Abstract:
:Pulmonary aspiration syndromes--aspiration of gastric contents and aspiration-associated plueropulmonary infections--are discussed.
journal_name
Otolaryngol Clin North Amjournal_title
Otolaryngologic clinics of North Americaauthors
Kirsch CM,Sanders Asubject
Has Abstractpub_date
1988-11-01 00:00:00pages
677-89issue
4eissn
0030-6665issn
1557-8259journal_volume
21pub_type
杂志文章,评审abstract::The operation of cochleostomy is described. The surgical technique is vital for the true assessment of results. If the cochlear duct is punctured, the risk to hearing is unacceptably high. If only the osseous spiral lamina is punctured, the results are acceptable in the short term, though the rationale cannot be expla...
journal_title:Otolaryngologic clinics of North America
pub_type: 杂志文章
doi:
更新日期:1983-02-01 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::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...
journal_title:Otolaryngologic clinics of North America
pub_type: 杂志文章
doi:
更新日期:1994-12-01 00:00:00
abstract::Sources of trauma to the external auditory canal range from impaction of small foreign bodies to severely comminuted temporal bone fractures sustained after blunt or penetrating forces. This article provides an overview of commonly encountered injuries. The proposed systematic approach to evaluation and management is ...
journal_title:Otolaryngologic clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1996-10-01 00:00:00
abstract::This article discusses biophotonic and other physical methods for characterizing oral mucosa. ...
journal_title:Otolaryngologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.otc.2004.10.004
更新日期:2005-04-01 00:00:00
abstract::This article focuses on the rare and obscure complications of endoscopic sinus surgery. The majority of surgeons will not encounter these complications in their practice, but should be aware of their possibility. With knowledge of these rare complications, the surgeon can understand the possible avoidance as well as u...
journal_title:Otolaryngologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.otc.2015.05.012
更新日期:2015-10-01 00:00:00
abstract::American health care is facing an epidemic of medical errors. A major cause of these errors is poor teamwork. Crisis resource management (CRM) is a set of teamwork principles derived from the airline industry. Medical simulation is an educational tool that affords health care providers a means of improving teamwork by...
journal_title:Otolaryngologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.otc.2017.05.008
更新日期:2017-10-01 00:00:00
abstract::By using the quantification method for multidimensional qualitative data, 13 variables were analyzed. The younger the patient, the stronger was the correlation between age and positive glycerin and urea tests. At ages over 50 years no correlation with positive test results was found. The longer the duration of disease...
journal_title:Otolaryngologic clinics of North America
pub_type: 杂志文章
doi:
更新日期:1983-02-01 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::Thyroid cancer represents the most common endocrine cancer, and rates have been increasing over the last 3 decades. The treatment of cervical metastases in well differentiated thyroid cancer remains in evolution. Many questions require further resolution. Unlike many other malignancies, most large studies have found t...
journal_title:Otolaryngologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.otc.2008.06.002
更新日期:2008-12-01 00:00:00
abstract::A good rhinoplasty surgeon attempts to enhance nasal performance through airway and appearance improvement. The great rhinoplasty surgeon routinely improves not only nasal performance but endeavors to achieve a higher level of overall facial aesthetic enhancement by manipulating the surgical illusions of the face. Thi...
journal_title:Otolaryngologic clinics of North America
pub_type: 杂志文章
doi:10.1016/s0030-6665(05)70161-4
更新日期:1999-08-01 00:00:00
abstract::Corticosteroids are widely used in otolaryngology to treat many disorders; however, the nature and extent of possible complications may not be completely understood. A comprehensive review of the physiology of systemic corticosteroids and literature discussing the known side effects associated with their use is presen...
journal_title:Otolaryngologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.otc.2010.04.003
更新日期:2010-08-01 00:00:00
abstract::Mestizo noses have mesorrhine nasal characteristics. They have a modest osteocartilaginous framework, nasal tips that tend to be bulbous with poor projection and rotation, and skins that tend to be thick and acne prone. A structural rhinoplasty approach is performed, focusing on anatomic findings. Conservative tissue ...
journal_title:Otolaryngologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.otc.2019.12.008
更新日期:2020-04-01 00:00:00
abstract::Management of head and neck cancer in the elderly patient is particularly challenging given the high morbidity associated with treatment. Surgery, radiotherapy, and chemotherapy have all been demonstrated as effective in older patients; however, older patients are more susceptible to treatment-induced toxicity, which ...
journal_title:Otolaryngologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.otc.2018.03.004
更新日期:2018-08-01 00:00:00
abstract::Cocaine is an extremely useful drug for various otolaryngologic procedures, and as an anesthetic it is unrivaled for vasoconstriction and decongestion. Its use should not be restricted any more than any other controlled drug. In the majority of procedures 200 to 300 mg. of cocaine is sufficient to obtain adequate anes...
journal_title:Otolaryngologic clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1981-08-01 00:00:00
abstract::Lateral rhinotomy and medial maxillectomy have evolved in the last 25 years as the treatment of choice for most neoplastic lesions involving the lateral nasal wall. Technical refinements have allowed this procedure to be performed with acceptable and minimal morbidity. This approach has had its widest application in t...
journal_title:Otolaryngologic clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1995-12-01 00:00:00
abstract::The transnasal endoscopic resection of ventral skull base lesions represents a safe and effective method for the surgical management of sinonasal and ventral skull base malignancies in carefully selected cases. The goal of surgery is complete removal of all tumor with negative resection margins while maintaining the k...
journal_title:Otolaryngologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.otc.2016.12.005
更新日期:2017-04-01 00:00:00
abstract::Acute pain management following major head and neck (HN) surgery is complex. Multimodal analgesia (MMA) regimens including acetaminophen, nonsteroidal anti-inflammatory drugs, gabapentinoids, and locoregional anesthetics are safe and effective in this population (including patients undergoing HN free flap surgery). Sp...
journal_title:Otolaryngologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.otc.2020.05.005
更新日期:2020-10-01 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::Tracheal and laryngeal stenosis has become increasingly common following prolonged intubation or tracheostomy for mechanical ventilation and is directly related to trauma. Tracheal resection up to 4 to 5 cm. with an end to end anastomosis is the generally accepted treatment. However, tracheal resection carries the dan...
journal_title:Otolaryngologic clinics of North America
pub_type: 杂志文章
doi:
更新日期:1979-11-01 00:00:00
abstract::The predominant extracranial head and neck cancer in adults is squamous cell carcinoma. The purpose of this article is to discuss the radiographic evaluation of these patients with CT scans or MR imaging before therapeutic intervention. Specific focus is given to the efficacy of CT scans and MR imaging, as an adjunct ...
journal_title:Otolaryngologic clinics of North America
pub_type: 杂志文章
doi:10.1016/s0030-6665(05)70081-5
更新日期:1998-08-01 00:00:00
abstract::It is essential for laryngologists, speech and language pathologists, and others caring for professional voice users to be familiar with the potential vocal effects of any substance ingested by a professional voice patient. This article reviews pharmacologic agents that may have laryngeal side effects. Essentially, an...
journal_title:Otolaryngologic clinics of North America
pub_type: 杂志文章
doi:10.1016/s0030-6665(05)70243-7
更新日期:2000-08-01 00:00:00
abstract::Chronic rhinosinusitis (CRS) is a prevalent condition that is heterogeneous in disease characteristics and multifactorial in cause. Although sinonasal mucosal inflammation in CRS is often either reversible or well-managed medically and surgically, a significant proportion of patients has a refractory form of CRS despi...
journal_title:Otolaryngologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.otc.2016.08.009
更新日期:2017-02-01 00:00:00
abstract::Parathyroid carcinoma is a relatively rare tumor that is prone to recurrence and poor loco-regional control. This article discusses the epidemiology, presentation, operative findings, pathology,management, genetics, outcome, and other aspects of parathyroid carcinoma. ...
journal_title:Otolaryngologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.otc.2004.02.014
更新日期:2004-08-01 00:00:00
abstract::Reconstruction of defects of the lip presents a significant challenge to the facial plastic surgeon. Both functional and aesthetic considerations exist. Each defect should be evaluated in terms of its location, size, and depth. Using these three factors, the appropriate reconstructive options can be chosen in a system...
journal_title:Otolaryngologic clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1997-08-01 00:00:00
abstract::Patients with dizziness and psychopathology present diagnostic and therapeutic challenges to clinicians in several specialties. Clinical research is beginning to define the medical-psychiatric interactions that produce many of these patients' symptoms. Treatment research is still in its infancy. A model of illness pro...
journal_title:Otolaryngologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/s0030-6665(05)70230-9
更新日期:2000-06-01 00:00:00
abstract::This article presents a summary of the current simulation training for otologic skills. There is a wide variety of educational approaches, assessment tools, and simulators in use, including simple low-cost task trainers to complex computer-based virtual reality systems. A systematic approach to otologic skills trainin...
journal_title:Otolaryngologic clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.otc.2017.05.005
更新日期:2017-10-01 00:00:00
abstract:UNLABELLED:1. Do not create an emergency obstruction unless you are prepared to handle it. (It may be best to do nothing until the diagnosis is clear.) 2. Support the patient with oxygen, humidity, and positioning and monitor vital signs. 3. Take as brief, concise, and accurate a history as possible. 4. Determine the a...
journal_title:Otolaryngologic clinics of North America
pub_type: 杂志文章
doi:
更新日期:1979-05-01 00:00:00
abstract::Congenital choanal atresia is a challenging clinical problem requiring prompt diagnosis and intervention. The method of repair is controversial, with no technique having gained universal acceptance. Proponents of the transnasal repair must acknowledge the variability of results, especially with thick bony plates, and ...
journal_title:Otolaryngologic clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1997-06-01 00:00:00
abstract::Community noise is reported to be the most often mentioned undesirable neighborhood condition in a recent U.S. Census survey. Understanding community response to noise involves the measurement of a number of complex acoustic and nonacoustic variables and establishing the chain of relationships between physical exposur...
journal_title:Otolaryngologic clinics of North America
pub_type: 杂志文章
doi:
更新日期:1979-08-01 00:00:00