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Biomedical subjects

K M Morgenstein

Publications and source records attributed to K M Morgenstein.

16 recordsLinked to original sources
PubMed1985

Intranasal sphenoethmoidectomy and antrotomy.

Acute disorders of the paranasal sinuses are treated primarily by medication. However, chronic sinus disease usually requires some degree of surgery. Intranasal sinus surgery is safe and effective when performed according to precise anatomic guidelines. Chronic infection of the sinuses can be cured by appropriate surgery. Patients with constitutional disorders resulting in intractable vasomotor rhinosinusitis cannot be "cured" by surgery, but they can be helped to cope with their problem with minimal symptomatology. Subsequent medical therapy or minimal surgical adjustments are part of the long-term management and their use does not constitute a valid criticism of the primary operative management.

Anesthesia↗
PubMed1980

Experiences in middle turbinectomy.

Rhinologists have long cautioned about removal of the middle turbinate, though exenteration of the ethmoid labyrinth including the middle turbinate has shown the structure can be sacrificed. The middle turbinate can be removed in the crowded nose often with septoplasty and partial inferior turbinectomy, to improve the nasal airway. A vasoactive middle turbinate which engorges and compresses against an often deviated nasal septum gives rise to the "four finger headache" patient for whom middle turbinectomy, often with septoplasty, is helpful. Point cocainization of the compressed site helps prognosticate the good candidate for surgical relief. Patients with purulent sinusitis have been excluded from the study. Results have been good to excellent with no long-term adverse sequelae. There has been no crusting, drying, or infection as a result of our middle turbinectomies. Careful patient selection is critical.

Airway Obstruction↗
PubMed1975

Treatment of the fractured larynx. Use of a new grafting technique.

Laryngeal fractures are best handled early by the meticulous apposition of mucous membrane and reconstitution of the laryngeal skeleton. Postoperative dilatations may deal successfully with any stenosis that occurs. However, the loss of critical supporting structures such as the cricoid ring or large amounts of mucosa may result in stenosis that requires the addition of structural elements from elsewhere in the body. This is a five-year follow-up on such a patient in whom ultimate reconstruction was accomplished by the use of mucous membrane from the maxillary sinus as a lining for the reconstructed larynx while costal cartilage provided additional supportive structural material for the compromised cricoid and thyroid cartilages.

Adult↗
PubMed1973

Serous otitis.

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Follow-Up Studies↗