bluuebunny/crossref_metadata_2025_split huggingface dataset:
An audit into the incidence of handicap after unilateral radical neck dissection
Authors: Shone G. R. , Yardley M. P. J. 
Published: November 2007

AbstractForty-six patients who had undergone a radical neck dissection more than six months previously were assessed to determine the degree of handicap that results from division of the accessory nerve. Employment problems, amount of pain, and social and recreational difficulties were assessed. Forty-six per cent of those in employment prior to their operation gave up their work specifically because of problems with their shoulder; this affected more manual than non-manual workers (11 out of 20 manual compared with zero out of four non-manual). Thirty per cent complained of moderately severe or severe pain related to the shoulder. The amount of pain could not be correlated with age, sex, side of operation in relation to handedness, physical build of the patient, or whether the patient had been treated with radiotherapy. Although this is the largest study to address this question since that of Ewing and Martin in 1952, the small numbers involved mean that if any such correlation exists then it may not have become apparent. In view of this incidence of pain and occupational handicap, we feel that efforts should be made to preserve accessory nerve function in cases where surgical clearance of the tumour field is not compromised as a result.
Latent mastoiditis: no room for complacency
Authors: Martin-Hirsch D. P. , Habashi S. , Page R. , Hinton A. E. 
Published: November 2007

AbstractThe administration of antibiotics in otitis media alters the natural course of the disease process. If the antibiotics used are inappropriate, or if dosage or duration of treatment is inadequate, an imminent intracranial complication may be masked.A case of latent mastoiditis presenting with Pott's puffy tumour is described.
Bilateral acoustic schwannoma: post-operative hearing in the contralateral ear
Authors: Farrell Michael L. , Harries Meredydd L. L. , Baguley David M. , Moffat David A. 
Published: November 2007

AbstractA patient with neurofibromatosis two (NF2) presented with bilateral acoustic neuroma. Pre-operative audiometry revealed a dead right ear and severe left-sided sensorineural hearing loss. Following surgical removal of the larger right acoustic neuroma we have documented a sensorineural improvement of 45 dB in the contralateral ear on pure tone audiometry, which as far as the authors are aware has not previously been described.
Acinic cell carcinoma of minor salivary gland origin
Authors: Zbaeren Peter , Lehmann Willy , Widgren Sven 
Published: November 2007

AbstractThe occurrence of acinic cell carcinoma in the minor salivary glands appears to he exceptional. A review of the English language literature revealed about 80 previously reported cases. In this paper. the clinical behaviour and pathological findings in three cases are reported.The tumours took their origin from the hard palate, soft palate and lower lip. The three cases presented with malignant clinical behaviour; all three recurred. In one case the local recurrence was multinodular with capsular infiltration. Two cases developed regional lymph node metastasis, and one metasized to the lung and liver. In one the tumour infiltrated bony structures, and nerve in another. These cases tend to support the belief of some authors that acinic cell ‘tumours’ are clinically malignant and should be included in the carcinoma group.
Direct referral hearing aid provision in the over sixties age group
Authors: Hawthorne Maurice R. , Nunez Desmond A. , Clarke Graham P. , Robertshaw Desmond 
Published: November 2007

AbstractA prospective study was designed in which General Practitioners were issued with a standard referral letter for hearing aid provision. Unknown to the General Practitioner an independent otolaryngologist assessment was obtained at the time of first attendance. Three hundred consecutive patients selected by General Practitioners applying these guidelines were seen in a designated hearing aid clinic staffed by audiological technicians of senior grade or above. Referral pro formata were incomplete in 75 patients who were not assessed. Ninety-four patients (31 per cent) (95 per cent confidence interval 29–36 per cent) were accepted by the audiologist. Obstructing wax was the most common criterion failed. Clinical agreement between audiologist and otolaryngologist was 57 per cent greater than chance. None of the cases of clinical disagreement altered treatment. A direct referral system as proposed could have processed only 31 per cent of 300 referrals. However, experienced technical staff reliably detected otological pathology and with aural toilet facilities 91 per cent of 225 patients (confidence interval 88–94 per cent) were aided.
Functional endoscopic sinus surgery in the management of chronic rhinosinusitis. An objective assessment
Authors: Lund Valerie J. , Holmstrom Mats , Scadding Glenis K. 
Published: November 2007

AbstractConsiderable clinical success has been claimed for functional endoscopic sinus surgery but objective assessment of prospective series is lacking in the literature. Twenty-four patients with chronic rhino-sinusitis underwent assessment of symptoms by visual analogue scoring, nasomucociliary function by ciliary beat frequency, olfaction by qualitative olfactometry and nasal airway resistance by anterior rhinomanometry pre- and post-operatively. This demonstrated a significant improvement in all symptoms examined and in ciliary beat frequency. Quantitative olfaction and anterior rhinomanometry were not improved despite diminished symptoms. These results offer quantitative evidence of clinical improvement following functional endoscopic sinus surgery which supports the pathophysiological concepts on which the technique is based.
Adult tonsillectomy—results and patient selection
Authors: Thompson A. C. 
Published: November 2007

AbstractOne hundred and thirty two patients who had undergone tonsillectomy for recurrent sore throats were evaluated by a questionnaire regarding the effectiveness of their operation. There were 98 respondents of whom 88.8 per cent were satisfied with the benefit gained. Smoking habit did not affect the post-operative satisfaction rate. Dissatisfied patients were more likely to have changed their General Practitioner recently and more likely to have had multiple hospital referrals in the past. Improved patient satisfaction rates may be achieved by more careful assessment of patients with the latter characteristics.
Acute epiglottitis in the adult
Authors: Navarrete M. L. , Quesada P. , Garcia M. , Lorente J. 
Published: November 2007

AbstractAcute epiglottitis in the adult is a rare disease, which has shown an appreciable increase since the sixties and in our locality since 1984. We present a review of the cases registered in our hospital, analyzing their aetiology, evolution and treatment. The disease is most likely to be suspected in the presence of any patient having a sudden dysphagia. especially if he shows symptoms of an acute infection and a lack of oropharyngeal pathology.
Intraglandular toxoplasmosis lymphadenitis of the parotid gland
Authors: Akiner Metin N. , Saatci Mustafa R. , Yilmaz Orhan , Erekul Selim 
Published: November 2007

AbstractToxoplasmosis is a protozoan infection manifested by systemic findings as well as generalized or localized lymphadenopathy. Although lympadenitis is the most common clinical form, involvement of the intraglandular nodes within the parotid gland found is a rare occurrence during the course of the disease.This unusual form may mimic a parotid mass, and can cause difficulties in differential diagnosis. In this article, a case of intraglandular parotid lymphadenitis which developed due to toxoplasmosis is presented, and the relevant literature is reviewed.
Blast injuries of the ear as a result of the Peterborough lorry explosion: 22 March 1989
Authors: Bruins W. R. , Cawood R. H. 
Published: November 2007

AbstractThis incidence of blast trauma to the ears in significant numbers is relatively rare in peace time. This paper outlines the results and management of twenty patients injured as a result of the outside explosion of 800 kg of high explosives in Peterborough on 22 March 1989.
Lymphagioma of the tongue. A review of pathogenesis, treatment and the use of surface laser photocoagulation
Authors: Balakrishnan A. , Bailey C. M. 
Published: November 2007

AbstractLymphangiomas of the tongue are rare tumours. Several reports of this interesting condition have appeared in the literature with varying modalities of treatment being employed to control tongue sizew. We present here our experinece with seven children who have lymphagiomas of the head and neck with tongue involvement seen over the past eight years. If the tongue is large with protrusion outside the lip margins, we advocata early tongue reduction so as to promote proper speech and deglutition, reduce of orthodontic problems and achieve good cosmesis. However, the naturel history of these tumours is one of recurrent tongue enlargement secondary to infection and trauman, irrespective of surgical reduction. We describe our technique of surface CO2 laser photocoagulation which has been successfully employed in controlling tongue size and removing superficial lymphangioma in all our patients. We propose therefore that this should be the mainstay of follow-up therapy in lingual lymphangiomas.
Sphenoid sinus mucocoele: a possible late complication of radiotherapy to the head and neck
Authors: Rejab Esa , Said Hussain , Saim Lokman , Thim Loh 
Published: November 2007

AbstractA case of sphenoid sinus mucocoele following radiotherapy in a patient with nasopharyngeal carcinoma is reported. Diagnosis was made by radiological investigation and confirmed at surgery performed via a sublabial transeptal approach. Its content was completely removed and continuous drainage of the sinus was maintained by an indwelling tube. It is felt that the sphenoid mucocoele developed as a result of occlusion of the sinus ostium by scarred mucosa following radiotherapy.
Radiological diagnosis of rhinoscleroma—the ‘Palatal Sign’
Authors: Dawlatly E. E. 
Published: November 2007

AbstractThis paper reports a characteristic radiological finding observed in seven cases of rhinoscleroma with nasal involvement. The soft palate exhibits a marked thickening at its attachment to the hard palate which tapers off towards its free edge. This new sign could be of help in the early diagnosis of this condition.
The value of CT scanning in chronic suppurative otitis media
Authors: O'Reilly B. J. , Chevretton E. B. , Wylie I. , Thakkar C. , Butler P. , Sathanathan N. , Morrison G. A. , Kenyon G. S. 
Published: November 2007

AbstractHigh definition CT has been advocated for the evaluation of chronic suppurative otitis media (CSOM) either generally or in selected cases. It is said to be capable of producing the fine detail needed to detect lateral canal fistulae, exposed dura and facial canal dehiscences, and to demonstrate the ossicular chain. At present there is no agreement on either the indications for CT scanning in CSOM or the most appropriate scanning plane. To determine the value of high definition CT in CSOM and to decide a unit policy for its application, 36 cases of CSOM underwent pre-operative CT scanning and their scans were compared with the operative findings.Our results show CT to be highly sensitive to the presence of soft tissue disease and bone erosion, moderately sensitive to the presence of lateral canal fistulae but less sensitive to the presence of small areas of exposed dura, ossicular continuity and facial canal dehiscence. Axial scans were better able to demonstrate the lateral canal but otherwise coronal scans were superior; ideally patients should be scanned in both planes. The principle value of CT in CSOM is its ability to demonstrate disease which is not clinically apparent.
A safer transnasal technique for the management of bilateral choanal atresia
Authors: Singh Bharath 
Published: November 2007

AbstractA study was undertaken on a 3.2 kilogram fresh stillborn neonate, to determine ways and means of preventing damage to the skull base.Gruber and Rosen aural specula were inserted separately into the right nostril, to determine the degree of exposure of the choana with each. The position of the surgeon was varied (septoplasty versus tonsillectomy position), to determine on which anatomical site of the choana the surgeon's field of vision was focused.The Gruber aural speculum, gave a completely, uninterrupted view of the choana.In the tonsillectomy position, the entire field of vision was focused on the choana itself, whilst in the septoplasty position, one half was focused on the choana and the other half on the roof. Since the roof is part of the skill base, damage to this area can result in serious intracranial complications, such as CSF leak and meningitis.These complications can be avoided if the surgeon uses the Gruber aural speculum for exposure and operates from a tonsillectomy position.
Parapharyngeal abscesses
Authors: Sethi D. S. , Stanley R. E. 
Published: November 2007

AbstractFifty-five patients with deep neck infections treated consecutively over a period of six and a half years between January 1983 and July 1989 were reviewed. Nine of these patients had abscesses localized to the pharapharyngeal space and form the basis of this study. The aetiology of the parapharyngeal abscess was odontogenic in two patients and remained unknown in the other seven. Five patients had associated systemic disease; four were diabetics and one patient had non-Hodgkin's Lymphoma.High dosage intravenous antibiotics directed towards the causative micro-organisms, airway control and early surgical intervention was the mainstay of treatment. All patients underwent open surgical drainage of the parapharyngeal abscess within 24 h of admission. Bacteriology results showedKlebsiellasp. to be the dominant micro-organism cultured in four patients. Morbidity was low; seven patients had no post-operative complications and were discharged from the hospital between 7–24d (mean 12.9 d). There were two deaths.Early open surgical drainage remains the most appropriate method of treating parapharyngeal space infections; it avoids life threatening complications with rapid recovery.
Surgical treatment of laryngomalacia
Authors: Jani Piyush , Koltai Peter , Ochi James W. , Bailey C. Martin 
Published: November 2007

AbstractLaryngomalacia is the commonest cause of congenital stridor. The majority of cases are mild and do not require surgical intervention. However in approximately 10 per cent of these infants the condition is life-threatening. The standard treatment for these patients has been to perform a tracheostomy. Recent reports have shown encouraging results following endoscopic surgery to the supraglottic structures. We report a series of twelve patients in whom a tracheostomy was avoided by performing an aryepiglottic fold trim—‘aryepiglottoplasty’. Dramatic improvements were seen in the respiratory obstruction and failure to thrive following surgery.
Nutritional support in patients with low volume chylous fistula following radical neck dissection
Authors: Al-Khayat M. , Kenyon O. S. , Fawcett H. V. , Powell-Tuck J. 
Published: November 2007

AbstractOne of the well known complications of radical neck dissection is a chylous fistula, which results from injury to the thoracic duct as it enters the left subclavian vein. Such fistulae may cause considerable increased morbidity to a patient who is already debilitated by malignancy and by the increased catabolic response to surgery. Further surgery may be appropriate for those with a high fistula output but conservative therapy is normally advocated for the remainder. Nutritional and electrolyte support for these patients is essential and poses potential problems in management.We present three such patients. One was fed parenterally and two enterally and in all cases the fistulae closed spontaneously. We examine the known physiological stimuli to chyle production and conclude that the enteral feedings of these patients with fat or an isomolar enteral feed does not, contrary to current belief, increase chyle flow or delay the healing of these fistulae.
ENT manifestations of Fraser syndrome
Authors: Ford G. R. , Irving R. M. , Jones N. S. , Bailey C. M. 
Published: November 2007

AbstractFraser Syndrome is a rare autosomal recessive disorder (Gupta and Saxena, 1962; Smith, 1982). The most consistent feature is cryptophthalmos (hidden eye), but frequently abnormalities of the ears (meatal stenosis, dysplastic pinna), nose (hypoplastic notched nares, choanal stenosis or atresia), and larynx (glottic web, subglottic stenosis), as well as numerous other anomalies are encountered. We present four cases that have been treated at the Hospital for Sick Children in the last ten years, and describe the various ENT anomalies characteristic of this syndrome.
The role of endoscopic laterofixation of the vocal cord in the treatment of bilateral abductor paralysis
Authors: Moustafa Hassan , El-Guindy Ahmed , El-Sherief Sayed , Targam Alt 
Published: November 2007

AbstractDifferent techniques were compared in management of 36 patients with bilateral abductor paralysis of the vocal cords. Ten patients were treated by microsurgical arytenoidectomy through a mid-line thyrotomy, with successful decannulation in only three. Fifteen patients were treated by endolaryngeal microsurgical arytenoidectomy, with failure to decannulate four cases.The procedure of endoscopic laterofixation of the vocal cord was used to treat 11 patients. Ten patients had an adequate long-lasting airway with a socially acceptable voice function. One patient had a revision surgery and was successfully decannulated. The technique was found to be a reliable option in the management of bilateral abductor paralysis. It is a modifiable procedure with a feasibility to adjust the position of the vocal cord under endoscopic control. It can be combined with endolaryngeal arytenoidectomy if the gain in the airway size produced by laterofixation is found insufficient.
Metabolic stridor: bilateral vocal cord abductor paralysis secondary to hypokalaemia?
Authors: Moralee S. J. , Reilly P. G. 
Published: November 2007

AbstractA previously unreported association between bilateral abductor paralysis and hypokalaemia is reported in a patient presenting with stridor. Both the stridor and the bilateral abductor paralysis gradually resolved as the serum potassium was corrected. A causal link is suggested though the mechanism is unclear.
True carcinosarcoma of the larynx
Authors: Klijanienko J. , Vielh P. , Duvillard P. , Luboinski B. 
Published: November 2007

AbstractA case of carcinosarcoma of the larynx and pyriform sinus with sarcomatous and epithelial malignant components is described in a 68-year-old male. The primary site was composed of spindle-shaped malignant mesenchymal cells with osteosarcomatous and chondrosarcomatous differentiation intermingled with areas of well differentiated squamous cell carcinoma, tubular and papillary adenocarcinoma, and trabecular neuroendocrine carcinoma. The metastatic lymph node showed squamous cell carcinoma and chondrosarcoma. Immunohistochemical studies showed that keratin was present in epithelial cells and negative in sarcoma, whereas vimentin and S-100 protein were present in sarcoma, but negative in carcinoma. Neuron-specific enolase was present in the neuroendocrine part of the tumour.
Sinus histiocytosis with massive lymphadenopathy (Rosai-Dorfman disease): a rare case of subglottic narrowing
Authors: Courteney-Harris R. G. , Goddard M. J. 
Published: November 2007

AbstractA case of subglottic narrowing caused by an extranodal deposit of sinus histiocytosis in an eight-year-old child with Rosai-Dorfman disease is presented. The airway obstruction was initially managed with a tracheostomy, and then on confirmation of the diagnosis by lymph node biopsy, by excision of the extranodal deposit with a CO2 bronchoscopic laser.
Nebulized racemic ephedrine in the treatment of acute exacerbations of laryngeal relapsing polychondritis
Authors: Gaffney R. J. , Harrison M. , Blayney A. W. 
Published: November 2007

AbstractA case of relapsing polychondritis of the larynx and upper trachea is presented. We report the use of nebulized racemic ephedrine, as a new treatment modality of the life threatening airway oedema which characterizes acute exacerbations of this disease.
Expression of carbonic anhydrase isoenzymes in the developing endolymphatic sac of the human fetus and the mouse embryo
Authors: Yamashita Hiroshi , Bagger-Sjöbäck Dan , Sekitani Toru 
Published: November 2007

AbstractThe distribution of carbonic anhydrase isoenzymes (CA) was analyzed in the developing endolymphatic sac (ES) of the mouse embryo and human fetus using immunohistochemical method. The primordial ES epithelium was labelled with CA I and CA II, but was weakly labelled with CA III and CA V. In the thirteenth and fifteenth gestational day (GD) mice, the ES epithelium was positive for CA I and CA II. After seventeenth GD, the ES epithelium was however weakly positive for CA I and CA II. In the 11 and 12 week old human fetus, the ES epithelium was strongly labelled with CA I and CA II. In the 16 week old human fetus, the ES epithelium was however weakly positive for CA I and CA II. These results suggest that the fetal ES has an activity of CA and plays a role in the otoconial formation especially in the early stage during evolution.
Histological examination of the auricular cartilage and pseudocyst of the auricle
Authors:   ENT Laboratory, the Shandong Provincial Hospital, Lixiang P. R. China Zhu , Xiuyun Wang 
Published: November 2007

AbstractIn our histological examination on 42 ears (auricles) which were taken from 18 fetus and three adults, the intracartilaginous fibrous tissue with blood vessels and lymphatics were found in 12 ears and interruption of the auricular cartilage in 22 ears. The intracartilaginous connective tissue with blood vessels and lymphatics were linked together with the connective tissue outside the auricular cartilage in other sections. These findings support the hypothesis of congenital embryonic dysplasia as the origin of the formation of pseudocyst of the auricle.
Complications following fast neutron therapy for head and neck cancer
Authors: Stafford N. , Waldron J. , Davies D. , Walsh-Waring G. , Smith R. 
Published: November 2007

AbstractSerious complications resulting from the use of fast neutrons to treat head and neck malignancies are reported in 38 patients. The average interval between treatment and onset of complications was 5.5 years. Significant airways obstruction, requiring a tracheostomy, occurred in two patients, and a gastrostomy or pharyngostomy was performed for intractable dysphagia in six. Eight patients developed osteoradionecrosis; carotid artery rupture occurred in three patients following surgery for residual or recurrent disease.Our experience suggests that complications following fast neutron therapy for head and neck tumours are more severe, more common and occur after a longer time interval than those seen following conventional radiotherapy. Subsequent surgery in the irradiated area is compromised by severely impaired wound healing. When radical surgery is necessary for residual or recurrent disease the entire volume of irradiated tissue must be removed if healing is to be achieved.
Laryngeal candidiasis: A cause of airway obstruction in the immunocompromised child
Authors: Fisher Edward W. , Richards Aurelia , Anderson Glenn , Albert David M. 
Published: November 2007

AbstractLaryngeal involvement with Candida is usually secondary to pulmonary candidiasis and is seen in patients with impaired immunity. We report a case of isolated laryngeal candidiasis involving the vestibular folds and presenting with stridor in a one-year-old child with Down's syndrome and hypogammaglobulinaemia. Vestibular fold reduction and fluconazole achieved resolution of the disease. Candidiasis should be considered in any potentially immunodeficient child presenting with symptoms of laryngeal disease.