Abstract：
:We believe that it is essential to closely monitor the viability of any free flap in order to decrease potential morbidity to the patient. A myriad of techniques have been described, many of which appear quite promising; none has been widely accepted. We believe that clinical assessment of an exposed portion of a free flap is the most reliable method of postoperative "surveillance"; however, continuous observation by the surgeon is impractical. Other monitoring techniques, such as laser-Doppler flowmetry, allow nursing personnel to observe the patient in order to alert the surgeon at the first sign of trouble. Adjunctive monitoring techniques are currently imperfect and, in general, expensive. The cost must be measured, however, against the potential loss of a flap and its subsequent consequences. Until an "ideal" monitoring technique becomes available, a combination of some of the techniques described here will enable the surgeon to maximize the chances of salvaging a failing flap.
journal_name
Otolaryngol Clin North Amjournal_title
Otolaryngologic clinics of North Americaauthors
Stepnick DW,Hayden REsubject
Has Abstractpub_date
1994-12-01 00:00:00pages
1201-17issue
6eissn
0030-6665issn
1557-8259journal_volume
27pub_type
杂志文章abstract：:Early identification of hearing loss and rapid rehabilitative intervention are the two key elements that will give an infant the best chance to develop normal speech and allow the family members to make appropriate adjustments that will enhance communication in the home environment. Hearing loss in an infant may be on...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/s0030-6665(05)70192-4
更新日期：1999-12-01 00:00:00
abstract：:Comprehensive physical examination is essential when evaluating patients. Often it includes objective voice assessment and measures along with strobovideolaryngoscopy. In all cases physical examination involves a thorough examination of the ears, nose, throat, neck, posture, cranial nerve function (usually), and asses...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.otc.2007.05.004
更新日期：2007-10-01 00:00:00
abstract：:With an unknown or occult primary cancer, the clinical presentation can be either undiagnosed lump or lumps in the neck that has been biopsied and diagnosed as metastatic cancer on the basis of the histopathologic findings. ...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章
doi：
更新日期：1985-08-01 00:00:00
abstract：:The optimal treatment of chordomas is maximal safe resection followed by radiation therapy. Data have shown that the use of protons has increased the local control of chordomas. Because of their physical properties, proton therapy has a sharp decline at its distal range, thereby minimizing collateral damage. However, ...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.otc.2011.08.012
更新日期：2011-10-01 00:00:00
abstract：:The debate between the skin testing allergist and the in vitro testing allergist goes on. Clearly, the in vitro methods of allergy testing are here to stay. In vitro testing is less limiting and offers a number of advantages to both the allergist and the patient. ...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章
doi：
更新日期：1985-11-01 00:00:00
abstract：:The etiologies of otitis media with effusion are certainly multiple but remain incompletely understood. The treatment of otitis media with effusion varies considerably. A discussion of known facts as well as debated issues underlying these differences is presented. ...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1987-05-01 00:00:00
abstract：:Allergic rhinitis (AR) is a global disease affecting hundreds of millions internationally. Substantial pharmacologic gains have been made in the treatment of allergy, including antihistamines, steroids, and leukotriene inhibitors. Pharmacology and immunotherapy are the 2 primary choices in an otolaryngologist's armame...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.otc.2012.12.005
更新日期：2013-06-01 00:00:00
abstract：:Frontal recess dissection proposes many challenges to the surgeon. These challenges stem from its highly variable nature, small caliber, difficult visualization, and proximity to vital structures such as the skull base and orbit. As such, delicate mucosal-sparing dissection of the frontal recess with proper instrument...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.otc.2016.03.018
更新日期：2016-08-01 00:00:00
abstract：:Endoscopic septoplasty has gained popularity since Lanza and colleagues and Stammberger first described the technique. This technique has several advantages over the traditional "headlight" septoplasty. These advantages include superior visualization, accommodation of limited and minimally invasive septoplasty, and us...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.otc.2009.01.010
更新日期：2009-04-01 00:00:00
abstract：:As cochlear implant technology has changed, so have implantation criteria. In addition to profoundly deaf individuals, candidacy has expanded to include those with significant remaining acoustic hearing. This article describes the devices that are now in clinical trial, discusses the rationale as to why residual heari...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.otc.2011.09.001
更新日期：2012-02-01 00:00:00
abstract：:Despite being introduced in the 1970s and 1980s, CT and MRI continue to be the primary imaging modalities for the temporal bone and skull base. Although the general concepts and physics remain the same, the images obtained currently are far superior. Augmenting these traditional modalities are nuclear medicine imaging...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.otc.2007.03.001
更新日期：2007-06-01 00:00:00
abstract：:When properly recorded and interpreted, the auditory brainstem response (ABR) serves as a powerful, noninvasive tool for the diagnosis of pediatric auditory disorders. The detection of eighth cranial nerve and brainstem dysfunction relies primarily on the comparison of wave latencies to normative data and between ears...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1989-06-01 00:00:00
abstract：:Endoscopic treatment of diseases of the paranasal sinuses provides excellent visualization for minimally invasive surgery, and has evolved into a high-volume procedure with documented navigational risks to surrounding vital structures. Image-guidance systems use the data acquired during CT studies of the sinuses, whic...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.otc.2004.10.027
更新日期：2005-06-01 00:00:00
abstract：:Fanconi anemia (FA) is a rare disorder inherited in an autosomal recessive fashion, with an estimated incidence of 1:360,000 births. Although hematologic complications are the most common manifestation of this disease, cancers, especially of the head and neck, are also prominent. The chromosomal fragility of patients ...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.otc.2013.04.002
更新日期：2013-08-01 00:00:00
abstract：:Benign and malignant tumors, including polyps, represent conditions that occur frequently enough to be considered in the differential diagnosis of sinus disease. The locations and extent of these lesions (especially malignant tumors) should be evaluated by CT and MRI. This is especially indicated when malignant lesion...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1988-08-01 00:00:00
abstract：:Hearing loss produces a communication handicap which is not always predictable from audiometric results. Handicap questionnaires can be useful for identification of potential rehabilitation candidates. Hearing aids have been improved but cannot be expected to compensate for all the speech perception problems associate...
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：:Gastroesophageal reflux (GER) may have a role in upper airway disease such as chronic sinusitis and pharyngolaryngitis. Methods of assessment of reflux, although never absolute, are useful in selecting GER as a component in the induction of upper respiratory disease. Patients with intractable sinusitis and otitis have...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章
doi：
更新日期：1996-02-01 00:00:00
abstract：:Cochlear implant is the first approved cranial nerve stimulator that works by directly stimulating the cochlear nerve. The medical and societal impact of this revolutionary device cannot be understated. This article reviews the evolving indications for cochlear implant, patient assessment, surgical approach, and outco...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.otc.2019.09.004
更新日期：2020-02-01 00:00:00
abstract：:The knowledge of the entire spectrum of differing healing patterns should help the surgeon to judge the progress of fracture healing. To be able to recognize an abnormal course and deviating patterns will help the surgeon to avoid risks and to improve the mechanical and biologic conditions necessary for successful fra...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1987-08-01 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：:Simulation is rapidly expanding across medicine as a valuable component of trainee education. For procedural simulation, development of low-cost simulators that allow a realistic, haptic experience for learners to practice maneuvers while appreciating anatomy has become highly valuable. Otolaryngology has seen signifi...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.otc.2017.05.006
更新日期：2017-10-01 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：:This article is a comprehensive overview of tympanic membrane injury and its healing. Its wound healing process is unique from soft tissue because epithelialization occurs before fibrous tissue advancement. Contemporary and future modalities to improve tympanic membrane repair are also discussed in this article. ...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1995-10-01 00:00:00
abstract：:Audiometric evaluation in conjunction with other components of the hearing conservation program serves to minimize the potential hazard of noise related hearing loss. Success of the industrial hearing conservation program rests in large measure with the implementation of competent audiometric testing procedures. Thus,...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章
doi：
更新日期：1979-08-01 00:00:00
abstract：:Endoscopic treatment of early carcinoma of the larynx is curative, the cure rates in our experience being equal to those achieved by radiation therapy and by laryngofissure. It is highly cost effective in terms of money and of patient out-of-work time. It can be used repeatedly and does not interfere with future treat...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章
doi：
更新日期：1980-01-01 00:00:00
abstract：:Blunt, penetrating trauma to the ear, nose, and throat, and related structures are striking. Injuries may range from simple soft tissue wounds to complex injuries of the face, neck, and brain. Proximity of the cervical spine and airway complicate anesthetic management. A multidisciplinary approach is required. Airway ...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.otc.2019.08.004
更新日期：2019-12-01 00:00:00
abstract：:Balloon catheter dilation (BCD) is a treatment paradigm for surgical management of paranasal sinus inflammatory disease. There are few robust clinical trials evaluating the efficacy of balloon technology in chronic rhinosinusitis (CRS). The available database largely comprises retrospective, uncontrolled studies with ...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.otc.2012.06.005
更新日期：2012-10-01 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：:The anatomy and physiology of the act of swallowing is complex. Because the swallowing mechanism matures with age, it is important to understand this maturation process from neonate to older child to appreciate the impact of this changing physiology on pediatric swallowing disorders. This article reviews the relevant ...
journal_title：Otolaryngologic clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/s0030-6665(05)70060-8
更新日期：1998-06-01 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
