bluuebunny/crossref_metadata_2025_split huggingface dataset:
Otogenic Fusobacterium necrophorum meningitis
Authors: Pace-Balzan Albert , Keith Andrew O. , Curley Jane W. A. , Ramsden Richard T. , Lewis Helen 
Published: November 2007

AbstractA case of meningitis secondary to acute suppurative otitis media in a previously healthy child is reported. The only organism isolated from blood after aerobic and prolonged anaerobic culture was identified as Fusobacterium necrophorum. Complete recovery followed treatment with surgery and prolonged antibiotic therapy. The role of anaerobes in the development of meningitis, the isolation and identification of Fusobacterium necrophorum, the clinical presentations of F. necrophorum infection and the choice of antibiotics in the treatment of these infections are discussed.
Scleroma of the upper respiratory passages: a CT study
Authors: Abou-Seif S. G. , Baky F. A. , El-Ebrashy F. , Gaafar H. A. 
Published: November 2007

AbstractScleroma is a chronic specific granulomatous disease endemic in Egypt. The nasal cavities were all affected in the 37 patients examined. The paranasal sinuses and nasopharynx were involved in 17 patients, while the larynx and upper trachea were affected in five patients, four of whom were females. Twenty-three patients were in the granulomatous stage; the rest of the patients were in the atrophic and fibrotic stages.The main nasal and nasopharyngeal CT findings were soft tissue masses of variable sizes. The lesions were characteristically homogeneous, non-enhancing and had distinct edge definition; adjacent fascial planes were not invaded. The subglottic area was involved in laryngeal and tracheal scleroma. The lesions were mainly in the form of concentric irregular narrowing of the airway. In the trachea, crypt-like irregularities were diagnostic of scleroma. Intra-orbital, intra-cranial and infratemporal parapharyngeal scleromatous masses were detected inone patient.
Fracture line in post head injury optic nerve damage
Authors: Nayak Sadhana R. , Kirtane M. V. , Ingle M. V. 
Published: November 2007

AbstractDiminution of vision following head injuries involving the optic canal is not uncommon. In order to find how a blunt trauma to the frontotemporal region produced damage to the optic nerve inits canalicular this study was conducted on cadaveric skulls and its results are described.
Transethmoid decompression of the optic nerve in head injuries: an update
Authors: Nayak Sadhana R. , Kirtane M. V. , Ingle M. V. 
Published: November 2007

AbstractSixty-three patients with loss of vision following head injury were subjected to decompression of the optic nerve by the transethmoid route. This paper discusses the criteria for selection of patients for surgery, the results of the operation and the prognostic factors determining the results.
Hodgkin's disease secondary to recurrent adenoid cystic carcinoma of the parotid gland
Authors: Megighian D. , Deigado H. , Blandamura S. 
Published: November 2007

AbstractA case of Hodgkin's disease presenting as a second primary malignancy in a patient admitted eight years previously for total parotidectomy for an adenoid cystic carcinoma is reported.
Metastatic meningioma in the neck
Authors: Leighton S. E. J. , Rees G. L. , McDonald B. , Alun-Jones T. 
Published: November 2007

AbstractAlthough meningiomas represent 15 per cent of tumours of the central nervous system, they rarely metastasize. A case is presented in which metastasis to a cervical lymph node occurred, together with local recurrence, nine years after initial diagnosis and treatment. This case serves to illustrate that malignant meningioma is a rare cause of a neck mass.
Biocompatible implantable antimicrobial release for necrotizing external otitis
Authors: Ostfeld E. J. , Kupferberg A. 
Published: November 2007

AbstractThe efficacy of a biocompatible, surgically implantable, antimicrobial release system (IARS) as the exclusive antimicrobial therapy of necrotizing external otitis (NEO) was evaluated in six NEO patients. Gentamicin incorporated polymethyl-methacrylate beads were implanted, following surgical debridement and were removed two months later. Post-implantation alleviation of clinical symptoms: pain, periauricular tissue swelling, otorrhoea, eradication of pseudomonal infection (100 per cent) and substantially shortened hospitalization (4–15 days) were the salient results of this therapeutic modality. Three patients recovered. Two patients who died, one of sudden cardiac arrest and the other of paralytic ileus, 15 and 60 days postoperatively while the beads were still implanted, were symptomless. Recurrence was seen in one patient with early bead extrusion. Ipsilateral sensorineural hearing loss (one patient) and external meatal stenosis were the main complications. IARS appears to offer an effective alternative to long-term systemic antibiotic administration for the eradication of NEO-pseudomonal infection in patients who are sensitive, develop resistance, or when quinolone medical treatment has failed or is contra-indicated.
Mode of growth of acquired cholesteatoma
Authors: Wells Meher D. , Michaels L. 
Published: November 2007

AbstractA histopathological study of acquired cholesteatoma in four temporal bones from two adults and one child is presented. The findings suggest that the cholesteatoma originated from the retraction pockets of the tympanic membrane and there was active growth of the squamous epithelium of the retraction pockets, which may be enhanced in the presence of otitis media.
Treatment of ‘vasomotor rhinitis” by the local application of silver nitrate
Authors: Al-Samarrae S. M. 
Published: November 2007

AbstractA series of 52 patients were closely assessed prospectively to determine the effectiveness, untoward effects and patient acceptance of a new method of treatment of ‘vasomotor rhinitis’ by silver nitrate application. The patient's age ranged from 11 to 50 years except one who was 58 years old. The report describes the technique used and results obtained following the painting of the ‘trigger area’ of the nasal mucosa in patients with ‘vasomotor rhinitis’. Each patient was evaluated regularly and the evaluation was based on both subjective response and clinical examination. Only cases who had rhinorrhoea and sneezing as presenting symptoms were selected. Silver nitrate (20 per cent) was used after topical anaesthesia, and patients received four applications. Successful relief was obtained in 88.5 per cent (53.0 per cent good relief; 34.6 per cent acceptable relief), while 11.5 per cent of the cases (6 out of 52 cases) had poor relief. No complication was seen among the patients during treatment and follow-up and no silver poisoning was detected.
Polymorphous low grade adenocarcinoma of the palate in a child
Authors: Tsang Y. W. , Tung Y. , Chan J. K. C. 
Published: November 2007

AbstractWe report a case of polymorphous low grade adenocarcinoma involving the palate of a 12-year-old girl, the first example of this tumour occurring in the paediatric age group. The tumour displayed infiltrative growth, neural invasion, variegated histological patterns, and minimal cytological atypia. The patient remained disease-free four years after wide local excision of the tumour. The distinction of polymorphous low grade adenocarcinoma from pleomorphic adenoma and adenoid cystic carcinoma is also discussed.
Primary surgical treatment for carcinoma of the larynx: influence of the local invasion
Authors: Petrović Ž. , Krejović B. , Djukić V. , Stanković P. 
Published: November 2007

AbstractIn the period from 1976 to 1988, 417 patients with supraglottic carcinoma of the larynx were treated by primary surgery.Infiltration of the pre-epiglottic space was found in 11.99 per cent (50/417) of the patients. Carcinomas of the infrahyoid epiglottis spread to this space more frequently—14.24 per cent (44/309), than those of suprahyoid localization—5.55 per cent (6/108). Tumour invasion of the pre-epiglottic space is a relative contraindication for reconstructive surgery. Partial conservation operations were performed on 32 per cent (16/50) of patients with invasion of the pre-epiglottic space. The remaining patients had a total laryngectomy.Infiltration of the paraglottic space intra-operatively was found in 2.4 per cent (10/417) of patients and all of these tumours were from the infrahyoid localization. Spread of tumours to this site is an indication for radical surgery and laryngectomy was performed on 80 per cent (8/10) of patients.
The Relationship of nasal septal deformity and palatal symmetry in neonates
Authors: Kent S. E. , Rock W. P. , Nahl S. S. , Brain D. J. 
Published: November 2007

AbstractResults are reported of a study to evaluate possible associations between nasal septal deformity and palatal symmetry in neonates.Five hundred babies, born consecutively, were examined within three days of birth. Prenatal and delivery data were recorded for each baby and the nose was examined to determine airway patency and possible septal deformity. When a deviation of the septum was discovered an alginate impression of the palate was taken along with photographs of the nostrils. A matched control was then selected for each study group baby and similar records were obtained.Only 14 cases of septal deformity were found, an incidence of 2.8 per cent. No evidence of palatal asymmetry was found. The theory that moulding pressures during delivery may be a major cause of nasal septal deformity was not supported.
Effect of enlarged adenoids on arterial blood gases in children
Authors: Khalifa Mohammed S. , Kamel Reda H. , Zikry Mona Abu , Kandil Tarek M. 
Published: November 2007

AbstractThe enlarged adenoid is a common disorder in children resulting in nasopharyngeal obstruction. Many authors suggest that increased nasal resistance to respiration may cause disturbances in the pulmonary ventilation and carry the risk of obstructive sleep apnoea and/or cardiopulmonary syndrome.This study comprised 30 children complaining of long-standing nasal obstruction due to enlarged adenoids. Adenoidectomy was performed and the arterial blood gases were measured before and one month after surgery. Twelve normal children were also included as controls. Statistical evaluation of the results showed that O2saturation and arterial O2tension (PaO2) were significantly low before the operation, and increased significantly after surgery. Arterial CO2tension (PaCO2) was insignificantly low before operation, but decreased significantly after adenoidectomy. It was concluded that enlarged adenoid may be associated with ventilatory impairment which is reversible after adenoidectomy.
Tuberous sclerosis with primary meningioma of the maxillary antrum
Authors: Irving R. M. , Ford G. R. , Jones N. S. 
Published: November 2007

AbstractPrimary extracranial meningiomas are uncommon; they have been documented in the ear, skin, orbit, parapharyngeal space, parotid gland, mediastinum, and rarely the paranasal sinuses. Tuberoussclerosis is an autosomal dominant neurocutaneous syndrome characterized by multiple connective tissue tumours. We report the first case of a tuberous sclerosis patient with a maxillary antral meningioma.
Realities in ossiculoplasty
Authors: Toner J. G. , Smyth G. D. L. , Kerr A. G. 
Published: November 2007

AbstractThe results of ossiculoplasty are frequently reported in terms of closure of the air-bone gap. This parameter is a reliable indicator of the degree of technical success, and is useful in comparing different materials and types of reconstructions. However, assessment of the operated ear alone does not evaluate the effect of surgery on binaural hearing ability, leading to the situation where sub-optimal advice may be given to patients pre-operatively. This article advocates a more patient orientated method of assessing the results of ossiculoplasty. Previous studies have indicated that the operated ear must reach an air conduction level of 30 dB for the speech frequencies, or be within 15 dB of the other ear, to ensure that the patient will gain significant benefit. A graphical method for the prediction of patient benefit is presented, and compared to the rule of thumb quoted above. The implications for surgeons and patients considering ossiculoplasty are obvious.Many statements routinely made to patients prior to surgery for conductive hearing loss are unduly optimistic and unrelated to the realities of reported results. There is a need to determine what types of such hearing losses can be helped surgically, and more importantly to what extent the patients hearing disability can be relieved.
Intracranial extension of a naso-ethmoid schwannoma
Authors: Enion David S. , Jenkins Alistair , Miles John B. , Diengdoh J. V. 
Published: November 2007

AbstractA rare case of intracranial extension of a naso-ethmoid schwannoma is presented. Its subsequent removal with few sequelae confirmed the benign nature and good prognosis of the disease.
Pseudoaneurysm of the internal carotid artery: A forgotten complication of tonsillitis?
Authors: Watson M. G. , Robertson A. S. , Colquhoun I. R. 
Published: November 2007

AbstractPseudoaneurysm of the internal carotid artery is an uncommon but potentially lethal complication of tonsillar or peritonsillar sepsis, which appears to have occurred more frequently prior to the introduction of penicillin. Management of such a case is discussed, and a literature review presented.
Promontory stimulation following labyrinthectomy
Authors: Ramsden Richard T. , Timms Michael S. 
Published: November 2007

AbstractPromontory stimulation testing was carried out on a series of ten patients who had undergone osseous labyrinthectomy. The thresholds, discomfort levels and dynamic ranges were found to be comparable with a series of ten patients who have subsequently been successfully implanted with the Nucleus 22 channel cochlear implant. These findings suggest that cochlear implantation might be possible in a labyrinthectomized ear.
Amelanotic Melanoma Metastatic to the Epiglottis
Authors: Ikeda Makoto , Takahashi Hirofumi , Karaho Takehiro , Kitahara Satoshi , Inouye Tetsuzo 
Published: November 2007

AbstractMetastasis of melanoma in the head and neck region is often reported but the report of amelanotic melanoma metastatic to the epiglottis is an extremely rare entity.This paper describes a patients previously treated for cutaneous amelanotic melanoma who developed metastatic tumour involving his epiglottis. This legion was successfully excised by a intra-oral approach combined with KTP/532 laser surgery. The paper also describes the diagnostic evaluation, management, operative technique and DNA analysis of this rare case.
Lateral pharyngeal diverticulum
Authors: Pace-Balzan Albert , Habashi Sherif M. Z. , Nassar Wadi Y 
Published: November 2007

AbstractWe report a case of a lateral pharyngeal diverticulum arising from the right vallecula. The aetiology and clinical features of these rare lesions are discussed. Diagnosis, which is difficult clinically, was made by barium swallow examination of the pharynx. The importance of contrast radiology in the investigation of pharyngeal symptoms is emphasized by this case.
Bilateral acinic cell tumours of the parotid gland
Authors: Nuutinen J. , Kansanen M. , Syrjänen K. 
Published: November 2007

AbstractA 55-year-old woman was operated because of bilateral parotid tumours which appeared with an interval of three years. Histopathologically, both of the tumours had characteristics typical of acinic cell tumour, so-called clear cell type. Both tumours were regarded to be multifocal. In the case of bilateral parotid tumours, acinic cell tumour should also be kept in mind and total parotidectomy is the treatment of choice.
A comparison of performance of Shepard and Sheehy collar button ventilation tubes
Authors: Heaton Judith M. , Bingham Brian J. G. , Osborne Jonathan 
Published: November 2007

AbstractThis study was designed to confirm the longer in situ life of the Sheehy collar button compared with the Shepard tube and to assess the complication rate associated with the two tubes. Cases of bilateral otitis media with effusion had a Shepard tube inserted in one ear and a Sheehy contralaterally. The insertion position was allocated randomly. The patients were then assessed at three-monthly intervals for two years. In 71 percent of those in whom at least on tube had extruded, the Sheehy remained in situ longer. The antero-inferior tube remained longer than the postero-inferior whichever type was used. There was no significant difference between complication rates, or recurrence rates of middle ear effusion after tube extrusion, for the two types. We conclude that use of a Sheehy rather than a Shepard tube carries no increased risk of complications and the patient may require further surgery less often in total.
Non-ampullary pluging of the posterior semicircular canal for being paroxysmal positional vertigo
Authors: Pace-Balzan Albert , Rutka John A. 
Published: November 2007

AbstractBenign paroxysman positinal vertigo (BPPV) is a common condition which is usually self-limiting. Surgical treatment is rarely required and for many years the mainstay of such treatment has been singular neurectomy (posterior ampullary nerve section).A new operation has recently been described for the treatment of BPPV involving occlusion of the posterior semicircular canal. We have performed this operation on five patients with intractable BPPV and report our result with follow up of between 12 and 36 months from operation.The excellent results of posterior semicircular canal occlusion which have been previously reposted in the literature are confirmed by our experience. In our opinion the operation is a safe and effective alternative to singular neurectomy.
Mastoidectomy packs: Xeroform® or BIPP?
Authors: Chevretton Elfy B. , McRae R.D.R. , Booth J. B. 
Published: November 2007

AbstractA retrospective study comparing adverse events usin bismuth iodform paraffin paste (BIPP) and Xeroform as dressings for newly fashioned mastoid cavities after mastoidectomy was undertaken. There were 20 patients in each group. Adverse events were defined as offensive packs, mastoid caivity infection and systemic signs of infection. There were no adverse using BIPP packs Whether or not prophylactic antibiotics were used. Xeroform packs were associated with a significantly higher incidence of adverse events compared to BIPP when using on antibiotic porphylaxis (P<0.005) or amoxycillin (P<0.005). Adverse events with Xeroform packs were abolished using ciprofloxacin and metronidazole prophylaxis. We conclude that BIPP is the mastoid dressing of choice.
Comparison of cocaine alone or with adrenaline on nasal mucosal blood flow
Authors: Porter M. J. , Marais J. , Tolley N. 
Published: November 2007

AbstractCocaine is commonly used in ENT practice for its vasoconstrictor and anaesthetic properties. It is sometimes combined with adrenaline. The laser Doppler Flowmeter was used to compare the effect of 5 per cent concaine alone or with adrenaline (1 in 1,000) on nasal mucosal blood flow.The results show an average fall in blood flow of 76.7 per cent for cocaine with adrenaline, compared to 61.2 per cent with concaine alone. The difference is significant (P<0.05). The time taken for the blood flow to fall was an average of 131 s and 160 s respectively. These differences are not significant.
Cutaneous sebaceous gland carcinoma in the postauricular region
Authors: Guneri Ataman , Ufuk Gunbay M. , Deniz Ismail , Demirdoven Kaplan 
Published: November 2007

AbstractCarcinomas of the sebaceous glands of the skin are uncommon. These tumours metastasize frequently. A case of cutaneous sebaceous carcinoma localized in the postauricular region is presented with its exceptional large size and very poor prognosis.
An assessment of the incidence of iron deficiency in paediatric otolaryngology inpatients
Authors: Heaton Judith M. , Blair Robin L. , Shadbolt Clemency , Christmas Helen 
Published: November 2007

AbstractThe aims of this study were: to determine whether there is an increased incidence of iron deficiency in paediatric otolaryngology inpatients compared with other surgical controls; and to establish whether preoperative screening of haemoglobin level is warranted in such patients.Children aged 1–10 years admitted electively for ENT surgery or for general surgical procedures had blood taken for haemoglobin level, mean cell volume and serum ferritin. Their age, weight, socio-economic class and ethnic background were recorded.A total of 100 patients entered the study, in a six-month period. The mean ages and weights for the two groups were statistically different, so allowance was made for this in calculations. Social class was not significantly different. No relationship could be established between haemoglobin level and ferritin level for individual patients. Multiple regression analysis for haemoglobin level, mean cell volume and for ferritin level showed that allowing for the age and weight differences these variables were not significantly different for the two groups.This study has therefore shown no increased incidence of iron deficiency in paediatric ENT inpatients. Each Department should formulate its own policy on pre-operative haemoglobin screening, based on local considerations.
Neuroendocrine carcinomas of the larynx
Authors: Logue J. P. , Banerjee S. S. , Slevin N. J. , Vasanthan S. 
Published: November 2007

AbstractThe clinical and histopathological characteristics of seven cases of Moderately Differentiated Neuroendocrine Carcinomas (MDNEC) and two cases of Poorly Differentiated Neuroendocrine Carcinomas (PDNEC) have been reviewed. The tumours arose in the supraglottis of predominantly elderly men. Two cases had raised levels of urinary 5-hydroxy-indole-acetic acid at presentation but no case developed the carcinoid syndrome. PDNEC were histologically identical to the oat cell type carcinoma of the bronchus and were associated with an extremely aggressive clinical course with both patients dying of widespread metastases within one month of registration. MDNEC also metastasized frequently with four of seven cases dying with widespread disease. The tumours have previously been reported as not being radiosensitive; however three cases remain free of disease following biopsy and radiotherapy alone. The place of radiotherapy in the management of these tumours is discussed.
Hamartomatous tonsillar polyp
Authors: Abu Shara K. A. , Al-muhana A. A. , AL-Shennawyi M. 
Published: November 2007

AbstractA 41-year-old male Egyptian patient presented with difficulty in swallowing, snoring, and the sensation of a lump in his throat over a long period of time. On examination, a left tonsillar polyp was seen ( 4 × 2 × 1 cm) which was pedunculated, bilobulate, with an intact surface. The polyp was excised under local anaesthesia and histopathological examination revealed an haemangiomatous hamartomatous polyp.
Ear surgery camps in Nepal and the work of the Britain Nepal Otology Service (BRINOS)
Authors: Weir Neil 
Published: November 2007

AbstractThe Britain Nepal Otology Service (BRINOS), founded as a registered charity in 1988, has so far held four ear surgery camps in Nepal, sponsored and organised a nationwide survey of the prevalence and causes of ear disease and deafness and is sponsoring a pilot scheme of primary care for ear disease. Seven thousand outpatients have been seen, 270 major and 170 minor ear operations have been performed in the four ear surgery camps.
Malignant external otitis: management policy
Authors: El-Silimy Osama , Sharnuby M. 
Published: November 2007

AbstractMalignant external otitis is a progressive pseudomonal infection of the external auditory canal and adjacent structures. In the literature there is no unified policy regarding the management of malignant external otitis. The development of an effective nuclear scanning method and antibiotics active againstPseudomonas aeruginosahave helped in formulating our management policy. A review of four years personal experience with this condition is presented. All of our cases were cured from the disease with no fatality. Gallium67citrate scans showed that antipseudomonal treatment should continue for up to three months.