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Aphonia. Aphonia。
Pub Date : 2020-02-07 DOI: 10.32388/aq9gne
C. Mccaskey
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引用次数: 0
Resident's page. 居民的页面。
Pub Date : 2005-01-01 DOI: 10.1001/archderm.1981.01650070068032
Gurcharan Singh, L. Kumar
The exact etiology still remains controversial and this is partly due to the variability in the clinical situations in which striae arise. They are the end result of various physiologic states, including pregnancy, adrenocortical excess and changes in body habitus, as seen in rapid weight change. A genetic predisposition is presumed; striae distensae have been reported in monozygotic twins. There is decreased expression of collagen and fibronectin genes in affected tissue. The role of genetic factors is further emphasized by the fact that they are common in inherited defects of connective tissue, as in Marfan’s syndrome.
确切的病因仍有争议,这部分是由于临床情况的变化,其中条纹出现。它们是各种生理状态的最终结果,包括怀孕、肾上腺皮质过剩和身体习惯的变化,如体重的快速变化。假定有遗传倾向;据报道,在同卵双胞胎中有扩张纹。病变组织中胶原蛋白和纤维连接蛋白基因表达减少。遗传因素在结缔组织的遗传性缺陷(如马凡氏综合征)中很常见,这一事实进一步强调了遗传因素的作用。
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引用次数: 19
Sinus histiocytosis with massive lymphadenopathy. 窦性组织细胞增生伴大量淋巴结病。
Pub Date : 1991-02-01 DOI: 10.1097/00000478-199102000-00013
E. Foucar, J. Rosai, R. Dorfman
Sinus histiocytosis with massive lymphadenopathy (SHML) is a newly recognized, distinct, pseudolymphomatous benign entity with very characteristic microscopic features. Most patients are children or young adults with massive painless cervical adenopathy, although other node groups and extranodal sites often are involved. Sixteen patients with SHML involving the upper respiratory tract and/ or salivary gland are presented. Nine of the patients had ear, nose, and throat (ENT) manifestations at the time of presentation. In most cases the ENT involvement resulted in prominent clinical symptoms. Treatment included surgery, antibiotics, irradiation, chemotherapy, and steroids, frequently in combination, but no consistent pattern of response emerged from the study. These 16 patients were very similar clinically to patients with SHML who did not have ENT disease, indicating that extranodal involvement is not associated with more aggressive disease.
窦性组织细胞增生伴大量淋巴结病(SHML)是一种新发现的、独特的、良性的假性淋巴瘤,具有非常独特的显微镜特征。大多数患者为大量无痛性宫颈腺病的儿童或年轻人,尽管其他淋巴结组和结外部位也常受累。本文报告16例累及上呼吸道和/或唾液腺的SHML患者。9例患者在就诊时有耳鼻喉(ENT)表现。在大多数情况下,耳鼻喉受累导致突出的临床症状。治疗包括手术、抗生素、放疗、化疗和类固醇,经常联合使用,但研究中没有一致的反应模式。这16例患者的临床表现与没有耳鼻喉疾病的SHML患者非常相似,表明结外累及与更具侵袭性的疾病无关。
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引用次数: 23
Irradiation after neck dissection. 颈部解剖后的放疗。
Pub Date : 1985-12-01 DOI: 10.1001/ARCHOTOL.1985.00800140071017
B. Vikram, E. Strong, J. Shah, R. Spiro
To the Editor .—DeSanto et al 1 have twice misquoted us. On page 369, they cite one of our articles 2 as suggesting that "A new and realistic concern is that the effects of radiation on lymphatics may actually facilitate distant metastases and decrease survivorship rather than improve it." In actual fact, rather than raising such concerns, our data are really reassuring in this regard; we found that the overall incidence of distant metastases in patients treated by the combination of surgery and postoperative radiation therapy was remarkably similar to what had been previously observed at our institution in patients treated by surgery alone. 3 On page 370, DeSanto et al again cite us, suggesting that "control of the disease (by postoperative radiation therapy) did not lead to increased survivorship." In actual fact, our data do show a rather striking decrease in deaths from head and neck cancer in patients treated by surgery
致编辑:desanto等人两次错误引用我们的话。在第369页,他们引用了我们的一篇文章,认为“一个新的和现实的担忧是,放射对淋巴管的影响实际上可能促进远处转移,降低生存率,而不是提高生存率。”事实上,我们的数据在这方面确实令人放心,而不是引起这种担忧;我们发现,在手术和术后放射治疗联合治疗的患者中,远端转移的总体发生率与之前在我们机构单独手术治疗的患者中观察到的发生率非常相似。3在第370页,DeSanto等人再次引用我们的话,表明“(通过术后放射治疗)控制疾病并没有导致生存率的增加。”事实上,我们的数据确实显示,接受手术治疗的头颈癌患者的死亡率显著下降
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引用次数: 0
Counseling the patient with tinnitus. 为耳鸣患者提供咨询。
Pub Date : 1985-05-01 DOI: 10.1001/archotol.1985.00800070035001
R. Sweetow
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引用次数: 12
Otolaryngologists using local anesthetics containing epinephrine. 耳鼻喉科医生使用含有肾上腺素的局部麻醉剂。
Pub Date : 1985-04-01 DOI: 10.1001/ARCHOTOL.1985.00800060104021
R. Roy, D. B. Weeks
To the Editor .—In a recent commentary, Brummett 1 drew attention to a common, yet potentially life-threatening, drug interaction between nonselective β-adrenergic blockers and epinephrine. However, there were some serious typographical errors in his article and misleading recommendations as to the appropriate clinical response. First, β 1 and β 2 have been transposed throughout the commentary. The β 1 -receptors, not the β 2 , are those found in the heart, which, when stimulated, increase heart rate and contractility. 2 Epinephrine activates both α- and β 2 -receptors in blood vessels to mediate the opposing effects of vasoconstriction (α) and vasodilation (β 2 ). The net effect of low doses of epinephrine in healthy patients is only an increase in heart rate because of β 1 stimulation. 3 Higher doses of epinephrine produce systolic hypertension as well as tachycardia. 3 If the β 1 - and β 2 -receptors are blocked by a
致编辑:在最近的一篇评论中,Brummett引起了人们对非选择性β-肾上腺素阻滞剂和肾上腺素之间的一种常见的、但可能危及生命的药物相互作用的注意。然而,在他的文章中有一些严重的排版错误和关于适当临床反应的误导性建议。首先,β 1和β 2在整个评论中被调换了位置。β 1受体,而不是β 2受体,是在心脏中发现的,当受到刺激时,会增加心率和收缩力。肾上腺素激活血管中的α-和β 2 -受体,介导血管收缩(α)和血管舒张(β 2)的相反作用。在健康患者中,低剂量肾上腺素的净效应仅仅是由于β 1刺激而增加心率。高剂量的肾上腺素可引起收缩期高血压和心动过速。如果β 1 -和β 2 -受体被a
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引用次数: 2
Total inferior turbinectomy for nasal airway obstruction. 下鼻甲全切除术治疗鼻气道阻塞。
Pub Date : 1985-02-01 DOI: 10.1097/00006534-198606000-00049
D. Ophir, A. Shapira, G. Marshak
A variety of surgical procedures are performed to open the nasal airway chronically obstructed by hypertrophic inferior turbinates. Because the results are universally unsatisfactory, we suggest bilateral total inferior turbinectomy to patients in whom medical therapy fails. One hundred fifty patients were followed up for one to seven years (mean, 2 1/2 years) and the results of the follow-up were assessed clinically via questionnaire and chart review. Patent nasal airway resulted in 91% of the patients. Eighty percent of the patients reported improvement in nasal breathing, and 14 (27%) of the 51 patients who suffered from nasal drainage preoperatively reported that it had stopped after the operation. Of the 39 patients who had anosmia preoperatively, 46% reported the restoration of their sense of smell. Postoperative complications are minimal, and no patient complained of crusts, dryness, or foul odor.
各种外科手术是为了打开慢性阻塞的下鼻甲肥大的鼻道导气管。由于结果普遍不令人满意,我们建议对药物治疗失败的患者进行双侧全下鼻甲切除术。对150例患者进行1 ~ 7年(平均2年半)的随访,通过问卷调查和图表复习对随访结果进行临床评估。91%的患者鼻气道通畅。80%的患者报告鼻腔呼吸改善,51例术前鼻引流患者中有14例(27%)报告术后鼻引流停止。在39名术前嗅觉缺失的患者中,46%的人报告他们的嗅觉恢复了。术后并发症极少,没有患者抱怨结痂、干燥或恶臭。
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引用次数: 113
Ventilating tubes. 通风管。
Pub Date : 1985-01-01 DOI: 10.1001/archotol.1985.00800080102017
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引用次数: 1
Middle fossa vestibular neurectomy. Long-term results. 中窝前庭神经切除术。长期的结果。
Pub Date : 1984-12-01 DOI: 10.1001/ARCHOTOL.1984.00800380015005
J. Gavilán, C. Gavilán
Middle fossa vestibular neurectomy is especially useful for treatment of Meniere's disease. We treated 59 cases of Meniere's disease with this technique and followed them up for at least ten years. Middle fossa vestibular neurectomy was effective against vertigo in Meniere's disease in 100% of the cases with unilateral involvement. Hearing, as well as tinnitus and hyperacusis, showed a clearly favorable evolution after vestibular neurectomy. The excellent long-term effects of this procedure on vertigo and low incidence of complications make middle fossa vestibular neurectomy one of the most effective surgical treatments for Meniere's disease.
中窝前庭神经切除术对治疗梅尼埃病特别有效。我们用这种方法治疗了59例梅尼埃氏病,并对他们进行了至少10年的随访。中窝前庭神经切除术治疗单侧受累的梅尼埃病眩晕100%有效。前庭神经切除后,听力、耳鸣和听觉异常明显改善。中窝前庭神经切除术治疗眩晕的远期效果好,并发症发生率低,是治疗梅尼埃病最有效的手术方法之一。
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引用次数: 15
Injectable collagen for augmentation of facial areas. 注射胶原蛋白增加面部区域。
Pub Date : 1984-10-01 DOI: 10.1097/00006534-198608000-00045
R. Webster, M. D. Kattner, R. C. Smith
We treated 87 patients with injectable collagen during a period of 2 1/2 years. Intradermal augmentations were found to be particularly valuable in frown grooves, the groove between the cheek and the lips and chin, the groove beneath the malar prominence, and the groove just lateral to the labial commissure, and for enhancement of malar pads or prominences. Less successfully treated were fine lines, postrhinoplastic depressions, and punched-out, depressed scars. The augmentations are less permanent, more painful, and more costly than those provided by subdermal injections of silicone, but injectable collagen is available generally for these purposes and injectable silicone is not. Problems of allergy also are drawbacks to the use of injectable collagen. Even with its disadvantages, however, injectable collagen is presently valuable in total care of aging faces and certain scarring.
在2年半的时间里,我们治疗了87例可注射胶原蛋白的患者。皮内隆胸术在皱眉沟,脸颊,嘴唇和下巴之间的沟,颧突下的沟,唇连侧的沟,以及颧垫或颧突的强化中尤为有用。治疗不太成功的是细纹、鼻整形后的抑郁和凹陷的疤痕。与皮下注射硅胶相比,这种隆胸不那么持久,更痛苦,也更昂贵,但可注射的胶原蛋白通常可用于这些目的,而可注射的硅胶则不行。过敏问题也是使用可注射胶原蛋白的缺点。然而,即使有它的缺点,注射胶原蛋白目前在全面护理面部老化和某些疤痕方面是有价值的。
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引用次数: 27
期刊
Archives of otolaryngology
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