Meniere's disease: current concepts.
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Biomedical subjects
Publications and source records attributed to J Templer.
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Leiomyoma is a rare tumor in this location. It probably arises from the tunica media of blood vessels. Electron microscopy is necessary to confirm the diagnosis. Local excision of the lesion is adequate treatment.
Treatment of soft tissue facial trauma requires attention to detail. Careful cleansing, debridement, tailoring of skin edges and meticulous closure are factors which control the ultimate result. Specific attention is required for the special problems of eyelids, auricles, lips, nose and inside of the mouth. Scar formation occurs after all trauma and sometimes requies revision. In general, revision should be performed after maturation of the scar.
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Most American clinicans have been relectant to utilize aspiration biopsy due to poor interpretive skills by the pathologists in the past and a fear of tumor spread by the needle. Voluminous European series and recent American series have proved aspiration to be safe and reliable. In our series of 78 cases, both thin-needle aspiration and conventional tissue biopsies were made. The diagnoses were compared and the overall agreement rate was 90%.
Damage to the recurrent laryngeal nerve is a frequently seen complication in head and neck surgery. A system for intraoperative monitoring of the recurrent laryngeal nerve is presented. The key to this system lies in the use of a microlaryngeal electrode and inserter. Application of this system to various situations is described.