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Smallpox: what every otolaryngologist should know.

Heath C Tennyson¹, Eric A Mair

¹Brooke Army Medical Center, Department of Otolaryngology, Fort Sam Houston, TX 78234, USA. heath.tennyson@amedd.army.mil

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery

|April 1, 2004

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Smallpox, a dangerous viral disease, can cause severe head and neck issues, including airway obstruction and long-term complications. Vaccination is effective but carries risks.

Area of Science:

Infectious Diseases
Otolaryngology
Public Health

Background:

Smallpox poses a potential bioterrorism threat.
Otolaryngologists need updated information on smallpox and its prevention.

Purpose of the Study:

To inform otolaryngologists about smallpox.
To review smallpox pathogenesis, clinical presentation, diagnosis, and treatment.
To detail smallpox vaccination methods, risks, and complications.

Main Methods:

Comprehensive literature review (200 years) using MEDLINE, PREMEDLINE, CDC, WHO, and reference lists.
Focused search on head and neck manifestations, pathogenesis, and vaccination.

Main Results:

Smallpox is a highly fatal viral disease.

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Head and neck manifestations include acute airway obstruction.

Long-term sequelae affect the head and neck, causing issues like blindness and hearing loss.

Conclusions:

Smallpox vaccination is effective but has potential serious risks.
Chronic head and neck sequelae are common after smallpox infection.
Understanding smallpox is crucial for otolaryngologists.