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Biomedical subjects

F E Lucente

Publications and source records attributed to F E Lucente.

12 recordsLinked to original sources

Current attitudes of laryngectomy patients.

Improved surgical techniques and adjunctive therapeutic measures are producing more long-term survivors of laryngeal carcinoma and facilitating voice preservation through the methods of conservation surgery; however, when surgery includes total laryngectomy, prolonged rehabilitation involving many disciplines may help patients to adjust to many new aspects of their daily lives and to avoid the severe depression which may attend this procedure. In order to evaluate the program currently in use at our institution and to provide suggestions for developing and improving rehabilitative programs, we have used interviews and questionnaires to study 60 laryngectomy patients. The study focused on the patients' attitudes and their impressions of the adequacy of the preoperative and postoperative visits by physicians, speech pathologists, nurses, social workers, and other members of the therapy team.

Aged

Tuberculous otitis media.

Tuberculous otitis media is a variable and puzzling infectious disease which may remain undiagnosed or confused with other acute or chronic middle ear conditions if appropriate diagnostic studies are not performed. Among the common clinical findings are insiduous onset of painless watery drainage, severe hearing loss, multiple perforations of the tympanic membrane and subsequent appearance of profuse granulation tissue. As the disease progresses destruction of the middle ear conductive apparatus, facial paralysis, cochlear involvement with labyrinthitis and further hearing loss, and finally intracranial dissemination of infection may occur. The case histories of two patients recently treated at Mount Sinai Hospital illustrate some of the clinical problems encountered with this disease.

Adult

Drugs and the otolaryngologist.

Numerous clinical problems arise as a result of our use of pharmaceuticals. They include untoward pharmacologic effects, socio-economic problems (excessive cost, abuse), improper administration and various medicolegal difficulties. Two areas of direct concern to the otolaryngologist are drug interactions and drug-induced diseases, problems which precipitate and prolong hospitalization and which introduce a new clinical entity, "diseases of medical progress." Otolaryngologic examples of these diseases are abundant; some are considered here in a brief explication of an area of growing concern.

Adolescent

Reconstruction of the external ear using multiple burow's triangles.

Basal cell carcinoma of the auricle presents a challenge in both excision and reconstruction to the clinician. The folloing case report discusses and illustrates the use of controlled excision with assessment of margins and reconstruction using chondrocutaneous advancement flaps and multiple Burow's triangles.

Aged

Myths in medicine.

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Attitude