Ear, Nose and Throat Journal back issues from November 2007:
Room acoustics: are we paying attention?(EDITORIAL)
Nov 01, 2007; ... Otolaryngologists remain committed to helping people with impaired hearing. We have championed hearing screening, fought for routine hearing screening in our school systems throughout the country, developed laws to prevent noise-induced hearing loss in industry, raised awareness of the ...
Cerebral complications of ear disease.(LETTERS TO THE EDITOR)(Letter to the editor)
Nov 01, 2007; ... Dear Editor: A useful case report (1) published in EAR, Nose & THROAT JOURNAL illustrates the reductio ad absurdissimum of the widespread belief that all cerebral complications of ear disease are secondary to the ear infection. Otitis media (OM) can be described as a temporary ...
Less common MRI findings in Ramsay Hunt syndrome type I.(LETTERS TO THE EDITOR)(magnetic resonance imaging)
Nov 01, 2007; ... Dear Editor: I would like to comment on the interesting report from Gupta et al that appeared in the Imaging Clinic in the March 2007 issue of Ear, Nose & Throat Journal. (1) Although magnetic resonance imaging (MRI) with gadolinium contrast usually shows enhancement ...
Fees for copying patient records: clarification.(LETTERS TO THE EDITOR)
Nov 01, 2007; ... Dear Editor: I am writing concerning an article by Steven F. Isenberg, MD, in the Practice Management Clinic. (1) Dr. Isenberg mentioned that a fee can be charged for retrieval and duplication of patient records. One example was a $20 fee for this service. The fees ...
Link between fistulas and cholesteatomas.(LETTERS TO THE EDITOR)
Nov 01, 2007; ... Dear Editor: Cholesteatomas of the paranasal sinuses are very rare, but it is always useful to have detailed case reports (1) that may throw light on the mysterious phenomenon of cholesteatoma formation in general. The tact that the pathogenesis of cholesteatoma has been debated ...
Congenital middle ear cholesteatoma.(OTOSCOPIC CLINIC)
Nov 01, 2007; ... A 7-year-old boy was referred to our clinic for evaluation of an anterosuperior mesotympanic mass that had been found by his pediatrician on routine examination. The patient denied hearing loss, otorrhea, and otalgia, and he had no history of ear surgery or ear infections. Physical ...
Endoscopic view of sinonasal cancer 6 years post-treatment.(RHINOSCOPIC CLINIC)
Nov 01, 2007; ... [FIGURE OMITTED] A 71-year-old man with a history of cancer of the right nasal cavity and ethmoid sinus was followed for 6 years. He had originally presented with right nasal obstruction and nasal bleeding. At the time of the original surgery and biopsy, he was found to have a ...
Bifid epiglottis.(LARYNGOSCOPIC CLINIC)
Nov 01, 2007; ... [FIGURE OMITTED] A 3-year-old boy with a history of autism, polydactyly, and micrognathia was evaluated for snoring, witnessed apneas, and nasal airway obstruction. His medical history included premature birth at 32 weeks' gestation and neonatal stridor and hydronephrosis, both ...
Laryngeal histoplasmosis as a mimicker of squamous cell carcinoma: imaging and histologic findings.(IMAGING CLINIC)
Nov 01, 2007; ... Histoplasmosis is a fungal infection caused by Histoplasma capsulatum, a dimorphic fungus found in the moist soil of the river valleys in the central United States. (1) Acquired through inhalation, histoplasmosis commonly affects the lower respiratory tract, where it causes nonspecific ...
Retropharyngeal carotid artery.(HEAD AND NECK CLINIC)
Nov 01, 2007; ... A 66-year-old woman presented with a long history of sore throat, odynophagia, and centrally located cervical pain. On intraoral examination (figure, A) and laryngoscopy, submucosal fullness with associated pulsations consistent with a vascular lesion was noted in the right oropharynx and ...
Diffuse hyperplasia of the thyroid gland (Graves' disease).(PATHOLOGY CLINIC)(Clinical report)
Nov 01, 2007; ... [FIGURE 1 OMITTED] Widely known by its eponym Graves' disease, diffuse hyperplasia of the thyroid gland is an autoimmune condition in which excess thyroid hormone production is unchecked by the normal feedback loop between the thyroid and the pituitary gland. The immune-system ...
Tympanometry.(AUDITORY AND VESTIBULAR MEDICINE CLINIC)
Nov 01, 2007; ... A 50-year-old man presented with left ear hearing loss, fullness, and tinnitus. The patient's normal tympanogram (shape A, as shown in figure 1) and the presence of ipsiand contralateral reflexes ruled out otosclerosis in favor of inner ear conductive hearing loss. Computed tomography (CT) ...
Double-dose decline.(PRACTICE MANAGEMENT CLINIC)(Brief article)
Nov 01, 2007; ... Despite some occasional small increases in the basic conversion factor (figure 1) and relative value units (RVUs) (figure 2), overall Medicare reimbursements have still not returned to 1999 levels. Conversion factors are subject to a 10.1% reduction as a result of the 2007 ...
Is IV access necessary for myringotomy with tubes?(intravenous)(Clinical report)
Nov 01, 2007; ... Abstract A retrospective chart review was conductedata community-based hospital to determine whether intravenous access is necessary during the performance of myringotomy with tube insertion. The study included 50 pediatric patients divided equally into 2 groups: group 1, who ...
Pediatric nasal septal perforation secondary to magnet misuse: a case report.(Case study)
Nov 01, 2007; ... Abstract We describe the case of a 7-year-old girl who had placed magnetic earrings bilaterally on her nasal ala. However, the two backing magnets that had been placed inside the nasal cavity became attached to each other rather than to the outer jewelry, compressing the nasal ...
Management of a maxillary sinus foreign body (dental bur).(Case study)(Clinical report)
Nov 01, 2007; ... Abstract Metal foreign bodies are occasionally found in the paranasal sinuses. Often they result from the escape of material through an oroantral fistula or from trauma. Rarely, they occur as a complication of a dental procedure. A literature review revealed only four other ...
Two cases of neurilemmoma of the tongue.(Case study)(Clinical report)
Nov 01, 2007; ... Abstract Neurilemmomas of the tongue are uncommon. When they do occur, treatment is simple. However, diagnosis is invariably delayed because of the vagueness of symptoms. We encountered 2 cases of this unusual tumor within weeks of each other. In 1 of these cases, the definitive ...
Endotracheal intubation with flexible fiberoptic bronchoscopy in patients with abnormal anatomic conditions of the head and neck.(Clinical report)
Nov 01, 2007; ... Abstract We performed a retrospective chart review to evaluate the indications for endotracheal intubation via flexible fiberoptic bronchoscopy in patients who were scheduled for surgery or who were hospitalized in the intensive care unit of our 1,100-bed, tertiary care ...
Laryngeal metastasis from a rectal carcinoma.(Case study)
Nov 01, 2007; ... Abstract Metastases to the larynx from distant primaries are rare. We report a case of a laryngeal metastasis from a rectal carcinoma. Introduction Metastatic neoplasms in the larynx are unusual, accounting for only 0.09 to 0.4% of all laryngeal tumors ....
The prevalence of diabetes in a series of patients with subglottic stenosis.(Clinical report)
Nov 01, 2007; ... Abstract Diabetes, which is present in 4 to 8% of adults in the United States, is a risk factor for surgical failure in laryngotracheal airway operations. We conducted a retrospective study to characterize a population of patients with subglottic stenosis--including the ...
Buyers guide.(Directory)(Company overview)
Nov 01, 2007 ... Introduction We at ENT-Ear, Nose & Throat Journal are pleased to offer readers our second annual Buyers Guide! Its 139 listings give you convenient access to useful information about companies offering products and services of interest to ENT physicians. The Buyers Guide, ...
Media capture/storage system.(PRODUCT MARKETPLACE)
Nov 01, 2007 ... [ILLUSTRATION OMITTED] MDDev, LLC, announces plans to release version 5 of its D-Scope[R] System in the second quarter of 2008. Version S enhancements include multiple capture formats, including uncompressed (AVI) format and Windows Media format (WMV) and options for ...
Middle ear implant.(PRODUCT MARKETPLACE)
Nov 01, 2007 ... The VIBRANT Soundbridge[R] is the first implantable middle ear hearing device approved by the FDA for the treatment of sensorineural hearing loss. Now available in the United States from MED-EL Corporation, this device is for adults who have moderate to severe sensorineural hearing loss ...
Sterile myringotomy kit.(PRODUCT MARKETPLACE)
Nov 01, 2007 ... [ILLUSTRATION OMITTED] Aztec introduces the Disposable Myringotomy Kit (DMK), which provides easy-to-use, consistent-quality instruments and materials. Packed sterile, the kit contains clear-lumen suction tubes, a new blade and handle, nonwoven gauze, ...
Burs for bone removal.(PRODUCT MARKETPLACE)
Nov 01, 2007 ... [ILLUSTRATION OMITTED] Stryker Neuro Spine ENT has launched Zyphr[R] Burs, designed for rapid, efficient bone removal. The burs feature deep, open flutes, which maximize bone removal while clearing chips and reducing clogs. A single crossing end ...
Tinnitus treatment.(PRODUCT MARKETPLACE)(Clinical report)
Nov 01, 2007 ... Arches Natural Products, Inc., offers a proprietary herbal and mineral product for the reduction of tinnitus noise. Two of the ingredients used in Arches Tinnitus Relief Formula[R] (TRF), ginkgo biloba extract and chelated zinc, have been shown in numerous clinical studies to be effective ...
Controversial etiopathologic agents in otitis media.(Clinical report)
Nov 01, 2007; ... In a number of recent articles, authors have made claims of etiopathology for a variety of organisms that are not conventionally thought to be pathogens in ear disease. What follows is a review of some of those claims. New organisms Three new bacteria have been ...
Impact of biofilms on the treatment of otitis.(Clinical report)
Nov 01, 2007; ... The emergence of the biofilm model of otitis media holds tremendous potential implications for treatment. Biofilms are thought by many investigators to be the underlying cause of most recalcitrant infections. (1) Biofilms impart resistance both to host immune defense mechanisms (2,3) and ...
Evidence that otitis media is not a biofilm disease.(Clinical report)
Nov 01, 2007; ... Traditional microbiologic paradigms are straightforward and easy to understand and apply, but they likely oversimplify what actually occurs in the midst of an infection. Paradigms for infections of the ear are no exception. Ear infections are the most common reason for which antibiotics ...
Bacterial resistance to quinolone otic drops is nearly zero.(Report)
Nov 01, 2007; ... Antibiotic resistance in upper respiratory tract bacterial infections continues to increase. Since oral fluoroquinolones have a unique role as a second-line therapy for respiratory infections and as a therapy against enteric organisms such as Pseudomonas aeruginosa or Escherichia coli, ...
Impact of resistant pathogens on the treatment of otitis.(Clinical report)
Nov 01, 2007; ... Antibiotic treatment of such infections as acute otitis media (AOM) and acute pharyngitis has been implicated as a major cause of the spread of bacterial resistance. (1) In many First World countries, AOM is the primary reason that children are prescribed antibiotics. Indeed, the clinical ...
Relative value of different fluoroquinolones.
Nov 01, 2007; ... Ciprofloxacin was one of the first antibiotics in the fluoroquinolone class to be widely used. It offers good gram-negative coverage, it is effective against organisms such as Pseudomonas aeruginosa, and it is safe to the inner ear. However, it is not very effective as a systemic treatment ...
Prevention and treatment of plugged tympanostomy tubes.(Clinical report)
Nov 01, 2007; ... The placement of tympanostomy tubes was pioneered by Politzer in the 19th century, but the procedure was soon abandoned because of a high rate of complications. (1) In 1954, Armstrong (1) "reinvented" the procedure, and it became widely accepted. Today, tympanostomy tube placement has ...
Potential complications associated with steroid use in the middle and inner ear.
Nov 01, 2007; ... Glucocorticoids have been used to treat disorders such as sudden sensorineural hearing loss, autoimmune hearing loss, Meniere's disease, and hearing loss secondary to trauma, viral insult, and idiopathic causes. When used to treat disorders of the inner ear, steroids have traditionally ...
Systemic effects of ototopical dexamethasone.(Clinical report)
Nov 01, 2007; ... Endogenous glucocorticoids regulate the metabolism of carbohydrates, proteins, lipids, and other substances throughout the body. Their effect is global, as almost every cellular structure has steroid receptors. They also have an effect on fluid and electrolyte balance, the body's ...
Wound healing in spontaneous perforation or myringotomy and middle ear reconstruction.
Nov 01, 2007; ... Concerns have been raised about the potential for ototopical agents to adversely affect middle ear or tympanic wound healing. In general, wound healing takes place in three phases--inflammation, proliferation, and maturation (1): * The inflammatory phase begins at the moment of ...