90 resultados para Otolaryngology.
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Aminoglycosides are commonly prescribed antibiotics with deleterious side effects to the inner ear. Due to their popular application as a result of their potent antimicrobial activities, many efforts have been undertaken to prevent aminoglycoside ototoxicity. Over the years, understanding of the antimicrobial as well as ototoxic mechanisms of aminoglycosides has increased. These mechanisms are reviewed in regard to established and potential future targets of hair cell protection.
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OBJECTIVES Creation of an atraumatic, hearing-preservation cochleostomy is integral to the future of minimally invasive inner ear surgery. The goal of this study was to develop and characterize a novel chemical approach to cochleostomy. STUDY DESIGN Prospective animal study. SETTING Laboratory. METHODS Experimental animal study in which phosphoric acid gel (PAG) was used to decalcify the otic capsule in 25 Hartley guinea pigs. Five animals in each of 5 surgical groups were studied: (1) mechanically opening the auditory bulla alone, (2) PAG thinning of the basal turn otic capsule, leaving endosteum covered by a layer of bone, (3) micro-pick manual cochleostomy, (4) PAG chemical cochleostomy, exposing the endosteum, and (5) combined PAG/micro-pick cochleostomy, with initial chemical thinning and subsequent manual removal of the last osseous layer. Preoperative and postoperative auditory brainstem responses and otoacoustic emissions were obtained at 2, 6, 10, and 16 kHz. Hematoxylin and eosin-stained paraffin sections were compared. RESULTS Surgical and histologic findings confirmed that application of PAG provided reproducible local bone removal, and cochlear access was enabled. Statistically significant auditory threshold shifts were observed at 10 kHz (P = .048) and 16 kHz (P = .0013) following cochleostomy using PAG alone (group 4) and at 16 kHz using manual cochleostomy (group 3) (P = .028). No statistically significant, postoperative auditory threshold shifts were observed in the other groups, including PAG thinning with manual completion cochleostomy (group 5). CONCLUSION Hearing preservation cochleostomy can be performed in an animal model using a novel technique of thinning cochlear bone with PAG and manually completing cochleostomy.
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Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2014
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Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2014
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Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2014
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Publication suspended 1944-Aug. 1948.
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vol. XII. Pathology of the acute respiratory diseases, and of gas gangrene following war wounds, by G.R. Callender and J.F. Coupal. 1929- vol. XIII. pt. 1. Physical reconstruction and vocational education, by A.G. Crane. pt. 2. The Army nurse corps, by Julia C. Stimson. 1927- vol. XIV. Medical aspects of gas warfare, by W.D. Bancroft, H.C. Bradley [and others] 1926.- vol. XV. Statistics, pt. 1. Army anthropology, based on observations made on draft recruits, 1917-1918, and on veterans at demobilization, 1919, by C.B. Davenport and A.G. Love. 1921. pt. 2. Medical and casualty statistics based on the medical records of the United States Army, April 1, 1917, to December 31, 1919, inclusive, by A.G. Love. 1925.
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Latest issue consulted: Vol. 126, no. 5 (May 2006)
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Includes bibliographical references and index.
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Includes index.
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Includes bibliographies.
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Index for volumes 1-10, 1893-1900, with volume 10.
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Founded by James Pleasant Parker
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Chemical abstracts
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Editor-in-chief: Col. Charles Lynch.