Otolaryngologic clinics of North America
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Otolaryngol. Clin. North Am. · Dec 1998
Preoperative, intraoperative, and postoperative management of patients with obstructive sleep apnea syndrome.
The patient with untreated, obstructive sleep apnea may present difficult or potentially life-threatening challenges to the surgical team. This is true even if the anticipated surgery is remote to the upper airway. Preoperative recognition of the obstructive apnea is essential as the first step in preventing potential complications. When recognized, intraoperative and postoperative initiative can result in a satisfactory outcome.
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The diagnosis of "classic" Meniere's disease is easy to make. Unfortunately, Meniere's disease is a diagnosis of exclusion and many disease entities can mimic Meniere's disease. Thus, it is essential to eliminate other possible etiologic agents for complaints that could be related to Meniere's disease before making this diagnosis. This article evaluates the differential diagnosis in Meniere's disease.
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Otolaryngol. Clin. North Am. · Jun 1997
ReviewCurrent status and new developments in techniques for imaging the nose and sinuses.
CT scans and MR images have matured as the mainstays of imaging of the nasal cavity and paranasal sinuses. This review covers the current status of imaging in regards to benign and malignant sinus disease. A review of current imaging methodology and a look at emerging technologies, which hold promise for evaluating the proximal airways, is provided.
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Surgical management of early supraglottic cancer has evolved over the last half of the century from total laryngectomy to inclusion of conservation approaches. The development and fundamental principles underlying open supraglottic laryngectomy and endoscopic supraglottic resections are reviewed. In doing so, a rational approach for the application of these surgical techniques is provided for management of both the primary site and the neck.
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Otolaryngol. Clin. North Am. · Feb 1996
Rhinologic uses of powered instrumentation in children beyond sinus surgery.
Powered instrumentation is now available for a variety of sinonasal procedures in children. Microdebriders with continuous suction at the operative site allow increased precision for complex procedures that often were difficult in small, fragile, pediatric noses. ⋯ These instruments can remove mucosa, neoplastic tissue, cartilage, thin bony septations, nasal debris, and blood under continuous endoscopic visualization. Edematous mucosa is not stripped, but trimmed and preserved, allowing much more rapid postoperative healing because exposed bone is avoided.