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Phys. Saikumar P, Dong Z, Weinberg JM, Venkatachalam MA. The non-uniform passages in a porous material will also display the same character- istics as a uniform capillary, the Gaussian distribution is generally used in discussing experimental errors, and we return to this topic in Chapter 11. In addition, so-called becauseof the way the polypeptide backbone wraps around the barrel.
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Reprinted with permission from Quinlan and Van Den ljssel . As the ultrasound will be scattered in all directions, only a small proportion will be intercepted by the transducer, and the apparent size of the echo will be smaller.
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J Clin Eng 16(2):129, 319, 322, 323 Diuretics, for treatment of vertigo, 556 Dix-Hallpike maneuver in benign paroxysmal positional vertigo, 96, 207, 208 limitations of, 209 performance of, 148, 149, 207, 207209 positioning nystagmus and, 207209 Domagk, Gerhard, 442, 442 Drills, otologic, 285, 285287 Drugs, ototoxic, 141t Dynamic visual acuity, in evaluation of vestibular disorders, 92 Ear developmental anatomy of, 331 external (See External ear) inner (See Inner ear) middle (See Middle ear) sound transmission in, 6369 system disorders affecting, 141t Electrocautery, for hemostasis, 274 CHAPTER 4 General Otolaryngology 147 Tracheotomy(cuffed):indicatedforseverepulmonarycomplications, prevents aspiration pneumonia by allowing easier pulmonary toilet and preventing gross aspiration (does not prevent microaspiration); however, increases risk of aspiration by inhibiting laryngeal elevation, interfering with ciliary motion, and preventing production of subglottic pressure for an adequate cough LaryngealClosureTechniques:requiresapermanenttracheostomy; glottic closure may be considered trzding bilateral vocal fold paralysis; epiglottoplexy allows voicing, improves aspiration, and is potentially reversible LaryngealSuspension:indicatedforsevereaspirationfromsupraglottic tfading pharyngeal dysfunction (may be considered after supraglottic resection), suspends larynx anteriorly by positioning thyroid cartilage under mandible, may improve voicing and swallowing LaryngealDiversion(Lindemanprocedure)orSeparation:indicated for severe aspiration, creates a permanent tracheostomy with proximal tracheal segment diverted back to the esophagus; a variation of Lindemans method creates a blind pouch from the proximal trachea Laryngectomy:indicatedforlife-threateningcomplications,gold standard for definitive therapy BilateralSubmandibularExcisionandParotidDuctLigation:voice sparing, lower morbidity than laryngotracheal separation, may be considered in neurologically impaired patients who aspirate saliva, minor salivary gland production of saliva prevents xerostomia Esophageal Anatomy and Physiology Anatomy EsophagealLayers 1.
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