0
ARTICLE |

Otolaryngology—Head and Neck Surgery FREE

Byron J. Bailey, MD
JAMA. 1992;268(3):395-397. doi:10.1001/jama.1992.03490030107047
Text Size: A A A
Published online

Exciting advances during the past year in the specialty of otolaryngology—head and neck surgery have increased our understanding of several common diseases and disorders and improved our ability to treat patients with these problems. Reconstructive surgery, pediatric otolaryngology, and otology have benefited particularly from important new scientific information.

Restoring facial contour, speech, and swallowing and chewing functions to near-normal levels after segmental mandibular resection for cancer is a challenging goal. The movement of the jaw and tongue and the large forces applied during mastication combine with complex anatomic features and the need for sensory input to create demands that have not been met fully prior to the introduction of microvascular free-tissue transfer techniques. Recent clinical studies have demonstrated the greater viability and durability of composite-free grafts (bone, muscle, and skin) that are vascularized. The iliac crest, scapula, metatarsus, rib, and radius are the most common donor sites, with the selection

REFERENCES

Urken ML.  Composite free flaps in oromandibular reconstruction. Arch Otolaryngol Head Neck Surg . 1991;;117:724-732.
Urken ML, Weinberg H, Vickery C, et al.  Oromandibular reconstruction using microvascular composite free flaps. Arch Otolaryngol Head Neck Surg . 1991;;117:733-744.
Hoffman HT, Harrison N, Sullivan MJ, et al.  Mandible reconstruction with vascularized bone grafts. Arch Otolaryngol Head Neck Surg . 1991;;117:917-925.
Shockley WW, Weissler MC, Pillsbury HC.  Immediate mandibular replacement using reconstruction plates. Arch Otolaryngol Head Neck Surg . 1991;;117:745-749.
Toriumi DM, Kotler HS, Luxenberg DP, et al.  Mandibular reconstruction with a recombinant bone-inducing factor. Arch Otolaryngol Head Neck Surg . 1991;;117:1101-1112.
Richards W, Roth RM, Church JA.  Underdiagnosis and undertreatment of chronic sinusitis in children. Clin Pediatr . 1991;;30:88-92.
Holinger LD, Sanders AD.  Chronic cough in infants and children: an update. Laryngoscope . 1991;;101:596-605.
Orobello PW Jr, Park RI, Belcher LJ, et al.  Microbiology of chronic sinusitis in children. Arch Otolaryngol Head Neck Surg . 1991;;117:980-983.
Muntz HR, Lusk RP.  Bacteriology of the ethmoid bullae in children with chronic sinusitis. Arch Otolaryngol Head Neck Surg . 1991;;117:179-181.
Allphin AL, Strauss M, Abdul-Karim FW.  Allergic fungal sinusitis: problems in diagnosis and treatment. Laryngoscope . 1991;;101:815-820.
Kavanagh KT, Parham DM, Hughes WT, Chanin LR.  Fungal sinusitis in immunocompromised children with neoplasms. Ann Otol Rhinol Laryngol . 1991;;100:331-336.
Wiatrak BJ, Willging P, Myer CM III, Cotton RT.  Functional endoscopic sinus surgery in the immunocompromised child. Otolaryngol Head Neck Surg . 1991;;105:818-825.
Abramson AL, Shikowitz MJ, Mullooly VM, et al.  Clinical effects of photodynamic therapy on recurrent laryngeal papillomas. Arch Otolaryngol Head Neck Surg . 1992;;118:25-29.
Aguado DL, Pinero BP, Betancor L, et al.  Acyclovir in the treatment of laryngeal papillomatosis. Int J Pediatr Otorhinolaryngol . 1991;;21:269-274.
Eicher SA, Taylor-Cooley LD, Donovan DT. 13-Cis retinoic acid for recurrent respiratory papillomatosis with malignant transformation. Presented at the Southern Section of the Triological Society meeting; January 17, 1992; Sea Island, Ga.
Kashima HK, Kessis T, Mounts P, Shah K.  Polymerase chain reaction identification of human papillomavirus DNA in CO2 laser plume from recurrent respiratory papillomatosis. Otolaryngol Head Neck Surg . 1991;;104:191-195.
Luetje CM, Whittaker K, Geier L, et al.  Feasibility of multichannel human cochlear nucleus stimulation. Laryngoscope . 1992;; 102:23-25.
El-Kashlan HK, Niparko JK, Altschuler RA, Miller JM.  Direct electrical stimulation of the cochlear nucleus: surface vs penetrating stimulation. Otolaryngol Head Neck Surg . 1991;;105:533-543.
McGee TM, Kartush JM, Heide JC, et al.  Electromagnetic semiimplantable hearing device: phase I clinical trials. Laryngoscope . 1991;;101:355-360.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Urken ML.  Composite free flaps in oromandibular reconstruction. Arch Otolaryngol Head Neck Surg . 1991;;117:724-732.
Urken ML, Weinberg H, Vickery C, et al.  Oromandibular reconstruction using microvascular composite free flaps. Arch Otolaryngol Head Neck Surg . 1991;;117:733-744.
Hoffman HT, Harrison N, Sullivan MJ, et al.  Mandible reconstruction with vascularized bone grafts. Arch Otolaryngol Head Neck Surg . 1991;;117:917-925.
Shockley WW, Weissler MC, Pillsbury HC.  Immediate mandibular replacement using reconstruction plates. Arch Otolaryngol Head Neck Surg . 1991;;117:745-749.
Toriumi DM, Kotler HS, Luxenberg DP, et al.  Mandibular reconstruction with a recombinant bone-inducing factor. Arch Otolaryngol Head Neck Surg . 1991;;117:1101-1112.
Richards W, Roth RM, Church JA.  Underdiagnosis and undertreatment of chronic sinusitis in children. Clin Pediatr . 1991;;30:88-92.
Holinger LD, Sanders AD.  Chronic cough in infants and children: an update. Laryngoscope . 1991;;101:596-605.
Orobello PW Jr, Park RI, Belcher LJ, et al.  Microbiology of chronic sinusitis in children. Arch Otolaryngol Head Neck Surg . 1991;;117:980-983.
Muntz HR, Lusk RP.  Bacteriology of the ethmoid bullae in children with chronic sinusitis. Arch Otolaryngol Head Neck Surg . 1991;;117:179-181.
Allphin AL, Strauss M, Abdul-Karim FW.  Allergic fungal sinusitis: problems in diagnosis and treatment. Laryngoscope . 1991;;101:815-820.
Kavanagh KT, Parham DM, Hughes WT, Chanin LR.  Fungal sinusitis in immunocompromised children with neoplasms. Ann Otol Rhinol Laryngol . 1991;;100:331-336.
Wiatrak BJ, Willging P, Myer CM III, Cotton RT.  Functional endoscopic sinus surgery in the immunocompromised child. Otolaryngol Head Neck Surg . 1991;;105:818-825.
Abramson AL, Shikowitz MJ, Mullooly VM, et al.  Clinical effects of photodynamic therapy on recurrent laryngeal papillomas. Arch Otolaryngol Head Neck Surg . 1992;;118:25-29.
Aguado DL, Pinero BP, Betancor L, et al.  Acyclovir in the treatment of laryngeal papillomatosis. Int J Pediatr Otorhinolaryngol . 1991;;21:269-274.
Eicher SA, Taylor-Cooley LD, Donovan DT. 13-Cis retinoic acid for recurrent respiratory papillomatosis with malignant transformation. Presented at the Southern Section of the Triological Society meeting; January 17, 1992; Sea Island, Ga.
Kashima HK, Kessis T, Mounts P, Shah K.  Polymerase chain reaction identification of human papillomavirus DNA in CO2 laser plume from recurrent respiratory papillomatosis. Otolaryngol Head Neck Surg . 1991;;104:191-195.
Luetje CM, Whittaker K, Geier L, et al.  Feasibility of multichannel human cochlear nucleus stimulation. Laryngoscope . 1992;; 102:23-25.
El-Kashlan HK, Niparko JK, Altschuler RA, Miller JM.  Direct electrical stimulation of the cochlear nucleus: surface vs penetrating stimulation. Otolaryngol Head Neck Surg . 1991;;105:533-543.
McGee TM, Kartush JM, Heide JC, et al.  Electromagnetic semiimplantable hearing device: phase I clinical trials. Laryngoscope . 1991;;101:355-360.
CME Course for:


You need to register in order to view this quiz.


To understand the clinical management of acute heart failure syndromes.
Accreditation Information The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Response

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.