Pub Date : 1976-02-01DOI: 10.1097/00132586-197612000-00003
J. Jacobs, A. Wetzel, M. Hast
This study was undertaken to confirm the effect of the ramus communicans baroreceptor pathway on cardiac rate during an upper-respiratory tract disturbance. The effects of destruction of this pathway were tested. It was found that cardiac rate could still be altered by stimulation of the main trunk of the superior laryngeal nerve, although the ramus communicans fibers were absent. Electrical stimulation of only the main trunk of the superior laryngeal nerve, but not any of its branches, is capable of causing cardiac changes. Cardiac changes also occur readily with mechanical stimulation of the area immediately superior to the vocal folds, despite bilateral destruction of the recurrent and superior laryngeal nerves. These findings question the proposed role of the laryngeal baroreceptor pathway as a major factor in the cause of cardiac changes related to intubation.
{"title":"Laryngeal aortic baroreceptor pathways and cardiac arrhythmia.","authors":"J. Jacobs, A. Wetzel, M. Hast","doi":"10.1097/00132586-197612000-00003","DOIUrl":"https://doi.org/10.1097/00132586-197612000-00003","url":null,"abstract":"This study was undertaken to confirm the effect of the ramus communicans baroreceptor pathway on cardiac rate during an upper-respiratory tract disturbance. The effects of destruction of this pathway were tested. It was found that cardiac rate could still be altered by stimulation of the main trunk of the superior laryngeal nerve, although the ramus communicans fibers were absent. Electrical stimulation of only the main trunk of the superior laryngeal nerve, but not any of its branches, is capable of causing cardiac changes. Cardiac changes also occur readily with mechanical stimulation of the area immediately superior to the vocal folds, despite bilateral destruction of the recurrent and superior laryngeal nerves. These findings question the proposed role of the laryngeal baroreceptor pathway as a major factor in the cause of cardiac changes related to intubation.","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1976-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83746503","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 : 1975-10-01DOI: 10.1001/ARCHOTOL.1975.00780390019005
P. Möller
In 113 patients, 58 with both a cleft lip and a cleft palate, and 55 with a cleft palate, the otopathologic features and hearing impairments have been examined to evaluate the long-term results. Chronic otitis media was found in only 3% of the ears, and cholesteatoma was found in only 1%. A hearing loss of more than 30 dB was found in 6% of 6-year-old patients, but the frequency was reduced to 2% in 15-year-old patients. These results are favorable in comparison with the recent reports of serous otitis media in other groups of patients.
{"title":"Long-term otologic features of cleft palate patients.","authors":"P. Möller","doi":"10.1001/ARCHOTOL.1975.00780390019005","DOIUrl":"https://doi.org/10.1001/ARCHOTOL.1975.00780390019005","url":null,"abstract":"In 113 patients, 58 with both a cleft lip and a cleft palate, and 55 with a cleft palate, the otopathologic features and hearing impairments have been examined to evaluate the long-term results. Chronic otitis media was found in only 3% of the ears, and cholesteatoma was found in only 1%. A hearing loss of more than 30 dB was found in 6% of 6-year-old patients, but the frequency was reduced to 2% in 15-year-old patients. These results are favorable in comparison with the recent reports of serous otitis media in other groups of patients.","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1975-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73557870","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 : 1975-02-01DOI: 10.1097/00006534-197603000-00084
R. H. Guthrie, R. Cucin, J. Orlando, D. Kovachev
A "delay" of a pedicle flap stimulates improvement in the flap circulation, probably through partial ischemia. The degree of stimulation prsent at any given time is inversely proportional to the length of time that has passed after the delay because progressive revascularization across the delay lines reduces the ischemis stimulus. This revascularization can ve prevented by placing silicone elastomers (Silastic) sheeting between the flap and its bed.
{"title":"Silicone elastomer sheeting in the development of pedicle flaps.","authors":"R. H. Guthrie, R. Cucin, J. Orlando, D. Kovachev","doi":"10.1097/00006534-197603000-00084","DOIUrl":"https://doi.org/10.1097/00006534-197603000-00084","url":null,"abstract":"A \"delay\" of a pedicle flap stimulates improvement in the flap circulation, probably through partial ischemia. The degree of stimulation prsent at any given time is inversely proportional to the length of time that has passed after the delay because progressive revascularization across the delay lines reduces the ischemis stimulus. This revascularization can ve prevented by placing silicone elastomers (Silastic) sheeting between the flap and its bed.","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1975-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90444404","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 : 1974-12-01DOI: 10.1097/00006534-197511000-00043
W. A. Horrée
A series of 28 patients with an adenoid cystic carcinoma of the maxilla were treated at the Netherlands Cancer Institute. By observing these patients for a very long period of time, the poor prognosis confirms the findings in the literature. Some doubt is thrown on the applicability of the concept of complete removal of the tumor, particularly in the diagnosing phase. For a possible curative effect, the suggestion is made to treat these adenoid cystic carcinoma patients with a "three modality therapy." This combination therapy includes regional infusion with fluorouracil, followed by maxillary resection, sequentially followed by radiotherapy. The "inoperable" group must be treated with only radiotherapy for a palliative effect.
{"title":"Adenoid cystic carcinoma of the maxilla.","authors":"W. A. Horrée","doi":"10.1097/00006534-197511000-00043","DOIUrl":"https://doi.org/10.1097/00006534-197511000-00043","url":null,"abstract":"A series of 28 patients with an adenoid cystic carcinoma of the maxilla were treated at the Netherlands Cancer Institute. By observing these patients for a very long period of time, the poor prognosis confirms the findings in the literature. Some doubt is thrown on the applicability of the concept of complete removal of the tumor, particularly in the diagnosing phase. For a possible curative effect, the suggestion is made to treat these adenoid cystic carcinoma patients with a \"three modality therapy.\" This combination therapy includes regional infusion with fluorouracil, followed by maxillary resection, sequentially followed by radiotherapy. The \"inoperable\" group must be treated with only radiotherapy for a palliative effect.","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1974-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73692961","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 : 1974-11-01DOI: 10.1097/00006534-197506000-00060
A. Katz, S. Hirschl
A giant cell reparative granuloma (GCRG) occurred in the temporal bone of a 36-year-old woman. Symptoms of hearing loss cleared completely following radiation therapy. From our review of the literature, we judge this to be the first reported case of GCRG in the temporal bone. Also from our review, it appears that GCRG in the temporal bone is usually mistaken for a giant cell tumor. Diagnosis of GCRG in the reviewed material is based on typical histologic pictures as well as clinical information, particularly the fact that patients had a benign final outcome. Giant cell reparative granuloma is a nonneoplastic, benign reactive process caused by trauma and hemorrhage. It responds well to surgical removal. Radiation therapy is the treatment of choice for lesions not amenable to surgery.
{"title":"Giant cell reparative granuloma in the temporal bone.","authors":"A. Katz, S. Hirschl","doi":"10.1097/00006534-197506000-00060","DOIUrl":"https://doi.org/10.1097/00006534-197506000-00060","url":null,"abstract":"A giant cell reparative granuloma (GCRG) occurred in the temporal bone of a 36-year-old woman. Symptoms of hearing loss cleared completely following radiation therapy. From our review of the literature, we judge this to be the first reported case of GCRG in the temporal bone. Also from our review, it appears that GCRG in the temporal bone is usually mistaken for a giant cell tumor. Diagnosis of GCRG in the reviewed material is based on typical histologic pictures as well as clinical information, particularly the fact that patients had a benign final outcome. Giant cell reparative granuloma is a nonneoplastic, benign reactive process caused by trauma and hemorrhage. It responds well to surgical removal. Radiation therapy is the treatment of choice for lesions not amenable to surgery.","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1974-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90209162","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 : 1974-08-01DOI: 10.1001/ARCHOTOL.1974.00780040128009
S. Iwamura
Anastomoses of the split vagus nerve to the adductor division of the recurrent nerve intralaryngeally and, simultaneously, the phrenic nerve to the abductor division of the recurrent nerve extralaryngeally were carried out with meticulous technique under the operating microscope. Each suture line was protected by silicone elastomer tubing. The rationale behind these simultaneous separate nerve anastomoses was to attempt to avert crossed reinnervation and dyssynergia that often results from other nerve anastomosis techniques. Results were evaluated by follow-up of the animals with electromyographic studies and 16-mm motion pictures. All experimental animals regained normal and symmetrical electromyographic function, a high degree of voluntary synchronous adduction, and to a somewhat lesser extent, spontaneous synchronous abduction, at 12 to 14 months postoperatively. Results indicate that simultaneous separate nerve anastomosis offers promise for active reinnervation of the paralyzed larynx.
{"title":"Functioning remobilization of the paralyzed vocal cord in dogs.","authors":"S. Iwamura","doi":"10.1001/ARCHOTOL.1974.00780040128009","DOIUrl":"https://doi.org/10.1001/ARCHOTOL.1974.00780040128009","url":null,"abstract":"Anastomoses of the split vagus nerve to the adductor division of the recurrent nerve intralaryngeally and, simultaneously, the phrenic nerve to the abductor division of the recurrent nerve extralaryngeally were carried out with meticulous technique under the operating microscope. Each suture line was protected by silicone elastomer tubing. The rationale behind these simultaneous separate nerve anastomoses was to attempt to avert crossed reinnervation and dyssynergia that often results from other nerve anastomosis techniques. Results were evaluated by follow-up of the animals with electromyographic studies and 16-mm motion pictures. All experimental animals regained normal and symmetrical electromyographic function, a high degree of voluntary synchronous adduction, and to a somewhat lesser extent, spontaneous synchronous abduction, at 12 to 14 months postoperatively. Results indicate that simultaneous separate nerve anastomosis offers promise for active reinnervation of the paralyzed larynx.","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1974-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91318581","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 : 1974-07-01DOI: 10.1001/ARCHOTOL.1974.00780040015003
P. Phelps
One hundred fifty-seven patients with congenital ear lesions of the external and middle ears were studied by tomography. The tomograms showed that 34 of these patients had additional deformities of the inner ear. Many of these deformities, and especially those of the inner ear, could be attributed to thalidomide. The commonest inner ear lesion was a short wide lateral semicircular canal, the cause for which has been discussed embryologically.
{"title":"Congenital lesions of the inner ear, demonstrated by tomography.","authors":"P. Phelps","doi":"10.1001/ARCHOTOL.1974.00780040015003","DOIUrl":"https://doi.org/10.1001/ARCHOTOL.1974.00780040015003","url":null,"abstract":"One hundred fifty-seven patients with congenital ear lesions of the external and middle ears were studied by tomography. The tomograms showed that 34 of these patients had additional deformities of the inner ear. Many of these deformities, and especially those of the inner ear, could be attributed to thalidomide. The commonest inner ear lesion was a short wide lateral semicircular canal, the cause for which has been discussed embryologically.","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1974-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86919881","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 : 1974-05-01DOI: 10.1001/ARCHOTOL.1974.00780030384011
M. Bell, M. Hawke, A. Jahn
Posterior epistaxis may be managed by means of a Foley catheter used in place of traditional posterior packing. The ease and comfort of this method have resulted in an ever-increasing frequency of application. Usual complications of postnasal Foley balloon tamponade involve trauma to the exterior of the nose, which is the conventional site of fixation of the Foley catheter. A simply constructed aluminum-tripod face mask provides superior tractionfixation to the Foley catheter, bypassing the exterior of the nose entirely and dissipating the force of countertraction over the face.
{"title":"New device for the management of postnasal epistaxis by balloon tamponade.","authors":"M. Bell, M. Hawke, A. Jahn","doi":"10.1001/ARCHOTOL.1974.00780030384011","DOIUrl":"https://doi.org/10.1001/ARCHOTOL.1974.00780030384011","url":null,"abstract":"Posterior epistaxis may be managed by means of a Foley catheter used in place of traditional posterior packing. The ease and comfort of this method have resulted in an ever-increasing frequency of application. Usual complications of postnasal Foley balloon tamponade involve trauma to the exterior of the nose, which is the conventional site of fixation of the Foley catheter. A simply constructed aluminum-tripod face mask provides superior tractionfixation to the Foley catheter, bypassing the exterior of the nose entirely and dissipating the force of countertraction over the face.","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1974-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79524928","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 : 1974-04-01DOI: 10.1097/00006254-197404000-00011
J. Hardy
{"title":"Fetal consequences of maternal viral infections in pregnancy.","authors":"J. Hardy","doi":"10.1097/00006254-197404000-00011","DOIUrl":"https://doi.org/10.1097/00006254-197404000-00011","url":null,"abstract":"","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1974-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79069521","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 : 1974-01-01DOI: 10.12968/jpar.2016.8.3.113
G. J. Beekhuis
{"title":"\"What's in a name\"?","authors":"G. J. Beekhuis","doi":"10.12968/jpar.2016.8.3.113","DOIUrl":"https://doi.org/10.12968/jpar.2016.8.3.113","url":null,"abstract":"","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1974-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85163562","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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