MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Otolaryngologic clinics of North America' source. Wed, 08 Feb 2012 15:44:39 +0100 http://www.medworm.com/index.php?rid=5441729&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511002131%2Fabstract%3Frss%3Dyes (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441729 Fri, 25 Nov 2011 08:29:05 +0100 5441729 http://www.medworm.com/index.php?rid=5441728&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001617%2Fabstract%3Frss%3Dyes This article provides a brief history of the development of cochlear implant technologies, reviews current implant systems from all 3 major manufacturers, examines recently devised strategies aimed at improving device performance, and discusses potential future developments. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441728 Fri, 25 Nov 2011 08:29:05 +0100 5441728 http://www.medworm.com/index.php?rid=5441727&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001885%2Fabstract%3Frss%3Dyes Revision cochlear implant (RCI) surgery has become an important tool for the management of cochlear implantation complications. This review encompasses both common and uncommon indications of RCI, diagnostic and management considerations, outcomes, surgical principles, and emerging applications. In summary, early identification of complications and suboptimal device performance is imperative for children who are in critical periods of communicative development. Independent of indications, most RCI achieve a successful restoration of sound. Although rare, it is prudent to discuss the potential complications of revision surgery and their implications with patients and their families. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441727 Fri, 25 Nov 2011 08:29:05 +0100 5441727 http://www.medworm.com/index.php?rid=5441726&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001605%2Fabstract%3Frss%3Dyes This article describes the devices that are now in clinical trial, discusses the rationale as to why residual hearing preservation is important, details the surgical techniques for hearing preservation, and shares the clinical results of electric plus acoustic processing. That a video is available online. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441726 Fri, 25 Nov 2011 08:29:05 +0100 5441726 http://www.medworm.com/index.php?rid=5441724&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001575%2Fabstract%3Frss%3Dyes This article highlights variables that affect cochlear implant performance, emerging factors warranting consideration, and variables shown not to affect performance. Research on the outcomes following cochlear implantation has identified a wide spectrum of variables known to affect pos0timplantation performance. These variables relate to the device itself as well as individual patient characteristics. Factors believed to affect spiral ganglion cell survival and function have been shown to influence postoperative performance. Binaural hearing affects performance. Social and educational factors also affect postoperative performance. Novel variables capable of affecting performance continue to emerge with increased understanding of auditory pathway development and neural plasticity. (Source: ... Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441724 Fri, 25 Nov 2011 08:29:05 +0100 5441724 http://www.medworm.com/index.php?rid=5441723&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001563%2Fabstract%3Frss%3Dyes This article provides information about the various educational and rehabilitation options for these children, emphasizing the need for a collaborative approach to rehabilitation planning and implementation. Decisions about such options should be individualized and are informed by several factors including age at implantation and family expectations and desires. A review of legislation affecting the education of children with hearing loss is also provided. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441723 Fri, 25 Nov 2011 08:29:05 +0100 5441723 http://www.medworm.com/index.php?rid=5441722&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001551%2Fabstract%3Frss%3Dyes The authors present a comprehensive review of the state of music perception with cochlear implant (CI) users. They discuss methods of assessment and results of studies of the aspects of music perception, melody, timbre, rhythm, and so forth in individuals with cochlear implants. They discuss neural mechanisms of music perception and the anticipation of broader acceptance of standardized tests for music perception in CI users. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441722 Fri, 25 Nov 2011 08:29:05 +0100 5441722 http://www.medworm.com/index.php?rid=5441721&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS003066651100154X%2Fabstract%3Frss%3Dyes Cochlear implants have become a viable treatment option for individuals who present with severe to profound hearing loss. While there are several parameters that affect the successful use of this technology, quality programming of the cochlear implant system is crucial. This review chapter focuses on general device programming techniques, programming techniques specific to children, objective programming techniques, a brief overview of programming parameters of the currently commercially available multichannel systems, and managing patient complaints and device failures. The chapter also provides what the authors believe the future may hold for new programming techniques. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441721 Fri, 25 Nov 2011 08:29:05 +0100 5441721 http://www.medworm.com/index.php?rid=5441720&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001538%2Fabstract%3Frss%3Dyes Implantation of the ossified and dysplastic cochlea presents many unique challenges to both the surgeon and programming team. Altered embryology and physiology of these labyrinthine dysplasias may result in forms and functions unfamiliar to those casually involved with cochlear implants. Remarkable developments in diagnosis, surgical technique, electrode design, processing strategies, and programming have all contributed to the ability to successfully implant patient populations previously excluded from this life-changing intervention. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441720 Fri, 25 Nov 2011 08:29:05 +0100 5441720 http://www.medworm.com/index.php?rid=5441719&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001526%2Fabstract%3Frss%3Dyes Cochlear implantation (CI) is the standard of care for the treatment of children and adults with bilateral severe-to-profound sensorineural hearing loss. Because the ultimate and continuous goal of CI teams is to improve patient performance, a potential method is bilateral CI. The potential benefits of bilateral CI include binaural summation, squelch, equivalent head shadow for each ear, improved hearing in noise, sound localization ability, and spatial release from masking. The potential disadvantages include additional or prolonged surgical procedure, unproven cost/benefit profile, and the elimination of the ability to use future technologies and/or medical therapies in the implanted ear. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441719 Fri, 25 Nov 2011 08:29:05 +0100 5441719 http://www.medworm.com/index.php?rid=5441718&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001514%2Fabstract%3Frss%3Dyes Cochlear implants have a remarkable history and a promising future. As the cochlear implant has evolved, so has the surgical technique. This review encompasses a history of the cochlear implant, a summary of the evolution of the implant incision and the methods used to secure the device and the electrode, the cochleostomy versus round window debate, and a discussion of the validity of intraoperative tests. Advanced technology, new surgical techniques, and refining established techniques are hallmarks of cochlear implant surgery. Advancements, including image-guided surgery, hearing preservation with full insertion, and telemetry-based advanced programming, are expected to be standard in the future. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441718 Fri, 25 Nov 2011 08:29:05 +0100 5441718 http://www.medworm.com/index.php?rid=5441717&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001502%2Fabstract%3Frss%3Dyes This article describes the current practice in pediatric candidacy evaluation, reviews the medical and surgical considerations in pediatric cochlear implantation, and explores the expanding criteria for cochlear implantation within the pediatric population. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441717 Fri, 25 Nov 2011 08:29:05 +0100 5441717 http://www.medworm.com/index.php?rid=5441714&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001769%2Fabstract%3Frss%3Dyes This edition of the Otolaryngology Clinics of North America is intended to provide the reader with an update on the dynamic field of the rehabilitation of severe to profound hearing loss with cochlear implants. Since the early 1980s, when the FDA first approved the multichannel cochlear implant for clinical use, cochlear implant candidacy, cochlear implant technology, surgical procedures, device programming, and expected and realized outcomes have changed dramatically. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441714 Fri, 25 Nov 2011 08:29:05 +0100 5441714 http://www.medworm.com/index.php?rid=5441713&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS003066651100212X%2Fabstract%3Frss%3Dyes (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441713 Fri, 25 Nov 2011 08:29:05 +0100 5441713 http://www.medworm.com/index.php?rid=5441712&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511002118%2Fabstract%3Frss%3Dyes (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441712 Fri, 25 Nov 2011 08:29:05 +0100 5441712 http://www.medworm.com/index.php?rid=5441711&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511002106%2Fabstract%3Frss%3Dyes (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441711 Fri, 25 Nov 2011 08:29:05 +0100 5441711 http://www.medworm.com/index.php?rid=5441716&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001496%2Fabstract%3Frss%3Dyes Information on the genetic basis of and testing for disorders with hearing loss is increasing rapidly. In this review, the authors explain genetic terminology, the principles of inheritance, and the types of genetic variation and the genetic basis of selected disorders of hearing loss. The authors also review how information on genetics and genetic testing can be obtained, outline a genetic approach to the diagnosis of hearing loss, and discuss how otologists and geneticists can work together to strengthen the clinical applications of genetics to individuals and families who have hearing loss. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441716 Thu, 03 Nov 2011 04:00:00 +0100 5441716 http://www.medworm.com/index.php?rid=5348574&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001976%2Fabstract%3Frss%3Dyes (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5348574 Wed, 26 Oct 2011 19:51:19 +0100 5348574 http://www.medworm.com/index.php?rid=5348573&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001459%2Fabstract%3Frss%3Dyes This article identifies the key legal issues, maps current legislation, and offers a forecast of necessary steps to expedite the dissemination of TM. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5348573 Wed, 26 Oct 2011 19:51:19 +0100 5348573 http://www.medworm.com/index.php?rid=5348571&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001472%2Fabstract%3Frss%3Dyes The worldwide prevalence of mobile phones makes them a powerful platform for providing individualized health care delivered at the patient's convenience. They have the potential to extend the health care interaction from a brief office visit to a continuous monitoring via body sensors of either a specific healthcare parameter or with multiple sensors in wireless body area networks. Remote data collection by way of mobile phones in underserved areas allows for better management of public health and provides the opportunity for timely intervention. Published data showing benefits specific to otolaryngology are primarily in remote consultation, body sensors specific to balance, and appointment compliance. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5348571 Wed, 26 Oct 2011 19:51:19 +0100 5348571 http://www.medworm.com/index.php?rid=5348570&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001435%2Fabstract%3Frss%3Dyes This article focuses on key issues surrounding the needs and application of simulation technologies for technical skills training in otolaryngology. The discussion includes an overview of key topics in training and learning, the application of these issues in simulation environments, and the subsequent applications of these simulation environments to otolaryngology. Examples of past applications are presented, with discussion of how the interplay of cultural changes in surgical training in general along with the rapid advancements in technology have shaped and influenced their adoption and adaptation. The authors conclude with emerging trends and potential influences advanced simulation and training will have on technical skills training in otolaryngology. (Source: Otolaryngologic clinics ... Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5348570 Wed, 26 Oct 2011 19:51:19 +0100 5348570 http://www.medworm.com/index.php?rid=5348567&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS003066651100140X%2Fabstract%3Frss%3Dyes has become a more viable approach to delivering care. Asynchronous and synchronous delivery can be used to deliver Teleaudiology. Hybrid delivery involves using both synchronous and asynchronous modes of delivery. Teleaudiology has been used for otoscopy, audiometry, immitance, cochlear implant programming and newborn screening. Teleaudiology is a viable technology, although reimbursement remains unclear. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5348567 Wed, 26 Oct 2011 19:51:19 +0100 5348567 http://www.medworm.com/index.php?rid=5348566&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001393%2Fabstract%3Frss%3Dyes This article discusses consumer-directed technologies for health care and promotion in light of the rapid expansion of consumer-oriented tools and technologies, which has redefined telehealth. The difference between traditional telehealth services focused on supporting or augmenting institutional-based health care activities, and consumer-directed telehealth activities more linked to individuals are presented, the 3 orders of consumer-directed telehealth are described, and technical issues inherent in telehealth programs are discusses. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5348566 Wed, 26 Oct 2011 19:51:19 +0100 5348566 http://www.medworm.com/index.php?rid=5348565&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001381%2Fabstract%3Frss%3Dyes This article reviews some important aspects of developing a telehealth program, and provides two examples of currently operating successful model programs. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5348565 Wed, 26 Oct 2011 19:51:19 +0100 5348565 http://www.medworm.com/index.php?rid=5348562&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001356%2Fabstract%3Frss%3Dyes This article outlines the technical requirements, current uses, clinical applicability, and implementation details of the Our Lady of the Lake – LSU neurotology telemedicine program; administrative issues surrounding telemedicine; and future considerations. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5348562 Wed, 26 Oct 2011 19:51:19 +0100 5348562 http://www.medworm.com/index.php?rid=5348561&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001757%2Fabstract%3Frss%3Dyes While advocates see Telehealth as an essential fundamental change that will improve the way health care is delivered, others view Telehealth as a nice-to-have-tool or an intriguing array of high-tech gadgets, which may make us feel “cutting edge” but ultimately have little effect on the delivery of care. Some of its harshest critics see it as an expensive and time-consuming operation that is unlikely to enhance the existing health care system. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5348561 Wed, 26 Oct 2011 19:51:19 +0100 5348561 http://www.medworm.com/index.php?rid=5348560&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001964%2Fabstract%3Frss%3Dyes (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5348560 Wed, 26 Oct 2011 19:51:19 +0100 5348560 http://www.medworm.com/index.php?rid=5348559&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001952%2Fabstract%3Frss%3Dyes (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5348559 Wed, 26 Oct 2011 19:51:19 +0100 5348559 http://www.medworm.com/index.php?rid=5348558&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001940%2Fabstract%3Frss%3Dyes (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5348558 Wed, 26 Oct 2011 19:51:19 +0100 5348558 http://www.medworm.com/index.php?rid=5441725&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001587%2Fabstract%3Frss%3Dyes This article presents a focused review of language, speech, and comprehension outcomes in children with cochlear implants. Language acquisition with early-age implants and later-age implants are discussed, along with literacy and comprehension skills. A wide range of language outcomes is possible for children with cochlear implants, but many can achieve listening and spoken language skills at the same rate as their hearing peers. Appropriate auditory rehabilitation and parental guidance is vital for the development of listening and spoken language skills. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441725 Wed, 19 Oct 2011 04:00:00 +0100 5441725 http://www.medworm.com/index.php?rid=5441715&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001484%2Fabstract%3Frss%3Dyes At a minimum, successful cochlear implantation requires that electrical impulses be delivered to a surviving spiral ganglion cell population, and that these impulses be transmitted to a functioning auditory cortex by an existent neural connection. Accordingly, imaging the auditory pathway of the implant candidate is necessary to screen for morphologic conditions that will preclude or complicate the implantation process. In addition to radiography, increasing resolution of computed tomography and magnetic resonance imaging technology has provided the clinician with more detailed information about the integrity of the auditory pathway. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5441715 Wed, 19 Oct 2011 04:00:00 +0100 5441715 http://www.medworm.com/index.php?rid=5348572&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001447%2Fabstract%3Frss%3Dyes This article discusses the development, evaluation, and growth of telemedicine in Alaska. Store-and-forward telemedicine has been used to deliver ear, nose, and throat (ENT) care to rural Alaska since 2002. It has proved valuable in the treatment of many conditions of the head and neck, and it is particularly well suited for the diagnosis and treatment of ear disease. Usage has grown steadily as telemedicine has become widely accepted. Store-and-forward telemedicine has been shown within the Alaska Native Health System to improve access for care and reduce wait times, as well as decrease travel-associated costs for patients. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5348572 Tue, 04 Oct 2011 04:00:00 +0100 5348572 http://www.medworm.com/index.php?rid=5348569&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001423%2Fabstract%3Frss%3Dyes This article reviews the use of robotic technology for otolaryngologic surgery. The authors discuss the development of the technology and its current uses in the operating room. They address procedures such as oropharyngeal transoral robotic surgery (TORS), laryngeal TORS, and thyroidectomy, and also note the role of robotics in teaching. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5348569 Tue, 04 Oct 2011 04:00:00 +0100 5348569 http://www.medworm.com/index.php?rid=5348564&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS003066651100137X%2Fabstract%3Frss%3Dyes This article discusses the types of telemedicine technologies that are currently in place and being used successfully in otolaryngology. It examines how these technologies have been applied in several different otolaryngology telemedicine programs and discusses their relative merits and successes. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5348564 Tue, 04 Oct 2011 04:00:00 +0100 5348564 http://www.medworm.com/index.php?rid=5348563&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001368%2Fabstract%3Frss%3Dyes This article describes the need for otolaryngologic specialty care, current humanitarian outreach within the field of otolaryngology, and examples of successful programs that incorporate telehealth in otolaryngology care. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5348563 Tue, 04 Oct 2011 04:00:00 +0100 5348563 http://www.medworm.com/index.php?rid=5297509&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001691%2Fabstract%3Frss%3Dyes (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5297509 Sat, 01 Oct 2011 04:00:00 +0100 5297509 http://www.medworm.com/index.php?rid=5297507&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001071%2Fabstract%3Frss%3Dyes This review describes the sequential learning from initial free tissue grafting reconstructive techniques to the current use of vascularized flaps. Outcomes and limitations of current endoscopic reconstructive techniques are discussed, including a systematic review of the outcomes of endoscopic endonasal techniques to reconstruct large skull base defects (ESBR). The various endoscopic techniques for local and regional flaps in skull base reconstruction are described. Additionally, EMBASE (1980-December 7, 2010) and Medline (1950 – November 14, 2010) were searched using a search strategy designed to include any endoscopic endonasal reconstruction of the skull base. The manuscripts selected were subject to full text review to extract data on perioperative outcomes for ESBR. Surgical techni... Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5297507 Sat, 01 Oct 2011 04:00:00 +0100 5297507 http://www.medworm.com/index.php?rid=5297506&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001083%2Fabstract%3Frss%3Dyes This article reviews the available evidence for several functional outcomes, including endocrine, nasal, neurologic, visual, and quality of life outcomes for both endoscopic and open approaches. The quality of evidence for each outcome is compared for endoscopic and open approaches using the Oxford Centre for Evidence-based Medicine guidelines, and recommendations are made. Future longitudinal comparative outcome studies are needed to better delineate the functional status of patients undergoing skull base surgery. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5297506 Sat, 01 Oct 2011 04:00:00 +0100 5297506 http://www.medworm.com/index.php?rid=5297505&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001460%2Fabstract%3Frss%3Dyes The optimal treatment of chordomas is maximal safe resection followed by radiation therapy. Data have shown that the use of protons has increased the local control of chordomas. Because of their physical properties, proton therapy has a sharp decline at its distal range, thereby minimizing collateral damage. However, this choice of radiation therapy has been limited based on the availability of resources. Given the high cost of proton facilities and improved techniques for other forms of radiation therapy, this article evaluates whether proton therapy is still superior to other radiation techniques in the treatment of chordomas. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5297505 Sat, 01 Oct 2011 04:00:00 +0100 5297505 http://www.medworm.com/index.php?rid=5297503&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001253%2Fabstract%3Frss%3Dyes This article reviews the treatment options, in particular the role of endoscopic nasopharyngectomy in the management of recurrent NPC. The endoscopic anatomy, surgical principles, and published results on endoscopic nasopharyngectomy are presented. Short-term outcomes for early-stage recurrences are promising but long-term follow-up is needed. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5297503 Sat, 01 Oct 2011 04:00:00 +0100 5297503 http://www.medworm.com/index.php?rid=5297502&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001113%2Fabstract%3Frss%3Dyes Management of malignant neoplasms of the sinonasal tract and skull base is hampered by the relative low incidence and pathologic diversity of patient presentations. Many studies have reported successful outcomes in the endoscopic management of malignancy since 1996, and these are summarized in this article. Nonsurgical adjuvant therapies are important for locoregional control because surgery occurs in a restricted anatomic space with close margins to critical structures, and distant disease is an ongoing concern in these disorders. There remains a need for collaborative consistent multicenter reporting, and international registries have been established to assist in such efforts. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5297502 Sat, 01 Oct 2011 04:00:00 +0100 5297502 http://www.medworm.com/index.php?rid=5297498&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001599%2Fabstract%3Frss%3Dyes The skull base is at a crossroads. It is a meeting point for anatomical regions, surgical specialties, and surgical philosophies. Skull base surgery is a dynamic subspecialty and the last decade has witnessed the application of endoscopic techniques to the ventral skull base using an endonasal corridor. The transition from external approaches to an endonasal corridor has not been without controversy. In this volume, we explore the nascent field of neurorhinology, a term that emphasizes the multidisciplinary collaboration between neurosurgeons and rhinologic head and neck surgeons. A wide variety of topics are covered, demonstrating the breadth of skull base surgery. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5297498 Sat, 01 Oct 2011 04:00:00 +0100 5297498 http://www.medworm.com/index.php?rid=5297497&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS003066651100168X%2Fabstract%3Frss%3Dyes (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5297497 Sat, 01 Oct 2011 04:00:00 +0100 5297497 http://www.medworm.com/index.php?rid=5297496&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001678%2Fabstract%3Frss%3Dyes (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5297496 Sat, 01 Oct 2011 04:00:00 +0100 5297496 http://www.medworm.com/index.php?rid=5297495&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001666%2Fabstract%3Frss%3Dyes (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5297495 Sat, 01 Oct 2011 04:00:00 +0100 5297495 http://www.medworm.com/index.php?rid=5348568&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001411%2Fabstract%3Frss%3Dyes This article presents an overview of telehealth applications in the remote management of voice and swallowing disorders including historical background, current issues, and a brief review of clinical effectiveness studies. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5348568 Mon, 26 Sep 2011 04:00:00 +0100 5348568 http://www.medworm.com/index.php?rid=5098466&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001204%2Fabstract%3Frss%3Dyes (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5098466 Sun, 31 Jul 2011 23:00:00 +0100 5098466 http://www.medworm.com/index.php?rid=5098465&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001010%2Fabstract%3Frss%3Dyes In this article the epidemiology, pathophysiology, clinical presentation, investigation, management, and prognosis of hypopituitarism and hypothalamic dysfunction, arising from skull base pathologies and treatment of these conditions, are reviewed and discussed. The clinical question: “What is the consequence of pituitary hypofunction in young patients (ie, craniopharyngioma)?” is answered based on information provided in the review. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5098465 Sun, 31 Jul 2011 23:00:00 +0100 5098465 http://www.medworm.com/index.php?rid=5098464&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000946%2Fabstract%3Frss%3Dyes Juvenile nasopharyngeal angiofibromas (JNAs) are rare, benign, highly vascular, locally aggressive tumors that primarily affect male adolescents. Historical treatment of these neoplasms has been primarily surgical. In the past decade, endoscopic resection of JNAs has become a viable and promising surgical treatment option. Endoscopic resection has many advantages over traditional open techniques, including better cosmesis, decreased blood loss, shortened hospital stays, and equivalent or improved recurrence rates. Emerging endoscopic technology continues to push the boundaries of resection of skull base tumors and will no doubt become the surgical treatment of choice for most JNAs in the near future. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5098464 Sun, 31 Jul 2011 23:00:00 +0100 5098464 http://www.medworm.com/index.php?rid=5098463&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000971%2Fabstract%3Frss%3Dyes This article discusses the epidemiology of NDs. Management is also discussed, as well as prognosis. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5098463 Sun, 31 Jul 2011 23:00:00 +0100 5098463 http://www.medworm.com/index.php?rid=5098462&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000922%2Fabstract%3Frss%3Dyes This article discusses the surgical approaches for resection, especially the transnasal endoscopic approach. Alternative treatment options are primarily used where patients are not surgical candidates or location of recurrence precludes additional surgery. These options include radiotherapy, stereotactic radiosurgery, and chemotherapy. In addition, we discuss the current on going research in molecular targeting agents for meningioma treatment. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5098462 Sun, 31 Jul 2011 23:00:00 +0100 5098462 http://www.medworm.com/index.php?rid=5098461&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001034%2Fabstract%3Frss%3Dyes Tuberculum sellae (TS) meningiomas represent a distinct subgroup of anterior cranial fossa meningiomas with distinctive features. Early visual deterioration with optic canal infiltration occurs because of the site of dural origin. The expanded endonasal transsphenoidal approach and the eyebrow supraorbital craniotomy have been advocated as minimally invasive techniques for TS meningiomas. The authors review the current literature on minimally invasive techniques for TS meningiomas to define visual outcomes, extent of resection, and operative morbidity associated with each approach and highlight pertinent features of individual tumors, which favor either a cranial or an endonasal approach to achieve optimal outcomes. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5098461 Sun, 31 Jul 2011 23:00:00 +0100 5098461 http://www.medworm.com/index.php?rid=5098460&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS003066651100106X%2Fabstract%3Frss%3Dyes s are rare epithelial tumors arising along the path of the craniopharyngeal duct; therefore, they occur in the sellar or suprasellar regions. These tumors commonly lead to neurologic, endocrinological, or visual symptoms. Radical surgery is the treatment of choice in craniopharyngiomas. The transnasal/transsphenoidal endoscopic approach offers the possibility of removing the tumor without retracting brain and optic pathways, with good results. The rate of cerebrospinal fluid fistula has improved due to the use of vascularized mucosal flaps for cranial base reconstruction. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5098460 Sun, 31 Jul 2011 23:00:00 +0100 5098460 http://www.medworm.com/index.php?rid=5098459&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001101%2Fabstract%3Frss%3Dyes This article reviews data on the different modalities of treatment of functioning pituitary adenomas and compares the results. Endoscopic pituitary surgery controls tumor growth and endocrinopathy as well as or better than other treatment modalities. Complication rates are low and patient recovery is fast. Furthermore, surgery provides a means of achieving prompt decompression of neurologic structures and endocrine remission. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5098459 Sun, 31 Jul 2011 23:00:00 +0100 5098459 http://www.medworm.com/index.php?rid=5098458&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001022%2Fabstract%3Frss%3Dyes This article discusses the differential pathologies. Emphasis has been placed on Graves orbitopathy, traumatic optic neuropathy, and the indications for decompression in each. The differential diagnosis for a lesion within the orbit and orbital apex is diverse. The presentation, investigation, and appropriate management of these conditions is discussed with emphasis on traumatic optic neuropathy and Graves orbitopathy. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5098458 Sun, 31 Jul 2011 23:00:00 +0100 5098458 http://www.medworm.com/index.php?rid=5098457&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000958%2Fabstract%3Frss%3Dyes This article reviews the current literature and level-1 evidence of the natural history and the medical and surgical treatment of skull base fibrous dysplasia. The high rate of optic nerve (ON) involvement and the potential risk of visual impairment as a result of nerve compression have led many surgeons to suggest prophylactic decompression of the ON in asymptomatic patients. However, review of the cases reported in the literature reveals that ON decompression surgery is indicated only for patients with visual deficits, whereas asymptomatic patients with radiologic evidence of ON compression are better managed conservatively. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5098457 Sun, 31 Jul 2011 23:00:00 +0100 5098457 http://www.medworm.com/index.php?rid=5098456&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000995%2Fabstract%3Frss%3Dyes We describe current limits of endoscopic approaches in the removal of osteomata from the frontal sinus and our algorithms for their management. We believe that the vast majority of frontal sinus osteomata can be managed endoscopically, änd that only significant anterior or extreme infero-lateral extension constitute major limiting factors. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5098456 Sun, 31 Jul 2011 23:00:00 +0100 5098456 http://www.medworm.com/index.php?rid=5098455&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000983%2Fabstract%3Frss%3Dyes This article discusses the epidemiology, diagnosis, and management of traumatic cerebrospinal fluid (CSF) leaks. An overview of traumatic CSF leaks is presented, and both conservative and operative therapies are reviewed. Management decisions are discussed based on the current literature. Controversial clinical topics are addressed, including the use of prophylactic antibiotics and the timing of surgical repair. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5098455 Sun, 31 Jul 2011 23:00:00 +0100 5098455 http://www.medworm.com/index.php?rid=5098454&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001095%2Fabstract%3Frss%3Dyes Spontaneous cerebrospinal fluid rhinorrhea represents a distinct clinic entity that is likely a variant of idiopathic intracranial hypertension (IIH). Patients with spontaneous cerebrospinal fluid (CSF) leaks are generally middle-aged obese women with radiographic evidence of skull base defects, associated meningoencephaloceles, and empty sella syndrome, a common sign of increased intracranial pressure. Significant overlap exists in the characteristics of patients with spontaneous CSF leak and IIH. Endoscopic repair of the CSF fistula is the gold standard treatment for this condition, but emerging evidence supports the reduction of CSF pressure as an important adjuvant treatment in this patient population. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5098454 Sun, 31 Jul 2011 23:00:00 +0100 5098454 http://www.medworm.com/index.php?rid=5098453&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001125%2Fabstract%3Frss%3Dyes The skull base is at a crossroads. It is a meeting point for anatomical regions, surgical specialties, and surgical philosophies. Skull base surgery is a dynamic subspecialty and the last decade has witnessed the application of endoscopic techniques to the ventral skull base using an endonasal corridor. The transition from external approaches to an endonasal corridor has not been without controversy. In this volume, we explore the nascent field of neurorhinology, a term that emphasizes the multidisciplinary collaboration between neurosurgeons and rhinologic head and neck surgeons. A wide variety of topics are covered, demonstrating the breadth of skull base surgery. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5098453 Sun, 31 Jul 2011 23:00:00 +0100 5098453 http://www.medworm.com/index.php?rid=5098452&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001198%2Fabstract%3Frss%3Dyes (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5098452 Sun, 31 Jul 2011 23:00:00 +0100 5098452 http://www.medworm.com/index.php?rid=5098451&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001186%2Fabstract%3Frss%3Dyes (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5098451 Sun, 31 Jul 2011 23:00:00 +0100 5098451 http://www.medworm.com/index.php?rid=5098450&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001174%2Fabstract%3Frss%3Dyes (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5098450 Sun, 31 Jul 2011 23:00:00 +0100 5098450 http://www.medworm.com/index.php?rid=5297508&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001058%2Fabstract%3Frss%3Dyes This article presents a current view of training in neurorhinology and focuses on the level of evidence for the clinical question of “how many cases are needed to achieve proficiency in endoscopic endonasal skull base surgery?” The authors discuss what defines surgical proficiency, what makes up the learning curve and how it shifts with increasing experience, comparisons of learning curves for different skull base surgeries, and conclude with a discussion and recommendations for achieving high-level proficiency. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5297508 Thu, 21 Jul 2011 04:00:00 +0100 5297508 http://www.medworm.com/index.php?rid=5297504&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000934%2Fabstract%3Frss%3Dyes Skull base chordomas are rare midline malignancies of clival origin that represent one of the most challenging skull base tumors to treat, given their location, invasiveness, potential extension around vital neurovascular structures, and high recurrence rate. Total tumor resection is the mainstay of treatment. The combination of surgery and postoperative irradiation appears to provide the best outcome. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5297504 Thu, 21 Jul 2011 04:00:00 +0100 5297504 http://www.medworm.com/index.php?rid=5297501&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001009%2Fabstract%3Frss%3Dyes Carotid artery injury during endonasal surgery is the most feared and catastrophic complication. Internal carotid artery injury is more frequent during skull base surgery, and risk factors include acromegaly, previous revision surgery, and prior radiotherapy and bromocriptine therapy. Nasal packing is frequently used to gain hemostasis, often resulting in vascular occlusion. Recent research recommends the crushed muscle patch treatment as an effect hemostat that maintains vascular patency. Endovascular techniques are recommended for vascular control and complication management. Coil or balloon embolization is preferred in patients with adequate collateral cerebral blood flow, and stent-graft placement or bypass surgery is indicated in those who do not. (Source: Otolaryngologic clinics of N... Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5297501 Thu, 21 Jul 2011 04:00:00 +0100 5297501 http://www.medworm.com/index.php?rid=5297499&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511001046%2Fabstract%3Frss%3Dyes This article reviews common pathologies of the CVJ and surgical approaches, and provides an evidence-based analysis of whether endoscopic approaches reduce velopharyngeal insufficiency. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5297499 Thu, 21 Jul 2011 04:00:00 +0100 5297499 http://www.medworm.com/index.php?rid=5297500&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS003066651100096X%2Fabstract%3Frss%3Dyes This article reviews the literature on the transnasal approach to petrous apex CGs, including medial, medial with carotid medialization, and transpterygoid approaches. Of the 19 reported CGs treated with endoscopic drainage, only one recurrence was noted. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=5297500 Thu, 30 Jun 2011 04:00:00 +0100 5297500 http://www.medworm.com/index.php?rid=4877933&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS003066651100079X%2Fabstract%3Frss%3Dyes (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4877933 Mon, 30 May 2011 16:58:57 +0100 4877933 http://www.medworm.com/index.php?rid=4877930&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS003066651100051X%2Fabstract%3Frss%3Dyes In their discussion of the treatment of allergic rhinitis, the authors present key features of the disease and its management, allergen responses, the role of the inferior turbinate, and reviews of outcomes with submucosal resection, total inferior turbinectomy, cryosurgery, laser cautery, radical turbinectomy, submucous turbinectomy, submucous electrocautery, and microdebriber turbinoplasty. The authors discuss radiofrequency ablation and coblation outcomes and complications, along with the role of endoscopic sinus surgery in allergic rhinitis and emphasize the need for Otolaryngologists to be facile with a variety of procedures for best outcomes. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4877930 Mon, 30 May 2011 16:58:56 +0100 4877930 http://www.medworm.com/index.php?rid=4877929&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000508%2Fabstract%3Frss%3Dyes The allergic march is a progression of atopic disease from eczema to asthma, and then to allergic rhinoconjunctivitis. It appears to be caused by a regional allergic response with breakdown of the local epithelial barrier that initiates systemic allergic inflammation. Genetic and environmental factors predispose to developing the allergic march. There are data to support 4 possible interventions to prevent the allergic march from progressing to asthma: (1) supplements of dietary probiotics, (2) exclusive breast feeding during the first few months of life, or, alternatively (3) use of extensively hydrolyzed infant formulas, (4) treatment with inhalant allergen immunotherapy by either subcutaneous or sublingual methods. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4877929 Mon, 30 May 2011 16:58:56 +0100 4877929 http://www.medworm.com/index.php?rid=4877928&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000569%2Fabstract%3Frss%3Dyes Sublingual immunotherapy (SLIT) has been shown to be safe and efficacious in treating allergic rhinitis. It has been used in Europe for more than 20 years, and interest in the United States is increasing. SLIT has been shown to elicit immunologic changes similar to subcutaneous injection immunotherapy. SLIT may prevent new sensitizations, improve asthma control, and decrease asthma development in allergic individuals. Although differences in antigen quantification and standardization make European dosing schemes difficult to translate in the United States, several new studies suggest the range for effective dosing. Further studies will help clarify optimal dosing. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4877928 Mon, 30 May 2011 16:58:56 +0100 4877928 http://www.medworm.com/index.php?rid=4877922&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000703%2Fabstract%3Frss%3Dyes This article presents the complexity of asthma and its ensuing management. The author details the clinical presentation of asthma, discussing its variability of presentation over time and within and among individuals. Pathophysiology is discussed, including immunohistopathologic features and inflammatory mediators, risk factors, comorbid conditions, natural history, and triggers. Diagnosis is presented in light of the challenging history of patients suspected of the disorder; pulmonary function testing, symptom assessment, impairment assessment, and risk assessment. Categories of asthma severity, controlling triggers, pharmacotherapy, stepwise approaches, and ongoing assessment are discussed, with a review of a clinical trial assessing efficacy of management. (Source: Otolaryngologic clin... Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4877922 Mon, 30 May 2011 16:58:55 +0100 4877922 http://www.medworm.com/index.php?rid=4877917&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS003066651100065X%2Fabstract%3Frss%3Dyes Allergies are typically diagnosed based on detailed history elicited from a patient. Confirmation of the diagnosis by allergy skin or in vitro testing is sometimes also helpful. The authors discuss several physical examination features, specifically in the head and neck region, that are often suggestive of allergy presence. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4877917 Mon, 30 May 2011 16:58:55 +0100 4877917 http://www.medworm.com/index.php?rid=4877916&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000466%2Fabstract%3Frss%3Dyes Knowledge of the immune system is advancing rapidly. This review provides an update on the allergy players—the cells and major mediators—and the form and function of each; discusses how these cells and mediators weave together in the elegant but destructive dance of allergy; and details how specific immunotherapy can cure allergy. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4877916 Mon, 30 May 2011 16:58:55 +0100 4877916 http://www.medworm.com/index.php?rid=4877915&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000648%2Fabstract%3Frss%3Dyes This article describes a few of the vast myriad of conditions that must be ruled out before a diagnosis of allergy may be made. After reading this article clinicians will be able to identify various conditions, which will enhance their ability to appropriately make correct decisions for prompt and efficient management of their patients with allergic or nonallergic diseases of the head and neck. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4877915 Mon, 30 May 2011 16:58:54 +0100 4877915 http://www.medworm.com/index.php?rid=4877911&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000715%2Fabstract%3Frss%3Dyes Allergic rhinitis disproportionately affects the developed world and, although allergies are only rarely life threatening, they significantly impair quality of life. For over half a century, the American Academy of Otolaryngic Allergy (AAOA), the oldest subspecialty organization under the umbrella of the specialty, Otolaryngology, has provided education and research opportunities to further our understanding of the interface of allergic disorders with ear nose and throat disorders. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4877911 Mon, 30 May 2011 16:58:54 +0100 4877911 http://www.medworm.com/index.php?rid=4877910&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000788%2Fabstract%3Frss%3Dyes (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4877910 Mon, 30 May 2011 16:58:54 +0100 4877910 http://www.medworm.com/index.php?rid=4877909&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000776%2Fabstract%3Frss%3Dyes (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4877909 Mon, 30 May 2011 16:58:54 +0100 4877909 http://www.medworm.com/index.php?rid=4877908&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000764%2Fabstract%3Frss%3Dyes (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4877908 Mon, 30 May 2011 16:58:54 +0100 4877908 http://www.medworm.com/index.php?rid=4877932&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000582%2Fabstract%3Frss%3Dyes Food allergy is defined as an adverse health effect arising from a specific immune response that occurs reproducibly on exposure to a given food and is distinct from food intolerance. Clinical manifestations of food allergy are varied and involve many systems including respiratory, cutaneous, and gastrointestinal. The double-blinded placebo-controlled oral food challenge remains the gold standard for the diagnosis of IgE-mediated food allergy. Areas of ongoing research include improved understanding of determinants for the development of tolerance versus sensitization for foods, the role of diagnostic testing for specific epitopes for food allergens, and the use of oral immunotherapy for IgE-mediated food allergy. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4877932 Wed, 04 May 2011 23:00:00 +0100 4877932 http://www.medworm.com/index.php?rid=4877921&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS003066651100048X%2Fabstract%3Frss%3Dyes Ménière's disease (MD), which by definition is idiopathic, has been ascribed to various causes, including both inhalant and food allergies. Patients with MD report higher rates of allergy history and positive skin or in vitro tests compared with a control group of patients with other otologic diseases and to the general public. Recent immunologic studies have shown higher rates of circulating immune complexes, CD4, and other immunologic components in patients with MD compared with healthy controls. Published treatment results have shown benefit from immunotherapy and/or dietary restriction for symptoms of MD in those patients who present with both allergy and MD. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4877921 Wed, 04 May 2011 23:00:00 +0100 4877921 http://www.medworm.com/index.php?rid=4877927&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000557%2Fabstract%3Frss%3Dyes Immunotherapy is an excellent treatment option for a selected subset of patients with inhalant allergies. It consists of intentional serial exposures to allergens, which modulate the immune system and induce immune tolerance through down-regulating the allergic response, resulting in an overall decrease in symptoms. Immunotherapy has been shown to have long-term efficacy in the management of inhalant allergies, as reflected by diminished frequency and duration of symptoms and improved quality of life. The therapy is considered safe, with side effects limited mostly to minor local reactions, and only occasional cases of systemic adverse reactions. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4877927 Tue, 03 May 2011 23:00:00 +0100 4877927 http://www.medworm.com/index.php?rid=4877926&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000545%2Fabstract%3Frss%3Dyes Allergic rhinitis affects millions of Americans and the numbers continue to increase. Fortunately, there exists a wide array of pharmacotherapeutic options with relatively safe side effect profiles for the management of the varying subtypes. Additionally, there are newer agents on the horizon. The efficacies of intranasal corticosteroids, antihistamines, combination topical therapy, leukotriene inhibitors, mast cell stabilizers, anticholinergics, mucolytics, decongestants, and anti-IgE are reviewed. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4877926 Tue, 03 May 2011 23:00:00 +0100 4877926 http://www.medworm.com/index.php?rid=4877925&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000661%2Fabstract%3Frss%3Dyes This article aims to help physicians and allergy care providers understand: the role of environmental control in the treatment of allergic disease; the concept of “the inflammatory load”; current published studies on environmental control; factors that influence levels of indoor and outdoor allergens; different methods to decrease patients' exposure to indoor and outdoor allergens; problems related to nonallergic symptom triggers; special considerations for school and workplace avoidance; role of environmental control in the prevention of allergic disease; various products available on the market to assist in avoidance; and how to plan with the patient to implement environmental control strategies. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4877925 Tue, 03 May 2011 23:00:00 +0100 4877925 http://www.medworm.com/index.php?rid=4877924&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000624%2Fabstract%3Frss%3Dyes Allergic fungal rhinosinusitis is a phenotype of chronic rhinosinusitis with nasal polyposis, characterized by type 1 hypersensitivity to fungi, eosinophilic mucin with fungal hyphae in sinus secretions, and propensity for mucocele formation and bone erosion. Although its differentiation from other forms of chronic polypoid rhinosinusitis with eosinophilic mucin is sometimes problematic, type 1 hypersensitivity is a component of the disease process. Medical and surgical management can be augmented by immunotherapy directed toward the patient's specific allergen sensitivities. The primary rationale for immunotherapy is to control the allergic diathesis that may be contributing to the patient's chronic sinus inflammation. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4877924 Tue, 03 May 2011 23:00:00 +0100 4877924 http://www.medworm.com/index.php?rid=4877920&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000533%2Fabstract%3Frss%3Dyes This article examines the epidemiologic, methodological, and immunologic studies of allergic causes of OME, including (1) evidence for and against OME as an allergic disease, (2) allergy as a cause for eustachian tube obstruction, (3) examination of the most sensitive diagnostic tests for allergy, and (4) the effect of treatment of underlying allergies in improving and resolving middle ear disease. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4877920 Tue, 03 May 2011 23:00:00 +0100 4877920 http://www.medworm.com/index.php?rid=4877919&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000673%2Fabstract%3Frss%3Dyes This article focuses on sleep disruption caused by allergic rhinitis, and the therapeutic and surgical options available to tackle the problem. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4877919 Tue, 03 May 2011 23:00:00 +0100 4877919 http://www.medworm.com/index.php?rid=4877918&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000478%2Fabstract%3Frss%3Dyes In the United States, roughly 20% to 25% of the general adult population is afflicted by some form of chronic allergic respiratory disease, making allergy one of the most commonly diagnosed disorders. Among children, allergic disease is more common, with some sources estimating that it affects up to 40% of children. The focus of this article involves making the diagnosis of the most familiar and best understood of the hypersensitivity reactions, type 1 hypersensitivity, also termed immediate hypersensitivity. Although type 1 hypersensitivity can be caused by ingestion of food antigens or pharmaceuticals, this article focuses on IgE-mediated allergic disease caused primarily by inhalant allergens. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4877918 Tue, 03 May 2011 23:00:00 +0100 4877918 http://www.medworm.com/index.php?rid=4877912&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000521%2Fabstract%3Frss%3Dyes This article summarizes the developments that led to the current approach to immunotherapy. These developments were characterized in the early years by empirically derived successive approximations to arrive at effective injection regimens, in the middle years by a sorting through of the wide variations in practice with placebo-controlled clinical trials, and more recently by a closer association of clinical and laboratory measures to better define evidence-based practices. The pace of investigation along with the scientific quality continues to increase. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4877912 Tue, 03 May 2011 23:00:00 +0100 4877912 http://www.medworm.com/index.php?rid=4877931&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000570%2Fabstract%3Frss%3Dyes Children with chronic or recurrent upper respiratory inflammatory disease (rhinitis) should be considered for inhalant allergies. Risk factors for inhalant allergies in children include a first-degree relative with allergies, food allergy in infancy, and atopic dermatitis. Although inhalant allergies are rare in infancy, inhalant allergies are common in older children and impair quality of life and productivity. Differentiating between viral and allergic rhinitis can be challenging in children, but the child's age, history, and risk factors can provide helpful information. Allergic rhinitis is a risk factor for asthma, and if one is present, medical consideration of the other is warranted. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4877931 Sun, 01 May 2011 23:00:00 +0100 4877931 http://www.medworm.com/index.php?rid=4877923&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000491%2Fabstract%3Frss%3Dyes This article outlines the current understanding of pathogenesis in nasal polyposis and discusses the implications on therapy. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4877923 Sun, 01 May 2011 23:00:00 +0100 4877923 http://www.medworm.com/index.php?rid=4877914&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000636%2Fabstract%3Frss%3Dyes Rhinitis is a familiar disorder affecting up to 20% of the general population. Chronic rhinitis can be broadly classified into allergic, infectious, or nonallergic or noninfectious, which are distinguished mainly by a careful history and allergy testing. The pathophysiology of nonallergic rhinitis likely involves a combination of inflammatory and neurogenic mechanisms that are poorly understood. Treatment involves avoiding the offending agent, when possible, and using appropriate medications to control the patient's predominant symptoms. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4877914 Sun, 01 May 2011 23:00:00 +0100 4877914 http://www.medworm.com/index.php?rid=4877913&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000454%2Fabstract%3Frss%3Dyes Atopic disease represents a spectrum of disorders characterized by abnormal sensitivity mediated by IgE; approximately 20% of Americans suffer from some form of allergic disease. The sequelae of inhalant and food allergies may present in many organ systems. Manifestations of allergic disease in one site are often associated with symptoms from another site. It is important for clinicians to understand the epidemiology of atopic disease and its causes to facilitate implementation of effective treatment and prevention strategies. This review focuses on the epidemiology of inhalant allergies causing allergic rhinitis and asthma and on IgE-mediated food allergies. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4877913 Sun, 01 May 2011 23:00:00 +0100 4877913 http://www.medworm.com/index.php?rid=4694026&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000272%2Fabstract%3Frss%3Dyes (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4694026 Thu, 31 Mar 2011 23:00:00 +0100 4694026 http://www.medworm.com/index.php?rid=4694025&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000193%2Fabstract%3Frss%3Dyes Because patients presenting with dizziness can harbor serious, if not life-threatening, conditions, several experts from this publication have provided sample patient questionnaires to guide the physician to better examine, diagnose, and treat the patient with vertigo. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4694025 Thu, 31 Mar 2011 23:00:00 +0100 4694025 http://www.medworm.com/index.php?rid=4694024&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000168%2Fabstract%3Frss%3Dyes The role of rehabilitation for treatment of older adults with dizziness and balance disorders is reviewed. Theories related to functional recovery from peripheral and central vestibular disorders are presented. Suggestions on which older adults might benefit from vestibular rehabilitation therapy are presented. Promising innovative rehabilitation strategies and technologies that might enhance recovery of the older adult with balance dysfunction are discussed. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4694024 Thu, 31 Mar 2011 23:00:00 +0100 4694024 http://www.medworm.com/index.php?rid=4694023&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000156%2Fabstract%3Frss%3Dyes With increased medication use among the older adult population, adverse drug events and polypharmacy can be significant causes of dizziness in the elderly. The evidence evaluated in this review is helpful in clinical practice but requires an additional detailed investigation into the agents discussed to understand the risk/benefit ratio associated with medications. Examples of medications highly associated with dizziness in older adults and discussed in this review include cardiovascular and central nervous system agents. Several other medication classes associated with dizziness are among the medications most commonly used by older patients. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4694023 Thu, 31 Mar 2011 23:00:00 +0100 4694023 http://www.medworm.com/index.php?rid=4694022&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000144%2Fabstract%3Frss%3Dyes This article provides a review of the underlying causes for the increased prevalence of dizziness with age, and discusses how specific test procedures may need to be modified for older individuals. Issues related to the management of these symptoms in the aging population are also considered. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4694022 Thu, 31 Mar 2011 23:00:00 +0100 4694022 http://www.medworm.com/index.php?rid=4694021&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000132%2Fabstract%3Frss%3Dyes This article discusses the clinical presentation of vertebrobasilar ischemia and infarcts. Pertinent dizziness intake questions are presented, as well as key components of the physical examination. The anatomy of the posterior cerebral circulation is discussed as are syndromes associated with cerebrovascular infarcts in the posterior circulation. A high incidence of recurrence of ischemic attacks or infarcts in vertebrobasilar insufficiency is noted. The authors note that recent developments in imaging and interventions may indicate need for referral or consultation with specialists in some cases. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4694021 Thu, 31 Mar 2011 23:00:00 +0100 4694021 http://www.medworm.com/index.php?rid=4694020&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000120%2Fabstract%3Frss%3Dyes This content focuses on some of the less common causes of dizziness in the adult. The diseases have been divided into the 2 broad categories of those causing chronic symptoms and those causing episodic symptoms. Presented here are the unusual causes of chronic disequilibrium in the adult, including bilateral vestibular loss, progressive supranuclear palsy, spinocerebellar ataxias, and mal de debarquement. Also discussed are the unusual causes of episodic disequilibrium in the adult, including psychogenic disequilibrium, vestibular paroxysmia, episodic ataxia, vestibular seizures, and cervicogenic vertigo. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4694020 Thu, 31 Mar 2011 23:00:00 +0100 4694020 http://www.medworm.com/index.php?rid=4694019&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000119%2Fabstract%3Frss%3Dyes This article discusses a patient with MD, and provides an algorithm for the management of this disease. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4694019 Thu, 31 Mar 2011 23:00:00 +0100 4694019 http://www.medworm.com/index.php?rid=4694018&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000107%2Fabstract%3Frss%3Dyes This article presents a detailed case report of a patient who was diagnosed with superior canal dehiscence at 37 years of age, but who had a suspicious history for that syndrome from at least 10 years of age. The authors hypothesize several reasons for this late diagnosis, with the goal of helping pediatricians, otolaryngologists, and neurologists consider this syndrome in their differential diagnosis of children, adolescents, or adults experiencing dizziness. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4694018 Thu, 31 Mar 2011 23:00:00 +0100 4694018 http://www.medworm.com/index.php?rid=4694017&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000090%2Fabstract%3Frss%3Dyes This article presents a brief overview of migraine-associated vertigo for the practicing otolaryngologist. Discussion includes the definition of migraine-associated vertigo and its pathophysiology, clinical features, demographics, findings on physical examination, use of otologic and vestibular testing, differential diagnosis, treatment, and prognosis. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4694017 Thu, 31 Mar 2011 23:00:00 +0100 4694017 http://www.medworm.com/index.php?rid=4694016&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000089%2Fabstract%3Frss%3Dyes The epidemiology, diagnostic features, differential diagnosis, and treatment of vestibular neuritis are reviewed. The authors present considerations for physical examination, imaging, and management in both the acute and chronic phases of this disease. The authors also present a dizziness questionnaire in the Appendix of this publication. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4694016 Thu, 31 Mar 2011 23:00:00 +0100 4694016 http://www.medworm.com/index.php?rid=4694015&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000077%2Fabstract%3Frss%3Dyes This article reviews the pathophysiology, diagnosis, and treatment of benign paroxysmal positional vertigo of the posterior and lateral semicircular canals and summarizes the evidence-based outcome data. The authors discuss this common cause of vertigo, its cause and prevalence across the life span, and efficacy of treatment through both physical repositioning maneuvers and surgery. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4694015 Thu, 31 Mar 2011 23:00:00 +0100 4694015 http://www.medworm.com/index.php?rid=4694014&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000181%2Fabstract%3Frss%3Dyes This article presents the basic principles of the physician's role in the evaluation of litigating patients. Considerations for physical examination, diagnostic testing, and review of medical records are discussed. Topics of malingering and legal “pearls” are presented in the context of providing an objective and unbiased evaluation of the litigating patient. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4694014 Thu, 31 Mar 2011 23:00:00 +0100 4694014 http://www.medworm.com/index.php?rid=4694013&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000065%2Fabstract%3Frss%3Dyes This article reviews the literature on the vestibular consequences of blast exposure and TBI and concussion. In addition, the vestibular test findings obtained from 31 veterans with a history of blast exposure and/or mild TBI are presented. The authors discuss loss of horizontal semicircular canal function and postural instability related to head injury. Preliminary data suggest the novel theory that otolith organs are uniquely vulnerable to head injury and blast exposure. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4694013 Thu, 31 Mar 2011 23:00:00 +0100 4694013 http://www.medworm.com/index.php?rid=4694012&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000053%2Fabstract%3Frss%3Dyes The exact incidence of dizziness and vertigo during adolescence is not known. For those few adolescents who seek outpatient evaluation for these complaints, the majority are diagnosed with migraine headache. The authors provide a discussion of the differential diagnosis, evaluation, and management of vertigo and dizziness in the adolescence with emphasis on migraine headaches, chronic daily headaches, postural orthostatic tachycardia syndrome, and presentations that may require head imaging. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4694012 Thu, 31 Mar 2011 23:00:00 +0100 4694012 http://www.medworm.com/index.php?rid=4694011&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000041%2Fabstract%3Frss%3Dyes This article reports vestibular laboratory findings from the most common disorders known to cause dizziness and vertigo in children. Specific information regarding migraine, trauma, benign paroxysmal vertigo of childhood, vestibular neuritis, and otitis media is reviewed, along with indications for balance function testing in children. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4694011 Thu, 31 Mar 2011 23:00:00 +0100 4694011 http://www.medworm.com/index.php?rid=4694010&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS003066651100003X%2Fabstract%3Frss%3Dyes In this article the author describes in detail the adaptation of adult vestibular testing techniques to the pediatric population. Assessment tools discussed include video-oculography (VOG), computerized rotary chair (CRC), computerized dynamic posturography (CDP), and vestibular evoked myogenic potentials (VEMPs). As with hearing impairment, the earlier a vestibular disorder is identified, the earlier remediation strategies may begin. Among the most crucial aspects of vestibular testing in pediatric patients are obtaining of pediatric normative data and adapting adult techniques so that younger children may be evaluated. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4694010 Thu, 31 Mar 2011 23:00:00 +0100 4694010 http://www.medworm.com/index.php?rid=4694009&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000028%2Fabstract%3Frss%3Dyes Dizziness is a rare complaint among children. In this article, the authors present the embryology and development of the vestibular system, and offer a rational approach to taking a careful history and ordering and interpreting appropriate vestibular and balance testing in children. A differential diagnosis is presented, so that the likely cause of the balance disorder can be elucidated even in the most complex pediatric patients. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4694009 Thu, 31 Mar 2011 23:00:00 +0100 4694009 http://www.medworm.com/index.php?rid=4694008&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS003066651100017X%2Fabstract%3Frss%3Dyes When we otolaryngologists, audiologists, physical therapists, and other allied health professionals evaluate the patient with dizziness, we quickly note the patient’s age, but do we consciously use age in building the framework for our differential diagnosis and management? (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4694008 Thu, 31 Mar 2011 23:00:00 +0100 4694008 http://www.medworm.com/index.php?rid=4694007&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000260%2Fabstract%3Frss%3Dyes (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4694007 Thu, 31 Mar 2011 23:00:00 +0100 4694007 http://www.medworm.com/index.php?rid=4694006&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000259%2Fabstract%3Frss%3Dyes (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4694006 Thu, 31 Mar 2011 23:00:00 +0100 4694006 http://www.medworm.com/index.php?rid=4694005&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666511000247%2Fabstract%3Frss%3Dyes (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4694005 Thu, 31 Mar 2011 23:00:00 +0100 4694005 http://www.medworm.com/index.php?rid=4192573&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS003066651000229X%2Fabstract%3Frss%3Dyes (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4192573 Wed, 24 Nov 2010 04:48:38 +0100 4192573 http://www.medworm.com/index.php?rid=4192572&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666510001994%2Fabstract%3Frss%3Dyes This article reviews the clinical presentations of the different forms of oral candidiasis, as well as the diagnosis and management. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4192572 Wed, 24 Nov 2010 04:48:38 +0100 4192572 http://www.medworm.com/index.php?rid=4192571&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS003066651000201X%2Fabstract%3Frss%3Dyes Cancers of the oral cavity account for approximately 3% of malignancies diagnosed annually in the United States. As with other upper aerodigestive tract cancers, 5-year survival rates for oral cavity cancers decrease with delayed diagnosis. Cancers of the oral cavity are thought to progress from premalignant/precancerous lesions, beginning as hyperplastic tissue and developing into invasive squamous cell carcinoma. Despite the general accessibility of the oral cavity during physical examination, many malignancies are not diagnosed until late stages of disease. To prevent malignant transformation of these oral precursor lesions, multiple screening and detection techniques have been developed to address this problem. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4192571 Wed, 24 Nov 2010 04:48:38 +0100 4192571 http://www.medworm.com/index.php?rid=4192570&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666510001970%2Fabstract%3Frss%3Dyes Burning mouth syndrome is a complex disorder of unclear etiology that is most prevalent in perimenopausal women. It is often accompanied by dysguesia and subjective xerostomia. Recent evidence implicates both central and peripheral neuropathies, possibly representing a phantom pain syndrome in some patients. Ensuring that the patient's oral burning is not secondary to some other local or systemic factor is central to appropriate management. Current standard therapies include clonazepam, paroxetine, and cognitive behavioral therapy, and several promising new alternatives are described. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4192570 Wed, 24 Nov 2010 04:48:38 +0100 4192570 http://www.medworm.com/index.php?rid=4192569&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666510001969%2Fabstract%3Frss%3Dyes This article reviews common oral manifestations of hematologic conditions starting with disorders of the white blood cells including cyclic hematopoiesis (cyclic neutropenia), leukemias, lymphomas, plasma cell dyscrasias, and mast cell disorders; this is followed by a discussion of the impact of red blood cell disorders including anemias and less common red blood cell dyscrasias (sickle cell disease, hemochromatosis, and congenital erythropoietic porphyria) as well as thrombocytopenia. Several nutritional deficiencies exhibit oral manifestations. The authors specifically discuss the impact of water-soluble vitamins (B2, B3, B6, B9, B12, and C), fat-soluble vitamins (A, D, and K) and the eating disorders anorexia nervosa and bulimia nervosa on the oral mucosa. (Source: Otolaryngologic cli... Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4192569 Wed, 24 Nov 2010 04:48:38 +0100 4192569 http://www.medworm.com/index.php?rid=4192568&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666510001957%2Fabstract%3Frss%3Dyes Oral manifestations of systemic diseases are potential indicators of an array of conditions. Truly the oral cavity is a mirror that reflects and unravels many of the human body's internal secrets. Some of these manifestations are disease specific and help raise a high degree of suspicion for the alert clinician. Because oral manifestations may accompany many systemic diseases, it is essential that these are appropriately recognized to provide correct diagnosis and referral for treatment and patient care. Multiple entities involving the various areas of the oral cavity like the soft palate, hard palate, tongue, gingiva, oral mucosa, the dentition, periodontium, and the salivary gland tissue have been enlisted. Although this article is not all-inclusive, the authors highlight lesions or c... Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4192568 Wed, 24 Nov 2010 04:48:38 +0100 4192568 http://www.medworm.com/index.php?rid=4192567&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666510001945%2Fabstract%3Frss%3Dyes The spectrum of vesiculobullous eruptions of the oral cavity is wide and rich, with different disease entities that encompass different etiologies, pathogenesis, clinical manifestations, treatment plans, and prognostic ends. Trying to present all these entities in a comprehensive fashion is challenging, but in this article, most of the important entities pertaining to this topic have been encompassed in a concise manner. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4192567 Wed, 24 Nov 2010 04:48:38 +0100 4192567 http://www.medworm.com/index.php?rid=4192566&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666510001982%2Fabstract%3Frss%3Dyes Increased thickness of the epithelium imparts a white appearance to the oral mucosa by increasing the distance to the underlying blood vessels. Usually this thickening is a result of the increased formation of keratin. Some other less common causes of white lesions are acanthosis or a thickening of the spinous cell layer, edema of the epithelium, or increased fibrosis of the connective tissue thereby reducing blood vessels. Occasionally the surface of an ulcer may appear white, due to collection of fibrin on the surface. In this article the authors discuss white lesions based on putative etiology, that is, hereditary, reactive, inflammation related, immunologic, traumatic, infection related, and idiopathic. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4192566 Wed, 24 Nov 2010 04:48:37 +0100 4192566 http://www.medworm.com/index.php?rid=4192565&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666510001933%2Fabstract%3Frss%3Dyes Oral lichen planus (OLP) is a chronic, immune-mediated condition commonly affecting middle-aged women. The cause of OLP remains obscure. Strict clinical and histologic criteria need to be met to arrive at a definite diagnosis, thereby ruling out other conditions that may mimic OLP clinically and/or histologically. Although OLP is considered a premalignant condition, the risk for neoplastic change seems low. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4192565 Wed, 24 Nov 2010 04:48:37 +0100 4192565 http://www.medworm.com/index.php?rid=4192564&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666510001921%2Fabstract%3Frss%3Dyes This article reviews the epidemiology and clinical presentations of recurrent aphthous stomatitis, including diagnosis and management. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4192564 Wed, 24 Nov 2010 04:48:37 +0100 4192564 http://www.medworm.com/index.php?rid=4192563&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS003066651000215X%2Fabstract%3Frss%3Dyes This article reviews the serious nature and potential danger that exists from oral infection and the antibiotics available to treat them are reviewed. Successful treatment requires an understanding of the microflora, the regional anatomy, the disease process, the treatment methods available, and interdisciplinary team collaboration. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4192563 Wed, 24 Nov 2010 04:48:37 +0100 4192563 http://www.medworm.com/index.php?rid=4192562&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS003066651000191X%2Fabstract%3Frss%3Dyes Smokeless tobacco (SLT) has been smoked, chewed, and inhaled in various forms for hundreds of years. The primary oral, mucosal, and hard tissue changes associated with SLT use include SLT keratosis (STK); gingival inflammation, periodontal inflammation, and alveolar bone damage; and dental caries, tooth abrasion, and dysplasia and oral squamous cell carcinoma (SCC). Some high-risk STKs are human papillomavirus associated, and the highest level of transition of STK to dysplasia or oral SCC appears to be in those lesions that have a diffuse velvety or papillary texture clinically. There is minimal risk for oral cancer associated with SLT use. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4192562 Wed, 24 Nov 2010 04:48:37 +0100 4192562 http://www.medworm.com/index.php?rid=4192561&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666510002008%2Fabstract%3Frss%3Dyes This article reviews the process of history taking, the physical examination, head and neck examination, oral soft tissue anatomy, the oral examination, and screening and diagnostic testing. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4192561 Wed, 24 Nov 2010 04:48:37 +0100 4192561 http://www.medworm.com/index.php?rid=4192560&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666510002161%2Fabstract%3Frss%3Dyes We are privileged to serve as guest co-editors for this issue of the Otolaryngologic Clinics, which is devoted to diseases of the oral cavity. It is intended to update the otolaryngologist--head and neck surgeon on important topics in the diagnosis and treatment of oral disease. Many nonmalignant diseases of the oral cavity including inflammatory, infectious, immunologic, congenital, and neoplastic diseases are often treated by our dental colleagues. Dentists, oral pathologists, oral medicine specialists, and oral and maxillofacial surgeons spend a good deal of their lives in the diagnosis and treatment of oral disease. The oral cavity is an often misunderstood and frequently overlooked by the medical profession. Otolaryngologist--head and neck surgeons, head and neck pathologists, and in ... Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4192560 Wed, 24 Nov 2010 04:48:36 +0100 4192560 http://www.medworm.com/index.php?rid=4192559&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666510002288%2Fabstract%3Frss%3Dyes (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4192559 Wed, 24 Nov 2010 04:48:36 +0100 4192559 http://www.medworm.com/index.php?rid=4192558&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666510002276%2Fabstract%3Frss%3Dyes (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4192558 Wed, 24 Nov 2010 04:48:36 +0100 4192558 http://www.medworm.com/index.php?rid=4192557&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666510002264%2Fabstract%3Frss%3Dyes (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4192557 Wed, 24 Nov 2010 04:48:36 +0100 4192557 http://www.medworm.com/index.php?rid=4127678&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666510002094%2Fabstract%3Frss%3Dyes (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4127678 Wed, 03 Nov 2010 20:32:31 +0100 4127678 http://www.medworm.com/index.php?rid=4127677&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666510001805%2Fabstract%3Frss%3Dyes Increased use of ultrasonography of the head and neck by clinicians has resulted from more compact, higher resolution ultrasound machines that can be more readily used in the office setting. Palm-sized machines are already used for vascular access and bladder assessment. As the resolution of these machines becomes adequate for head and neck assessment, ultrasonography is likely to become a routine adjunct to the office physical examination. Further techniques to reduce artifact beyond spatial compounding, second harmonics, and broadband inversion techniques are likely to be developed to improve ultrasound images. Manual palpation using the ultrasound transducer or “sound palpation,” using sound to recreate vibration provides information on tissue “stiffness,” which has been success... Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4127677 Wed, 03 Nov 2010 20:32:31 +0100 4127677 http://www.medworm.com/index.php?rid=4127676&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS003066651000188X%2Fabstract%3Frss%3Dyes Ultrasound, as a diagnostic modality, has been developing rapidly. High-resolution ultrasound machines have been reduced to the size of a laptop computer. Ultrasound can be adopted by otolaryngologists for use within the clinic and the operating room. Ultrasound offers several advantages to the pediatric patient population. It is well tolerated and adds a degree of precision to the physical examination. It can be done repeatedly as lesions evolve and treatment is performed. It is valuable for guidance and therapeutic treatment of lesions in the operating room. It is likely that ultrasound use will continue to rapidly grow and evolve as a tool within the field of otolaryngology. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4127676 Wed, 03 Nov 2010 20:32:31 +0100 4127676 http://www.medworm.com/index.php?rid=4127675&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666510001842%2Fabstract%3Frss%3Dyes This article reviews the office-based ultrasound-guided procedures in the head and neck and discusses technical considerations for performing these interventions. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4127675 Wed, 03 Nov 2010 20:32:31 +0100 4127675 http://www.medworm.com/index.php?rid=4127674&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666510001799%2Fabstract%3Frss%3Dyes Four-gland parathyroid exploration has been the gold standard for parathyroid surgery until recently. Emphasis is now placed on minimally invasive and focused parathyroidectomy. In conjunction with functional sestamibi scanning, ultrasonography permits accurate localization of enlarged parathyroid glands in the vast majority of patients with hyperparathyroidism. Consequently, ultrasound technology applied to parathyroid pathology facilitates directed surgical therapy and minimally invasive applications. As such, ultrasonography holds great promise as a tool that enables cost-effective and advanced patient care. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4127674 Wed, 03 Nov 2010 20:32:31 +0100 4127674 http://www.medworm.com/index.php?rid=4127673&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666510001830%2Fabstract%3Frss%3Dyes This article provides an overview of the relevant uses and indications for ultrasound in various thyroid diseases, describes characteristic ultrasound findings in these diseases, and reviews the relevant literature and guidelines concerning its uses. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4127673 Wed, 03 Nov 2010 20:32:31 +0100 4127673 http://www.medworm.com/index.php?rid=4127672&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666510001878%2Fabstract%3Frss%3Dyes This article presents basics of ultrasound technology for the office, evaluation technique, thyroid and parathyroid imaging, ultrasound for neck lymphatics, office-based head and neck ultrasound biopsy, and therapeutic applications of head and neck ultrasound. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4127672 Wed, 03 Nov 2010 20:32:31 +0100 4127672 http://www.medworm.com/index.php?rid=4127671&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666510001866%2Fabstract%3Frss%3Dyes This content is designed to acquaint the clinician with some of the more common ultrasonographic manifestations of clinical conditions that the otolaryngologist is likely to encounter in a general practice. The clinician requires a thorough knowledge of head and neck anatomy to best interpret the variations from normal structures demonstrated on ultrasound. A knowledge of sonographic artifacts may assist the examiner in properly identifying the process under review. Ultrasonography may be the best imaging study for certain organs. In many instances it is the first clinical study that directs further imaging. By providing the clinician with clues as to the underlying pathology, it allows a more efficient direction in determining which aspiration techniques to use. (Source: Otolaryngologic ... Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4127671 Wed, 03 Nov 2010 20:32:31 +0100 4127671 http://www.medworm.com/index.php?rid=4127670&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666510001829%2Fabstract%3Frss%3Dyes Thorough knowledge of the complex anatomy of the head and neck is essential to understanding the ultrasonographic appearance of this region. The intimate familiarity with anatomic structures obtained by performing surgical procedures makes active radiographic imaging modalities like ultrasound especially suited for use by surgeons. An understanding of the normal sonographic appearance of head and neck structures is critical to recognizing abnormal pathology. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4127670 Wed, 03 Nov 2010 20:32:31 +0100 4127670 http://www.medworm.com/index.php?rid=4127669&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666510001817%2Fabstract%3Frss%3Dyes This content presents to the neophyte ultrasonographer the essential nutshell of information needed to properly interpret ultrasound images. Basic concepts of physics related to ultrasound are supported with formulas and related to clinical use. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4127669 Wed, 03 Nov 2010 20:32:31 +0100 4127669 http://www.medworm.com/index.php?rid=4127668&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666510001787%2Fabstract%3Frss%3Dyes This article provides an overview of ultrasound and the techniques for its use by otolaryngologists in diagnosing and treating neck masses and lesions. Head and neck ultrasound is extremely useful in diagnosing neck masses and lesions and in facilitating many procedures that are commonly performed on the head and neck. Although in the past these studies were generally performed by radiologists, clinicians are now able to perform high-quality ultrasound studies and ultrasound-guided procedures in the head and neck. Given the advanced knowledge of head and neck anatomy and disease processes that otolaryngologists possess, head and neck ultrasound offers a logical and valuable extension of the physical examination. Recent improvements in ultrasound resolution, portability, and affordability h... Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4127668 Wed, 03 Nov 2010 20:32:31 +0100 4127668 http://www.medworm.com/index.php?rid=4127667&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666510001908%2Fabstract%3Frss%3Dyes While ultrasound technology continues to emerge as a potent radiologic modality in various aspects of medicine, recent improvements in the clarity (resolution), portability, and cost of ultrasound machines have truly been a game-changer for clinicians who treat maladies of the head and neck. High-quality ultrasound machines are now roughly the size of laptop computers with resolution that approaches the quality of CT scans. Further, the cost of these machines has been reduced to the extent that they are now affordable for most office-based practices. The culmination of these factors has resulted in a condition where ultrasound examinations can and should be performed by clinicians in the setting of both the office and the operating room. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4127667 Wed, 03 Nov 2010 20:32:31 +0100 4127667 http://www.medworm.com/index.php?rid=4127666&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666510002082%2Fabstract%3Frss%3Dyes (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4127666 Wed, 03 Nov 2010 20:32:31 +0100 4127666 http://www.medworm.com/index.php?rid=4127665&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666510002070%2Fabstract%3Frss%3Dyes (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4127665 Wed, 03 Nov 2010 20:32:31 +0100 4127665 http://www.medworm.com/index.php?rid=4127664&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666510002069%2Fabstract%3Frss%3Dyes (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=4127664 Wed, 03 Nov 2010 20:32:31 +0100 4127664 http://www.medworm.com/index.php?rid=3870137&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS0030666510001684%2Fabstract%3Frss%3Dyes (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=3870137 Tue, 17 Aug 2010 06:00:16 +0100 3870137 http://www.medworm.com/index.php?rid=3870136&cid=s_33243_16_f&fid=33243&url=http%3A%2F%2Fwww.oto.theclinics.com%2Farticle%2FPIIS003066651000160X%2Fabstract%3Frss%3Dyes In the June 2010 issue of Otolaryngologic Clinics, Rhinology: Evolution of Science and Surgery, please note misappropriation of authors in the article, “Evolution of Endoscopic Skull Base Surgery, Current Concepts, and Future Perspectives.” The senior lead and corresponding author is Dr. Aldo Stamm. Director of the São Paulo ENT Center and Hospital Prof. Edmundo Vasconcelos, São Paulo, Brazil. astamm@terra.com.br. (Source: Otolaryngologic clinics of North America) Otolaryngologic clinics of North America journals http://www.medworm.com/rss/comments.php?id=3870136 Tue, 17 Aug 2010 06:00:16 +0100 3870136