bluuebunny/crossref_metadata_2025_split huggingface dataset:
Aberrant jugular bulb vein obstructing approach to intracanalicular vestibular schwannoma
Authors: Tsutsumi Takeshi , Tsunoda Atsunobu , Shimamoto Kumiko , Komatsuzaki Atsushi 
Published: November 2007

AbstractIn cases of jugular bulb anomalies, such as a high jugular bulb, troublesome bleeding may occur during surgery. We report an unusual case with a vestibular schwannoma, in which we recognized an additional branch arising from the jugular bulb. Three-dimensional computed tomography (3-D CT) revealed this anomaly beforehand, enabling us to avert excessive bleeding upon resection of the tumour. The abnormal vein was thought to be a remnant of the petrosquamosal sinus in the embryonic stage.
Encephalocoele as a complication of intranasal sinus surgery: optimal evaluation with magnetic resonance imaging
Authors: Wolansky Leo J. , Chiang Peter K. , Zurlo John , Baredes Soly , Baker Stephen R. 
Published: November 2007

AbstractWe report a case of post-operative frontal basal encephalocoele evaluated using a new magnetic resonance imaging (MRI) sequence, fast inversion recovery for myelin suppression (FIRMS). FIRMS was developed to enhance the differentiation between grey and white matter. In this case, the sequence was beneficial in distinguishing the encephalocoele from adjacent nasal mucosa and secretions.
Power Doppler imaging findings in multilocular giant parathyroid adenoma which caused hypercalcaemic crisis
Authors: Wang Qian , Takashima Shodayu , Takayama Fumiyoshi , Kobayashi Shinya , Sone Shusuke 
Published: November 2007

AbstractRadiological findings including ultrasonography, computed tomography (CT) and Tc-99m sestamibi scintigraphy of a patient with multilocular giant parathyroid adenoma which caused hypercalcaemic crisis are presented. The location of the tumour by grey scale sonography, CT and Tc-99m sestamibi scintigraphy was not certain because the tumour was uncommon in shape, location, size and internal structure. Whereas, increased flow in the solid portion of the mass was demonstrated on power Doppler sonography, which proved to reflect abundant vessels in the adenoma in pathological findings.
Diabetes and hearing impairment in Mexican American adults: a population-based study
Authors: Ma Fangchao , GóMez-Marín Orlando , Lee David J. , Balkany Thomas 
Published: November 2007

AbstractReports on the relationship between diabetes and hearing loss have been controversial. The present study examined this relationship in 1,740 Mexican American adults using data from the Hispanic Health and Nutrition Examination Survey. Hearing threshold levels were obtained for each participant at the following frequencies: 500,1000, 2000, and 4000 Hertz (Hz). The thresholds from the worse hearing ear were used in the analyses. Diabetes and insulin use were assessed by self-report. The mean crude hearing thresholds in diabetics were significantly higher than in non-diabetics at each of the four frequencies. However, after adjustment for age, gender, and socioeconomic status, diabetics had a significantly higher mean threshold than non-diabetics only at 500 Hz (mean difference ± SE: 2.8 ± 1.2, p = 0.04). Diabetics who were not using insulin had significantly higher thresholds than those who were using insulin at 2000 (mean difference ± SE: 5.6 ± 2.6, p = 0.03) and 4000 Hz (7.7 ± 3.3, p = 0.02). Also, at 4000 Hz, insulin users had a significantly lower mean threshold than non-diabetics (mean difference ± SE: –4.9 ± 1.6, p = 0.02). Our data suggest that associations between diabetes and decreased hearing acuity in the higher frequencies are present only amongst diabetic Mexican-Americans who do not use insulin.
On-line resources for otolaryngologists
Authors: Saada Ahmed A. 
Published: November 2007

AbstractAdvances in telecommunications technology in the last decade have fostered the development of computer networks that allow access to vast amounts of information and services. The most prominent is the Internet (Glowniak, 1995). Medical information is increasingly available on such computer networks. The purpose of the present article is to provide an update to previously published otolaryngology sites (Johns, 1996; Burton and Johns, 1996) available on the World Wide Web, and to provide the otolaryngologist with details of resources that are accessible via the Internet. However, the reader should also be aware that the uniform resource locator (URL) addresses of Web sites can change without warning.
Audit of regional screening guidelines for vestibular schwannoma
Authors: Dawes P. J. D. , Jeannon J.-P. 
Published: November 2007

AbstractAn audit of 334 patients who underwent magnetic resonance imaging (MRI) as investigation for a possible diagnosis of vestibular schwannoma was carried out to assess adherence to previously agreed screening guidelines. This represents one year's activity. A posterior fossa tumour was identified in 12 patients. Scan requests were judged to be inappropriate for 28 cases. The issues surrounding the screening for acoustic neuroma are discussed.
Pyoderma gangrenosum producing saddle nose deformity
Authors: Worley George A. , Wareing Michael J. , Sergeant Robert J. 
Published: November 2007

AbstractPyoderma gangrenosum affecting the nose is rare and this may lead to diagnostic confusion because of the large differential diagnosis. As diagnosis is made, largely, on the basis of exclusion the treatment of pyoderma gangrenosum may be unduly delayed. The condition is often disfiguring, particularly following inappropriate surgical intervention, and early diagnosis is therefore important.We present a case of pyoderma gangrenosum managed initially in the community with minor surgery and resulting in the rare complication of saddle nose deformity.
Cavernous haemangioma in the infraorbital nerve canal – an unusual expansion in the maxillary sinus
Authors: Walch C. , Anderhuber W. , Luxenberger W. , Humer-Fuchsi U. 
Published: November 2007

AbstractA patient with a four-week history of hypaesthesia and recurrent swelling of the cheek in the left infraorbital region presented with a computed tomography (CT) scan demonstrating an expansion in the infraorbital nerve canal, thought to be a neuroma. The tumour was surgically removed without complications and no bleeding. Histopathological investigation showed a partially thrombosed cavernous haemangioma. To our knowledge, after reviewing the literature, this is the first report of a cavernous haemangioma in the infraorbital nerve canal.
Bronchogenic cyst: an unusual cause of lump in the neck
Authors: Rapado F. , Bennett J. D. C. , Stringfellow J. M. 
Published: November 2007

AbstractBronchogenic cysts are rare congenital benign lesions that are usually detected in the paediatric patient with symptoms of infection or compression on vital structures. They are rarely diagnosed in the adult population. We present a case of bronchogenic cyst presenting as a lump in the neck in an adult patient. Radiological imaging helped to diagnose this lesion accurately before any form of intervention. Complete surgical excision is the treatment of choice.
The epiglottis and obstructive sleep apnoea syndrome
Authors: Catalfumo Frank J. , Golz Avishay , Westerman S. Thomas , Gilbert Liane M. , Joachims Henry Z. , Goldenberg David 
Published: November 2007

AbstractObstructive sleep apnoea syndrome (OSAS) is caused by obstruction or narrowing of the airway at various levels. The repair of one site only will not alleviate the syndrome if there are obstructions in other sites. Epiglottis prolapse during inspiration is an unusual cause of airway obstruction and a rare cause of OSA.Twelve cases of OSAS due to an abnormal epiglottis are presented. We present our approach to the diagnosis using fibre-optic examination of the hypopharynx, and our treatment using endoscopic carbon dioxide laser partial epiglottidectomy.We found in our series that in 11.5 per cent of patients who failed the uvulopalatopharyngoplasty procedure, the reason was a narrow airway at the hypopharyngeal level caused by an abnormal epiglottis. It is our suggestion that in these cases a laser partial epiglottidectomy should be performed. The results of this study show that partial epiglottidectomy can increase the cure rate of patients with obstructive sleep apnoea syndrome by 10–15 per cent.
The Scheibe cochlea deformity with macrocephaly: a case for single channal implantation
Authors: Ray J. , Gay R. F. , Vanat Z. H. , Begg J. A. 
Published: November 2007

AbstractAn 11-year-old congenitally deaf child with bilateral primitive common cavity (Scheibe type) cochleosaccular dysplasia and benign familial macrocephaly was implanted with an extracochlear single channel device with an ear level speech processor. This paper describes the assessment, findings, dilemmas in decision making, surgical procedure and the favourable outcome after implanting. The relevant literature has been reviewed and our case is presented for the unusual combination of features.
Brainstem pathology of infantile Gaucher's disease with only wave I and II of auditory brainstem response
Authors: Kaga Kimitaka , Ono Masae , Yakumaru Kazuhiro , Owada Masao , Mizutani Toshlo 
Published: November 2007

AbstractWe studied the auditory brainstem response (ABR) and neuropathology in a female infant who died at six months of age because of typical infantile Gaucher's disease. The patient was hospitalized for hepatosplenomegaly and failure to thrive. Her ABR showed only waves I and II.The neuropathological study disclosed that: (1) Gaucher's cells were found in the perivascular region of the cerebrum and anterior ventral nucleus of the thalamus. (2) Gliosis was found in the dorsal part of the brainstem rather than the ventral part. (3) Neuronal cells in the superior olivary nucleus were lost, and marked gliosis was found in the cochlear nucleus. The disappearance of wave III and later waves of ABR could be supported by these pathological findings.
Metastatic testicular teratoma of the nasal cavity: a rare cause of severe intractable epistaxis
Authors: Tariq M. , Gluckman P. , Thebe P. 
Published: November 2007

AbstractMalignant neoplasms of the nasal cavity and paranasal sinuses are uncommon. Choriocarcinoma is a highly malignant germ cell tumour occurring in the reproductive organs. Metastasis may be principally by the lymphatic route as in other germ cell tumours but choriocarcinoma is also known to spread haematogenously. We present a rare case of metastatic choriocarcinoma to the nasal cavity from testicular teratoma presenting with intractable epistaxis in a 32-year-old Caucasian male, who ultimately succumbed to this disease.
Functional neck dissection: cure and functional results
Authors: Güney Ercihan , Yigitbaşi O. Gazi , Canöz Kürşat , ÖZtürk Mustafa , Ersoy Ali 
Published: November 2007

AbstractIn this study, the cure and functional results of 133 functional neck dissections performed between 1992–1997 in Erciyes University Medical Faculty were evaluated. The overall recurrence rate was three per cent. This rate was 1.4 per cent for elective functional neck dissections and five per cent for curative functional neck dissections. Electromyographic studies showed that there was severe neurogenic deficit in the trapezius muscle of seven patients (12.5 per cent), and in the sternocleidomastoid muscle of 12 patients (21.4 per cent) among 56 randomly selected patients. In all cases, the flow rate and diameter of the internal jugular vein was found to be normal by Doppler ultrasonography. The results of this study showed that functional neck dissection is a reliable technique for obtaining a high cure rate and functional results.
Neonatal stridor in association with herpes simplex infection of the larynx
Authors: Sharp H. R. , Blaney S. P. A. , Morrison G. A. J. 
Published: November 2007

AbstractHerpes simplex virus (HSV) infection in the neonatal period may be confined to the eyes, skin and upper aerodigestive tract or may be widely disseminated to other organs, with particular recognition of involvement of the central nervous system (CNS) causing herpes encephalitis (Whitleyet al., 1980a, b; Andersen, 1987).Primary laryngeal HSV infection is extremely uncommon. We present a case of acute neonatal stridor secondary to such localized disease and discuss its management.
Corrosion of a silver Negus tracheostomy tube
Authors: Ayshford C. A. , Walsh R. M. , Proops D. W. 
Published: November 2007

AbstractCorrosion of silver tracheostomy tubes has previously been reported. In all of these reports, it occurred at the junction between the neck plate and the outer tube where an alloy of inferior corrosion resistance, compared to silver, has been used in the brazed joint. We present, to our knowledge, a previously unreported case of corrosion of the main body of the outer tube of a silver Negus tracheostomy tube where no such alloy is present.
Kikuchi-Fujimoto's syndrome masquerading as tuberculosis
Authors: Jayaraj Samuel M. , Lloyd Josephine , Frosh Adam C. , Patel Kalpesh S. 
Published: November 2007

AbstractWe report a case of a 27-year-old Asian man presenting with the typical features of tuberculous cervical lymphadenitis who was commenced on anti-tuberculous therapy on the strength of the clinical presentation. Histological examination of an excised cervical lymph node however, revealed the diagnosis of Kikuchi's syndrome; a histiocytic necrotizing lymphadenitis which is usually self-limiting.
Endoscopic anatomy of the sphenoid sinus
Authors: Elwany Samy , Elsaeid Ibraheim , Thabet Hossam 
Published: November 2007

AbstractThe anatomy of the sphenoid sinus, as it relates to endoscopic sinus surgery, was studied in 93 cadaver heads (186 sphenoid sinuses) using endoscopic dissections as well as sagittal sections. The relationship of the sphenoid sinuses to the carotid artery, optic nerve, floor of sella turcica, as well as other important structures, were verified and discussed. The recesses of the sinus as well as its ostium and accessory septa and crests were described and their clinical importance was discussed. Pertinent measurements were included wherever appropriate.
Otological findings in idiopathic hyperphosphatasia
Authors: Sennaroǧlu Levent , Sozeri Bulent , Sungur Arzu 
Published: November 2007

AbstractA 17-year-old male patient was admitted because of progressive hearing loss since the age of six. His former blood and radiology investigation had revealed idiopathic hyperphosphatasia. On ENT examination bilateral thickened tympanic membranes with severe mixed-type hearing loss was diagnosed. Computerized tomography (CT) demonstrated expansion of the calvarial bones, including the temporal bones, except for the otic capsule. Middle-ear exploration revealed thickened middle-ear mucosa and a stone hard, immobile bony mass instead of the normal ossicular chain at the posterior superior part of the mesotympanum. No ossicular reconstruction could be attempted and the patient was rehabilitated with a hearing aid.
Goitre presenting as an oropharyngeal mass: an unusual finding in the elderly
Authors: Berenholz Leonard P. , Segal Samuel , Kessler Alex 
Published: November 2007

AbstractThyroid goitre presentation in the neck with extension inferiorly to the mediastinum is well-known. Extension superiorly into the retropharyngeal space is very rare and may be accompanied by change in voice and/or airway compromise.A case is described of a patient with change in voice and mild airway compromise secondary to a goitre presenting in the oropharynx. Computed tomography (CT) and physical findings are discussed with the need to recognize this rare entity.
Nasal haemangiopericytoma: report of two cases with literature review
Authors: Marianowski Rémi , Wassef Michel , Herman Philippe , Huy Partice Tran Ba 
Published: November 2007

AbstractHaemangiopericytoma (HPC) is a rare vascular tumour produced by proliferation of pericytes. One hundred and thirty-three cases of HPC have been reported in the nose and the paranasal sinuses. We present two more cases. Wide surgical excision via lateral rhinotomy, midfacial degloving, or endonasal removal is the treatment of choice. Radiotherapy has been used post-operatively in cases of incomplete removal. Life-long follow-up is required to evaluate local recurrence and late metastases.
Transtympanic dexamethasone application in Ménière's disease: an alternative treatment for intractable vertigo
Authors: Sennaroğlu Levent , Mottaghian Dini Farzin , Sennaroğlu Gonca , Gursel Bulent , Ozkan Soner 
Published: November 2007

AbstractThe aetiology of Ménière's disease still remains unknown and its therapy is therefore empirical. As a result of immunological abnormalities demonstrated, steroids are commonly used in Ménière's disease. The place of topical steroids is still controversial. In this investigation topical dexamethasone is applied for three months through a ventilation tube in patients with intractable vertigo. The results showed that this treatment controls vertigo in 72 per cent of cases. No patient was worse than before treatment. Only in 17 per cent of the patients was there an increase in hearing level. When compared to the reports which used only tympanostomy tubes, this procedure seems to have a placebo effect with minimal harmful effects. It appears that transtympanic dexamethasone application is a good alternative to vestibular nerve section. Topical treatment may be sufficient in most patients. Systemic treatment may be used in patients where topical treatment fails.
Comparison of the endoscopic stapling technique with more established procedures for pharyngeal pouches: results and patient satisfaction survey
Authors: Van Eeden S. , Lloyd R. V. , Tranter R. M. 
Published: November 2007

AbstractPharyngeal pouch surgery by the external approach has been shown to be effective but has a relatively high complication rate. We compared the outcome of 17 patients who had cricopharyngeal myotomy alone or combined with excision/inversion/suspension, simple pouch excision and Dohlman's procedure with 17 patients who had the relatively new Endo GIA-30 endoscopic stapling technique. Results were obtained retrospectively by postal questionnaire and medical records. We conclude that endoscopic stapling shortens the return to normal diet and in-patient stay. These patients also experience better swallowing and are generally more satisfied with the procedure. We have accepted endoscopic stapling as the method of choice for the treatment of pharyngeal pouches.
Complications resulting from treatment of severe posterior epistaxis
Authors: Bent John P. , Wood Brennan P. 
Published: November 2007

AbstractRecent advances in nasal endoscopy and arterial embolization have improved the treatment of severe posterior epistaxis. This report reviews the therapeutic options, including a case of epistaxis that did not respond to nasal packing but was successfully controlled with superselective arterial embolization. The discussion includes an outline of potential complications of epistaxis treatment, including a case of nasal septal perforation.
Eustachian tube teratoma and its terminological correctness
Authors: Ruah Carlos B. , Cohen David , Sadé Jacob 
Published: November 2007

AbstractTeratomas are germ cell tumours usually found in the young and are characteristically composed of tissue foreign to the place where they arise. Two teratomas of the middle ear were first described in 1866 and since then, and to the best of our knowledge, 19 additional cases have been reported in the literature under different terms such as hairy congenital polyps, epidermoid cysts, dermoid cysts, hamartoma, cutaneous teratoma and teratomas. The difficulty in classifying germ cell tumours may explain the different terminologies encountered in the literature. The authors describe a case of teratoma of the eustachian tube presenting as a mass in the middle and external ear of a 10-week-old girl. Using this case, a review of the literature is performed in light of the new classification of germ cell tumours proposed by the World Health Organization (WHO). It is of note that most of the teratomas that present in the middle ear arise from, or involve, the eustachian tube.
Psychological morbidity following laryngectomy: a pilot study
Authors: Gibson A. R. , McCombe A. W. 
Published: November 2007

AbstractThis study evaluated the nature and extent of problems faced by patients following discharge from hospital following laryngectomy. Semi-structured interviews investigated the practical and psychological concerns of a cohort of laryngectomy patients in a district general hospital. A number of simple practical measures can be employed to reduce early hospital re-admission following laryngectomy. Psychological morbidity is an important cause of low quality of life following laryngectomy. Formal psychological treatment could be of benefit in the management of these patients.
An unusual complication of augmentation rhinoplasty: late displacement of dorsal nasal splint
Authors: Owa A. O. , Zaman A. , Farrell R. W. R. , Bull T. R. 
Published: November 2007

AbstractSilastic® (Dow-Corning) implants are used for augmentation rhinoplasty. Complications following their use usually occur within the first 24 months. We report a case in which the dorsal splint became displaced spontaneously five years after surgery.
Extracranial internal carotid artery aneurysm in a child: a diagnostic and surgical challenge
Authors: James A. L. , O'Malley S. , Milford C. A. 
Published: November 2007

AbstractThis paper reports the presentation and management of an extra-cranial internal carotid artery aneurysm in a 15-year-old male. To our knowledge there is no previous report of a similar case in childhood.
Laryngeal preservation by treatment with induction chemotherapy and radiotherapy protocol for stage III & IV carcinoma larynx – results of a pilot study
Authors: Thakar A. , Bahadur S. , Tandon D. A. , Ranganathan A. , Rath G. K. 
Published: November 2007

AbstractTotal laryngectomy for advanced carcinoma of the larynx is effective but functionally disabling. In an effort at laryngeal preservation, 33 patients of stage III/IV carcinoma larynx were treated between 1987 and 1991 with induction chemotherapy followed by definitive radiation. Two chemotherapy protocols were administered. Group I patients received one to three cycles of cisplatin 100 mg/m2(day 1), bleomycin 15 U/m2(day 1), and 5-fluorouracil 1000 mg/m2/day (day 2 to 5) at three weekly intervals. This was then followed by radiotherapy. Group II received one to six weekly injections of single agent methotrexate 50 mg/m2with or without leucocovorin rescue followed by radiotherapy. Any recurrence was salvaged by surgery.Midway through the study, Group II protocol was discontinued as the initial results were not comparable with Group I or standard treatment. The Group I protocol, however, yielded an initial locoregional control rate of 83.3 per cent With the addition of surgical salvage the locoregional control rate was 94.4 per cent and the control rate with laryngeal preservation was 88.8 per cent. The Kaplan-Meier probability of two years and five years disease-free survival was 81.9 per cent and 61.4 per cent respectively. For disease-free survival with laryngeal preservation the corresponding figures for two years and five years were 58.3 per cent and 41.7 per cent.The control group of 51 patients treated with radical surgery followed by radiotherapy yielded survival figures at two years and five years of 64.3 per cent and 57.2 per cent. The difference in the survival of Group I and the control group was not statistically significant (pvalue = 0.280). These initial results indicate that for stage III and for surgically resectable stage IV laryngeal carcinomas, a protocol of induction combination chemotherapy consisting of cisplatin, bleomycin and 5-fluorouracil followed by radiotherapy and combined with surgical salvage whenever required, can lead to comparable cure rates. In addition, a large proportion of patients are spared the morbidity of a total laryngectomy.