PubMed Health⌕ Search

Biomedical subjects

J A McCurdy

Publications and source records attributed to J A McCurdy.

16 recordsLinked to original sources
PubMed1978

Reduction of excessive nasal tip projection with a modified Lipsett technique.

Management of the excessively projecting tip is one of the difficult problems in rhinoplasty. Several methods have been offered as solutions to this problem, but none has gained wide acceptance. The technique described by Lipsett allows reliable reduction of tip projection without sacrifice of the normal anatomical configuration of the lower lateral cartilages vital to preservation of a natural tip contour. This technique is described and several modifications that have enhanced its usefulness are discussed.

Cartilage↗
PubMed1978

Middle ear effusion: current concepts.

Middle ear fluid is a common problem in children. Eustachian tube dysfunction has been considered the key to the pathogenesis of this disorder, but new studies show that other factors may be operative. Inflammation appears to play a significant role in high-viscosity effusion, and these effusions may be related to acute suppurative otitis media. Since persistent mild hearing loss may adversely affect verbal development, new emphasis on early treatment of middle ear effusion is warranted.

Child↗
PubMed1977

Peritonsillar abscess. A comparison of treatment by immediate tonsillectomy and interval tonsillectomy.

The generally accepted therapeutic regimen for peritonsillar abscess consists of the administration of parenteral antibiotics with incision and drainage followed by interval tonsillectomy in four to six weeks. Treatment by immediate tonsillectomy, however, is practiced widely in Europe and has received recent attention in the American literature. This report compares the clinical course of patients treated by interval tonsillectomy and immediate tonsillectomy. Patient morbidity was lessened by immediate tonsillectomy, since two separate surgical procedures were avoided, and the total period of hospitalization was reduced by nearly 50%. Advantages and disadvantages of both methods of therapy are discussed.

Anti-Bacterial Agents↗
PubMed1977

Effects of nasal packing on eustachian tube function.

Eustachian tube function was assessed by tympanometry in 47 patients (94 ears) with anterior nasal packing placed after nasal surgery and in 12 patients (24 ears) requiring anterior and posterior packing for epistaxis. Twenty-four of the 94 ears (25.5%) in patients with anterior packing exhibited reductions in middle ear pressure (greater than or equal to --100 mm H2O), whereas 12 of 13 ears (92.3%) ipsilateral to and six of 11 ears (45.4%) contralateral to the posterior pack demonstrated comparable reductions in middle ear pressure. The observation that posterior packing is associated with a greater incidence of eustachian tube dysfunction than anterior packing suggests that the mechanism of this dysfunction may be related to stasis in the peritubal lymphatic plexus rather than to nasal obstruction per se.

Adolescent↗
PubMed1977

Fatal mediastinitis after a dental infection.

The pertinent features of life-threatening complications of dental infections have been briefly reviewed with particular emphasis on the alterations of the clinical features of these conditions induced by antibiotic therapy. The clinician who deals with dental infections must exercise a high index of suspicion to consistently abort the development of these complications, especially when treating debilitated patients or individuals with compromised immune functions.

Abscess↗
PubMed1977

The tonsillectomy-adenoidectomy dilemma.

Tonsillectomy and adenoidectomy (T&A) is the most commonly performed surgical procedure in the U.S. Considerable controversy surrounds this operation because all previous studies have demonstrated experimental flaws that compromise the value of the findings. While an apparent immunologic deficit following T&A has been demonstrated, the clinical significance of this finding is unknown. Normal humoral antibody responses are found after surgery and no increase in clinically apparent viral infection has been shown. T&A consistently normalizes pharyngeal microflora.

Adenoidectomy↗
PubMed1976

Parapharyngeal neurilemmoma of the hypoglossal nerve.

Although neurilemmomas are uncommon cervical neoplasms, they account for a significant percentage of parapharyngeal space tumors. These neoplasms may originate from any nerve traversing this space, but the vast majority arise from the vagus nerve and sympathetic chain. Satisfactory treatment of neurilemmomas consists of total excision which is best accomplished via an external approach. Immediate nerve grafting is advocated when a segment of cranial nerve must be sacrificed in order to achieve complete tumor removal. A case of a parapharyngeal neurilemmoma arising from the hypoglossal which required treatment in this manner is presented. Electromyographic studies performed 15 months postoperatively demonstrate reinervation of the lingual musculature via the nerve graft.

Adult↗
PubMed1975

Life-threatening complications of infectious mononucleosis.

Infectious mononucleosis is a common febrile disorder of children and young adults which is generally benign and self-limited. Patients with this disorder, however, may develop life-threatening complications which require prompt recognition and treatment. The clinical features of three such cases are presented and pertinent features of other life-threatening complications are reviewed.

Adolescent↗