{"title":"Perilymph fistula.","authors":"T O Wilcox, R A Hendrix","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Perilymph fistula, an abnormal communication between the inner ear and the middle ear, is an enigmatic otologic disorder which may present with auditory or vestibular symptoms. It is typically located at the oval or round windows, but several other locations have been suggested. It may be congenital or spontaneous, or due to trauma or surgery. It often poses a diagnostic dilemma because of the lack of a definitive test. Among the differential diagnoses of the perilymph fistula are Ménière's disease, infection, tumor and central nervous system disorders. Clinically, the definitive diagnosis of a perilymph fistula can only be made by exploratory tympanotomy. A current review of the etiology, diagnosis and management of perilymph fistula is presented.</p>","PeriodicalId":76752,"journal":{"name":"Transactions - Pennsylvania Academy of Ophthalmology and Otolaryngology","volume":"42 ","pages":"989-97"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13241175","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}
{"title":"Approach to the pediatric neck mass.","authors":"A J Torsiglieri, L W Tom, R F Wetmore","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Neck masses are frequent findings in the pediatric population and the physician caring for a child with a neck mass may be faced with a diagnostic dilemma. The etiology of pediatric cervical masses includes a variety of conditions. Unlike for the adult, there are few established guidelines for evaluation of these children. A recent review of 445 neck masses operated on at the Children's Hospital of Philadelphia noted the preoperative diagnosis to be correct in 270, or only 61%. Clinical characteristics which may aid in establishing a correct preoperative diagnosis, as well as guidelines for the evaluation of the child presenting with a neck mass will be discussed.</p>","PeriodicalId":76752,"journal":{"name":"Transactions - Pennsylvania Academy of Ophthalmology and Otolaryngology","volume":"41 ","pages":"905-9"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13772628","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}
{"title":"Hypoglossal nerve paralysis.","authors":"Z Jabourian, D O Mikaelian","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The hypoglossal nerve is frequently involved in head and neck afflictions as a result of its long course. Hypoglossal nerve paralysis, rarely occurs as the initial presenting symptom. Clinical situations, where the hypoglossal nerve paralysis was an early symptom, are discussed. The anatomy of the nerve from the brain stem to the tongue is elaborated upon.</p>","PeriodicalId":76752,"journal":{"name":"Transactions - Pennsylvania Academy of Ophthalmology and Otolaryngology","volume":"41 ","pages":"874-9"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13838780","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}
{"title":"Otosyphilis: a practical guide to diagnosis and treatment.","authors":"M Guttenplan, R A Hendrix","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The diagnosis and management of patients with suspected treponemal infection of the temporal bone pose some challenges. The following points deserve emphasis: 1) the MHA-TP or FTA-Abs is recommended over the reagin serologic tests (VDRL, RPR); 2) one should regard this process as an attempt to define a subgroup of patients with sensorineural hearing loss who will benefit from a combination of antibiotics and steroid therapy rather than explicitly diagnosing infection of the temporal bone. The response rate to therapy is limited; but, otosyphilis, as one of the few treatable causes of sensorineural hearing loss, must be suspected in the differential diagnosis of a wide range of otologic patients.</p>","PeriodicalId":76752,"journal":{"name":"Transactions - Pennsylvania Academy of Ophthalmology and Otolaryngology","volume":"41 ","pages":"834-8"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13838776","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}
{"title":"Difficulties in the diagnosis of acoustic neuromas.","authors":"C Reams, J T Jacobson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76752,"journal":{"name":"Transactions - Pennsylvania Academy of Ophthalmology and Otolaryngology","volume":"41 ","pages":"861-3"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13772621","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}
{"title":"The effects of magnetic resonance studies on hearing.","authors":"W F Holmes, J D Cunningham, C F Griffiths","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76752,"journal":{"name":"Transactions - Pennsylvania Academy of Ophthalmology and Otolaryngology","volume":"41 ","pages":"872-3"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13772622","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}
{"title":"Relative scotoma and statokinetic dissociation (Riddoch's phenomenon) from occipital lobe dysfunction.","authors":"J I Finkelstein, L N Johnson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Riddoch's phenomenon, in which a stimulus is perceived during movement but not with static presentation, has been reported for occipital lobe and anterior visual pathway disorders. To our knowledge, a threshold for movement detection in the affected hemifield has not been reported. A case of statokinetic dissociation from occipital lobe infarction is presented in which a threshold range for movement detection was identified. The possible role of separate channels in the visual cortex for analysis of kinetic and static stimuli is suggested.</p>","PeriodicalId":76752,"journal":{"name":"Transactions - Pennsylvania Academy of Ophthalmology and Otolaryngology","volume":"41 ","pages":"789-92"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13772706","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}
{"title":"Neutron beam therapy in the treatment of advanced head and neck malignancy.","authors":"J Jones, R A Hendrix","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Patients with advanced head and neck cancer continue to present a difficult management problem for the otolaryngologist-head and neck surgeon. This paper discusses the principles of radiation therapy with emphasis on neutron beam therapy as an effective treatment option for advanced malignancy of the head and neck other than squamous cell carcinoma.</p>","PeriodicalId":76752,"journal":{"name":"Transactions - Pennsylvania Academy of Ophthalmology and Otolaryngology","volume":"41 ","pages":"839-41"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13838777","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}
{"title":"HIV and banked fascia lata.","authors":"E H Bedrossian, P A Raskauskas, P M Flaharty","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Banked irradiated fascia lata is used in many ophthalmic procedures. Along with its increased popularity has come concern over protection from the AIDS virus. Banked fascia lata is protected against the AIDS virus by donor selection, antibody testing and irradiation sterilization. With the knowledge that fascia may also be heated as additional protection, this study was performed to determine if heat treatment weakens the fascia. Results suggest that heat treatment does not clinically or statistically weaken banked homogenous fascia lata.</p>","PeriodicalId":76752,"journal":{"name":"Transactions - Pennsylvania Academy of Ophthalmology and Otolaryngology","volume":"41 ","pages":"831-3"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13772711","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}
{"title":"Endoscopic sinus surgery-experience with the initial 100 patients.","authors":"D Hoffmann, M May","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76752,"journal":{"name":"Transactions - Pennsylvania Academy of Ophthalmology and Otolaryngology","volume":"41 ","pages":"847-50"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13772619","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}