The laser-ignited airway explosion is a shocking emergency. Techniques available for prevention of an airway fire minimize the risk, but they are not applicable in all circumstances. The severity of the patient's injury depends on the duration and intensity of the burn. Prompt, appropriate management is facilitated if the operating team has previously discussed and "rehearsed" this potential disaster. The distal airway burn produced by an ignited endotracheal tube differs from an inhalation burn in character and severity. The anatomic and respiratory effects occurring subsequent to the laser-induced burn are examined. Emergency care requires immediate elimination of the fire, removal of the tube and any foreign body or debris, and usually a tracheostomy. A program of medical and endoscopic management is suggested.

Endotracheal tube

Severe burn

10.1288/00005537-198109000-00002

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Citations (87)

Otologic Survey of Schools for the Deaf

American annals of the deaf (1981)

Stewart R. Rood Sylvan E. Stool

This is the first of a two part report on the results of a survey of schools for the deaf in the United States on otologic health care. The report details the awareness and diagnostic elements of middle ear disease in the school-aged deaf child. The survey indicated, among several other factors, that a greater number of deaf children with an overlaid middle ear pathology are being identified and treated due primarily to two factors: increased awareness on the part of the schools' staffs and the use of impedance audiometry as a screening tool. However, the frequency of otologic screening in schools for the deaf, and the reported use of otolaryngologists in the admission and reevaluation processes, are still quite low.

10.1353/aad.2012.1512

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Citations (2)

Temporal Bone Fractures in Children

Clinical Pediatrics (1992)

W. Frederick McGuirt Sylvan E. Stool

A 10-year retrospective study of pediatric basilar skull fractures identified 120 patients with temporal bone fractures, of which 92 had otolaryngologic and audiologic evaluations. The otologic data provide documentation of the nature, common physical findings, complications, and management of these fractures. The prognosis of hearing impairment in children caused by temporal bone fractures is elucidated, as 76 of the 92 patients were available for long-term follow-up. Close interaction between involved services evaluating and treating pediatric trauma cases is mandatory for optimal patient outcome. A literature review of the presentation, complications, and management of pediatric temporal bone fractures is presented.

Presentation (obstetrics)

10.1177/000992289203100103

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Citations (46)

Silver's Syndrome

American journal of diseases of children (1963)

Sylvan E. Stool

Between 1953 and 1959, Silver 1-3 reported 5 cases of a syndrome characterized by congenital asymmetry, shortness of stature, and elevated urinary gonadotropins. Because of the increased levels of urinary gonadotropins, he predicted 4 that some of the children with this syndrome would be expected to exhibit deviations from the usual pattern of sexual development. This is a report of 2 girls with atypical forms of the syndrome described by Silver in one of whom the first menstrual period occurred at the age of 9½ years, while in the other it took place at 11 years at a time when epiphyseal development was only at an 8-year-old level. Report of Cases Case1.—A Spanish-American girl was seen at the University of Colorado Medical Center at the age of 11¼ years because of vaginal bleeding. According to the mother's and doctor's calculations, she had been born at term,

10.1001/archpedi.1963.02080040201012

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Citations (22)

Tuning Fork Tests as Aid to Screening Audiometry

Archives of Otolaryngology (1963)

Victor H. Hildyard Sylvan E. Stool M. A. VALENTINE

Tuning fork

Fork (system call)

10.1001/archotol.78.2.53

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Citations (1)

Otitis Media with Effusion: An Approach to the Management of Persistent Symptoms and Signs in the Pediatric Patient

Pediatrics in Review (1983)

Phillip H. Kaleida Sylvan E. Stool

Otitis media with effusion continues to be a major public health problem because of its prevalence and potential consequences. We know too little regarding its pathogenesis, management, and long-term consequences. These gaps in our knowledge make it difficult to formulate precise plans of management. Research, necessary at both the clinical and basic-science levels, often is especially difficult because of the large number of variables to be considered in this condition. It is important for the pediatrician to be aware of the variable natural history of otitis media, and of the variable hearing loss accompanying the middle-ear effusion. Pneumatic otoscopy is more sensitive in diagnosing OME than mere visualization of the tympanic membrane. Finally, tympanostomy tubes appear to be beneficial in most children for whom they are indicated; but vigilance is required to detect potential complications both of the disease and of the treatment(s). Feigin16 recently summarized the state of the art of otitis media with effusion: One of the great paradoxes of modern medicine is that our knowledge is often most incomplete with respect to the disorders that afflict mankind with the greatest frequency. Such is the case with otitis media.

Signs and symptoms

10.1542/pir.5-4-108

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Citations (2)