiration on the lower respiratory tract, and on metabolic processes generally, have largely been confined to those occurring during inspiration. Expiration through the nose has equally profound effects and has been studied in detail in some animals.Under certain circumstances both heat and water loss from the body can be altered by changes in the nasal mucosa. These changes appear to be under the control of the autonomic nervous system and are influenced by the need to balance heat loss with heat production.The clinical and ecogeographical significance of these findings are discussed.
Rhinitis medicamentosa
Authors: Toohill Robert J. , Lehman Roger H. , Grossman Thomas W. , Belson Thomas P. 
Published: October 2006

AbstractThe diagnosis of rhinitis medicamentosa was made in 130 patients seen over a 10 year period from July 1967 to June 1977. There was an incidence of 1% in our otolaryngological practice. Patients had been taking the causal medication for an average of 21.4 months. There were 73 males and 57 females with the peak incidence in young and middle‐age adults. The primary offending medications were decongestant nasal sprays in 85 patients, decongestant drops in 33, and a combination of these drugs in 12 patients. The major reasons for self‐medication were 1. deviated nasal septum in 40 patients, 2. an acute upper respiratory infection in 33, 3. allergy in 18, 4. miscellaneous causes in 24 and 5. unknown in 15 patients. The initial management in addition to avoidance of the medication consisted of systemic antibiotics, decongestants, antihistamines, and sedatives depending on the severity of the rhinitis and the presence of secondary infection. Later treatment consisted of correction of the deviated septums, allergic management, and supportive care. Eight patients were considered to have complications of the disease by development of chronic ethmoiditis and nasal polyposis. The pharmacologic properties of the causal agents are thoroughly reviewed as they relate to the pathogenesis of this disease. It is felt that the ready commercial availability and limited clinical value of the topical nasal sprays and drops represents a certain risk to all patients using them.
Surgical correction of choanal atresia in the neonate
Authors: Lantz H. Joseph , Birck Herbert G. 
Published: October 2006

AbstractThe purpose of this paper is to present a technique of endonasal puncture and stenting for bilateral choanal atresia in the neonate that is easily performed and may be definitive. The procedure described is original only in its details, its broad principles are well known. A method of placing the nasal stent is reported that is particularly applicable in the premature, even as small as five pounds. No antibiotics or steroids are given in the postoperative period. Three months is the recommended duration of stenting.Four patients were operated on using this technique, between July 1978 and August 1979; 3 were complete successes; 1 was a bilateral failure, but was re‐operated on and was then a unilateral success. Shortest follow‐up was 16 months.We feel endonasal puncture and stenting of bilateral choanal atresia in the neonate can be definitive, and is the first procedure of choice.
The sublabial approach for extensive nasal and sinus resection
Authors: Allen George W. , Siegel Gordon J. 
Published: October 2006

AbstractExcellent exposure of the structures of the middle third of the face can be obtained without external skin incisions by combining the basic incisions of rhinoplasty with a wide sublabial incision. In this way the bony structures of the middle third of the face can be completely uncovered. The interior of the nose and sinuses can be exposed simultaneously in the same field, and the perpendicular process of the palatine bone can be removed to provide unusually good access to the nasopharynx. Compared to lateral rhinotomy it is quicker both to open and to close, exposure is better, blood loss is less and there is no visible scar.
Clinical evaluation of meniere's disease
Authors: Meyerhoff William L. , Paparella Michael M. , Gudbrandsson Fridrik K. 
Published: October 2006

AbstractA retrospective review of 211 consecutive patients with classic Meniere's disease was performed to determine the efficacy of diagnostic studies. The patients' ages averaged 47 years and ranged between 8 and 86 years. Females outnumbered males 1.3 to 1. Left and right ears were affected with equal frequency and, in 12% of patients, the disease was bilateral. Audiologic patterns were flat in 42%, rising in 7%, peaked in 32%, and sloping downward in the reMayning 19%. Electronystagmography was normal in 21% of the patients and demonstrated canal paresis in 65% and directional preponderance in 14%.Studies of glucose metabolism were abnormal in 2 of the 204 patients tested. The 7 patients not tested had a previous diagnosis of diabetes mellitus. Thyroid function studies were abnormal in 1 of the 208 patients studied. The 3 patients not studied were known hypothyroid. FTA‐abs was positive in 12 patients and special radiographic studies of the petrous apex were normal in all cases.Conclusions suggested by this study are that audiology, electronystagmography, and treponemal antigen tests for syphilis are cost effective in evaluating patients with Meniere's disease. Studies of glucose metabolism and thyroid function, however, are probably not indicated in patients without a history suggestive of a metabolic disorder and specialized radiographs of the petrous apex should be reserved for patients suspected of having acoustic neuroma.
The sha test in vestibular diagnosis
Authors: Rubin Wallace 
Published: October 2006

AbstractElectronystagmography (ENG) organized and simplified the disorganized conventional vestibular evaluation. The addition of sinusoidal harmonic acceleration (SHA) to the vestibular evaluation has improved our capability for identifying subtle abnormalities, and even more important its use has enabled us to effectively monitor habituation and compensation (patient progress). This then allows us to monitor patient progress, confirm the patient's history, and in some cases even predict the course of the disease or injury.
Perilymph hypertension and the indirect measurement of cochlear pressure
Authors: Goode Richard L. 
Published: October 2006

AbstractPerilymph hypertension has been shown to produce hearing loss in animal experiments and in at least two clinical situations: chronic cerebrospinal fluid (CSF) elevation and oval window “gushers.” Idiopathic perilymph hypertension may be a factor in other otologic conditions as well. The indirect measurement of increased cochlear pressure is discussed and a plea made for otolaryngologists and audiologists to consider such measurements in inner ear disease of obscure etiology in order to validate the concept that increased cochlear pressure is associated with ear disease other than Ménière's.
Nontuberculous mycobacterial infections of the face and neck — Practical considerations
Authors: Olson Nels R. 
Published: October 2006

AbstractCervicofacial nontuberculous mycobacterial (NTM) infections are a diagnostic and therapeutic dilemma which may be encountered by the Otolaryngologist. A review of the world's literature indicates that these infections are being diagnosed more frequently and that they far outnumber cervical infections by Mycobacterium tuberculosis. The organisms are ubiquitous. The portal of entry may be through a small defect in the skin or mucosa. They rarely, if ever, cause serious systemic illness.Diagnosis is by culture of the organism, however, cultures are usually not available at the time the patient is treated. Treatment, then, must be based on the results of skin tests, examination of pus and tissue, a “typical clinical presentation,” and elimination of other diseases. The differential diagnosis is extensive.This review reports 21 patients with proven or suspected NTM infections of the face and neck. Eight of these patients were treated by traditional methods utilizing complete excision and, in some cases, drug therapy. Eleven were treated by curettage alone, and two more by curettage and drugs. The results were excellent by all of these forms of treatment.These findings support the proposition that curettage is a simple, safe, and effective method of treatmenting cervicofacial NTM infections and should be utilized as the primary treatment in all suspected or proven cases of this disease. The method does not exclude other forms of treatment being utilized if they should be required.
Retropharyngeal cellulitis
Authors: Schlossberg David , Fugate Jeffrey S. 
Published: October 2006

AbstractFive cases of retropharyngeal infection in adults were seen over a nine month period. Diagnosis was suspected on clinical grounds and established by X‐ray. All five patients were treated successfully with antibiotics. A pre‐abscess stage of retropharyngeal infection, which does not require surgical drainage, may be more common than previously suspected. Clinical and microbiologic considerations are reviewed.