Ear, nose, & throat journal
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Examination of the child's larynx is mandatory in the management of pediatric airway problems. The techniques used to perform this examination have evolved over time and now present the airway specialist with choices that can be tailored to each specific situation. Traditionally, rigid direct laryngoscopy (RDL) has been used to evaluate the pediatric larynx. ⋯ Expertise with both techniques is mandatory for the otolaryngologist managing respiratory disorders in children. FFL has become our technique of choice to evaluate the pediatric larynx especially when airway dynamics are of concern. RDL remains the preferred technique when laryngeal/tracheal surgery is planned or establishment and protection of the airway with intubation or bronchoscopy is required.
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Case Reports Comparative Study
Acoustic neuroma surgery in patients over 65 years of age.
Patients over 65 years old develop acoustic neuromas with the same signs and symptoms as younger patients. Age limits beyond which surgery for acoustic neuroma is not offered have been suggested. ⋯ This study suggests that the patient's general medical condition, life expectancy and factors other than chronologic age should be considered in the indications for surgery of acoustic neuroma. Acoustic neuroma surgery for the older patient can provide gratifying results.
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Sino-nasal hemangiopericytomas are rare indolent mesenchymal tumors which slowly invade local tissue. Electronmicroscopy and immunohistochemical techniques may be necessary to differentiate hemangiopericytomas from other sarcomatous tumors. Differentiation between malignant and benign tumors poses a difficult task, therefore clinical correlation as well histological confirmation is necessary to establish a diagnosis. Due to the low incidence of distant metastasis and low mortality, surgery consisting of wide local excision is usually curative.
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Review Comparative Study
Modern imaging of paranasal sinuses and the role of limited sinus computerized tomography; considerations of time, cost and radiation.
The modern diagnostic radiology department is equipped with a variety of medical imaging systems that can be used for evaluation of diseases of the sinonasal cavities. Each has advantages and disadvantages. ⋯ The indications for these imaging methods are reviewed, along with a discussion on the role of imaging for endoscopic sinus surgery. A summary of CT anatomy relating to the ethmoidal sinuses and ostiomeatal complex is given, as is a review of the risk of radiation for radiologic sinus imaging.