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Showing papers in "American Journal of Otolaryngology in 2003"


Journal ArticleDOI
TL;DR: Complicated deep neck infections remain potentially fatal, but the morbidity and mortality can be reduced, and doctors should pay more attention to high-risk patients; they are female patients, patients with neck swelling, and patients with respiratory difficulty.

235 citations


Journal ArticleDOI
TL;DR: Although the course of acute epiglottitis is often benign and can be safely treated with a conservative management approach, delayed airway obstruction may develop from a few hours to days after admission.

141 citations


Journal ArticleDOI
TL;DR: CT study has important limitations in differentiating abscess versus cellulitis in DNIs, and clinical findings as well as CT diagnosis should guide the decision of surgery.

91 citations


Journal ArticleDOI
TL;DR: Patients with EMP have a relatively low risk of progressing to multiple myeloma and have improved survival compared with those who present with SPB, and the optimal treatment is moderate-dose radiotherapy and occasionally surgery.

89 citations


Journal ArticleDOI
TL;DR: It is revealed that extended uvulopalatal flap improves obstructiveSleep apnea with minimal adverse effect in selected patients, and this technique suggests a role of fat dissecting in the palatal surgery for obstructive sleep apnea.

75 citations


Journal ArticleDOI
TL;DR: A review of the published data regarding hearing outcome with Fistula management was undertaken and results were presented at departmental grand rounds to better illuminate the topic of labyrinthine fistula management.

69 citations


Journal ArticleDOI
TL;DR: Endoscopic approaches to the skull base are possible because of advancements in technology now available to the rhinologic surgeon and extended techniques should provide a more direct, less invasive, and more cost-effective method for approaching select skull base lesions.

68 citations


Journal ArticleDOI
TL;DR: This study establishes the efficacy of PRM in short- and long-term management of BPPV; the procedure is easy and simple.

67 citations


Journal ArticleDOI
TL;DR: Tracheotomy is relatively safe in the pediatric population and decannulation may be possible relatively quickly with resolution of the underlying problem.

63 citations


Journal ArticleDOI
TL;DR: The first known case of malignant solitary fibrous tumor of the tongue in a 57-year-old female patient who experienced rapid growth of a longstanding right anterior tongue mass, with associated dysphagia and dysarthria is reported.

60 citations


Journal ArticleDOI
TL;DR: Tooth extraction was the most common etiologic factor, and malignancy should be excluded in all patients, and the outcome may not be satisfactory in patients with systemic disease and in Patients with history of radiotherapy.

Journal ArticleDOI
TL;DR: A rare case of aggressive ameloblastic carcinoma is reported in a 22-year-old white man who developed widespread bony metastases and expired 4 years after initial diagnosis.

Journal ArticleDOI
TL;DR: Endonasal endoscopic approach provides a safe and effective alternative to open approaches, offering cosmetic advantages and lowering the morbidity, and could be judiciously used in large ethmoido-orbital osteomas in selected cases.

Journal ArticleDOI
TL;DR: This article presents a case of hoarseness, dysphagia, and hemoptysis caused by the laryngeal localization of a leech that was removed under general induction anesthesia of sevoflurane via a face mask without endotracheal intubation.

Journal ArticleDOI
TL;DR: Although very rare, schwannoma should be taken into consideration in the differential diagnosis of any upper lip mass and complete enucleation of the schwANNoma usually achieves cure.

Journal ArticleDOI
TL;DR: In both patients, initial control of carotid bleeding was followed by delayed stent-related complications, and their long-term efficacy in the setting of head and neck malignancy and overlying infection is suspect.

Journal ArticleDOI
TL;DR: A schwannoma arising from the parasympathetic fibers of the lingual nerve is presented, which is the first in the literature to the knowledge, despite its borders in computerized tomography being not well defined despite the contrast medium.

Journal ArticleDOI
TL;DR: Patients with subjective olfactory dysfunction despite appropriate medical management for rhinosinusitis benefit from FESS, andAsthmatics and patients with polyps had higher subjective o aroma dysfunction scores than nonasthmatics or patients without polyps.

Journal ArticleDOI
TL;DR: The finding of this study with a limited number of patients supports previous reports suggesting that BSCC is a highly aggressive tumor that presents in older population with male predominance and suggests that aggressive treatment is indicated and that systemic chemotherapy should be contemplated.

Journal ArticleDOI
TL;DR: The avoidance of donor site morbidity, reduction of surgical time, and excellent gross and histologic outcomes in this animal model reveal that AlloDerm could be a safe, cost-effective alternative to autologous fascia.

Journal ArticleDOI
TL;DR: Endoscopic repair of cerebrospinal fluid leaks has proven to be effective and safe and a safe and effective treatment for CSF rhinorrhea encountered as a neurosurgical complication.

Journal ArticleDOI
TL;DR: It is believed that every follicular lesion should be excised to obtain a definitive histological diagnosis based on capsular or vascular invasion and the combination of cytological characteristics and the size of the nodule aspirate are predictive values of malignancy.

Journal ArticleDOI
TL;DR: A case of zygomatic hemangioma is presented and a brief review of the literature shows total excision of the tumor with primary reconstruction of the defect is the preferred treatment modality.

Journal ArticleDOI
TL;DR: Clinical characteristics, etiology, preoperative evaluation, and management of 3 unusual cases of angiofibroma, 1 case originating from larynx and the other 2 cases from nasal septum in women, suggest ectopic tissue may become located further away than usual place and may have been the cause of the extranasopharyngeal location.

Journal ArticleDOI
TL;DR: A 45-year-old woman who had swallowed a sharp pointed metallic foreign body while eating meat and penetrated the internal jugular vein over a period of 10 days presenting as a tender neck swelling is presented.

Journal ArticleDOI
TL;DR: Patients affected by nontuberculous mycobacterial adenitis of the neck observed in the Ear, Nose, and Throat Institute of S. Orsola-Malpighi Hospital-Bologna over a 20-year period between 1981 and 2001 were reviewed.

Journal ArticleDOI
TL;DR: A case of a right-sided middle ear hemangioma in a 51-year-old woman who suffered from pulsatile tinnitus is presented with a review of the relevant literature.

Journal ArticleDOI
TL;DR: The signs and symptoms of otologic histiocytosis can mimic those of acute and chronic infectious ear disease and only a surgically obtained biopsy leads to definitive diagnosis and appropriate therapy.

Journal ArticleDOI
TL;DR: This case report describes a patient who developed Clinostomum laryngitis after eating raw fresh-water fish and Parasite removal was performed under general anesthesia using aLaryngomicroscopic method, facilitating parasite identification.

Journal ArticleDOI
TL;DR: The clinical and laboratory features of 2 cases of posterior fossa arachnoid cysts mimicking Meniere's disease are discussed as well as the substantial resolution of symptoms in 1 patient after cysto-peritoneal shunt.