Showing papers in "Otolaryngologic Clinics of North America in 1997"

TL;DR: Controversies in endoscopic sinus surgery are reviewed and the primary critical issues with regard to the more recently developed instrumentation and the newer extended approaches are presented in this article.

TL;DR: A multi-factorial model of laryngeal mucosal carcinogenesis is presented and it is shown that dietary factors, irradiation, papilloma virus infection, and laryngopharyngeAL reflux seem to be significant carcinogenic cofactors.

TL;DR: Facial neuromuscular retraining is an effective method for rehabilitating facial musculature in patients with facial paralysis and is an important adjunct to surgical treatment for restoring facial movement.

TL;DR: One goal of postoperative care includes the prevention of scar formation, such as middle turbinate collapse, and specific techniques include mucosal preservation, middle meatal spacer corticosteroids and culture-directed antibiotics.

TL;DR: Computer-assisted technology provides the surgeon with accurate guidance during endonasal sinus procedures with various types of probe technology and their accuracy and ease of use are examined.

TL;DR: Reconstruction of forehead and scalp defects are challenging and a thorough understanding of the anatomy and dissection planes of the scalp is essential.

TL;DR: Results have been good with relief of dizzy spells and preservation of hearing in most patients after dexamethasone perfusion and relief of vertigo spells in those patients not responding to the dex amethas one perfusion by streptomycin perfusion.

TL;DR: The etiology of the attacks of vertigo that occur in Meniere's disease is discussed and it is proposed that the sudden restoration of longitudinal flow initiates the attacksof vertigo.

TL;DR: The role of such vehicles in the treatment of Meniere's disease and how sustained release vehicles might impact future treatment for this disabling disease are examined.

TL;DR: This article reviews the differential diagnosis, initial clinical evaluation, natural history, and long-term follow up of patients with acute facial dysfunction.

TL;DR: Recommendations for treatment and rehabilitation based on tumor histology are made for laryngeal cancer in children and adolescents based on reported literature.

TL;DR: A significant percentage of patients with Meniere's disease and allergy show improvement in their symptoms of tinnitus and vertigo when receiving specific allergy therapy.

TL;DR: The voice and speech outcomes that are associated with various treatments for laryngeal cancer are described and comparisons of the expected voice results for different therapeutic modalities are examined.

TL;DR: The unique aspects of nonepidermoid cancer of the larynx that can lead to their diagnosis are discussed, along with consideration of management options and prognostic variables.

TL;DR: The more common and reliable methods for oromandibular reconstruction are considered, including the anatomic basis of each option, the literature concerning each technique, and specific recommendations based on their experience are made.

TL;DR: Outlines of different treatment approaches for three types of patients with Meniere's disease are presented and exercises to foster adaptation of the vestibular system in cases of unilateral loss or hypofunction and to promote the substitution of alternative strategies and to enhance remaining function are advocated.

TL;DR: The present state of diagnostic testing for endolymphatic hydrops is reviewed and the use of nonspecific studies, such as basic audiometry and tests for recruitment, and "specific" studies,such as electrocochleography and dehydration testing, are critically reviewed.

TL;DR: Hyperfractionation and combined che- motherapy-radiotherapy protocols seem to be promising strategies for the improvement of the therapeutic ratio in treatment of patients with more advanced lesions.

TL;DR: The integration of a multidisciplinary team at the outset of treatment planning is crucial in helping patients adjust to the impact of laryngeal cancer.

TL;DR: The authors have reviewed the concepts in orbital reconstruction from an ophthalmologic, oculoplastic, otolaryngologic, and plastic surgical approach, and careful attention is given to the clinical examination, radiologic studies, surgical indications, and surgical techniques for orbital disease.

TL;DR: Current research is directed toward determining antigen-specific laboratory tests to improve diagnostic capabilities, examining human temporal bones to elucidate the pathophysiologic mechanisms involved, and developing a clinical laboratory and pathologic correlation.

TL;DR: The nonsurgical treatment of patients with advanced laryngeal cancers requires the coordinated efforts of a team with close patient follow-up in order that survival not be compromised.

TL;DR: The pharmacologic therapy used in the treatment of Meniere's disease is reviewed, which includes medication for patients that provides relief of the nausea, vomiting, and vertigo that accompanies acute attack.

TL;DR: An eighth nerve section makes a complete preganglionic ablation possible with the additional benefit of relieving tinnitus in over two thirds of selected patients.

TL;DR: The role of aminoglycoside ablation of vestibular function in Meniere's disease is addressed, which provides significant control of vertigo.

TL;DR: The adaptation of the endoscopic technique and the development of new powered instrumentation have significantly improved the transnasal technique so that safe controlled repair may now be accomplished in the newborn.

TL;DR: It may be that the uncinate process, the posteromedial wall of the agger nasi, and the medial Wall of the ethmoid bulla are the critical anatomic components in recalcitrant sinus disease.

TL;DR: A rational approach for the application of these surgical techniques is provided for management of both the primary site and the neck in patients with early supraglottic cancer.

TL;DR: Review of the literature for all types of sac surgery, with emphasis on wide sac-vein decompression as performed at the Michigan Ear Institute, concludes that sac surgery for Meniere's disease needs to be considered as a continuum of treatment.

TL;DR: Although vertigo control is variable with the above treatment strategies, hearing loss does not appear altered by any of them when compared with the natural history of hearing loss associated with Meniere’s disease.