bluuebunny/crossref_metadata_2025_split huggingface dataset:
Phaeohyphomycosis of the maxilloethmoid sinus caused by drechslera spicifera: A new fungal pathogen
Authors: Sobol Steven M. , Love Rick G. , Stutman Harris R. , Pysher Theodore J. 
Published: October 2006

Abstract“Phaeohyphomycosis” refers to soft tissue and systemic infections caused by dematiacious septate fungi. Drechslera spicifera, a dematiacious fungus, rarely pathogenic in humans was found to cause maxilloethmoid sinus disease in two immunocompetent children. The clinical presentation was similar to noninvasive aspergillosis. Intracavitary surgical excision without adjuvant chemotherapy resulted in apparent cure. The microbiologic and clinicopathologic aspects of this mycotic sinus disease are reviewed and discussed in relation to the entire spectrum of human disease reported which has been attributed to this organism.
Corticosteroid management of airway hemangiomas: Long‐term follow‐up
Authors: Hawkins Donald B. , Crockett Dennis M. , Kahlstrom Emily J. , Maclaughlin Eithne F. 
Published: October 2006

AbstractNine children with airway obstructing hemangiomas were managed with corticosteroid therapy for durations of 6 weeks to 17 months. One patient required a tracheotomy. Steroid therapy improved the airways of the other 8 patients. Therapy was continued for 8 months or longer in 6 patients, none of whom developed life‐threatening infections. Examinations 1½ to 7½ years after therapy revealed all of the patients to be within normal range for height and weight, but 3 of the 6 patients treated for 8 months or longer were in the lower range of normal. Steroid therapy is an effective method of protecting the airway in some patients with hemangiomas. Its disadvantage is that therapy may be necessary for several months. The risk of infections and growth suppression is minimized by using small maintenance dosage and alternate day therapy.
Surgical management of meniere's disease with endolymphatic sac decompression by wide bony decompression of the posterior fossa dura: Technique and results
Authors: Graham Malcolm D. , Kemink John L. 
Published: October 2006

AbstractThe results of wide bony decompression of the posterior fossa in 49 consecutive individuals with idiopathic unilateral Meniere's disease are reported. These results are similar to many previously published series, 71% of individuals are free of vertigo and 86% have unchanged or improved hearing. Utilizing the classification proposed by the American Academy of Ophthalmology and Otolaryngology, 73% fell into Class A, B, or C with relief of vertigo.These results together with the low complication rate encourages us to consider surgery at an earlier date, hoping to stabilize hearing at a more useful level and to relieve vertigo.
Laryngeal carcinoma in childhood. Report of a case and review of the literature
Authors: Laurian N. , Sadov R. , Strauss M. , Kessler E. 
Published: October 2006

AbstractA rare cose of an 8½ year old boy with a stage III well differentiated squamous cell carcinoma of the larynx, which responded to chemotherapy and irradiation, is reported. It is the 56th cose in children up to 15 years of age and the 20th case in children 10 years old or younger reported since 1868.Carcinoma of the larynx in children has similar clinicopathological features to those of adult laryngeal carcinoma, but markedly differs as concerning sex incidence ratio. The main differential diagnosis is juvenile papillomatosis and the principal risk factor is previous cervical irradiation. Delayed diagnosis is frequent since clinical manifestations might be attributed to the normal laryngeal maturation process or to a common respiratory infection. Treatment is problematic, for special effort must be made to preserve laryngeal anatomy and function and to avoid complications. Prognosis of childhood laryngeal cancer is unclear since the reported survival rates are not tumor stage related.
Evaluation of speech of laryngectomees after the amatsu tracheoesophageal shunt operation
Authors: Amatsu Mutsuo , Kinishi Minoru , Jamir Joselito C. 
Published: October 2006

AbstractFourteen patients were evaluated by a number of tests to analyze the voice produced following the senior author's surgical technique for speech rehabilitation.The parameters used were sustained duration of the prolonged vowel, counting per breath, syllables per breath, words per breath, and words per minute for quantitative determination. The qualitative parameters used were pronunciation accuracy, level of intelligibility and adequacy. The results obtained were better than those of esophageal speakers and approximate laryngeal voice.A comparison of relative advantage over other rehabilitative procedures is presented.
Internal carotid artery thrombosis following soft palate injuries: A case report and review of 16 cases
Authors: Hengerer Arthur S. , Degroot Terry R. , Rivers Robert J. , Pettee Daniel S. 
Published: October 2006

AbstractSixteen cases with soft palate lacerations and neurologic sequelae secondary to internal carotid artery injury are presented and reviewed. In all 16 cases, it is probable that blunt trauma to the internal carotid artery produced an intimal tear causing an intraluminal thrombus to form. Within 48 hours of injury all patients demonstrated varying degrees of neurologic deficit with 5 deaths.This article recommends the following treatment protocol for these cases: 1. admission for 48 hours observation; 2. early ultrasound or angiography at first sign of neurologic changes; 3. immediate anticoagulation if internal carotid artery occlusion is discovered; 4. surgery is usually inappropriate as the thrombus presents in the inaccessible skull base or may embolize during attempted removal.The present case represents the result of this formulated treatment protocol.
Pulsatile tinnitus: A dehiscent jugular vein
Authors: Rouillard Roger , Leclerc Jacques , Savary Paul 
Published: October 2006

AbstractA case is reported of n female patient with subjective tinnitus synchronous with her pulse, in the left ear. A dehiscent high seated jugular vein was found in the middle ear. A surgical technique is presented using a septal cartilage homogrnft to cover the dehiscent vein.
Sino‐Orbital aspergillosis associated with total ophthalmoplegia
Authors: Yumoto Eiji , Kitani Shinji , Okamura Hlroshi , Yanagihara Naoaki 
Published: October 2006

AbstractInvasive aspcrgillosis of the paranasal sinuses involving the orbit is termed sino‐orbital aspergillosis. Prognosis of sino‐orbital aspergillosis, complicated by impaired visual acuity and neurological signs, is disastrous and usually fatal. We herein report two patients with sino‐orbital aspergillosis associated with total ophthalmoplegia. One patient was successfully treated with surgical eradication including orbital exenteration. In contrast, the other died of cerebral infarction, probably due to fungal thrombosis of the middle cerebral artery, despite repeated local debridement followed by orbital exenteration and administration of antifungal agents. Experience with these cases strongly indicates the necessity of prompt surgical eradication, including orbital exenteration if necessary, in the treatment of sino‐orbital aspergillosis.
Histopathology of the temporal bone in osteogenesis imperfecta congenita: A report of 5 cases
Authors: Berger Gilead , Hawke Michael , Johnson Alan , Proops David 
Published: October 2006

AbstractThe histopathologic findings in 8 temporal bones from 5 patients with osteogenesis imperfecta congenita are reported. The otic capsule, bony walls of middle ear, and ossicles showed evidence of both deficient and abnormal ossification. Microfractures were found in the otic capsule and in the anterior process and handle of the malleus, in addition to their common location at the crurn of the stapes. The cochlear and vestibular end‐organs appeared normal. Pathologic changes compatible with otosclerosis were not seen. The possible implication of these changes on hearing and balance is discussed.
Measurement of auditory brain stem potentials in bell's palsy
Authors: Shanon Eliahu , Himelfarb Mordechai Z. , Zikk Daniel 
Published: October 2006

AbstractAuditory brain stem potentials (ABP) were recorded in 27 patients with Bell's palsy during the early phase of the disease and 1‐3 months later. Pathological findings were observed in 6 patients, the dominant features being prolonged brain stem transmission time and diminished amplitude of the second wave. The extension of the pathological process in the so called idiopathic peripheral facial paralysis appears to vary. The observation of brain stem involvement in some patients with Bell's palsy may have important clinical implications.
The ucsf/storz multichannel cochlear implant: patient results
Authors: Schindler Robert A. , Kessler Dorcas K. , Rebscher Stephen J. , Yanda Jennie L. , Jackler Robert K. 
Published: October 2006

AbstractUsing the four channel cochlear implant system with a vocoder‐based processor developed at UCSF over an extensive period of research, clinical trials of the UCSF/Storz device were initiated in February 1985, under the sponsorship of Storz Instrument Company. To date, 13 patients have been implanted with this device, nine of whom have been fitted with their external processor and transmitter and have received at least their initial postoperative evaluation. Patient results have been extremely promising, with eight of the nine patients obtaining some open‐set auditory only speech understanding. Most patients have demonstrated improvement over time and all patients have attained an enhancement in lipreading ability with the use of the UCSF/Storz device.
Toxic shock syndrome following septoplasty using plastic septal splints
Authors: Wagner Richard , Toback Jeffrey M. 
Published: October 2006

AbstractToxic Shock Syndrome (TSS) is an acute multisystem disease that has been recognized to occur in a variety of clinical settings. Postoperative TSS has been described following nasal surgery associated with the use of postoperative nasal packing. We report a case of classic TSS following septoplasty where intranasal splints without nasal packing were used. Recommendations for prevention of TSS associated with nasal surgery are presented.
Mucosal melanoma of the head and neck
Authors: Blatchford Steven J. , Koopmann Charles F. , Coulthard Stanley W. 
Published: October 2006

AbstractNine cases of primary malignant melanoma of the upper respiratory tract treated at the University Hospital over the past 10 years are presented. Of the 9 cases, 6 had primary lesions located in the nasal cavity with the remaining 3 presenting in the nasopharynx, hard palate, and larynx, respectively. The authors review presenting symptoms, diagnostic evaluation, current therapeutic modalities, and clinical course in these cases. Specific cases are discussed to emphasize items of clinical or therapeutic importance.
Tumefactive fibroinflammatory lesions of the head and neck
Authors: Olsen Kerry D. , DeSanto Lawrence W. , Wold Lester E. , Weiland Louis H. 
Published: October 2006

AbstractWe use the term “tumefactive fibroinflammatory lesion” to describe an unusualAlthough the biologic behavior and the surgical findings suggest that this lesion is an invasive, aggressive malignancy, the histologic appearance is a benign lesion consisting of an admixture of fibrous tissue and inflammatory cells. Treatment has included
Vocal restorative surgery: Why wait?
Authors: Trudeau Michael D. , Hirsch Steven M. , Schuller David E. 
Published: October 2006

AbstractThe case histories of 36 laryngectomees with vocal restorative surgery from the Department of Otolaryngology were reviewed to determine the patient's current mode of speech and number and type of complications to recovery and rehabilitation. The patients comprised two groups: 21 with tracheoesophageal fistula (tef) at the time of laryngectomy (primary) and 15 with tef subsequent to laryngectomy (secondary). Results of the review indicated that while approximately 10% fewer patients in the primary group were using a surgically restored voice, none of the surviving primary group remained aphonic. In contrast, 27% of the surviving secondary group failed to develop some form of verbal communication. When the complication rate is identified, vocal restorative surgery at the time of laryngectomy appeared to be very successful in initiating the rehabilitation process without
Silent otitis media: Clinical applications
Authors: Paparella Michael M. , Goycoolea Marcos , Bassiouni Mokhtar , Koutroupas Steven 
Published: October 2006

AbstractSilent (masked) otitis media refers to usually chronic pathological conditions behind an intact tympanic membrane which may be clinically “undetected” or “undetectable.” Correlations are described for pathological changes in temporal bones and clinical considerations for 1. silent otitis media associated with Hemophilus influenzae meningitis in infants, 2. silent otitis media — the continuum, 3. silent otitis media — sequelae, and 4. chronic silent otitis media.
Congenital vascular lesions of the head and neck
Authors: Persky Mark S. 
Published: October 2006

AbstractThere is no universally acceptable classification method of treating congenital vascular lesions of the head and neck. An historical perspective, the hemodynamics of arteriovenous fistulas, and the various modalities of treatment are presented. The importance of superselective angiography in studying these lesions is emphasized. Embolization represents a major advance in the treatment of these patients and cooperation between head and neck surgeon and the vascular radiologist is encouraged. The evaluation and treatment of 66 patients with congenital head and neck vascular lesions are presented. The rationale for various types of treatment is reviewed.
Malignant external otitis with optic neuritis
Authors: Holder Clinton D. , Gurucharri Michael , Bartels Loren J. , Colman Marc F. 
Published: October 2006

AbstractMalignant external otitis(MEO) is a progressive necrotizing infection which spreads to the skull base. The causative organism is usually Pseudomonas aeruginosa and 90% of the patients are diabetic. The infection gains access to the skull base at the temporal bone. Cranial nerve involvement is common. We present a case of malignant external otitis causing blindness due to optic neuritis. Progressive vascular involvement along the skull base is the pathogenic mechanism that best explains spread from the temporal bone to the orbital apex.
The effects of delay in standard treatment due to induction chemotherapy in two randomized prospective studies
Authors: Toohill Robert J. , Duncavage James A. , Grossmam Thomas W. , Malin Thomas C. , Teplin Robert W. , Wilson J. Frank , Byhardt Roger W. , Haas Judith S. , Cox James D. , Anderson Tom , Holoye Paul Y. , Ritch Paul S. , Haas Charles D. , Libnoch Joseph , Hoffmann Raymond G. , Fischer Mary E. 
Published: October 2006

AbstractIt is often suggested that tumors will respond to induction chemotherapy and result in improved survival for patients with squamous cell carcinoma of the head and neck. Two regimens of induction chemotherapy were studied in separate randomized, prospective trials over the last 6 years. Eighty‐three patients with advanced disease were entered into the first study (43/chemotherapy; 40/control), and 60 into the second (27/chemotherapy; 33/control). Patient randomization was stratified by stage (III/IV) and site (oral cavity, oropharynx, nasopharynx, hypopharynx, larynx, paranasal sinuses). The first study utilized bleomycin, Cytoxan,® methotrexate and 5‐fluorouracil in two cycles (one cycle if no tumor response), followed by standard treatment which consisted of combined irradiation and surgery or, in some instances, primary irradiation alone. The second study utilized cisplatin and 5‐fluorouracil in three cycles prior to standard treatment. An objective tumor response to chemotherapy was observed in 68% in the first study and 85% in the second. The patient survival in both studies @ 24 months in the first; @ 19 in the second) was better in the control than that in the experimental groups (43% to 31%; 69% to 46%). In the second study, the average length of delay of standard treatment was longer than in the first study (95 daysvs.66 days;P<.02). Results combining theP‐values of both studies indicate that the relative risk of having persistent disease was 2.9 times greater for patients who received chemotherapy. While toxicity to chemotherapy was not a factor in survival, the number of patients who withdrew from the studies and those who did not comply with treatment were greater in the chemotherapy groups. Except for new drug regimens of exceptional promise, it is recommended that future studies be designed so that chemotherapy is given concurrent with, or following the completion of standard treatment.
The risk for otolaryngologists who treat patients with aids and aids virus infection: Report of an in‐process study
Authors: Sooy C. Daniel , Gerberding Julie L. , Kaplan Michael J. 
Published: October 2006

AbstractThe risk of contracting acquired immune deficiency syndrome (AIDS) is a concern to otolaryngologists and other health care workers. Failure to appreciate this valid concern is dangerous, but overestimating it may be equally injurious to the delivery of good patient care.We review the data on antibody titers and recovery of cultured virus in blood, saliva, middle ear fluid, cerumen, tears, and nasal mucous. We also report the initial findings of a prospective study of otolaryngologists at the San Francisco General Hospital.It appears that the risk of transmission of AIDS is low and can be minimized by sound infection control measures similar to those for hepatitis B.
Treatment of hemifacial spasm with transcutaneous electrical stimulation
Authors: Yamamoto Etsuo , Nishimura Hiroko 
Published: October 2006

AbstractA transcutaneous electrical stimulation method was used to treat hemifacial spasms. This treatment was applied concomitantly with drug therapy to 21 patients, and was found effective in 17 patients (81%). Electrotherapy is considered to be useful in patients with mild spasms and in those with severe spasms for whom surgical treatment is not possible.
Toxic shock syndrome in nasal surgery: A physiochemical and microbiologic evaluation of merocel® and nugauze® nasal packing
Authors: Breda Stephen D. , Jacobs Joseph B. , Lebowitz Arthur S. , Tierno Philip M. 
Published: October 2006

AbstractA prospective comparison of the microbiologic safety of Merocel® versus NuGauze® nasal packing in 119 surgical patients is presented. Presurgical and postsurgical nasal cultures were obtained, analyzed, and compared. The importance of a preoperative nasal culture isolate of Toxic Shock Syndrome Toxin Number 1 (TSST‐1) producing Staphylococcus aureus in predicting postoperative toxigenic S. aureus isolation and Toxic Shock Syndrome symptomatology is demonstrated. An in vitro comparison of the ability of NuGauze® and Merocel® to amplify TSST‐1 production was performed.
Surgical management of choanal atresia
Authors: Richardson Mark A. , Osguthorpe J. David 
Published: October 2006

AbstractOur experience with the diagnosis and surgical management of 37 patients with congenital atresia or severe stenosis of both posterior nasal choanae is presented. Twenty‐five were repaired transnasally and 12 were repaired transpalatally. Soft stents were fashioned from Silastic® tubing and used for 6 to 12 weeks postoperatively. In 64% of the transnasal operations and 83% of the transpalatal operations, full patency of both choanae was achieved without the necessity of dilatations. In most of the remaining operations, one lumen remained patent.
Physiologic mucosal changes within the nose and ethmoid sinus: Imaging of the nasal cycle by MRI
Authors: Kennedy David W. , Zinreich S. James , Kumar Ashok J. , Rosenbaum Arthur E. , Johns Michael E. 
Published: October 2006

AbstractMagnetic resonance studies frequently demonstrate increased T‐weighted signal in the nasal area. To further evaluate this phenomenon, several MRI examinations of the nasal cavity were performed within an 8‐ to 12‐hour period. The study demonstrated that changes alternated from side to side and were interrupted by the administration of topical vasoconstriction, confirming imaging of the normal nasal cycle. Changes were also observed within the ethmoid sinuses. Signal intensity on T‐weighted images during the congested phase was similar to inflammatory mucosa. Occasionally, these changes make interpretation of the extent of pathology difficult in patients with sinus disease, and raise the possibility of inflammatory pathology in asymptomatic patients. Awareness of MRI imaging of nasal cycle should reduce the likelihood of diagnostic errors and provides another method for study of this physiologic phenomenon.
The evolving treatment of necrotizing external otitis
Authors: Kraus Dennis H. , Rehm Susan J. , Kinney Sam E. 
Published: October 2006

AbstractNecrotizing external otitis, or malignant external otitis, as initially described by Chandler, is a life‐threatening Pseudomonas infection of the external auditory canal and skull base, which occurs most commonly in elderly diabetic patients. Historically, radical surgical intervention was the primary method of treatment. The treatment of choice has shifted during the past 20 years to aggressive systemic antibiotic therapy, with surgery reserved for those patients whose disease is resistant to medical therapy. Using this approach, 19 patients with necrotizing external otitis were treated at the Cleveland Clinic Foundation during the past 8 years. A 90% rate of cure was obtained. The diagnostic approach to patients suspected of having necrotizing external otitis, a classification scheme defining the extent of disease, delivery of systemic antibiotic therapy, indications for surgical intervention, and overall effectiveness of treatment are reviewed.
Peritonsillar and neck abscesses in the pediatric age group
Authors: Dodds Brian , Maniglia Anthony J. 
Published: October 2006

AbstractA retrospective study was performed on 93 abscesses in children admitted for diagnosis and treatment at Rainbow Babies and Childrens Hospital, University Hospitals of Cleveland, during a 15‐year period from 1972 to 1987. Forty‐five percent were peritonsillar, 20.5% superficial neck, 21.5% submandibular‐submental, 9.6% retropharyngeal, and 3.4% parapharyngeal. All four complications resolved without sequelae. Early diagnosis and adequate treatment were of paramount importance to achieve a low complication rate and a short hospital stay. Bacteriology and antibiotic therapy, as well as surgical treatment, are discussed.
Lipoma and liposarcoma OP the parotid gland: High‐resolution preoperative imaging diagnosis
Authors: Korentager Richard , Noyek Arnold M. , Chapnik Jerry S. , Steinhardt Marvin , Luk Shing C. , Cooter Noel 
Published: October 2006

AbstractOver the past 7 years, nine fatty tumors within the parotid gland have been managed (eight lipomas, one liposar‐coma). High‐resolution computed tomography examination was carried out in all cases; with correct preoperative diagnosis recorded each time. The computed tomography imaging characteristics of lipoma, liposarcoma, and the differential diagnosis from other fat density lesions, such as a fatty infiltration, appear quite specific.The liposarcoma and six of the lipomas were resected at formal parotidectomy with facial nerve preservation. Two patients with small intraglandular lipomas have elected to undergo long‐term clinical and imaging observation.Our experience indicates that high‐resolution, soft‐tissue imaging with computed tomography and magnetic resonance imaging permits consistent preoperative fatty tumor diagnosis. This imaging input facilitates rational treatment decision‐making.