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1.
Ear Nose Throat J ; 80(8): 512, 2001 Aug.
Article in English | MEDLINE | ID: mdl-11523466

ABSTRACT

We treated a 38-year-old man who had a large septal perforation that had been caused by chronic nasal inhalation of cocaine. We were able to repair the perforation with a left radial forearm free flap. Long-term followup indicates a successful closure of the defect and a natural thinning of the flap. The patient remains symptom-free more than 2 years following surgery.


Subject(s)
Forearm/surgery , Nasal Septum/injuries , Nasal Septum/surgery , Radius/transplantation , Surgical Flaps , Adult , Humans , Male
3.
Ear Nose Throat J ; 78(7): 476-9, 1999 Jul.
Article in English | MEDLINE | ID: mdl-10429321

ABSTRACT

Although xerostomia is associated with aging, studies have determined that salivary gland function is well preserved in the healthy geriatric population. Therefore, dry mouth is probably not a condition of aging, but most likely one of systemic or extrinsic origin. Saliva seems to undergo chemical changes with aging. As the amount of ptyalin decreases and mucin increases, saliva can become thick and viscous and present problems for the elderly. One of the most prevalent causes of xerostomia is medication. Anticholinergics, such as psychotropic agents and antihistamines, and diuretics can dry the oral mucosa. Chronic mouth breathing, radiation therapy, dehydration, and autoimmune diseases, such as Sjögren's, can also diminish salivation, as can systemic illness such as diabetes mellitus, nephritis, and thyroid dysfunction. Xerostomia can lead to dysgeusia, glossodynia, sialadenitis, cracking and fissuring of the oral mucosa, and halitosis. Oral dryness can affect denture retention, mastication, and swallowing. Dry mouth symptom can be treated with hydration and sialagogues or with artificial saliva substitutes. Because patients are at risk for dental caries, they should be referred to a dentist for preventive care. In patients with Sjögren's syndrome and in those who have undergone radiation therapy, pilocarpine has been used recently with good results.


Subject(s)
Xerostomia/diagnosis , Aged , Aged, 80 and over , Aging/physiology , Female , Geriatric Assessment , Humans , Male , Middle Aged , Prevalence , Xerostomia/epidemiology
4.
South Med J ; 91(6): 588-91, 1998 Jun.
Article in English | MEDLINE | ID: mdl-9634126

ABSTRACT

Vasculitis can involve the larynx in 4% to 10% of cases and can cause arthritis, edema, or upper airway obstruction within the larynx. Since most of these laryngeal manifestations are nonspecific, the clinician needs to keep a high index of suspicion when a patient complains of hoarseness or laryngeal discomfort and chronic constitutional symptoms. We present a case of crescentic glomerulonephritis associated with antineutrophil crytoplasmic autoantibody (ANCA). In addition, we discuss the usefulness and indications of ANCA serology and review multiple laryngeal manifestations that have been associated with common vasculitides and reported in the medical literature.


Subject(s)
Cough/etiology , Hoarseness/etiology , Laryngeal Diseases/diagnosis , Larynx/blood supply , Vasculitis/diagnosis , Antibodies, Antineutrophil Cytoplasmic/blood , Glomerulonephritis/diagnosis , Glomerulonephritis/immunology , Glomerulonephritis/pathology , Humans , Kidney Glomerulus/pathology , Laryngeal Diseases/immunology , Laryngeal Diseases/pathology , Larynx/pathology , Male , Middle Aged , Vasculitis/immunology , Vasculitis/pathology
5.
Otolaryngol Head Neck Surg ; 118(4): 478-80, 1998 Apr.
Article in English | MEDLINE | ID: mdl-9560098

ABSTRACT

To determine the short-term effectiveness and outcome of office-based laser-assisted uvulopalatoplasty, a prospective statistically controlled study was done at the Department of Otolaryngology, Cleveland Clinic Florida. Thirty-eight consecutive snoring patients underwent a total of 98 laser-assisted uvulopalatoplasties, and data were gathered through examination, interview, and analog scales of snoring, pain, and other morbidity. In addition, a failure analysis was performed. Data were analyzed by descriptive statistics, confidence intervals, and adjusted analysis of variance (p < 0.008). Our results suggest that snoring decreased significantly around each laser-assisted uvulopalatoplasty treatment performed (4 to 8 weeks apart). Postoperative pain diminished after the first two laser-assisted uvulopalatoplasty treatments. The only morbidity in the series was the result of significant pain, causing 77% of laser-assisted uvulopalatoplasty failures.


Subject(s)
Laser Therapy , Palate, Soft/surgery , Snoring/surgery , Uvula/surgery , Adult , Ambulatory Surgical Procedures , Female , Follow-Up Studies , Humans , Male , Pain, Postoperative/etiology , Prospective Studies , Snoring/etiology , Treatment Failure
6.
South Med J ; 90(5): 514-7, 1997 May.
Article in English | MEDLINE | ID: mdl-9160070

ABSTRACT

Hearing and/or balance disorders are symptoms that may be associated with tumors of the cerebellopontine angle (CPA). Between March 1988 and May 1995, 22 patients had diagnosis or evaluation of CPA tumors at Cleveland Clinic Florida. The most common presenting signs or symptoms included unilateral low-frequency tinnitus, unsteadiness, and/or asymmetric hearing loss. On the basis of our experience, we have constructed an algorithm to help identify and manage acoustic nerve dysfunction. We compare our findings with national epidemiologic data and current medical reports.


Subject(s)
Algorithms , Cerebellar Neoplasms/diagnosis , Cerebellopontine Angle , Adult , Aged , Aged, 80 and over , Audiometry , Cost-Benefit Analysis , Female , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Retrospective Studies
7.
Otolaryngol Head Neck Surg ; 114(6): 732-5, 1996 Jun.
Article in English | MEDLINE | ID: mdl-8643295

ABSTRACT

Extraparotid Warthin's tumors continue to challenge the head and neck surgeon's diagnostic and therapeutic skills. A series of six extraporotid Warthin's tumors are presented to illustrate the need to keep a high index of suspicion for this lesion in the workup of cystic masses involving cervical levels II and III or in the event of a concomitant neck mass and a parotid Warthin's tumor. Discussion of the debate surrounding the embryogenesis and histogenesis of extraparotid Warthin's tumors follows. Clinical guidelines are suggested for the diagnosis, treatment, and follow-up of patients with extraparotid Warthin's tumors.


Subject(s)
Adenolymphoma , Head and Neck Neoplasms , Adenolymphoma/diagnosis , Adenolymphoma/surgery , Aged , Female , Head and Neck Neoplasms/diagnosis , Head and Neck Neoplasms/surgery , Humans , Male , Middle Aged
8.
Head Neck Surg ; 7(3): 243-5, 1985.
Article in English | MEDLINE | ID: mdl-3972603

ABSTRACT

Due to their tendency to recur, and a potential for malignancy, inverting papillomas of the nasal cavity and paranasal sinuses pose a challenge to the head and neck surgeon. Although the majority of these benign neoplasms arise from the lateral nasal wall, middle meatus, and ethmoid complex, they occasionally originate from atypical areas in which Schneiderian membrane is present. Four unusual anatomical presentations of inverting papilloma are presented and discussed.


Subject(s)
Papilloma/pathology , Adult , Aged , Female , Humans , Male , Maxillary Sinus Neoplasms/pathology , Maxillary Sinus Neoplasms/surgery , Middle Aged , Nasal Polyps/pathology , Nasal Polyps/surgery , Nasal Septum/surgery , Nasopharyngeal Neoplasms/pathology , Nasopharyngeal Neoplasms/surgery , Nose Neoplasms/pathology , Nose Neoplasms/surgery , Papilloma/surgery
9.
Head Neck Surg ; 6(2): 660-3, 1983.
Article in English | MEDLINE | ID: mdl-6643076

ABSTRACT

An analysis of postoperative injuries to the recurrent laryngeal, hypoglossal, marginal mandibular, and superior laryngeal nerves was undertaken in 517 patients who underwent 535 carotid endarterectomies between April 1978 and March 1981 at The Cleveland Clinic Foundation. A review of the literature is presented followed by the results of this analysis and a discussion of the findings. Suggestions for decreasing or avoiding such injuries are made. Conclusions are drawn to help the otolaryngologist identify the endarterectomized patient with an impaired upper aerodigestive tract.


Subject(s)
Cranial Nerve Diseases/etiology , Cranial Nerve Injuries , Endarterectomy/adverse effects , Carotid Arteries/surgery , Humans
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