PubMed Health⌕ Search

Biomedical subjects

F E Lucente

Publications and source records attributed to F E Lucente.

At least 73 records · Page 4Linked to original sources
PubMed1987

Results in resident cholesteatoma surgery: a review of 85 cases.

A review of all patients with cholesteatoma operated on by the residents of the New York Eye and Ear Infirmary under the attending supervision of the Otology Service between 1980 and 1984 was done. Of 130 resident cases, 85 had documented follow-up 1 year or longer and were included in the study. Recurrence rates were 18% with canal wall down (CWD) and 43% with canal wall up (CWU) techniques. Considering other forms of failure (such as precholesteatoma, tympanic membrane perforation, and chronic infection), overall failure rates were 33% (CWD) compared with 82% (CWU). Cholesteatoma recurrence failure rates were higher in patients under the age of 20 (33%) than over the age of 20 (19%). Overall failure rates were 61% and 37% for younger and older patients, respectively. Due to the high failure rate with canal wall up techniques in resident hands, it is recommended that resident service cases be treated with canal wall down technique, especially in the younger age group.

Age Factors↗
PubMed1987

Condylomatous lesions of the upper aerodigestive tract.

Condyloma acuminatum is one of four types of common human verrucous lesions that are of viral etiology. Also known as "moist wart," condyloma acuminatum is most often seen on the mucosal surfaces of the anogenital area. However, occurrences in the mucosal lined areas of the head and neck region are quite rare. Since 1901, 30 cases of condylomatous lesions have been reported in the upper aerodigestive tract, occurring mainly in the various regions of the oral cavity. Eighteen of the cases were confirmed by histopathologic documentation, while the remainder were anecdotal. We have recently encountered six new cases of condyloma acuminatum, verified by histologic examination. One occurred on the tongue, another in the tonsillar fossa, one in the hypopharynx and three on the vocal cords. We present these cases and review the previously reported cases. In addition, we will discuss the differential diagnosis of these lesions, and their importance to the practicing otolaryngologist.

Adult↗
PubMed1986

Alkaline battery foreign bodies of the ear and nose.

Button batteries as foreign bodies are dangerous because of their ability to cause liquefaction necrosis on contact with moist tissue. We treated two patients with disk batteries in the ear and nose. Both patients had severe local reactions, necessitating prolonged treatment. Prompt identification and rapid removal of these foreign bodies is recommended.

Alkalies↗
PubMed1986

Bone scanning in severe external otitis.

Technetium99 Methylene Diphosphate bone scanning has been considered an early valuable tool to diagnose necrotizing progressive "malignant" external otitis. However, to our knowledge, no formal studies have actually compared bone scans of otherwise young, healthy patients with severe external otitis to scans of patients with clinical presentation of malignant external otitis. Twelve patients with only severe external otitis were studied with Technetium99 Diphosphate and were compared to known cases of malignant otitis. All scans were evaluated by two neuroradiologists with no prior knowledge of the clinical status of the patients. Nine of the 12 patients had positive bone scans with many scans resembling those reported with "malignant" external otitis. Interestingly, there was no consistent correlation between the severity of clinical presentation and the amount of Technetium uptake. These findings suggest that a positive bone scan alone should not be interpreted as indicative of "malignant" external otitis.

Diagnosis, Differential↗
PubMed1986

Myofacial pain dysfunction: analysis of 476 patients.

Myofacial Pain Dysfunction (MPD) is a musculoskeletal dysfunction involving malrelationship among the neuromuscular system, temporomandibular joints, and dental occlusion. The illness affects children and adults of all ages and both sexes. Patients complain of pain and/or dysfunction in the mandible, temporomandibular joints, ears, oral cavity, head, and neck. Electronic measurement of mandibular movement and associated muscle function now provide reproducible data with which the parameters of this illness and therapy can be designed and monitored. In this study, data are presented on 476 MPD patients. Included are statistics on the most commonly occurring symptoms, clinical examination findings, and electronic test data before and following treatment. The mandibular kinesiograph (MKG) is used to track mandibular movement and compare the natural dental occlusal position and a neuromuscularly balanced position of occlusion. Electromyography (EMG) is used to analyze the resting status of mandibular muscles and the functioning in the occlusal position. The data show a positive correlation between the clinical symptoms of MPD and unhealthy mandibular position at occlusion, accompanied by specific unhealthy muscle activity. There is a strong positive correlation between a therapeutic change in the dental occlusion to a neuromuscularly healthy position using a precision orthotic appliance and the relief of symptoms within 1 month as expressed by 88% of the patients. A similar correlation exists at 3 months and long-term.

Adolescent↗
PubMed1985

Counseling before laryngectomy.

Counseling of laryngectomy patients was studied by a questionnaire survey among 294 fellows of the American Society for Head and Neck Surgery and otolaryngology house officers (77% attendings and 23% residents). Seventy-nine percent of respondents spent less than one hour counseling patients. Subjects emphasized during preoperative counseling included: extent of surgery, loss of speech, alternatives to surgery, immediate postoperative disfigurement, possible effects of surgery on life expectancy, and possibility of recurrence. At least 24% of physicians were unwilling to discuss the psychosocial effects laryngectomy. Ninety-five percent of respondents often or always included family members in preoperative counseling sessions. The speech pathologist was utilized by at least 80% of the respondents to help with preoperative counseling. Differences in counseling practices between attendings and residents are discussed.

Adult↗
PubMed1985

Computerized database of drug interactions: a paradigm for resolving a communication gap in otolaryngology.

The tremendous increase in the number of prescription and non-prescription drugs available to physicians and patients increases the likelihood for adverse drug interactions. This study addresses the feasibility of using contemporary computer technology to provide the physician with the most up-to-date information in order to prevent such adverse reactions. The study involved three stages: 1. determination of physician attitudes regarding the use of the database; 2. creation of a database applicable to otolaryngology; and 3. testing of the database in office practice. The study demonstrated that many physicians were unsatisfied with their ability to remain conversant with the literature regarding drug interactions and that they were receptive to the notion of using computers for this purpose. It further demonstrated that a database could be constructed by an otolaryngologist for use in office practice and that the database contained other clinically useful information.

Attitude of Health Personnel↗
PubMed1984

Radiographic findings in progressive necrotizing "malignant" external otitis.

Twenty-three cases of progressive necrotizing (malignant) external otitis were reviewed. Radiographic evaluation was correlated with clinical disease. CT scanning accurately demonstrated subtle foci of involvement in the skull base which may be clinically unsuspected or go undetected with other studies. Central skull base erosion indicates advanced disease and selects those patients requiring extended antibiotic therapy. Soft tissue thickening of the parapharyngeal space and roof of the nasopharynx also implies advanced disease requiring prolonged therapy. Soft tissue improvement can be visualized on CT. While CT scanning demonstrates the progression of bony disease, it cannot be used to follow resolution of central skull base osteomyelitis. Radionuclide scans provide information regarding the overall extent of the inflammatory process.

Aged↗
PubMed1984

Reliability of frozen section diagnosis in head and neck neoplasms.

To evaluate the reliability of frozen section diagnosis we reviewed a series of 1146 consecutive frozen sections performed during a 5-year period. The frozen section diagnosis was then compared to that found on paraffin section and the results categorized into 12 regions in the head and neck. We found an overall reliability of 96%. The total percentage of false positive and false negative results were 0.35% and 3% respectively. Frozen section diagnosis was most accurate on the submandibular gland (no errors), nose and paranasal sinuses (no error), followed by the thyroid gland (0.8% error). Areas in which frozen section diagnoses were least accurate included the nasopharynx (12.5% error) and the oropharynx (8.7% error). We conclude that frozen section diagnosis is highly accurate in most regions of the head and neck.

Biopsy↗
PubMed1983

Complications of the treatment of malignant external otitis.

Malignant external otitis is an aggressive, potentially lethal infection of the temporal bone, the treatment of which is often fraught with complications. Among the reasons for these complications are the difficulty in assessing the extent of this disease, the uncertainty in determining the point at which treatment can be terminated, the toxic nature of the antibiotics used, and the technical difficulty of performing any surgery on the infected tissues. In those patients who receive inadequate initial therapy, the further extension of the disease itself represents a complication of treatment.

Anti-Bacterial Agents↗
PubMed1982

Liaison psychiatry-otolaryngology rounds.

In an attempt to define and resolve patient and staff needs with regard to the psychological, social and economic problems in clinical otolaryngology, psychiatry/otolaryngology rounds were established in the Department of Otolaryngology 18 months ago. These weekly rounds have contributed greatly to improved patient care and better physician-nurse relations. They have also served a significant educational role for residents, medical students and other members of the patient care team. At present the rounds are attended by the inpatient nursing staff, 2 physicians, 6 residents, 3 medical students, an otolaryngologic social worker and the liaison psychiatrist. The meeting begins with a 10 minute discussion and review of current problems among the staff. Attention is then directed to the patient who will be interviewed for the day. The medical and social history are presented. Then the patient is brought in and interviewed in a non-stressful session for 20 minutes. After the patient leaves, the staff discusses the problems which the patient has encountered or poses to them, and the conference participants formulate an appropriate therapeutic plan. Among the problems which have been discussed are noncompliance, organic mental syndromes, hypochondirasis, depression, death and dying, disfigurement, loss of bodily function, and chronic pain. For those patients in whom further psychiatric evaluation and treatment are deemed necessary, the psychiatrist becomes an active participant in their clinical care.

Adult↗
PubMed1982

Nuclear scanning in necrotizing progressive "malignant" external otitis.

The usefulness of radionuclear scanning in the treatment of 18 patients with necrotizing progressive "malignant" external otitis is discussed. A Tc 99-m bone scan, a valuable test since results are positive in early cases of osteomyelitis of the temporal bone and base of skull, showed increased uptake in all 18 patients. In 6 patients, Ga-67 citrate scans were obtained at the start of therapy and at 5-6 week intervals thereafter. The serial gallium scans were useful in evaluating the effectiveness of therapy since the uptake decrease with control of infection.

Aged↗