Toxic shock syndrome after mastoidectomy.
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Biomedical subjects
Publications and source records attributed to J P Kotlarz.
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The auditory brainstem response (ABR), as well as associated audiologic and radiographic studies of 175 patients suspected of having cerebellopontine angle tumors were reviewed. The majority of patients presented with asymmetric hearing loss. Eight acoustic neuromas were identified. All eight had abnormal ABRs. The false-positive rate was 22%. Rollover and acoustic reflex testing played a minimal role in the decision as to whether or not an ABR was ordered and, as a result, are not important in the search for retrocochlear disease. The cost per tumor diagnosed was roughly $7600. A rational approach to tumor screening based on the efficiency and cost of the screening tests, the frequency of abnormal ABRs, and the cost per tumor diagnosed is presented.
As a rule, functional endoscopic sinus surgery (FESS) is recommended for patients with chronic sinus problems that do not respond to medical treatment. For discussion of the surgical treatment to be useful we must first look at the importance of sinusitis, the medical diagnosis and treatment of sinusitis, the anatomic and pathologic considerations for the surgical treatment of sinusitis, the modern diagnosis of recurrent or persistent sinusitis and lastly, the surgical technique of functional endoscopic sinus surgery.