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L D McIntire

Publications and source records attributed to L D McIntire.

4 recordsLinked to original sources

Presentation and management of uncommon lesions of the middle ear.

Infrequently encountered tumors involving the middle ear cleft can cause symptoms and signs that are identical with those of acute or chronic otitis media. Selection of patients who require a more thorough evaluation is predicated upon a high index of clinical suspicion. Integration of the results of a preoperative neuroradiologic evaluation, including high resolution computerized tomography, magnetic resonance imaging, and either conventional or magnetic resonance angiography, may suggest the histopathologic nature of the lesion and direct appropriate treatment. The authors present their experience with the management of 11 patients who had either malignant or benign middle ear lesions that were initially believed to represent infectious middle ear disease. The perioperative decision making process and patient outcomes are compared to other historical reports.

Adenocarcinoma↗

Frontal sinusitis with chronic epidural abscess: a case presentation.

The incidence of intracranial complications from acute frontal sinusitis has decreased with improved antimicrobial and surgical therapy. However, the physician must maintain a keen awareness and thoroughly investigate any possible signs of intracranial spread. This article discusses a case in which a chronic epidural abscess developed after inadequate therapy was rendered. It also reviews the presentation of and the factors leading to the development of intracranial complications. The treatment required is to eradicate the disease present and prevent future sinusitis.

Adolescent↗

Ethmoid sinus disease and nasal septal deformities as etiologies of chronic cephalgia: results of surgical management.

Results of a retrospective chart review of 80 patients, in conjunction with recently completed questionnaires, document the effects of sinus and nasal surgeries on chronic headache symptoms believed to originate within the ethmoid sinuses or nose. Seventy (88%) of the patients in this study experienced a dramatic improvement of their headache symptoms after undergoing surgical treatment. The authors conclude that this type of cephalgia is more common than expected, that its cause goes largely undiagnosed by the majority of physicians, and that an effective method of treatment is available to improve the quality of life of these patients.

Adolescent↗