RESUMO
The number of otolaryngologists in Canada appears to have dropped dramatically since 1975. Immigration regulations may further compound this and may also seriously threaten the viability of some of our teaching programs. A system that would allow us to continuously monitor our ability to provide optimum health care in otolaryngology should be developed by the Canadian Otolaryngological Society (COS) as a permanent "agency" of the Secretariat. Such a manpower information source backed by hard statistical data would enable the specialty itself to advise government agencies, the Royal College, provincial licensing boards, and otolaryngologists seeking placement of the present state of the nation.
Assuntos
Otolaringologia , Idoso , Canadá , Emigração e Imigração , Médicos Graduados Estrangeiros , Humanos , Otolaringologia/educação , Sociedades Médicas , Recursos HumanosRESUMO
A case of oral neomycin ototoxicity is presented, followed by a summary of known cases in the English literature. While it is known that neomycin is concentrated in the inner ear fluids, at the present time the biochemical basis of its ototoxic effect has not been definitively elucidated. High frequency audiometry can aid in the early detection of the onset of neomycin-induced deafness. Dialysis has a limited but useful role in preventing neomycin ototoxicity.
Assuntos
Surdez/induzido quimicamente , Neomicina/efeitos adversos , Orelha Interna/efeitos dos fármacos , Feminino , Humanos , Pessoa de Meia-Idade , Neomicina/sangue , Neomicina/uso terapêuticoRESUMO
Eighteen cases of adenoid cystic carcinoma of the minor salivary glands are reviewed. Noteworthy in the history is the report of pain at the site of the lesion which radiates elsewhere, or of numbers or tingling in its area. Radiation therapy is as able to control the primary as local surgery. Involvement of a much wider field than is required to treat the primary may control the perineural spread common to this tumor and avoid the massive procedures necessary to cure it by surgical means. Metastases to the lung, bone, and brain by venous spread can probably be avoided only by early diagnosis.
Assuntos
Carcinoma Adenoide Cístico/radioterapia , Neoplasias de Cabeça e Pescoço/radioterapia , Neoplasias das Glândulas Salivares/radioterapia , Adulto , Idoso , Carcinoma Adenoide Cístico/patologia , Feminino , Neoplasias de Cabeça e Pescoço/patologia , Humanos , Masculino , Pessoa de Meia-Idade , Metástase Neoplásica , Recidiva Local de Neoplasia , Neoplasias das Glândulas Salivares/patologiaRESUMO
Three cases of high jugular bulb are presented. On of these occurred as a mass in the external auditory canal simulating an osteoma, and to our knowledge is the first reported case of a high jugular bulb presenting in the external canal. The clinical manifestations are described, and the value of polytomography as an aid to diagnosis is stressed.
