Otolaryngologic clinics of North America
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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. ⋯ 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.
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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. ⋯ 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.
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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. ⋯ 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.
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Otolaryngol. Clin. North Am. · Apr 2011
The predominant forms of vertigo in children and their associated findings on balance function testing.
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.
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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. ⋯ 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 have provided an excellent impetus for otolaryngologists to incorporate ultrasound into their office and operative practices.