Biomedical subjects

S E Kinney

Publications and source records attributed to S E Kinney.

58 records · Page 4Linked to original sources

PubMedDate not supplied

Aural cholesteatoma presenting as a large neck mass.

Aural cholesteatoma occurring as a mass in the neck, reported only twice before, follows the same spreading pattern as pus in Bezold's mastoiditis. Our patient became aware of the mass only when his previously exteriorized cavity became infected. We believe that the deep dependent mastoid tip and infection enhanced the spread of cholesteatoma into the neck, but that penetration of the mastoid cortex and initial silent accumulation of debris began years before. Recent evidence suggests that such erosion of bone may result from enzymatic degradation even in a so-called dry ear. This unusual case of massive swelling in the neck as a result of aural cholesteatoma exemplifies the need for careful preoperative assessment and operative management of any patient with a neck mass.

Cholesteatoma↗

PubMedDate not supplied

Glomus jugulare tumor surgery with intracranial extension.

Total surgical excision of a glomus jugulare tumor is the treatment of choice for this benign tumor. If the tumor has extended beyond the temporal bone into the intracranial spaces, most often the posterior fossa, the surgical excision becomes more difficult. If the tumor has extended anteriorly and posteriorly into the posterior fossa or if a portion of the tumor is exposed in the external auditory canal with the concurrent infection that is seen with this presentation, the intracranial portion of the tumor should be removed as a first step in a planned two-stage removal of the tumor. If the intracranial extension is limited and there is no infection present with the tumor, a combined otologic-neurosurgical approach using transtemporal and suboccipital access to the temporal bone will allow successful total removal of the tumor in a one-stage procedure. Details are presented to demonstrate this combined otologic and neurosurgical approach to large glomus tumors with intracranial extension.

Angiography↗

PubMedDate not supplied

The metabolic evaluation in Meniere's disease.

Meniere's disease remains today a poorly understood and difficult-to-manage inner ear problem. Numerous articles have been written about the medical and surgical management of Meniere's disease. Previous authors have suggested that a metabolic abnormality may be a contributing etiologic factor in the disease. Since 1976, 384 patients with Meniere's disease were seen in the Department of Otolaryngology and Communicative Disorders of the Cleveland Clinic Foundation. In 180 of these patients, the results of a metabolic evaluation were reviewed, including the five-hour glucose tolerance test, lipid profile, free thyroxine index, and the fluorescent treponemal antibody absorption test (FTA-ABS). The results of these tests suggest that thyroid abnormalities are rare in Meniere's disease. There may be a fairly high false-positive rate in using the FTA-ABS as a screening procedure. Carbohydrate abnormalities are found; however, hypoglycemia was not a major factor in this series of patients. A significant number of patients were found to have lipid abnormalities, and dietary management of these is believed helpful in the medical management of a patient with Meniere's disease.

Adolescent↗

PubMedDate not supplied

Sector computerized tomography of temporal bone and base of skull.

The field of computerized tomography (CT) scanning has been one of the great medical advances of the 20th century. The field is developing rapidly with new hardware and software becoming available on a monthly basis. At the Cleveland Clinic Foundation, patients have been studied by using a sector computerized tomography scanner that has the capability of not only improved spatial resolution but also software programs, with the ability to reconstruct data using different algorithms. This versatility in reconstructing the raw data has resulted in a remarkable improvement in the ability to study the temporal bone and the base of the skull. This paper will present technical data in reference to this new generation of scanner and also show examples of the type data that are becoming available to the otolaryngologist studying lesions of the base skull and temporal bone.

Cranial Fossa, Posterior↗