abstract：:Cochlear implantation has been called a modern miracle and has probably exceeded the expectations of even its most ardent early pioneers. The capabilities of the preprogrammed brain permits patients, within minutes of activation, to appreciate common sounds not heard for many years and within days and weeks to compreh...

journal_title：Otolaryngologic clinics of North America

authors： Proops DW

更新日期：2001-04-01 00:00:00

abstract：:The Sewall-Boyden flap, as used to reconstruct a frontal recess after frontoethmoidectomy, is conceptually similar to the endoscopic Lothrop procedure for surgical access to the frontal sinus. The operative technique, indications, and philosophy are presented in this article. ...

journal_title：Otolaryngologic clinics of North America

authors： Murr AH,Dedo HH

更新日期：2001-02-01 00:00:00

abstract：:Despite innovations in surgical treatment of frontal sinus disease, medical therapy continues to be important. Preoperative, perioperative, and postoperative considerations are discussed. Diagnostic criteria, microbiology, and complications associated with frontal rhinosinusitis are also reviewed. ...

journal_title：Otolaryngologic clinics of North America

authors： Maccabee M,Hwang PH

更新日期：2001-02-01 00:00:00

abstract：:Cystic fibrosis and the various conditions associated with ciliary dysmotility are well known to the otolaryngologist. Although the underlying pathophysiology and clinical courses of these diseases are quite different, they both involve chronic and acute infection in the paranasal sinuses. Some patients may suffer fro...

journal_title：Otolaryngologic clinics of North America

authors： Hulka GF

更新日期：2000-12-01 00:00:00

abstract：:This article discusses the important aspects of pre- and postoperative care for phonomicrosurgical procedures. Making an accurate diagnosis is paramount to any surgical decision, which involves interdisciplinary evaluations by a laryngologist, voice pathologist, singing voice specialist, and other specialists. Patient...

journal_title：Otolaryngologic clinics of North America

authors： Emerich KA,Spiegel JR,Sataloff RT

更新日期：2000-10-01 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

authors： Rosen CA,Murry T

更新日期：2000-10-01 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

authors： Spiegel JR,Hawkshaw M,Sataloff RT

更新日期：2000-08-01 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

authors： Staab JP

更新日期：2000-06-01 00:00:00

abstract：:This article presents the anatomy and physiology of the balance system focusing on the daily use of the system in normal individuals to accomplish the major goals of the system. These goals include perceptions of movement and orientation, control of eye movements for clear visualization of the world, and control of up...

journal_title：Otolaryngologic clinics of North America

authors： Shepard NT,Solomon D

更新日期：2000-06-01 00:00:00

abstract：:Approximately 300 fungal species are known to cause mycotic disease in humans and other animals. More than 50 of these species are documented as agents of rhinosinusitis. Most such infections are caused by species of Aspergillus, Rhizopus, Alternaria, Bipolaris, and Curvularia. A growing number, however, has been attr...

journal_title：Otolaryngologic clinics of North America

authors： Schell WA

更新日期：2000-04-01 00:00:00

abstract：:The management of major airway collapse in the pediatric age group has evolved and continues to evolve over time. Tracheobronchomalacia, either primary or secondary, is still the most frequent cause of major airway collapse. This article reviews tracheobronchomalacia and discusses several treatment options; from tradi...

journal_title：Otolaryngologic clinics of North America

authors： Sommer D,Forte V

更新日期：2000-02-01 00:00:00

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

authors： Pickett BP,Ahlstrom K

更新日期：1999-12-01 00:00:00

abstract：:Noninflammatory, non-neoplastic diseases comprise a diverse group of disorders that can present in a variety of ways. In general, a careful history will sharply focus the diagnostic possibilities. Although the diagnosis usually will be certain following the physical examination, additional testing may be needed to fac...

journal_title：Otolaryngologic clinics of North America

authors： Rice DH

更新日期：1999-10-01 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

authors： Younger RA

更新日期：1999-08-01 00:00:00

abstract：:Homograft human bone is not only the most logical choice for grafting material, but also the closest transplantation material to the host histologically. This article discusses surgical repair of the ossicular chain with homograft bone transplants, including rationale for present surgical techniques, a thorough descri...

journal_title：Otolaryngologic clinics of North America

authors： McGee M,Hough JV

更新日期：1999-06-01 00:00:00

abstract：:Obstructive sleep-disordered breathing consists of a spectrum ranging from the upper airway resistance syndrome to complete apnea. Although this disorder is relatively common, it is still under-recognized, resulting in a significant increase in morbidity and mortality. This article describes the rationale for treating...

journal_title：Otolaryngologic clinics of North America

authors： Bahammam A,Kryger M

更新日期：1999-04-01 00:00:00

abstract：:Otolaryngologists deal primarily with the disorders of obstructive sleep apnea and primary snoring. It is important to realize that although these two disorders are common in the general population, they make up only a small segment of the entire field of sleep disorders medicine. This article attempts to introduce th...

journal_title：Otolaryngologic clinics of North America

authors： Coleman J

更新日期：1999-04-01 00:00:00

abstract：:The saddle nose and short nose deformities are challenging surgical problems characterized by significant architectural deficiencies of the nasal framework. These defects produce cosmetic and functional nasal problems. Reconstructive techniques and augmentation materials are reviewed. Case examples illustrate the auth...

journal_title：Otolaryngologic clinics of North America

authors： Dyer WK 2nd,Beaty MM,Prabhat A

更新日期：1999-02-01 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

authors： Schwab RJ,Goldberg AN

更新日期：1998-12-01 00:00:00

abstract：:The incidence of nodal metastasis in differentiated thyroid cancer ranges between 40% to 75%. Elective neck dissection is generally not advised in patients with differentiated thyroid cancer; however, if clinically apparent nodal disease is noted in the tracheoesophageal groove during surgery, central compartment clea...

journal_title：Otolaryngologic clinics of North America

authors： Shaha AR

更新日期：1998-10-01 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

authors： Madison MT,Remley KB,Latchaw RE,Mitchell SL

更新日期：1998-08-01 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

authors： Poertner LC,Coleman RF

更新日期：1998-06-01 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

authors： Derkay CS,Schechter GL

更新日期：1998-06-01 00:00:00

abstract：:Telemedicine or the electronic transmission of medical data has become an even more important part of medical practice with developing technology. How to best use this technology to enhance and empower both physician and patient is the challenge. What is there, what is coming, and thoughts regarding how otolaryngologi...

journal_title：Otolaryngologic clinics of North America

authors： Hutchinson JR

更新日期：1998-04-01 00:00:00

abstract：:This article provides guidelines for pharmacotherapy to maximize symptom relief from allergic rhinitis. Consideration of frequency, severity, and site of symptoms is important in directing pharmacotherapy efficacy and maximizing cost-effectiveness. The agents available include antihistamines, decongestants, steroids, ...

journal_title：Otolaryngologic clinics of North America

authors： Ferguson BJ

更新日期：1998-02-01 00:00:00

abstract：:Over the years, a variety of empirical regimens have evolved using intratympanic gentamicin to treat the vertigo associated with Meniere's disease. Although these regimens have been effective, their application is not without risk. Many of the problems associated with intratympanic medications could be overcome with t...

journal_title：Otolaryngologic clinics of North America

authors： Hoffer ME,Balough B,Henderson J,DeCicco M,Wester D,O'Leary MJ,Kopke R

更新日期：1997-12-01 00:00:00

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

authors： Hirsch BE,Kamerer DB

更新日期：1997-12-01 00:00:00

abstract：:The Acoustic Neuroma Association (ANA) was established in 1981 in an effort to improve patients' treatment experiences and subsequent recovery by providing realistic and accurate patient information and by offering opportunities for positive interaction with other acoustic tumor patients. A history of the organization...

journal_title：Otolaryngologic clinics of North America

authors： Anderson SH

更新日期：1997-10-01 00:00:00

abstract：:Neuromuscular retraining is an effective method for rehabilitating facial musculature in patients with facial paralysis. This nonsurgical therapy has demonstrated improved functional outcomes and is an important adjunct to surgical treatment for restoring facial movement. Treatment begins with an intensive clinical ev...

journal_title：Otolaryngologic clinics of North America

authors： Diels HJ,Combs D

更新日期：1997-10-01 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

authors： Hamilton MM,Branham GH

更新日期：1997-08-01 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

authors： Vickery CL,Gross CW

更新日期：1997-06-01 00:00:00

abstract：:Rational antibiotic therapy for sinusitis is a difficult goal, made difficult by few satisfactory comparative trials with sufficient clinical power, the large numbers of therapeutic options, prescribing pressures from the pharmaceutical industry, and rapid changes in bacterial resistance patterns. Controversies exist ...

journal_title：Otolaryngologic clinics of North America

authors： Poole MD

更新日期：1997-06-01 00:00:00

abstract：:The most frequently encountered complications in the treatment of laryngeal cancer are discussed. Preoperative and surgical problems and complications encountered secondary to radiation and chemotherapy are included, along with airway obstruction, failure to diagnose, pharyngocutaneous fistula, stomal stenosis, and po...

journal_title：Otolaryngologic clinics of North America

authors： Weissler MC

更新日期：1997-04-01 00:00:00

abstract：:The standard treatment for patients with advanced laryngeal cancer remains total laryngectomy. Radiotherapy as a primary treatment modality is a reasonable alternative. Surgical salvage by total laryngectomy is an important part of the treatment plan when irradiation is used primarily to treat advanced laryngeal cance...

journal_title：Otolaryngologic clinics of North America

authors： Hoffman HT,McCulloch T,Gustin D,Karnell LH

更新日期：1997-02-01 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

authors： Rebeiz EE,Shapsay SM,Ingrams DR

更新日期：1996-12-01 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

authors： Backous DD,Minor LB,Niparko JK

更新日期：1996-10-01 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

authors： Geiger JD,Thompson NW

更新日期：1996-08-01 00:00:00

abstract：:The evolution in thyroid function tests since the 1960s has improved the physician's proficiency in accurately identifying thyroid dysfunction in a patient with suspected thyroid disease. The mainstays of modern thyroid testing strategies are the serum TSH concentration and AMA (anti-TPO) titer. The TSH level serves a...

journal_title：Otolaryngologic clinics of North America

authors： LoPresti JS

更新日期：1996-08-01 00:00:00

abstract：:Benign paroxysmal positional vertigo is a common condition that can be severely incapacitating. The causative mechanism is usually displaced dense particles (canaliths) in a semicircular canal. By means of canalith repositioning, these particles can be moved into the utricle and the symptoms completely resolved in a h...

journal_title：Otolaryngologic clinics of North America

authors： Epley JM

更新日期：1996-04-01 00:00:00

abstract：:Maxillary sinus disease often is exacerbated by a laterally displaced uncinate process that functionally obstructs the infundibulum and the natural ostium. The drainage pathway may be adequate during periods of wellness but with the introduction of nasal edema, the ostium/infundibulum interface is inadequate, thus pre...

journal_title：Otolaryngologic clinics of North America

authors： Parsons DS,Stivers FE,Talbot AR

更新日期：1996-02-01 00:00:00