Dizziness Improved by Vertical Heterophoria Treatment

Abstract

POSTERSResults: Eleven faculty otolaryngologists evaluated the realism of upper airway passive anatomic fidelity of 3 adult and 5 pediatric mannequins, during a 1-day course. Mean scores and standard deviations were tabulated for each mannequin at each anatomic site, and displayed in "spidergrams." Differences in scores allow comparison of mannequin anatomic fidelity by site (maximum range, 2.8 for nasopharynx) and by mannequin (maximum range, 2.1). Because of the small number of responses in this pilot study, mannequins are deidentified. Conclusion:Ratings by survey participants demonstrated variation in the anatomic fidelity of a range of commercially available mannequins. Spidergram display of the results may allow instructors to select mannequins with the best anatomic fidelity for their specific educational purposes and may contribute to recommendations for improving mannequin fidelity. General Otolaryngology Contrast-Enhanced Ultrasound for Monitoring Parotid tumorsLaura Klotz, MD (presenter); Dirk Clevert, MD; Robert Gurkov, MDObjective: Contrast-enhanced ultrasound (CE-US) can be used for noninvasive analysis of functional vascularization. Lesions of the parotid gland are associated with different vascularity compared to the normal gland. The aim of the clinical trial was to evaluate CE-US as a diagnostic tool for parotid lesion.Method: For CE-US measurements, following intravenous SonoVue injection, the intensity-time curve gradients were calculated from CE-US data. Results:The intensity-time gradients derived from CE-US measurements revealed significantly higher perfusion in the malign lesions group than the benign lesions group. Area under curve was significantly higher for malign lesions.Conclusion: CE-US-derived area under curve parameters appear as an independent and quantitative marker for the monitoring of parotid lesions. Clinical experience and further studies will have to validate this method as a reliable diagnostic tool to decide especially whether to proceed with surgery. Results: Indications for TT were 58.4% infection (71.3% recurrent, 9.2% tonsilliths/halitosis, and 19.5% recurrent and tonsilliths/halitosis), 34.2% upper airway obstruction, 3.4% obstruction/infection, and 4.0% other medical. Indications for PIT were 77.8% infection (28.6% recurrent, 50.0% tonsilliths/ halitosis, and 21.4% recurrent and tonsilliths/halitosis), 19.4% upper airway obstruction, and 2.8% obstruction/infection. Complication rates were 16.5% for infection, 6.9% for upper airway obstruction, 16.7% for obstruction and infection, and 0% for other medical reasons. Complications occurred in 14.8% of TT (72.7% hemorrhage, 27.3% dehydration) and in 5.6% PIT (hemorrhage). No significant difference in complication rate was noted for technique (P = .17) or indication (P = .21). General Otolaryngology Conclusion:While recurrent infection remains the most common indication for adult tonsillectomy, there is a growing rate of tonsillectomies performed for upper airway obstruction. Complication rates varied according to indic...