American Journal of Otolaryngology
Purpose: Until recently, only few studies on laryngeal morphometry in the horizontal plane, which used unreliable techniques, have been reported. The established methods of whole-organ serial sectioning of the larynx serve the purpose of histological investigation very well. Because they cause major tissue shrinkage, these techniques are not useful for morphometry. Nevertheless, normal data of laryngeal...
Purpose: This study investigates the incidence of acute maxillary sinusitis (AMS) in the surgical intensive care unit (SICU).Methods: One hundred consecutive patients admitted to the SICU were examined in a prospective observational mode. Bedside sinus ultrasound (SUS) was performed on admission and every 48 hours. Patients with sinus fluid by SUS and unexplained sepsis underwent confirmatory sinus...
Purpose: Malignant melanoma is known to metastasize to the temporal bone. However, melanocytes exist in the normal inner ear and may be difficult to distinguish from metastatic melanotic cells. This study describes distribution of normal melanin in the ear and metastatic melanoma to the temporal bone.Materials and Methods: Normal melanin distribution is described in 48 temporal bones from White (18),...
Costal osteomyelitis and chondritis are rare complications of PMMF usage. They probably represent a secondary complication of a donor-site infection. This diagnosis must be considered in cases of PMMF donor-site infections, which fail to resolve with local wound care and antibiotics. Antibiotic coverage in these cases should be taylored to culture results, while having broad gram-positive activity...
Purpose: To reach a consensus on the preoperative evaluation and management of intraoperative and postoperative tonsillectomy hemorrhage.Method: A survey on the preoperative evaluation and the management of intraoperative and postoperative tonsillectomy hemorrhage was given to one of the faculty members at each of the pediatric otolaryngology fellowship programs in the United States.Results and Conclusions:...
Current concepts of endoscopic management of supraglottic cancer are an extension of precepts fostered by Jackson. The current approach has been facilitated by a half century of technological developments: the surgical microscope, the CO 2 laser, improved laryngoscopes, and general endotracheal anesthesia. Selected small-volume cancers can be curatively resected, whereas excisional biopsy...
Pharmacological agents with the most notable effects on voice exert their influences on the vocal tract through the autonomic nervous system. These agents do not have a profound effect on laryngeal function. Their effects are subtle, but they are important in certain groups of patients, such as professional voice users.It is essential to take a thorough history of medications being used, both by prescription...
Purpose Interleukin-8 (IL-8), a monocyte-derived and macrophage-derived cytokine, displays potent chemotactic activating properties toward neutrophils and thus may contribute to the pathogenesis of chronic sinusitis. The object of this investigation was to show the expression of the IL-8 gene in chronic sinusitis by Northern blot analysis and a reverse transcription-polymerase chain reaction (RT-PCR)...