Pub Date : 1981-09-01DOI: 10.1097/00006534-198100000-00068
R. Canalis, M. W. Mok, S. M. Fishman, W. G. Hemenway
Basal cell adenoma is a specific type of monomorphic tumor of the salivary glands that closely resembles basal cell lesions of the skin. Twenty-six of these tumors have been reported in the American literature, the majority occurring in patients 60 years or older. The most common sites of occurrence have been the minor salivary glands (especially in the upper lip) and the parotid. We report an exceptional case of basal cell adenoma in the submandibular gland of a neonate. Review of reported congenital epithelial tumors of the salivary glands indicates that at least two similar neoplasms have been described previously.
{"title":"Congenital basal cell adenoma of the submandibular gland.","authors":"R. Canalis, M. W. Mok, S. M. Fishman, W. G. Hemenway","doi":"10.1097/00006534-198100000-00068","DOIUrl":"https://doi.org/10.1097/00006534-198100000-00068","url":null,"abstract":"Basal cell adenoma is a specific type of monomorphic tumor of the salivary glands that closely resembles basal cell lesions of the skin. Twenty-six of these tumors have been reported in the American literature, the majority occurring in patients 60 years or older. The most common sites of occurrence have been the minor salivary glands (especially in the upper lip) and the parotid. We report an exceptional case of basal cell adenoma in the submandibular gland of a neonate. Review of reported congenital epithelial tumors of the salivary glands indicates that at least two similar neoplasms have been described previously.","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1981-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79794290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1981-09-01DOI: 10.1097/00006534-198100000-00067
S. Shapshay, M. Strong, G. W. Anastasi, C. Vaughan
Surgery is the generally accepted treatment for rhinophyma. Problems associated with standard therapy include moderately profuse hemorrhage impairing accurate removal, and some difficulty in providing smooth demarcation between the rhinophyma and the surrounding tissue. Four patients with rhinophyma have been successfully treated with the carbon dioxide laser. Satisfactory cosmetic results were achieved in all cases with excellent hemostasis and minimal morbidity. Complete healing takes three to four weeks, which is similar to conventional methods.
{"title":"Removal of rhinophyma with the carbon dioxide laser: a preliminary report.","authors":"S. Shapshay, M. Strong, G. W. Anastasi, C. Vaughan","doi":"10.1097/00006534-198100000-00067","DOIUrl":"https://doi.org/10.1097/00006534-198100000-00067","url":null,"abstract":"Surgery is the generally accepted treatment for rhinophyma. Problems associated with standard therapy include moderately profuse hemorrhage impairing accurate removal, and some difficulty in providing smooth demarcation between the rhinophyma and the surrounding tissue. Four patients with rhinophyma have been successfully treated with the carbon dioxide laser. Satisfactory cosmetic results were achieved in all cases with excellent hemostasis and minimal morbidity. Complete healing takes three to four weeks, which is similar to conventional methods.","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1981-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80761878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1981-01-01DOI: 10.1007/978-1-4612-6057-8_9
D. Barrs, C. Helms, R. Katzberg, M. Dolwick
{"title":"Arthrotomography of the temporomandibular joint.","authors":"D. Barrs, C. Helms, R. Katzberg, M. Dolwick","doi":"10.1007/978-1-4612-6057-8_9","DOIUrl":"https://doi.org/10.1007/978-1-4612-6057-8_9","url":null,"abstract":"","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82781296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1980-01-01DOI: 10.1183/9781849840392-ch11
G. L. Adams, P. Hilger, W. Warwick
There is an emphasis on the practical aspects of management with the effects of CF in the lung, the microbiology of pulmonary CF, and management of exacerbations covered in separate chapters. The psychosocial aspects of CF care, end of life care and lung transplantation are also addressed, and potential future therapies reviewed. This second edition has been updated to reflect the UK CF Trust Standards of Care; include emerging organisms, eg Pandorea, and treatment guidelines and Cochrane reviews; an expanded section on physiotherapy; and a new chapter on pharmacopeia.
{"title":"Cystic fibrosis.","authors":"G. L. Adams, P. Hilger, W. Warwick","doi":"10.1183/9781849840392-ch11","DOIUrl":"https://doi.org/10.1183/9781849840392-ch11","url":null,"abstract":"There is an emphasis on the practical aspects of management with the effects of CF in the lung, the microbiology of pulmonary CF, and management of exacerbations covered in separate chapters. The psychosocial aspects of CF care, end of life care and lung transplantation are also addressed, and potential future therapies reviewed. This second edition has been updated to reflect the UK CF Trust Standards of Care; include emerging organisms, eg Pandorea, and treatment guidelines and Cochrane reviews; an expanded section on physiotherapy; and a new chapter on pharmacopeia.","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86821866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1979-03-01DOI: 10.1001/ARCHOTOL.1979.00790150058016
M. H. Stevens
To the Editor .—The article entitled "The Value of Sialography in the Diagnosis of Parotid Tumors: A Clinicopathological Correlation" in the December 1977 issue of theArchives(103:727-729) established some correlation between the sialography and clinicopathological findings, but it still leaves a question in my mind as to the value of sialography. In the "Comment" section, most of the remarks underline the fact that preoperative sialography is limited in value. The results showed that in detecting a lesion, palpation was better than sialography since 85% of the detectable lesions were found on the radiographs. Localization of intrinsic vs extrinsic masses cannot be determined with certainty nor can the pathologic condition of the lesion be adequately determined. I would be interested in Calcaterra and colleagues' specific comments as to whether sialography really influenced a surgical decision in any of the patients who were described. At the end of the "Comment" section,
{"title":"Sialography in diagnosis of parotid tumors.","authors":"M. H. Stevens","doi":"10.1001/ARCHOTOL.1979.00790150058016","DOIUrl":"https://doi.org/10.1001/ARCHOTOL.1979.00790150058016","url":null,"abstract":"To the Editor .—The article entitled \"The Value of Sialography in the Diagnosis of Parotid Tumors: A Clinicopathological Correlation\" in the December 1977 issue of theArchives(103:727-729) established some correlation between the sialography and clinicopathological findings, but it still leaves a question in my mind as to the value of sialography. In the \"Comment\" section, most of the remarks underline the fact that preoperative sialography is limited in value. The results showed that in detecting a lesion, palpation was better than sialography since 85% of the detectable lesions were found on the radiographs. Localization of intrinsic vs extrinsic masses cannot be determined with certainty nor can the pathologic condition of the lesion be adequately determined. I would be interested in Calcaterra and colleagues' specific comments as to whether sialography really influenced a surgical decision in any of the patients who were described. At the end of the \"Comment\" section,","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1979-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72558605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1979-03-01DOI: 10.1097/00006534-198003000-00085
H. Levine, P. Bailin, B. Wood, H. Tucker
• Skin cancer is the most common cancer and can usually be treated successfully through surgical excision, radiation therapy, electrical desiccation, curettage, and Mohs' chemosurgery. However, there are a considerable number of these lesions that involve or encroach on head and neck structures vital to function and cosmesis. These lesions are challenging and frustrating to the physician who tries to achieve a cure while preserving tissue integrity. Mohs' chemosurgery alone has long been accepted as a means of improving cure in recurrent or large basal cell carcinomas by virtue of total microscopic control of margins. This method has been employed in conjunction with conventional excision to improve cure rates and preserve tissue in difficult basal cell carcinomas of the head and neck. We have utilized this interdisciplinary approach in the most challenging areas of skin cancer: the medial canthus with globe preservation, the columella and nasal tip with ala preservation, and the premaxilla and columella with upper lip preservation. With this team approach, there can be great accuracy in the amount of tissue removed. Areas where tumor has extended can be accurately identified and removed with chemosurgical or conventional surgical techniques. In addition, crucial functionally and cosmetically important tissue is preserved without compromise. ( Arch Otolaryngol 105:140-144, 1979)
{"title":"Tissue conservation in treatment of cutaneous neoplasms of the head and neck. Combined use of Mohs' chemosurgical and conventional surgical techniques.","authors":"H. Levine, P. Bailin, B. Wood, H. Tucker","doi":"10.1097/00006534-198003000-00085","DOIUrl":"https://doi.org/10.1097/00006534-198003000-00085","url":null,"abstract":"• Skin cancer is the most common cancer and can usually be treated successfully through surgical excision, radiation therapy, electrical desiccation, curettage, and Mohs' chemosurgery. However, there are a considerable number of these lesions that involve or encroach on head and neck structures vital to function and cosmesis. These lesions are challenging and frustrating to the physician who tries to achieve a cure while preserving tissue integrity. Mohs' chemosurgery alone has long been accepted as a means of improving cure in recurrent or large basal cell carcinomas by virtue of total microscopic control of margins. This method has been employed in conjunction with conventional excision to improve cure rates and preserve tissue in difficult basal cell carcinomas of the head and neck. We have utilized this interdisciplinary approach in the most challenging areas of skin cancer: the medial canthus with globe preservation, the columella and nasal tip with ala preservation, and the premaxilla and columella with upper lip preservation. With this team approach, there can be great accuracy in the amount of tissue removed. Areas where tumor has extended can be accurately identified and removed with chemosurgical or conventional surgical techniques. In addition, crucial functionally and cosmetically important tissue is preserved without compromise. ( Arch Otolaryngol 105:140-144, 1979)","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1979-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83631775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1978-12-01DOI: 10.1001/ARCHOTOL.1978.00790120031005
Loren J. Bartels, D. Vrabec
Actinomycotic infections are unusual, but the actual incidence is likely to be significantly higher than records indicate. The disease may complicate trauma of many types to the respiratory and digestive tracts, including operative procedures. This possibility should encourage more frequent use of anaerobic cultures in inflammatory diseases, particularly posttraumatic, and should prompt consideration of actinomycosis in the differential diagnosis of infections, especially in the cervicofacial area. We report four cases that demonstrate the variable course of this infection. Treatment is highly successful with appropriate use of antibiotics and surgery. A plea is made to use the least expensive, effective antibiotic in view of the prolonged course of therapy that is necessary to eradicate this infection.
{"title":"Cervicofacial actinomycosis.","authors":"Loren J. Bartels, D. Vrabec","doi":"10.1001/ARCHOTOL.1978.00790120031005","DOIUrl":"https://doi.org/10.1001/ARCHOTOL.1978.00790120031005","url":null,"abstract":"Actinomycotic infections are unusual, but the actual incidence is likely to be significantly higher than records indicate. The disease may complicate trauma of many types to the respiratory and digestive tracts, including operative procedures. This possibility should encourage more frequent use of anaerobic cultures in inflammatory diseases, particularly posttraumatic, and should prompt consideration of actinomycosis in the differential diagnosis of infections, especially in the cervicofacial area. We report four cases that demonstrate the variable course of this infection. Treatment is highly successful with appropriate use of antibiotics and surgery. A plea is made to use the least expensive, effective antibiotic in view of the prolonged course of therapy that is necessary to eradicate this infection.","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1978-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82988344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1978-12-01DOI: 10.1001/ARCHOTOL.1978.00790120035006
A. Coats
Latency-intensity (L-i) functions for (1) the auditory nerve action potential (AP) N1 peak, (2) the brain stem evoked response (BER) V peak, and (3) the N1-V interval were related to hearing level and lesion location. The AP L-l curves tended to steepen with increasing 4 to 8 kHz hearing level. This relationship was identical for cochlear and retrocochlear ears, except for a few retrocochlear ears with "inappropriate AP perservation." Both high-frequency cochlear loss and retrocochlear abnormality prolonged peak V latency, but retrocochlear abnormality generally prolonged it more. Among cochlear-loss ears, as 4 to 8 kHz hearing levels increased, N1-V intervals decreased and L-i curve slopes increased. In contrast, retrocochlear abnormality greatly prolonged N1-V intervals. As a retrocochlear sign, N1-V prolongation was slightly more reliable than V prolongation.
{"title":"Human auditory nerve action potentials and brain stem evoked responses.","authors":"A. Coats","doi":"10.1001/ARCHOTOL.1978.00790120035006","DOIUrl":"https://doi.org/10.1001/ARCHOTOL.1978.00790120035006","url":null,"abstract":"Latency-intensity (L-i) functions for (1) the auditory nerve action potential (AP) N1 peak, (2) the brain stem evoked response (BER) V peak, and (3) the N1-V interval were related to hearing level and lesion location. The AP L-l curves tended to steepen with increasing 4 to 8 kHz hearing level. This relationship was identical for cochlear and retrocochlear ears, except for a few retrocochlear ears with \"inappropriate AP perservation.\" Both high-frequency cochlear loss and retrocochlear abnormality prolonged peak V latency, but retrocochlear abnormality generally prolonged it more. Among cochlear-loss ears, as 4 to 8 kHz hearing levels increased, N1-V intervals decreased and L-i curve slopes increased. In contrast, retrocochlear abnormality greatly prolonged N1-V intervals. As a retrocochlear sign, N1-V prolongation was slightly more reliable than V prolongation.","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1978-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88491012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1978-12-01DOI: 10.1097/00006534-197812000-00025
C. Johnson, J. Anderson
{"title":"Nose-lift operation: an adjunct to aging-face surgery.","authors":"C. Johnson, J. Anderson","doi":"10.1097/00006534-197812000-00025","DOIUrl":"https://doi.org/10.1097/00006534-197812000-00025","url":null,"abstract":"","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1978-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81525482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1978-11-01DOI: 10.1001/ARCHOTOL.1978.00790110030009
H. Schuknecht, G. Singleton, W. Fee, G. F. Reed, D. DeWeese
The following is an open panel discussion that was held on the topic of evaluation and nonreappointment of residents. The panel consisted of otolaryngologists who have a vast experience in the residency programs. Dr Schuknecht: Dr Singleton, from your standpoint as chief of staff at the University of Florida in Gainesville, does the director of a medical school hospital have any responsibility for evaluation of the performance of a resident? If so, what aspects of the performance are of concern to the director? Should the director be concerned with the financial, moral, ethical, and medicolegal problems, as well as professional services of the resident? Are there any suitable methods by which a director can evaluate residents? How much advance notice should be given to a professional individual, such as a resident, before he/she is either nonreappointed or discharged from the residency program? Dr Singleton: The hospital director is not
{"title":"Evaluation and nonreappointment of residents. Panel discussion.","authors":"H. Schuknecht, G. Singleton, W. Fee, G. F. Reed, D. DeWeese","doi":"10.1001/ARCHOTOL.1978.00790110030009","DOIUrl":"https://doi.org/10.1001/ARCHOTOL.1978.00790110030009","url":null,"abstract":"The following is an open panel discussion that was held on the topic of evaluation and nonreappointment of residents. The panel consisted of otolaryngologists who have a vast experience in the residency programs. Dr Schuknecht: Dr Singleton, from your standpoint as chief of staff at the University of Florida in Gainesville, does the director of a medical school hospital have any responsibility for evaluation of the performance of a resident? If so, what aspects of the performance are of concern to the director? Should the director be concerned with the financial, moral, ethical, and medicolegal problems, as well as professional services of the resident? Are there any suitable methods by which a director can evaluate residents? How much advance notice should be given to a professional individual, such as a resident, before he/she is either nonreappointed or discharged from the residency program? Dr Singleton: The hospital director is not","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1978-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76768209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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