Search PubMed⌕ Search

Biomedical subjects

J A McCurdy

Publications and source records attributed to J A McCurdy.

At least 19 recordsLinked to original sources
PubMed1986

Aesthetic rhinoplasty in the non-Caucasian.

The aesthetic goals of rhinoplasty in the non-Caucasian nose are similar to those in the Occidental nose. Successful surgery in such noses requires appreciation of nasal aesthetics, knowledge of anatomic differences, thorough preoperative evaluation and planning, and meticulous attention to detail while performing the operation. Reliable and predictable methods for sculpturing the lobule and augmenting the dorsum of the non-Caucasian nose are discussed.

Asian People↗
PubMed1980

Evaluation of extrathyroid masses of the head and neck with gray scale ultrasound.

The utility of gray scale ultrasonography in evaluation of extrathyroid masses of the head and neck is demonstrated by correlating ultrasonic data with clinical and histologic findings in 40 cases. This technique is valuable in differentiating cystic from noncystic masses in determining the nature of inflammatory masses, and in many cases allows determination of the margins of a mass and its relationship to adjacent structures.

Abscess↗
PubMed1980

Manometric measurement of Eustachian tube ventilatory function.

Although initial manometric studies of Eustachian tube ventilatory function in both normal and abnormal ears suggested that this technique provided an accurate physiologic assessment of ventilatory function, recent studies have questioned the physiologic nature of these tests. In an effort to clarify this controversy, the tubal ventilatory capacity of 51 ears in which Eustachian tube function was clinically normal was assessed manometrically. Similar measurements were made in 18 ears in which Eustachian tube function was clinically normal except for a complaint of aural fullness. This group showed poorer ventilatory function than normal ears, but the most striking result was the inability of over 50% of the normal group to equilibrate negative pressure to a level within the normal range of 0 to -50 mm H2O. It is postulated that Eustachian tube ventilatory function exhibits a range of individual variability such as is characteristic of other biologic systems.

Adolescent↗
PubMed1980

Congenital hearing impairment.

Although early management of children with hearing loss is extremely important, diagnosis is often delayed because the development of hearing-impaired children parallels that of normal infants until the age of nine months. A high-risk registry aids in recognition of hearing-impaired children, but fails to identify those in whom an autosomal recessive defect is responsible. Management includes harnessing the child's residual hearing with hearing aids and teaching parents methods to maximize the child's ability to recognize sounds.

Audiometry↗
PubMed1978

Reduction of excessive nasal tip projection with a modified Lipsett technique.

Management of the excessively projecting tip is one of the difficult problems in rhinoplasty. Several methods have been offered as solutions to this problem, but none has gained wide acceptance. The technique described by Lipsett allows reliable reduction of tip projection without sacrifice of the normal anatomical configuration of the lower lateral cartilages vital to preservation of a natural tip contour. This technique is described and several modifications that have enhanced its usefulness are discussed.

Cartilage↗
PubMed1978

Middle ear effusion: current concepts.

Middle ear fluid is a common problem in children. Eustachian tube dysfunction has been considered the key to the pathogenesis of this disorder, but new studies show that other factors may be operative. Inflammation appears to play a significant role in high-viscosity effusion, and these effusions may be related to acute suppurative otitis media. Since persistent mild hearing loss may adversely affect verbal development, new emphasis on early treatment of middle ear effusion is warranted.

Child↗
PubMed1977

Peritonsillar abscess. A comparison of treatment by immediate tonsillectomy and interval tonsillectomy.

The generally accepted therapeutic regimen for peritonsillar abscess consists of the administration of parenteral antibiotics with incision and drainage followed by interval tonsillectomy in four to six weeks. Treatment by immediate tonsillectomy, however, is practiced widely in Europe and has received recent attention in the American literature. This report compares the clinical course of patients treated by interval tonsillectomy and immediate tonsillectomy. Patient morbidity was lessened by immediate tonsillectomy, since two separate surgical procedures were avoided, and the total period of hospitalization was reduced by nearly 50%. Advantages and disadvantages of both methods of therapy are discussed.

Anti-Bacterial Agents↗
PubMed1977

Effects of nasal packing on eustachian tube function.

Eustachian tube function was assessed by tympanometry in 47 patients (94 ears) with anterior nasal packing placed after nasal surgery and in 12 patients (24 ears) requiring anterior and posterior packing for epistaxis. Twenty-four of the 94 ears (25.5%) in patients with anterior packing exhibited reductions in middle ear pressure (greater than or equal to --100 mm H2O), whereas 12 of 13 ears (92.3%) ipsilateral to and six of 11 ears (45.4%) contralateral to the posterior pack demonstrated comparable reductions in middle ear pressure. The observation that posterior packing is associated with a greater incidence of eustachian tube dysfunction than anterior packing suggests that the mechanism of this dysfunction may be related to stasis in the peritubal lymphatic plexus rather than to nasal obstruction per se.

Adolescent↗
PubMed1977

Fatal mediastinitis after a dental infection.

The pertinent features of life-threatening complications of dental infections have been briefly reviewed with particular emphasis on the alterations of the clinical features of these conditions induced by antibiotic therapy. The clinician who deals with dental infections must exercise a high index of suspicion to consistently abort the development of these complications, especially when treating debilitated patients or individuals with compromised immune functions.

Abscess↗