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ABOUT THE COVER: Dolphin escort
Mon, 15 Jun 2009 00:00:00 -0000

ABOUT THIS JOURNAL: About This Journal
Mon, 15 Jun 2009 00:00:00 -0000

ORIGINAL ARTICLE: Toxic Shock Syndrome and Rhinosinusitis in Children
Chan, K. H., Kraai, T. L., Richter, G. T., Wetherall, S., Todd, J. K. Mon, 15 Jun 2009 00:00:00 -0000
Objective  To determine the association between toxic shock syndrome (TSS) and rhinosinusitis in children. Design  Eighteen-year retrospective review of medical records. Setting  Tertiary children's hospital. Patients  A total of 76 patients were identified as having TSS. Twenty-three of them were also diagnosed as having either acute or chronic rhinosinusitis, with no other source of infection in 17 cases. Interventions  Of the 23 patients with TSS and rhinosinusitis, 10 were admitted to the intensive care unit, 4 required pressors, and 6 received surgical intervention. Surgical intervention for sinus disease included bilateral antral lavage in 5 patients and bilateral maxillary antrostomy and ethmoidectomy in 1 patient. Main Outcome Measures  Patients with TSS and rhinosinusitis were identified using a rigorous set of definitions and detailed data pertaining to history, imaging studies, microbiologic studies, and hospital course. Results  Correlation of the data revealed 4 patients who met the criteria for proven TSS and proven rhinosinusitis, 2 patients who met the criteria for probable TSS and proven rhinosinusitis, 7 patients who met the criteria for proven TSS and possible rhinosinusitis, and 3 patients who met the criteria for probable TSS and possible rhinosinusitis. Conclusions  Rhinosinusitis was found to be the primary cause of TSS 21% of the time in this series. Rhinosinusitis should be considered the primary cause of TSS when another site of infection has not been identified. Once the link is made, prompt otolaryngology consultation and sinus lavage should be considered.
ORIGINAL ARTICLE: Characterization of Congenital Anomalies in Individuals With Choanal Atresia
Burrow, T. A., Saal, H. M., de Alarcon, A., Martin, L. J., Cotton, R. T., Hopkin, R. J. Mon, 15 Jun 2009 00:00:00 -0000
Objective  To review a tertiary care pediatric hospital's experience with choanal atresia and stenosis (CA/S) related to associated congenital anomalies (birth defects, including minor abnormalities) and genetic disorders. Design  Retrospective case series. Setting  Tertiary care pediatric hospital. Patients  Individuals with CA/S. Main Outcome Measures  Identification of congenital anomalies, neurologic abnormalities, and developmental disabilities in individuals with CA/S. Results  One hundred twenty-nine individuals with CA/S were evaluated between July 1, 1997, and July 1, 2007. Choanal atresia and stenosis was an isolated finding in 34 patients (26.4%) and was associated with other anomalies in 95 patients (73.6%). Specific conditions were diagnosed in 66 patients (51.2%); CHARGE (coloboma, heart defect, atresia choanae, retarded growth, genitourinary abnormalities, and ear anomalies) syndrome was the most common diagnosis (33 patients [25.6%]). Numerous conditions were seen, including chromosomal abnormalities, single-gene defects, deformations, and those caused by teratogens. Choanal atresia and stenosis was unilateral in 62 patients (48.1%) and was bilateral in 60 patients (46.5%). Unilateral cases were more likely to be isolated (30 patients [53.2%]). Bilateral cases were more likely to be associated with specific disorders or multiple congenital anomalies (60 patients [98.4%]). There was no difference in laterality among unilateral cases. Conclusions  Choanal atresia and stenosis is associated with a wide range of disorders. Congenital anomalies, neurologic abnormalities, and developmental disabilities are commonly identified in affected individuals. Bilateral CA/S is more commonly seen in patients in whom specific diagnoses or other congenital anomalies are identified. Unilateral CA/S occurs more frequently in isolated cases. A comprehensive evaluation is recommended in individuals with CA/S to evaluate for other congenital anomalies, neurologic abnormalities, developmental delays, and evidence of a specific underlying disorder.
CORRECTION: Error in Author Name in: Lower Reconstruction and Restoration of Oral Competence With Dynamic Palmaris Longus Vascularized Sling
Mon, 15 Jun 2009 00:00:00 -0000

ORIGINAL ARTICLE: Outcome of Tonsillectomy in Selected Patients With PFAPA Syndrome
Pignataro, L., Torretta, S., Pietrogrande, M. C., Dellepiane, R. M., Pavesi, P., Bossi, A., Drago, L., Capaccio, P. Mon, 15 Jun 2009 00:00:00 -0000
Objective  To assess the practicability of integrated medical and surgical management and the effectiveness of tonsillectomy in children with PFAPA syndrome (periodic fever, aphthous stomatitis, pharyngitis, and cervical lymphadenopathy). Design  A prospective study. Setting  Secondary pediatric and otolaryngological university center. Patients  Of 30 patients evaluated for periodic fever, 18 children with PFAPA syndrome were included in the study. Interventions  Patients underwent long-term pediatric and otolaryngological assessments, and their parents were asked to keep monthly diaries with reports of any subsequent episodes, symptom, and related sign. Patients received traditional medical therapies, and 9 patients underwent tonsillectomy for the lack of lasting recovery. Main Outcomes Measures  The association between postoperative outcomes and age at tonsillectomy and the differences in the patients' condition before and after tonsillectomy were statistically tested. In addition, the removed tonsillar tissue was analyzed molecularly to evaluate concomitant infections. Results  All of the surgical patients reported a symptomatic improvement, with complete clinical recovery in 5 cases (56%) and significant reduction in number (P = .005) and duration (P = .03) of recurrences in the remaining 4 (44%). Results of molecular analysis of tonsillar specimens were negative for bacteria in all but 1 patient. Conclusion  Otolaryngologists should be trained to recognize PFAPA syndrome, for which management consists of a regular and prolonged second-level pediatric and otolaryngological follow-up, with surgery only after the failure of traditional medical therapy.

 

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Hearing Center - Services for a variety of ENT conditions and treatments, located in Edina, Minnesota.
Meta Description: [ ENT Clinics Minnesota - The Ear Nose and Throat Clinic & Hearing Center in Edina Minnesota - ENT Care, Audiologists, Hearing Aids, Otolaryngology ]

500 Kallman Inc. - Located in Anchorage, Alaska. Medical and surgical treatments for patients with ear, nose and throat disorders and disease.
Meta Description: [ Specializing in pediatric and adult otolaryngology and facial plastic and reconstructive surgery. ]

Mashburn, M.D - Maryland offices specializing in the treatment of a wide spectrum of diseases of the ear, nose, and throat.
Meta Description: [ At Drs. Weiss and Dr. Mashburn we provide complete high quality treatment of a wide spectrum of diseases of the ear, nose, and throat to our patients. ]

Throat - Located in Sacramento, Roseville, Davis and Dixon, California. Five otolaryngologists providing head and neck surgery at the Sutter Medical Group and Sutter West Medical Group.
Meta Description: [ Ear, Nose & Throat, Sutter Medical Group ]

Throat Medical Associates, PA - Located in Hackettstown, New Jersey. Dr. Victor G. Gentile's medical practice specializes in otolaryngology.

Affiliated Ear, Nose and Throat of Orange County - Located in Fullerton and Orange, California. Information on the practice of Dr. Norman J. Harris, specialty of Otolaryngology and Head and Neck Surgery.

Arnaldo Garro, M.D. - Located in Clinton, Maryland. Provides medical and surgical treatments for patients with ear, nose and throat disorders and disease.

404 Arthur Rosenblatt, M.D., F.A.C.S. - Located in New Bedford and Swansea, Massachusetts. Includes information about the medical and surgical treatments for patients with ear, nose and throat disorders and disease.

Associates in Otolaryngology - Located in Northern Virginia. Diagnosis and treatment of disorders of the ears, nose, throat, sinuses, snoring and sleep disorders.
Meta Description: [ Associates in Otolaryngology - Head & Neck Surgery and Cosmetic Surgery ]

Associates in Otolaryngology PA, of NJ - Located in West Orange, New Jersey. Diagnosis and treatment ears, nose and throat problems.
Meta Description: [ Associates in Otolaryngology of NJ, P.A. ]

Atlanta Ear, Nose and Throat Associates, PC - Located in Atlanta, Georgia. Offers a variety of highly specialized procedures that utilize the latest medical technology.
Meta Description: [ Atlanta Ear, Nose and Throat Associates is the premiereear, nose and throat practice in the SouthEast with locations throughout the Atlanta metro area. Service offerings include diagnostics and treatment for sleep apnea, chronic sinusitis, allergies, reconstructive and cosmetic facial plastic sur... ]

Atlanta Institute for ENT and Facial Aesthetic Surgery - Located in Atlanta, Georgia. Pradeep K. Sinha, MD, PhD, FACS offers information about his practice. Extensive patient resources on endoscopic sinus surgery, sleep apnea surgery, snoring surgery and coblation.
Meta Description: [ Board Certified Otolaryngology (ENT) specialist in Atlanta, Georgia offers information and education on diseases of the ear nose and throat and related structures of the head and neck ]

Barry J. Feinberg, MD - Located in Encino, California. Includes information about this practice providing laser nasal surgery and facial plastic surgery.
Meta Description: [ Dr. Barry J. Feinberg and the Los Angeles Facial Plastic Surgery Center have been serving the needs of the patients in the greater Los Angeles area of Southern California since 1976. The office is located at 5400 Balboa Blvd., Suite 222 in Encino, California. Some of the many types of services of... ]

Boone Regional Ear, Nose and Throat Associates, LLC. - Located in North Carolina, specializing in sinus, hearing and allergy.

Broker and Cramer - Located in Phoenixville and Philadelphia, Pennsylvania. Provides specialized ear, nose, and throat surgical procedures and services.
Meta Description: [ Dr. Brian Broker, Dr. Laurence Cramer and Dr. Paul Swanson are Board Certified Physicians of adult and pediatric care. They specialize in Ear, Nose and Throat, Facial Plastic Surgery, Sinus Surgery, Allergy, Hearing Aids and Audiology Services. Broker and Cramer, ENT has offices in Phoenixville a... ]

Carolina Ear Nose and Throat Associates - Located in Gastonia and Shelby, North Carolina. Provides details on procedures, hospital affiliations, medical staff, and locations. Included is a large brochure montage with comprehensive ENT information.
Meta Description: [ Serving Gastonia and Shelby NC North carolina, we provide complete care for patients with ear, nose and throat disorders. We also offer cosmetic facial procedures, audiology services and treatment for snoring. ]

Carolina Ear, Nose and Throat, Head and Neck Surgery Center - Located in Hickory, North Carolina. Details on the practice, patient information and education resources and related links.

Coastal ENT - Located in New Bern, North Carolina. Offers treatment and surgery including relief from snoring.

Contra Costa Ear Nose and Throat - Locations in Concord and Walnut Creek, California. Provides common and facial plastics services. Includes doctor profiles, procedure list, hospital affiliations, and patient forms.
Meta Description: [ Ear Nose Throat. A group of highly specialized doctors offer comprehensive ear nose throat and facial plastics services. ]

Dennis M. Moore, MD - Located in Park Ridge, Illinois. About the practice of Dr. Moore and his staff providing medical and surgical treatments for patients with ear and hearing disorders and diseases.
Meta Description: [ Dr. Moore and his staff are uniquely qualified to deliver the most current and state-of-the-art medical and surgical treatments for patients with Ears and Hearing disorders and diseases. ]

Dr. Hazenfield - Located in Oahu, Hawaii. Otolaryngologist treating snoring, sleep apnea, sinus and nasal diseases, voice problems, hearing loss, head and neck cancer and pediatric ENT problems.
Meta Description: [ Dr. Hazenfield in Hawaii. Snoring, sleep apnea, sinus, professional voice, hearing loss, cancer, pediatric, and diving problems. ]

Dr. Marc Kayem - Located in Beverly Hills, California. Practice specializing in the various conditions and solutions for nose and throat problems, including snoring.

Dr. Stefan Kieserman - Located in Manhattan, New York. Provides ear, nose and throat medical care.
Meta Description: [ Dr. Stefan Kieserman and his staff are uniquely qualified to deliver the most current and state-of-the-art medical and surgical treatments for patients with ear, nose and throat disorders and disease. ]

Dr.G.K.Hebbar's Micro-Ear Surgery and ENT Endoscopy Centre - Located in Mangalore, India. Offers diagnostic facilities for ear and paranasal sinus disorders and provides information on common ear and sinus related disorders.
Meta Description: [ OFFERING STATE-OF-THE-ART MICRO EAR SURGERY AND ADVANCED SINUS SURGERY ]

Drs. Hauck and Bianchi PA - Located in Silver Spring and Bethesda, Maryland. Medical and surgical treatments for patients with ear, nose and throat disorders and disease.
Meta Description: [ At Drs. Hauck, Bianchi and Driscoll PA we provide all aspects of the care encompassed by the specialty of Otolaryngology - Head and Neck Surgery, Facial Plastic, and Reconstructive Surgery, Otology, diseases of the oral cavity, nose, and paranasal sinuses, and snoring and sleep apnea.  We also ... ]

Drs. Waguespack and Levine - Located in Brimingham, Alabama. Medical and surgical treatments for patients with ear, nose and throat disorders and disease.
Meta Description: [ Doctor Waguespack and his staff are uniquely qualified to deliver the most current and state-of-the-art medical and surgical treatments for patients with ear, nose and throat disorders and disease. ]

Ear Medical Group - Located in San Antonio, Texas. Certified otolaryngologists offer hearing healthcare, including hearing aids needs, hearing loss, dizziness, ear infections, and hearing related surgery.
Meta Description: [ Ear Medical Group of San Antonio, Texas offers hearing healthcare for all your hearing and hearing aids needs including hearing loss, dizziness, ear infections, and hearing related surgery. ]

Ear, Nose and Throat Associates of Savannah - Located in Savannah, Georgia. Specializing in sinus, ear and allergy treatments.

Ear, Nose and Throat Associates, P.C. - Located in Fort Wayne, Indiana. A group of 10 board certified Otolaryngologists offering medical and surgical treatments provided at ENT Care Centers.
Meta Description: [ ENT specialty services provide care for our patients in specific areas such as balance, voice, sleep, sinus & allergy, hearing disorders and facial plastic surgery. ]

ENT Head and Neck Specialists - Located in Wyomissing, Pennsylvania. Offering medical and surgical treatments for patients with ear, nose and throat disorders and disease.
Meta Description: [ At Ear, Nose & Throat, Head and Neck Specialists, PC, our board certified otolaryngologists have been trained in medical and surgical skills to treat these areas of the head and neck. Skin and Face. including cancer, and limited cosmetic surgery. Nose, including allergy, sinus infection, breathin... ]

ENT of Georgia - Located throughout Georgia. Providing medical and surgical treatments for patients with ear, nose and throat disorders and disease.
Meta Description: [ The staff of ENT of Georgia is uniquely qualified to deliver the most current and state-of-the-art medical and surgical treatments for patients with ear, nose and throat disorders and disease. ]

ENT Physicians and Surgeons, P.A. - Located in Manchester and Nashua, New Hampshire. Patient services and education section, practice information and visiting physician resources.
Meta Description: [ The staff of ENT Physicians & Surgeons, P.A. is uniquely qualified to deliver the most current and state-of-the-art medical and surgical treatments for patients with ear, nose and throat disorders and disease. ]

500 ENT Specialists of Abilene - Located in Abilene, Texas. Explanation of what Otolaryngology is, the physicians, patient services, appointment information and contact details.
Meta Description: [ ENT Specialists of Abilene - Ear, Nose, Throat, Otolaryngology, Head and Neck Surgery, Allergy, and Audiology ]

Fox Valley Ear, Nose and Throat Specialists - Located throughout Wisconsin. Practice offers information about their staff and medical and surgical treatments for patients.
Meta Description: [ Ear, Nose and Throat Specialists of Wisconsin - Medical and Audiology Services - Specialized Care Just Makes Sense ]

Hudson Valley Otolaryngology - Located in Poughkeepsie, New York. Delivers medical and surgical treatments for patients with ear, nose and throat disorders and disease.
Meta Description: [ The staff of Hudson Valley Otolaryngology is uniquely qualified to deliver the most current and state-of-the-art medical and surgical treatments for patients with ear, nose and throat disorders and disease. ]

Intermountain Otolaryngology - Located in Fort Collins, Colorado, specializes in ENT related problem.
Meta Description: [ Drs. Mark Loury and Steve Schaffer at Intermountian Otolaryngology provide compassionate, state-of-the-art care for all Ear, Nose and Throat disorders. We are the only practice offering INJECTION SNOREPLASTY and COBLATION TONSILLECTOMY in northern Colorado. These are new, much less painful treatm... ]

Louisville ENT Associates - Located in Louisville, KY. Group of three physicians specializing in ear, nose, and throat disorders.

North Shore ENT Associates - Medical and surgical treatments for patients with ear, nose and throat and snoring disorders and disease. Three locations in Massachusetts.

404 Northeast Arkansas Ear Nose and Throat Surgical Associates - Harrison, Arkansas practice providing information and patient educational resources.

Northern Lights Ear Nose and Throat - Dr. Hnatuk and staff deliver medical and surgical treatments for patients with ear, nose and throat disorders and disease.

Northwestern Nasal and Sinus Associates - Specializing in the care of nasal, sinus, allergic and snoring disorders. Endoscopic sinus surgery, RAST testing for allergy, and laser procedures in an exclusive private setting in Chicago.
Meta Description: [ Northwestern Nasal + Sinus Associates is dedicated to diagnosing and treating the nasal, sinus, allergy and snoring disorders that can make your everyday life more difficult. Whether you suffer from allergies, sinus troubles, breathing difficulties, chronic snoring or problems with the function o... ]

Old Westport Medical Association, Inc. - Focusing on ear and throat problems.

Oregon Sinus Center - Offers endoscopic surgery for nasal and sinus conditions. Directed by Dr. Timothy L. Smith at Oregon Health Science University.
Meta Description: [ The Oregon Sinus Center at Oregon Health & Science University is a comprehensive nasal and sinus care center directed by Dr. Timothy L. Smith. ]

Otolaryngology and Communication Sciences - This site provides information about the Department at the Medical College of Wisconsin.
Meta Description: [ Today, the Department of Otolaryngology and Communication Sciences is a vibrant clinical, research, and teaching organization. ]

Otolaryngology Houston - Diseases and surgery of the ear nose and throat and numerous related surgical procedures, patient education links and post-op instructions.
Meta Description: [ Dr. Ghorayeb specializes in otolaryngology head and neck surgery. Diseases and surgery of the ear nose and throat, Houston, Texas. Laser surgery for snoring. Endoscopic sinus surgery. Vertigo, balance and equilibrium disorders. Audiology and hearing aids. Patient education links. Informed consen... ]

Paul E. Hammerschlag, M.D. - Practice located in New York. Details on the practice, patient educational information and links to related medical sites.
Meta Description: [ Paul E. Hammerschlag, M.D. brings to his otology practice a technical and personal understanding of hearing loss and of the educational and social problems associated with disability. He serves on the Board of Directors of the League for the Hard of Hearing. He is a graduate of the Albert Einstei... ]

Roanoke Ear, Nose and Throat Clinic - Providing medical and surgical treatments for patients with ear, nose and throat disorders and disease. (Roanoke, Virginia)

Seattle Ear Clinic - Description of surgical options and pros and cons. Information on hearing preservation, anatomy of tumor and links to patient support groups.

Southdale Otolaryngology - A physician practice in Minnesota specializing in the treatment of diseases of the ear, nose, and throat. Audiology department consists of three audiologists, each trained in the identification and rehabilitation of hearing loss.
Meta Description: [ Southdale Otolaryngology is a three physician practice in Minnesota specializing in the treatment of diseases of the ear, nose, and throat. Our Audiology department consists of two clinical audiologists, each trained in the identification and rehabilitation of hearing loss. With offices in Edin... ]

Southern Otologic Clinic - Dr. William H. Moretz, Jr. - Provides details on this Augusta, Georgia based surgical clinic.
Meta Description: [ The staff of Southern Otologic Clinic are uniquely qualified to deliver the most current and state-of-the-art medical and surgical treatments for patients with ear disorders and disease., The staff of Southern Otologic Clinic are uniquely qualified to deliver the most current and state-of-the-art... ]

Tampa Ear Nose and Throat Associates - Located in Tampa, FL. A group of Board Certified Otolaryngologists offering a wide range of ENT procedures including laser and radio frequency shrinkage for snoring and nasal obstruction.
Meta Description: [ We are a group of Board Certified Otolaryngologists with two of our doctors also Board Certified Facial Plastic and Reconstructive Surgeons of the head and neck. ]

The Center for Surgery of the Head and Neck - Located in the University of Rochester, New York. John Coniglio, M.D. and the staff based offer patient education and service details.
Meta Description: [ Welcome to the Center for Surgery of the Head and Neck and the Voice Center of Rochester with John U. Coniglio, MD, FACS - Clinical Associate Professor of Surgery at the University of Rochester in New York. We provide extensive medical as well as surgical experience in the management of a wide ra... ]

The London Laser Clinic - Located in London. Laser surgery for ear, nose, throat, head and neck, and skin conditions. Treats snoring, tonsillitis, blocked nose, catarrh, moles, facial lines, and cancers.

The Sleep Surgery Centre - Located in Vancouver, B.C. Canada. Provides a full range of snoring remedies and sleep apnea treatments.
Meta Description: [ Is snoring a problem for you? The Sleep Surgery Centre provides a full range of snoring remedies and sleep apnea treatments for a permanent solution. Snoring or sleep apnea can affect more than your sleep, it can seriously affect your quality of life. Don't let snoring take over your life. ... ]

Town and Country Head and Neck Surgery - Located in St. Louis, Missouri. Dr. James Boyd is a board-certified Otolaryngologist provides information about his practice and services, hospital affiliations, questions, links and patient information.

Voice Care Associates - Jan Petri, M.D. Otolaryngology practice in suburb of Memphis, Tennessee.
Meta Description: [ Voice Care Associates ... We put voices back to work ]

Washington ENT Group - Practice located in Washington, DC. Includes reception desk, patient library, exam and operating room information, a digital office and physician bios.
Meta Description: [ Washington ENT Group, a premiere Ear, Nose and Throat practice located in Washington, DC, provides diagnosis, medical and surgical treatment of patients with ENT and allergy-related problems. ]

West Michigan ENT, PC - Located in Muskegon and Ludington, Dr. Komray and his staff specialize in ear, nose and throat disorders and diseases.

Westmoreland Head and Neck Surgery - Offering a range of otorhinolaryngology and facial plastic surgeries in Pennsylvania.

William Cohen, D.O. - California based clinic which offers an array of services in the management of ear, nose and throat and plastic surgery.
Meta Description: [ Dr. William Cohen provides complete high quality cosmetic procedures to his patients. ]

William M. Portnoy, M.D. - Located in New York, NY. William M. Portnoy, M.D., F.A.C.S. and his staff deliver medical and surgical treatments for patients with ear, nose and throat disorders and disease.
Meta Description: [ William M. Portnoy, M.D., F.A.C.S. and his staff are uniquely qualified to deliver the most current and state-of-the-art medical and surgical treatments for patients with ear, nose and throat disorders and disease. ]

William Sheppard, M.D. - Located in Wilmington, Delaware. The site supplies information regarding the board certified ENT specialist's practice and services, including allergy testing and hearing aids.