Consultation Intervention Rates for the Otolaryngology Service: A Large Metropolitan Hospital Experience.

Context: The purpose of this study was to evaluate the types of consultations received by an otolaryngology service at a 772-bed large metropolitan, MI-based hospital.

Methods: The authors performed a retrospective review of the specific types of consultations received during calendar year 2016.

Results: A total of 518 consultations were reviewed and analyzed by the first and second authors (MM, CB).

Ramsay Hunt syndrome with severe dysphagia.

Ramsay Hunt syndrome, first described by J. Ramsay Hunt in 1907, encompassed the symptoms of otalgia, erythematous vesicular rash on the auricle, and facial paralysis. Although rare, in some cases, the varicella zoster virus responsible for the illness can also be associated with involvement of cranial nerves III-XII, cervical nerves, aseptic meningitis, and the syndrome of inappropriate secretion of antidiuretic hormone.

Strength and histological characteristics of periosteal fixation to bone after elevation.

Background: Loss of brow elevation in the early postoperative period has been well documented; however, there has been no study quantifying the minimum time necessary to achieve lasting brow elevation. Previous work in our laboratory has demonstrated that complete readherence of periosteum to bone can take 12 weeks to occur after periosteal elevation. The correlation between adherence and the development of strength has never been examined.