Pub Date : 1978-11-01DOI: 10.1001/ARCHOTOL.1978.00790110017006
J. Tucker, R. Cantrell, Raymond O. Smith, B. Jafek, D. A. Shumrick, C. Cummings, J. Parkin
The following is a debate that was held on the topic of the participation of all otolaryngology programs in the National Intern and Residency Matching Program. For the most part, questions were posed by members of the audience. Dr Tucker: The forum will consist of questions from the audience, which are intended to be questions and not speeches from the floor. They will be directed to the team captain. There will be alternating affirmative and negative responses if possible. Then the closing statements will be three to five minutes in length and only one statement per team. We'll start with the affirmative team. Dr Jafek: Nearly all program directors are faced with similar problems. The applicant comes and says, "Dr Program Director, I've got some good news and some bad news. The good news is I'd really like to stay with your program. The bad news is I've been offered
{"title":"Resolved: all otolaryngology programs should participate in the residency matching program.","authors":"J. Tucker, R. Cantrell, Raymond O. Smith, B. Jafek, D. A. Shumrick, C. Cummings, J. Parkin","doi":"10.1001/ARCHOTOL.1978.00790110017006","DOIUrl":"https://doi.org/10.1001/ARCHOTOL.1978.00790110017006","url":null,"abstract":"The following is a debate that was held on the topic of the participation of all otolaryngology programs in the National Intern and Residency Matching Program. For the most part, questions were posed by members of the audience. Dr Tucker: The forum will consist of questions from the audience, which are intended to be questions and not speeches from the floor. They will be directed to the team captain. There will be alternating affirmative and negative responses if possible. Then the closing statements will be three to five minutes in length and only one statement per team. We'll start with the affirmative team. Dr Jafek: Nearly all program directors are faced with similar problems. The applicant comes and says, \"Dr Program Director, I've got some good news and some bad news. The good news is I'd really like to stay with your program. The bad news is I've been offered","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":"81931598","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 : 1978-04-01DOI: 10.1097/00006534-197812000-00029
David Wood, Gary A. Smith, R. Jerge
Differentiation of brown tumors of primary or secondary hyperparathyroidism, giant-cell reparative granulomas, and the "true" giant-cell tumors requires consideration of the clinical presentation, anatomic location, roentgenographic features, and results of metabolic studies. These lesions are indistinguishable by histologic appearance alone. Of the 32 giant-cell lesions of bone that were treated at UCLA during the preceding 20 years, seven were from the head and neck region. Four giant-cell reparative granulomas were easily accessible and were treated by local excision. The three "true" giant-cell tumors were found to be in inaccessible locations and thus were treated with full course irradiation. This resulted in tumor shrinkage, but it is probably not curative. Tumor type, location, and clinical setting are important in planning treatment of these lesions.
{"title":"Giant-cell lesions of the facial skeleton.","authors":"David Wood, Gary A. Smith, R. Jerge","doi":"10.1097/00006534-197812000-00029","DOIUrl":"https://doi.org/10.1097/00006534-197812000-00029","url":null,"abstract":"Differentiation of brown tumors of primary or secondary hyperparathyroidism, giant-cell reparative granulomas, and the \"true\" giant-cell tumors requires consideration of the clinical presentation, anatomic location, roentgenographic features, and results of metabolic studies. These lesions are indistinguishable by histologic appearance alone. Of the 32 giant-cell lesions of bone that were treated at UCLA during the preceding 20 years, seven were from the head and neck region. Four giant-cell reparative granulomas were easily accessible and were treated by local excision. The three \"true\" giant-cell tumors were found to be in inaccessible locations and thus were treated with full course irradiation. This resulted in tumor shrinkage, but it is probably not curative. Tumor type, location, and clinical setting are important in planning treatment of these lesions.","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1978-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84176823","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 : 1978-04-01DOI: 10.1097/00006534-197812000-00028
D. Wood, J. Crissman, S. Henson
Malignant fibrous histiocytomas are an unusual neoplasm in the head and neck, and only six cases involving the maxillary sinus have been reported. The combination of an anaplastic storiform "fibroblastic" stroma with xanthomatous tumor giant cells histologically identifies this tumor. The high incidence of local recurrence of this neoplasm necessitates wide surgical resection. Regional lymph node and distant metastases, although not previously reported in maxillary sinus fibrous histiocytomas, occurred in this case.
{"title":"Malignant fibrous histiocytoma of the maxillary sinus.","authors":"D. Wood, J. Crissman, S. Henson","doi":"10.1097/00006534-197812000-00028","DOIUrl":"https://doi.org/10.1097/00006534-197812000-00028","url":null,"abstract":"Malignant fibrous histiocytomas are an unusual neoplasm in the head and neck, and only six cases involving the maxillary sinus have been reported. The combination of an anaplastic storiform \"fibroblastic\" stroma with xanthomatous tumor giant cells histologically identifies this tumor. The high incidence of local recurrence of this neoplasm necessitates wide surgical resection. Regional lymph node and distant metastases, although not previously reported in maxillary sinus fibrous histiocytomas, occurred in this case.","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1978-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83229926","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 : 1978-03-01DOI: 10.1001/ARCHOTOL.1978.00790030053013
J. Loré
• A two-part peroral instrument for examination and biopsy of the nasopharynx facilitates exact visualization of the biopsy site. (Arch Otolaryngol104:167, 1978)
{"title":"Optical nasopharyngeal biopsy forceps.","authors":"J. Loré","doi":"10.1001/ARCHOTOL.1978.00790030053013","DOIUrl":"https://doi.org/10.1001/ARCHOTOL.1978.00790030053013","url":null,"abstract":"• A two-part peroral instrument for examination and biopsy of the nasopharynx facilitates exact visualization of the biopsy site. (Arch Otolaryngol104:167, 1978)","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1978-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75747731","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 : 1978-02-01DOI: 10.1001/ARCHOTOL.1978.00790020041009
J. Stahle, C. Stahle, I. Arenberg
The incidence of Ménière's disease in Sweden for the year 1973 has been calculated as one case in a population of 2,163. This gives an overall incidence of 46/100,000. Extrapolating the Swedish incidence data to the population of the United States, there should have been 97,000 cases of Ménière's disease treated as inpatients or outpatients during the year 1973. The incidence in the United States of Ménière's disease, cochlear type, is considered to be even higher. In addition, the Swedish statistic for some other disorders, including otosclerosis, are reported. For otosclerosis, the yearly incidence in Sweden is 12/100,000 or one case in a population of 8,414. This could be extrapolated to 25,000 patients with clinical otosclerosis in the United States for the year 1973. By comparison, Ménière's disease, by stringent diagnostic criteria, is approximately four times as common as clinical otosclerosis. It is also more common than all laryngeal carcinomas, all salivary gland tumors, both benign and malignant, as well as acute epiglottitis and acute nephritis.
{"title":"Incidence of Ménière's disease.","authors":"J. Stahle, C. Stahle, I. Arenberg","doi":"10.1001/ARCHOTOL.1978.00790020041009","DOIUrl":"https://doi.org/10.1001/ARCHOTOL.1978.00790020041009","url":null,"abstract":"The incidence of Ménière's disease in Sweden for the year 1973 has been calculated as one case in a population of 2,163. This gives an overall incidence of 46/100,000. Extrapolating the Swedish incidence data to the population of the United States, there should have been 97,000 cases of Ménière's disease treated as inpatients or outpatients during the year 1973. The incidence in the United States of Ménière's disease, cochlear type, is considered to be even higher. In addition, the Swedish statistic for some other disorders, including otosclerosis, are reported. For otosclerosis, the yearly incidence in Sweden is 12/100,000 or one case in a population of 8,414. This could be extrapolated to 25,000 patients with clinical otosclerosis in the United States for the year 1973. By comparison, Ménière's disease, by stringent diagnostic criteria, is approximately four times as common as clinical otosclerosis. It is also more common than all laryngeal carcinomas, all salivary gland tumors, both benign and malignant, as well as acute epiglottitis and acute nephritis.","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1978-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87887554","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 : 1978-01-01DOI: 10.1097/00006534-197901000-00044
R. Babin, C. Krause
Closure of full-thickness defects of the nasal tip and sorsum requires both a satisfactory functional and an acceptable cosmetic result. The nasal dorsum flap is particularly well suited for closure of many such defects. The basic design of the flap, as well as several useful modifications, are discussed.
{"title":"The nasal dorsum flap.","authors":"R. Babin, C. Krause","doi":"10.1097/00006534-197901000-00044","DOIUrl":"https://doi.org/10.1097/00006534-197901000-00044","url":null,"abstract":"Closure of full-thickness defects of the nasal tip and sorsum requires both a satisfactory functional and an acceptable cosmetic result. The nasal dorsum flap is particularly well suited for closure of many such defects. The basic design of the flap, as well as several useful modifications, are discussed.","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1978-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77033218","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 : 1977-09-01DOI: 10.1097/00006534-197709000-00071
R. G. Michel, K. Johnson, C. Patterson
Twenty mentally retarded patients with a considerable drooling problem underwent transtympanic sectioning of selected preganglionic parasympathetic nerve fibers to the major salivary glands. Following surgery, cessation of trouble-some sialorrhea occurred in 15 to 20 patients; but by six months postoperatively, only ten patients remained controlled. The best results obtained were in a subgroup of five patients who underwent bilateral Jacobson nerve and chorda tympani nerve section. In four of these patients, sialorrhea was controlled after a minimum follow-up of two years. Parasympathetic denervation of the major salivary glands via a transtympanic approach is offered as a primary modality of therapy in those mentally retarded patients judged to have considerable sialorrhea. Sacrifice of both chorda tympani nerves appears to enhance the surgical results.
{"title":"Parasympathetic nerve section for control of sialorrhea.","authors":"R. G. Michel, K. Johnson, C. Patterson","doi":"10.1097/00006534-197709000-00071","DOIUrl":"https://doi.org/10.1097/00006534-197709000-00071","url":null,"abstract":"Twenty mentally retarded patients with a considerable drooling problem underwent transtympanic sectioning of selected preganglionic parasympathetic nerve fibers to the major salivary glands. Following surgery, cessation of trouble-some sialorrhea occurred in 15 to 20 patients; but by six months postoperatively, only ten patients remained controlled. The best results obtained were in a subgroup of five patients who underwent bilateral Jacobson nerve and chorda tympani nerve section. In four of these patients, sialorrhea was controlled after a minimum follow-up of two years. Parasympathetic denervation of the major salivary glands via a transtympanic approach is offered as a primary modality of therapy in those mentally retarded patients judged to have considerable sialorrhea. Sacrifice of both chorda tympani nerves appears to enhance the surgical results.","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1977-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78919399","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 : 1977-09-01DOI: 10.1001/archotol.103.9.564
M. S. Mallonee
{"title":"Pathologic quiz case 2: Pseudosarcoma.","authors":"M. S. Mallonee","doi":"10.1001/archotol.103.9.564","DOIUrl":"https://doi.org/10.1001/archotol.103.9.564","url":null,"abstract":"","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1977-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74202046","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 : 1977-09-01DOI: 10.1001/ARCHOTOL.1977.00780260095018
B. C. Schultz, F. Levit
To the Editor .—In the December 1976 issue (102:729-731), Dr Gary Becker labeled four patients with persistently positive (1+, 2+ ) FTA-ABS as having false-positive reactions. It is well known that approximately 25% of the patients with late syphilis will have a negative VDRL, while the FTA-ABS remains positive. We do not believe Dr Becker offered sufficient evidence to label these patients as having false-positive reactions. After eliminating various factors known to cause a false-positive FTA-ABS (eg, pregnancy, collagen disease, other treponematoses, abnormal globulins, smallpox vaccination, and drug-induced lupus), he relied on a negative Treponema pallidum immobilization test (TPI) to rule out the diagnosis of syphilis. He mentions the fact that the TPI is slightly less sensitive than the FTA-ABS (90% compared with 98% in a study by Atwood et al 1 ). This of course means that the TPI may be negative in syphilis while the FTA-ABS is positive. The TPI
{"title":"Labeling patients with false-positive FTA-ABS.","authors":"B. C. Schultz, F. Levit","doi":"10.1001/ARCHOTOL.1977.00780260095018","DOIUrl":"https://doi.org/10.1001/ARCHOTOL.1977.00780260095018","url":null,"abstract":"To the Editor .—In the December 1976 issue (102:729-731), Dr Gary Becker labeled four patients with persistently positive (1+, 2+ ) FTA-ABS as having false-positive reactions. It is well known that approximately 25% of the patients with late syphilis will have a negative VDRL, while the FTA-ABS remains positive. We do not believe Dr Becker offered sufficient evidence to label these patients as having false-positive reactions. After eliminating various factors known to cause a false-positive FTA-ABS (eg, pregnancy, collagen disease, other treponematoses, abnormal globulins, smallpox vaccination, and drug-induced lupus), he relied on a negative Treponema pallidum immobilization test (TPI) to rule out the diagnosis of syphilis. He mentions the fact that the TPI is slightly less sensitive than the FTA-ABS (90% compared with 98% in a study by Atwood et al 1 ). This of course means that the TPI may be negative in syphilis while the FTA-ABS is positive. The TPI","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1977-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74471953","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 : 1977-08-01DOI: 10.1097/00006534-197807000-00041
R. Webster, T. Davidson, R. C. Smith
Lateral osteotomies performed posteriorly enough to avoid step-like prominences at the sides of the nose may allow medial displacement of bone to impinge on the airways. This obstruction near the floor of the nasal passageway is prevented by leaving a triangular piece of bone at the pyriform aperture intact just superior to the level of the inferior turbinate. A curved lateral osteotomy, as described here, cuts bone posteriorly only where aesthetic narrowing is required in rhinoplasty. Techniques providing the recommended curved or angulated lateral osteotomies with osteotomes are demonstrated in the cadaver and in patients.
{"title":"Curved lateral osteotomy for airway protection in rhinoplasty.","authors":"R. Webster, T. Davidson, R. C. Smith","doi":"10.1097/00006534-197807000-00041","DOIUrl":"https://doi.org/10.1097/00006534-197807000-00041","url":null,"abstract":"Lateral osteotomies performed posteriorly enough to avoid step-like prominences at the sides of the nose may allow medial displacement of bone to impinge on the airways. This obstruction near the floor of the nasal passageway is prevented by leaving a triangular piece of bone at the pyriform aperture intact just superior to the level of the inferior turbinate. A curved lateral osteotomy, as described here, cuts bone posteriorly only where aesthetic narrowing is required in rhinoplasty. Techniques providing the recommended curved or angulated lateral osteotomies with osteotomes are demonstrated in the cadaver and in patients.","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1977-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89173788","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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