Superselective embolization in two cases of laryngeal paraganglioma.
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Biomedical subjects
Publications and source records attributed to R C Hunsicker.
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Iatrogenic injury to the facial nerve is certainly the most apparent if not the most feared complication faced by the otologic surgeon. The temporal bone with its tightly packed sensory structures is no place for the "occasional operator". A thorough knowledge of temporal bone anatomy is of course required. On occasion, as in other areas of life, one encounters the unexpected and must be prepared to "adjust" to the situation at hand. An instructional case involving an anomalous facial nerve is presented. A review of the developmental anatomy of the facial nerve, preoperative diagnostic imaging and landmarks for determining the course of the main facial nerve trunk are discussed.
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An increasing number of internists and chest physicians have become participants in the practice of bronchoesophagology. The otolaryngologist seeking to broaden his skills in the art of bronchoscopi foreign body removal will find his take become increasingly difficult. We describe a rare case involving the aspiration of a 1.5-cm marble by a patient, resulting in marginal pulmonary function. What we beleive is a previously unreported technique for rapid removal of the object was used.
An unusual case of spontaneous subcutaneous emphysema and pneumomediastinum presumably caused by a laryngeal or hypopharyngeal tear during excessive phonation is presented. The patient was treated conservatively after a careful search for any causative factors. Observation, with parenteral ailimentation, intravenous antibiotics, and voice rest, is advocated for most cases. Tracheostomy and open repair or mediastinotomy are reserved for the unusually severe or unresolving case.
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