Search PubMed⌕ Search

Biomedical subjects

I Eliachar

Publications and source records attributed to I Eliachar.

At least 91 records · Page 5Linked to original sources
PubMed1983

Long-term ventilation of the middle ear. An up date.

This study shows that with minor surgical intervention, far-advanced seemingly irreversible pathology in the middle ear and mastoid cavities can be withheld and almost completely resolved. Immediately following institution of the therapy air-bone gap is closed and optimal hearing is secured. This approach if persistently employed early enough may render many complicated, difficult major surgical procedures unnecessary. It is preferable and easier both for the patient and for the surgeon to 'permanently' ventilate the tympanic cavity and prevent the deterioration to adhesive otitis and cholesteatoma, than to correct this with intricate surgery that is not fail-proof and has many inherent risks.

Ear, Middle↗
PubMed1983

Early identification of deaf babies and children in northern Israel.

Mass screening for hearing loss is established in Israel early in the first year of life, in the free Mother and Child Welfare Clinics, leading to early detection and rehabilitation of almost all the deaf babies. At risk newborns are tested within the first three months of age. Impedance audiometry should be widely implemented in pre- and early school screenings, to detect the minor conductive hearing losses.

Child Health Services↗
PubMed1982

Nasal septal abscess of dental origin.

A nasal septal abscess can be a serious complication of trauma or surgery. Dental infections that lead to this condition are rarely mentioned in the dental literature, and no report was found in the English otorhinolaryngological literature. As septal suppuration causes destruction of the cartilaginous septum, saddle-nose formation, and severe intracranial complications, immediate treatment is necessary. Two patients had septal abscesses as a complication of dental infection. Development of the condition, possible complications, and treatment are discussed.

Abscess↗
PubMed1981

The management of laryngotracheal stenosis in burned patients.

Following burns of the upper respiratory tract, laryngotracheal stenosis is associated with considerable morbidity. This paper deals with the cumulative effect of various pathologic processes involved in burn trauma of the upper airway. Emphasis is placed on the extended use of endotracheal intubation and the avoidance of tracheostomy whenever possible. When laryngotracheal stenosis develops, it may be safely and successfully treated by prolonged stenting, as has been borne out by our experience with the T-shaped silicone tubes. Limited reconstructive procedures can be performed to facilitate proper placement of the stent. In our opinion, laryngotracheal resection and reconstruction are not the procedures of choice in burn cases. Our experience in following the preceding guidelines is described. Three illustrative cases serve to exemplify the difficulties and problems involved in the various stages of treatment and the results obtained. The patients are symptom-free 18 to 24 months following stenting, and all enjoy an adequate airway and good voice. There were no complications resulting from this treatment and we suggest that it is worthy of trial.

Adult↗
PubMed1981

Superiorly based tracheostomal flap to counteract tracheal stenosis: experimental study.

A superiorly based tracheal flap raised from the anterior tracheal wall was rotated anteriorly and superiorly to be sutured to the subcutaneous tissues. A series of 16 tracheostomies were performed on mongrel dogs. The stenosing effects of conventionally performed operations were compared to those of the new method. Autopsy sections of the post-tracheostomy sites demonstrated a significant loss of anteroposterior diameter averaging 16.5% as compared to the original unoperated-on luminae. No signs of tracheal stenosis were found whenever the proposed new technique was employed. This technique seems applicable to patients in whom assisted ventilation is contemplated.

Animals↗
PubMed1980

Hyoid bone fracture with pharyngeal lacerations.

Four cases of hyoid bone fracture with laceration of the pharynx are presented. The emergency treatment must aim at an exploration of the neck in an attempt to suture the lacerations of the pharyngeal mucosa. The fractured hyoid bone may be left untouched in most cases. The most common causes of fractures of the hyoid bone were previously considered to be violent strangulation and hanging. In the last two decades, however, road accidents seem to have become the most important cause in patients who survive the initial impact of collision. The biodynamics of injury to the pharynx and larynx in road accidents have been adequately described by Nahum and Siegel (1967). The concluded that the driver was the most frequent victim and the steering wheel was the object with which the neck most commonly collides. It is very easy to miss a fractured hyoid bone during the urgent admission of a patient injured in a traffic accident, since the more dramatic injuries are treated first and a treacheostomy is often performed to provide an airway.

Adult↗
PubMed1980

Early diagnosis in Bell's palsy. A nerve conduction study.

In 100 consecutive patients affected by idiopathic facial palsy the final degree of recovery was found to be inversely related to the distal latency time (DLT) measured within 72 hours of the onset of the disease. Incomplete recovery occurred in 77% of patients in whom the DLT was prolonged more than 10.0 msec, while complete recovery was found in 92% of cases in whom the DLT was less than 6.0 msec. This inexpensive test is easily and quickly performed and does not depend on the subjective responses or the cooperation of the patients. It may fill the gap between the onset of the palsy and the period in which other electrodiagnostic tests can be usefully employed.

Facial Paralysis↗
PubMed1979

Combined treatment of concurrent laryngeal and tracheal stenosis.

This report describes a one-stage combined surgical procedure for laryngeal and tracheal stenosis presenting concurrently. The technique links together three new procedures. Autogenous hyoid bone transposition on a muscle pedicle for reconstruction of the larynx, together with implantation of a silicone T-tube in conjunction with a custom-carved silicone stent, for maintenance and resurfacing of both strictures. This technique has produced satisfactory results in four cases. In two of the patients there is sufficient follow-up to indicate the efficacy of this method.

Humans↗