Ann Otol Rhinol Laryngol Research Articles

Effect of helium concentration on experimental upper airway obstruction : Houck JR, Keamy MF III, McDonough JM. Ann Otol Rhinol Laryngol. 1990;99:556-61

Effect of helium concentration on experimental upper airway obstruction : Houck JR, Keamy MF III, McDonough JM. Ann Otol Rhinol Laryngol. 1990;99:556-61

Warthin's tumor : Batsakis JG, El-Naggar AK. Ann Otol Rhinol Laryngol 99:588, 1990

Warthin's tumor : Batsakis JG, El-Naggar AK. Ann Otol Rhinol Laryngol 99:588, 1990

Metastases to major salivary glands : Batsakis JG, Bautina E. Ann Otol Rhinol Laryngol 99:501, 1990

Metastases to major salivary glands : Batsakis JG, Bautina E. Ann Otol Rhinol Laryngol 99:501, 1990

Sebaceous lesions of salivary glands and oral cavity : Batsakis JG, El-Naggar AK. Ann Otol Rhinol Laryngol 99:416, 1990

Sebaceous lesions of salivary glands and oral cavity : Batsakis JG, El-Naggar AK. Ann Otol Rhinol Laryngol 99:416, 1990

Biopsy of the lip and Sjögren's syndrome : Cleary KR, Batsakis JG. Ann Otol Rhinol Laryngol 99:323, 1990

Biopsy of the lip and Sjögren's syndrome : Cleary KR, Batsakis JG. Ann Otol Rhinol Laryngol 99:323, 1990

Undifferentiated carcinoma with lymphoid stroma of the major salivary glands : Cleary KR, Batsakis JG. Ann Otol Rhinol Laryngol 99:236, 1990

Undifferentiated carcinoma with lymphoid stroma of the major salivary glands : Cleary KR, Batsakis JG. Ann Otol Rhinol Laryngol 99:236, 1990

Human papillomavirus in squamous cell carcinoma, leukoplakia, lichen planus and clinically normal epithelium of the oral cavity : Kashima HK, Kutcher M, Kessis T, et al. Ann Otol Rhinol Laryngol 99:55, 1990

Human papillomavirus in squamous cell carcinoma, leukoplakia, lichen planus and clinically normal epithelium of the oral cavity : Kashima HK, Kutcher M, Kessis T, et al. Ann Otol Rhinol Laryngol 99:55, 1990

Adenoid cystic carcinoma of the parotid gland: A review of surgical management with reference to the facial nerve : Weinstein GS, Conley JJ. Ann Otol Rhinol Laryngol 98:845, 1989

Adenoid cystic carcinoma of the parotid gland: A review of surgical management with reference to the facial nerve : Weinstein GS, Conley JJ. Ann Otol Rhinol Laryngol 98:845, 1989

Computed tomography of the hypoplastic maxillary sinus : Geraghty JJ, Dolan KD. Ann Otol Rhinol Laryngol 98:916, 1989

Computed tomography of the hypoplastic maxillary sinus : Geraghty JJ, Dolan KD. Ann Otol Rhinol Laryngol 98:916, 1989

Bacteriology of chronic maxillary sinusitis in adults : Brook I. Ann Otol Rhinol Laryngol 98:426, 1989

Bacteriology of chronic maxillary sinusitis in adults : Brook I. Ann Otol Rhinol Laryngol 98:426, 1989

Sialocysts of the parotid glands : Batsakis JG, Raymond AK. Ann Otol Rhinol Laryngol 98:487, 1989

Sialocysts of the parotid glands : Batsakis JG, Raymond AK. Ann Otol Rhinol Laryngol 98:487, 1989

Low-grade and high-grade adenocarcinomas of the salivary duct system : Batsakis JG, Luna MA. Ann Otol Rhinol Laryngol 98:162, 1989

Low-grade and high-grade adenocarcinomas of the salivary duct system : Batsakis JG, Luna MA. Ann Otol Rhinol Laryngol 98:162, 1989

Cricothyroidotomy: A decade of experience in Denver: Esses BA, Jafek BW. Ann Otol Rhinol Laryngol. 1987; 96:519–524

Cricothyroidotomy: A decade of experience in Denver: Esses BA, Jafek BW. Ann Otol Rhinol Laryngol. 1987; 96:519–524

The quiet revolution: Techniques of cell biology applied to tissue diagnosis : van Nostrand AWP. Ann Otol Rhinol Laryngol 95:601, 1986

The quiet revolution: Techniques of cell biology applied to tissue diagnosis : van Nostrand AWP. Ann Otol Rhinol Laryngol 95:601, 1986

Approach to Supraglottitis

In my experience, steroids have no use in the management of ACSOL once the airway is secured, and may actually prolong and complicate the infectious process. The main use of antibiotics is probably for preventing systemic complications such as pneumonia and meningitis. It is possible, however, that neither drug can alter the natural course of this disease and may just hasten its expected inconsequential resolution. The key to successful management of acute supraglottitis is early recognition and prompt provision of airway assistance when indicated. This potentially fatal disease occurs in adults as well as children. To my knowledge, most deaths occur after the patient arrives at the hospital, when there is hesitation and indecision about the need for airway intervention. Whenever signs of UAO appear, artificial airway should be provided promptly, regardless of the eventual diagnosis. Those physicians who try all means to avoid intubation or tracheotomy early in the process may be cautioned that complications from either procedures are just a risk, while airway obstruction in most cases of ACSOL is a certainty. Finally, the examiner assessing patients with possible obstructive laryngitis, supraglottic, or subglottic, should first and foremost decide whether an airway is needed and should defer all diagnostic guesswork and laboratory data processing until the airway is secured.

Heterotopic and accessory salivary tissues : Batsakis JG. Ann Otol Rhinol Laryngol 95:4345, 1986

Heterotopic and accessory salivary tissues : Batsakis JG. Ann Otol Rhinol Laryngol 95:4345, 1986

Tracheostomy in the Intensive Care Unit: Part 1: Indications, Technique, Management

Tracheostomy is one of the oldest operations in medical history with indications that the Egyptians employed this procedure 3,500 years ago. 1 Alberti PW Tracheotomy versus intubation: A 19th century controversy. Ann Otol Rhinol Laryngol. 1984; 93: 333-337 Crossref PubMed Scopus (32) Google Scholar During the last 25 years, tracheostomy has emerged also as one of the most frequent operations performed in critically ill patients with newer indications in obstructive sleep apnea continuing to widen its application. Since tracheostomy is still evolving with proponents of cricothyroidotomy encouraging changes in surgical technique, improvements in tube design, and changing management approaches to the intubated patient, a clear understanding of tracheostomy is required by critical care physicians. This review outlines the indications for and management of tracheostomy in the intensive care unit and discusses several remaining controversies still attached to this venerable surgical procedure.

Lights Out!: A Preventable Complication of Endotracheal Intubation

Endotracheal intubation, a commonly performed procedure, has a low complication rate and is usually well tolerated by the patient. 1 Blanc UF Tremblay NAG. The complications of endotracheal intubation: a new classification with review of the literature. Anesth Analg (Cleve). 1974; 53: 202 Crossref PubMed Google Scholar , 2 Keane WM Rowe LD Denneny JC Atkins Jr, JP Complications of intubation. Ann Otol Rhinol Laryngol. 1982; 91: 584 Crossref PubMed Scopus (63) Google Scholar This case demonstrates a rare complication of nasotracheal intubation and its treatment.

Assessment of intubation in croup and epiglottitis: Zilliger JJ, Garvin JP, Schuller DE, et al Ann Otol Rhinol Laryngol 91:403–406 Oct/Nov 1982

Assessment of intubation in croup and epiglottitis: Zilliger JJ, Garvin JP, Schuller DE, et al Ann Otol Rhinol Laryngol 91:403–406 Oct/Nov 1982

Evaluation of computerized tomography, cinelaryngoscopy, and laryngography in determining the extent of laryngeal disease: Ward PH, Hanafee W, Mancuso A, Shallit J, Berci G, Ann Otol Rhinol Laryngol 88:454, 1979

Evaluation of computerized tomography, cinelaryngoscopy, and laryngography in determining the extent of laryngeal disease: Ward PH, Hanafee W, Mancuso A, Shallit J, Berci G, Ann Otol Rhinol Laryngol 88:454, 1979