ISSN:0148-6403    

DOI:10.1002/hed.2890030302

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1981

数据来源: WILEY

摘要:

AbstractThis study is concerned with the incidence and type of temporal bone anomalies that might be present in persons who, apart from their deafness, are normal. It also attempts to correlate demonstrated abnormalities with the etiology of deafness. Review of the results will permit a reassessment of the value of roentgenographic studies in the routine evaluation of deaf children. One hundred and four deaf students, 3 to 21 years of age, were studied by physical examination, audiometry, and temporal bone tomography. A pertinent history was requested, and appropriate medical records were obtained. Roentgenographically demonstrable abnormalities of the temporal bones were present in 19 students (18%) or 28 temporal bones (13%). Meningitis was the only entity to which a specific pathologic change could be ascribed. The number of abnormalities found in this population was significant and should re‐emphasize the importance of temporal bone tomography in the total evaluation of deaf childre

ISSN:0148-6403    

DOI:10.1002/hed.2890030303

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1981

数据来源: WILEY

摘要:

AbstractRadiologic evaluation of patients with unilateral sensorineural hearing loss depends on the quality of the computed tomographic (CT) scanner. Two scanners were evaluated in the present study: one utilizing thick collimation (10‐ and 13‐mm sections) and the second utilizing thin collimation (1.5‐mm sections). In both evaluations, intravenous contrast medium was used to exclude a cerebellopontine angle mass. If the cerebellopontine cistern is normal and there is clinical evidence of an intracanalicular lesion, air or metrizamide CT is used. When 10‐ and 13‐mm sections are used, air provides the best contrast with overlapping sections. When 1.5‐mm sections are used, coronal CT shows metrizamide in the internal aud

ISSN:0148-6403    

DOI:10.1002/hed.2890030304

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1981

数据来源: WILEY

摘要:

AbstractAdenoid hypertrophy complicates the radiographic evaluation of the adult nasopharynx. To define the limits of normal soft‐tissue thickness of the nasopharynx on the lateral film, I measured the profiles of 2 different groups of adult patients: 60 patients examined by x‐ray for trauma who had no sinus disease or nasopharyngeal complaints and 30 patients examined by x‐ray who had nasopharyngeal complaints necessitating biopsies. Histologic examinations of the biopsy specimens indicated benign disease, usually caused by an inflammatory process. The asymptomatic group showed a more uniform appearance of the nasopharynx than the symptomatic patients, who had a wide variation in the thickness of the nasopharynx. The symptomatic group manifested nasal and eustachian tube obstruction, frequently associated with serious otitis media. When the soft‐tissue thickness of the nasopharynx was correlated with age, nasopharyngeal thickening was unusual in asymptomatic persons older than 30 years. Conversely, persons over 30 with nasopharyngeal thickening were often symptomatic and had biopsies indicating some inflammatory change in the naso

ISSN:0148-6403    

DOI:10.1002/hed.2890030305

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1981

数据来源: WILEY

摘要:

AbstractA patient with severe bleeding due to carcinoma of the pharynx, uncontrollable by surgical intervention, was successfully treated by bilateral transcatheter embolization of the external carotid arteries using gel‐foam. Although these lesions may appear hypovascular angiographically, this does not preclude embolization as a valuable therapeutic technique. Our experience with this patient indicates that transcatheter embolization is an especially appropriate approach to controlling bleeding in patients with extensive malignant disease when no other therapy is availabl

ISSN:0148-6403    

DOI:10.1002/hed.2890030306

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1981

数据来源: WILEY

摘要:

AbstractPositive‐contrast myelography of the structures of the posterior fossa is an established and useful technique of examination. The problems peculiar to this method of examination include premyelographic evaluation, identifying pre‐existing posttraumatic change and extreme anatomic variations, handling the anxieties of the patient, transporting the opaque bolus from the site of introduction to the area of interest, adequate film documentation of the normal or pathologic state, and postmyelogram headache. A discussion of ways to anticipate and eliminate or minimize the problems is presen

ISSN:0148-6403    

DOI:10.1002/hed.2890030307

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1981

数据来源: WILEY

摘要:

AbstractTreatment of maxillonasal dysostosis (Binder syndrome) varies according to the age of the patient. In the newborn, respiratory and alimentary problems resulting from the anomaly may necessitate the insertion of endonasal and gastric tubes. In children, occlusal problems and orofacial dysfunctions caused by maxillonasal dysostosis should be treated as soon as possible with an orthodontic mask. Once a patient reaches adulthood, surgery may be performed. If orthodontic treatment has been successful and there is normal occlusion, the surgery may consist simply of placing the muscles of the nose and upper lip in normal anatomic position. If occlusion is abnormal, osteotomy may be performed.

ISSN:0148-6403    

DOI:10.1002/hed.2890030308

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1981

数据来源: WILEY

摘要:

AbstractThe approach to the management of the thyroid nodule remains controversial. Confusion exists because virtually any thyroidal disease can present as a clinically solitary nodule which means there is no uniformity regarding natural history, incidence, prevalence, epidemiology, and patho‐physiology. The variety of definitions of thyroid nodules and thyroid carcinoma and the different modes of study selection and individual bias add to the confusion. Diagnostic approaches have not yielded a completely reliable technique to differentiate benign from malignant thyroidal disease. A history of neck irradiation or cervical lymphadenopathy significantly increases the chance of thyroid malignancy, but other parameters of the history or physical examination as well as blood tests are unreliable. Ultrasound displays anatomic but not histologic features. X‐ray techniques (plain films, computed tomographic scans, xeroradiography, chest x‐ray, barium swallow, lymphography, and angiography) have been used to visualize thyroid nodules, with some techniques proving more useful than o

ISSN:0148-6403    

DOI:10.1002/hed.2890030309

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1981

数据来源: WILEY

ISSN:0148-6403    

DOI:10.1002/hed.2890030310

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1981

数据来源: WILEY

摘要:

AbstractTumors originating from components of the vascular system vary widely in the degree of morbidity and mortality that they incur. They all have endothelial cells as integral components of their histologic appearance. Vasoformative tumors include hemangiomas, lymphangiomas, and pyogenic granulomas, which are relatively common, and hemangiopericytomas, glomus tumors, and angiosarcomas, which are relatively uncommon. For many vasoformative tumors, including lymphogenous lesions, the head and neck is an area of predilection, and, in some instances, location in the head and neck appears to modify biologic activity.

ISSN:0148-6403    

DOI:10.1002/hed.2890030311

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1981

数据来源: WILEY