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Archives of otolaryngology最新文献

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Modified operation for wide unilateral cleft lips. 单侧宽唇裂的改良手术。
Pub Date : 1971-02-01 DOI: 10.1097/00006534-197102000-00041
L. Bernstein
NUMEROUS procedures have been described for repair of congenital clefts of the lip. The older methods aimed at closure of the defect in primitive fashion, with insufficient regard for the cosmetic result. 1 From the time of Celsus until well into the 19th century, the operation consisted of an excision of the margins of the cleft and a crude approximation of the raw edges (Fig 1). Needless to say, failures were frequent. About 1830, Dieffenbach 2 introduced lateral undermining incisions to allow sliding of the flaps together with less tension. Mirault 3 is generally credited with having been the first, in 1844, to bring a flap from the lateral segment across the lower margin of the cleft, thereby adding improvement to the postoperative appearance of the lip (Fig 2). His method became the forerunner of various modern procedures. Numerous contributors have added their own modifications over the years. Collis improved
修复先天性唇裂的方法有很多。旧的方法旨在以原始的方式关闭缺陷,而不充分考虑美观的结果。从塞尔苏斯(Celsus)时代一直到19世纪,手术包括切除唇裂边缘和粗糙的边缘(图1)。不用说,失败是经常发生的。大约1830年,Dieffenbach 2引入了侧面破坏切口,以允许皮瓣滑动,同时减少张力。Mirault 3通常被认为是1844年第一个将侧段皮瓣穿过唇裂下缘的人,从而改善了术后唇部的外观(图2)。他的方法成为各种现代手术的先驱。多年来,许多贡献者添加了他们自己的修改。科利斯改进
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引用次数: 10
Audiologic and otologic screening. 听力学和耳科筛查。
Pub Date : 1971-01-01 DOI: 10.1001/archotol.1971.00770060142026
S. Stool, T. Fay, I. Hochberg, C. Smith, N. Rees, H. Halpern
To the Editor .—The article "Audiologic and Otologic Screening of Disadvantaged Children" in the AprilArchives, (Fay et al: 91 :366-370) contains a statement that I feel needs amplification. A recommendation for T & A was made in 88 of 255 or a third of the children examined. In the first paragraph the authors state that these children are the bottom of the barrel and have had virtually no medical care and apparently little past history was available. The turnover was rapid and there was apparently no opportunity to follow these patients. In view of these facts, I do not see how a recommendation could be made that they have a major surgical procedure. There is much difference of opinion among physicians regarding T & A but I feel that almost everyone agrees a history and a period of observation is necessary to arrive at a reasonable approach to patients
致编辑:《四月档案》(Fay et al: 91:366-370)上的一篇文章“弱势儿童的听力和耳科筛查”中包含了一段我认为需要放大的声明。在接受调查的255名儿童中,有88名或三分之一的儿童推荐了t&a。在第一段中,提交人指出,这些儿童处于最底层,几乎没有得到任何医疗照顾,显然也没有什么过去的历史。人员流动很快,显然没有机会跟踪这些病人。鉴于这些事实,我不明白如何建议他们进行一次大的外科手术。医生们对t&a的看法有很大的不同,但我觉得几乎每个人都同意病史和一段时间的观察对于找到一个合理的治疗方法是必要的
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引用次数: 0
Free amino acid content of perilymph. 淋巴周围游离氨基酸含量。
Pub Date : 1971-01-01 DOI: 10.1001/ARCHOTOL.1971.00770060097012
S. Crifó, C. Crifó
The free amino acid content of horse perilymph, cerebrospinal fluid, and blood serum was comparatively studied. The results obtained show clear-cut differences between the three fluids, and suggest that perilymph may be considered as a biological fluid with its own specific characteristics, probably correlated to the metabolism of its secreting structure.
比较研究了马淋巴管周围、脑脊液和血清中游离氨基酸的含量。结果表明三种液体之间存在明显的差异,提示淋巴管周围可能被认为是一种具有自身特征的生物液体,可能与其分泌结构的代谢有关。
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引用次数: 6
Changes in inner ear fluids. 内耳液体变化
Pub Date : 1971-01-01 DOI: 10.1001/archotol.1971.00770060144029
H. Silverstein, T. Nakashima, J. Snow
To the Editor .—In the article "Sodium and Potassium Changes in Inner Ear Fluids" by Nakashima et al ( 92 :1-6, 1970) the authors report large shifts in endolymph sodium and potassium ion concentrations following intense acoustical stimulation of the guinea pig's inner ear (140 dB). These changes failed to return to normal after the stimulation was stopped. These results appear to me to be caused by a rupture of the Reissner's membrane and not by an increased permeability of the Reissner's membrane as the authors suggest. In these experiments, histological study of serial sections of the guinea pig's inner ear would provide the necessary information to interpret these results. Histological or electron microscopic study is frequently necessary before interpreting experiments on the inner ear.
致编者:在Nakashima等人(92:1- 6,1970)的文章“内耳液体中的钠和钾变化”中,作者报告了豚鼠内耳(140 dB)强声刺激后内淋巴钠和钾离子浓度的巨大变化。这些变化在刺激停止后未能恢复正常。在我看来,这些结果似乎是由赖斯纳膜破裂引起的,而不是由作者所认为的赖斯纳膜通透性增加引起的。在这些实验中,对豚鼠内耳连续切片的组织学研究将为解释这些结果提供必要的信息。在解释内耳实验之前,经常需要进行组织学或电子显微镜研究。
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引用次数: 0
Guidelines for licensing hearing aid dealers. 助听器经销商发牌指南。
Pub Date : 1971-01-01 DOI: 10.1001/archotol.1971.00770070331001
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引用次数: 0
Photoelastic analysis of nasal support. 鼻支架的光弹性分析。
Pub Date : 1971-01-01 DOI: 10.1097/00006534-197201000-00032
G. Clark
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引用次数: 0
Reliability of cytologic smear in diagnosis of oral cancer. A controlled study. 细胞学涂片诊断口腔癌的可靠性。一项对照研究。
Pub Date : 1970-10-01 DOI: 10.1097/00006534-197010000-00051
G. Shklar, E. Cataldo, I. Meyer
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引用次数: 19
Craniocarpotarsal dysplasia or whistling face syndrome. 颅跖骨发育不良或口哨脸综合征。
Pub Date : 1970-10-01 DOI: 10.1097/00006534-197010000-00039
C. J., Gorlin R J, Figalova P, Farkasova J
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引用次数: 4
Droperidol-fentanyl citrate in equilibratory distrubances. 平衡失调中的盐酸哌啶-柠檬酸芬太尼。
Pub Date : 1970-10-01 DOI: 10.1097/00132586-197010000-00013
D. Boedts, P. Vandenhove
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引用次数: 0
Vocal-cord paralysis with endotracheal intubation. 声带麻痹伴气管内插管。
Pub Date : 1970-09-01 DOI: 10.1097/00132586-197112000-00012
F. W. Hahn, J. T. Martin, J. Lillie
Five cases of unilateral vocal-cord paralysis after surgery unrelated to the neck occurred. The asymmetric inflation of an endotracheal tube cuff which lies just beneath the vocal cords is suspected as the etiologic agent. Surprisingly, this complication is almost unreported in the literature.
发生与颈部无关的手术后单侧声带麻痹5例。位于声带下方的气管内管套的不对称膨胀被怀疑是病因。令人惊讶的是,这种并发症在文献中几乎没有报道。
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引用次数: 90
期刊
Archives of otolaryngology
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