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Olfactory groove meningioma with paranasal sinus and nasal cavity extension: a combined approach. 嗅觉沟脑膜瘤伴副鼻窦及鼻腔扩张:联合入路。
Otolaryngology Pub Date : 1978-09-01 DOI: 10.1177/019459987808600508
M S Persky, M L Som
{"title":"Olfactory groove meningioma with paranasal sinus and nasal cavity extension: a combined approach.","authors":"M S Persky,&nbsp;M L Som","doi":"10.1177/019459987808600508","DOIUrl":"https://doi.org/10.1177/019459987808600508","url":null,"abstract":"<p><p>A 58-year-old man had an enlarging right fronto-orbital mass. A biopsy specimen of a right nasal cavity tumor was reported as meningioma. Preoperative evaluation including skull roentgenograms, tomograms of the paranasal sinuses, brain scan, computerized axial tomography, and carotid angiography substantiated a large subfrontal mass with paranasal sinus and orbital extension. A combined approach through a right frontal craniotomy and right lateral rhinotomy was used for a complete removal of this tumor. A review of the literature is contained herein.</p>","PeriodicalId":76297,"journal":{"name":"Otolaryngology","volume":"86 5","pages":"ORL-714-20"},"PeriodicalIF":0.0,"publicationDate":"1978-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/019459987808600508","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11334518","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: 13
Fibrous xanthoma of the frontal sinus. 额窦纤维性黄色瘤。
Otolaryngology Pub Date : 1978-09-01 DOI: 10.1177/019459987808600509
T J McDonald, L H Weiland
{"title":"Fibrous xanthoma of the frontal sinus.","authors":"T J McDonald,&nbsp;L H Weiland","doi":"10.1177/019459987808600509","DOIUrl":"https://doi.org/10.1177/019459987808600509","url":null,"abstract":"<p><p>Frontal sinus mucocele was our preoperative diagnosis in a patient who had frontal swelling and downward displacement of the eye. Supporting this were typical roentgenogram changes, a long history of asthma, pansinusitis, and previous multiple-polypectomy surgery. Frontal sinus exploration revealed a locally eroding lesion. It was composed of spindled cells and lipid-laden histiocytes with a pattern of fibrous xanthoma and was treated conservatively. It should not be confused with true malignancies such as fibrous histiocytoma having a similar histopathologic appearance and requiring more aggressive surgical treatment.</p>","PeriodicalId":76297,"journal":{"name":"Otolaryngology","volume":"86 5","pages":"ORL-721-4"},"PeriodicalIF":0.0,"publicationDate":"1978-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/019459987808600509","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11334521","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: 3
Contralaterally elicited electrical stimulation of paralyzed facial muscles. 对侧诱发麻痹面部肌肉的电刺激。
Otolaryngology Pub Date : 1978-09-01 DOI: 10.1177/019459987808600528
D N Tobey, D Sutton
{"title":"Contralaterally elicited electrical stimulation of paralyzed facial muscles.","authors":"D N Tobey,&nbsp;D Sutton","doi":"10.1177/019459987808600528","DOIUrl":"https://doi.org/10.1177/019459987808600528","url":null,"abstract":"<p><p>Functional electrical stimulation is being explored in the extremities. A major obstacle is found in programming the firing sequence. In 1976, David Zealear proposed using the activity on the normal side in axial muscle pairs that normally function symmetrically to act as a template to control the stimulator. This method was demonstrated in laryngeal muscles in dogs, and is now demonstrated in the face with future applications being proposed. The facial nerve on one side was sectioned in a series of rabbits. Implanted electrodes received electrical potentials from selected muscles on the normal side. Bursts of electrical activity on the normal side during a blink or a twitch were used to trigger a muscle stimulator, which was routed to matching muscles on the paralyzed side. This technique restored symmetric function to the hemiparalyzed side. This technique restored symmetric function to the hemiparalyzed face.</p>","PeriodicalId":76297,"journal":{"name":"Otolaryngology","volume":"86 5","pages":"ORL-812-8"},"PeriodicalIF":0.0,"publicationDate":"1978-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/019459987808600528","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11335277","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: 44
Aspergillus thyroiditis. 曲霉属真菌甲状腺炎。
Otolaryngology Pub Date : 1978-09-01 DOI: 10.1177/019459987808600519
W M Keane, W P Potsic, L J Perloff, C F Barker, R A Grossman
{"title":"Aspergillus thyroiditis.","authors":"W M Keane,&nbsp;W P Potsic,&nbsp;L J Perloff,&nbsp;C F Barker,&nbsp;R A Grossman","doi":"10.1177/019459987808600519","DOIUrl":"https://doi.org/10.1177/019459987808600519","url":null,"abstract":"<p><p>A case of fatal disseminated aspergillosis in a renal transplant patient is presented. The initial manifestation of the disease was consistent with thyroiditis. Autopsy findings are shown and support this unique presentation. The diagnosis of aspergillosis is difficult to make and may require pulmonary biopsy. Early diagnosis and treatment with amphotericin B are the keys to successful management of the disease.</p>","PeriodicalId":76297,"journal":{"name":"Otolaryngology","volume":"86 5","pages":"ORL-761-5"},"PeriodicalIF":0.0,"publicationDate":"1978-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/019459987808600519","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11335272","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: 4
Lethal rhinocerebral phycomycosis in a healthy adult: a case report and review of the literature. 健康成人致死性鼻脑藻菌病1例报告及文献复习。
Otolaryngology Pub Date : 1978-09-01 DOI: 10.1177/019459987808600505
J B Castelli, J L Pallin
{"title":"Lethal rhinocerebral phycomycosis in a healthy adult: a case report and review of the literature.","authors":"J B Castelli,&nbsp;J L Pallin","doi":"10.1177/019459987808600505","DOIUrl":"https://doi.org/10.1177/019459987808600505","url":null,"abstract":"<p><p>A lethal case of rhino-orbital-cerebral phycomycosis (mucormycosis) in an otherwise healthy man is presented. The clinical, radiologic, and ante mortem surgical pathology associated with microbiologic examinations failed to yield the diagnosis of fungal infection as the cause of a clinical presentation of acute sphenoid sinusitis with a fulminant cavernous sinus thrombosis. No similar case report was found in review of the literature. There is a need for a high degree of suspicion in this condition to improve the uniformly poor prognosis in this devastating infectious disease. Emphasis is placed on the necessity for early tissue or microbiologic diagnosis with appropriate histologic stains and fungal cultures. Treatment consists of extensive surgical excision of all necrotic or questionably viable tissue in conjunction with alternate-day amphotericin B therapy.</p>","PeriodicalId":76297,"journal":{"name":"Otolaryngology","volume":"86 5","pages":"ORL-696-703"},"PeriodicalIF":0.0,"publicationDate":"1978-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/019459987808600505","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11334512","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: 24
Non-Hodgkins lymphoma of the infratemporal fossa: a case report. 颞下窝非霍奇金淋巴瘤1例。
Otolaryngology Pub Date : 1978-09-01 DOI: 10.1177/019459987808600506
A G Peerless, K J Lee, S I Friedman
{"title":"Non-Hodgkins lymphoma of the infratemporal fossa: a case report.","authors":"A G Peerless,&nbsp;K J Lee,&nbsp;S I Friedman","doi":"10.1177/019459987808600506","DOIUrl":"https://doi.org/10.1177/019459987808600506","url":null,"abstract":"<p><p>Lymphomas are statistically the second most common malignant tumor of the head and neck, following squamous cell carcinoma. They may present in the cervical lymph nodes or in extranodal areas. This paper presents an unusual case of a non-Hodgkins lymphoma that presented in the infratemporal fossa of a 25-year-old woman. The anatomy of the infra-temporal fossa is reviewed, and evaluation and therapy of lesions in this area are discussed.</p>","PeriodicalId":76297,"journal":{"name":"Otolaryngology","volume":"86 5","pages":"ORL-704-9"},"PeriodicalIF":0.0,"publicationDate":"1978-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/019459987808600506","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11334513","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: 2
Adult invasive subcutaneous hemangioma. 成人侵袭性皮下血管瘤。
Otolaryngology Pub Date : 1978-09-01 DOI: 10.1177/019459987808600516
T C Calcaterra, A J Weiss
{"title":"Adult invasive subcutaneous hemangioma.","authors":"T C Calcaterra,&nbsp;A J Weiss","doi":"10.1177/019459987808600516","DOIUrl":"https://doi.org/10.1177/019459987808600516","url":null,"abstract":"<p><p>Hemangiomas consist of a spectrum of benign vascular tumors with variable clinical behavior and microscopic morphology, which usually occur in infancy. A rare variant of these tumors is the invasive subcutaneous hemangioma, which shows an aggressive growth pattern by invading subcutaneous structures and recurring after apparent excision. The authors describe an adult patient with a large submandibular invasive hemangioma who was treated by preoperative embolization and surgical excision.</p>","PeriodicalId":76297,"journal":{"name":"Otolaryngology","volume":"86 5","pages":"ORL-750-4"},"PeriodicalIF":0.0,"publicationDate":"1978-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/019459987808600516","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11334439","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: 2
Recurrent massive cystic lymphangioma. 复发性巨大囊性淋巴管瘤。
Otolaryngology Pub Date : 1978-09-01 DOI: 10.1177/019459987808600518
B Leipzig, D D Rabuzzi
{"title":"Recurrent massive cystic lymphangioma.","authors":"B Leipzig,&nbsp;D D Rabuzzi","doi":"10.1177/019459987808600518","DOIUrl":"https://doi.org/10.1177/019459987808600518","url":null,"abstract":"THAT the first encounter with disease is the optimal time for its eradication is a maxim of surgical management. No disease exemplifies this more than cystic lymphangioma, a histologically benign tumor of infancy and childhood. These tumors are often poorly understood and unsuccessfully managed because of their infrequency. They can obtain new and rapid growth to massive size and infiltrate into and around muscles, vital nerves, and vessels even after long periods of quiescence.","PeriodicalId":76297,"journal":{"name":"Otolaryngology","volume":"86 5","pages":"ORL-758-60"},"PeriodicalIF":0.0,"publicationDate":"1978-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/019459987808600518","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11334438","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: 17
Actinomycosis of the larynx and pharynx. 喉部和咽部的放线菌病。
Otolaryngology Pub Date : 1978-09-01 DOI: 10.1177/019459987808600513
J H Brandenburg, W W Finch, W R Kirkham
{"title":"Actinomycosis of the larynx and pharynx.","authors":"J H Brandenburg,&nbsp;W W Finch,&nbsp;W R Kirkham","doi":"10.1177/019459987808600513","DOIUrl":"https://doi.org/10.1177/019459987808600513","url":null,"abstract":"<p><p>This paper presents a case report of a 67-year-old man who was seen in the Otolaryngology Clinic, University of Wisconsin Medical Center with a seven-month history of dyspnea and laryngeal stridor. On examination there were several slightly tender firm submucosal nodules in the soft palate and left tonsilar area and a 1.5-cm polypoid subglottic mass arising from the body of the cricoid cartilage. Because of the marked airway obstruction, a tracheotomy was necessary. The laryngeal polypoid mass was removed and biopsies were obtained from the submucosal nodular masses of the palate. Microscopic examination of the tissue revealed the lesions to be caseating granulomas, and actinomycosis was identified on the cultures. The patient received long-term penicillin therapy and has remained asymptomatic. A discussion of the biologic and clinical aspects of actinomycosis is included. A review of the literature revealed only one other description of endolaryngeal actinomycosis.</p>","PeriodicalId":76297,"journal":{"name":"Otolaryngology","volume":"86 5","pages":"ORL-739-42"},"PeriodicalIF":0.0,"publicationDate":"1978-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/019459987808600513","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11334519","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: 26
Surgery of the skull base: transcochlear approach to the petrous apex and clivus. 颅底手术:经耳蜗入路至岩尖及斜坡。
Otolaryngology Pub Date : 1978-09-01 DOI: 10.1177/019459987808600522
W F House, A De la Cruz, W E Hitselberger
{"title":"Surgery of the skull base: transcochlear approach to the petrous apex and clivus.","authors":"W F House,&nbsp;A De la Cruz,&nbsp;W E Hitselberger","doi":"10.1177/019459987808600522","DOIUrl":"https://doi.org/10.1177/019459987808600522","url":null,"abstract":"<p><p>The transcochlear approach is described for resection of lesions arising anterior or medial to the internal auditory canal as well as for those arising directly from the clivus. Through an extended complete mastoidectomy the facial nerve is totally decompressed and re-routed posteriorly from the stylomastoid foramen to the internal auditory canal. The fallopian canal, promontorium, and cochlea are removed anteriorly and medially as far as the internal carotid artery, obtaining exposure to a triangular area limited by the superior petrosal sinus, inferior petrosal sinus, carotid, and internal auditory canal, giving adequate exposure to the structures of the clivus and the midline (basilar artery, vertebral arteries, and the sixth cranial nerves).</p>","PeriodicalId":76297,"journal":{"name":"Otolaryngology","volume":"86 5","pages":"ORL-770-9"},"PeriodicalIF":0.0,"publicationDate":"1978-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/019459987808600522","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11335269","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: 128
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