Kenneth F Mattucci

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OBJECTIVE The study goal was to evaluate the association among laryngopharyngeal sensory deficits, pharyngeal motor function, and the prevalence of aspiration with thin liquids. STUDY DESIGN AND SETTING We conducted a prospective study of 204 consecutive patients undergoing flexible endoscopic evaluation of swallowing with sensory testing and an(More)
Nuclear magnetic resonance imaging, a relatively new diagnostic instrument, is a noninvasive imaging method which, among its many advantages, uses no ionizing radiation. There are a few limitations and contraindications to its use. There may be displacement of intracerebral aneurysm clips and metallic implants, and cardiac pacemakers can be disabled because(More)
A retrospective analysis of direct laryngoscopies performed at our institution in 1978 was undertaken utilizing computer technology. The population which consisted of 54% males and 46% females had an average age of 50.4 years. The most common symptom was hoarseness (83.6%). The most frequent benign and malignant diagnoses were vocal cord polyp and squamous(More)
The performance of tonsillectomy and adenoidectomy in an ambulatory setting is controversial. However, most current studies show that with adequate criteria for patient selection and careful postoperative observation, these procedures can be safely done as outpatient surgery. This study was undertaken to reassess the safety of outpatient tonsillectomy and(More)
OBJECTIVE This study evaluates whether patients with severe sensory deficits in the hypopharynx are at increased risk for aspiration and determines the relationship between pharyngeal muscular weakness and hypopharyngeal sensory deficits. STUDY DESIGN AND SETTING Forty patients with dysphagia who underwent flexible endoscopic evaluation of swallowing with(More)
OBJECTIVE This study evaluates the risk of aspiration of pureed foods in patients with dysphagia with increasing sensory deficits of the hypopharynx with intact versus impaired pharyngeal muscular tone (pharyngeal squeeze). STUDY DESIGN Two hundred four dysphagic patients underwent flexible endoscopic evaluation of swallowing with sensory testing and were(More)
Magnetic resonance imaging poses little risk to the majority of patients undergoing scanning. However, cochlear implantation should pose a contraindication to this imaging process. This conclusion is based on several findings of in vitro testing of three cochlear implants: the 3M/House and 3M/Vienna designs and the Nucleus device. Specifically, tremendous(More)
We report the results of our study of 25 children who underwent tonsillectomy and/or adenoidectomy under endotracheal general anesthesia with respect to their risk of fire in the oropharynx. We also attempt to explain the reasons for the difference between the relatively high incidence of airway explosions and fires that have occurred during tracheostomy(More)
Schwannoma of the external auditory canal is a rare finding. There are reports of extension of intracranial schwannomas laterally to fill the middle ear and meatus, but in reviewing the English literature, we have found only one report of a primary external canal schwannoma. Three have been reported in the world literature. Such a tumor is described in a 45(More)
No widely accepted protocol or guideline exists for monitoring ototoxicity in patients who take powerful and potentially cochleotoxic and/or vestibulotoxic agents. Many physicians in other specialties who prescribe these drugs do not understand the important role of otolaryngologists and audiologists in pretreatment counseling and evaluation and the need(More)