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class="left-panel-container"><div class="user-info-component-wrapper"><div class="user-summary-cta-container"><div class="user-summary-container"><div class="social-profile-avatar-container"><img class="profile-avatar u-positionAbsolute" border="0" alt="" src="//a.academia-assets.com/images/s200_no_pic.png" /></div><div class="title-container"><h1 class="ds2-5-heading-sans-serif-sm">Steven Handler</h1><div class="affiliations-container fake-truncate js-profile-affiliations"></div></div></div><div class="sidebar-cta-container"><button class="ds2-5-button hidden profile-cta-button grow js-profile-follow-button" data-broccoli-component="user-info.follow-button" data-click-track="profile-user-info-follow-button" data-follow-user-fname="Steven" data-follow-user-id="45622636" data-follow-user-source="profile_button" data-has-google="false"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">add</span>Follow</button><button class="ds2-5-button hidden 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Views</span></p><p class="data"><span class="js-profile-view-count"></span></p></div></span></div><div class="ri-section"><div class="ri-section-header"><span>Interests</span></div><div class="ri-tags-container"><a data-click-track="profile-user-info-expand-research-interests" data-has-card-for-ri-list="45622636" href="https://www.academia.edu/Documents/in/Neurofibromatosis"><div id="js-react-on-rails-context" style="display:none" data-rails-context="{"inMailer":false,"i18nLocale":"en","i18nDefaultLocale":"en","href":"https://independent.academia.edu/Handler","location":"/Handler","scheme":"https","host":"independent.academia.edu","port":null,"pathname":"/Handler","search":null,"httpAcceptLanguage":null,"serverSide":false}"></div> <div class="js-react-on-rails-component" style="display:none" data-component-name="Pill" data-props="{"color":"gray","children":["Neurofibromatosis"]}" data-trace="false" data-dom-id="Pill-react-component-36732788-fce2-46ae-be1b-7c2b42eacb95"></div> <div 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id="Pill-react-component-7f6cb9d9-8be5-4262-a676-3f6d7dbab269"></div> </a><a data-click-track="profile-user-info-expand-research-interests" data-has-card-for-ri-list="45622636" href="https://www.academia.edu/Documents/in/Otolaryngology_-_Head_and_Neck_Surgery"><div class="js-react-on-rails-component" style="display:none" data-component-name="Pill" data-props="{"color":"gray","children":["Otolaryngology - Head and Neck Surgery"]}" data-trace="false" data-dom-id="Pill-react-component-eb741335-976e-4db7-a28d-bf170210ad8e"></div> <div id="Pill-react-component-eb741335-976e-4db7-a28d-bf170210ad8e"></div> </a><a data-click-track="profile-user-info-expand-research-interests" data-has-card-for-ri-list="45622636" href="https://www.academia.edu/Documents/in/Behavioral_Animal_Models"><div class="js-react-on-rails-component" style="display:none" data-component-name="Pill" data-props="{"color":"gray","children":["Behavioral Animal Models"]}" data-trace="false" data-dom-id="Pill-react-component-d14b54b3-f7cb-45cb-82f1-c73a595ffbf9"></div> <div id="Pill-react-component-d14b54b3-f7cb-45cb-82f1-c73a595ffbf9"></div> </a></div></div></div></div><div class="right-panel-container"><div class="user-content-wrapper"><div class="uploads-container" id="social-redesign-work-container"><div class="upload-header"><h2 class="ds2-5-heading-sans-serif-xs">Uploads</h2></div><div class="documents-container backbone-social-profile-documents" style="width: 100%;"><div class="u-taCenter"></div><div class="profile--tab_content_container js-tab-pane tab-pane active" id="all"><div class="profile--tab_heading_container js-section-heading" data-section="Papers" id="Papers"><h3 class="profile--tab_heading_container">Papers by Steven Handler</h3></div><div class="js-work-strip profile--work_container" data-work-id="118179746"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/118179746/The_Philadelphia_story_the_22q11_2_deletion_report_on_250_patients"><img alt="Research paper thumbnail of The Philadelphia story: the 22q11.2 deletion: report on 250 patients" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/118179746/The_Philadelphia_story_the_22q11_2_deletion_report_on_250_patients">The Philadelphia story: the 22q11.2 deletion: report on 250 patients</a></div><div class="wp-workCard_item"><span>Genetic counseling (Geneva, Switzerland)</span><span>, 1999</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">A submicroscopic deletion of chromosome 22q11.2 has been identified in the majority of patients w...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">A submicroscopic deletion of chromosome 22q11.2 has been identified in the majority of patients with the DiGeorge, velocardiofacial, and conotruncal anomaly face syndromes, and in some patients with the Opitz G/BBB and Cayler cardiofacial syndromes. We have been involved in the analysis of DiGeorge syndrome and related diagnoses since 1982 and have evaluated a large number of patients with the deletion. We describe our cohort of 250 patients whose clinical findings help to define the extremely variable phenotype associated with the 22q11.2 deletion and may assist clinicians in providing genetic counseling and guidelines for clinical management based on these findings.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="118179746"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="118179746"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 118179746; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=118179746]").text(description); $(".js-view-count[data-work-id=118179746]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 118179746; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='118179746']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 118179746, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=118179746]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":118179746,"title":"The Philadelphia story: the 22q11.2 deletion: report on 250 patients","translated_title":"","metadata":{"abstract":"A submicroscopic deletion of chromosome 22q11.2 has been identified in the majority of patients with the DiGeorge, velocardiofacial, and conotruncal anomaly face syndromes, and in some patients with the Opitz G/BBB and Cayler cardiofacial syndromes. 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We describe our cohort of 250 patients whose clinical findings help to define the extremely variable phenotype associated with the 22q11.2 deletion and may assist clinicians in providing genetic counseling and guidelines for clinical management based on these findings.","internal_url":"https://www.academia.edu/118179746/The_Philadelphia_story_the_22q11_2_deletion_report_on_250_patients","translated_internal_url":"","created_at":"2024-04-27T18:46:51.598-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":45622636,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"The_Philadelphia_story_the_22q11_2_deletion_report_on_250_patients","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":45622636,"first_name":"Steven","middle_initials":null,"last_name":"Handler","page_name":"Handler","domain_name":"independent","created_at":"2016-03-22T14:57:04.158-07:00","display_name":"Steven Handler","url":"https://independent.academia.edu/Handler"},"attachments":[],"research_interests":[{"id":631,"name":"Pediatrics","url":"https://www.academia.edu/Documents/in/Pediatrics"},{"id":803,"name":"Philosophy","url":"https://www.academia.edu/Documents/in/Philosophy"},{"id":22506,"name":"Adolescent","url":"https://www.academia.edu/Documents/in/Adolescent"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":47904,"name":"Genetic counseling","url":"https://www.academia.edu/Documents/in/Genetic_counseling"},{"id":64568,"name":"Humans","url":"https://www.academia.edu/Documents/in/Humans"},{"id":64933,"name":"Child","url":"https://www.academia.edu/Documents/in/Child"},{"id":98925,"name":"Female","url":"https://www.academia.edu/Documents/in/Female"},{"id":98939,"name":"Pubmed","url":"https://www.academia.edu/Documents/in/Pubmed"},{"id":111545,"name":"Male","url":"https://www.academia.edu/Documents/in/Male"},{"id":134346,"name":"Infant","url":"https://www.academia.edu/Documents/in/Infant"},{"id":213897,"name":"Phenotype","url":"https://www.academia.edu/Documents/in/Phenotype"},{"id":272273,"name":"Philadelphia","url":"https://www.academia.edu/Documents/in/Philadelphia"},{"id":366440,"name":"Facies","url":"https://www.academia.edu/Documents/in/Facies"},{"id":382075,"name":"Adult","url":"https://www.academia.edu/Documents/in/Adult"},{"id":1208235,"name":"DiGeorge Syndrome","url":"https://www.academia.edu/Documents/in/DiGeorge_Syndrome"},{"id":1819400,"name":"Cohort Studies","url":"https://www.academia.edu/Documents/in/Cohort_Studies"},{"id":2210764,"name":"Genetic","url":"https://www.academia.edu/Documents/in/Genetic"},{"id":2489700,"name":"Child preschool","url":"https://www.academia.edu/Documents/in/Child_preschool"},{"id":3208276,"name":"Chromosome deletion","url":"https://www.academia.edu/Documents/in/Chromosome_deletion"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="118179740"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/118179740/Usefulness_of_Computed_Tomographic_Scan_in_the_Evaluation_of_Sensorineural_Hearing_Loss_in_Children"><img alt="Research paper thumbnail of Usefulness of Computed Tomographic Scan in the Evaluation of Sensorineural Hearing Loss in Children" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/118179740/Usefulness_of_Computed_Tomographic_Scan_in_the_Evaluation_of_Sensorineural_Hearing_Loss_in_Children">Usefulness of Computed Tomographic Scan in the Evaluation of Sensorineural Hearing Loss in Children</a></div><div class="wp-workCard_item"><span>Archives of Otolaryngology-head & Neck Surgery</span><span>, May 1, 1992</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">A retrospective chart study was conducted to determine the diagnostic yield of temporal bone imag...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">A retrospective chart study was conducted to determine the diagnostic yield of temporal bone imaging for children with sensorineural hearing loss of unknown cause. Seventy consecutive cases, spanning 4.5 years, were identified and individual computed tomography films reviewed. Cases were analyzed with respect to patients&amp;amp;amp;#39; age, duration of hearing loss, sudden onset vs progressive loss, unilateral vs bilateral, and other symptoms. Of the 70 computed tomographic scans, nine showed temporal bone or other intracranial abnormalities. The majority of these findings were localized to structures in the posterior and middle cranial fossae. No eight nerve tumors were identified. Congenital hearing loss and hearing loss secondary to viral infections are the most common cause of sensorineural hearing loss when discovered in early childhood and, often, have no radiographic abnormality. The decision to explore an ear for a presumed perilymph fistula is based almost exclusively on the history and physical examination, and not on the demonstration of any radiographic findings. For the children presenting with stable hearing impairment in the absence of other findings, computed tomographic scans were either negative or did not contribute to diagnosis. Since tumors of the eighth nerve are rare in children under 16 years of age (without neurofibromatosis), and radiologic studies have a low yield in identifying perilymph fistulas, the routine use of computed tomographic imaging in such children may be unjustified.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="118179740"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="118179740"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 118179740; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=118179740]").text(description); $(".js-view-count[data-work-id=118179740]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 118179740; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='118179740']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 118179740, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=118179740]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":118179740,"title":"Usefulness of Computed Tomographic Scan in the Evaluation of Sensorineural Hearing Loss in Children","translated_title":"","metadata":{"abstract":"A retrospective chart study was conducted to determine the diagnostic yield of temporal bone imaging for children with sensorineural hearing loss of unknown cause. Seventy consecutive cases, spanning 4.5 years, were identified and individual computed tomography films reviewed. Cases were analyzed with respect to patients\u0026amp;amp;amp;#39; age, duration of hearing loss, sudden onset vs progressive loss, unilateral vs bilateral, and other symptoms. Of the 70 computed tomographic scans, nine showed temporal bone or other intracranial abnormalities. The majority of these findings were localized to structures in the posterior and middle cranial fossae. No eight nerve tumors were identified. Congenital hearing loss and hearing loss secondary to viral infections are the most common cause of sensorineural hearing loss when discovered in early childhood and, often, have no radiographic abnormality. The decision to explore an ear for a presumed perilymph fistula is based almost exclusively on the history and physical examination, and not on the demonstration of any radiographic findings. For the children presenting with stable hearing impairment in the absence of other findings, computed tomographic scans were either negative or did not contribute to diagnosis. Since tumors of the eighth nerve are rare in children under 16 years of age (without neurofibromatosis), and radiologic studies have a low yield in identifying perilymph fistulas, the routine use of computed tomographic imaging in such children may be unjustified.","publisher":"American Medical Association","publication_date":{"day":1,"month":5,"year":1992,"errors":{}},"publication_name":"Archives of Otolaryngology-head \u0026 Neck Surgery"},"translated_abstract":"A retrospective chart study was conducted to determine the diagnostic yield of temporal bone imaging for children with sensorineural hearing loss of unknown cause. Seventy consecutive cases, spanning 4.5 years, were identified and individual computed tomography films reviewed. Cases were analyzed with respect to patients\u0026amp;amp;amp;#39; age, duration of hearing loss, sudden onset vs progressive loss, unilateral vs bilateral, and other symptoms. Of the 70 computed tomographic scans, nine showed temporal bone or other intracranial abnormalities. The majority of these findings were localized to structures in the posterior and middle cranial fossae. No eight nerve tumors were identified. Congenital hearing loss and hearing loss secondary to viral infections are the most common cause of sensorineural hearing loss when discovered in early childhood and, often, have no radiographic abnormality. The decision to explore an ear for a presumed perilymph fistula is based almost exclusively on the history and physical examination, and not on the demonstration of any radiographic findings. For the children presenting with stable hearing impairment in the absence of other findings, computed tomographic scans were either negative or did not contribute to diagnosis. Since tumors of the eighth nerve are rare in children under 16 years of age (without neurofibromatosis), and radiologic studies have a low yield in identifying perilymph fistulas, the routine use of computed tomographic imaging in such children may be unjustified.","internal_url":"https://www.academia.edu/118179740/Usefulness_of_Computed_Tomographic_Scan_in_the_Evaluation_of_Sensorineural_Hearing_Loss_in_Children","translated_internal_url":"","created_at":"2024-04-27T18:46:28.655-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":45622636,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Usefulness_of_Computed_Tomographic_Scan_in_the_Evaluation_of_Sensorineural_Hearing_Loss_in_Children","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":45622636,"first_name":"Steven","middle_initials":null,"last_name":"Handler","page_name":"Handler","domain_name":"independent","created_at":"2016-03-22T14:57:04.158-07:00","display_name":"Steven Handler","url":"https://independent.academia.edu/Handler"},"attachments":[],"research_interests":[{"id":640,"name":"Radiology","url":"https://www.academia.edu/Documents/in/Radiology"},{"id":1648,"name":"Computed Tomography","url":"https://www.academia.edu/Documents/in/Computed_Tomography"},{"id":22506,"name":"Adolescent","url":"https://www.academia.edu/Documents/in/Adolescent"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":64568,"name":"Humans","url":"https://www.academia.edu/Documents/in/Humans"},{"id":64664,"name":"Sensorineural Hearing Loss","url":"https://www.academia.edu/Documents/in/Sensorineural_Hearing_Loss"},{"id":64933,"name":"Child","url":"https://www.academia.edu/Documents/in/Child"},{"id":98925,"name":"Female","url":"https://www.academia.edu/Documents/in/Female"},{"id":111545,"name":"Male","url":"https://www.academia.edu/Documents/in/Male"},{"id":123472,"name":"Exploration","url":"https://www.academia.edu/Documents/in/Exploration"},{"id":127231,"name":"Neurofibromatosis","url":"https://www.academia.edu/Documents/in/Neurofibromatosis"},{"id":134346,"name":"Infant","url":"https://www.academia.edu/Documents/in/Infant"},{"id":180673,"name":"Hearing Loss","url":"https://www.academia.edu/Documents/in/Hearing_Loss"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":399616,"name":"Temporal","url":"https://www.academia.edu/Documents/in/Temporal"},{"id":469105,"name":"Retrospective Studies","url":"https://www.academia.edu/Documents/in/Retrospective_Studies"},{"id":815168,"name":"Temporal Bone","url":"https://www.academia.edu/Documents/in/Temporal_Bone"},{"id":1029271,"name":"Abnormality","url":"https://www.academia.edu/Documents/in/Abnormality"},{"id":1929419,"name":"Nino","url":"https://www.academia.edu/Documents/in/Nino"},{"id":2489700,"name":"Child preschool","url":"https://www.academia.edu/Documents/in/Child_preschool"}],"urls":[{"id":41451189,"url":"https://doi.org/10.1001/archotol.1992.01880050047012"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="85746788"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/85746788/Pilomatrixoma_of_the_Head_and_Neck_in_Children"><img alt="Research paper thumbnail of Pilomatrixoma of the Head and Neck in Children" class="work-thumbnail" src="https://attachments.academia-assets.com/90353329/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/85746788/Pilomatrixoma_of_the_Head_and_Neck_in_Children">Pilomatrixoma of the Head and Neck in Children</a></div><div class="wp-workCard_item"><span>Archives of Otolaryngology–Head &amp; Neck Surgery</span><span>, 1998</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="0f7d92336f5f8e6772c48531e8813d4c" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":90353329,"asset_id":85746788,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/90353329/download_file?st=MTczMjU2NDMxNSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="85746788"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="85746788"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 85746788; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=85746788]").text(description); $(".js-view-count[data-work-id=85746788]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 85746788; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='85746788']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 85746788, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); 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Design: Retrospective study. Setting: A tertiary care center. Patients: Thirty-three patients, with a mean age of 4.5 years, underwent surgical treatment for pilomatrixoma (n = 38) between 1989 and 1997. Intervention: All patients were treated surgically. In 34 cases, a direct approach was used to achieve complete removal of the lesion with (n = 11) or without (n = 23) skin resection. In the remaining 4 cases, an indirect approach via a parotidectomylike incision was used. Results: In 88% of cases, the presenting symptom was a hard, slow-growing, subcutaneous tumor. The lesion was associated with pain and inflammation in 7 cases (18%) and abscess or ulceration in 4 cases (11%). Twentynine patients presented with single nodules and 4 presented with multiple occurrences. The lesions were located on the face (cheek, eyelid, or forehead) in 20 cases (53%), on the neck in 8 cases (21%), in the parotid region in 8 cases (21%), and on the scalp in 2 cases (5%). Conclusions: Pilomatrixoma is a rare, benign skin tumor, but practitioners should be aware of its clinical features. Diagnosis is usually easy based on clinical findings, but computed tomographic scan is helpful, especially in cases involving tumors located in the parotid region. Spontaneous regression is never observed. Complete surgical excision, including the overlying skin, is the treatment of choice.","publication_date":{"day":null,"month":null,"year":1998,"errors":{}},"publication_name":"Archives of Otolaryngology–Head \u0026amp; Neck Surgery","grobid_abstract_attachment_id":90353329},"translated_abstract":null,"internal_url":"https://www.academia.edu/85746788/Pilomatrixoma_of_the_Head_and_Neck_in_Children","translated_internal_url":"","created_at":"2022-08-27T19:55:08.712-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":45622636,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":90353329,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/90353329/thumbnails/1.jpg","file_name":"ooa8176.pdf","download_url":"https://www.academia.edu/attachments/90353329/download_file?st=MTczMjU2NDMxNSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"Pilomatrixoma_of_the_Head_and_Neck_in_Ch.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/90353329/ooa8176.pdf?1661655370=\u0026response-content-disposition=attachment%3B+filename%3DPilomatrixoma_of_the_Head_and_Neck_in_Ch.pdf\u0026Expires=1732567915\u0026Signature=hRux3RoSeQ-303ktx6KFed7pd~FTNUCBwd5Ef-Z6Z2vTGsuyb0FOA7NFeIFnahvPZv0BMSR4SGrY2Jz3MafYCkwYpz1pPAy1Pv6Y5KyJ8MjslVYTveEtXVjHKbWqNdCxD763VVKQGuPPSSJiYD5sLx5jmoOd~j0DVmml5ho9ZFMKGrPGWOpPVumemurHD5~wGIR7UklSC8ts3hAutvU1DggIgSM1KpMTr8dbzh13HSVLF6U4MPStpZD-LO2aMnOxZfvwBmIltIrazxty4tYcyo51Wp4a-OfZtEh-7X0aCpziVP-BC8rhzHPLUGqTJdhoLoaMhOyeilWbnTviDB5tWQ__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Pilomatrixoma_of_the_Head_and_Neck_in_Children","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":45622636,"first_name":"Steven","middle_initials":null,"last_name":"Handler","page_name":"Handler","domain_name":"independent","created_at":"2016-03-22T14:57:04.158-07:00","display_name":"Steven Handler","url":"https://independent.academia.edu/Handler"},"attachments":[{"id":90353329,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/90353329/thumbnails/1.jpg","file_name":"ooa8176.pdf","download_url":"https://www.academia.edu/attachments/90353329/download_file?st=MTczMjU2NDMxNSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"Pilomatrixoma_of_the_Head_and_Neck_in_Ch.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/90353329/ooa8176.pdf?1661655370=\u0026response-content-disposition=attachment%3B+filename%3DPilomatrixoma_of_the_Head_and_Neck_in_Ch.pdf\u0026Expires=1732567915\u0026Signature=hRux3RoSeQ-303ktx6KFed7pd~FTNUCBwd5Ef-Z6Z2vTGsuyb0FOA7NFeIFnahvPZv0BMSR4SGrY2Jz3MafYCkwYpz1pPAy1Pv6Y5KyJ8MjslVYTveEtXVjHKbWqNdCxD763VVKQGuPPSSJiYD5sLx5jmoOd~j0DVmml5ho9ZFMKGrPGWOpPVumemurHD5~wGIR7UklSC8ts3hAutvU1DggIgSM1KpMTr8dbzh13HSVLF6U4MPStpZD-LO2aMnOxZfvwBmIltIrazxty4tYcyo51Wp4a-OfZtEh-7X0aCpziVP-BC8rhzHPLUGqTJdhoLoaMhOyeilWbnTviDB5tWQ__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":22506,"name":"Adolescent","url":"https://www.academia.edu/Documents/in/Adolescent"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":53661,"name":"Head and Neck","url":"https://www.academia.edu/Documents/in/Head_and_Neck"},{"id":64568,"name":"Humans","url":"https://www.academia.edu/Documents/in/Humans"},{"id":64933,"name":"Child","url":"https://www.academia.edu/Documents/in/Child"},{"id":98925,"name":"Female","url":"https://www.academia.edu/Documents/in/Female"},{"id":111545,"name":"Male","url":"https://www.academia.edu/Documents/in/Male"},{"id":134346,"name":"Infant","url":"https://www.academia.edu/Documents/in/Infant"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":671693,"name":"Otolaryngology - Head and Neck Surgery","url":"https://www.academia.edu/Documents/in/Otolaryngology_-_Head_and_Neck_Surgery"},{"id":1756748,"name":"Otolaryngology Head and Neck Surgery","url":"https://www.academia.edu/Documents/in/Otolaryngology_Head_and_Neck_Surgery"},{"id":2177223,"name":"Skin Neoplasms","url":"https://www.academia.edu/Documents/in/Skin_Neoplasms"},{"id":2482522,"name":"Hair Diseases","url":"https://www.academia.edu/Documents/in/Hair_Diseases"},{"id":2486448,"name":"Pilomatrixoma","url":"https://www.academia.edu/Documents/in/Pilomatrixoma"},{"id":2489700,"name":"Child preschool","url":"https://www.academia.edu/Documents/in/Child_preschool"},{"id":3616628,"name":"Head and neck neoplasms","url":"https://www.academia.edu/Documents/in/Head_and_neck_neoplasms"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="69016818"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/69016818/Neurogenic_Sarcoma_of_the_Head_and_Neck"><img alt="Research paper thumbnail of Neurogenic Sarcoma of the Head and Neck" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/69016818/Neurogenic_Sarcoma_of_the_Head_and_Neck">Neurogenic Sarcoma of the Head and Neck</a></div><div class="wp-workCard_item"><span>Archives of Otolaryngology - Head and Neck Surgery</span><span>, 1979</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">We discuss our experience in the diagnosis and management of seven cases of neurogenic sarcomas o...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">We discuss our experience in the diagnosis and management of seven cases of neurogenic sarcomas of the head and neck. These uncommon tumors, which affect all ages, arise most frequently from the brachial plexus, sympathetic chain, and the cranial nerves or their branches. An enlarging mass is the most common initially appearing symptom. Diagnosis may be difficult and rests heavily on gross evidence of a relationship between the tumor and its nerve of origin. Histologically, the lesions are composed of spindle cells with varying degrees of pleomorphism in a pattern that is frequently undistinguishable from fibrosarcomas. Ultrastructural studies may be helpful in establishing the neurogenic origin of these tumors. Neurogenic sarcoma of the head and neck has an extremely poor prognosis. Surgery remains the cornerstone of treatment, although radiotherapy is important for palliation.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="69016818"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="69016818"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 69016818; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=69016818]").text(description); $(".js-view-count[data-work-id=69016818]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 69016818; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='69016818']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 69016818, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=69016818]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":69016818,"title":"Neurogenic Sarcoma of the Head and Neck","translated_title":"","metadata":{"abstract":"We discuss our experience in the diagnosis and management of seven cases of neurogenic sarcomas of the head and neck. These uncommon tumors, which affect all ages, arise most frequently from the brachial plexus, sympathetic chain, and the cranial nerves or their branches. An enlarging mass is the most common initially appearing symptom. Diagnosis may be difficult and rests heavily on gross evidence of a relationship between the tumor and its nerve of origin. Histologically, the lesions are composed of spindle cells with varying degrees of pleomorphism in a pattern that is frequently undistinguishable from fibrosarcomas. Ultrastructural studies may be helpful in establishing the neurogenic origin of these tumors. Neurogenic sarcoma of the head and neck has an extremely poor prognosis. Surgery remains the cornerstone of treatment, although radiotherapy is important for palliation.","publisher":"American Medical Association (AMA)","publication_date":{"day":null,"month":null,"year":1979,"errors":{}},"publication_name":"Archives of Otolaryngology - Head and Neck Surgery"},"translated_abstract":"We discuss our experience in the diagnosis and management of seven cases of neurogenic sarcomas of the head and neck. These uncommon tumors, which affect all ages, arise most frequently from the brachial plexus, sympathetic chain, and the cranial nerves or their branches. An enlarging mass is the most common initially appearing symptom. Diagnosis may be difficult and rests heavily on gross evidence of a relationship between the tumor and its nerve of origin. Histologically, the lesions are composed of spindle cells with varying degrees of pleomorphism in a pattern that is frequently undistinguishable from fibrosarcomas. Ultrastructural studies may be helpful in establishing the neurogenic origin of these tumors. Neurogenic sarcoma of the head and neck has an extremely poor prognosis. Surgery remains the cornerstone of treatment, although radiotherapy is important for palliation.","internal_url":"https://www.academia.edu/69016818/Neurogenic_Sarcoma_of_the_Head_and_Neck","translated_internal_url":"","created_at":"2022-01-21T08:17:20.768-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":45622636,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Neurogenic_Sarcoma_of_the_Head_and_Neck","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":45622636,"first_name":"Steven","middle_initials":null,"last_name":"Handler","page_name":"Handler","domain_name":"independent","created_at":"2016-03-22T14:57:04.158-07:00","display_name":"Steven Handler","url":"https://independent.academia.edu/Handler"},"attachments":[],"research_interests":[{"id":19354,"name":"Radiotherapy","url":"https://www.academia.edu/Documents/in/Radiotherapy"},{"id":22506,"name":"Adolescent","url":"https://www.academia.edu/Documents/in/Adolescent"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":64568,"name":"Humans","url":"https://www.academia.edu/Documents/in/Humans"},{"id":98925,"name":"Female","url":"https://www.academia.edu/Documents/in/Female"},{"id":111545,"name":"Male","url":"https://www.academia.edu/Documents/in/Male"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged"},{"id":295155,"name":"Middle Aged","url":"https://www.academia.edu/Documents/in/Middle_Aged"},{"id":382075,"name":"Adult","url":"https://www.academia.edu/Documents/in/Adult"},{"id":1212103,"name":"Antineoplastic Agents","url":"https://www.academia.edu/Documents/in/Antineoplastic_Agents"},{"id":1748602,"name":"Vagus Nerve","url":"https://www.academia.edu/Documents/in/Vagus_Nerve"},{"id":2670176,"name":"Neurilemmoma","url":"https://www.academia.edu/Documents/in/Neurilemmoma"},{"id":2824511,"name":"Neurofibroma","url":"https://www.academia.edu/Documents/in/Neurofibroma"},{"id":3616628,"name":"Head and neck neoplasms","url":"https://www.academia.edu/Documents/in/Head_and_neck_neoplasms"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="69016816"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/69016816/Traumatic_perilymphatic_fistulas_in_children_etiology_diagnosis_and_management"><img alt="Research paper thumbnail of Traumatic perilymphatic fistulas in children: etiology, diagnosis and management" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/69016816/Traumatic_perilymphatic_fistulas_in_children_etiology_diagnosis_and_management">Traumatic perilymphatic fistulas in children: etiology, diagnosis and management</a></div><div class="wp-workCard_item"><span>International journal of pediatric …</span><span>, 2001</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Post-traumatic perilymphatic fistulas have been described following ear and temporal bone injury,...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Post-traumatic perilymphatic fistulas have been described following ear and temporal bone injury, particularly in the setting of temporal bone fractures. However, indications for exploratory surgery in cases of trauma without temporal bone fracture are vague and not well ...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="69016816"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="69016816"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 69016816; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=69016816]").text(description); $(".js-view-count[data-work-id=69016816]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 69016816; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='69016816']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 69016816, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=69016816]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":69016816,"title":"Traumatic perilymphatic fistulas in children: etiology, diagnosis and management","translated_title":"","metadata":{"abstract":"Post-traumatic perilymphatic fistulas have been described following ear and temporal bone injury, particularly in the setting of temporal bone fractures. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="23639537"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/23639537/Development_of_an_Applied_Framework_for_Understanding_Health_Information_Technology_in_Nursing_Homes"><img alt="Research paper thumbnail of Development of an Applied Framework for Understanding Health Information Technology in Nursing Homes" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/23639537/Development_of_an_Applied_Framework_for_Understanding_Health_Information_Technology_in_Nursing_Homes">Development of an Applied Framework for Understanding Health Information Technology in Nursing Homes</a></div><div class="wp-workCard_item"><span>Journal of the American Medical Directors Association</span><span>, Jan 11, 2016</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">There is growing evidence that Health Information Technology (HIT) can play a role in improving q...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">There is growing evidence that Health Information Technology (HIT) can play a role in improving quality of care and increasing efficiency in the nursing home setting. Most research in this area, however, has examined whether nursing homes have or use any of a list of available technologies. We sought to develop an empirical framework for understanding the intersection between specific uses of HIT and clinical care processes. Using the nominal group technique, we conducted a series of focus groups with different types of personnel who work in nursing homes (administrators, directors of nursing, physicians, mid-level practitioners, consultant pharmacists, and aides). The resulting framework identified key domain areas that can benefit from HIT: transfer of data, regulatory compliance, quality improvement, structured clinical documentation, medication use process, and communication. The framework can be used to guide both descriptive and normative research.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="23639537"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="23639537"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 23639537; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=23639537]").text(description); $(".js-view-count[data-work-id=23639537]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 23639537; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='23639537']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 23639537, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=23639537]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":23639537,"title":"Development of an Applied Framework for Understanding Health Information Technology in Nursing Homes","translated_title":"","metadata":{"abstract":"There is growing evidence that Health Information Technology (HIT) can play a role in improving quality of care and increasing efficiency in the nursing home setting. Most research in this area, however, has examined whether nursing homes have or use any of a list of available technologies. We sought to develop an empirical framework for understanding the intersection between specific uses of HIT and clinical care processes. Using the nominal group technique, we conducted a series of focus groups with different types of personnel who work in nursing homes (administrators, directors of nursing, physicians, mid-level practitioners, consultant pharmacists, and aides). The resulting framework identified key domain areas that can benefit from HIT: transfer of data, regulatory compliance, quality improvement, structured clinical documentation, medication use process, and communication. 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The resulting framework identified key domain areas that can benefit from HIT: transfer of data, regulatory compliance, quality improvement, structured clinical documentation, medication use process, and communication. The framework can be used to guide both descriptive and normative research.","internal_url":"https://www.academia.edu/23639537/Development_of_an_Applied_Framework_for_Understanding_Health_Information_Technology_in_Nursing_Homes","translated_internal_url":"","created_at":"2016-03-23T18:34:25.918-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":45622636,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Development_of_an_Applied_Framework_for_Understanding_Health_Information_Technology_in_Nursing_Homes","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":45622636,"first_name":"Steven","middle_initials":null,"last_name":"Handler","page_name":"Handler","domain_name":"independent","created_at":"2016-03-22T14:57:04.158-07:00","display_name":"Steven Handler","url":"https://independent.academia.edu/Handler"},"attachments":[],"research_interests":[{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="23639536"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/23639536/Radiation_induced_xerostomia_in_cancer_patients"><img alt="Research paper thumbnail of Radiation-induced xerostomia in cancer patients" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/23639536/Radiation_induced_xerostomia_in_cancer_patients">Radiation-induced xerostomia in cancer patients</a></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Saliva and serum electrolyte concentrations were monitored in 30 patients given a course of xeros...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Saliva and serum electrolyte concentrations were monitored in 30 patients given a course of xerostomia-producing cancer radiotherapy. The mean flow rate of stimulated whole saliva decreased 83.3% during a 6-week treatment period. The striking reduction in saliva output was accompanied by significant increases in saliva Na+, Cl-, Ca++, Mg++ and Prot.- concentrations and by a decrease in saliva HCO3- content. The xerostomic saliva was more concentrated and had a greater salinity than the pretreatment saliva in each instance. In contrast, none of the serum electrolytes measured was significantly altered by the subtotal salivary shutdown.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="23639536"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="23639536"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 23639536; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=23639536]").text(description); $(".js-view-count[data-work-id=23639536]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 23639536; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='23639536']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 23639536, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=23639536]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":23639536,"title":"Radiation-induced xerostomia in cancer patients","translated_title":"","metadata":{"abstract":"Saliva and serum electrolyte concentrations were monitored in 30 patients given a course of xerostomia-producing cancer radiotherapy. The mean flow rate of stimulated whole saliva decreased 83.3% during a 6-week treatment period. The striking reduction in saliva output was accompanied by significant increases in saliva Na+, Cl-, Ca++, Mg++ and Prot.- concentrations and by a decrease in saliva HCO3- content. The xerostomic saliva was more concentrated and had a greater salinity than the pretreatment saliva in each instance. In contrast, none of the serum electrolytes measured was significantly altered by the subtotal salivary shutdown.","publication_date":{"day":1,"month":7,"year":1976,"errors":{}}},"translated_abstract":"Saliva and serum electrolyte concentrations were monitored in 30 patients given a course of xerostomia-producing cancer radiotherapy. The mean flow rate of stimulated whole saliva decreased 83.3% during a 6-week treatment period. The striking reduction in saliva output was accompanied by significant increases in saliva Na+, Cl-, Ca++, Mg++ and Prot.- concentrations and by a decrease in saliva HCO3- content. The xerostomic saliva was more concentrated and had a greater salinity than the pretreatment saliva in each instance. In contrast, none of the serum electrolytes measured was significantly altered by the subtotal salivary shutdown.","internal_url":"https://www.academia.edu/23639536/Radiation_induced_xerostomia_in_cancer_patients","translated_internal_url":"","created_at":"2016-03-23T18:34:25.737-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":45622636,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Radiation_induced_xerostomia_in_cancer_patients","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":45622636,"first_name":"Steven","middle_initials":null,"last_name":"Handler","page_name":"Handler","domain_name":"independent","created_at":"2016-03-22T14:57:04.158-07:00","display_name":"Steven Handler","url":"https://independent.academia.edu/Handler"},"attachments":[],"research_interests":[{"id":6021,"name":"Cancer","url":"https://www.academia.edu/Documents/in/Cancer"},{"id":9534,"name":"Calcium","url":"https://www.academia.edu/Documents/in/Calcium"},{"id":10035,"name":"Nuclear medicine","url":"https://www.academia.edu/Documents/in/Nuclear_medicine"},{"id":19354,"name":"Radiotherapy","url":"https://www.academia.edu/Documents/in/Radiotherapy"},{"id":22506,"name":"Adolescent","url":"https://www.academia.edu/Documents/in/Adolescent"},{"id":64568,"name":"Humans","url":"https://www.academia.edu/Documents/in/Humans"},{"id":66355,"name":"Radiation Effects","url":"https://www.academia.edu/Documents/in/Radiation_Effects"},{"id":70902,"name":"Magnesium","url":"https://www.academia.edu/Documents/in/Magnesium"},{"id":98925,"name":"Female","url":"https://www.academia.edu/Documents/in/Female"},{"id":111545,"name":"Male","url":"https://www.academia.edu/Documents/in/Male"},{"id":160656,"name":"Potassium","url":"https://www.academia.edu/Documents/in/Potassium"},{"id":181569,"name":"Proteins","url":"https://www.academia.edu/Documents/in/Proteins"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged"},{"id":295155,"name":"Middle Aged","url":"https://www.academia.edu/Documents/in/Middle_Aged"},{"id":336223,"name":"Digestive System","url":"https://www.academia.edu/Documents/in/Digestive_System"},{"id":344106,"name":"Saliva","url":"https://www.academia.edu/Documents/in/Saliva"},{"id":373249,"name":"Electrolytes","url":"https://www.academia.edu/Documents/in/Electrolytes"},{"id":382075,"name":"Adult","url":"https://www.academia.edu/Documents/in/Adult"},{"id":386342,"name":"Sodium","url":"https://www.academia.edu/Documents/in/Sodium"},{"id":469018,"name":"Neoplasms","url":"https://www.academia.edu/Documents/in/Neoplasms"},{"id":469025,"name":"Xerostomia","url":"https://www.academia.edu/Documents/in/Xerostomia"},{"id":541785,"name":"Phosphates","url":"https://www.academia.edu/Documents/in/Phosphates"},{"id":698785,"name":"Side Effect","url":"https://www.academia.edu/Documents/in/Side_Effect"},{"id":898062,"name":"Flow Rate","url":"https://www.academia.edu/Documents/in/Flow_Rate"},{"id":1137254,"name":"Hydrogen-Ion Concentration","url":"https://www.academia.edu/Documents/in/Hydrogen-Ion_Concentration"},{"id":2260515,"name":"Chlorides","url":"https://www.academia.edu/Documents/in/Chlorides"}],"urls":[{"id":6940635,"url":"http://osti.gov/servlets/purl/7360054"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="23639535"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/23639535/Effects_of_a_simulated_spacecraft_environment_on_the_oral_microflora_of_nonhuman_primates"><img alt="Research paper thumbnail of Effects of a simulated spacecraft environment on the oral microflora of nonhuman primates" class="work-thumbnail" src="https://attachments.academia-assets.com/44049788/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/23639535/Effects_of_a_simulated_spacecraft_environment_on_the_oral_microflora_of_nonhuman_primates">Effects of a simulated spacecraft environment on the oral microflora of nonhuman primates</a></div><div class="wp-workCard_item"><span>Oral surgery, oral medicine, and oral pathology</span><span>, 1973</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="3c3273254e7840087c80b5b1fc9d289f" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":44049788,"asset_id":23639535,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/44049788/download_file?st=MTczMjU2NDMxNSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="23639535"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="23639535"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 23639535; 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="23639534"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/23639534/Management_of_Brachial_Plexus_Tumors"><img alt="Research paper thumbnail of Management of Brachial Plexus Tumors" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/23639534/Management_of_Brachial_Plexus_Tumors">Management of Brachial Plexus Tumors</a></div><div class="wp-workCard_item"><span>Archives of Otolaryngology - Head and Neck Surgery</span><span>, 1977</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Brachial plexus neoplasms are uncommon. When this diagnosis is suspected, the functional and anat...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Brachial plexus neoplasms are uncommon. When this diagnosis is suspected, the functional and anatomical integrity of the brachial plexus and cervical spinal cord must be carefully assessed. A thorough search for other signs of neurofibromatosis (von Recklinghausen&amp;#39;s disease) must also be completed. The distinction between neurilemoma and neurofibroma is an important and useful one to know. Evaluation by a pathologist who is well versed in neural tumors is mandatory for appropriate treatment of these usually benign lesions. Surgical intervention, adequately prepared on the basis of the patient&amp;#39;s age, the amount of neural impairment, and the extent and histology of the tumor requires a surgeon who is experienced in peripheral nerve surgery and in microdissection techniques. Long-term follow-up is necessary to monitor the growth of known tumors, the detection of malignant change, and the appearance of other stigmata of von Recklinghausen&amp;#39;s disease.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="23639534"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="23639534"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 23639534; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=23639534]").text(description); $(".js-view-count[data-work-id=23639534]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 23639534; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='23639534']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 23639534, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=23639534]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":23639534,"title":"Management of Brachial Plexus Tumors","translated_title":"","metadata":{"abstract":"Brachial plexus neoplasms are uncommon. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="23639533"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/23639533/Otitis_media_Update_on_etiology_and_management"><img alt="Research paper thumbnail of Otitis media: Update on etiology and management" class="work-thumbnail" src="https://attachments.academia-assets.com/44049789/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/23639533/Otitis_media_Update_on_etiology_and_management">Otitis media: Update on etiology and management</a></div><div class="wp-workCard_item"><span>Annals of Emergency Medicine</span><span>, 1982</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="daf3d5074a0f2cf40cbb8c47d43fd2cf" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":44049789,"asset_id":23639533,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/44049789/download_file?st=MTczMjU2NDMxNSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="23639533"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="23639533"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 23639533; 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Streptococcus pneumoniae was the predominant organism recovered (63%). Three cases of Hemophilus influenzae, alone or in combination with S pneumoniae, were identified. Other organisms found were Staphylococcus albus, Neiserria species, Group A B-hemolytic Streptococcus, and anaerobes. In four patients (I3%) no organism was recovered. All isolates were ampicillin susceptible. No relationship was found between WBC, temperature, or age and the organism recovered. Tympanocentesis did not provide any information resulting in an alteration of therapy. Tympanocentesis may he indicated for relief of pain or for periodic surveillance of organism sensitivities, but is not justified in the emergency department for uncomplicated acute otitis media.","publication_date":{"day":null,"month":null,"year":1982,"errors":{}},"publication_name":"Annals of Emergency Medicine","grobid_abstract_attachment_id":44049789},"translated_abstract":null,"internal_url":"https://www.academia.edu/23639533/Otitis_media_Update_on_etiology_and_management","translated_internal_url":"","created_at":"2016-03-23T18:34:25.377-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":45622636,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":44049789,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/44049789/thumbnails/1.jpg","file_name":"s0196-0644_2882_2980494-0.pdf20160323-18436-1y2xby1","download_url":"https://www.academia.edu/attachments/44049789/download_file?st=MTczMjU2NDMxNSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"Otitis_media_Update_on_etiology_and_mana.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/44049789/s0196-0644_2882_2980494-0-libre.pdf20160323-18436-1y2xby1?1458783372=\u0026response-content-disposition=attachment%3B+filename%3DOtitis_media_Update_on_etiology_and_mana.pdf\u0026Expires=1732567915\u0026Signature=HvjhyG99ObdEMojWk3S1x3ZiB9H592XujxSWrhOiObmi3vM4PA3tfOU8F-1Vh3h1hepdEf0Bnacz-9WRa8qnpupqinGzw5HibOC-SgeFL6al22K9kklIwkJ20ik3xFHCdmEtPVOU4hGsAypkIKE2W0~ki-sYTfaQ6lxzmuIU1xg~KUIoOAVklb5pgiI-AKHOwBpp2odKUQsKyExh0jf6aGEn4Cy7G36qrEUV3tXCibOXnCU7Jb~fzVJr3Jgdl4zJLUu3OaZhD~zaCs8ePfTNSq54HODp9esvmyRcU6p6F2jK-Nq0NRTlokmFnXsZ55XuBdm18cXZQ8zN1d4XNAxAiA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Otitis_media_Update_on_etiology_and_management","translated_slug":"","page_count":3,"language":"en","content_type":"Work","owner":{"id":45622636,"first_name":"Steven","middle_initials":null,"last_name":"Handler","page_name":"Handler","domain_name":"independent","created_at":"2016-03-22T14:57:04.158-07:00","display_name":"Steven Handler","url":"https://independent.academia.edu/Handler"},"attachments":[{"id":44049789,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/44049789/thumbnails/1.jpg","file_name":"s0196-0644_2882_2980494-0.pdf20160323-18436-1y2xby1","download_url":"https://www.academia.edu/attachments/44049789/download_file?st=MTczMjU2NDMxNSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"Otitis_media_Update_on_etiology_and_mana.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/44049789/s0196-0644_2882_2980494-0-libre.pdf20160323-18436-1y2xby1?1458783372=\u0026response-content-disposition=attachment%3B+filename%3DOtitis_media_Update_on_etiology_and_mana.pdf\u0026Expires=1732567915\u0026Signature=HvjhyG99ObdEMojWk3S1x3ZiB9H592XujxSWrhOiObmi3vM4PA3tfOU8F-1Vh3h1hepdEf0Bnacz-9WRa8qnpupqinGzw5HibOC-SgeFL6al22K9kklIwkJ20ik3xFHCdmEtPVOU4hGsAypkIKE2W0~ki-sYTfaQ6lxzmuIU1xg~KUIoOAVklb5pgiI-AKHOwBpp2odKUQsKyExh0jf6aGEn4Cy7G36qrEUV3tXCibOXnCU7Jb~fzVJr3Jgdl4zJLUu3OaZhD~zaCs8ePfTNSq54HODp9esvmyRcU6p6F2jK-Nq0NRTlokmFnXsZ55XuBdm18cXZQ8zN1d4XNAxAiA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":64568,"name":"Humans","url":"https://www.academia.edu/Documents/in/Humans"},{"id":64933,"name":"Child","url":"https://www.academia.edu/Documents/in/Child"},{"id":98925,"name":"Female","url":"https://www.academia.edu/Documents/in/Female"},{"id":111545,"name":"Male","url":"https://www.academia.edu/Documents/in/Male"},{"id":113903,"name":"Bacteria","url":"https://www.academia.edu/Documents/in/Bacteria"},{"id":134346,"name":"Infant","url":"https://www.academia.edu/Documents/in/Infant"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":509607,"name":"Otitis Media","url":"https://www.academia.edu/Documents/in/Otitis_Media"},{"id":561014,"name":"Microbial Sensitivity Tests","url":"https://www.academia.edu/Documents/in/Microbial_Sensitivity_Tests"},{"id":1533489,"name":"Haemophilus Infections Market","url":"https://www.academia.edu/Documents/in/Haemophilus_Infections_Market"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="23639532"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/23639532/Usefulness_of_computed_tomographic_scan_in_the_evaluation_of_sensorineural_hearing_loss_in_children"><img alt="Research paper thumbnail of Usefulness of computed tomographic scan in the evaluation of sensorineural hearing loss in children" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/23639532/Usefulness_of_computed_tomographic_scan_in_the_evaluation_of_sensorineural_hearing_loss_in_children">Usefulness of computed tomographic scan in the evaluation of sensorineural hearing loss in children</a></div><div class="wp-workCard_item"><span>Archives of Otolaryngology Head and Neck Surgery</span><span>, May 1, 1992</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">A retrospective chart study was conducted to determine the diagnostic yield of temporal bone imag...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">A retrospective chart study was conducted to determine the diagnostic yield of temporal bone imaging for children with sensorineural hearing loss of unknown cause. Seventy consecutive cases, spanning 4.5 years, were identified and individual computed tomography films reviewed. Cases were analyzed with respect to patients&amp;#39; age, duration of hearing loss, sudden onset vs progressive loss, unilateral vs bilateral, and other symptoms. Of the 70 computed tomographic scans, nine showed temporal bone or other intracranial abnormalities. The majority of these findings were localized to structures in the posterior and middle cranial fossae. No eight nerve tumors were identified. Congenital hearing loss and hearing loss secondary to viral infections are the most common cause of sensorineural hearing loss when discovered in early childhood and, often, have no radiographic abnormality. The decision to explore an ear for a presumed perilymph fistula is based almost exclusively on the history and physical examination, and not on the demonstration of any radiographic findings. For the children presenting with stable hearing impairment in the absence of other findings, computed tomographic scans were either negative or did not contribute to diagnosis. Since tumors of the eighth nerve are rare in children under 16 years of age (without neurofibromatosis), and radiologic studies have a low yield in identifying perilymph fistulas, the routine use of computed tomographic imaging in such children may be unjustified.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="23639532"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="23639532"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 23639532; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=23639532]").text(description); $(".js-view-count[data-work-id=23639532]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 23639532; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='23639532']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 23639532, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=23639532]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":23639532,"title":"Usefulness of computed tomographic scan in the evaluation of sensorineural hearing loss in children","translated_title":"","metadata":{"abstract":"A retrospective chart study was conducted to determine the diagnostic yield of temporal bone imaging for children with sensorineural hearing loss of unknown cause. Seventy consecutive cases, spanning 4.5 years, were identified and individual computed tomography films reviewed. Cases were analyzed with respect to patients\u0026amp;#39; age, duration of hearing loss, sudden onset vs progressive loss, unilateral vs bilateral, and other symptoms. Of the 70 computed tomographic scans, nine showed temporal bone or other intracranial abnormalities. The majority of these findings were localized to structures in the posterior and middle cranial fossae. No eight nerve tumors were identified. Congenital hearing loss and hearing loss secondary to viral infections are the most common cause of sensorineural hearing loss when discovered in early childhood and, often, have no radiographic abnormality. The decision to explore an ear for a presumed perilymph fistula is based almost exclusively on the history and physical examination, and not on the demonstration of any radiographic findings. For the children presenting with stable hearing impairment in the absence of other findings, computed tomographic scans were either negative or did not contribute to diagnosis. Since tumors of the eighth nerve are rare in children under 16 years of age (without neurofibromatosis), and radiologic studies have a low yield in identifying perilymph fistulas, the routine use of computed tomographic imaging in such children may be unjustified.","publication_date":{"day":1,"month":5,"year":1992,"errors":{}},"publication_name":"Archives of Otolaryngology Head and Neck Surgery"},"translated_abstract":"A retrospective chart study was conducted to determine the diagnostic yield of temporal bone imaging for children with sensorineural hearing loss of unknown cause. Seventy consecutive cases, spanning 4.5 years, were identified and individual computed tomography films reviewed. Cases were analyzed with respect to patients\u0026amp;#39; age, duration of hearing loss, sudden onset vs progressive loss, unilateral vs bilateral, and other symptoms. Of the 70 computed tomographic scans, nine showed temporal bone or other intracranial abnormalities. The majority of these findings were localized to structures in the posterior and middle cranial fossae. No eight nerve tumors were identified. Congenital hearing loss and hearing loss secondary to viral infections are the most common cause of sensorineural hearing loss when discovered in early childhood and, often, have no radiographic abnormality. The decision to explore an ear for a presumed perilymph fistula is based almost exclusively on the history and physical examination, and not on the demonstration of any radiographic findings. For the children presenting with stable hearing impairment in the absence of other findings, computed tomographic scans were either negative or did not contribute to diagnosis. Since tumors of the eighth nerve are rare in children under 16 years of age (without neurofibromatosis), and radiologic studies have a low yield in identifying perilymph fistulas, the routine use of computed tomographic imaging in such children may be unjustified.","internal_url":"https://www.academia.edu/23639532/Usefulness_of_computed_tomographic_scan_in_the_evaluation_of_sensorineural_hearing_loss_in_children","translated_internal_url":"","created_at":"2016-03-23T18:34:21.786-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":45622636,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Usefulness_of_computed_tomographic_scan_in_the_evaluation_of_sensorineural_hearing_loss_in_children","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":45622636,"first_name":"Steven","middle_initials":null,"last_name":"Handler","page_name":"Handler","domain_name":"independent","created_at":"2016-03-22T14:57:04.158-07:00","display_name":"Steven Handler","url":"https://independent.academia.edu/Handler"},"attachments":[],"research_interests":[{"id":22506,"name":"Adolescent","url":"https://www.academia.edu/Documents/in/Adolescent"},{"id":64568,"name":"Humans","url":"https://www.academia.edu/Documents/in/Humans"},{"id":64933,"name":"Child","url":"https://www.academia.edu/Documents/in/Child"},{"id":98925,"name":"Female","url":"https://www.academia.edu/Documents/in/Female"},{"id":111545,"name":"Male","url":"https://www.academia.edu/Documents/in/Male"},{"id":123472,"name":"Exploration","url":"https://www.academia.edu/Documents/in/Exploration"},{"id":134346,"name":"Infant","url":"https://www.academia.edu/Documents/in/Infant"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":399616,"name":"Temporal","url":"https://www.academia.edu/Documents/in/Temporal"},{"id":469105,"name":"Retrospective Studies","url":"https://www.academia.edu/Documents/in/Retrospective_Studies"},{"id":959921,"name":"X ray Computed Tomography","url":"https://www.academia.edu/Documents/in/X_ray_Computed_Tomography"},{"id":1929419,"name":"Nino","url":"https://www.academia.edu/Documents/in/Nino"}],"urls":[{"id":6940634,"url":"http://archotol.jamanetwork.com/article.aspx?articleid=620649"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="23583313"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/23583313/Complications_of_Orbital_Floor_Implants"><img alt="Research paper thumbnail of Complications of Orbital Floor Implants" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" rel="nofollow" href="https://www.academia.edu/23583313/Complications_of_Orbital_Floor_Implants">Complications of Orbital Floor Implants</a></div><div class="wp-workCard_item"><span>Transactions of the Pacific Coast Oto-Ophthalmological Society annual meeting</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="23583313"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="23583313"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 23583313; 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Canalis","title":"Complications of Orbital Floor Implants"}],"downloadable_attachments":[],"slug":"Complications_of_Orbital_Floor_Implants","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":45622636,"first_name":"Steven","middle_initials":null,"last_name":"Handler","page_name":"Handler","domain_name":"independent","created_at":"2016-03-22T14:57:04.158-07:00","display_name":"Steven Handler","url":"https://independent.academia.edu/Handler"},"attachments":[],"research_interests":[{"id":64568,"name":"Humans","url":"https://www.academia.edu/Documents/in/Humans"},{"id":111545,"name":"Male","url":"https://www.academia.edu/Documents/in/Male"},{"id":295155,"name":"Middle Aged","url":"https://www.academia.edu/Documents/in/Middle_Aged"},{"id":354937,"name":"Bone Marrow Transplantation","url":"https://www.academia.edu/Documents/in/Bone_Marrow_Transplantation"},{"id":382075,"name":"Adult","url":"https://www.academia.edu/Documents/in/Adult"},{"id":1592877,"name":"Orbit","url":"https://www.academia.edu/Documents/in/Orbit"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="23583312"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/23583312/A_trial_of_Biolite_ventilation_tubes_in_children_is_further_use_warranted"><img alt="Research paper thumbnail of A trial of Biolite ventilation tubes in children: is further use warranted?" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/23583312/A_trial_of_Biolite_ventilation_tubes_in_children_is_further_use_warranted">A trial of Biolite ventilation tubes in children: is further use warranted?</a></div><div class="wp-workCard_item"><span>Otolaryngology Head and Neck Surgery</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">A prospective controlled pilot study was undertaken in which Biolite (carbon-coated) ventilation ...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">A prospective controlled pilot study was undertaken in which Biolite (carbon-coated) ventilation tubes were placed in 44 ears and a conventional silicone tube in the contralateral ear. Long-term follow-up of these patients has revealed little difference in the incidence of tube occlusion or early extrusion. In addition, there were several disadvantages noted with the Biolite tubes: incomplete coating of the tube (especially within the lumen), shedding of the Biolite coating over time, &amp;quot;tattooing&amp;quot; of the tympanic membrane, poor otoscopic visibility, and the higher cost of these tubes. Since the Biolite tube has no documented advantages and, actually, several disadvantages, we believe its use in the treatment of middle ear disorders should be discontinued until significant benefits are demonstrated and present deficiencies are corrected.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="23583312"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="23583312"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 23583312; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=23583312]").text(description); $(".js-view-count[data-work-id=23583312]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 23583312; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='23583312']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 23583312, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=23583312]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":23583312,"title":"A trial of Biolite ventilation tubes in children: is further use warranted?","translated_title":"","metadata":{"abstract":"A prospective controlled pilot study was undertaken in which Biolite (carbon-coated) ventilation tubes were placed in 44 ears and a conventional silicone tube in the contralateral ear. Long-term follow-up of these patients has revealed little difference in the incidence of tube occlusion or early extrusion. In addition, there were several disadvantages noted with the Biolite tubes: incomplete coating of the tube (especially within the lumen), shedding of the Biolite coating over time, \u0026amp;quot;tattooing\u0026amp;quot; of the tympanic membrane, poor otoscopic visibility, and the higher cost of these tubes. Since the Biolite tube has no documented advantages and, actually, several disadvantages, we believe its use in the treatment of middle ear disorders should be discontinued until significant benefits are demonstrated and present deficiencies are corrected.","publication_name":"Otolaryngology Head and Neck Surgery"},"translated_abstract":"A prospective controlled pilot study was undertaken in which Biolite (carbon-coated) ventilation tubes were placed in 44 ears and a conventional silicone tube in the contralateral ear. 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Since the Biolite tube has no documented advantages and, actually, several disadvantages, we believe its use in the treatment of middle ear disorders should be discontinued until significant benefits are demonstrated and present deficiencies are corrected.","internal_url":"https://www.academia.edu/23583312/A_trial_of_Biolite_ventilation_tubes_in_children_is_further_use_warranted","translated_internal_url":"","created_at":"2016-03-22T14:57:46.159-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":45622636,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[{"id":17790000,"work_id":23583312,"tagging_user_id":45622636,"tagged_user_id":null,"co_author_invite_id":4074111,"email":"p***c@email.chop.edu","display_order":0,"name":"William Potsic","title":"A trial of Biolite ventilation tubes in children: is further use warranted?"}],"downloadable_attachments":[],"slug":"A_trial_of_Biolite_ventilation_tubes_in_children_is_further_use_warranted","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":45622636,"first_name":"Steven","middle_initials":null,"last_name":"Handler","page_name":"Handler","domain_name":"independent","created_at":"2016-03-22T14:57:04.158-07:00","display_name":"Steven Handler","url":"https://independent.academia.edu/Handler"},"attachments":[],"research_interests":[{"id":5303,"name":"Carbon","url":"https://www.academia.edu/Documents/in/Carbon"},{"id":22506,"name":"Adolescent","url":"https://www.academia.edu/Documents/in/Adolescent"},{"id":62112,"name":"Prospective studies","url":"https://www.academia.edu/Documents/in/Prospective_studies"},{"id":64568,"name":"Humans","url":"https://www.academia.edu/Documents/in/Humans"},{"id":64933,"name":"Child","url":"https://www.academia.edu/Documents/in/Child"},{"id":98925,"name":"Female","url":"https://www.academia.edu/Documents/in/Female"},{"id":111545,"name":"Male","url":"https://www.academia.edu/Documents/in/Male"},{"id":134346,"name":"Infant","url":"https://www.academia.edu/Documents/in/Infant"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":546419,"name":"Age Factors","url":"https://www.academia.edu/Documents/in/Age_Factors"},{"id":671693,"name":"Otolaryngology - Head and Neck Surgery","url":"https://www.academia.edu/Documents/in/Otolaryngology_-_Head_and_Neck_Surgery"},{"id":945595,"name":"Pilot Projects","url":"https://www.academia.edu/Documents/in/Pilot_Projects"},{"id":1031067,"name":"Biocompatible Materials","url":"https://www.academia.edu/Documents/in/Biocompatible_Materials"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="23583311"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/23583311/Sialorrhea_a_management_challenge"><img alt="Research paper thumbnail of Sialorrhea: a management challenge" class="work-thumbnail" src="https://attachments.academia-assets.com/44005373/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/23583311/Sialorrhea_a_management_challenge">Sialorrhea: a management challenge</a></div><div class="wp-workCard_item"><span>American family physician</span><span>, 2004</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Sialorrhea (drooling or excessive salivation) is a common problem in neurologically impaired chil...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Sialorrhea (drooling or excessive salivation) is a common problem in neurologically impaired children (i.e., those with mental retardation or cerebral palsy) and in adults who have Parkinson&#39;s disease or have had a stroke. It is most commonly caused by poor oral and facial muscle control. Contributing factors may include hypersecretion of saliva, dental malocclusion, postural problems, and an inability to recognize salivary spill. Sialorrhea causes a range of physical and psychosocial complications, including perioral chapping, dehydration, odor, and social stigmatization, that can be devastating for patients and their families. Treatment of sialorrhea is best managed by a clinical team that includes primary health care providers, speech pathologists, occupational therapists, dentists, orthodontists, neurologists, and otolaryngologists. Treatment options range from conservative (i.e., observation, postural changes, biofeedback) to more aggressive measures such as medication, rad...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="96c1221771791d86cd7968ac303937fe" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":44005373,"asset_id":23583311,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/44005373/download_file?st=MTczMjU2NDMxNSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="23583311"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="23583311"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 23583311; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=23583311]").text(description); $(".js-view-count[data-work-id=23583311]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 23583311; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='23583311']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 23583311, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "96c1221771791d86cd7968ac303937fe" } } $('.js-work-strip[data-work-id=23583311]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":23583311,"title":"Sialorrhea: a management challenge","translated_title":"","metadata":{"abstract":"Sialorrhea (drooling or excessive salivation) is a common problem in neurologically impaired children (i.e., those with mental retardation or cerebral palsy) and in adults who have Parkinson\u0026#39;s disease or have had a stroke. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="23583310"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/23583310/Doxycycline_sclerotherapy_of_benign_lymphoepithelial_cysts_of_the_parotid_a_minimally_invasive_treatment"><img alt="Research paper thumbnail of Doxycycline sclerotherapy of benign lymphoepithelial cysts of the parotid: a minimally invasive treatment" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/23583310/Doxycycline_sclerotherapy_of_benign_lymphoepithelial_cysts_of_the_parotid_a_minimally_invasive_treatment">Doxycycline sclerotherapy of benign lymphoepithelial cysts of the parotid: a minimally invasive treatment</a></div><div class="wp-workCard_item"><span>International journal of pediatric otorhinolaryngology</span><span>, Jan 15, 2000</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Benign lymphoepithelial cysts (BLCs) of the parotid gland are associated with human immunodeficie...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Benign lymphoepithelial cysts (BLCs) of the parotid gland are associated with human immunodeficiency virus infections in both children and adults. These cysts may become painful and unsightly, often initiating a request for therapeutic intervention. There are several treatment options described in the literature. We report the use of doxycycline sclerotherapy in the treatment of a child with BLCs of the parotid.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="23583310"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="23583310"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 23583310; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=23583310]").text(description); $(".js-view-count[data-work-id=23583310]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 23583310; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='23583310']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 23583310, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=23583310]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":23583310,"title":"Doxycycline sclerotherapy of benign lymphoepithelial cysts of the parotid: a minimally invasive treatment","translated_title":"","metadata":{"abstract":"Benign lymphoepithelial cysts (BLCs) of the parotid gland are associated with human immunodeficiency virus infections in both children and adults. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="23583309"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/23583309/Airway_compromise_caused_by_disk_battery_ingestion"><img alt="Research paper thumbnail of Airway compromise caused by disk battery ingestion" class="work-thumbnail" src="https://attachments.academia-assets.com/44005380/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/23583309/Airway_compromise_caused_by_disk_battery_ingestion">Airway compromise caused by disk battery ingestion</a></div><div class="wp-workCard_item"><span>Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery</span><span>, 1999</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="371a88e383ea52a2512966529dd5c047" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":44005380,"asset_id":23583309,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/44005380/download_file?st=MTczMjU2NDMxNSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="23583309"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="23583309"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 23583309; 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="23583308"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/23583308/Imaging_of_granulomatous_neck_masses_in_children"><img alt="Research paper thumbnail of Imaging of granulomatous neck masses in children" class="work-thumbnail" src="https://attachments.academia-assets.com/44005379/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/23583308/Imaging_of_granulomatous_neck_masses_in_children">Imaging of granulomatous neck masses in children</a></div><div class="wp-workCard_item"><span>International journal of pediatric otorhinolaryngology</span><span>, 1996</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Non-tuberculous mycobacterial (NTM) infection is the most common cause of granulomatous inflammat...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Non-tuberculous mycobacterial (NTM) infection is the most common cause of granulomatous inflammation in pediatric neck masses. Diagnosis relies upon culture, acid-fast bacilli (AFB) staining, chest radiograph, purified protein derivative (PPD) test, and clinical features. Computed tomography (CT) and magnetic resonance (MR) imaging may provide valuable information in the work-up of children with cervical masses. We reviewed 11 CT and 5 MR studies of children with a clinical diagnosis of NTM infection. Specific findings included stranding of the subcutaneous fat, thickening and enhancement of the overlying skin, obliteration of the tissue palnes, and multichambered masses. One patient had calcifications within the mass. MR with contrast better demonstrated the soft tissues and is our recommended imaging modality, although CT is more likely to detect calcifications within the neck mass.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="41b9fb27adfaf2402d546619599781f5" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":44005379,"asset_id":23583308,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/44005379/download_file?st=MTczMjU2NDMxNSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="23583308"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="23583308"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 23583308; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=23583308]").text(description); $(".js-view-count[data-work-id=23583308]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 23583308; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='23583308']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 23583308, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "41b9fb27adfaf2402d546619599781f5" } } $('.js-work-strip[data-work-id=23583308]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":23583308,"title":"Imaging of granulomatous neck masses in children","translated_title":"","metadata":{"abstract":"Non-tuberculous mycobacterial (NTM) infection is the most common cause of granulomatous inflammation in pediatric neck masses. Diagnosis relies upon culture, acid-fast bacilli (AFB) staining, chest radiograph, purified protein derivative (PPD) test, and clinical features. Computed tomography (CT) and magnetic resonance (MR) imaging may provide valuable information in the work-up of children with cervical masses. We reviewed 11 CT and 5 MR studies of children with a clinical diagnosis of NTM infection. Specific findings included stranding of the subcutaneous fat, thickening and enhancement of the overlying skin, obliteration of the tissue palnes, and multichambered masses. One patient had calcifications within the mass. MR with contrast better demonstrated the soft tissues and is our recommended imaging modality, although CT is more likely to detect calcifications within the neck mass.","publication_date":{"day":null,"month":null,"year":1996,"errors":{}},"publication_name":"International journal of pediatric otorhinolaryngology"},"translated_abstract":"Non-tuberculous mycobacterial (NTM) infection is the most common cause of granulomatous inflammation in pediatric neck masses. Diagnosis relies upon culture, acid-fast bacilli (AFB) staining, chest radiograph, purified protein derivative (PPD) test, and clinical features. Computed tomography (CT) and magnetic resonance (MR) imaging may provide valuable information in the work-up of children with cervical masses. We reviewed 11 CT and 5 MR studies of children with a clinical diagnosis of NTM infection. 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href="https://www.academia.edu/23583307/Pediatric_tracheostomy_Experience_during_the_past_decade"><img alt="Research paper thumbnail of Pediatric tracheostomy. Experience during the past decade" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/23583307/Pediatric_tracheostomy_Experience_during_the_past_decade">Pediatric tracheostomy. Experience during the past decade</a></div><div class="wp-workCard_item"><span>The Annals of otology, rhinology, and laryngology</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">A retrospective review of a decade of experience with pediatric tracheostomy encompassed 420 chil...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">A retrospective review of a decade of experience with pediatric tracheostomy encompassed 420 children. Analysis was performed with respect to primary diagnosis, age, duration of tracheostomy and hospitalization, early and late complications and mortality. While the incidence of tracheostomy per hospital admission decreased over the period of review, there was substantial increase in duration of tracheotomy. Approximately half of the patients sustained complications. While overall mortality approached 28%, tracheostomy-related deaths occurred in only eight patients (2%). 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The diagnosis must be considered in any infant presenting with a lateral neck mass. Although its natural history favors spontaneous regression, the mass may initially grow in size. The purpose of treatment is the prevention of torticollis and craniofacial asymmetry. The initial treatment is non-surgical, passive and active exercises. Only when this treatment fails should surgery be performed. The disappearance of the lesion is not always a predictable sign. A small number of children will develop delayed torticollis or craniofacial asymmetry. 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The diagnosis must be considered in any infant presenting with a lateral neck mass. Although its natural history favors spontaneous regression, the mass may initially grow in size. The purpose of treatment is the prevention of torticollis and craniofacial asymmetry. The initial treatment is non-surgical, passive and active exercises. Only when this treatment fails should surgery be performed. The disappearance of the lesion is not always a predictable sign. A small number of children will develop delayed torticollis or craniofacial asymmetry. 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Wetmore","title":"The sternocleidomastoid tumor of infancy"}],"downloadable_attachments":[],"slug":"The_sternocleidomastoid_tumor_of_infancy","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":45622636,"first_name":"Steven","middle_initials":null,"last_name":"Handler","page_name":"Handler","domain_name":"independent","created_at":"2016-03-22T14:57:04.158-07:00","display_name":"Steven Handler","url":"https://independent.academia.edu/Handler"},"attachments":[],"research_interests":[{"id":25443,"name":"Exercise therapy","url":"https://www.academia.edu/Documents/in/Exercise_therapy"},{"id":64568,"name":"Humans","url":"https://www.academia.edu/Documents/in/Humans"},{"id":98925,"name":"Female","url":"https://www.academia.edu/Documents/in/Female"},{"id":111545,"name":"Male","url":"https://www.academia.edu/Documents/in/Male"},{"id":134095,"name":"Muscles","url":"https://www.academia.edu/Documents/in/Muscles"},{"id":134346,"name":"Infant","url":"https://www.academia.edu/Documents/in/Infant"},{"id":162159,"name":"Differential Diagnosis","url":"https://www.academia.edu/Documents/in/Differential_Diagnosis"},{"id":174804,"name":"Fibrosis","url":"https://www.academia.edu/Documents/in/Fibrosis"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":612038,"name":"Facial Asymmetry","url":"https://www.academia.edu/Documents/in/Facial_Asymmetry"},{"id":796754,"name":"Torticollis","url":"https://www.academia.edu/Documents/in/Torticollis"},{"id":847989,"name":"Neck Muscles","url":"https://www.academia.edu/Documents/in/Neck_Muscles"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> </div><div class="profile--tab_content_container js-tab-pane tab-pane" data-section-id="4887290" id="papers"><div class="js-work-strip profile--work_container" data-work-id="118179746"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/118179746/The_Philadelphia_story_the_22q11_2_deletion_report_on_250_patients"><img alt="Research paper thumbnail of The Philadelphia story: the 22q11.2 deletion: report on 250 patients" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/118179746/The_Philadelphia_story_the_22q11_2_deletion_report_on_250_patients">The Philadelphia story: the 22q11.2 deletion: report on 250 patients</a></div><div class="wp-workCard_item"><span>Genetic counseling (Geneva, Switzerland)</span><span>, 1999</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">A submicroscopic deletion of chromosome 22q11.2 has been identified in the majority of patients w...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">A submicroscopic deletion of chromosome 22q11.2 has been identified in the majority of patients with the DiGeorge, velocardiofacial, and conotruncal anomaly face syndromes, and in some patients with the Opitz G/BBB and Cayler cardiofacial syndromes. We have been involved in the analysis of DiGeorge syndrome and related diagnoses since 1982 and have evaluated a large number of patients with the deletion. We describe our cohort of 250 patients whose clinical findings help to define the extremely variable phenotype associated with the 22q11.2 deletion and may assist clinicians in providing genetic counseling and guidelines for clinical management based on these findings.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="118179746"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="118179746"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 118179746; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=118179746]").text(description); $(".js-view-count[data-work-id=118179746]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 118179746; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='118179746']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 118179746, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=118179746]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":118179746,"title":"The Philadelphia story: the 22q11.2 deletion: report on 250 patients","translated_title":"","metadata":{"abstract":"A submicroscopic deletion of chromosome 22q11.2 has been identified in the majority of patients with the DiGeorge, velocardiofacial, and conotruncal anomaly face syndromes, and in some patients with the Opitz G/BBB and Cayler cardiofacial syndromes. We have been involved in the analysis of DiGeorge syndrome and related diagnoses since 1982 and have evaluated a large number of patients with the deletion. We describe our cohort of 250 patients whose clinical findings help to define the extremely variable phenotype associated with the 22q11.2 deletion and may assist clinicians in providing genetic counseling and guidelines for clinical management based on these findings.","publication_date":{"day":null,"month":null,"year":1999,"errors":{}},"publication_name":"Genetic counseling (Geneva, Switzerland)"},"translated_abstract":"A submicroscopic deletion of chromosome 22q11.2 has been identified in the majority of patients with the DiGeorge, velocardiofacial, and conotruncal anomaly face syndromes, and in some patients with the Opitz G/BBB and Cayler cardiofacial syndromes. We have been involved in the analysis of DiGeorge syndrome and related diagnoses since 1982 and have evaluated a large number of patients with the deletion. We describe our cohort of 250 patients whose clinical findings help to define the extremely variable phenotype associated with the 22q11.2 deletion and may assist clinicians in providing genetic counseling and guidelines for clinical management based on these findings.","internal_url":"https://www.academia.edu/118179746/The_Philadelphia_story_the_22q11_2_deletion_report_on_250_patients","translated_internal_url":"","created_at":"2024-04-27T18:46:51.598-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":45622636,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"The_Philadelphia_story_the_22q11_2_deletion_report_on_250_patients","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":45622636,"first_name":"Steven","middle_initials":null,"last_name":"Handler","page_name":"Handler","domain_name":"independent","created_at":"2016-03-22T14:57:04.158-07:00","display_name":"Steven Handler","url":"https://independent.academia.edu/Handler"},"attachments":[],"research_interests":[{"id":631,"name":"Pediatrics","url":"https://www.academia.edu/Documents/in/Pediatrics"},{"id":803,"name":"Philosophy","url":"https://www.academia.edu/Documents/in/Philosophy"},{"id":22506,"name":"Adolescent","url":"https://www.academia.edu/Documents/in/Adolescent"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":47904,"name":"Genetic counseling","url":"https://www.academia.edu/Documents/in/Genetic_counseling"},{"id":64568,"name":"Humans","url":"https://www.academia.edu/Documents/in/Humans"},{"id":64933,"name":"Child","url":"https://www.academia.edu/Documents/in/Child"},{"id":98925,"name":"Female","url":"https://www.academia.edu/Documents/in/Female"},{"id":98939,"name":"Pubmed","url":"https://www.academia.edu/Documents/in/Pubmed"},{"id":111545,"name":"Male","url":"https://www.academia.edu/Documents/in/Male"},{"id":134346,"name":"Infant","url":"https://www.academia.edu/Documents/in/Infant"},{"id":213897,"name":"Phenotype","url":"https://www.academia.edu/Documents/in/Phenotype"},{"id":272273,"name":"Philadelphia","url":"https://www.academia.edu/Documents/in/Philadelphia"},{"id":366440,"name":"Facies","url":"https://www.academia.edu/Documents/in/Facies"},{"id":382075,"name":"Adult","url":"https://www.academia.edu/Documents/in/Adult"},{"id":1208235,"name":"DiGeorge Syndrome","url":"https://www.academia.edu/Documents/in/DiGeorge_Syndrome"},{"id":1819400,"name":"Cohort Studies","url":"https://www.academia.edu/Documents/in/Cohort_Studies"},{"id":2210764,"name":"Genetic","url":"https://www.academia.edu/Documents/in/Genetic"},{"id":2489700,"name":"Child preschool","url":"https://www.academia.edu/Documents/in/Child_preschool"},{"id":3208276,"name":"Chromosome deletion","url":"https://www.academia.edu/Documents/in/Chromosome_deletion"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="118179740"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/118179740/Usefulness_of_Computed_Tomographic_Scan_in_the_Evaluation_of_Sensorineural_Hearing_Loss_in_Children"><img alt="Research paper thumbnail of Usefulness of Computed Tomographic Scan in the Evaluation of Sensorineural Hearing Loss in Children" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/118179740/Usefulness_of_Computed_Tomographic_Scan_in_the_Evaluation_of_Sensorineural_Hearing_Loss_in_Children">Usefulness of Computed Tomographic Scan in the Evaluation of Sensorineural Hearing Loss in Children</a></div><div class="wp-workCard_item"><span>Archives of Otolaryngology-head & Neck Surgery</span><span>, May 1, 1992</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">A retrospective chart study was conducted to determine the diagnostic yield of temporal bone imag...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">A retrospective chart study was conducted to determine the diagnostic yield of temporal bone imaging for children with sensorineural hearing loss of unknown cause. Seventy consecutive cases, spanning 4.5 years, were identified and individual computed tomography films reviewed. Cases were analyzed with respect to patients&amp;amp;amp;#39; age, duration of hearing loss, sudden onset vs progressive loss, unilateral vs bilateral, and other symptoms. Of the 70 computed tomographic scans, nine showed temporal bone or other intracranial abnormalities. The majority of these findings were localized to structures in the posterior and middle cranial fossae. No eight nerve tumors were identified. Congenital hearing loss and hearing loss secondary to viral infections are the most common cause of sensorineural hearing loss when discovered in early childhood and, often, have no radiographic abnormality. The decision to explore an ear for a presumed perilymph fistula is based almost exclusively on the history and physical examination, and not on the demonstration of any radiographic findings. For the children presenting with stable hearing impairment in the absence of other findings, computed tomographic scans were either negative or did not contribute to diagnosis. Since tumors of the eighth nerve are rare in children under 16 years of age (without neurofibromatosis), and radiologic studies have a low yield in identifying perilymph fistulas, the routine use of computed tomographic imaging in such children may be unjustified.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="118179740"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="118179740"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 118179740; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=118179740]").text(description); $(".js-view-count[data-work-id=118179740]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 118179740; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='118179740']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 118179740, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=118179740]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":118179740,"title":"Usefulness of Computed Tomographic Scan in the Evaluation of Sensorineural Hearing Loss in Children","translated_title":"","metadata":{"abstract":"A retrospective chart study was conducted to determine the diagnostic yield of temporal bone imaging for children with sensorineural hearing loss of unknown cause. Seventy consecutive cases, spanning 4.5 years, were identified and individual computed tomography films reviewed. Cases were analyzed with respect to patients\u0026amp;amp;amp;#39; age, duration of hearing loss, sudden onset vs progressive loss, unilateral vs bilateral, and other symptoms. Of the 70 computed tomographic scans, nine showed temporal bone or other intracranial abnormalities. The majority of these findings were localized to structures in the posterior and middle cranial fossae. No eight nerve tumors were identified. Congenital hearing loss and hearing loss secondary to viral infections are the most common cause of sensorineural hearing loss when discovered in early childhood and, often, have no radiographic abnormality. The decision to explore an ear for a presumed perilymph fistula is based almost exclusively on the history and physical examination, and not on the demonstration of any radiographic findings. For the children presenting with stable hearing impairment in the absence of other findings, computed tomographic scans were either negative or did not contribute to diagnosis. Since tumors of the eighth nerve are rare in children under 16 years of age (without neurofibromatosis), and radiologic studies have a low yield in identifying perilymph fistulas, the routine use of computed tomographic imaging in such children may be unjustified.","publisher":"American Medical Association","publication_date":{"day":1,"month":5,"year":1992,"errors":{}},"publication_name":"Archives of Otolaryngology-head \u0026 Neck Surgery"},"translated_abstract":"A retrospective chart study was conducted to determine the diagnostic yield of temporal bone imaging for children with sensorineural hearing loss of unknown cause. Seventy consecutive cases, spanning 4.5 years, were identified and individual computed tomography films reviewed. Cases were analyzed with respect to patients\u0026amp;amp;amp;#39; age, duration of hearing loss, sudden onset vs progressive loss, unilateral vs bilateral, and other symptoms. Of the 70 computed tomographic scans, nine showed temporal bone or other intracranial abnormalities. The majority of these findings were localized to structures in the posterior and middle cranial fossae. No eight nerve tumors were identified. Congenital hearing loss and hearing loss secondary to viral infections are the most common cause of sensorineural hearing loss when discovered in early childhood and, often, have no radiographic abnormality. The decision to explore an ear for a presumed perilymph fistula is based almost exclusively on the history and physical examination, and not on the demonstration of any radiographic findings. For the children presenting with stable hearing impairment in the absence of other findings, computed tomographic scans were either negative or did not contribute to diagnosis. Since tumors of the eighth nerve are rare in children under 16 years of age (without neurofibromatosis), and radiologic studies have a low yield in identifying perilymph fistulas, the routine use of computed tomographic imaging in such children may be unjustified.","internal_url":"https://www.academia.edu/118179740/Usefulness_of_Computed_Tomographic_Scan_in_the_Evaluation_of_Sensorineural_Hearing_Loss_in_Children","translated_internal_url":"","created_at":"2024-04-27T18:46:28.655-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":45622636,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Usefulness_of_Computed_Tomographic_Scan_in_the_Evaluation_of_Sensorineural_Hearing_Loss_in_Children","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":45622636,"first_name":"Steven","middle_initials":null,"last_name":"Handler","page_name":"Handler","domain_name":"independent","created_at":"2016-03-22T14:57:04.158-07:00","display_name":"Steven Handler","url":"https://independent.academia.edu/Handler"},"attachments":[],"research_interests":[{"id":640,"name":"Radiology","url":"https://www.academia.edu/Documents/in/Radiology"},{"id":1648,"name":"Computed Tomography","url":"https://www.academia.edu/Documents/in/Computed_Tomography"},{"id":22506,"name":"Adolescent","url":"https://www.academia.edu/Documents/in/Adolescent"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":64568,"name":"Humans","url":"https://www.academia.edu/Documents/in/Humans"},{"id":64664,"name":"Sensorineural Hearing Loss","url":"https://www.academia.edu/Documents/in/Sensorineural_Hearing_Loss"},{"id":64933,"name":"Child","url":"https://www.academia.edu/Documents/in/Child"},{"id":98925,"name":"Female","url":"https://www.academia.edu/Documents/in/Female"},{"id":111545,"name":"Male","url":"https://www.academia.edu/Documents/in/Male"},{"id":123472,"name":"Exploration","url":"https://www.academia.edu/Documents/in/Exploration"},{"id":127231,"name":"Neurofibromatosis","url":"https://www.academia.edu/Documents/in/Neurofibromatosis"},{"id":134346,"name":"Infant","url":"https://www.academia.edu/Documents/in/Infant"},{"id":180673,"name":"Hearing Loss","url":"https://www.academia.edu/Documents/in/Hearing_Loss"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":399616,"name":"Temporal","url":"https://www.academia.edu/Documents/in/Temporal"},{"id":469105,"name":"Retrospective Studies","url":"https://www.academia.edu/Documents/in/Retrospective_Studies"},{"id":815168,"name":"Temporal Bone","url":"https://www.academia.edu/Documents/in/Temporal_Bone"},{"id":1029271,"name":"Abnormality","url":"https://www.academia.edu/Documents/in/Abnormality"},{"id":1929419,"name":"Nino","url":"https://www.academia.edu/Documents/in/Nino"},{"id":2489700,"name":"Child preschool","url":"https://www.academia.edu/Documents/in/Child_preschool"}],"urls":[{"id":41451189,"url":"https://doi.org/10.1001/archotol.1992.01880050047012"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="85746788"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/85746788/Pilomatrixoma_of_the_Head_and_Neck_in_Children"><img alt="Research paper thumbnail of Pilomatrixoma of the Head and Neck in Children" class="work-thumbnail" src="https://attachments.academia-assets.com/90353329/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/85746788/Pilomatrixoma_of_the_Head_and_Neck_in_Children">Pilomatrixoma of the Head and Neck in Children</a></div><div class="wp-workCard_item"><span>Archives of Otolaryngology–Head &amp; Neck Surgery</span><span>, 1998</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="0f7d92336f5f8e6772c48531e8813d4c" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":90353329,"asset_id":85746788,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/90353329/download_file?st=MTczMjU2NDMxNSw4LjIyMi4yMDguMTQ2&st=MTczMjU2NDMxNSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="85746788"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="85746788"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 85746788; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=85746788]").text(description); $(".js-view-count[data-work-id=85746788]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 85746788; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='85746788']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 85746788, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); 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Design: Retrospective study. Setting: A tertiary care center. Patients: Thirty-three patients, with a mean age of 4.5 years, underwent surgical treatment for pilomatrixoma (n = 38) between 1989 and 1997. Intervention: All patients were treated surgically. In 34 cases, a direct approach was used to achieve complete removal of the lesion with (n = 11) or without (n = 23) skin resection. In the remaining 4 cases, an indirect approach via a parotidectomylike incision was used. Results: In 88% of cases, the presenting symptom was a hard, slow-growing, subcutaneous tumor. The lesion was associated with pain and inflammation in 7 cases (18%) and abscess or ulceration in 4 cases (11%). Twentynine patients presented with single nodules and 4 presented with multiple occurrences. The lesions were located on the face (cheek, eyelid, or forehead) in 20 cases (53%), on the neck in 8 cases (21%), in the parotid region in 8 cases (21%), and on the scalp in 2 cases (5%). Conclusions: Pilomatrixoma is a rare, benign skin tumor, but practitioners should be aware of its clinical features. Diagnosis is usually easy based on clinical findings, but computed tomographic scan is helpful, especially in cases involving tumors located in the parotid region. Spontaneous regression is never observed. Complete surgical excision, including the overlying skin, is the treatment of choice.","publication_date":{"day":null,"month":null,"year":1998,"errors":{}},"publication_name":"Archives of Otolaryngology–Head \u0026amp; Neck Surgery","grobid_abstract_attachment_id":90353329},"translated_abstract":null,"internal_url":"https://www.academia.edu/85746788/Pilomatrixoma_of_the_Head_and_Neck_in_Children","translated_internal_url":"","created_at":"2022-08-27T19:55:08.712-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":45622636,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":90353329,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/90353329/thumbnails/1.jpg","file_name":"ooa8176.pdf","download_url":"https://www.academia.edu/attachments/90353329/download_file?st=MTczMjU2NDMxNSw4LjIyMi4yMDguMTQ2&st=MTczMjU2NDMxNSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"Pilomatrixoma_of_the_Head_and_Neck_in_Ch.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/90353329/ooa8176.pdf?1661655370=\u0026response-content-disposition=attachment%3B+filename%3DPilomatrixoma_of_the_Head_and_Neck_in_Ch.pdf\u0026Expires=1732567915\u0026Signature=hRux3RoSeQ-303ktx6KFed7pd~FTNUCBwd5Ef-Z6Z2vTGsuyb0FOA7NFeIFnahvPZv0BMSR4SGrY2Jz3MafYCkwYpz1pPAy1Pv6Y5KyJ8MjslVYTveEtXVjHKbWqNdCxD763VVKQGuPPSSJiYD5sLx5jmoOd~j0DVmml5ho9ZFMKGrPGWOpPVumemurHD5~wGIR7UklSC8ts3hAutvU1DggIgSM1KpMTr8dbzh13HSVLF6U4MPStpZD-LO2aMnOxZfvwBmIltIrazxty4tYcyo51Wp4a-OfZtEh-7X0aCpziVP-BC8rhzHPLUGqTJdhoLoaMhOyeilWbnTviDB5tWQ__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Pilomatrixoma_of_the_Head_and_Neck_in_Children","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":45622636,"first_name":"Steven","middle_initials":null,"last_name":"Handler","page_name":"Handler","domain_name":"independent","created_at":"2016-03-22T14:57:04.158-07:00","display_name":"Steven Handler","url":"https://independent.academia.edu/Handler"},"attachments":[{"id":90353329,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/90353329/thumbnails/1.jpg","file_name":"ooa8176.pdf","download_url":"https://www.academia.edu/attachments/90353329/download_file?st=MTczMjU2NDMxNSw4LjIyMi4yMDguMTQ2&st=MTczMjU2NDMxNSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"Pilomatrixoma_of_the_Head_and_Neck_in_Ch.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/90353329/ooa8176.pdf?1661655370=\u0026response-content-disposition=attachment%3B+filename%3DPilomatrixoma_of_the_Head_and_Neck_in_Ch.pdf\u0026Expires=1732567915\u0026Signature=hRux3RoSeQ-303ktx6KFed7pd~FTNUCBwd5Ef-Z6Z2vTGsuyb0FOA7NFeIFnahvPZv0BMSR4SGrY2Jz3MafYCkwYpz1pPAy1Pv6Y5KyJ8MjslVYTveEtXVjHKbWqNdCxD763VVKQGuPPSSJiYD5sLx5jmoOd~j0DVmml5ho9ZFMKGrPGWOpPVumemurHD5~wGIR7UklSC8ts3hAutvU1DggIgSM1KpMTr8dbzh13HSVLF6U4MPStpZD-LO2aMnOxZfvwBmIltIrazxty4tYcyo51Wp4a-OfZtEh-7X0aCpziVP-BC8rhzHPLUGqTJdhoLoaMhOyeilWbnTviDB5tWQ__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":22506,"name":"Adolescent","url":"https://www.academia.edu/Documents/in/Adolescent"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":53661,"name":"Head and Neck","url":"https://www.academia.edu/Documents/in/Head_and_Neck"},{"id":64568,"name":"Humans","url":"https://www.academia.edu/Documents/in/Humans"},{"id":64933,"name":"Child","url":"https://www.academia.edu/Documents/in/Child"},{"id":98925,"name":"Female","url":"https://www.academia.edu/Documents/in/Female"},{"id":111545,"name":"Male","url":"https://www.academia.edu/Documents/in/Male"},{"id":134346,"name":"Infant","url":"https://www.academia.edu/Documents/in/Infant"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":671693,"name":"Otolaryngology - Head and Neck Surgery","url":"https://www.academia.edu/Documents/in/Otolaryngology_-_Head_and_Neck_Surgery"},{"id":1756748,"name":"Otolaryngology Head and Neck Surgery","url":"https://www.academia.edu/Documents/in/Otolaryngology_Head_and_Neck_Surgery"},{"id":2177223,"name":"Skin Neoplasms","url":"https://www.academia.edu/Documents/in/Skin_Neoplasms"},{"id":2482522,"name":"Hair Diseases","url":"https://www.academia.edu/Documents/in/Hair_Diseases"},{"id":2486448,"name":"Pilomatrixoma","url":"https://www.academia.edu/Documents/in/Pilomatrixoma"},{"id":2489700,"name":"Child preschool","url":"https://www.academia.edu/Documents/in/Child_preschool"},{"id":3616628,"name":"Head and neck neoplasms","url":"https://www.academia.edu/Documents/in/Head_and_neck_neoplasms"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="69016818"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/69016818/Neurogenic_Sarcoma_of_the_Head_and_Neck"><img alt="Research paper thumbnail of Neurogenic Sarcoma of the Head and Neck" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/69016818/Neurogenic_Sarcoma_of_the_Head_and_Neck">Neurogenic Sarcoma of the Head and Neck</a></div><div class="wp-workCard_item"><span>Archives of Otolaryngology - Head and Neck Surgery</span><span>, 1979</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">We discuss our experience in the diagnosis and management of seven cases of neurogenic sarcomas o...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">We discuss our experience in the diagnosis and management of seven cases of neurogenic sarcomas of the head and neck. These uncommon tumors, which affect all ages, arise most frequently from the brachial plexus, sympathetic chain, and the cranial nerves or their branches. An enlarging mass is the most common initially appearing symptom. Diagnosis may be difficult and rests heavily on gross evidence of a relationship between the tumor and its nerve of origin. Histologically, the lesions are composed of spindle cells with varying degrees of pleomorphism in a pattern that is frequently undistinguishable from fibrosarcomas. Ultrastructural studies may be helpful in establishing the neurogenic origin of these tumors. Neurogenic sarcoma of the head and neck has an extremely poor prognosis. Surgery remains the cornerstone of treatment, although radiotherapy is important for palliation.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="69016818"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="69016818"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 69016818; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=69016818]").text(description); $(".js-view-count[data-work-id=69016818]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 69016818; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='69016818']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 69016818, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=69016818]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":69016818,"title":"Neurogenic Sarcoma of the Head and Neck","translated_title":"","metadata":{"abstract":"We discuss our experience in the diagnosis and management of seven cases of neurogenic sarcomas of the head and neck. These uncommon tumors, which affect all ages, arise most frequently from the brachial plexus, sympathetic chain, and the cranial nerves or their branches. An enlarging mass is the most common initially appearing symptom. Diagnosis may be difficult and rests heavily on gross evidence of a relationship between the tumor and its nerve of origin. Histologically, the lesions are composed of spindle cells with varying degrees of pleomorphism in a pattern that is frequently undistinguishable from fibrosarcomas. Ultrastructural studies may be helpful in establishing the neurogenic origin of these tumors. Neurogenic sarcoma of the head and neck has an extremely poor prognosis. Surgery remains the cornerstone of treatment, although radiotherapy is important for palliation.","publisher":"American Medical Association (AMA)","publication_date":{"day":null,"month":null,"year":1979,"errors":{}},"publication_name":"Archives of Otolaryngology - Head and Neck Surgery"},"translated_abstract":"We discuss our experience in the diagnosis and management of seven cases of neurogenic sarcomas of the head and neck. These uncommon tumors, which affect all ages, arise most frequently from the brachial plexus, sympathetic chain, and the cranial nerves or their branches. An enlarging mass is the most common initially appearing symptom. Diagnosis may be difficult and rests heavily on gross evidence of a relationship between the tumor and its nerve of origin. Histologically, the lesions are composed of spindle cells with varying degrees of pleomorphism in a pattern that is frequently undistinguishable from fibrosarcomas. Ultrastructural studies may be helpful in establishing the neurogenic origin of these tumors. Neurogenic sarcoma of the head and neck has an extremely poor prognosis. Surgery remains the cornerstone of treatment, although radiotherapy is important for palliation.","internal_url":"https://www.academia.edu/69016818/Neurogenic_Sarcoma_of_the_Head_and_Neck","translated_internal_url":"","created_at":"2022-01-21T08:17:20.768-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":45622636,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Neurogenic_Sarcoma_of_the_Head_and_Neck","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":45622636,"first_name":"Steven","middle_initials":null,"last_name":"Handler","page_name":"Handler","domain_name":"independent","created_at":"2016-03-22T14:57:04.158-07:00","display_name":"Steven Handler","url":"https://independent.academia.edu/Handler"},"attachments":[],"research_interests":[{"id":19354,"name":"Radiotherapy","url":"https://www.academia.edu/Documents/in/Radiotherapy"},{"id":22506,"name":"Adolescent","url":"https://www.academia.edu/Documents/in/Adolescent"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":64568,"name":"Humans","url":"https://www.academia.edu/Documents/in/Humans"},{"id":98925,"name":"Female","url":"https://www.academia.edu/Documents/in/Female"},{"id":111545,"name":"Male","url":"https://www.academia.edu/Documents/in/Male"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged"},{"id":295155,"name":"Middle Aged","url":"https://www.academia.edu/Documents/in/Middle_Aged"},{"id":382075,"name":"Adult","url":"https://www.academia.edu/Documents/in/Adult"},{"id":1212103,"name":"Antineoplastic Agents","url":"https://www.academia.edu/Documents/in/Antineoplastic_Agents"},{"id":1748602,"name":"Vagus Nerve","url":"https://www.academia.edu/Documents/in/Vagus_Nerve"},{"id":2670176,"name":"Neurilemmoma","url":"https://www.academia.edu/Documents/in/Neurilemmoma"},{"id":2824511,"name":"Neurofibroma","url":"https://www.academia.edu/Documents/in/Neurofibroma"},{"id":3616628,"name":"Head and neck neoplasms","url":"https://www.academia.edu/Documents/in/Head_and_neck_neoplasms"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="69016816"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/69016816/Traumatic_perilymphatic_fistulas_in_children_etiology_diagnosis_and_management"><img alt="Research paper thumbnail of Traumatic perilymphatic fistulas in children: etiology, diagnosis and management" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/69016816/Traumatic_perilymphatic_fistulas_in_children_etiology_diagnosis_and_management">Traumatic perilymphatic fistulas in children: etiology, diagnosis and management</a></div><div class="wp-workCard_item"><span>International journal of pediatric …</span><span>, 2001</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Post-traumatic perilymphatic fistulas have been described following ear and temporal bone injury,...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Post-traumatic perilymphatic fistulas have been described following ear and temporal bone injury, particularly in the setting of temporal bone fractures. However, indications for exploratory surgery in cases of trauma without temporal bone fracture are vague and not well ...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="69016816"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="69016816"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 69016816; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=69016816]").text(description); $(".js-view-count[data-work-id=69016816]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 69016816; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='69016816']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 69016816, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=69016816]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":69016816,"title":"Traumatic perilymphatic fistulas in children: etiology, diagnosis and management","translated_title":"","metadata":{"abstract":"Post-traumatic perilymphatic fistulas have been described following ear and temporal bone injury, particularly in the setting of temporal bone fractures. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="23639537"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/23639537/Development_of_an_Applied_Framework_for_Understanding_Health_Information_Technology_in_Nursing_Homes"><img alt="Research paper thumbnail of Development of an Applied Framework for Understanding Health Information Technology in Nursing Homes" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/23639537/Development_of_an_Applied_Framework_for_Understanding_Health_Information_Technology_in_Nursing_Homes">Development of an Applied Framework for Understanding Health Information Technology in Nursing Homes</a></div><div class="wp-workCard_item"><span>Journal of the American Medical Directors Association</span><span>, Jan 11, 2016</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">There is growing evidence that Health Information Technology (HIT) can play a role in improving q...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">There is growing evidence that Health Information Technology (HIT) can play a role in improving quality of care and increasing efficiency in the nursing home setting. Most research in this area, however, has examined whether nursing homes have or use any of a list of available technologies. We sought to develop an empirical framework for understanding the intersection between specific uses of HIT and clinical care processes. Using the nominal group technique, we conducted a series of focus groups with different types of personnel who work in nursing homes (administrators, directors of nursing, physicians, mid-level practitioners, consultant pharmacists, and aides). The resulting framework identified key domain areas that can benefit from HIT: transfer of data, regulatory compliance, quality improvement, structured clinical documentation, medication use process, and communication. The framework can be used to guide both descriptive and normative research.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="23639537"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="23639537"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 23639537; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=23639537]").text(description); $(".js-view-count[data-work-id=23639537]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 23639537; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='23639537']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 23639537, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=23639537]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":23639537,"title":"Development of an Applied Framework for Understanding Health Information Technology in Nursing Homes","translated_title":"","metadata":{"abstract":"There is growing evidence that Health Information Technology (HIT) can play a role in improving quality of care and increasing efficiency in the nursing home setting. 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The resulting framework identified key domain areas that can benefit from HIT: transfer of data, regulatory compliance, quality improvement, structured clinical documentation, medication use process, and communication. The framework can be used to guide both descriptive and normative research.","internal_url":"https://www.academia.edu/23639537/Development_of_an_Applied_Framework_for_Understanding_Health_Information_Technology_in_Nursing_Homes","translated_internal_url":"","created_at":"2016-03-23T18:34:25.918-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":45622636,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Development_of_an_Applied_Framework_for_Understanding_Health_Information_Technology_in_Nursing_Homes","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":45622636,"first_name":"Steven","middle_initials":null,"last_name":"Handler","page_name":"Handler","domain_name":"independent","created_at":"2016-03-22T14:57:04.158-07:00","display_name":"Steven Handler","url":"https://independent.academia.edu/Handler"},"attachments":[],"research_interests":[{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="23639536"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/23639536/Radiation_induced_xerostomia_in_cancer_patients"><img alt="Research paper thumbnail of Radiation-induced xerostomia in cancer patients" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/23639536/Radiation_induced_xerostomia_in_cancer_patients">Radiation-induced xerostomia in cancer patients</a></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Saliva and serum electrolyte concentrations were monitored in 30 patients given a course of xeros...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Saliva and serum electrolyte concentrations were monitored in 30 patients given a course of xerostomia-producing cancer radiotherapy. The mean flow rate of stimulated whole saliva decreased 83.3% during a 6-week treatment period. The striking reduction in saliva output was accompanied by significant increases in saliva Na+, Cl-, Ca++, Mg++ and Prot.- concentrations and by a decrease in saliva HCO3- content. The xerostomic saliva was more concentrated and had a greater salinity than the pretreatment saliva in each instance. In contrast, none of the serum electrolytes measured was significantly altered by the subtotal salivary shutdown.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="23639536"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="23639536"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 23639536; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=23639536]").text(description); $(".js-view-count[data-work-id=23639536]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 23639536; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='23639536']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 23639536, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=23639536]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":23639536,"title":"Radiation-induced xerostomia in cancer patients","translated_title":"","metadata":{"abstract":"Saliva and serum electrolyte concentrations were monitored in 30 patients given a course of xerostomia-producing cancer radiotherapy. The mean flow rate of stimulated whole saliva decreased 83.3% during a 6-week treatment period. The striking reduction in saliva output was accompanied by significant increases in saliva Na+, Cl-, Ca++, Mg++ and Prot.- concentrations and by a decrease in saliva HCO3- content. The xerostomic saliva was more concentrated and had a greater salinity than the pretreatment saliva in each instance. In contrast, none of the serum electrolytes measured was significantly altered by the subtotal salivary shutdown.","publication_date":{"day":1,"month":7,"year":1976,"errors":{}}},"translated_abstract":"Saliva and serum electrolyte concentrations were monitored in 30 patients given a course of xerostomia-producing cancer radiotherapy. The mean flow rate of stimulated whole saliva decreased 83.3% during a 6-week treatment period. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="23639535"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/23639535/Effects_of_a_simulated_spacecraft_environment_on_the_oral_microflora_of_nonhuman_primates"><img alt="Research paper thumbnail of Effects of a simulated spacecraft environment on the oral microflora of nonhuman primates" class="work-thumbnail" src="https://attachments.academia-assets.com/44049788/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/23639535/Effects_of_a_simulated_spacecraft_environment_on_the_oral_microflora_of_nonhuman_primates">Effects of a simulated spacecraft environment on the oral microflora of nonhuman primates</a></div><div class="wp-workCard_item"><span>Oral surgery, oral medicine, and oral pathology</span><span>, 1973</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="3c3273254e7840087c80b5b1fc9d289f" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":44049788,"asset_id":23639535,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/44049788/download_file?st=MTczMjU2NDMxNSw4LjIyMi4yMDguMTQ2&st=MTczMjU2NDMxNSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="23639535"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="23639535"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 23639535; 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="23639534"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/23639534/Management_of_Brachial_Plexus_Tumors"><img alt="Research paper thumbnail of Management of Brachial Plexus Tumors" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/23639534/Management_of_Brachial_Plexus_Tumors">Management of Brachial Plexus Tumors</a></div><div class="wp-workCard_item"><span>Archives of Otolaryngology - Head and Neck Surgery</span><span>, 1977</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Brachial plexus neoplasms are uncommon. When this diagnosis is suspected, the functional and anat...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Brachial plexus neoplasms are uncommon. When this diagnosis is suspected, the functional and anatomical integrity of the brachial plexus and cervical spinal cord must be carefully assessed. A thorough search for other signs of neurofibromatosis (von Recklinghausen&amp;#39;s disease) must also be completed. The distinction between neurilemoma and neurofibroma is an important and useful one to know. Evaluation by a pathologist who is well versed in neural tumors is mandatory for appropriate treatment of these usually benign lesions. Surgical intervention, adequately prepared on the basis of the patient&amp;#39;s age, the amount of neural impairment, and the extent and histology of the tumor requires a surgeon who is experienced in peripheral nerve surgery and in microdissection techniques. Long-term follow-up is necessary to monitor the growth of known tumors, the detection of malignant change, and the appearance of other stigmata of von Recklinghausen&amp;#39;s disease.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="23639534"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="23639534"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 23639534; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=23639534]").text(description); $(".js-view-count[data-work-id=23639534]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 23639534; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='23639534']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 23639534, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=23639534]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":23639534,"title":"Management of Brachial Plexus Tumors","translated_title":"","metadata":{"abstract":"Brachial plexus neoplasms are uncommon. When this diagnosis is suspected, the functional and anatomical integrity of the brachial plexus and cervical spinal cord must be carefully assessed. A thorough search for other signs of neurofibromatosis (von Recklinghausen\u0026amp;#39;s disease) must also be completed. The distinction between neurilemoma and neurofibroma is an important and useful one to know. Evaluation by a pathologist who is well versed in neural tumors is mandatory for appropriate treatment of these usually benign lesions. Surgical intervention, adequately prepared on the basis of the patient\u0026amp;#39;s age, the amount of neural impairment, and the extent and histology of the tumor requires a surgeon who is experienced in peripheral nerve surgery and in microdissection techniques. 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Surgical intervention, adequately prepared on the basis of the patient\u0026amp;#39;s age, the amount of neural impairment, and the extent and histology of the tumor requires a surgeon who is experienced in peripheral nerve surgery and in microdissection techniques. Long-term follow-up is necessary to monitor the growth of known tumors, the detection of malignant change, and the appearance of other stigmata of von Recklinghausen\u0026amp;#39;s disease.","internal_url":"https://www.academia.edu/23639534/Management_of_Brachial_Plexus_Tumors","translated_internal_url":"","created_at":"2016-03-23T18:34:25.491-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":45622636,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Management_of_Brachial_Plexus_Tumors","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":45622636,"first_name":"Steven","middle_initials":null,"last_name":"Handler","page_name":"Handler","domain_name":"independent","created_at":"2016-03-22T14:57:04.158-07:00","display_name":"Steven Handler","url":"https://independent.academia.edu/Handler"},"attachments":[],"research_interests":[{"id":22506,"name":"Adolescent","url":"https://www.academia.edu/Documents/in/Adolescent"},{"id":64568,"name":"Humans","url":"https://www.academia.edu/Documents/in/Humans"},{"id":98925,"name":"Female","url":"https://www.academia.edu/Documents/in/Female"},{"id":111545,"name":"Male","url":"https://www.academia.edu/Documents/in/Male"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged"},{"id":295155,"name":"Middle Aged","url":"https://www.academia.edu/Documents/in/Middle_Aged"},{"id":382075,"name":"Adult","url":"https://www.academia.edu/Documents/in/Adult"},{"id":492272,"name":"Brachial Plexus","url":"https://www.academia.edu/Documents/in/Brachial_Plexus"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="23639533"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/23639533/Otitis_media_Update_on_etiology_and_management"><img alt="Research paper thumbnail of Otitis media: Update on etiology and management" class="work-thumbnail" src="https://attachments.academia-assets.com/44049789/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/23639533/Otitis_media_Update_on_etiology_and_management">Otitis media: Update on etiology and management</a></div><div class="wp-workCard_item"><span>Annals of Emergency Medicine</span><span>, 1982</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="daf3d5074a0f2cf40cbb8c47d43fd2cf" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":44049789,"asset_id":23639533,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/44049789/download_file?st=MTczMjU2NDMxNSw4LjIyMi4yMDguMTQ2&st=MTczMjU2NDMxNSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="23639533"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="23639533"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 23639533; 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Streptococcus pneumoniae was the predominant organism recovered (63%). Three cases of Hemophilus influenzae, alone or in combination with S pneumoniae, were identified. Other organisms found were Staphylococcus albus, Neiserria species, Group A B-hemolytic Streptococcus, and anaerobes. In four patients (I3%) no organism was recovered. All isolates were ampicillin susceptible. No relationship was found between WBC, temperature, or age and the organism recovered. Tympanocentesis did not provide any information resulting in an alteration of therapy. Tympanocentesis may he indicated for relief of pain or for periodic surveillance of organism sensitivities, but is not justified in the emergency department for uncomplicated acute otitis media.","publication_date":{"day":null,"month":null,"year":1982,"errors":{}},"publication_name":"Annals of Emergency Medicine","grobid_abstract_attachment_id":44049789},"translated_abstract":null,"internal_url":"https://www.academia.edu/23639533/Otitis_media_Update_on_etiology_and_management","translated_internal_url":"","created_at":"2016-03-23T18:34:25.377-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":45622636,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":44049789,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/44049789/thumbnails/1.jpg","file_name":"s0196-0644_2882_2980494-0.pdf20160323-18436-1y2xby1","download_url":"https://www.academia.edu/attachments/44049789/download_file?st=MTczMjU2NDMxNSw4LjIyMi4yMDguMTQ2&st=MTczMjU2NDMxNSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"Otitis_media_Update_on_etiology_and_mana.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/44049789/s0196-0644_2882_2980494-0-libre.pdf20160323-18436-1y2xby1?1458783372=\u0026response-content-disposition=attachment%3B+filename%3DOtitis_media_Update_on_etiology_and_mana.pdf\u0026Expires=1732567915\u0026Signature=HvjhyG99ObdEMojWk3S1x3ZiB9H592XujxSWrhOiObmi3vM4PA3tfOU8F-1Vh3h1hepdEf0Bnacz-9WRa8qnpupqinGzw5HibOC-SgeFL6al22K9kklIwkJ20ik3xFHCdmEtPVOU4hGsAypkIKE2W0~ki-sYTfaQ6lxzmuIU1xg~KUIoOAVklb5pgiI-AKHOwBpp2odKUQsKyExh0jf6aGEn4Cy7G36qrEUV3tXCibOXnCU7Jb~fzVJr3Jgdl4zJLUu3OaZhD~zaCs8ePfTNSq54HODp9esvmyRcU6p6F2jK-Nq0NRTlokmFnXsZ55XuBdm18cXZQ8zN1d4XNAxAiA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Otitis_media_Update_on_etiology_and_management","translated_slug":"","page_count":3,"language":"en","content_type":"Work","owner":{"id":45622636,"first_name":"Steven","middle_initials":null,"last_name":"Handler","page_name":"Handler","domain_name":"independent","created_at":"2016-03-22T14:57:04.158-07:00","display_name":"Steven Handler","url":"https://independent.academia.edu/Handler"},"attachments":[{"id":44049789,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/44049789/thumbnails/1.jpg","file_name":"s0196-0644_2882_2980494-0.pdf20160323-18436-1y2xby1","download_url":"https://www.academia.edu/attachments/44049789/download_file?st=MTczMjU2NDMxNSw4LjIyMi4yMDguMTQ2&st=MTczMjU2NDMxNSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"Otitis_media_Update_on_etiology_and_mana.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/44049789/s0196-0644_2882_2980494-0-libre.pdf20160323-18436-1y2xby1?1458783372=\u0026response-content-disposition=attachment%3B+filename%3DOtitis_media_Update_on_etiology_and_mana.pdf\u0026Expires=1732567915\u0026Signature=HvjhyG99ObdEMojWk3S1x3ZiB9H592XujxSWrhOiObmi3vM4PA3tfOU8F-1Vh3h1hepdEf0Bnacz-9WRa8qnpupqinGzw5HibOC-SgeFL6al22K9kklIwkJ20ik3xFHCdmEtPVOU4hGsAypkIKE2W0~ki-sYTfaQ6lxzmuIU1xg~KUIoOAVklb5pgiI-AKHOwBpp2odKUQsKyExh0jf6aGEn4Cy7G36qrEUV3tXCibOXnCU7Jb~fzVJr3Jgdl4zJLUu3OaZhD~zaCs8ePfTNSq54HODp9esvmyRcU6p6F2jK-Nq0NRTlokmFnXsZ55XuBdm18cXZQ8zN1d4XNAxAiA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":64568,"name":"Humans","url":"https://www.academia.edu/Documents/in/Humans"},{"id":64933,"name":"Child","url":"https://www.academia.edu/Documents/in/Child"},{"id":98925,"name":"Female","url":"https://www.academia.edu/Documents/in/Female"},{"id":111545,"name":"Male","url":"https://www.academia.edu/Documents/in/Male"},{"id":113903,"name":"Bacteria","url":"https://www.academia.edu/Documents/in/Bacteria"},{"id":134346,"name":"Infant","url":"https://www.academia.edu/Documents/in/Infant"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":509607,"name":"Otitis Media","url":"https://www.academia.edu/Documents/in/Otitis_Media"},{"id":561014,"name":"Microbial Sensitivity Tests","url":"https://www.academia.edu/Documents/in/Microbial_Sensitivity_Tests"},{"id":1533489,"name":"Haemophilus Infections Market","url":"https://www.academia.edu/Documents/in/Haemophilus_Infections_Market"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="23639532"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/23639532/Usefulness_of_computed_tomographic_scan_in_the_evaluation_of_sensorineural_hearing_loss_in_children"><img alt="Research paper thumbnail of Usefulness of computed tomographic scan in the evaluation of sensorineural hearing loss in children" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/23639532/Usefulness_of_computed_tomographic_scan_in_the_evaluation_of_sensorineural_hearing_loss_in_children">Usefulness of computed tomographic scan in the evaluation of sensorineural hearing loss in children</a></div><div class="wp-workCard_item"><span>Archives of Otolaryngology Head and Neck Surgery</span><span>, May 1, 1992</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">A retrospective chart study was conducted to determine the diagnostic yield of temporal bone imag...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">A retrospective chart study was conducted to determine the diagnostic yield of temporal bone imaging for children with sensorineural hearing loss of unknown cause. Seventy consecutive cases, spanning 4.5 years, were identified and individual computed tomography films reviewed. Cases were analyzed with respect to patients&amp;#39; age, duration of hearing loss, sudden onset vs progressive loss, unilateral vs bilateral, and other symptoms. Of the 70 computed tomographic scans, nine showed temporal bone or other intracranial abnormalities. The majority of these findings were localized to structures in the posterior and middle cranial fossae. No eight nerve tumors were identified. Congenital hearing loss and hearing loss secondary to viral infections are the most common cause of sensorineural hearing loss when discovered in early childhood and, often, have no radiographic abnormality. The decision to explore an ear for a presumed perilymph fistula is based almost exclusively on the history and physical examination, and not on the demonstration of any radiographic findings. For the children presenting with stable hearing impairment in the absence of other findings, computed tomographic scans were either negative or did not contribute to diagnosis. Since tumors of the eighth nerve are rare in children under 16 years of age (without neurofibromatosis), and radiologic studies have a low yield in identifying perilymph fistulas, the routine use of computed tomographic imaging in such children may be unjustified.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="23639532"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="23639532"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 23639532; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=23639532]").text(description); $(".js-view-count[data-work-id=23639532]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 23639532; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='23639532']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 23639532, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=23639532]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":23639532,"title":"Usefulness of computed tomographic scan in the evaluation of sensorineural hearing loss in children","translated_title":"","metadata":{"abstract":"A retrospective chart study was conducted to determine the diagnostic yield of temporal bone imaging for children with sensorineural hearing loss of unknown cause. Seventy consecutive cases, spanning 4.5 years, were identified and individual computed tomography films reviewed. Cases were analyzed with respect to patients\u0026amp;#39; age, duration of hearing loss, sudden onset vs progressive loss, unilateral vs bilateral, and other symptoms. Of the 70 computed tomographic scans, nine showed temporal bone or other intracranial abnormalities. The majority of these findings were localized to structures in the posterior and middle cranial fossae. No eight nerve tumors were identified. Congenital hearing loss and hearing loss secondary to viral infections are the most common cause of sensorineural hearing loss when discovered in early childhood and, often, have no radiographic abnormality. The decision to explore an ear for a presumed perilymph fistula is based almost exclusively on the history and physical examination, and not on the demonstration of any radiographic findings. For the children presenting with stable hearing impairment in the absence of other findings, computed tomographic scans were either negative or did not contribute to diagnosis. Since tumors of the eighth nerve are rare in children under 16 years of age (without neurofibromatosis), and radiologic studies have a low yield in identifying perilymph fistulas, the routine use of computed tomographic imaging in such children may be unjustified.","publication_date":{"day":1,"month":5,"year":1992,"errors":{}},"publication_name":"Archives of Otolaryngology Head and Neck Surgery"},"translated_abstract":"A retrospective chart study was conducted to determine the diagnostic yield of temporal bone imaging for children with sensorineural hearing loss of unknown cause. Seventy consecutive cases, spanning 4.5 years, were identified and individual computed tomography films reviewed. Cases were analyzed with respect to patients\u0026amp;#39; age, duration of hearing loss, sudden onset vs progressive loss, unilateral vs bilateral, and other symptoms. Of the 70 computed tomographic scans, nine showed temporal bone or other intracranial abnormalities. The majority of these findings were localized to structures in the posterior and middle cranial fossae. No eight nerve tumors were identified. Congenital hearing loss and hearing loss secondary to viral infections are the most common cause of sensorineural hearing loss when discovered in early childhood and, often, have no radiographic abnormality. The decision to explore an ear for a presumed perilymph fistula is based almost exclusively on the history and physical examination, and not on the demonstration of any radiographic findings. For the children presenting with stable hearing impairment in the absence of other findings, computed tomographic scans were either negative or did not contribute to diagnosis. Since tumors of the eighth nerve are rare in children under 16 years of age (without neurofibromatosis), and radiologic studies have a low yield in identifying perilymph fistulas, the routine use of computed tomographic imaging in such children may be unjustified.","internal_url":"https://www.academia.edu/23639532/Usefulness_of_computed_tomographic_scan_in_the_evaluation_of_sensorineural_hearing_loss_in_children","translated_internal_url":"","created_at":"2016-03-23T18:34:21.786-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":45622636,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Usefulness_of_computed_tomographic_scan_in_the_evaluation_of_sensorineural_hearing_loss_in_children","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":45622636,"first_name":"Steven","middle_initials":null,"last_name":"Handler","page_name":"Handler","domain_name":"independent","created_at":"2016-03-22T14:57:04.158-07:00","display_name":"Steven Handler","url":"https://independent.academia.edu/Handler"},"attachments":[],"research_interests":[{"id":22506,"name":"Adolescent","url":"https://www.academia.edu/Documents/in/Adolescent"},{"id":64568,"name":"Humans","url":"https://www.academia.edu/Documents/in/Humans"},{"id":64933,"name":"Child","url":"https://www.academia.edu/Documents/in/Child"},{"id":98925,"name":"Female","url":"https://www.academia.edu/Documents/in/Female"},{"id":111545,"name":"Male","url":"https://www.academia.edu/Documents/in/Male"},{"id":123472,"name":"Exploration","url":"https://www.academia.edu/Documents/in/Exploration"},{"id":134346,"name":"Infant","url":"https://www.academia.edu/Documents/in/Infant"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":399616,"name":"Temporal","url":"https://www.academia.edu/Documents/in/Temporal"},{"id":469105,"name":"Retrospective Studies","url":"https://www.academia.edu/Documents/in/Retrospective_Studies"},{"id":959921,"name":"X ray Computed Tomography","url":"https://www.academia.edu/Documents/in/X_ray_Computed_Tomography"},{"id":1929419,"name":"Nino","url":"https://www.academia.edu/Documents/in/Nino"}],"urls":[{"id":6940634,"url":"http://archotol.jamanetwork.com/article.aspx?articleid=620649"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="23583313"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/23583313/Complications_of_Orbital_Floor_Implants"><img alt="Research paper thumbnail of Complications of Orbital Floor Implants" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" rel="nofollow" href="https://www.academia.edu/23583313/Complications_of_Orbital_Floor_Implants">Complications of Orbital Floor Implants</a></div><div class="wp-workCard_item"><span>Transactions of the Pacific Coast Oto-Ophthalmological Society annual meeting</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="23583313"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="23583313"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 23583313; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=23583313]").text(description); $(".js-view-count[data-work-id=23583313]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 23583313; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='23583313']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 23583313, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); 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Canalis","title":"Complications of Orbital Floor Implants"}],"downloadable_attachments":[],"slug":"Complications_of_Orbital_Floor_Implants","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":45622636,"first_name":"Steven","middle_initials":null,"last_name":"Handler","page_name":"Handler","domain_name":"independent","created_at":"2016-03-22T14:57:04.158-07:00","display_name":"Steven Handler","url":"https://independent.academia.edu/Handler"},"attachments":[],"research_interests":[{"id":64568,"name":"Humans","url":"https://www.academia.edu/Documents/in/Humans"},{"id":111545,"name":"Male","url":"https://www.academia.edu/Documents/in/Male"},{"id":295155,"name":"Middle Aged","url":"https://www.academia.edu/Documents/in/Middle_Aged"},{"id":354937,"name":"Bone Marrow Transplantation","url":"https://www.academia.edu/Documents/in/Bone_Marrow_Transplantation"},{"id":382075,"name":"Adult","url":"https://www.academia.edu/Documents/in/Adult"},{"id":1592877,"name":"Orbit","url":"https://www.academia.edu/Documents/in/Orbit"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="23583312"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/23583312/A_trial_of_Biolite_ventilation_tubes_in_children_is_further_use_warranted"><img alt="Research paper thumbnail of A trial of Biolite ventilation tubes in children: is further use warranted?" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/23583312/A_trial_of_Biolite_ventilation_tubes_in_children_is_further_use_warranted">A trial of Biolite ventilation tubes in children: is further use warranted?</a></div><div class="wp-workCard_item"><span>Otolaryngology Head and Neck Surgery</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">A prospective controlled pilot study was undertaken in which Biolite (carbon-coated) ventilation ...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">A prospective controlled pilot study was undertaken in which Biolite (carbon-coated) ventilation tubes were placed in 44 ears and a conventional silicone tube in the contralateral ear. Long-term follow-up of these patients has revealed little difference in the incidence of tube occlusion or early extrusion. In addition, there were several disadvantages noted with the Biolite tubes: incomplete coating of the tube (especially within the lumen), shedding of the Biolite coating over time, &amp;quot;tattooing&amp;quot; of the tympanic membrane, poor otoscopic visibility, and the higher cost of these tubes. Since the Biolite tube has no documented advantages and, actually, several disadvantages, we believe its use in the treatment of middle ear disorders should be discontinued until significant benefits are demonstrated and present deficiencies are corrected.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="23583312"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="23583312"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 23583312; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=23583312]").text(description); $(".js-view-count[data-work-id=23583312]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 23583312; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='23583312']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 23583312, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=23583312]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":23583312,"title":"A trial of Biolite ventilation tubes in children: is further use warranted?","translated_title":"","metadata":{"abstract":"A prospective controlled pilot study was undertaken in which Biolite (carbon-coated) ventilation tubes were placed in 44 ears and a conventional silicone tube in the contralateral ear. Long-term follow-up of these patients has revealed little difference in the incidence of tube occlusion or early extrusion. In addition, there were several disadvantages noted with the Biolite tubes: incomplete coating of the tube (especially within the lumen), shedding of the Biolite coating over time, \u0026amp;quot;tattooing\u0026amp;quot; of the tympanic membrane, poor otoscopic visibility, and the higher cost of these tubes. Since the Biolite tube has no documented advantages and, actually, several disadvantages, we believe its use in the treatment of middle ear disorders should be discontinued until significant benefits are demonstrated and present deficiencies are corrected.","publication_name":"Otolaryngology Head and Neck Surgery"},"translated_abstract":"A prospective controlled pilot study was undertaken in which Biolite (carbon-coated) ventilation tubes were placed in 44 ears and a conventional silicone tube in the contralateral ear. Long-term follow-up of these patients has revealed little difference in the incidence of tube occlusion or early extrusion. In addition, there were several disadvantages noted with the Biolite tubes: incomplete coating of the tube (especially within the lumen), shedding of the Biolite coating over time, \u0026amp;quot;tattooing\u0026amp;quot; of the tympanic membrane, poor otoscopic visibility, and the higher cost of these tubes. Since the Biolite tube has no documented advantages and, actually, several disadvantages, we believe its use in the treatment of middle ear disorders should be discontinued until significant benefits are demonstrated and present deficiencies are corrected.","internal_url":"https://www.academia.edu/23583312/A_trial_of_Biolite_ventilation_tubes_in_children_is_further_use_warranted","translated_internal_url":"","created_at":"2016-03-22T14:57:46.159-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":45622636,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[{"id":17790000,"work_id":23583312,"tagging_user_id":45622636,"tagged_user_id":null,"co_author_invite_id":4074111,"email":"p***c@email.chop.edu","display_order":0,"name":"William Potsic","title":"A trial of Biolite ventilation tubes in children: is further use warranted?"}],"downloadable_attachments":[],"slug":"A_trial_of_Biolite_ventilation_tubes_in_children_is_further_use_warranted","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":45622636,"first_name":"Steven","middle_initials":null,"last_name":"Handler","page_name":"Handler","domain_name":"independent","created_at":"2016-03-22T14:57:04.158-07:00","display_name":"Steven Handler","url":"https://independent.academia.edu/Handler"},"attachments":[],"research_interests":[{"id":5303,"name":"Carbon","url":"https://www.academia.edu/Documents/in/Carbon"},{"id":22506,"name":"Adolescent","url":"https://www.academia.edu/Documents/in/Adolescent"},{"id":62112,"name":"Prospective studies","url":"https://www.academia.edu/Documents/in/Prospective_studies"},{"id":64568,"name":"Humans","url":"https://www.academia.edu/Documents/in/Humans"},{"id":64933,"name":"Child","url":"https://www.academia.edu/Documents/in/Child"},{"id":98925,"name":"Female","url":"https://www.academia.edu/Documents/in/Female"},{"id":111545,"name":"Male","url":"https://www.academia.edu/Documents/in/Male"},{"id":134346,"name":"Infant","url":"https://www.academia.edu/Documents/in/Infant"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":546419,"name":"Age Factors","url":"https://www.academia.edu/Documents/in/Age_Factors"},{"id":671693,"name":"Otolaryngology - Head and Neck Surgery","url":"https://www.academia.edu/Documents/in/Otolaryngology_-_Head_and_Neck_Surgery"},{"id":945595,"name":"Pilot Projects","url":"https://www.academia.edu/Documents/in/Pilot_Projects"},{"id":1031067,"name":"Biocompatible Materials","url":"https://www.academia.edu/Documents/in/Biocompatible_Materials"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="23583311"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/23583311/Sialorrhea_a_management_challenge"><img alt="Research paper thumbnail of Sialorrhea: a management challenge" class="work-thumbnail" src="https://attachments.academia-assets.com/44005373/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/23583311/Sialorrhea_a_management_challenge">Sialorrhea: a management challenge</a></div><div class="wp-workCard_item"><span>American family physician</span><span>, 2004</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Sialorrhea (drooling or excessive salivation) is a common problem in neurologically impaired chil...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Sialorrhea (drooling or excessive salivation) is a common problem in neurologically impaired children (i.e., those with mental retardation or cerebral palsy) and in adults who have Parkinson&#39;s disease or have had a stroke. It is most commonly caused by poor oral and facial muscle control. Contributing factors may include hypersecretion of saliva, dental malocclusion, postural problems, and an inability to recognize salivary spill. Sialorrhea causes a range of physical and psychosocial complications, including perioral chapping, dehydration, odor, and social stigmatization, that can be devastating for patients and their families. Treatment of sialorrhea is best managed by a clinical team that includes primary health care providers, speech pathologists, occupational therapists, dentists, orthodontists, neurologists, and otolaryngologists. Treatment options range from conservative (i.e., observation, postural changes, biofeedback) to more aggressive measures such as medication, rad...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="96c1221771791d86cd7968ac303937fe" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":44005373,"asset_id":23583311,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/44005373/download_file?st=MTczMjU2NDMxNSw4LjIyMi4yMDguMTQ2&st=MTczMjU2NDMxNSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="23583311"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="23583311"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 23583311; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=23583311]").text(description); $(".js-view-count[data-work-id=23583311]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 23583311; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='23583311']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 23583311, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "96c1221771791d86cd7968ac303937fe" } } $('.js-work-strip[data-work-id=23583311]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":23583311,"title":"Sialorrhea: a management challenge","translated_title":"","metadata":{"abstract":"Sialorrhea (drooling or excessive salivation) is a common problem in neurologically impaired children (i.e., those with mental retardation or cerebral palsy) and in adults who have Parkinson\u0026#39;s disease or have had a stroke. It is most commonly caused by poor oral and facial muscle control. Contributing factors may include hypersecretion of saliva, dental malocclusion, postural problems, and an inability to recognize salivary spill. Sialorrhea causes a range of physical and psychosocial complications, including perioral chapping, dehydration, odor, and social stigmatization, that can be devastating for patients and their families. Treatment of sialorrhea is best managed by a clinical team that includes primary health care providers, speech pathologists, occupational therapists, dentists, orthodontists, neurologists, and otolaryngologists. Treatment options range from conservative (i.e., observation, postural changes, biofeedback) to more aggressive measures such as medication, rad...","publication_date":{"day":null,"month":null,"year":2004,"errors":{}},"publication_name":"American family physician"},"translated_abstract":"Sialorrhea (drooling or excessive salivation) is a common problem in neurologically impaired children (i.e., those with mental retardation or cerebral palsy) and in adults who have Parkinson\u0026#39;s disease or have had a stroke. It is most commonly caused by poor oral and facial muscle control. Contributing factors may include hypersecretion of saliva, dental malocclusion, postural problems, and an inability to recognize salivary spill. Sialorrhea causes a range of physical and psychosocial complications, including perioral chapping, dehydration, odor, and social stigmatization, that can be devastating for patients and their families. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="23583308"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/23583308/Imaging_of_granulomatous_neck_masses_in_children"><img alt="Research paper thumbnail of Imaging of granulomatous neck masses in children" class="work-thumbnail" src="https://attachments.academia-assets.com/44005379/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/23583308/Imaging_of_granulomatous_neck_masses_in_children">Imaging of granulomatous neck masses in children</a></div><div class="wp-workCard_item"><span>International journal of pediatric otorhinolaryngology</span><span>, 1996</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Non-tuberculous mycobacterial (NTM) infection is the most common cause of granulomatous inflammat...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Non-tuberculous mycobacterial (NTM) infection is the most common cause of granulomatous inflammation in pediatric neck masses. Diagnosis relies upon culture, acid-fast bacilli (AFB) staining, chest radiograph, purified protein derivative (PPD) test, and clinical features. Computed tomography (CT) and magnetic resonance (MR) imaging may provide valuable information in the work-up of children with cervical masses. We reviewed 11 CT and 5 MR studies of children with a clinical diagnosis of NTM infection. Specific findings included stranding of the subcutaneous fat, thickening and enhancement of the overlying skin, obliteration of the tissue palnes, and multichambered masses. One patient had calcifications within the mass. MR with contrast better demonstrated the soft tissues and is our recommended imaging modality, although CT is more likely to detect calcifications within the neck mass.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="41b9fb27adfaf2402d546619599781f5" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":44005379,"asset_id":23583308,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/44005379/download_file?st=MTczMjU2NDMxNSw4LjIyMi4yMDguMTQ2&st=MTczMjU2NDMxNSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="23583308"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="23583308"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 23583308; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=23583308]").text(description); $(".js-view-count[data-work-id=23583308]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 23583308; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='23583308']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 23583308, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "41b9fb27adfaf2402d546619599781f5" } } $('.js-work-strip[data-work-id=23583308]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":23583308,"title":"Imaging of granulomatous neck masses in children","translated_title":"","metadata":{"abstract":"Non-tuberculous mycobacterial (NTM) infection is the most common cause of granulomatous inflammation in pediatric neck masses. Diagnosis relies upon culture, acid-fast bacilli (AFB) staining, chest radiograph, purified protein derivative (PPD) test, and clinical features. Computed tomography (CT) and magnetic resonance (MR) imaging may provide valuable information in the work-up of children with cervical masses. We reviewed 11 CT and 5 MR studies of children with a clinical diagnosis of NTM infection. Specific findings included stranding of the subcutaneous fat, thickening and enhancement of the overlying skin, obliteration of the tissue palnes, and multichambered masses. One patient had calcifications within the mass. MR with contrast better demonstrated the soft tissues and is our recommended imaging modality, although CT is more likely to detect calcifications within the neck mass.","publication_date":{"day":null,"month":null,"year":1996,"errors":{}},"publication_name":"International journal of pediatric otorhinolaryngology"},"translated_abstract":"Non-tuberculous mycobacterial (NTM) infection is the most common cause of granulomatous inflammation in pediatric neck masses. Diagnosis relies upon culture, acid-fast bacilli (AFB) staining, chest radiograph, purified protein derivative (PPD) test, and clinical features. Computed tomography (CT) and magnetic resonance (MR) imaging may provide valuable information in the work-up of children with cervical masses. We reviewed 11 CT and 5 MR studies of children with a clinical diagnosis of NTM infection. Specific findings included stranding of the subcutaneous fat, thickening and enhancement of the overlying skin, obliteration of the tissue palnes, and multichambered masses. One patient had calcifications within the mass. 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href="https://www.academia.edu/23583307/Pediatric_tracheostomy_Experience_during_the_past_decade"><img alt="Research paper thumbnail of Pediatric tracheostomy. Experience during the past decade" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/23583307/Pediatric_tracheostomy_Experience_during_the_past_decade">Pediatric tracheostomy. Experience during the past decade</a></div><div class="wp-workCard_item"><span>The Annals of otology, rhinology, and laryngology</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">A retrospective review of a decade of experience with pediatric tracheostomy encompassed 420 chil...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">A retrospective review of a decade of experience with pediatric tracheostomy encompassed 420 children. Analysis was performed with respect to primary diagnosis, age, duration of tracheostomy and hospitalization, early and late complications and mortality. While the incidence of tracheostomy per hospital admission decreased over the period of review, there was substantial increase in duration of tracheotomy. Approximately half of the patients sustained complications. While overall mortality approached 28%, tracheostomy-related deaths occurred in only eight patients (2%). Almost one fifth of children with tracheostomies were discharged to home care, and 3% were involved in our home ventilator program.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="23583307"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="23583307"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 23583307; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=23583307]").text(description); $(".js-view-count[data-work-id=23583307]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 23583307; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='23583307']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 23583307, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=23583307]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":23583307,"title":"Pediatric tracheostomy. 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The diagnosis must be considered in any infant presenting with a lateral neck mass. Although its natural history favors spontaneous regression, the mass may initially grow in size. The purpose of treatment is the prevention of torticollis and craniofacial asymmetry. The initial treatment is non-surgical, passive and active exercises. Only when this treatment fails should surgery be performed. The disappearance of the lesion is not always a predictable sign. A small number of children will develop delayed torticollis or craniofacial asymmetry. 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