Recently added articles from Ear, Nose and Throat Journal:

HIPAA: an impediment to research.(EDITORIAL)

Apr 01, 2008; Sataloff, Robert T. ... The Health Insurance Portability and Accountability Act (HIPAA), which became effective on April 14, 2003, was intended to help ensure patient privacy and to increase patients' control of their personal health information. However, implementation has created numerous practical problems ....

Migration of T-tubes to the middle ear.(LETTERS TO THE EDITOR)(Letter to the editor)

Apr 01, 2008; Hamid, Mohamed ... Dear Editor: I read with interest the Otoscopic Clinic in the January 2008 issue of EAR, NOSE & THROAT JOURNAL. (1) The authors stated that there have been 5 documented cases, including their 2 cases, of T-tube migration to the middle ear. I would like to add case number 6. ...

Leukoplakia.(LARYNGOSCOPIC CLINIC)

Apr 01, 2008; Eller, Robert ... [FIGURE OMITTED] Ten years prior to our evaluation, a 73-year-old woman had had a lesion removed from her vocal fold; the lesion had been histologically diagnosed as a laryngeal papilloma. She experienced no further problems during the intervening years until she began to become ...

An unusual cause of unilateral nasal obstruction: a mucocele of the maxillary sinus.(RHINOSCOPIC CLINIC)(Case study)

Apr 01, 2008; Christmas, Dewey A. ... [FIGURE OMITTED] A 33-year-old woman presented with increasing left nasal congestion and intermittent left facial pain. She had no history of sinus disease or sinus surgery. Computed tomography (CT) of the sinuses demonstrated opacification of the left maxillary and ethmoid ...

Recurrent thyroid carcinoma.(HEAD AND NECK CLINIC)

Apr 01, 2008; Avitia, Sofia ... [FIGURE 1 OMITTED] In 2007, a 56-year-old Nigerian woman presented for surgical excision of recurrent thyroid cancer prior to [sup.131]I ablation. She had undergone thyroidectomy 12 years earlier for thyroid cancer. She had experienced a recurrence in 2003 that was treated ...

Congenital/infantile fibrosarcoma in a 3-week-old boy.(PEDIATRIC OTOLARYNGOLOGY CLINIC)(Case study)

Apr 01, 2008; Costa, Dary J. ... [FIGURE 1 OMITTED] A 21-day-old boy was brought to the emergency department with bleeding from a left neck mass. He had been born at full term with a small subcutaneous left neck mass that was suspected of being a hemangioma. The lesion rapidly increased in size and eroded ...

Postoperative subconjunctival emphysema following drainage and decompression of a periorbital abscess.(SPECIAL TOPICS CLINIC)(Case study)

Apr 01, 2008; Ahsan, Farhan ... [FIGURE OMITTED] We describe an interesting complication following endoscopic sinus surgery. A 56-year-old man presented with acute proptosis and loss of vision in the right eye. Endoscopic drainage of a periorbital abscess and orbital decompression were performed as an ...

Endaural labyrinthectomy.(CLINICAL NUGGETS)

Apr 01, 2008; Paparella, Michael M. ... [FIGURE 1 OMITTED] Labyrinthectomy is a last resort procedure to treat severe vertigo, usually in patients with Meniere disease who have failed all conservative medical and surgical means of treatment, especially when the disease is predominantly unilateral. Labyrinthectomy can ...

Insurance recoupment.(PRACTICE MANAGEMENT CLINIC)(www.AskLeslie.net)

Apr 01, 2008; Isenberg, Steven F. ... The laws governing the ability of insurance companies to recoup refunds from providers vary by state. A useful Web site that will assist you in finding the law specific for your state is www.AskLeslie.net. For example, this site includes the law for the State of Indiana, which reads as ...

Podcasting: contemporary patient education.(ORIGINAL ARTICLE)

Apr 01, 2008; Abreu, Daniel V. ... Abstract Portable video technology is a widely available new tool with potential to be used by pediatric otolaryngology practices for patient and family education. Podcasts are media broadcasts that employ this new technology. They can be accessed via the Internet and viewed ...

Clinical evaluation of piezoelectric ear surgery.(ORIGINAL ARTICLE)

Apr 01, 2008; Dellepiane, Massimo ... Abstract We evaluated the use of piezoelectric surgery (Piezosurgery; Mectron Medical Technology; Carasco, Genoa, Italy) as a means of avoiding some complications of osteotomy and osteoplasty in otologic surgery, particularly in classic canal-wall-up mastoidectomy. ...

Aberrant ectatic internal carotid artery in the middle ear.(ORIGINAL ARTICLE)(Case study)

Apr 01, 2008; Safdar, Adnan ... Abstract We report the case of a 34-year-old man with pulsatile tinnitus and a reddish mass in the anteroinferior quadrant of the middle ear. Physical examination and imaging were unable to establish a diagnosis, so an exploratory tympanotomy was performed. Exploration revealed ...

Silver nasal sprays: misleading Internet marketing.(ORIGINAL ARTICLE)

Apr 01, 2008; Gaslin, Michael T. ... Abstract Long-term use of silver-containing products is associated with a permanent bluish-gray discoloration of the skin known as argyria, but they remain widely available despite several measures by the FDA to regulate them. Several recent case reports have described the ...

Management of recurrent epistaxis in an anticoagulated patient by temporarily closing the nares with sutures.(ORIGINAL ARTICLE)(Case study)

Apr 01, 2008; Eng, Chee-Yean ... Abstract We describe an unusual case of recurrent, refractory anterior epistaxis in an 86-year-old man with two mechanical heart valves who was on permanent warfarin therapy. His numerous episodes of epistaxis were incited by chronic nose-picking and strong nose-blowing, ...

Extramedullary plasmacytoma presenting as a nasal mass in an immunosuppressed patient: treatment after failed primary radiotherapy.(ORIGINAL ARTICLE)(Case study)

Apr 01, 2008; Dempewolf, Ryan ... Abstract Most of the recent evidence suggests that extramedullary plasmacytoma should be treated initially with radiation, as response rates have exceeded 90% in many studies. Surgery is not considered a primary treatment modality for such tumors. We report the case of a ...

Long-term results of microvascular free-tissue transfer reanimation of the paralyzed face: three cases.(ORIGINAL ARTICLE)

Apr 01, 2008; Leonetti, John P. ... Abstract We conducted a retrospective case review at our tertiary care academic medical center to assess the long-term results of microvascular free-tissue transfer to achieve facial reanimation in 3 patients. These patients had undergone wide-field parotidectomy with facial ...

Multiple pilomatrixomas: case report and literature review.(ORIGINAL ARTICLE)(Case study)

Apr 01, 2008; Reddy, Shashidhar Sadda ... Abstract Pilomatrixoma is a rare, benign, circumscribed, calcifying epithelial neoplasm that is derived from hair matrix cells. Multiple pilomatrixomas are uncommon. We describe a case of multiple pilomatrixomas in a 23-year-old black woman who presented with lesions on her ...

Duodenogastroesophageal reflux and its effect on extraesophageal tissues: a review.(ORIGINAL ARTICLE)

Apr 01, 2008; Blumin, Joel H. ... Abstract We conducted a literature review to identify elements of duodenogastroesophageal reflux (DGER)--namely pancreatic fluids, hydrochloric acid, pepsin, and bile--as to the effects each has when refluxed to the extraesophageal structures. Further, we wished to acquaint ...