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

authors： Arosarena OA

更新日期：2007-02-01 00:00:00

abstract：:Contemporary surgical techniques for treating various pathologies affecting the middle ear address not only eradication of the underlying disease process but also restoration of normal auditory function. Trauma, neoplasms, inflammatory processes, and cholesteatomas can erode and alter normal middle ear components and ...

journal_title：Otolaryngologic clinics of North America

authors： Javia LR,Ruckenstein MJ

更新日期：2006-12-01 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

authors： Thawley SE

更新日期：2006-10-01 00:00:00

abstract：:Mechanical endonasal dacryocystorhinostomy (DCR) involves the creation of a large rhinostomy and the preservation of lacrimal and nasal mucosa. It replicates the main advantages of the external approach to DCR using minimally invasive techniques. A thorough knowledge of intranasal anatomy and the close collaboration o...

journal_title：Otolaryngologic clinics of North America

authors： Tsirbas A,Wormald PJ

更新日期：2006-10-01 00:00:00

abstract：:Meniere's disease can be observed uniquely in revisions of the conservative surgical procedure for endolymphatic sac enhancement, which preserves the labyrinth, unlike destructive procedures. Genetic anatomic abnormalities in patients lead to malabsorption of endolymph and symptoms of Meniere's that are reversed by en...

journal_title：Otolaryngologic clinics of North America

authors： Paparella MM

更新日期：2006-08-01 00:00:00

abstract：:Over the past ten years the interest in endoscopic dacryocystorhinostomy (DCR) has increased with improved instruments and endoscopic surgery skills. Although endoscopic DCR was first described in 1989, the technique has evolved over the past 15 years as the understanding of the anatomy and ability to achieve reliable...

journal_title：Otolaryngologic clinics of North America

authors： Wormald PJ

更新日期：2006-06-01 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

authors： Greer RO

更新日期：2006-04-01 00:00:00

abstract：:Chronic rhinosinusitis is a complex disease process, one that is characterized by much more than just infection. Until its pathophysiology is understood fully, truly definitive therapy may remain elusive. As this underlying inflammatory process begins to unravel, however, new avenues of therapy will begin to emerge. T...

journal_title：Otolaryngologic clinics of North America

authors： Statham MM,Seiden A

更新日期：2005-12-01 00:00:00

abstract：:This article discusses the potential role of bacterial superantigens (SAgs) in chronic rhinosinusitis with nasal polyposis (CRS/NP). First, it briefly describes SAgs, focusing on how they interact with the immune system by binding to T-cell receptors (TCR) and major histocompatibility complex (MHC) class II molecules....

journal_title：Otolaryngologic clinics of North America

authors： Seiberling KA,Grammer L,Kern RC

更新日期：2005-12-01 00:00:00

abstract：:Advances in management of adult skull base pathologies are increasingly being applied in children. Pediatric patients present special challenges because of their smaller anatomy, but potential gains in reduced morbidity make improvements in skull base approaches well worth pursuing. ...

journal_title：Otolaryngologic clinics of North America

authors： Manning SC,Bloom DC,Perkins JA,Gruss JS,Inglis A

更新日期：2005-08-01 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

authors： Kerr JT,Chu FW,Bayles SW

更新日期：2005-08-01 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

authors： Reardon EJ

更新日期：2005-06-01 00:00:00

abstract：:The bipolar scissors, coblator, harmonic scalpel, and somnoplasty techniques are widely available and offer new choices for the operating arena. There are advantages and disadvantages to all four techniques. With time, these dissection methods will prove their lasting power. Otolaryngologists have already begun to exp...

journal_title：Otolaryngologic clinics of North America

authors： Carroll T,Ladner K,Meyers AD

更新日期：2005-04-01 00:00:00

abstract：:This article discusses biophotonic and other physical methods for characterizing oral mucosa. ...

journal_title：Otolaryngologic clinics of North America

authors： Tagg R,Asadi-Zeydabadi M,Meyers AD

更新日期：2005-04-01 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

authors： Han P,Hu K,Frank DK,Sessions RB,Harrison LB

更新日期：2005-02-01 00:00:00

abstract：:Olfactory loss can occur through accidental exposure, poor industrial hygiene, or exposure to low levels of toxins in the ambient air over long periods. This loss can lead to transient olfactory disorders, irreversible anosmia, temporary olfactory fatigue, or industrial anosmia. Inevitably, a practicing otolaryngologi...

journal_title：Otolaryngologic clinics of North America

authors： Upadhyay UD,Holbrook EH

更新日期：2004-12-01 00:00:00

abstract：:Inner ear medical therapy has been gaining increasing popularity during the last 2 decades. Despite the increased use of this therapy,basic questions regarding this type of treatment have not been answered. The authors have used a variety of sustained-release devices in the laboratory to begin to answer some of these ...

journal_title：Otolaryngologic clinics of North America

authors： Hoffer ME,Balough BJ,Gottshall KR,Allen K,Weisskopf P,Wester D,Balaban C

更新日期：2004-10-01 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

authors： Beus KS,Stack BC Jr

更新日期：2004-08-01 00:00:00

abstract：:Primary, secondary, and tertiary hyperparathyroidism have evolved since their original description. What was once a debilitating disease has now become one with few symptoms on initial presentation. Complications from these disorders have decreased significantly because of earlier detection. Improved management of pat...

journal_title：Otolaryngologic clinics of North America

authors： Ahmad R,Hammond JM

更新日期：2004-08-01 00:00:00

abstract：:Voice-limiting pharyngoesophageal spasm presents a challenge to the surgeon who is trying to optimize functional voice outcomes in the laryngectomy patient. Modified closure techniques, adjunctive myotomy, and pharyngeal plexus neurectomy have the ability to improve or prevent pharyngoesophageal spasm. Attempts to max...

journal_title：Otolaryngologic clinics of North America

authors： Bayles SW,Deschler DG

更新日期：2004-06-01 00:00:00

abstract：:Minimally invasive sinus technique (MIST) is a targeted endoscopic intervention, introduced in 1994, with goals virtually identical to those originally reported for FESS but with distinct differences. The procedure, as outlined in the following section, is the only stepwise intranasal intervention with a defined begin...

journal_title：Otolaryngologic clinics of North America

authors： Catalano PJ,Strouch M

更新日期：2004-04-01 00:00:00

abstract：:Chronic rhinosinusitis (CRS) is one of the most frequent otolaryngologic diseases encountered. The diagnosis of CRS is made by a wide variety of practitioners, including primary care physicians,physician extenders, pulmonologists, and otolaryngologists. Therefore, an accurate, efficient, and accessible method of makin...

journal_title：Otolaryngologic clinics of North America

authors： Devaiah AK

更新日期：2004-04-01 00:00:00

abstract：:After a nearly a century of development, augmentation of laryngeal tissue through injection remains as complex a procedure as it was in the earlier part of the century. Initially, the number of surgeons performing injection laryngoplasty was limited since the technique of injection was thought to be difficult and the ...

journal_title：Otolaryngologic clinics of North America

authors： Courey MS

更新日期：2004-02-01 00:00:00

abstract：:Chronic daily headache (CDH) refers to the daily or almost daily occurrence of headache for a prolonged period of time, with lack of a well-defined attack pattern. It constitutes the vast majority of daily headaches. Hemicrania continua, a condition that closely resembles CDH, will be discussed as part of this article...

journal_title：Otolaryngologic clinics of North America

authors： Spierings EL

更新日期：2003-12-01 00:00:00

abstract：:The proper selection of allergen extracts is important in maintaining an efficient allergy practice. This article discusses pollen and mold spore selection, which may be relevant to an individual practitioner's testing survey. The selection of tree, grass, and weed pollen extracts depends on the location of the clinic...

journal_title：Otolaryngologic clinics of North America

authors： Dzul AI

更新日期：2003-10-01 00:00:00

abstract：:Wegener's granulomatosis is an idiopathic, granulomatous disease with the potential for multiple head and neck manifestations. The otolarygologist is an essential part of the multidisciplinary team involved in establishing the diagnosis and providing ongoing care for patients with Wegener's granulomatosis. Diagnostic ...

journal_title：Otolaryngologic clinics of North America

authors： Gubbels SP,Barkhuizen A,Hwang PH

更新日期：2003-08-01 00:00:00

abstract：:This article focuses on the female patient with sleep-disordered breathing. Sleep-disordered breathing has historically been considered a disease seen primarily in men, but it has become increasingly recognized in women. Recent studies of the general population suggest that almost one third of all obstructive sleep ap...

journal_title：Otolaryngologic clinics of North America

authors： Walker RP

更新日期：2003-06-01 00:00:00

abstract：:Our experience has revealed the following: (1) TRT is applicable for all types of tinnitus, as well as for decreased sound tolerance, with significant improvement of tinnitus occurring in over 80% of the cases, and at least equal success rate for decreased sound tolerance. (2) TRT can provide cure for decreased sound ...

journal_title：Otolaryngologic clinics of North America

authors： Jastreboff PJ,Jastreboff MM

更新日期：2003-04-01 00:00:00

abstract：:Thyroid cancer will be diagnosed in more than 20,000 individuals in the United States in 2002. Approximately 16,000 of these patients will be women. During the same year, an estimated 1300 deaths from thyroid cancer are expected. The various types of thyroid cancer include papillary carcinoma, follicular carcinoma, Hu...

journal_title：Otolaryngologic clinics of North America

authors： Boone RT,Fan CY,Hanna EY

更新日期：2003-02-01 00:00:00

abstract：:Computerized physician-order entry (CPOE) is a system of hardware and software through which a physician enters orders directly into a computer rather than writing them on paper. The advantages of CPOE include order legibility, improved response time, reduction in adverse drug reactions, reduced cost of care, and impr...

journal_title：Otolaryngologic clinics of North America

authors： Foster RA,Antonelli PJ

更新日期：2002-12-01 00:00:00

abstract：:A wide range of reconstructive options allows the ablative surgeon to resect tumors completely with wide margins. Wide resection is especially important because of the rich lymphatic drainage and submucosal spread seen with carcinomas in the hypopharyngeal area. Postoperative stenosis can be a difficult, recurring pro...

journal_title：Otolaryngologic clinics of North America

authors： Couch ME

更新日期：2002-10-01 00:00:00

abstract：:The past 20 years have seen the cochlear implant evolve from an innovative but radical concept to the standard of care in the management of children with severe to profound hearing loss. All children receiving the cochlear implant achieve substantial benefit; however, performance gains are optimized by a team approach...

journal_title：Otolaryngologic clinics of North America

authors： Arts HA,Garber A,Zwolan TA

更新日期：2002-08-01 00:00:00

abstract：:Together, these tests provide a full evaluation of vestibular function in infants and small children. If attention is paid to creating the appropriate testing environment, and interpretation of the tests takes into account the unique properties of the responses of infants and young children, this testing can provide a...

journal_title：Otolaryngologic clinics of North America

authors： Phillips JO,Backous DD

更新日期：2002-08-01 00:00:00

abstract：:The term Meniere's disease is used to define either the classic triad of vestibular and cochlear symptoms and aural pressure from known or unknown causes or its clinical variants, vestibular and cochlear Meniere's disease. Some variants evolve after years into typical forms, whereas others do not. Some symptoms (posit...

journal_title：Otolaryngologic clinics of North America

authors： Mancini F,Catalani M,Carru M,Monti B

更新日期：2002-06-01 00:00:00

abstract：:Endoscopy offers several distinct advantages over the operating microscope during neuro-otologic surgery that make it an excellent adjunctive tool to the microscope or independent modality during cranial base surgery. The high magnification gives excellent definition of perforating blood vessels, cranial nerves, and n...

journal_title：Otolaryngologic clinics of North America

authors： Wackym PA,King WA,Meyer GA,Poe DS

更新日期：2002-04-01 00:00:00

abstract：:Cyanoacrylate and fibrin tissue adhesives can aid the facial plastic surgeon performing surgery in the outpatient setting. Octyl-2-cyanoacrylate is ideal for superficial skin closure and eliminates the need for suture removal. Subcutaneous sutures are needed in most cases to provide the best cosmetic outcomes. Fibrin ...

journal_title：Otolaryngologic clinics of North America

authors： Toriumi DM,Bagal AA

更新日期：2002-02-01 00:00:00

abstract：:The field of skull base surgery has expanded dramatically the surgical horizons in the treatment of skull base neoplasms, which, previously, were considered inoperable because of their locations and relation to vital structures. This article aims to offer improved understanding of surgical indications and appreciation...

journal_title：Otolaryngologic clinics of North America

authors： Branovan DI,Schaefer SD

更新日期：2001-12-01 00:00:00

abstract：:The multidisciplinary requirements of skull base surgery have evolved over the last 25 years. The heterogeneity of tissue types in the cranium base gives rise to a diverse group of benign and malignant neoplasms with vastly different prognoses. This article reviews the distinct clinicopathologic features of some of th...

journal_title：Otolaryngologic clinics of North America

authors： Richardson MS

更新日期：2001-12-01 00:00:00

abstract：:Paragangliomas can be challenging to even the most experienced surgeon. Injuries to the carotid artery are not uncommon. To avoid injury, a careful preoperative assessment of the size and extent of the tumor and its relation to the internal carotid artery, external carotid artery, and common carotid artery is importan...

journal_title：Otolaryngologic clinics of North America

authors： Halpern VJ,Cohen JR

更新日期：2001-10-01 00:00:00

abstract：:The nose occupies an important feature of a person's central face. The size, shape, and proportions of the various characteristics of the face provide a visual basis suggesting the character of the person. Scars, asymmetries, and any abnormalities of the central face are easily recognizable and noted by even a casual ...

journal_title：Otolaryngologic clinics of North America

authors： Fedok FG,Burnett MC,Billingsley EM

更新日期：2001-08-01 00:00:00