Search PubMed⌕ Search

Biomedical subjects

M B Trotsky

Publications and source records attributed to M B Trotsky.

4 recordsLinked to original sources
PubMed1996

The role of laser assisted uvulopalatoplasty in snoring and sleep apnea.

1. A careful history and favorable physical exam is mandatory for consideration of LAUP. 2. Concurrent diseases must be addressed for optimal results. 3. A sleep study should be recommended with any evidence suggestive of sleep apnea. 4. LAUP cures snoring. 5. Primary treatment of severe sleep apnea is nasal continuous positive airway pressure (NCPAP). 6. Mild sleep apnea with appropriate physical exam can be expected to have acceptable results when treated by LAUP. 7. LAUP should be considered for moderate to severe sleep apnea only if NCPAF intolerance is intractible.

Adult↗
PubMed1994

Neurogenic vascular headaches, food and chemical triggers.

Recent evidence has demonstrated that neurogenic vascular headaches are a combination of neurological primary events and secondary vasomotor changes. The neurological events involve the hypothalamus and sensory cortex with sympathetic hypofunction and noradrenergic abnormalities. A platelet theory has been proposed but has not really been confirmed as a legitimate cause of the neurogenic vascular headaches. Food and chemicals in foods can act as a precipitating factor in the food-sensitive neurogenic vascular headache patient. In these patients evidence is now being demonstrated to confirm this, but larger patient studies are needed. The food-sensitive migraine patient and cluster headache patient must give a good history and food diary to go along with active challenges and provocative testing in order to determine the causative foods. Any concomitant allergies of inhalants or environmentals must also be treated. The treatment modalities of elimination and rotation diets or provocation neutralization may successfully control the headaches without the need for continuous medications.

Adrenergic beta-Antagonists↗
PubMed1992

Comments on functional endoscopic sinus surgery.

A brief comment on functional endoscopic sinus surgery with the result of 208 cases were presented. It was stressed that all sinus patients must have very intensive conservative management, much longer than previously thought, before functional endoscopic sinus surgery should be employed. Functional endoscopic sinus surgery is a vastly superior method of surgically treating the paranasal sinuses. It is based on the principles of reestablishing normal physiology of the sinus mucosa. It affords an excellent basis for removal of disease, establishing natural drainage, aeration and restoration of normal physiology.

Adolescent↗