Mark James Syms

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BACKGROUND AND PURPOSE Carotidynia is an idiopathic neck pain syndrome associated with tenderness to palpation over the carotid bifurcation. Although well known in the otolaryngology and neurology literature, the validity of the entity has recently been questioned, in part because of the almost uniform absence of radiologic or pathologic findings. We report(More)
OBJECTIVE/HYPOTHESIS Management of chronic otitis media with cholesteatoma remains controversial. The purpose of the study is to examine factors associated with the surgical approach to manage cholesteatoma. STUDY DESIGN A retrospective review. METHODS A retrospective review was made of all primary cases of mastoid surgery for cholesteatoma performed at(More)
Telehealth offers the potential to meet the needs of underserved populations in remote regions. The purpose of this study was a proof-of-concept to determine whether voice therapy can be delivered effectively remotely. Treatment outcomes were evaluated for a vocal rehabilitation protocol delivered under 2 conditions: with the patient and clinician(More)
OBJECTIVE To determine the incidence of malignancy in patients with incidentally discovered unilateral tonsillar enlargement with an otherwise normal physical examination. STUDY DESIGN A retrospective review of our institution's experience with unilateral tonsillar enlargement. RESULTS During a five-year period, 570 patients underwent tonsillectomy at(More)
We compared the effectiveness of 2 surgical interventions for improving word recognition ability in a quiet environment among patients who presented with: (1) bilateral, precipitously sloping, high-frequency hearing loss; (2) relatively good auditory thresholds at and below 500 Hz, and (3) poor speech recognition. In 1 intervention (n = 25), a conventional(More)
Various diagnostic techniques currently are used to detect the presence of a cerebrospinal fluid fistula. High resolution computerized tomography scanning with the instillation of an intrathecal nonionic contrast medium yields the most accurate diagnostic results. Occasionally, even with optimal conditions, little information is gained other than the(More)
BACKGROUND Normal gastrointestinal development is a complex process involving the precise integration of multiple cell types. To gain a better understanding of these processes, the present study examined isoactin gene expression in the adult rat gastrointestinal tract. METHODS Northern blot analysis was performed on specified segments of the adult rat(More)
Sir, We saw an interesting presentation of Kawasaki disease (KD) as a retropharyngeal phlegmon. A 4-year-old black boy was seen in the emergency department with fever to 103 F, headache, cough, vomiting, and sore throat. Physical examination was remarkable for oropharyngeal erythema and conjunctival injection, as well as bilateral anterior and posterior(More)
OBJECTIVE/HYPOTHESIS As we evolve into the managed care era, telemedicine technologies can help to provide efficiencies for the entire health care system. Our practice is centered around a residency training program in a federal facility. Our goal was to lay the groundwork for an entire service being on-line. STUDY DESIGN Prospective. METHODS The(More)