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Gregory Fabian Hulka

Clinical Associate in the Department of Head and Neck Surgery & Communication Sciences
Head and Neck Surgery & Communication Sciences
Box 3805 Med Ctr, Durham, NC 27710
1561 Stead Bldg, Durham, NC 27710

Selected Publications


Novel use of a swimming pool biocide in the treatment of a rare fungal mastoiditis.

Journal Article Laryngoscope · June 2005 OBJECTIVE: To describe an extremely rare fungal mastoiditis caused by Lecythophora hoffmannii, its recalcitrant behavior to therapy, and eventual successful treatment with adjunctive therapy using polyhexamethylene biguanide (a common swimming pool biocide ... Full text Link to item Cite

Laryngotracheal reconstruction

Chapter · January 1, 2005 Following the introduction of prolonged endotracheal intubation for infants with premature lungs in the mid-1960s, the incidence of laryngotracheal stenosis began to rise. Advances in the surgical management of these infants and children have steadily prog ... Cite

Online medical teaching case database

Journal Article Proceedings of the IEEE Symposium on Computer-Based Medical Systems · September 29, 2004 Case-based teaching allows for the study of medicine through records of patient encounters. These cases, used for teaching purposes, are variably collected by clinicians as hard copies of patient files and radiology films. Currently, a single repository of ... Cite

Laryngeal dystonia causing inspiratory stridor in children with cerebral palsy.

Journal Article Laryngoscope · December 2003 OBJECTIVE To present three cases of inspiratory stridor caused by laryngeal dystonia (LD) in children with cerebral palsy (CP), one of whom is being treated by periodic botulinum toxin type A (BTX) injection into a vocalis muscle, thereby avoiding tracheos ... Full text Link to item Cite

Validation of an outcomes instrument for tonsil and adenoid disease.

Conference Arch Otolaryngol Head Neck Surg · January 2001 OBJECTIVE: To design and validate a disease-specific health status instrument-the Tonsil and Adenoid Health Status Instrument-for use in children with tonsil and adenoid disease. DESIGN: Prospective psychometric and clinimetric instrument validation in 3 s ... Full text Link to item Cite

Head and neck manifestations of cystic fibrosis and ciliary dyskinesia.

Journal Article Otolaryngol Clin North Am · December 2000 Cystic fibrosis and the various conditions associated with ciliary dysmotility are well known to the otolaryngologist. Although the underlying pathophysiology and clinical courses of these diseases are quite different, they both involve chronic and acute i ... Full text Link to item Cite

Quality of life and health status in pediatric tonsil and adenoid disease.

Conference Arch Otolaryngol Head Neck Surg · January 2000 OBJECTIVE: To assess the baseline global health status and quality of life (QOL) in children with tonsil and adenoid disease. DESIGN: Cross-sectional multicenter survey series. SETTINGS: A tertiary academic pediatric specialty hospital and a tertiary acade ... Full text Link to item Cite

A randomized, blinded study of canal wall up versus canal wall down mastoidectomy determining the differences in viewing middle ear anatomy and pathology.

Journal Article Am J Otol · September 1998 HYPOTHESIS: Canal wall down and intact canal wall tympanomastoidectomy represent two surgical approaches to middle ear pathology. The authors hypothesize that there is a difference in the ability to view structures in the middle ear between these two metho ... Link to item Cite

Reversible canal wall down tympanomastoidectomy. An alternative to intact canal wall and canal wall down mastoidectomy procedures.

Conference Am J Otol · July 1998 OBJECTIVE: To avoid the limitations of canal wall down surgery yet maintain the exposure provided by canal wall down mastoidectomy, the authors have developed a completely "reversible" canal wall down mastoidectomy technique. The purpose of this case repor ... Link to item Cite

Carcinoid tumor of the trachea in a pediatric patient.

Journal Article Otolaryngol Head Neck Surg · June 1996 Full text Link to item Cite

Congenital lacrimal sac mucoceles with intranasal extension.

Journal Article Otolaryngol Head Neck Surg · November 1995 Full text Link to item Cite

Cochlear implantation in a patient after removal of an acoustic neuroma. The implications of magnetic resonance imaging with gadolinium on patient management.

Journal Article Arch Otolaryngol Head Neck Surg · April 1995 The advent of magnetic resonance imaging has allowed otologists to focus on the early removal of acoustic neuromas with the goal of hearing preservation. Clearly, there are some unpredictable factors, such as placement of the tumor in the medial vs the lat ... Full text Link to item Cite

Use of poly-l-aspartic acid to inhibit aminoglycoside cochlear ototoxicity.

Journal Article Am J Otol · July 1993 Gentamicin is an extremely effective antibiotic against a wide variety of organisms. However, its use is limited by its nephrotoxic and ototoxic effects. Recent studies in rats have shown that poly-l-aspartic acid (PAA) effectively blocks the nephrotoxic e ... Link to item Cite

Ciprofloxacin. Use as a topical otic preparation.

Journal Article Arch Otolaryngol Head Neck Surg · April 1992 Most common topical otic preparations have been shown to cause sensorineural hearing loss and hair-cell damage in experimental animals. Ciprofloxacin is a relatively new fluoroquinolone with excellent activity against Pseudomonas and methicillin-resistant ... Full text Link to item Cite