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RRP and HPV
There are over 200 known serotypes of Human Papilloma Virus (HPV). About 79 million Americans are currently infected with HPV. About 7% of adults have HPV in their oral cavity. Only about 3,000 to...
View ArticleCat Scratch Disease
CAT SCRATCH Dz (CSD)—CAT SCRATCH FEVER, CAT FEVER, BENIGN INOCULATION LYMPHORETICULOSIS RELATIVELY COMMON CAUSE OF PED CHRONIC CERVICAL LAD PROBABLY DESCRIBED FIRST IN 1889 BY HENRI PARINAUD—PARINAUD...
View ArticleMerkel-cell Carcinoma
MERKEL CELL CARCINOMA (TOKER 1972-ENDOCRINE CA OF THE SKIN) Is caused by the Merkel cell polyomavirus (MCV) 80% of the time, discovered at the University of Pittsburgh in 2008. It is also known as a...
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Challenging scalp lesions
Exposed calvarium represents an interesting challenge in reconstructing scalp defects. In order to lay on a skin graft, tissue such as a temporalis flap needs to be mobilized to give a base for the...
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Lip “Tie”
Labial Frenulectomy A labial frenectomy is a form of frenectomy performed on the lip. The labial frenulum often attaches to the center of the upper lip and between the upper two front teeth. This can...
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Tongue Tie
Tongue tie (ankyloglossia) I am reposting this because of a social media interest in what is termed “posterior tongue tie”. It is described as a fibrous banding deep in the floor of mouth that causes...
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Challenging scalp lesions
Exposed calvarium represents an interesting challenge in reconstructing scalp defects. In order to lay on a skin graft, tissue such as a temporalis flap needs to be mobilized to give a base for the...
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Middle Ear Treatments
There was an interesting study on the middle ear volume, and it ended up being about 1.4 ml in non diseased individuals. In reality, you rarely get a full ml of fluid into the middle ear when you...
View ArticleScabies
I very experienced allergist and friend surprised me when he treated what I thought was just a heat rash with Permethrin. Scabies (Sarcoptes scabiei) is an itch mite that is highly contagious. It can...
View ArticleIntradermal Vaccines
There has been good data on the efficacy of vaccines given intradermally vs subcutaneously or intramuscularly. It actually seems to function superiorly in children and the elderly. I personally take my...
View ArticleEndoscopic DCR
Endoscopic DCR is a relatively straightforward procedure that opens the lacrimal sac into the anterior middle meatus. I typically stent it for anywhere from 2-6 months. Afterwards, I place the patient...
View ArticleTemporal Arteritis
Temporal Arteritis is also known as Giant Cell, Cranial, or Granulomatous Arteritis. It is the most common Vasculititis in the head and neck. In 50% of cases it is comorbid with Polymyalgia...
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Before and After
This patient had alar stenosis and nasal airway obstruction due primarily to a skin cancer resection. She also had a deviated septum, nasal polyps, and a boney nasal dorsal hump. The post Before and...
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Healing takes patience for the patient
The post Healing takes patience for the patient appeared first on Midwest Sinus and Allergy.
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The Long Lower Laterals
The post The Long Lower Laterals appeared first on Midwest Sinus and Allergy.
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The Long Lower Laterals
The post The Long Lower Laterals appeared first on Midwest Sinus and Allergy.
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Anterior Ethmoid Artery Hemorrage
It is not unusual for recurrent polyps or papillomatous sinus disease to lead to dehissance of the Lamina Papyrecea. The Anterior Ethmoid Artery is in close proximitry to this region and injury is...
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Recognition and management of Orbital Bleeding
Obviously the eyes need to be exposed during the case. Often what is going on intranasally gives little indication of the problem. The eye rapidly grows proptotic and tense. Immediate cantholysis...
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