Biomedical subjects
Publications and source records attributed to R T Sataloff.
The management of frontal sinus injury from trauma or operation has been controversial. Case reports and extensive literature review emphasize the importance of careful treatment of the frontal sinus whenever it is violated. The principles of management are reviewed.
A technique for single stage total en bloc resection of the temporal bone and intratemporal carotid artery with immediate reconstruction has been described. This formidable procedure requires the collaborative efforts of neurotologic skull base surgeons, neurosurgeons, and head and neck surgeons. Two patients have undergone this procedure; one with squamous cell carcinoma and one with extensive basal cell carcinoma. The quality of life following this procedure is adequate and the cosmetic deformity can be minimized. Longer follow-up is necessary to determine the value and overall impact of this approach to cancer of the temporal bone on disease free interval and patient survival. Further experience with the technical aspects of this procedure should reduce the operating time, blood loss, and resultant morbidity.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Previous studies of occupational hearing loss have led to the belief that a typical hearing loss pattern results regardless of the noise source. Classically, the frequencies between 3,000 and 6,000 Hz are affected first. Subsequently, as the exposure continues, the hearing loss spreads to involve lower frequencies (speech) and 8,000 Hz. Although it has been assumed that this progression is typical for occupational hearing loss, it must be remembered that these studies were based chiefly on continuous exposure to noise in areas such as textile mills and paper factories. Practical experience in industry and review of millions of audiograms have shown that the classic audiogram is not as common as generally thought, especially in workers subjected to intermittent noise exposure such as chipping. In this investigation, 12,000 workers were screened to find 295 who met the strict criteria, the most important of which was intermittency of noise exposure. Most of the subjects were exposed to jackhammer noise that peaked at about 118 dBA. The study reveals a substantially different pattern of hearing loss from that reported previously. Intermittent exposure to intense noise results in very severe loss in high frequencies but relatively little or no hearing loss in the lower frequencies, even after many years of exposure. It remains to be determined whether this pattern of hearing loss results from intermittent exposure to all types of noise or only from those kinds investigated in this study. It is speculated that frequent rest periods permit the ear to protect itself from damage in the speech frequencies. This concept opens many possible avenues for preventing hearing handicap in industrial situations.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Although temporomandibular joint pain is not a rare complication of mandibular surgery, styloid pain syndrome has not been recognized heretofore as a complication of mandibular osteotomy. Usually styloid pain syndrome occurs following tonsillectomy or de novo. Most styloid syndromes involve the styloid process, the stylohyoid attachments, or the carotid artery. This article presents a case of stylohyoid pain syndrome caused by stretching of the stylomandibular ligament following mandibular osteotomy. Additional surgical intervention was required to relieve the symptoms in this case. Styloid process pain syndromes are reviewed.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Examination of the professional singer must include an assessment of his general health and a thorough ear, nose, and throat evaluation. However, the physical examination can reveal much more than simply the appearance of the singer's vocal cords. The physician must be attuned to the singer's use of his speaking voice. Examination of actual singing allows specific observations that may substantiate a diagnosis of voice abuse or may guide the physician in his selection of therapy.
Explore the source record for details and available documents.