Otolaryngologic clinics of North America
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Otolaryngol. Clin. North Am. · Aug 2007
Case ReportsHome sleep testing in the diagnosis and treatment of sleep disordered breathing.
Sleep-disordered breathing is a growing public health concern and an integral part of head and neck surgery. Multichannel home sleep testing is a cost-effective, patient-friendly, scientifically valid technique of evaluating patients who present with symptoms of sleep-disordered breathing, typically snoring or daytime sleepiness. ⋯ Scoring can be autoscore or manual score. There are several protocols that can be followed based on diagnostic outcomes.
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Congenital laryngeal anomalies are relatively rare. However, they may present with life-threatening respiratory problems in the newborn period. Associated problems with phonation and swallowing may prevent a baby from thriving. ⋯ Endoscopy is essential for evaluation and diagnosis in most cases. The differential diagnosis includes laryngeal cysts, atresia and stenosis, vocal fold immobility, and subglottic hemangiomas. In this article, the authors discuss in detail the evaluation and treatment for each condition.
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This article discusses the benefits and drawbacks of MR imaging and computed tomography as they relate to sinus disease.
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Otolaryngol. Clin. North Am. · Feb 2005
ReviewEvaluation and management of malignant cervical lymphadenopathy with an unknown primary tumor.
Patients with malignant cervical lymphadenopathy without an evident primary site are considered to have an unknown primary tumor. Several management concerns arise in this situation including how best to seek a primary site and, if none is identified, how to treat these patients. This article discusses theories as to the etiology of the unknown primary tumor, diagnostic modalities highlighting the role of emerging technologies, and treatment strategies.
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Otolaryngol. Clin. North Am. · Feb 2005
ReviewDiagnosis and management of suspicious lesions of the oral cavity.
Oral lesions associated with premalignant changes and malignancy present in diverse ways. This article discusses the clinical characteristics of such lesions enabling clinicians to identify classical features. Additionally, an effort is made to familiarize clinicians with the significance of red and white lesions, especially those having a high index of suspicion for oral cancer, and to alert clinicians when a biopsy is mandatory.