摘要:

AbstractThe fundamental cause of the ophthalmopathy of Graves disease is not known. This has precluded a specific means of prevention. Surgical, medical and radiation means of palliation are presented. Our data indicates that total ablation of all active thyroid tissue prevents initiation of ophthalmopathy as well as accomplishing permanent control of progression of already present ophthalmopathy in Graves disease.Improved surgical techniques of orbital decompression are described and recognized as giving excellent palliation of the ophthalmopathy. These extensive procedures do not take into consideration, have no influence on the underlying cause of, nor do they have any effect upon the progression of the ophthalmopathy.Presented are patients with Graves disease ophthalmopathy subjected to orbital decompression who experienced only temporary relief of their ophthalmopathy. Subsequent to the decompression there was progression of the ophthalmopathy with increasing chemosis, diplopia, and exophthalmos. Thyroid scans demonstrated residual active disease in all instances.The temporary benefits of orbital decompression in Graves disease ophthalmopathy are indisputable. It may be vision saving, but also must be considered palliative. A plea is made that all active thyroid tissue be totally ablated before consideration is given to orbital decompression as a therapeutic or palliative procedure, except as an emergency vision saving procedure as in “impending blindness” in Graves disease ophthalmopa

ISSN:0023-852X    

DOI:10.1002/lary.5540841101

出版商:John Wiley&Sons, Inc.    

年代:1974

数据来源: WILEY

摘要:

AbstractFlexible fiberoptic endoscopy of the respiratory tract is a relatively new technique. It is essential that endoscopists and head and neck surgeons develop facility with this instrument. The technique of transnasal flexible laryngobronchoscopy is described. Unique applications are illustrated. Diagnostic and therapeutic uses include differentiation of benign from malignant neoplasms, diagnosis of respiratory inflammatory disease and facilitation in endotracheal intubation.

ISSN:0023-852X    

DOI:10.1002/lary.5540841102

出版商:John Wiley&Sons, Inc.    

年代:1974

数据来源: WILEY

摘要:

AbstractThe cochlear implant partially restores hearing to the totally deaf. It has helped greatly in the primitive and warning levels of hearing and is of benefit in lip reading and the symbolic levels of hearing.

ISSN:0023-852X    

DOI:10.1002/lary.5540841104

出版商:John Wiley&Sons, Inc.    

年代:1974

数据来源: WILEY

ISSN:0023-852X    

DOI:10.1002/lary.5540841105

出版商:John Wiley&Sons, Inc.    

年代:1974

数据来源: WILEY

ISSN:0023-852X    

DOI:10.1002/lary.5540841106

出版商:John Wiley&Sons, Inc.    

年代:1974

数据来源: WILEY

摘要:

AbstractRadiophotoscanners are relatively new diagnostic tools. They provide visual images as well as quantitative information about the behavior in the human body of special substances called radionuclides. This paper is a preliminary report about the use of a radioactive gas, 133 Xenon, to study the ventilation of the middle ear and sinuses. This technique has so far rendered intriguing, and at the same time, fascinating results. At this point in time these results cannot be considered definitive or conclusive. It is conceivable, however, that if standardization and control of variables is achieved, this technique may play an important role in the physiological and pathological assessment of these cavities.

ISSN:0023-852X    

DOI:10.1002/lary.5540841107

出版商:John Wiley&Sons, Inc.    

年代:1974

数据来源: WILEY

摘要:

AbstractFour patients presented with suspected hearing loss and growth and motor retardation. Hearing loss was confirmed, and in three patients was conductive in nature, associated with bilateral atresia or hypoplasia of the bony external auditory canal and essentially normal pinnae. One patient had normal ear canals and mixed hearing loss. The patients had a variety of somewhat subtle associated defects. These included epicanthic folds, strabismus, microcephaly, hypertelorism, hypoplasia of the mid‐face, carpshaped mouth, short stature, foot anomalies, congenital heart disease and absent IgA. Chromosome analysis showed deletion of the long arm or a ring formation of chromosome 18, which defects are potentially transmissible to the next generation. Petrous pyramid polytomography showed atresia plates in the region of the tympanic membrane in the three patients with abnormal external auditory canals. The middle ears appeared normal. Polytomography was entirely normal in the fourth patient with patent canals and a mixed hearing loss.The patient with “isolated” auditory atresia, retardation, relatively minor facial abnormalities and either previously surgically corrected or previously undetected other abnormalities (e.g., congenital heart disease, club foot), should be suspect for this disorder. The diagnosis is confirmed by karyotype. Complete workup also includes audiometry and petrous pyramid polytomography. Karyotypes should be performed on the parents to rule out a balanced translocation. Otologic management is basically the same as that in other children with external auditory atresia, but may be contingent on the control of other health pro

ISSN:0023-852X    

DOI:10.1002/lary.5540841108

出版商:John Wiley&Sons, Inc.    

年代:1974

数据来源: WILEY

摘要:

AbstractA combined postero‐anterior and antero‐posterior approach to the Bell's palsy patient, with removal of the incus, produces visualization of the Fallopian canal anteriorly from the geniculate ganglion to as far posteriorly as the stylomastoid foramen. This is not feasible by the posteroanterior approach alone.With a dehiscence of the horizontal portion of the Fallopian canal, it is not always necessary to decompress the vertical portion of the facial nerve.Surgical intervention is still indicated in non‐resolving Bell's

ISSN:0023-852X    

DOI:10.1002/lary.5540841109

出版商:John Wiley&Sons, Inc.    

年代:1974

数据来源: WILEY

摘要:

AbstractThe history of mandibular restoration is reviewed, and the theories of bone regeneration are presented. The indications, techniques, and complications of deFries' method are discussed. deFries' technique involves packing a freeze‐dried mandibular shell with autogenous cancellous bone and marrow taken from the patient's iliac crest or rib. The method is especially helpful in restoring large mandibular defects in which the normal contours are difficult to restore with other grafting techniques.It is probably no better for small segmental defects than autogenous iliac crest, rib, or chrome‐cobalt cage packed with marrow. It should be avoided in:1.patients who have received irradiation to the jaw or neck;2.where there is a poor blood supply to these areas; and3.in patients with anemia or poor nutritional sta

ISSN:0023-852X    

DOI:10.1002/lary.5540841110

出版商:John Wiley&Sons, Inc.    

年代:1974

数据来源: WILEY

摘要:

AbstractImpedance audiometry plays an important part in the otologic evaluation. To appreciate fully when it can be of help, the otologist must have a basic understanding of the impedance bridge and acoustic equivalent volume.The test battery consists of a tympanogram, the determination of acoustic impedance and eliciting the acoustic reflex.Impedance audiometry is of greatest value in young children because a voluntary response is not required. The otologist may differentiate conductive from sensori‐neural impairments. In the adult it has been of most use as part of the neuro‐otologic evaluation, to help differentiate a cochlear from a retrocochlear impairm

ISSN:0023-852X    

DOI:10.1002/lary.5540841111

出版商:John Wiley&Sons, Inc.    

年代:1974

数据来源: WILEY