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Undergraduate medical education in facial plastic and reconstructive surgery. 面部整形与重建外科本科医学教育。
Otolaryngology Pub Date : 1978-11-01 DOI: 10.1177/019459987808600605
B B Baker, B W Jafek, T J Balkany, T J Perkins
{"title":"Undergraduate medical education in facial plastic and reconstructive surgery.","authors":"B B Baker,&nbsp;B W Jafek,&nbsp;T J Balkany,&nbsp;T J Perkins","doi":"10.1177/019459987808600605","DOIUrl":"https://doi.org/10.1177/019459987808600605","url":null,"abstract":"<p><p>Instruction in basic surgical techniques with practical experience is often minimized in the modern, compressed medical curriculum. The otorlaryngologist can fulfill a major need in this area by presenting instruction in these techniques with emphasis on their application to the face. The authors have developed a course which has been refined through the experiences of over 100 medical students at the University of Colorado Medical Center and has been uniformly well received by students and administration. The outline of the didactic presentation and organization of the practicum is presented.</p>","PeriodicalId":76297,"journal":{"name":"Otolaryngology","volume":"86 6 Pt 1","pages":"ORL-865-8"},"PeriodicalIF":0.0,"publicationDate":"1978-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/019459987808600605","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11333615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interruption of combined therapy: a factor in decreased survival. 联合治疗中断:降低生存率的一个因素。
Otolaryngology Pub Date : 1978-11-01 DOI: 10.1177/019459987808600608
B Leipzig, C W Cummings, C T Chung, R H Sagerman
{"title":"Interruption of combined therapy: a factor in decreased survival.","authors":"B Leipzig,&nbsp;C W Cummings,&nbsp;C T Chung,&nbsp;R H Sagerman","doi":"10.1177/019459987808600608","DOIUrl":"https://doi.org/10.1177/019459987808600608","url":null,"abstract":"<p><p>Occasionally, during the course of combined (radiation plus surgery) treatment of head and neck malignancies, the patient experiences a profound response to radiotherapy alone and elects to decline the second phase of treatment, namely, surgery. After a variable interval, radiotherapy is reinstituted to a \"curative\" level. A series of 14 laryngeal and oropharyngeal carcinomas, treated in this disjointed fashion, has been examined with respect to long-term survival. The prognosis is extremely unfavorable, thus supporting a basic philosophy of continuing with the prescribed surgical treatment despite a dramatic response to noncancericidal doses of radiotherapy. The site and stage of tumor, radiation dosage, interval to completion of therapy, and incidence of local and distant metastases are examined. It appears that every effort should be made to provide continuity in the combined therapeutic protocol if the advantages of this mode of therapy are to be effective.</p>","PeriodicalId":76297,"journal":{"name":"Otolaryngology","volume":"86 6 Pt 1","pages":"ORL-881-5"},"PeriodicalIF":0.0,"publicationDate":"1978-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/019459987808600608","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11333622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Permanent threshold shift and cochlear hair cell loss in the kanamycin-treated guinea pig. 卡那霉素处理豚鼠的永久性阈值移位和耳蜗毛细胞丢失。
Otolaryngology Pub Date : 1978-11-01 DOI: 10.1177/019459987808600609
C A Prosen, M R Petersen, D B Moody, W C Stebbins, J E Hawkins
{"title":"Permanent threshold shift and cochlear hair cell loss in the kanamycin-treated guinea pig.","authors":"C A Prosen,&nbsp;M R Petersen,&nbsp;D B Moody,&nbsp;W C Stebbins,&nbsp;J E Hawkins","doi":"10.1177/019459987808600609","DOIUrl":"https://doi.org/10.1177/019459987808600609","url":null,"abstract":"<p><p>The differential contribution of the inner hair cells (IHC) and the outer hair cells (OHC) in the mammalian cochlea to hearing sensitivity was assessed in six behaviorally-trained guinea pigs by comparing audiograms preadministration and postadministration of kanamycin, an antibiotic that predominantly destroys guinea pig OHC while leaving the IHC structurally unchanged. The results support the hypothesis that only the IHC of the cochlea responds to tones approximately 50 to 60 dB above the threshold of the intact cochlea.</p>","PeriodicalId":76297,"journal":{"name":"Otolaryngology","volume":"86 6 Pt 1","pages":"ORL-886-7"},"PeriodicalIF":0.0,"publicationDate":"1978-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/019459987808600609","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11333621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Blunt laryngotracheal trauma. 钝性喉气管创伤。
Otolaryngology Pub Date : 1978-11-01 DOI: 10.1177/019459987808600614
C R Potter, D G Sessions, J H Ogura
{"title":"Blunt laryngotracheal trauma.","authors":"C R Potter,&nbsp;D G Sessions,&nbsp;J H Ogura","doi":"10.1177/019459987808600614","DOIUrl":"https://doi.org/10.1177/019459987808600614","url":null,"abstract":"<p><p>Management of blunt trauma to the larynx and trachea is based upon accurate assessment of the anatomic site of the injury, the tissue involved, the time since the injury, and the general status of the patient. Early and orderly diagnosis and classification result in early management, which is essential to maximize function and minimize morbidity. To evaluate the management and treatment results of patients with blunt trauma to the larynx and trachea, a retrospective study was performed. The office charts and hospital records of all patients with blunt trauma to the larynx and trachea from 1966 through 1976 were reviewed. Conditions studied included etiology of the trauma, initial signs and symptoms, pretreatment findings, management (primary and secondary), complications, and long-term results of management. Management results are discussed in comparison with reported results in the literature, and conclusions are presented regarding optimal treatment for the various classes of laryngotracheal injury.</p>","PeriodicalId":76297,"journal":{"name":"Otolaryngology","volume":"86 6 Pt 1","pages":"ORL-909-23"},"PeriodicalIF":0.0,"publicationDate":"1978-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/019459987808600614","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11333553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 18
Current evidence for the organic etiology of spastic dysphonia. 痉挛性发声障碍器质性病因的最新证据。
Otolaryngology Pub Date : 1978-11-01 DOI: 10.1177/019459987808600607
H H Dedo, J J Townsend, K Izdebski
{"title":"Current evidence for the organic etiology of spastic dysphonia.","authors":"H H Dedo,&nbsp;J J Townsend,&nbsp;K Izdebski","doi":"10.1177/019459987808600607","DOIUrl":"https://doi.org/10.1177/019459987808600607","url":null,"abstract":"<p><p>For over 100 years it has been universally assumed in the literature that spastic dysphonia is a functional or psychoneurotic voice disorder. In the last few years, new data have accumulated that support the concept that spastic dysphonia is caused by an organic, rather than a functional, abnormality. Histologic examination of segments of the recurrent laryngeal nerve removed from patients with spastic dysphonia has revealed myelin abnormalities in 30% of the nerves examined. Neurologic examination indicated brain stem or basal ganglia disturbances in some patients who had no apparent nerve disease.</p>","PeriodicalId":76297,"journal":{"name":"Otolaryngology","volume":"86 6 Pt 1","pages":"ORL-875-80"},"PeriodicalIF":0.0,"publicationDate":"1978-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/019459987808600607","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11440138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 32
Air-caloric delivery tube adapter. 空气热量输送管适配器。
Otolaryngology Pub Date : 1978-11-01 DOI: 10.1177/019459987808600617
J M Epley
{"title":"Air-caloric delivery tube adapter.","authors":"J M Epley","doi":"10.1177/019459987808600617","DOIUrl":"https://doi.org/10.1177/019459987808600617","url":null,"abstract":"This problem had also been noted with our early use of the air caloric stimulator. There were two apparent possible causes of the variability: (1) alteration in the temperature of the air as it passed through the delivery tube, caused by its temperature gradient with the ambient air in contact with the outer surface of the tube, and (2) test-to-test variation in the depth and orientation of the delivery tube during stimulation. It was demonstrated that positioning of the delivery tube can markedly affect the rate of heat exchange with the labyrinth. It was difficult for the technician to consistently maintain the position of the delivery tube tip at the appropriate depth in the ear canal during stimulation and, particularly, to precisely reproduce this placement in the same or other patients.","PeriodicalId":76297,"journal":{"name":"Otolaryngology","volume":"86 6 Pt 1","pages":"ORL-932-3"},"PeriodicalIF":0.0,"publicationDate":"1978-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/019459987808600617","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11333556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bipolar cautery-suction instrument. 双极烧碱吸引仪。
Otolaryngology Pub Date : 1978-11-01 DOI: 10.1177/019459987808600620
A Loewy
{"title":"Bipolar cautery-suction instrument.","authors":"A Loewy","doi":"10.1177/019459987808600620","DOIUrl":"https://doi.org/10.1177/019459987808600620","url":null,"abstract":"The present instrument was developed to combine the virtues of bipolar electrocautery with a means of assuring a dry field. It has concentric insulated electrodes at the tip with a central lumen for suction (Fig 1). The outer electrode does not extend the length of the shaft, and thus the desirable malleability of the instrument is not altered. The latter quality permits access with visability to any part of the operative field. Electrical cord ends can be selected to permit use either with a bipolar coagulator unit or with the Bovie unit, where one electrode substitutes for the plate and the other connects to the coagulation outlet.","PeriodicalId":76297,"journal":{"name":"Otolaryngology","volume":"86 6 Pt 1","pages":"ORL-938-9"},"PeriodicalIF":0.0,"publicationDate":"1978-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/019459987808600620","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11333559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
New laryngoscope for microlaryngeal surgery. 用于显微喉手术的新型喉镜。
Otolaryngology Pub Date : 1978-11-01 DOI: 10.1177/019459987808600621
W F Robbett
{"title":"New laryngoscope for microlaryngeal surgery.","authors":"W F Robbett","doi":"10.1177/019459987808600621","DOIUrl":"https://doi.org/10.1177/019459987808600621","url":null,"abstract":"The size of the laryngoscope has been greatly altered. Since there are no light carriers, the scope can be markedly decreased in size. The tube of the laryngoscope is slim enough to be introduced into the larynx of more than 90% of patients. This has not been possible with other larger laryngoscopes. The proximal opening has been greatly enlarged to permit easier binocular visualization and to facilitate instrumentation.","PeriodicalId":76297,"journal":{"name":"Otolaryngology","volume":"86 6 Pt 1","pages":"ORL-940"},"PeriodicalIF":0.0,"publicationDate":"1978-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/019459987808600621","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11333560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Corticosteroid injections of the nasal turbinates: past experience and precautions. 鼻甲骨皮质类固醇注射:过去的经验和注意事项。
Otolaryngology Pub Date : 1978-11-01 DOI: 10.1177/019459987808600603
D McCleve, J Goldstein, S Silver
{"title":"Corticosteroid injections of the nasal turbinates: past experience and precautions.","authors":"D McCleve,&nbsp;J Goldstein,&nbsp;S Silver","doi":"10.1177/019459987808600603","DOIUrl":"https://doi.org/10.1177/019459987808600603","url":null,"abstract":"<p><p>Clinical experience with triamcinolone acetonide (Kenalog) injections into the nasal turbinates for allergic and vasomotor rhinitis is reported by two authors. Gratifying results have occurred in most of the over 60,000 patients treated, with no serious side effects. Two cases of intravascular injections of another corticosteroid reaching the retinal circulation are reported, and methods for preventing this complication are proposed.</p>","PeriodicalId":76297,"journal":{"name":"Otolaryngology","volume":"86 6 Pt 1","pages":"ORL-851-7"},"PeriodicalIF":0.0,"publicationDate":"1978-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/019459987808600603","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11333619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 25
A new ear irrigator. 一个新的耳冲洗器。
Otolaryngology Pub Date : 1978-11-01 DOI: 10.1177/019459987808600619
M Grossan
{"title":"A new ear irrigator.","authors":"M Grossan","doi":"10.1177/019459987808600619","DOIUrl":"https://doi.org/10.1177/019459987808600619","url":null,"abstract":"SOME of the current methods of removing cerumen from the ear have various disadvantages. The large stainless steel syringe is cumbersome. The pressure varies from 3 psi to more than 110 psi, depending on the manual force applied. The tip is wide enough to engage the canal completely, giving rise to extremely high hydrostatic pressure against the tympanic membrane. Because of the necessity of forcing the plunger, the tip often waves about and may abrade the canal. The center of gravity is distant from the finger grip, which also causes undesirable movement of the tip within the canal.","PeriodicalId":76297,"journal":{"name":"Otolaryngology","volume":"86 6 Pt 1","pages":"ORL-936-7"},"PeriodicalIF":0.0,"publicationDate":"1978-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/019459987808600619","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11333558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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