Abstract：
:Cancer of the ear is similar, in many respects, to cancer of other skin-covered parts of the body. The aggressive nature of malignancies involving the ear is often underestimated, resulting in initial undertreatment. Later, the price is paid when a much more extensive operation is required to exenterate the cancer. A more aggressive initial approach to surgical cure would often result in less morbidity and also less mortality. One should therefore be reasonably aggressive in the initial surgical management of all malignancies, including basal cell carcinoma. When cancer involves the meatus, one should be prepared to perform a lateral temporal bone resection to ensure complete tumor extirpation. The available reconstructive options, including hearing rehabilitation, allow aggressive treatment to be tolerated reasonably well by most patients. Aggressive surgical resections of the external ear can be reconstructed, with very reasonable cosmetic and functional results. With sufficiently aggressive treatment, the chances for successful tumor control can be generally very good.
journal_name
Otolaryngol Clin North Amjournal_title
Otolaryngologic clinics of North Americaauthors
Estrem SA,Renner GJsubject
Has Abstractpub_date
1993-04-01 00:00:00pages
231-45issue
2eissn
0030-6665issn
1557-8259journal_volume
26pub_type
杂志文章,评审abstract：:Medical management of Meniere's disease is successful in approximately 70% of patients. Surgical intervention is the treatment option when medication fails. Middle ear installation of aminoglycosides provides significant control of vertigo. This article addresses the role of aminoglycoside ablation of vestibular funct...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1997-12-01 00:00:00
abstract：:Access to knowledge through the Internet has spawned a world of online learning, stimulating a new passion for lifelong learning in academia, professional environments, the workplace, and at home. This article takes a fresh look at the wide spectrum of opportunities for online medical education for physicians. We firs...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章
doi：10.1016/j.otc.2007.07.007
更新日期：2007-12-01 00:00:00
abstract：:Patients who have cleft lip or palate face significant lifelong communicative and aesthetic challenges and difficulties with deglutition. Management of patients who have orofacial clefting requires an understanding of the anatomy and pathophysiology associated with clefting and the developmental difficulties encounter...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.otc.2006.10.011
更新日期：2007-02-01 00:00:00
abstract：:Oral mucous membranes and the surrounding structures are largely composed of stratified squamous epithelium that is supported by a fibrous connective tissue lamina propria and a submucosa of fibroadipose tissue. Minor salivary glands, nerves, and capillaries course abundantly throughout the supporting collagen and fib...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.otc.2005.11.002
更新日期：2006-04-01 00:00:00
abstract：:The shape and function of the cranium and face at birth are the end-products of complex and poorly understood developmental processes. In this article I will attempt first to review normal craniofacial development, believing that this basic information is essential to the understanding of abnormal development. I will ...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章
doi：
更新日期：1981-11-01 00:00:00
abstract：:In summary, autogenous tissue remains the authors' preferred method of augmenting the nasal dorsum. Some authors have tried Supramid mesh, which tends to resorb. Mersilene seems to resist resorption and has been used with notable success. Silicone has had variable success but, because of bad publicity and the possibil...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1995-04-01 00:00:00
abstract：:Pulmonary aspiration syndromes--aspiration of gastric contents and aspiration-associated plueropulmonary infections--are discussed. ...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1988-11-01 00:00:00
abstract：:The endoscopic approach to stapes surgery affords unique advantages but is not without its specific challenges. The following reviews the equipment and surgical steps required to perform endoscopic stapes surgery safely and effectively, highlighting tips and potential points of failure through a series of case example...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.otc.2020.09.015
更新日期：2021-02-01 00:00:00
abstract：:Despite recent, major steps forward in our understanding of tinnitus pathophysiology and improved research methodology, tinnitus remains a clear unmet clinical need. Here, the authors identify current active clinical and preclinical development programs of tinnitus drug candidates using publications, databases, and co...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.otc.2020.03.012
更新日期：2020-08-01 00:00:00
abstract：:Advances in imaging and endoscopic techniques have improved the ability to diagnose, localize, and treat in a less morbid fashion CSF leaks of the anterior skull base. An appreciation for the mechanism of leak and of the relationship between CSF production and absorption must be kept in mind when individualizing a rep...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.otc.2005.03.011
更新日期：2005-08-01 00:00:00
abstract：:An improved nomenclature framework is crucial to improve communication regarding voice problems and to advance the field of voice disorders. The subjective nature of the voice evaluation process does not lend itself readily to uniformity and most voice-disordered patients demonstrate multiple pathologic processes. In ...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/s0030-6665(05)70262-0
更新日期：2000-10-01 00:00:00
abstract：:Non-neoplastic salivary gland disorders are increasing as a result of many factors. The role of salivary secretion in providing protection to the oral and pharyngeal tissues is discussed along with the diagnosis and treatment of some of the more common non-neoplastic salivary gland diseases. ...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章
doi：
更新日期：1984-11-01 00:00:00
abstract：:Otolaryngology and ophthalmology have a long and congenial professional relationship in the development of their mutual specialties over many years. In the early years they were one professional society, but later split into their separate specialties. Some problems involve both specialties because of the shared commo...
journal_title：Otolaryngologic clinics of North America
pub_type： 历史文章,杂志文章
doi：10.1016/j.otc.2006.06.004
更新日期：2006-10-01 00:00:00
abstract：:Diet hypersensitivity may be "allergic," that is, caused by some form of immunologic reaction, or nonallergic. The latter includes chemical pharmacologic, enzymatic, or dietary disorders. Food allergies may be immediate Gell and Coombs type I reactions (5%), or delayed "serum sickness" type reactions (95%). The latter...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1992-02-01 00:00:00
abstract：:The carbon dioxide laser has been used in a variety of otolaryngologic conditions. Its specific advantages have particularly lent themselves to its use in the airway. The role of laser endoscopic treatment in subglottic and tracheal stenosis will continue to expand and aid in the successful management of these difficu...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1983-11-01 00:00:00
abstract：:Six atypical case presentations of parotid tumors are presented along with solutions proposed by two experts on the topic. The differences and similarities of the opinions expressed are summarized and discussed by the editor. ...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章
doi：
更新日期：1986-11-01 00:00:00
abstract：:An overview of the use of rigid internal fixation using the AO method for the repair of complex mandibular injuries is presented. The end result of such an approach is the return of the patient as rapidly as possible to his or her normal status with return to normal alimentation, normal mobility of the mandible, norma...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章
doi：
更新日期：1987-08-01 00:00:00
abstract：:The results of tympanoplasty performed for noncholesteatomatous chronic otitis in children aged 2 to 14 years are described. The authors report that the stability of hearing was excellent; they found hearing to be equally good in young children and in older children. Tympanic membrane perforation can be closed at any ...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章
doi：
更新日期：1989-02-01 00:00:00
abstract：:This presentation discusses the most valuable way to correlate specific morphologic changes in cochlear otospongiosis with sensorineural hearing loss. Both biochemical and vascular factors may be responsible for the association of far advanced otospongiosis and histopathologic changes. An enzymatic concept of the dise...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章
doi：
更新日期：1978-02-01 00:00:00
abstract：:This article outlines the historical development of the use of lasers in the tracheobronchial tree, the current indications for the use of carbon dioxide and neodymium:yttrium-aluminum-garnet lasers, and the management of complications. The merits of other laser wavelengths are mentioned, including use of the potassiu...
journal_title：Otolaryngologic clinics of North America
pub_type： 历史文章,杂志文章,评审
doi：
更新日期：1996-12-01 00:00:00
abstract：:The management of base of tongue cancer has evolved steadily over time. Organ preservation with primary radiation therapy has produced excellent oncologic and functional outcomes. Concomitant chemotherapy has become important in patients with locoregionally advanced disease. Planned neck dissection after organ preserv...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.otc.2004.10.016
更新日期：2005-02-01 00:00:00
abstract：:Swallowing therapy can in many cases eliminate, and in nearly all cases, improve swallowing difficulty in adults. A wide variety of faciliatory and compensatory techniques are available to therapists who must be specially trained in such methods. In addition, swallowing therapy cannot be thought of as a series of "les...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/s0030-6665(05)70070-0
更新日期：1998-06-01 00:00:00
abstract：:The mechanism of development of rupture of the round window membrane appears to be an increase in pressure in the cerebrospinal fluid transmitted to the inner ear via the cochlear aqueduct. Two cases of rupture of the round window membrane in divers are described in detail. One diver had ruptures of both round window ...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章
doi：
更新日期：1978-02-01 00:00:00
abstract：:Thyroid tumors in children continue to generate tremendous interest and controversy. Despite a frequent presentation with metastatic disease, these differentiated tumors have an excellent prognosis. Because most pediatric patients have prolonged survival, long-term follow-up is mandatory. The extent of surgery for thi...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1996-08-01 00:00:00
abstract：:Although the presence of a real or potential cervical spine injury limits the options for emergency airway management, many choices still remain. The otolaryngologist-head and neck surgeon frequently is called on to treat patients with airway emergencies; therefore, familiarity with the risk of spinal cord damage and ...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1991-02-01 00:00:00
abstract：:Laryngeal inflammation includes a broad spectrum of pathologies, from infectious processes that need to be managed as airway emergencies, to indolent diseases that mimic head and neck cancer. The importance of a thorough history cannot be emphasized enough as it is the most important step toward developing a different...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.otc.2007.11.012
更新日期：2008-04-01 00:00:00
abstract：:Petroclival meningiomas are most commonly found in women around 50 years of age and have the general tendency to grow and affect several cranial nerves. At presentation, many patients complain of headaches, gait disturbances and cranial neuropathies. Treatment options include surgery, with a variety of surgical approa...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.otc.2015.02.007
更新日期：2015-06-01 00:00:00
abstract：:Vestibular schwannomas are benign tumors of the Schwann cells of the eighth (VIII) cranial nerve. Precision radiotherapy techniques used to manage these tumors include stereotactic radiotherapy (SRT), which can be delivered with either a conventional or hypofractionated regimen. The radio-biologic rationale and report...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.otc.2009.04.008
更新日期：2009-08-01 00:00:00
abstract：:Upper airway imaging is a powerful technique to study the mechanisms underlying the pathogenesis and biomechanics of sleep apnea and the mechanisms underlying the efficacy of therapeutic interventions in patients with sleep disordered breathing. The primary upper airway imaging modalities include nasopharyngoscopy, ce...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/s0030-6665(05)70100-6
更新日期：1998-12-01 00:00:00
abstract：:Craniofacial disassembly now plays a major role in the management of tumors that invade the skull base. The chief advantage of this technique is the greatly improved operative exposure it provides, allowing the surgeon to resect such tumors more completely and with an added margin of safety. Microneurosurgical advance...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章
doi：
更新日期：1991-12-01 00:00:00
