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Biomedical subjects

J S Josephson

Publications and source records attributed to J S Josephson.

9 recordsLinked to original sources
PubMed1991

Update on diagnosis and treatment of sinus disease: the functional endoscopic sinus surgery approach.

This article presents the latest techniques used to provide more accurate diagnosis and medical therapy for the patient with sinus disease. These techniques also provide the tools for performing more meticulous surgery and precise postoperative care and follow-up for patients with a multitude of sinus symptoms. The methods of diagnosis and medical management, indications and technique of surgery, and postoperative care and results are discussed.

Adult↗
PubMed1990

Infectious mononucleosis complicated by lingual tonsillitis.

Although upper airway obstruction and superimposed infection are well-known complications of infectious mononucleosis, lingual tonsillitis in this context has not been mentioned in the literature. We describe a case of acute bacterial lingual tonsillitis with airway obstruction complicating infectious mononucleosis. The role of the base of tongue region in the pathophysiology of infectious mononucleosis is discussed.

Acute Disease↗
PubMed1989

Endoscopic sinus surgery for mucoceles: a viable alternative.

Functional endoscopic surgery affords the potential for dramatically reducing operative morbidity of surgery for paranasal sinus mucoceles by offering a minimally invasive approach under local anesthesia. Following surgery, direct endoscopic visualization of the area enables accurate follow-up. Unlike sinus obliteration, the ability to accurately image the sinus by CT is also preserved. This paper presents our preliminary experience with 18 mucoceles in which endoscopic sinus surgery was attempted. Five patients had preoperative proptosis and diplopia, three had Pott's puffy tumor and five had erosion of the posterior table of the frontal sinus. Fifteen patients were satisfactorily treated endoscopically, two lesions could not be satisfactorily approached and required external surgery, and one patient had persistent disease. No disease recurrence has been noted to date with endoscopic follow-up of up to 42 months.

Adolescent↗
PubMed1989

Difficult decisions in endoscopic sinus surgery.

Sinus disease, like many other problems in otolaryngology, may run the gamut of being either easily correctable with a clear-cut treatment or completely resistant to any form of treatment. Fortunately, many patients have problems somewhere between these two extremes. Clearly there is no one correct approach for treatment of many problems. Two, three, or even four approaches may be equally effective in some cases. In other cases, one approach may be successful in the hands of one surgeon whereas another approach is more appropriate for a different surgeon. This article presents nine cases that do not have clear-cut solutions. In some, the consultants clearly disagreed, whereas in others there was some uniformity in treatment plans. This flexibility in surgery in general and specifically with a technique that is relatively new is what makes it so exciting and so promising for continued success in treating sinus disease.

Adult↗
PubMed1989

The role of endoscopic sinus surgery for the treatment of nasal polyposis.

Nasal polyposis remains a significant challenge to the treating physician. The functional endoscopic surgery technique provides a tool by which the clinician can accurately diagnose, meticulously and atraumatically perform surgery, and precisely provide postoperative care and follow-up for patients with nasal polyp disease.

Endoscopy↗