bluuebunny/crossref_metadata_2025_split huggingface dataset:
Oncocytoma of the larynx
Authors: Robinson Anthony C. , Kaberos Antonios , Cox Phillip M. , Stearns Michael P. 
Published: November 2007

AbstractA case of oncocytoma of the larynx is presented. These lesions are rarely found in the larynx, and have been more commonly described in the salivary and thyroid glands. The histopathological diagnosis is often difficult and the light microscopy can be unreliable for oncocytic lesions. For a more accurate definition of these tumours, the use of histochemical stains together with electron microscopy are advocated. With adequate surgery, the prognosis is excellent, and tumours are unlikely to recur. This paper discusses the management of a patient with a benign oncocytoma of the true vocal cord, and presents a review of the world literature.
Thorotrast granuloma—a renascence
Authors: Plent S. , Shah S. , Path M.R.C. , Westmore G. A. 
Published: November 2007

AbstractA case of cervical thorotrast granuloma and its surgical complications is presented. The properties and usage of thorotrast and its later complications are described, and the management of the complications is discussed. It is emphasized that there is usually a long latent period between thorotrast exposure and the advent of complications and perhaps more cases of similar difficulty may be anticipated in the future.
Hearing conservation in acoustic neuroma surgery via the posterior fossa
Authors: Baldwin D. L. , King T. T. , Morrisin A. W. 
Published: November 2007

AbstractAn increasing number of patients with an acoustic neuroma present with useful hearing in the tumour ear. Surgical removal of these tumours via the posterior fossa route may enable preservation of the cochlear nerve and otic capsule without increasing the morbidity to the facial nerve. The results of treating 51 cases of acoustic neuroma via the posterior fossa is presented. Forty four tumours measured less than 20 mm in diameter in the cerebellopontine angle and surgery was undertaken with hearing preservation as a principle objective. In 26 cases, the cochlear nerve was preserved anatomically and post-operative hearing at levels better than mean pure tone threshold of 50 dB or 50 per cent speech discrimination was recorded in 14 patients. The preservation of hearing represents a worthwhile surgical goal in selected patients with an acoustic neuroma without increasing the operative morbidity.
CT of the paranasal sinuses: study of a control series in relation to endoscopic sinus surgery
Authors: Lloyd G. A. S. 
Published: November 2007

AbstractA control series of biplane CT scans of the paranasal sinuses, derived from patients examined for orbital tumours, is described. The scans were assessed for the presence of anatomical variants in the middle meatus, said to contribute to meatal stenosis, and for signs of asymptomatic infection revealed by the presence of clouding or mucosal thickening in the sinuses.Of the anatomical variants, only concha bullosa (pneumatisation of the middle turbinate) was associated with a high incidence of infection in the sinuses (85 per cent). Evidence of asymptomatic sinus infection was as high as 39 per cent overall, the highest incidence occurring in the ethmoid cells (28 per cent). Isolated ethmoid clouding on CT was observed in 15 per cent and is likely to be found in as many as one in seven of the adult population in the UK. It is concluded that in the majority of patients clouding confined to a few ethmoid cells shown on CT is without clinical significance.The evidence from the control series did not support the concept that most sinus infection starts in the middle meatus. The presence of a large reservoir of quiescent or chronic sinus infection in the control group suggests that in most instances sinusitis derives from a recrudescence of this pre-existing infection.
Flow cytometric analysis of DNA content in laryngeal cancer
Authors: Feinmesser Raphael , Freeman Jeremy L. , Noyek Arnold 
Published: November 2007

AbstractDNA content was measured by flow-cytometric analysis in 30 paraffin embedded sections from patients with laryngeal squamous cell carcinoma. The morphological characteristics and N staging of the tumours as registered in their clinical charts were correlated with their DNA content. Eighty per cent of the tumours were found to have a predominantly aneuploid distribution of DNA values. There was no correlation between the N stage of the tumour or degree of cell differentiation and DNA content. A multiploid pattern correlates with non-metastatic laryngeal tumours and we suggest that this pattern may be a good indicator for biological activity.
A lingual thyroid cyst complicating a foreign body in the oesophagus
Authors: Harris William E. 
Published: November 2007

AbstractA case report is presented of a man who had a foreign body in his oesophagus complicated by the fact that he also had a large cyst of a lingual thyroid. The problems encountered and his subsequent management are discussed. The possibility that a cyst of the tongue base may contain the only functioning thyroid tissue and the dangers of haemorrhage at its removal are emphasized.
Thyroid lobectomy for removal of a fish bone
Authors: Muhanna A. Al. , Abu Chra K. A. , Dashti H. , Behbehani A. , Al-Naqeeb N. 
Published: November 2007

AbstractA 42-year-old female Jordanian patient presented with a history of sudden painful dysphagia following swallowing of a fish bone. Though soft tissue X-rays showed a foreign body in the neck, repeated oesophagoscopies failed to reveal it. Computed axial tomography was done and showed a fish bone embedded in the left thyroid lobe. Left thyroid lobectomy was carried out and the fish bone was seen within the lobe surrounded by an area of acute inflammation.
Haemangioma in a cervical lymph node
Authors: Har-El Gady , Heffner Dennis K. , Ruffy Mauro 
Published: November 2007

AbstractHaemangiomas of the head and neck are mainly cutaneous or mucosal; rarely, they may be found in bone or soft tissue. Haemangiomas of lymph nodes are extremely rare; here we present such a case in a cervical lymph node. This is, to the best of our knowledge, only the second report of such an entity.
Acoustic neuroma and the contralateral ear: recovery of auditory brainstem response abnormalities after surgery
Authors: Deans J. A. J. , Birchall J. P. , Mendelow A. D. 
Published: November 2007

AbstractAuditory brainstem responses are an established technique in the diagnosis of acoustic neuroma. In several reports abnormalities are shown to occur in the contralateral ear.That these abnormalities recover has been demonstrated, but only in terms of changes in inter-peak latency. In only one case has the waveform trace showing this been published. We present a case in which a highly abnormal wave form was obtained from the ear contralateral to a large acoustic neuroma. Following excision of the lesion, the waveform reverted to a normal pattern. The literature on the subject is reviewed.
Size variation of mastoid air cell system in Indian people at different age groups: a radiographic planimetric study
Authors: Chatterjee D. , Ghosh T. B. , Ghosh B. B. 
Published: November 2007

AbstractA radiographic planimetric study of mastoid air cell system was carried out on 100 normal human subjects of which 50 were males and 50 females–who were further subdivided into five age groups. They had no history of past ear disease or any other clinical ENT abnormality. The mean area of the mastoid air cell system was measured planimetrically on X-rays and the data analysed according to age and sex. It was 12.05±0.67 cm2in males and 11.45±0.70 cm2in females (which are more or less the same as that of Western people).The size of the cranial bones has no apparent role in the size variation of the mastoid air cell system. The development of the latter was very rapid up to 10 years of age in both sexes and it continued even after 20 years of age but at a much slower rate.
Second primary tumours of the larynx following bronchial carcinoma
Authors: McGarry G. W. , Mackenzie Ed. K. 
Published: November 2007

AbstractThe occurrence of multiple primary malignancies in patients with laryngeal cancer is well known. The possibility that lung cancer patients may be at risk of subsequent laryngeal cancer is less well recognized. The possibility of laryngeal cancer developing later has implications for the follow-up of lung cancer patients.Three cases of subsequent laryngeal primary cancer occurring in survivors of bronchial cancer are presented and the implications are discussed.
Epistaxis as an unusual presentation of an antrochoanal polyp
Authors: Robson A. K. , Barker C. S. , Whittet H. B. 
Published: November 2007

AbstractAntrochoanal polyps rarely present with severe epistaxis. We present the case of a young male patient who presented in such a manner, thus leading to the suspicion of an angiofibroma as the underlying pathology. The radiological investigations, treatment and pathological features are discussed.
Decline in the prevalence of childhood deafness in the Jewish population of Jerusalem: ethnic and genetic aspects
Authors: Feinmesser M. , Tell L. , Levi H. 
Published: November 2007

AbstractA longitudinal study was performed on 147 Jewish children with bilaterally sensorineural hearing loss of moderately severe to profound degree, born in Jerusalem during the eighteen years 1968–85.The prevalence rate of these children declined during the years 1977–85, and at the same time the rate of consanguinity of their parents decreased; this decline was more evident in the genetic group among children with non-Ashkenazi ethnic origin. No such decline was found among the Ashkenazi children and no consanguinity among parents of these children was recorded.Our study supports the assumption that restriction of consanguineous matings may affect the prevalence of genetic deafness in children in a well-defined population. We have tried to remain unbiased and concede certain shortcomings in our present study.
Typing ofPseudomonas aeruginosaear infections related to outcome of treatment
Authors: Englender Moshe , Harell Moshe , Guttman Ruth , Segal Shmuel 
Published: November 2007

AbstractOf 142 patients withPseudomonas aeruginosa(PSA) ear infections, 88 (62 per cent) had chronic otitis media and 54 (38 per cent) external otitis. Following serotyping and pyocin typing of their bacteria, and relating the type to outcome, patients could be divided into three groups: (1) 120 patients who had no recurrence with isolation of only one PSA strain, (2) 13 patients who had recurrent infections and in whom the same PSA strain was isolated in repeated cultures, and (3) nine patients who had recurrent disease, but who had a change in their PSA strains. Most of the PSA strains isolated from patients in groups (1) and (2) were stable to pyocin, and resistent to gentamicin.Patients in the first group were all cured initially by medical management. Of the nine patients in group (3) who had a different serotype on repeated cultures, medical treatment was successful in eight (89 per cent), but of the 13 patients in group (2) who had the samePseudomonas aeruginosaserotype cultured, medical therapy failed in six (46 per cent) and mastoid surgery was required. Serotyping ofPseudomonas aeruginosaotitis may be helpful in predicting the type of management in patients who have recurrent infections.
Multiple primary malignancies in patients with malignant tumours of the nasal cavities and paranasal sinuses
Authors: Miyaguchi Mamoru , Sakai Shun-ichi , Mori Nozomu , Kitaoku Shigeo 
Published: November 2007

AbstractThe incidence of multiple primary malignancies (MPM) was analysed in 1297 patients with malignant tumours of the nasal cavities and paranasal sinuses. The patients were followed for a minimum of six years or until death. The incidence of MPM was 3.4 per cent (44/1297) which is lower than in patients with malignant tumours of other regions in the upper aerodigestive tract. Five of the 44 patients had second malignancies within previously irradiated areas. There was a difference between the proportion of histologies occurring in irradiated tissues compared with the overall 1297 patients. This finding suggests that radiotherapy may induce a second cancer.
Hoarseness as the sole presenting symptom of foramen magnum meningioma
Authors: Ahmed Y. S. , Hanson D. R. , Halaka A. N. 
Published: November 2007

AbstractForamen magnum tumours are rare. They may present with bizarre symptoms and mimic many conditions. We report a presentation with the sole complaint of hoarseness, never previously described in the literature. Voice returned to normal after surgical removal of the foramen magnum meningioma.
Unusual type of foreign body in the maxillary sinus
Authors: Gupta A. C. , Murthy D. P. , Pulotu M. L. 
Published: November 2007

AbstractA broken end of the spear presenting as a foreign body in the nasopharynx and right maxillary sinus in a 19-year-old Papua New Guinean is described. The types of foreign bodies and their mechanisms of introduction into this site are summarized.
Giant enterocystoma within an infant's tongue
Authors: Grime P. D. 
Published: November 2007

AbstractA rare developmental cyst within the tongue and submandibular triangle ofa male infant containing heterotopic gastric and intestinal epithelium (enterocystoma) is described and its derivation discussed. This cyst was ofsuch a size as to cause feeding difficulties and partial airway obstruction during sleep. Following C.T. scanning, total obstruction necessitated an emergency tracheostomy. Successful enucleation via a median labiomandibulotomy was performed without further complication and two years later there is no sign of recurrence.
Parapharyngeal abscess and torticollis
Authors: Buchwald Chr. , Nissen F. , Thomsen J. 
Published: November 2007

AbstractThe combination of a parapharyngeal abscess and torticollis in an adult, due to a spastic contraction of the sterno-cleido-mastoid muscle is an extremely rare condition. We have recently been exposed to such a case, in which it was very difficult to make the diagnosis and where CT of the neck gave us the answers without any difficulty. The indication for CT at an early stage in unexplained neck infections is stressed.
Haemangiosarcoma of the maxillary antrum
Authors: Solomons N. B. , Stearns M. P. 
Published: November 2007

AbstractAngiosarcomas are extremely rare in the head and neck and the histological diagnosis is often difficult. We present a case of a haemangiosarcoma of the maxillary antrum in a 33 year old male. The histological diagnosis and subsequent management are discussed.
Pharyngeal adenocarcinoma with intestinal features
Authors: Lopez Jose I. , Perez Agustin 
Published: November 2007

AbstractA high grade adenocarcinoma arising primarily in the pharynx of a 67-year-old man is presented. A CT-scan revealed a tumour mass growing in the pharynx, largely affecting parapharyngeal soft tissues. Lymph node nietastases were found at clinical presentation. Both morphological and immunohistochemical studies displayed similar features to those of intestinal origin. To our knowledge, no previous examples of such neoplasm have been reported at this site. Its possible histogenetical origin is discussed.
Inner ear cholesteatoma and the preservation of cochlear function
Authors: Gamoletti Roberto , Sanna Mario , Zini Carlo , Taibah Abdel-Kader , Pasanisi Enrico , Vassalli Luca 
Published: November 2007

AbstractLabyrinthine destruction by direct cholesteatoma invasion has always been considered a serious threat to the inner ear function.A number of reports in the literature have cited both patients who had preservation of hearing despite widespread erosion of the labyrinth by cholesteatoma and patients who had retained auditory function despite surgical removal of the matrix from the labyrinth. In most cases the vestibular portion of the inner ear was invaded but cases of cochlear involvement have been described as well.Twelve cases with pre-operative auditory function preservation despite extensive labyrinthine destruction treated at our Institution are reported. Seven cases retained cochlear function post-operatively.Possible explanations of this occurrence and implications of related with hearing preservation in the presence of widespread inner ear destruction by chronic inflammatory disease are discussed.
Lateral sinus thrombosis: a problem still with us
Authors: O'Connell Janet E. 
Published: November 2007

AbstractLateral sinus thrombosis in now a rare complication of ear disease in the developed world, since the advent of the widespread use of antibiotics. The classic picture is often modified by previous antibiotic treatment making diagnosis and management difficult. Lack of familiarity with this condition amongst present day otologists may lead to late diagnosis and treatment.We review three cases that we have managed recently and compare their clinical courses with the classic description of the disease
A new syndrome: hearing loss and familial salivary gland insensitivity to aldosterone in two brothers
Authors: Tungland O. P. , Savage M. O. , Bellman S. C. 
Published: November 2007

AbstractTwo male siblings presented in infancy with hyponatremia. The levels of plasma renin activity and aldosterone were elevated. Sodium supplement was necessary to maintain normal sodium balance. The salivary sodium concentrations were markedly elevated, with sweat sodium levels being in the upper normal range. Urinary sodium concentration and renal epithelial exchange between sodium and potassium were normal. This was felt to be due to an autosomal recessive disorder.Both siblings were later diagnosed as having a bilateral moderate to severe sensorineural hearing loss with intermittent conductive overlay due to middle ear fluid. The sensorineural loss was also felt to be autosomal recessive in origin, but the possibility of a disturbance of sodium balance in the inner ear has been questioned.
Temporal bone findings in two cases of head injury
Authors: Murakami M. , Ohtani I. , Aikawa T. , Anzai  
Published: November 2007

AbstractTemporal bone findings in two cases of head injury are reported. In one patient, longitudinal fractures occurred in both temporal bones, and extended to the middle ear bilaterally. Bleeding was seen in the tympanic cavity, mastoid air cells, internal auditory meatus and facial nerve canal. Bleeding was observed in the scala tympani, cochlear aqueduct and endolymphatic sac, but there were no fractures. In the other patient, bleeding was seen in the internal auditory meatus and facial nerve canal. In the right ear, endolymphatic hydrops was observed in all turns of the cochlea.
Septic shock and death due to occult sinusitis
Authors: Hariri M. A. , Vice P. A. 
Published: November 2007

AbstractWe report a case of septicaemia and death due to occult sinusitis in an otherwise healthy adult. Septicaemia was diagnosed on clinical grounds and blood culture grew Streptococcus pneumoniae. Maxillary sinusitis was discovered incidentally on a CT scan four days after the onset of symptoms. A sinus wash-out revealed pus which on culture was positive for Streptococcus pneumoniae. The patient deteriorated gradually and died despite appropriate therapy. We conclude that sinusitis should be suspected in any case of septicaemia where the primary focus is not known and the patient does not respond quickly to treatment.
Burkitt's lymphoma of the tonsil
Authors: Kraus Mordechai , Fliss Dan M. , Argov Shmuel , Leiberman Alberto , Benharroch Daniel 
Published: November 2007

AbstractA case of Burkitt's lymphoma involving the tonsil in a 10-year-old Bedouin boy, is presented. The biological behaviour and the clinical presentation of this unusual neoplasm are discussed and the English language literature is reviewed.The diagnosis was made by histological examination, electron microscopy and confirmed by immunohistochemistry. The patient showed an excellent symptomatic response to surgery and chemotherapy.
Massive metastasis from squamous carcinoma of the tonsil
Authors: Prinsley Peter R. , Jarmulowicz Michael R. , Robinson Anthony C. 
Published: November 2007

AbstractSquamous carcinomas of the oro-pharynx are associated with a high incidence of distant metastases at post-mortem. A case of a massive distant metastasis from a squamous cell carcinoma of the tonsil is presented. This occurred despite excellent local control. The pathology and the possible management implications are discussed.
Radiology for cochlear implants
Authors: Gray R. F. , Evans R. A. , Freer C. E. L. , Szutowicz H. E. , Maskell G. F. 
Published: November 2007

AbstractOne fifth of patients selected for cochlear implants have such bony irregularities in the cochlear duct that full insertion of a multichannel electrode array is impossible. Three cases of cochlear deafness are presented where pre- and post-operative radiology played an important part in the management.Standard CT at 2 mm cuts is compared with ultra high resolution CT at 1 mm cuts. The pitfall of poor definition is that the inexperienced surgeon may find himself unexpectedly drilling out an obliterated cochlear duct. Sections 30 degrees caudal to Reid's infra orbito-meatal base line at 1 mm intervals give maximum information for minimum radiation.Plain films show the placement of individual platinum electrode contacts in relation to the spiral ‘frequency map’ of the cochlea. This is vital information for the audiologist who has to route specific frequencies to specific sites within the ear for a good hearing result.
Tinnitus severity measured by a subjective scale, audiometry and clinical judgement
Authors: Halford Jonathan B.S. , Anderson Stewart D. 
Published: November 2007

AbstractTinnitus is discussed, with particular reference to the problem of assessing severity. The authors argue that tinnitus severity can only usefully be determined by measuring the impact of tinnitus on an individual, and therefore propose a scale to estimate severity in these terms. Data presented on 112 members of a tinnitus self-help group, demonstrated the reliability of a Subjective Tinnitus Severity Scale (S.T.S.S.), with a coefficient alpha of 0.84. This indicates a high degree of internal consistency, i.e.: statistically this scale is measuring aspects of a single dimension. The validity was established in a separate sample of 30 clinic attenders, where mean S.T.S.S. scores were found to correlate highly with two independent clinical ratings of severity (r2= 0.76, p<0.001, and r2= 0.73, p<0.001). Additionally, in these patients S.T.S.S. scores were significantly associated with several audiometric variables, although the correlations were of low magnitude.
Bilateral sudden deafness and acute acquired toxoplasmosis
Authors: Katholm Morten , Johnsen Niels Jon , Siim Christian , Willumsen Lars 
Published: November 2007

AbstractAn 18-year-old woman, while suffering from acute acquired toxoplasmosis, experienced sudden deafness and a total loss of vestibular function first in the right ear and three months later also in the left. Following treatment with sulphadiazine and pyrimethamine, hearing was retrieved to such a degree that the patient was enabled to communicate by means of a body-worn hearing aid and lip-reading. Taking the differential diagnostic possibilities into account, we believe that toxoplasmosis was the cause of the severe hearing loss. Since effective treatment seems to be available, we recommend that patients with acute bilateral sensorineural hearing loss of unknown origin are examined for acute toxoplasmosis with a view to instituting chemotherapy.