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Biomedical subjects

J Farrior

Publications and source records attributed to J Farrior.

6 recordsLinked to original sources

Revision stapes surgery.

With the decline in primary cases of otosclerosis surgery, revision stapes operations are becoming a higher percentage of otosclerosis practice. Are the results from revision stapes surgery today comparable with those of surgeons trained prior to the present decline? A retrospective review of 559 consecutive stapes operations performed by the author revealed 109 revision operations. A retrospective review of these cases reveals that the most common cause for revision surgery was displaced prostheses and incus necrosis. The hearing results are dependent on the surgical pathology. In this series, the airborne gap was closed to less than 10 dB in 58% of cases, there were 64% of cases of displaced prostheses, and 57% of cases of incus necrosis, which is comparable with previously reported studies.

Cochlear Implants↗

Complications of otitis media in children.

The complications of otitis media are frequently not considered in discussions of the medical or surgical management of this disease. Retrospective review of 135 cases in children treated surgically in an otologic referral practice between 1981 and 1989 revealed that perforation of the eardrum (57 cases) was the most common complication of otitis media, followed by cholesteatoma (54), mastoiditis (16), and atelectasis of the eardrum (eight). Coalescent mastoiditis was most common in children less than 6 years of age, whereas cholesteatoma and ossicular chain destruction occurred more frequently with increasing age. The presenting signs and symptoms of the complications and their management are presented to help alert the practitioner to the potentially severe complications of otitis media.

Adolescent↗

Cholesteatoma of the external ear canal.

Cholesteatoma arising in the external ear canal is uncommon. A variety of etiologic factors have been attributed to the development of cholesteatoma in the external ear canal. The various disease processes that cause excessive desquamation and cholesteatoma formation are reviewed and their management is presented.

Cholesteatoma↗

Osteomyelitis of the skull base.

Osteomyelitis of the temporal bone often begins with minor trauma and results in a persistent external otitis. I report my experience with ten patients managed with combined medical and surgical therapy, and discuss the progression of the disease process and how it affects the duration of antibiotic therapy and the indications for planned surgical debridement. Early recognition of osteomyelitis of the temporal bone, combined with the aggressive use of long-term antibiotic therapy, in addition to planned surgical debridement, will reduce morbidity and potential mortality.

Aged↗

Surgical management of glomus tumors: endocrine-active tumors of the skull base.

The surgical management of glomus jugulare tumors involving the temporal bone and skull base is determined by the extent of the disease process. These highly vascular tumors also have the capability of producing vasoactive amines, which may complicate surgical management by causing widely fluctuating blood pressures. I present my experience in the evaluation and management of glomus tumors in 44 patients treated at the Farrior Clinic to alert physicians to the potential endocrine activity of tumors of the skull base.

Catecholamines↗

C-wire hand drill for small-hole stapedectomy.

With the four-sided point of the C-wire hand drill there is less risk of footplate mobilization during small fenestra stapedectomy. The small fenestra stapedectomy is thought to cause less trauma to the vestibule and to pose less risk of aspirating vestibular contents than the stapedectomy that totally removes the footplate.

Stapes Surgery↗