Pub Date : 1973-09-01DOI: 10.1001/ARCHOTOL.1973.00780020209014
L. J. Cerny
The finding of a tumor consisting of striated muscles and fibrous connective tissue attached to the dorsal side of the facial nerve sheath located in the cavity of the pyramidal portion of the canalis facialis is described. The observation was made when the facial nerves of three patients were exposed during the surgical treatment for Bell's palsy. The finding is interpreted as dystopy due to the deviation in the common development of the facial nerve and facial muscles. Other clinical aspects are pointed out.
{"title":"Muscular dystopia in the facial nerve canal.","authors":"L. J. Cerny","doi":"10.1001/ARCHOTOL.1973.00780020209014","DOIUrl":"https://doi.org/10.1001/ARCHOTOL.1973.00780020209014","url":null,"abstract":"The finding of a tumor consisting of striated muscles and fibrous connective tissue attached to the dorsal side of the facial nerve sheath located in the cavity of the pyramidal portion of the canalis facialis is described. The observation was made when the facial nerves of three patients were exposed during the surgical treatment for Bell's palsy. The finding is interpreted as dystopy due to the deviation in the common development of the facial nerve and facial muscles. Other clinical aspects are pointed out.","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1973-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82597561","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 : 1973-06-01DOI: 10.1097/00006534-197306000-00039
B. L. Safman
{"title":"Bilateral pathology in Bell's palsy.","authors":"B. L. Safman","doi":"10.1097/00006534-197306000-00039","DOIUrl":"https://doi.org/10.1097/00006534-197306000-00039","url":null,"abstract":"","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1973-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84103763","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 : 1973-02-01DOI: 10.1001/ARCHOTOL.1973.00780010192021
B. Proctor, D. Plester, R. Bellucci, L. Storrs, C. Jansen, H. Wullstein
Moderator, Bruce Proctor: Dr. Richard Bellucci has been charged with describing the methods he employs in the anterior tympanotomy technique for control of cholesteatoma. Dr. Claus Jansen will present the posterior tympanotomy concepts, Dr. Dietrich Plester will give his surgical approach, and then Dr. Lloyd Storrs his posterior tympanotomy technique. Professor Wullstein of Wurzburg will be our anchor man. Dr. Richard J. Bellucci: Aural cholesteatoma remains a challenge to the otologist. There are two points which are of particular concern to me. One, the cholesteatoma must be removed completely so we could do a radical mastoidectomy and clean out the disease. However, we have other thoughts these days. We should reconstruct. Therefore, we should have tissues that could be used in the reconstruction. Cholesteatoma cases are among the best cases for tympanoplasty. Therefore, we should conserve the tissue for the reconstruction. Here we have two opposing forces: (1) that you
主持人，Bruce Proctor: Richard Bellucci博士负责描述他在控制胆脂瘤的前鼓室切开术中使用的方法。Claus Jansen医生将介绍后鼓室切开术的概念，Dietrich Plester医生将介绍他的手术方法，然后Lloyd Storrs医生将介绍后鼓室切开术的技术。维尔茨堡的乌尔斯坦教授将担任我们的主持人。Richard J. Bellucci博士:对于耳科医生来说，耳胆脂瘤仍然是一个挑战。有两点是我特别关心的。首先，胆脂瘤必须完全切除，这样我们才能做根治性乳突切除术，清除疾病。然而，这些天我们有其他的想法。我们应该重建。因此，我们应该有可用于重建的组织。胆脂瘤是鼓室成形术的最佳病例之一。因此，我们应该保留组织用于重建。这里有两种相反的力量:(1)你
{"title":"Current practices in cholesteatoma surgery.","authors":"B. Proctor, D. Plester, R. Bellucci, L. Storrs, C. Jansen, H. Wullstein","doi":"10.1001/ARCHOTOL.1973.00780010192021","DOIUrl":"https://doi.org/10.1001/ARCHOTOL.1973.00780010192021","url":null,"abstract":"Moderator, Bruce Proctor: Dr. Richard Bellucci has been charged with describing the methods he employs in the anterior tympanotomy technique for control of cholesteatoma. Dr. Claus Jansen will present the posterior tympanotomy concepts, Dr. Dietrich Plester will give his surgical approach, and then Dr. Lloyd Storrs his posterior tympanotomy technique. Professor Wullstein of Wurzburg will be our anchor man. Dr. Richard J. Bellucci: Aural cholesteatoma remains a challenge to the otologist. There are two points which are of particular concern to me. One, the cholesteatoma must be removed completely so we could do a radical mastoidectomy and clean out the disease. However, we have other thoughts these days. We should reconstruct. Therefore, we should have tissues that could be used in the reconstruction. Cholesteatoma cases are among the best cases for tympanoplasty. Therefore, we should conserve the tissue for the reconstruction. Here we have two opposing forces: (1) that you","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1973-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79329773","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 : 1973-01-01DOI: 10.1001/ARCHOTOL.1973.00780010034009
G. Shambaugh, H. J. Daniel, F. Linthicum, J. Lindsay, Harold E. Schuknecht, Galdino E. Valvossori
Moderator Dr. George E. Shambaugh, Jr.: "Otosclerosis" is a misnomer, and I think we must keep in mind that it is the exact opposite. It is a loss of density of the bone of the labyrinthine capsule rather than a sclerosis, and the better name would be the one proposed by Siebenmann, which somehow never took, called otospongiosis, or a localized otoporosis would be another name for it, but certainly not otosclerosis, because it is not a sclerosis. It is a focus of bone less dense than the normal capsule which it replaces. It is true that in certain stages of this lesion the bone may become approximately as dense as the capsule which it replaced, but in its active stage it is far less dense. So let us keep this in mind as we discuss this very common disease. I say "common" because Guild has shown that one in
{"title":"Diagnosis and treatment of cochlear otosclerosis.","authors":"G. Shambaugh, H. J. Daniel, F. Linthicum, J. Lindsay, Harold E. Schuknecht, Galdino E. Valvossori","doi":"10.1001/ARCHOTOL.1973.00780010034009","DOIUrl":"https://doi.org/10.1001/ARCHOTOL.1973.00780010034009","url":null,"abstract":"Moderator Dr. George E. Shambaugh, Jr.: \"Otosclerosis\" is a misnomer, and I think we must keep in mind that it is the exact opposite. It is a loss of density of the bone of the labyrinthine capsule rather than a sclerosis, and the better name would be the one proposed by Siebenmann, which somehow never took, called otospongiosis, or a localized otoporosis would be another name for it, but certainly not otosclerosis, because it is not a sclerosis. It is a focus of bone less dense than the normal capsule which it replaces. It is true that in certain stages of this lesion the bone may become approximately as dense as the capsule which it replaced, but in its active stage it is far less dense. So let us keep this in mind as we discuss this very common disease. I say \"common\" because Guild has shown that one in","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1973-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78761807","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 : 1973-01-01DOI: 10.1001/ARCHOTOL.1973.00780010078018
H. G. Tabb, D. Austin, C. Jansen, R. Perkins, M. Portmann, Mansfield F. W. Smith
Moderator Dr. Tabb: We will concentrate on the modified radical mastoidectomy and the radical mastoidectomy where the posterior osseous canal wall is removed and a mastoid cavity created. Radical mastoid operations are usually performed for chronic infections and/or cholesteatomas involving the middle ear and mastoid process of the temporal bone. The first objective of the mastoid surgeon should be eradication of the disease. We would naturally assume that this has been accomplished before any reconstructive surgery is performed. In achieving the goal of disease removal, it is inevitable in some cases that varying amounts of the posterior osseous canal wall must be removed, creating a mastoid cavity, which, in the opinion of many otologists, is a deformity and should be reconstructed. I would like to start off with a question: Why should we attempt to reconstruct the bony canal wall? Why should we attempt to avoid a mastoid cavity? Dr.
{"title":"Reconstruction of the mastoidectized ear.","authors":"H. G. Tabb, D. Austin, C. Jansen, R. Perkins, M. Portmann, Mansfield F. W. Smith","doi":"10.1001/ARCHOTOL.1973.00780010078018","DOIUrl":"https://doi.org/10.1001/ARCHOTOL.1973.00780010078018","url":null,"abstract":"Moderator Dr. Tabb: We will concentrate on the modified radical mastoidectomy and the radical mastoidectomy where the posterior osseous canal wall is removed and a mastoid cavity created. Radical mastoid operations are usually performed for chronic infections and/or cholesteatomas involving the middle ear and mastoid process of the temporal bone. The first objective of the mastoid surgeon should be eradication of the disease. We would naturally assume that this has been accomplished before any reconstructive surgery is performed. In achieving the goal of disease removal, it is inevitable in some cases that varying amounts of the posterior osseous canal wall must be removed, creating a mastoid cavity, which, in the opinion of many otologists, is a deformity and should be reconstructed. I would like to start off with a question: Why should we attempt to reconstruct the bony canal wall? Why should we attempt to avoid a mastoid cavity? Dr.","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1973-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84842053","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 : 1973-01-01DOI: 10.1001/archotol.1973.00780010059014
{"title":"Ossicular problems.","authors":"","doi":"10.1001/archotol.1973.00780010059014","DOIUrl":"https://doi.org/10.1001/archotol.1973.00780010059014","url":null,"abstract":"","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1973-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87773733","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 : 1973-01-01DOI: 10.1001/archotol.1973.00780010135006
{"title":"Surgical modalities.","authors":"","doi":"10.1001/archotol.1973.00780010135006","DOIUrl":"https://doi.org/10.1001/archotol.1973.00780010135006","url":null,"abstract":"","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1973-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83421680","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 : 1973-01-01DOI: 10.1001/ARCHOTOL.1973.00780010039010
H. House, J. Farrior, V. Goodhill, W. Harrison, J. Shea, M. Portmann, H. Schuknecht
Moderator Howard House: Complications of stapes surgery basically are untoward results, anything less than the goal that you were shooting for in doing a stapes procedure for a given patient. This may mean bringing a patient to hear better with a body aid. It may be getting rid of their body aid and getting them to the point where they can wear an ear-level aid, or it may be to getting along without an aid most of the time. They may still need it for distant conversation or may indeed be able to disregard their aid. The first disppointment arises from not making it clear to the patient exactly what we are shooting for. Dr. John J. Shea: I give the patient a little booklet which explains generally what the condition is, what you propose to do in simple diagrammatic pictures, and what you expect that you can accomplish by
{"title":"Incidence and management of complications of stapes surgery.","authors":"H. House, J. Farrior, V. Goodhill, W. Harrison, J. Shea, M. Portmann, H. Schuknecht","doi":"10.1001/ARCHOTOL.1973.00780010039010","DOIUrl":"https://doi.org/10.1001/ARCHOTOL.1973.00780010039010","url":null,"abstract":"Moderator Howard House: Complications of stapes surgery basically are untoward results, anything less than the goal that you were shooting for in doing a stapes procedure for a given patient. This may mean bringing a patient to hear better with a body aid. It may be getting rid of their body aid and getting them to the point where they can wear an ear-level aid, or it may be to getting along without an aid most of the time. They may still need it for distant conversation or may indeed be able to disregard their aid. The first disppointment arises from not making it clear to the patient exactly what we are shooting for. Dr. John J. Shea: I give the patient a little booklet which explains generally what the condition is, what you propose to do in simple diagrammatic pictures, and what you expect that you can accomplish by","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1973-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80293102","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 : 1973-01-01DOI: 10.1001/archotol.1973.00780010071016
{"title":"Tympanic transplants.","authors":"","doi":"10.1001/archotol.1973.00780010071016","DOIUrl":"https://doi.org/10.1001/archotol.1973.00780010071016","url":null,"abstract":"","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1973-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85698295","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 : 1972-05-01DOI: 10.1001/ARCHOTOL.1972.00770080642003
J. Sadé
Segmental herniation of the facial nerve after epineural incision is regarded as proof that idiopathic Bell's palsy is due to elevated pressure caused by anoxia secondary to local vasospasm. However, epineural biopsies—taken at decompressions—have failed to reveal edema or other lesions. The nerve itself was observed to bulge through its entire intratympanic course. Idiopathic Bell's palsy often shows epidemiologic features and sometimes follows viral infections. Diabetes, especially latent diabetes, and arteriosclerosis are often associated with Bell's palsy—and could account for hemorrhages reported at the geniculate ganglion region. Bell's palsy is probably not one pathological entity—among its plausible causes are viral infections and vascular assaults both above the tympanic part of the facial nerve. The classical entrapment theory still awaits confirmation especially as myelin bulging is a normal phenomenon which becomes more pronounced in reaction to various injuries which are not necessarily local intratympanic ones.
{"title":"Pathology of Bell's palsy.","authors":"J. Sadé","doi":"10.1001/ARCHOTOL.1972.00770080642003","DOIUrl":"https://doi.org/10.1001/ARCHOTOL.1972.00770080642003","url":null,"abstract":"Segmental herniation of the facial nerve after epineural incision is regarded as proof that idiopathic Bell's palsy is due to elevated pressure caused by anoxia secondary to local vasospasm. However, epineural biopsies—taken at decompressions—have failed to reveal edema or other lesions. The nerve itself was observed to bulge through its entire intratympanic course. Idiopathic Bell's palsy often shows epidemiologic features and sometimes follows viral infections. Diabetes, especially latent diabetes, and arteriosclerosis are often associated with Bell's palsy—and could account for hemorrhages reported at the geniculate ganglion region. Bell's palsy is probably not one pathological entity—among its plausible causes are viral infections and vascular assaults both above the tympanic part of the facial nerve. The classical entrapment theory still awaits confirmation especially as myelin bulging is a normal phenomenon which becomes more pronounced in reaction to various injuries which are not necessarily local intratympanic ones.","PeriodicalId":8315,"journal":{"name":"Archives of otolaryngology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1972-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82327939","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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