bluuebunny/crossref_metadata_2025_split huggingface dataset:
Temporomandibular joint capsule prolapse: a technique of repair using autograft cartilage
Authors: Saeed Shakeel R. , Saeed Nadeem R. , Brookes Gerald B. 
Published: November 2007

Loss of bony integrity of the temporomandibular joint may result in prolapse of the joint capsule into the external auditory canal. This in turn gives rise to arthralgia, trismus and earache and a risk of septic arthritis.We describe a technique of repair which is simple, uses autologous tissue and has an acceptable cosmetic and functional result.
Spontaneous regression of a symptomatic laryngopyocoele
Authors: Sütay Semih , Guneri E. Alpin , Gunbay M. Ufuk 
Published: November 2007

AbstractA laryngopyocoele is a rarely encountered neck mass which may cause respiratory obstruction. Spontaneous regression of an established symptomatic laryngopyocoele is an even more unusual situation, since most of the reported cases require immediate intervention for impending airway obstruction. A case of a laryngopyocoele showing spontaneous regression after antibiotic therapy is presented and the clinical aspects are reviewed.
A common carotid artery aneurysm causing severe dysphagia
Authors: Rowe J. G. , Hosni A. A. 
Published: November 2007

AbstractExtracranial carotid artery aneurysms are rare, but are occasionally recognized as causing dysphagia. These aneurysms generally occur at or above the bifurcation. Here we present what we believe is a unique case: a common carotid artery aneurysm compressing the upper oesophagus, and mimicking the obstruction of a post-cricoid carcinoma.
Evidence for thyroid development from the fourth branchial pouch
Authors: Ohri A. K. , Ohri S. K. , Singh M. P. 
Published: November 2007

AbstractFourth branchial pouch anomalies are rarely reported. A case is described of an isolated branchial cyst which was found to contain ectopic thyroid tissue. This case, together with four others previously reported, support the theory that the thyroid gland may receive contributions from the fourth branchial pouch during development.
Scleroma of the lower respiratory tract: case report and review of literature
Authors: Alfaro-Monge J. M. , Fernandez-Espinosa J. , Soda-Merhy A. 
Published: November 2007

AbstractThe case of a 46-year-old man who presented with acute respiratory distress due to a tracheal mass is reported. The patient underwent endoscopic resection of the mass and the histopathology revealed scleroma. No other sites of involvement by scleroma were found. This case is reported because laryngotracheal involvement by scleroma as the only manifestation of this disease is extremely rare.
Prostatic adenocarcinoma metastatic to the palatine tonsil: a case report
Authors: Millar Ewan K. A. , Jones Richard Vaughan , Lang Stephen 
Published: November 2007

AbstractA case of prostatic adenocarcinoma presenting with dysphagia due to a tonsillar metastasis is described. Details of the clinical history, histopathological and autopsy findings are presented. A review of the literature suggests that this is only the second description of such an occurrence.
Vocal fold palsy: a re-evaluation of investigations
Authors: MacGregor F. B. , Roberts D. N. , Howard D. J. , Phelps P. D. 
Published: November 2007

AbstractWith easier access to more sophisticated imaging techniques, the investigation of vocal fold palsy is reassessed. A questionnaire was sent to all ENT surgeons in the UK to establish which imaging techniques are available to ENT departments and which tests are currently requested during the investigation of vocal fold palsy.An extensive literature review established the aetiology of vocal fold palsy and the sensitivity and specificity of radiological investigations.A simple protocol is proposed which would be suitable to implement in the majority of ENT departments in the UK.
Angioleiomyoma of the nasal cavity – report of a case and review of the literature
Authors: Khan M. H. Z. , Jones A. S. , Haqqani M. T. 
Published: November 2007

AbstractAngioleiomyoma of the nasal cavity is an extremely rare tumour (Sawada, 1990). We present an unusual case of angioleiomyoma arising from the lateral wall of the nasal cavity without any symptoms of pain or epistaxis. Another unusual feature was that the tumour clinically resembled an inverted papilloma.
B-cell non-Hodgkin's lymphoma of the paranasal sinuses
Authors: Juman Solaiman , Robinson Philip , Balkissoon Avinash , Kelly Kara 
Published: November 2007

AbstractPrimary nasal, paranasal, oral and pharyngeal (NPOP) lymphoma, thought to be a distinct entity among childhood lymphomas, may present with a wide variety of common ENT symptoms such as nasal obstruction, rhinorrhoea, epistaxis or sinusitis. The diagnosis may only be recognized when the disease results in symptoms such as visual loss, facial paraesthesia or lymphadenopathy, or systemic symptoms, such as fatigue, bone pain or abdominal painFull radiological assessment plays a vital part in making the diagnosis and planning treatment. Computerized tomography (CT) gives excellent bony detail but magnetic resonance imaging (MRI) using T2-weighted images, allows differentiation of mucosal thickening and retained sinus secretions from the tumour. Extension into the surrounding spaces and the cranial fossa is best assessed by coronal and sagittal T2 images.MRI is the best technique for follow-up because no radiation is involved and better soft tissue delineation improves the distinguishing of tumour from fibrosis.
Plasma cell granuloma: maxillary sinuses
Authors: Muzaffar Muhammad , Hussain Syed Inayat , Chughtai Asad 
Published: November 2007

AbstractInflammatory pseudotumours or plasma cell granulomas are space-occupying, rounded masses appearing in various locations usually as an aftermath of recurrent infections.Recurrent pain and mass have been the most common presentations (Durst et al., 1977). These have been confused with tumours but radical surgical treatment is unnecessary, in the absence of life-threatening complications. The prognosis is excellent after excision. The nature and pathogenesis of the inflammatory pseudotumours, their presentation as fever and anaemia in some cases, are unknown.This report is probably the first case of a plasma cell granuloma involving the maxillary sinus causing focal erosion of the orbital wall, simulating a malignant tumour clinically.
Leiomyosarcoma of the larynx
Authors: Rowe-Jones Julian M. , Solomons Neil B. , Ratcliffe Norman A. 
Published: November 2007

AbstractLeiomyosarcoma of the larynx is extremely rare. Histological diagnosis excluding other tumours, in particular fibrosarcoma and spindle cell carcinoma is often difficult. Immunohistochemical studies are helpful in arriving at an unambiguous diagnosis and we present a case characteristically positive for actin and desmin. The difficulties of determining treatment are discussed.
Non-Explosive blast injury of the ear
Authors: Berger Gilead , Finkelstein Yehuda , Harell Moshe 
Published: November 2007

AbstractNon-explosive blast injury of the ear refers to the otological trauma caused by a blow to the ear that seals the external auditory meatus. It results in a sudden increase of air pressure within the ear canal that strikes the tympanic membrane. The present study portrays the various aspects of middle and inner ear damage in 91 patients resulting from an assault we entitled a ’non-explosive blast injury' to the ear. Sixty cases were caused by a slap or a fist, 13 patients suffered sport accidents, mostly in ball games, and 18 patients were injured during swimming and water sports activities. The common symptoms were hearing loss, earache, tinnitus, vertigo and otorrhoea. All 91 patients presented with acute perforations of their eardrums. The mean conductive hearing loss was 11.2 dB. A high tone sensorineural hearing loss was detected in only 20 per cent of the patients. A spontaneous closure of the perforation with a conservative management approach was observed in 94.8 per cent of the patientsHealing of the perforation was always associated with closure of the air-bone gap, while the results of the sensorineural hearing loss recovery were less favourable.
Acute bilateral vocal fold paresis as a symptom of benign thyroid disease
Authors: Kręcicki Tomasz , Łukiénczuk Tadeusz , Zalesska-Kręcicka Maria , Balcerzak Waldemar 
Published: November 2007

AbstractA case of bilateral laryngeal nerve paralysis caused by a small goitre is reported. After thyroidectomy the return of vocal fold movements was observed. A review of the literature is presented. The possibility of acute airway distress caused by a slightly enlarged goitre is emphasized.
Epidermoid tumour of the cerebellopontine angle: diagnosis by MRI
Authors: Featherstone T. 
Published: November 2007

AbstractEpidermoids are the third most common cerebellopontine angle tumour, and their diagnosis in the last two decades has been largely obtained using computed tomography (CT). More recently magnetic resonance imaging (MRI) has become a valuable diagnostic tool, and the signal characteristics and enhancement pattern of an epidermoid following intravenous gadolinium with MRI is presented and the literature reviewed.
Tuberculous nasopharyngeal cyst: diagnostic aspiration using the nasendoscope
Authors: Weiner Graeme M. , Pahor A. L. 
Published: November 2007

AbstractA case of tuberculous lymphadenitis with a nasopharyngeal tuberculoma is presented where a novel use of the flexible nasendoscope to provide a diagnostic aspiration biopsy avoided an examination and biopsy under general anaesthesia. The use of this approach is discussed.
Lipoma of the left tonsillar fossa
Authors: Benson-Mitchell R. , Tolley N. , Croft C. B. , Roberts D. 
Published: November 2007

AbstractLipomas are common benign connective tissue tumours composed of adult adipose tissue. They are relatively rare in the upper aerodigestive tract, although they occur with considerable frequency in other areas, particularly in the subcutaneous tissues of the neck. Although there are several reports of this tumour occurring in the oropharynx, there is no recorded case of a lipoma of the tonsillar fossa. An 83-year-old man with a left tonsillar fossa lipoma is presented. Clinical presentation, management and a literature review are discussed.
Cholesteatoma: Ossicular destruction in adults and children
Authors: Sadé J. , Fuchs C. 
Published: November 2007

AbstractThe records of 148 adults (aged 14 years and older) presenting previously untreated aural cholesteatomas are analysed with particular emphasis on ossicular destruction and other bony lesions in the middle ear. The findings are compared with those obtained in an earlier study of 63 children (aged 13 years and younger), also with untreated cholesteatomas. The rate of stapes and malleus destruction was similar in adults and children. The rate of incus destruction was significantly higher in adults. Semicircular fistulas as well as facial paralysis were also more prevalent amongst adults. Therefore, the notion of childhood cholesteatoma aggressiveness cannot be related to its effect on these bony structures. It may stem from its higher recurrence rate and from the more troublesome post-operative mastoid cavities, which are often larger in children than in adults.
Modified facelift incision for parotidectomy
Authors: Terris David J. , Tuffo Katherine M. , Fee Willard E. 
Published: November 2007

AbstractThe most commonly used incision for parotidectomies is the modified Blair incision. We have successfully used an alternative incision which allows good exposure, and leaves no neck scar.Between 1 March 1989 and 1 August 1991, 18 parotidectomies were performed using a modified facelift incision. Fifteen parotidectomies were done for similar indications during the same period using a modified Blair incision. The mean age in both groups of patients was 40.3 years. The pathology and incidence of complications was similar in the two groups. The difference in mean (±SD) time of surgery between the two groups was not statistically significant: 3.14 ±0.75 hours in patients with a modified facelift incision and 3.25 ±1.27 hours in patients with a modified Blair incision (p<20.1).The modified facelift incision is an alternative approach to parotidectomy for selected patients. It provides adequate exposure, even for a total parotidectomy and mastoidectomy and it results in improved patient satisfaction without additional risk of complications.
Myasthenia gravis presenting during general anaesthesia for oesophagoscopy – a cautionary tale
Authors: Prior Andrew J. , Swanston Andrew R. 
Published: November 2007

AbstractWe report myasthenia gravis presenting as dysphagia of acute onset in a 56-year-old female who had no other stigmata of the disease and who was generally well despite rheumatoid arthritis and hypothyroidism. She recovered respiratory function following a general anaesthetic for oesophagoscopy only when antimyasthenic treatment was instituted. She remains well to date. In patients who are known to have autoimmune diseases and who present with dysphagia, features of myasthenia gravis should be specifically sought.
Angioedema secondary to angiotensin-converting enzyme inhibitors
Authors: Pracy J. P. M. , McGlashan J. A. , Walsh R. M. , Gleeson M. J. 
Published: November 2007

AbstractAngioedema secondary to angiotensin-converting enzyme (ACE) inhibitors is rare, but it is a side effect which is likely to be seen more frequently because of the increased use of these drugs to treat cardiac failure and hypertension. Presentation is variable and the diagnosis may go unrecognized for many months or years. The cases reported illustrate problems both in the diagnosis and management of this life-threatening condition.
Eccrine cylindroma of the ear canal – report of a case
Authors: Sharma H. S. , Meorkamal M. Z. , Zainol H. , Dharap A. S. 
Published: November 2007

AbstractEccrine cylindroma is a benign tumour arising from sweat glands in the skin. It favours the face, forehead and scalp involving the turban area and hence is called a turban tumour. Amongst a variety of tumours originating from adnexal skin structures, which may appear in the ear canal, eccrine cylindroma forms a very rare entity. We present such a case and discuss its pathological and clinical features.
Glycogen-rich clear cell carcinoma in the tongue
Authors: Rajab Esa , Akmal Sharifah Nor , Nasir Abdul Majid 
Published: November 2007

AbstractThe case of a minor salivary gland tumour, arising from the tongue, with nodal metastasis is presented. Biopsy of the tumour and fine-needle aspiration cytology of the neck swelling showed the presence of a clear cell carcinoma with evidence of nodal metastases. A commando operation was performed and the defect was reconstructed using a local tongue flap. The literature review indicated that the neoplasm was rare and its site of occurrence rather unusual.
Maxillary sinusitis in children with otitis media with effusion
Authors: Mills R. P. , Irani B. S. , Vaughan-Jones R. J. , Padgham N. D. 
Published: November 2007

AbstractSinus radiographs have been carried out on 240 new cases of childhood otitis media with effusion (OME). When the films were suggestive of infection, maxillary sinus washouts were carried out as part of the surgical treatment. Abnormal X-rays were obtained in 28 per cent of the study group, but only 16 cases (seven per cent) of sinus infection were confirmed on antral lavage. In those with positive washouts, there was an apparent relationship between the findings in the maxillary sinuses and middle ears of the same side in some of the cases. There was also evidence of improvement of the middle ear disease when the sinus infection was successfully treated. It does not appear that sinus infection is an important cause of OME, though it may be relevant in a small number of cases.
The hyoid syndrome: a pain in the neck
Authors: Robinson P. J. , Davis J. P. , Fraser J. G. 
Published: November 2007

AbstractThis paper reports on 13 patients with a pain syndrome arising from the region of the greater cornu of the hyoid bone. It is often missed and yet is readily treatable. The syndrome causes pain on swallowing in the region of the hyoid which may radiate to the ear, face and lower jaw or may be felt also in the pharynx. Treatment by an injection of a mixture of depomedrone and one per cent lignocaine is very effective.The underlying pathology is discussed and it is suggested that in some cases the pain and discomfort experienced by patients may be due to tenosynovitis of the intermediate tendon of the digastric muscle. Greater recognition of this relatively common condition would not only result in more effective treatment but would also avoid unnecessary investigation and surgery.
Acute bilateral blindness in childhood caused by rhabdomyosarcoma and malignant lymphoma
Authors: Maier W. , Laubert A. , Weinel P. 
Published: November 2007

AbstractSudden unilateral visual loss in children is usually caused by a complication of acute purulent sinusitis. Differential diagnosis must include malignant tumours of the orbit or the paranasal sinuses involving the optic nerve. Rapid and adequate diagnostic measures are required in this emergency situation. In comparison, acute or progressive bilateral blindness is a very rare disorder.We report two cases of bilateral visual loss caused by malignant tumours and diagnostic and therapeutic strategies are described. Our reports show that these life-threatening disorders and their severe complications can be managed successfully if well-coordinated interdisciplinary cooperation is conducted from the beginning. If surgery is performed in this vulnerable region, it may be facilitated by computer-aided modelling techniques. During the last decade the prognosis for rhabdomyosarcoma and malignant lymphoma, the most frequent mesenchymal tumours of childhood, has improved dramatically. Thus, any loss of time causing a delay in correct diagnosis and the onset of adequate therapy must be avoided. Intensive cooperation with paediatric oncologists has to be enlisted from the beginning to avoid unnecessary, repetitive, invasive, or imaging diagnostics and to accelerate the onset of specific therapy.
Recurrent laryngeal nerve palsy secondary to benign thyroid disease
Authors: Fenton J. E. , Timon C. I. , McShane D. P. 
Published: November 2007

Abstract: A recurrent nerve palsy occurring in the presence of a goitre is considered to be caused by thyroid malignancy until proven otherwise.Three cases are described in which benign thyroid disease resulted in recurrent laryngeal nerve paralysis. Recent haemorrhage was implicated histologically as the possible aetiology in all three cases. The importance of identifying and preserving the recurrent laryngeal nerve in the surgical management is highlighted.
Thyroid metastasis from nasopharyngeal carcinoma: a case report
Authors: Jalaludin Mohd Amin , Rajadurai Pathamanathan , Umapati Prasad Rayappan Va 
Published: November 2007

AbstractAnaplastic nasopharyngeal carcinoma (NPC) metastatic to the thyroid gland is rare. We report the first such case in a 54- year-old Malaysian Chinese woman. The correct diagnosis should be made so that thyroidectomy may be avoided and an appropriate chemoradiotherapeutic regimen instituted.
Parotid haemangiomas in childhood: a case for MRI
Authors: Huchzermeyer Philippa , Birchall M. A. , Kendall B. , Bailey C. M. 
Published: November 2007

AbstractSeven infants with unilateral parotid haemangiomas seen at one centre are presented. Their case notes and special investigations are reviewed. Magnetic resonance imaging (MRI) is revealed as the investigation of choice because of picture quality, definition of soft tissues and lack of exposure to ionizing radiation. MRI allows a definite diagnosis to be made without any invasive procedure being required. A future study following up these infants may be of interest because of controversy regarding the spontaneous resolution of these lesions.
Evaluation of upper airway obstruction after partial laryngectomies by radiological method and flow–volume loop analysis
Authors: Misiolek M. , Ziora D. , Oklek K. , Namyslowski G. 
Published: November 2007

AbstractAnatomical and functional estimations of the upper airways in patients after partial laryngectomies (cordectomy, hemilaryngectomy, enlarged hemilaryngectomy) carried out due to cancer are discussed in this paper. The post-operative lumen of the larynx and the trachea were estimated by radiological examination. The coefficient larynx/trachea (L/T) was proposed to describe fixed obstruction.At the same time, all patients underwent spirometric examinations. Inspiratory and expiratory parameters of the flow-volume loop were evaluated. In 39 patients the L/T coefficient was lower than in a group of patients with chronic bronchitis (P<0.05). Also inspiratory and some expiratory parameters of the flow–volume loop decreased in contrast to the group with chronic bronchitis. All results showed the usefulness of radiological and spirometric methods in detecting upper airway obstructions and confirmed their fixed character. The influence of the area of operation on the degree of upper airway obstruction was emphasized.
Localized mastoiditis simulating a facial nerve schwannoma on MRI
Authors: Vlahos L. , Yiotakis J. , Gouliamos A. , Kotoulas G. , Adamopoulos G. 
Published: November 2007

AbstractA case of a single inflamed mastoid air cell is described. This was initially interpreted as a facial nerve schwannoma on MRI examination. Careful evaluation of the signal characteristics and additional findings from the high resolution CT examination helped to establish the correct diagnosis.
Rhinosporidiosis: immunohistochemical and electron microscopic studies
Authors: Azadeh Bahram , Baghoumian Nina , El-Bakri Osama T. 
Published: November 2007

AbstractSixteen biopsies of rhinosporidiosis (15 nasal and one conjunctival) from 16 Southern Indian male immigrant workers showed mucosal lymphoplasmacellular infiltrates together with transepithelial elimination of nodular bodies and destruction of some late stage nodular bodies in histiocytic granulomata with central neutrophilic microabscesses. Early nodular bodies were immunohistochemically positive for alpha1-AT, alpha1-ACT, CEA, S100, fibronectin, amyloid-p-component, IgG, IgA, CIqand C3. Electron microscopy showed organizedconcentric lamellated bodies in early nodular bodies and not in end-stage nodular bodies which contained mostly amorphous electron dense materials. Structures formerly regarded as ‘sporangia’ and ‘spores’ are believed to be lysosomal bodies loaded with indigestible residues to be cleared via transepithelial elimination or segregated/destroyed by secondary immune/granulomatous responses.
Medical education: an audit of an Overseas postgraduate training programme in ENT
Authors: Baraka M. E. 
Published: November 2007

AbstractFor overseas doctors, looking for higher training posts, the chance of being employed in the developed countries is becoming bleaker. This article considers the need for an increase in the number of local postgraduate training programmes in the Arab world in keeping with other developing countries. The model used for this study was an internal audit, of the postgraduate programme in ENT offered by King Faisal University in Dammam, Saudi Arabia. A dropout rate of more than 30 per cent among those who joined the programme reflected either the tougher standard of the course, or an inappropriate selection process. A major reason was the frustrating inability of the trainees to cope with the basic sciences course. This point was also addressed in the audit with a view to rationalizing the course to meet specific objectives.