Biomedical subjects
R T Sataloff
Publications and source records attributed to R T Sataloff.
Clinical evaluation of the professional singer.
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Common diagnoses and treatments in professional singers.
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Objective measures of voice function.
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Speech-language pathology and the professional voice.
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Biologic and nonbiologic materials in otologic surgery.
Review of the materials used in middle ear surgery high-light numerous advantages and disadvantages of specific substances. Nevertheless, the great variety of materials available suggests that the ideal implant has not yet been identified.
Preservation of otologic homografts.
Techniques for preservation of homografts for replacement of tympanic membranes, ossicles, closure of the oval window, and canalplasty remain controversial. Review of 300 articles reveals no evidence opposing the harvesting of grafts from living patients or cadavers, or the prolonged storage of these materials in antibacterial solutions. It appears to be important to store the grafting material long enough to reduce antigenicity. Numerous techniques and materials are being used with success. Additional research on antigens, histologic fate of grafts, long-term success, and complications is essential to determine ideal grafting materials, preservatives, and techniques.
Sensorineural hearing loss.
New developments in diagnosis aid in the treatment and have improved the outlook for those patients with sensorineural hearing loss. Not all such hearing loss is untreatable and it should be approached systematically and enthusiastically. Thorough evaluation should be performed in all patients.
Documenting hearing conservation tests equipment's effectiveness.
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Establishing an otologic OR. One hospital's approach to difficulties.
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Surgery and sensorineural hearing loss.
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Middle ear surgery in fibrous dysplasia of the temporal bone.
Fibrous dysplasia of the temporal bone is uncommon. When it does occur, surgery may be necessary because of cholesteatoma or chronic infection behind bony obstruction of the external auditory canal. Cosmetic surgery may also be performed because of bony deformity. When a surgical procedure is undertaken for hearing improvement, special problems may be encountered. The case presented illustrates middle ear pathologic changes found with fibrous dysplasia and specific surgical difficulties.
Acoustic neuromas presenting as sudden deafness.
Caution is required in diagnosing even apparently "obvious" causes of hearing loss. A patient is described who came to medical attention through referral from a lawyer for sudden deafness allegedly caused by exposure to noise in an industrial setting. Thorough evaluation revealed an acoustic neuroma. Review of the literature suggests that presentation of acoustic neuromas as sudden deafness is more common than generally recognized. Clinicians must be alert to this possibility and diligent in their evaluation of any unilateral ear symptoms.
Acoustic tumors in the young adult.
Despite the widely held notion that acoustic neuroma is a disease of the middle and late years of life, this neoplasm frequently begins in young adults. It has been reported as occurring in a patient as young as seven years of age. Often, patients in their 20s or 30s may have minimal symptoms despite sizable tumors. Constant alertness for such lesions is essential for early diagnosis and optimal prognosis.
Rehabilitation of a quadriplegic professional singer. Use of a device to provide abdominal muscle support.
Abdominal muscle support is essential for singing. Nevertheless, it has been possible to rehabilitate a professional singer who sustained a C-5 fracture and quadriplegia. The device that has been developed has restored his ability to support singing and has improved respiratory function substantially. It appears to have potential usefulness for restoring effective coughing in other quadriplegic patients.
Computed tomography of the face and paranasal sinuses: Part I. Normal anatomy.
Computed tomographic (CT) scanning of the face and sinuses has improved markedly with modern equipment and methods. Expertise in facial and sinus anatomy as seen by CT is invaluable to the clinician. A review of normal CT anatomy is presented as a basis for diagnosing pathologic conditions.
Titration streptomycin therapy for bilateral Meniere's disease: a preliminary report.
Intramuscular dosages of streptomycin sulfate were titrated in eight patients with bilateral Meniere's disease in an attempt to alleviate disabling vertigo and hearing loss. It appears possible to eliminate the vertiginous episodes, preserve or improve hearing, and avoid ataxia and oscillopsia in most of these individuals. At present we consider this treatment regimen our first choice of therapy in people with bilateral active Meniere's disease or in patients whose only hearing ear is actively fluctuating and in whom associated disabling vertigo is present. Great caution and supervision should be exercised in the use of streptomycin titration therapy in the individual with bilateral Meniere's disease, as further experience is required to determine the efficacy of this form of management.