Otolaryngologic Clinics of North America
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Evidence-based practice: balloon catheter dilation in rhinology.
Balloon catheter dilation (BCD) is a treatment paradigm for surgical management of paranasal sinus inflammatory disease. There are few robust clinical trials evaluating the efficacy of balloon technology in chronic rhinosinusitis (CRS). The available database largely comprises retros...
Evidence-based practice: pediatric obstructive sleep apnea.
Diagnosis of sleep-disordered breathing (SDB) is most accurately obtained with a nocturnal polysomnogram. However, limitations on availability make alternative screening tools necessary. Nocturnal oximetry studies or nap polysomnography can be useful if positive; however, further tes...
Surgery of the salivary glands.
Surgery of the salivary glands evolved rapidly after a greater understanding of the anatomy and pathologic processes affecting them was achieved. This article reviews the general and neurovascular anatomy of the major salivary glands. Understanding the anatomy of the salivary glands is a cornerstone...
Treatment of the neck in melanoma.
The treatment of the neck/parotid in melanoma of the head and neck has changed in recent years. With the use of ultrasound, fine-needle aspiration, lymphoscintigraphy, modified/selective dissection, adjuvant radiation therapy, and systemic interferon, patients with suspected metastatic melanoma in t...
Diagnostic evaluation of the neck.
Modern imaging for neck node metastases has increased our ability to predict the presence of palpably occult metastases and predict the resectability of large metastases. The accuracy of CT scans, MR imaging, but especially US-FNAC, has increased to such an extent that clinical consequences are bein...
Selecting allergenic extracts for inhalant allergy testing and immunotherapy.
The proper selection of allergen extracts is important in maintaining an efficient allergy practice. This article discusses pollen extract selection. The selection of tree, grass, and weed pollen extracts depends very much on where the clinician's practice is located. The floral zones of the contine...
Meniere's disease in children.
Meniere's disease is an uncommon cause of dizziness or hearing loss in children. Clinicians must maintain a high level of suspicion to make this diagnosis in the pediatric age group. Careful attention to history and diagnostic testing can help in differentiating Meniere's disease from other more com...
Molecular genetics of deafness.
Significant progress has been made in the identification of genes responsible for nonsyndromic and syndromic HHI. The rapid pace of scientific discovery in the area of genetics of deafness will undoubtedly continue and provide novel insights into the mechanism of hearing.
The University of Melbourne/Cochlear Corporation (Nucleus) program.
The Nucleus multichannel cochlear prosthesis has been implanted in over 100 patients. Speech discrimination improved greatly in most patients. Overall, the results with this type of implant are very satisfactory.
Lesions of the oral mucous membranes.
This article has not attempted to exhaustively review mucosal diseases of the oral cavity. We have, however, described some oral mucous membrane lesions which need to be kept in mind during the head and neck examination.