{"title":"Hearing loss in the Marine Corps.","authors":"R A Goldberg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Audiograms of 11,577 made Marine officers and enlisted personnel are analyzed by age group and level of hearing for six frequencies: 500, 1,000, 2,000, 3,000, 4,000, and 6,000 Hz. Speech reception thresholds are determined for the average of 500, 1,000, and 2,000 Hz as recommended by the American Academy of Ophthalmology; high-frequency thresholds are determined for the average of 3,000, 4,000, and 6,000 Hz. Hearing impairment (greater than 25 dB ISO) for the speech frequencies is between 0.6% and 5.9%; for the high frequencies the range is 3.4% to 76.5%. For the high frequencies the largest increase in impairment is in the age group 35 to 44 years. No difference in the percentage distribution of hearing impairment is found between a statistically comparable group of civilians and Marines. This is in sharp disagreement with the hypothesis that a greater degree of hearing loss would exist in a military population exposed to more noise than a civilian population. Hearing impairment in the high frequencies caused by noise exposure is a problem of significant magnitude, especially above the age of 35, and may have an effect on speech intelligibility. However, the magnitude of the problem seems to be the same in the military and civilian populations studied.</p>","PeriodicalId":76762,"journal":{"name":"Transactions. Section on Otolaryngology. American Academy of Ophthalmology and Otolaryngology","volume":"84 6","pages":"991-6"},"PeriodicalIF":0.0,"publicationDate":"1977-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11800078","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":"A new drill for otolaryngology.","authors":"R J Keim","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76762,"journal":{"name":"Transactions. Section on Otolaryngology. American Academy of Ophthalmology and Otolaryngology","volume":"84 6","pages":"982-3"},"PeriodicalIF":0.0,"publicationDate":"1977-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11800069","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":"Improving resident education: what does resident research really have to offer?","authors":"M Abramson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76762,"journal":{"name":"Transactions. Section on Otolaryngology. American Academy of Ophthalmology and Otolaryngology","volume":"84 6","pages":"984-5"},"PeriodicalIF":0.0,"publicationDate":"1977-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11800074","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":"Otosurgical application of the Midas Rex pneumatic tool.","authors":"J D Clemis, N J Markus","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76762,"journal":{"name":"Transactions. Section on Otolaryngology. American Academy of Ophthalmology and Otolaryngology","volume":"84 6","pages":"980-1"},"PeriodicalIF":0.0,"publicationDate":"1977-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11800071","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":"Cocaine use by the otolaryngologist: a survey.","authors":"M E Johns, R L Henderson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The unique characteristics of cocaine--anesthesia and vasoconstriction--make it a valuable nasal anesthetic which is a safe topical anesthetic when used properly. The safe dose limit for cocaine used topically in the nose is surely greater than 200 mg, as evidenced by 826 otolaryngologists using greater than 200 mg in their daily practice without ever having experienced a cocaine reaction. Cocaine reactions are not simply dose-dependent, as evidenced by reactions occurring with as little as 10 mg. Fatalities secondary to topical application of cocaine to the nasal mucous membranes are exceedingly rare; only 15 fatalities have been seen in the entire clinical practices of the 2,434 physicians responding in this survey. Establishing 200 mg as the safe limit for cocaine in our literature, althugh it is not based on experimental evidence, is haphazard and carries far-reaching medicolegal implication to 48% of otolaryngologists who use greater than 200 mg of cocaine. A controlled scientific study to elucidate experimental data regarding the toxicity of cocaine in clinically useful doses is urgently needed.</p>","PeriodicalId":76762,"journal":{"name":"Transactions. Section on Otolaryngology. American Academy of Ophthalmology and Otolaryngology","volume":"84 6","pages":"969-73"},"PeriodicalIF":0.0,"publicationDate":"1977-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11800065","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":"A transseptal, transsphenoidal approach to the pituitary: an old approach--a new technique in the management of pituitary tumors and related disorders.","authors":"E B Kern, E R Laws, R V Randall, W B Westwood","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76762,"journal":{"name":"Transactions. Section on Otolaryngology. American Academy of Ophthalmology and Otolaryngology","volume":"84 6","pages":"997-1110"},"PeriodicalIF":0.0,"publicationDate":"1977-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11800082","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":"Recent advances in the chemotherapy of solid tumors.","authors":"R L Capizzi","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76762,"journal":{"name":"Transactions. Section on Otolaryngology. American Academy of Ophthalmology and Otolaryngology","volume":"84 6","pages":"986-7"},"PeriodicalIF":0.0,"publicationDate":"1977-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11800073","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":"Herniation of the lacrimal glands.","authors":"B Smith, R Petrelli","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Herniation of the lacrimal gland is an unusual condition which has a predilection for blacks and is associated with blepharochalasis. It is benign and tends to become progressive. Either or both lobes of the lacrimal gland can herniate and must be differentiated from dermolipoma and orbital fat. A surgical treatment is described, and three cases are presented.</p>","PeriodicalId":76762,"journal":{"name":"Transactions. Section on Otolaryngology. American Academy of Ophthalmology and Otolaryngology","volume":"84 6","pages":"988-90"},"PeriodicalIF":0.0,"publicationDate":"1977-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11800075","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":"Francis Ernest LeJeune 1894--1977.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76762,"journal":{"name":"Transactions. Section on Otolaryngology. American Academy of Ophthalmology and Otolaryngology","volume":"84 6","pages":"1095-6 suppl"},"PeriodicalIF":0.0,"publicationDate":"1977-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11551881","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":"Fenestrated suction for neuro-otologic surgery.","authors":"D E Brackmann","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76762,"journal":{"name":"Transactions. Section on Otolaryngology. American Academy of Ophthalmology and Otolaryngology","volume":"84 6","pages":"975"},"PeriodicalIF":0.0,"publicationDate":"1977-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11800067","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}