Otolaryngologic clinics of North America
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Otolaryngol. Clin. North Am. · Dec 2010
ReviewThe expanding utility of office-based ultrasound for the head and neck surgeon.
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.
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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.
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Otolaryngol. Clin. North Am. · Dec 2010
ReviewEmerging technology in head and neck ultrasonography.
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. ⋯ High-intensity focused ultrasound can be used to create coagulation necrosis without significant damage to adjacent tissue. It has been effectively used in neurosurgery and urology, but its effectiveness in the head and neck is still being determined. A prototype for surgical navigation with ultrasound has been developed for the head and neck, which allows real-time imaging of anatomic surgical changes.
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Otolaryngol. Clin. North Am. · Oct 2010
ReviewMedical and noninvasive therapy for Meniere's disease.
Nonoperative therapy continues to be the mainstay of treatment of patients suffering from Meniere disease. Despite extensive research, the exact pathogenesis of Meniere disease remains elusive. ⋯ Most modern treatments are aimed at controlling symptoms. This article reviews the various nonoperative treatments that have been used to treat Meniere disease historically as well as outlining the authors' clinical treatment paradigm.