Arch Otolaryngol
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Based on the success rate of US otolaryngology graduates on the American Board of Otolaryngology Certification Examination, it would appear that otolaryngology training is quite good. However, it is not clear that all aspects of training are equal in quality, not only between programs but also within a single program. One indication that there may be areas of weakness is the fact that despite the perceived national shortages of primary care physicians in the United States and the overabundance of specialists, 25% of the approximately 260 graduating otolaryngology residents extend their training beyond specialty training to subspecialty levels (Manpower Committee of the American Academy of Otolaryngology-Head and Neck Surgery, unpublished data obtained from chief resident questionnaires, 1990-1992). ⋯ Most of the fellowships are well structured and are 1 year in duration. Others are more like apprenticeships and may be of shorter duration. A few are 2 years long and include a significant research commitment reserved for individuals entering academic practice.
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Randomized Controlled Trial Comparative Study Clinical Trial
Laryngeal mask airway vs face mask and Guedel airway during pediatric myringotomy.
To compare perioperative conditions when a face mask and Guedel oral airway (FM-OA) or a laryngeal mask airway (LMA) are used to maintain airway patency during bilateral myringotomy with insertion of tympanostomy tubes (BMT). ⋯ The LMA is an excellent alternative to the FM-OA technique for airway maintenance in children undergoing BMT procedures during halothane--N2O anesthesia.
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Describe complications and postoperative management problems associated with the anterior cricoid split. ⋯ The number of postoperative complications and management problems was highest in those patients with both bronchopulmonary dysplasia and preexisting tracheotomy.
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To describe and evaluate transsinus reduction and one-point miniplate fixation of the zygomaticomaxillary buttress for the treatment of tripod malar fractures. ⋯ This technique is simple, limited, and successful in treating most malar fractures. The lack of comminution of the orbital rim is crucial for the stability of the reduced zygoma. A simple and clinically relevant classification of malar fractures is proposed.
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Case Reports
Pathological findings of the facial nerve in a case of facial nerve palsy associated with benign parotid tumor.
The presence of facial nerve palsy associated with an ipsilateral parotid tumor is virtually pathognomonic for a malignant parotid tumor. However, several case reports have documented the occurrence of facial nerve palsy caused by benign parotid lesions. ⋯ To our knowledge, histological examination of the nerve bundles has never before been reported. The histological findings suggest that ischemia of the nerve caused by external compression resulted in facial nerve palsy.