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Biomedical subjects

D Reiter

Publications and source records attributed to D Reiter.

At least 37 records · Page 2Linked to original sources
PubMed1982

Dentoalveolar considerations in the management of facial trauma.

Facial trauma may result in damage to the structures of the mouth, both by direct insult and by hindering access for routine oral health and hygiene measures. Successful management must include consideration of the stomatognathic system. The four major areas of consideration are dentoalveolar response to the forces of trauma and repair, evaluation and management of changes in vitality of the dental pulp, control of infectious and inflammatory periodontal disease throughout the period of evaluation and management, and restoration of the dentition and supporting structures. Guidelines are offered for use in the management of patients with facial trauma in each specific area presented for consideration.

Dental Pulp Necrosis↗
PubMed1982

Auditory distortion.

The auditory system responds to pulsatile energy flow from the environment. Compression and rarefaction of gaseous molecular mass is transduced into electromechanical forms, in order to produce an effect at the cortical level. For energy input to have consistent meaning, transduction must preserve information coded within the pattern of energy flow. Distortion, or alteration of the original form, occurs in many ways throughout the chain of generation/transmission/reception/interpretation. Parameters of energy flow are discussed, and distortion of each parameter is presented in a context which permits the development of a distortion-based analysis of common clinical problems in otolaryngology.

Acoustics↗
PubMed1982

Third branchial cleft sinus: an unusual cause of neck abscess.

Sinuses and fistulae of the third branchial cleft or pouch are rarely encountered. We have cared for a child with a history of multiple neck masses and abscesses, in whom the causative factor seems to have been an unrecognized branchial cleft sinus. This case suggests the need for contrast radiography of the hypopharynx in children with recurrent neck abscess, and dramatizes the need to exercise all reasonable diagnostic options before proceeding with surgery of newly presenting neck masses in children.

Abscess↗
PubMed1980

Middle ear immittance in rheumatoid arthritis.

Audiologic and electroacoustic immittance measurements were obtained from each ear of 23 patients with rheumatoid arthritis and 13 normal control subjects. Audiologic findings revealed 14 patients with rheumatoid arthritis with hearing loss of either conductive (three patients) or sensorineural (11 patients) type, while only two control subjects demonstrated hearing loss, both of sensorineural type. Immittance data revealed abnormal findings in 59% of the patients with rheumatoid arthritis as compared to only 4% of the control subjects. The increased incidence of sensorineural hearing loss in the sample with rheumatoid arthritis could not be readily explained. The observed prevalence of abnormal immittance findings in patients with rheumatoid arthritis suggested either increased middle ear stiffness or increased stiffness associated with decreased stability of ligamentous anchorage.

Acoustic Impedance Tests↗
PubMed1980

Concepts of dental occlusion.

The otolaryngologist frequently encounters problems related to the form and function of the stomatognathic system. Much has been published over the past 50 years regarding the "ideal occlusion," but controversy continues to rage over the relevance of various occlusal parameters to the evaluation and management of problems involving occlusal dysfunction. A review of the literature on occlusion is offered, maintaining historical perspective while expanding each theory with relevant clinical correlates. A concept of occlusion is offered that may help in the evaluation and management of otolaryngologic problems involving the stomatognathic system.

Dental Occlusion↗
PubMedDate not supplied

On market share, ethics, and the exercise of public policy. Point of view.

Make no mistake about it: our ethics drive public policy. The failure to understand this has contributed to the alarming proliferation of inquiries and legislation about surgery for appearance, those of us who provide it, and the facilities in which we work. Office-based surgery, surgery for appearance, and the qualifications of physicians who do both are currently under intense scrutiny by public agencies. We will examine why this is so, how we might respond, and how we can minimize the intensification of such efforts in the future. Although we will not be able to crawl off the stage of society's microscope, we may be able to get the makers of public policy to use a lower-power objective if we demonstrate more ethical scrutiny of our own.

Ethics, Medical↗
PubMedDate not supplied

Acute alcohol withdrawal and free flap mandibular reconstruction outcomes.

OBJECTIVE: To evaluate the effect of acute postoperative alcohol withdrawal on survival of vascularized fibular grafts for mandibular reconstruction. DESIGN: Retrospective case series of 17 consecutive patients. MAIN OUTCOMES MEASURE: Relation between flap survival and alcohol withdrawal. RESULTS: Flap survival rate was 25% for patients who experienced delirium tremens and 85% in the other patients. Had all flaps in patients with postoperative alcohol withdrawal survived, the success rate would have been 89%. Flap loss was related to acute alcohol withdrawal (P =.02, chi2 analysis). The relationship between complication rate and alcohol withdrawal was also significant, using the Fisher exact test. CONCLUSIONS: Fibular free flap reconstruction of the mandible is clearly cost-effective when it facilitates return to social function and productivity. In our experience, acute alcohol withdrawal in the first 72 hours after surgery is associated with a high incidence of flap loss. Therefore, we believe that patients at significant risk for alcohol withdrawal should undergo detoxification preoperatively. Society's economic return for investing in free flap reconstruction comes from minimizing convalescence and maximizing postoperative patient productivity. This return will not be realized for poorly selected patients. We are looking further into the effects of alcoholism on flap survival rates.

Acute Disease↗
PubMedDate not supplied

Asymptomatic nasal septal perforations in systemic lupus erythematosus.

Nasal septal performation has been considered a diagnostic criterion for systemic lupus erythematosus since 1971. However, little has been published in the otorhinolaryngologic literature regarding this lesion. We report six patients having asymptomatic anteroinferior nasal septal perforations and symptomatic lupus. No obvious clinical correlates were found. We support the hypothesis that nasal septal perforation in systemic lupus erythematosus is a common phenomenon, and attribute its infrequent detection to the asymptomatic nature of the lesion in this setting.

Adolescent↗