Angel flight. An undiscovered resource.
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Biomedical subjects
Publications and source records attributed to K M Morgenstein.
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Acute disorders of the paranasal sinuses are treated primarily by medication. However, chronic sinus disease usually requires some degree of surgery. Intranasal sinus surgery is safe and effective when performed according to precise anatomic guidelines. Chronic infection of the sinuses can be cured by appropriate surgery. Patients with constitutional disorders resulting in intractable vasomotor rhinosinusitis cannot be "cured" by surgery, but they can be helped to cope with their problem with minimal symptomatology. Subsequent medical therapy or minimal surgical adjustments are part of the long-term management and their use does not constitute a valid criticism of the primary operative management.
Laryngeal fractures are best handled early by the meticulous apposition of mucous membrane and reconstitution of the laryngeal skeleton. Postoperative dilatations may deal successfully with any stenosis that occurs. However, the loss of critical supporting structures such as the cricoid ring or large amounts of mucosa may result in stenosis that requires the addition of structural elements from elsewhere in the body. This is a five-year follow-up on such a patient in whom ultimate reconstruction was accomplished by the use of mucous membrane from the maxillary sinus as a lining for the reconstructed larynx while costal cartilage provided additional supportive structural material for the compromised cricoid and thyroid cartilages.
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