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

authors： Mowry SE,Woodson E,Gantz BJ

更新日期：2012-02-01 00:00:00

abstract：:Information on the genetic basis of and testing for disorders with hearing loss is increasing rapidly. In this review, the authors explain genetic terminology, the principles of inheritance, and the types of genetic variation and the genetic basis of selected disorders of hearing loss. The authors also review how info...

journal_title：Otolaryngologic clinics of North America

authors： Cohen M,Phillips JA 3rd

更新日期：2012-02-01 00:00:00

abstract：:This article discusses the types of telemedicine technologies that are currently in place and being used successfully in otolaryngology. It examines how these technologies have been applied in several different otolaryngology telemedicine programs and discusses their relative merits and successes. ...

journal_title：Otolaryngologic clinics of North America

authors： Garritano FG,Goldenberg D

更新日期：2011-12-01 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

authors： Alonso-Basanta M,Lustig RA,Kennedy DW

更新日期：2011-10-01 00:00:00

abstract：:Endoscopic pituitary surgery has been gaining wide acceptance as the first-line treatment of most functional pituitary adenomas. This technique has many advantages over traditional procedures, and growing evidence supports its use for endocrine control of functioning tumors. This article reviews data on the different ...

journal_title：Otolaryngologic clinics of North America

authors： Dhepnorrarat RC,Ang BT,Sethi DS

更新日期：2011-08-01 00:00:00

abstract：:The allergic march is a progression of atopic disease from eczema to asthma, and then to allergic rhinoconjunctivitis. It appears to be caused by a regional allergic response with breakdown of the local epithelial barrier that initiates systemic allergic inflammation. Genetic and environmental factors predispose to de...

journal_title：Otolaryngologic clinics of North America

authors： Gordon BR

更新日期：2011-06-01 00:00:00

abstract：:Sleep-related symptoms are extremely common in patients with allergic rhinitis. Sleep impairment is likely a major contributor to the overall disease morbidity, direct and indirect health care costs, and the loss of work productivity associated with allergic rhinitis. The association between allergic rhinitis and slee...

journal_title：Otolaryngologic clinics of North America

authors： Soose RJ

更新日期：2011-06-01 00:00:00

abstract：:The epidemiology, diagnostic features, differential diagnosis, and treatment of vestibular neuritis are reviewed. The authors present considerations for physical examination, imaging, and management in both the acute and chronic phases of this disease. The authors also present a dizziness questionnaire in the Appendix...

journal_title：Otolaryngologic clinics of North America

authors： Goddard JC,Fayad JN

更新日期：2011-04-01 00:00:00

abstract：:Burning mouth syndrome is a complex disorder of unclear etiology that is most prevalent in perimenopausal women. It is often accompanied by dysguesia and subjective xerostomia. Recent evidence implicates both central and peripheral neuropathies, possibly representing a phantom pain syndrome in some patients. Ensuring ...

journal_title：Otolaryngologic clinics of North America

authors： Minor JS,Epstein JB

更新日期：2011-02-01 00:00:00

abstract：:Ultrasound, as a diagnostic modality, has been developing rapidly. High-resolution ultrasound machines have been reduced to the size of a laptop computer. Ultrasound can be adopted by otolaryngologists for use within the clinic and the operating room. Ultrasound offers several advantages to the pediatric patient popul...

journal_title：Otolaryngologic clinics of North America

authors： Rooks VJ,Cable BB

更新日期：2010-12-01 00:00:00

abstract：:Meniere disease is one of the most fascinating and most vexing of all clinical conditions encountered by the otolaryngologist. Operationally speaking, a Meniere ear is a fragile ear. In fact, Meniere disease can and should be redefined as a degenerating inner ear that has impairment of one or more homeostatic systems,...

journal_title：Otolaryngologic clinics of North America

authors： Rauch SD

更新日期：2010-10-01 00:00:00

abstract：:This article is divided into six sections that are related to six commonly used operations for surgery on the maxillary sinus. The authors discuss maxillary sinoscopy, the Caldwell-Luc procedure, extended middle meatus antrostomy, endoscopic maxillary sinus antrostomy, minimally invasive sinus technique, and balloon s...

journal_title：Otolaryngologic clinics of North America

authors： Kim E,Duncavage JA

更新日期：2010-08-01 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

authors： Poetker DM,Reh DD

更新日期：2010-08-01 00:00:00

abstract：:Chronic rhinosinusitis (CRS) is a condition characterized by persistent inflammation due to intrinsic mucosal hypersensitivity or persistent infection. Proper medical treatment with antibiotic, leukotriene modifiers, oral corticosteroids, or even aspirin desensitization for the sinus inflammation can prevent the need ...

journal_title：Otolaryngologic clinics of North America

authors： DeMarcantonio MA,Han JK

更新日期：2010-06-01 00:00:00

abstract：:After nearly a century of performing thyroidectomy essentially the way it was described by Theodore Kocher in the nineteenth century, the technique has quickly evolved. Parathyroidectomy has advanced as biochemical assays and physiologic imaging have become available. Minimally invasive and endoscopic thyroidectomy an...

journal_title：Otolaryngologic clinics of North America

authors： Seybt MW,Terris DJ

更新日期：2010-04-01 00:00:00

abstract：:This article describes the anatomy and embryology of the thyroid and parathyroid glands and the recurrent laryngeal nerve, discussing how the anatomy affects function and dysfunction of the glands. ...

journal_title：Otolaryngologic clinics of North America

authors： Fancy T,Gallagher D 3rd,Hornig JD

更新日期：2010-04-01 00:00:00

abstract：:Reflux is a significant contributor to cough in otolaryngology practice; cough is just one marker of its many negative effects on the upper aerodigestive tract. Reflux causes cough both by direct irritation/inflammation and by increasing sensitivities to other noxious agents. Detailed and diligent clinical evaluation,...

journal_title：Otolaryngologic clinics of North America

authors： Merati AL

更新日期：2010-02-01 00:00:00

abstract：:Salivary gland preservation during treatment for obstructive duct and gland problems is a goal worth pursuing. Difficult cases may seem to be candidates for sialadenectomy. However, progress in endoscopic and open-surgical procedures can help the physician to find solutions that overcome difficult problems without rem...

journal_title：Otolaryngologic clinics of North America

authors： Fritsch MH

更新日期：2009-12-01 00:00:00

abstract：:Surgical navigation technology provides real-time intraoperative localization of surgical instruments within the field. These systems are highly accurate, assist with preoperative planning, and improve surgeon confidence. The industry has recently responded to the growing trend of treatment in ambulatory surgical cent...

journal_title：Otolaryngologic clinics of North America

authors： Costa DJ,Sindwani R

更新日期：2009-10-01 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

authors： Sweeney P,Yajnik S,Hartsell W,Bovis G,Venkatesan J

更新日期：2009-08-01 00:00:00

abstract：:Thorough evaluation of a patient presenting with nasal obstruction, including nasal endoscopy and a CT scan when indicated, is recommended to guide proper diagnosis and treatment. The rhinoplasty surgeon should be aware of the differential diagnosis of nasal obstruction and should proceed with thorough evaluation or r...

journal_title：Otolaryngologic clinics of North America

authors： Becker DG,Bloom JD,Gudis D

更新日期：2009-06-01 00:00:00

abstract：:The nasal septum is a structure poorly understood and appreciated by the lay public and the nonotolaryngologist--head and neck surgeon alike. Deviation of the caudal portion of the nasal septum may result in nasal obstruction, a crooked nose, and columellar irregularities. The correction of a severely deviated caudal ...

journal_title：Otolaryngologic clinics of North America

authors： Haack J,Papel ID

更新日期：2009-06-01 00:00:00

abstract：:The authors present two case studies on pediatric nasal obstruction that highlight the consequences of a delayed diagnosis and the complexities of managing obstructed lesions in children. ...

journal_title：Otolaryngologic clinics of North America

authors： Kalish LH,Nogueira JF,Stamm AC

更新日期：2009-04-01 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

authors： Sautter NB,Smith TL

更新日期：2009-04-01 00:00:00

abstract：:Recurrent respiratory papillomatosis (RRP) is a chronic, frequently debilitating, and potentially life-threatening disease. Therapy for RRP has evolved from simply inserting a tracheotomy to provide an airway and plucking out papillomata with cup forceps to provide some degree of voice to the present-day far more soph...

journal_title：Otolaryngologic clinics of North America

authors： Johnson K,Derkay C

更新日期：2009-02-01 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

authors： Ort S,Goldenberg D

更新日期：2008-12-01 00:00:00

abstract：:The majority of recurrent thyroid carcinomas are histologically differentiated and readily diagnosed by light microscopy or immunohistochemical staining. Infrequently, recurrent carcinoma may be less differentiated than the index lesion, creating diagnostic challenges. Complicating issues include thyroid carcinomas th...

journal_title：Otolaryngologic clinics of North America

authors： Todd WU 4th,Wenig BM

更新日期：2008-12-01 00:00:00

abstract：:Bilateral vocal cord paralysis in children with its many causes presents a challenging problem to the pediatric otolaryngologist. Traditionally, management of bilateral vocal cord paralysis includes securing the airway with a tracheotomy and waiting for spontaneous recovery. Surgeons have tried a variety of surgical p...

journal_title：Otolaryngologic clinics of North America

authors： Chen EY,Inglis AF Jr

更新日期：2008-10-01 00:00:00

abstract：:Specific deficits that may be encountered as well as interventional strategies and evidence-based practice are discussed. When discussing the voice, it is important to consider that for many people the voice is not just a tool for communication, but also an identifying feature that allows expression of personality. Ea...

journal_title：Otolaryngologic clinics of North America

authors： Starmer HM,Tippett DC,Webster KT

更新日期：2008-08-01 00:00:00

abstract：:Among the several risks encountered in endoscopic sinus surgery, catastrophic orbital bleeding and iatrogenic cerebrospinal fluid leak are the two serious complications surgeons most fear. This article discusses these avoidable complications and provides treatment algorithms for intraoperative maneuvers. A thorough un...

journal_title：Otolaryngologic clinics of North America

authors： Welch KC,Palmer JN

更新日期：2008-06-01 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

authors： Tulunay OE

更新日期：2008-04-01 00:00:00

abstract：:The significant incidence of atopy associated with otitis media with effusion (OME) has suggested a role of allergy in the pathogenesis of OME. Analysis of inflammatory mediators indicates that the mucosa of the middle ear can respond to antigen in the same way as does the mucosa of the lower respiratory tract. Recent...

journal_title：Otolaryngologic clinics of North America

authors： Luong A,Roland PS

更新日期：2008-04-01 00:00:00

abstract：:A wide range of pathology involving the external, middle, and inner ear contribute to conductive and sensorineural hearing loss. Diagnostic imaging plays a critical role in the evaluation and management of hearing loss. High resolution computed tomography (CT) of the temporal bone and magnetic resonance imaging (MRI) ...

journal_title：Otolaryngologic clinics of North America

authors： St Martin MB,Hirsch BE

更新日期：2008-02-01 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

authors： Sedory Holzer SE,Kokemueller P

更新日期：2007-12-01 00:00:00

abstract：:There have been many advances in microsurgery for voice professionals over the last three decades. Driven by a greater understanding of the anatomy and physiology of phonation, most of the advances provide greater surgical precision through improved exposure and more delicate instrumentation. Laryngologists who perfor...

journal_title：Otolaryngologic clinics of North America

authors： Sataloff RT,Hawkshaw MJ,Divi V,Heman-Ackah YD

更新日期：2007-10-01 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

authors： Sataloff RT,Hawkshaw MJ,Divi V,Heman-Ackah YD

更新日期：2007-10-01 00:00:00

abstract：:Polysomnography provides information on the physiological changes occurring in many different organ systems in relation to sleep stages and wakefulness. It allows qualitative and quantitative documentation of abnormalities of sleep and wakefulness, of sleep-wake transition, and of physiological function of other organ...

journal_title：Otolaryngologic clinics of North America

authors： Kakkar RK,Hill GK

更新日期：2007-08-01 00:00:00

abstract：:Neurotologic and skull base surgery involves working around important neurovascular and neurotologic structures and can incur unwarranted complications. Knowledge of surgical anatomy, good preoperative planning, intraoperative monitoring, and excellent microsurgical technique contribute to minimizing and avoiding comp...

journal_title：Otolaryngologic clinics of North America

authors： Liu JK,Saedi T,Delashaw JB Jr,McMenomey SO

更新日期：2007-06-01 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

authors： Driscoll CL,Lane JI

更新日期：2007-06-01 00:00:00

abstract：:Otoplasty remains a challenging but rewarding operation for surgeons who approach it in a rigorous and exacting manner. This article outlines a particular systematic approach to cartilage-sparing otoplasty and related adjuvant procedures. Whichever methods are chosen, precise adherence to the goals and principles summ...

journal_title：Otolaryngologic clinics of North America

authors： Adamson PA,Litner JA

更新日期：2007-04-01 00:00:00