bluuebunny/crossref_metadata_2025_split huggingface dataset:
Bilateral chylothorax following left radical neck dissection (Case report)
Authors: Pace-Balzan A. , Moriarty B. 
Published: November 2007

SummaryBilateral chylothorax is a rare complication of radical neck dissection and was first described in 1907. Stuart (1907) reviewed a number of patients with injuries to the thoracic duct in the neck and reported on three patients with bilateral chylothotax, all of whom died. The condition was not reported again until 1951 when the first of the five single case reported published to date appeared. The rarity with with which this complication is reported makes it difficult for clinicians to be familiar with it. A further case is reported and the relevant literture, and certain aspects of the aetiology and management are discussed.
The surface morphology of the endolymphatic sac of the Mongolian gerbil (Meriones unguiculatus) (A scanning electron microscopic study)
Authors: Barbara Maurizio , Rask-Andersen Helge , Bagger-Sjöbäck Dan 
Published: November 2007

A scanning electron microscopic study of the endolymphatic sac of the mongolian gerbil is presented. As described in other animal species and in man. three rather distinct regions on the epithelial surface can also be recognized in this rodent. Light and dark cells are seen to line the sac epithelium throughout. At the level of the intermediate portion, however, a different cell-type—the granular cell—is present, with its luminal surface covered by large amounts of solid material.On the basis of light and transmission electron microscopic studies presented elsewhere, a higher degree of functional specialization in this portion of the gerbilline sac is proposed.
Intratemporal Vascular Tumours
Authors: Mazzonial A , Pareschial R , Calabresea V 
Published: November 2007

AbstractHemangiomas of the temporal bone are uncommon benign tumours, occurring most frequently at two sites: the internal auditory meatus (IAM) and the geniculate ganglion.In this paper the authors discuss the pathology, clinical onset and features, and the therapeutic management of two of these lesions. A review of the literature is also presented, paying attention to the controversy regarding the origin, pathogenesis and histologic classification of this rare lesion of the temporal bone
Facial cutaneous fistula due to a foreign body in Wharton's duct
Authors: Shem Tov Y. , Talmi Y. , Zohar Y. , Laurian N. 
Published: November 2007

AbstractAn extremely rare case of a cutaneous fistula of the submandibular salivary gland is presented. The etiology of the fistula was a foreign body in Wharton's duct.We describe the clinical course, management and histo-pathological findings.
Scrofula revisited
Authors: Talmi Y. P. , Finkelstein Y , Shem Tov Y , Zohar Y , Laurian N 
Published: November 2007

Mycobacterial cervical lymphadenitis, or scrofula, is a disease dating back thousands of years.In spite of modern treatment and public health measures, scrofula persists but is infrequently seen.Five patients with cervical tuberculous lymphadenitis as a sole presentation have been seen in our department in the last 10 years.The clinical presentation and current methods of diagnosis and treatment are described.A short historical review is given.
Traumatic perilymphatic fistulae of the lateral semicircular canal
Authors: Yaniv Eitan , Traub Phillip 
Published: November 2007

AbstractFifteen patients with perilymphatic fistulae were evaluated. Of these patients, three had CSF leaks in addition to the perilymphatic fistulae. Eight patients had fistulae of one or both windows; two had fistulae confined to the lateral semicircular canal; and two had combined fistulae of both round window and lateral semicircular canals. All improved dramatically following surgical repair.In the following study, we have shown that perilymphatic fistulae can occur in the lateral semicircular canal, and we suggest exploration of this area when indicated.
An inverted papilloma with intracranial extension
Authors: van Olphen A. F. , Lubsen H. , van 'T Verlaat J. W. 
Published: November 2007

SummaryInverted papilloma can be found in the lateral wall of the nose, the ethmoidal sinus, the maxillary sinus, the sphenoidal sinus and the frontal sinus. To our knowledge there are no reports of papillomas with intracranial extension. This case report describes the history of a patient with long-standing inverted papillomas, which eventually grew intracranially. The treatment of this patient and the treatment of inverted papilloma in general are discussed.
Wax plugs and cotton buds
Authors: Sim David W. 
Published: November 2007

AbstractThree hundred and ten patients were examined by otoscopy. Age, sex, social class and use of cotton buds for-aural toilet were recorded. The incidence of visually occlusive wax plugs in the external auditory canals was not significantly different between users and non-users of cotton buds, either in children or in adults.
Septoplasty and/or submucous resection?
Authors: Fjermedal O. , Saunte C. , Pedersen S. 
Published: November 2007

AbstractInformation obtained from the case-records and completed questionnaires from 478 patients operated in the 5-year-period 1980 through 1984 with either septoplasty or submucous resection (SMR), has been analysed on an average 31 months after surgery. Two hundred (42 per cent) underwent SMR and 278 (58 per cent) septoplasty. Twenty per cent presented for a clinical follow-up examination. Of the 478 patients, 63 per cent were satisfied. More patients were satisfied with the functional results after septoplasty, which also resulted in fewer and smaller perforations than SMR. Septoplasty ought to replace the latter as the routine procedure. 10 per cent had troublesome crusting independent of the technique used. Change in the external shape of the nose is a minor problem for the patients, and was not regarded as an indication for re-operation. Patients with allergic rhinitis may undergo septal surgery on general lines.
Benign metastatic mixed tumours or unrecognized salivary carcinomas?
Authors: El-Naggar A. , Batsakis J. G. , Kessler S. 
Published: November 2007

Abstract‘Benign metastasizing mixed tumours’ are enigmatic lesions of the parotid gland. The authors, through the illustrations of a case and review of the literature, conclude that the tumours are unrecognized and currently unclassified malignancies.
Melanoma metastatic to the head and neck
Authors: Harries M. L. L. 
Published: November 2007

AbstractA 42-year-old man presented with a two-week history of right-sided otalgia, deafness and nocturnal tinnitus. Examination revealed a black mass on the posterior meatal wall. Two years before presentation, he had a malignant melanoma removed from the left hip region. Biopsy of the lesion in the posterior canal wall and another which had developed within two weeks on the anterior wall, confirmed metastatic disease. Treatment with radiotherapy and later chemotherapy were unsuccessful and the patient died 15 months later.
Prognostic factors in otitis media with effusion
Authors: Robinson P. M. 
Published: November 2007

AbstractTo determine which factors were associated recurrence of ottitis media with effusion following grommet insertion, the casenotes of 323 who had a total of 485 operations for grommet insertion were reviewed. The incidence of repeat surgery was higher in those aged between four and six years, in those having grommet insertion between the months of July and October and in those cases in which the grommet was extruded within six months. Recurrence was not related to sex of patient, month of listing for surgery, adenoidectomy, tonsillectomy, length of time on the waiting list or past history of previous grommet insertion.
Acute epiglottitis in adults
Authors: Stanley R. E. , Liang T. S. 
Published: November 2007

AbstractAcute epiglottitis in adults is a potentially fatal but self-limiting disease of increasing incidence world-wide.Forty-two patients, seen consecutively over a four year period at the ENT Department, Singapore General Hospital were reviewed retrospectively.A strong male predominance with a peak age incidence in the sixth decade was noted. A severe sore throat and dysphagia with disproportionate signs of oropharyngeal inflammation was the main presenting picture. Only three patients had stridor on presentation. Vigilant monitoring of the airway with empirical high-dosh intravenous amicillin, cloxacillin and steroids resulted in a dramatic clinical improvement in most patients and none developed stridor after admission. The yield from throat swabs and blood cultures were low. Two patients developed complications, a Ludwigs angina and an epiglottic abscess. Recurrent epiglottistis was a problem in one patient.There was low morbidity and no mortality on the management regime outlined.
Osteopetrosis (marble bone disease)—agenesis of paranasal sinuses
Authors: Paulose K. O. , Al Khalifa Salman , Shenoy P. K. , Harris S. , Sharma R. K. 
Published: November 2007

AbstractA case of Osteopertrosis (Marble Bone Disease) in a child is presented. Agenesis (non-pneumatization) of all paranasal sinuses has been one of the salient features in this case.
Tumefactive fibroinflammatory lesion of the head and neck
Authors: Said H. , Razi hadi A. , Akmal S. Noor , Lokman S. 
Published: November 2007

AbstractThe term tumefactive fibroinflammatory lesion is used to describe an unusual fibrosclersing disorder that behaves in a malignant way clinically but is histologically benign. Lesions in the head and neck are believed to be part of the broader fibrosclerosing syndrome which include pseudotumour of the orbit, Reidel's thyroiditis, sclerosing cholangitis and mediastinal fibrosis. Clinical diagnosis is often difficult and relies heavily on histopathology. Steroid is suggested as the first line of management, while surgery or radiation therapy is reserved for failures.
Primary hyperparathyroidism presenting with a maxillary tumour and hydrocephalus
Authors: Robinson P. J. , Woodhead P. 
Published: November 2007

AbstractPrimary hyperparathyroidism presenting with advanced bone disease is an important differential diagnosis of ‘tumours’ affecting the craniofacial skeleton. We describe a case of primary hyperparathyroidism presenting with a brown tumour of the maxilla causing local symptoms.Differentiation from other giant cell lesions of the maxilla is necessary. The histological and radiological features of brown tumour, non-ossifying fibroma and reparative granuloma are all similar. Differentiation relies on plasma calcium estimation and the diagnosis of hyperparathyroidism is confirmed by serum parathyroid hormone assay.
Clinical role of informal tests of hearing
Authors: Browning G. G. , Swan I. R. C. , Chew K. K. 
Published: November 2007

AbstractClinical tests of hearing are regularly used in adults but their role, now that pure-tone audiometry is almost universally available, has not been evaluated by modern methods of analysis including sensitivity and specificity.Free-field voice testing was carried out in 101 patients and the Rinne tuning-fork test in a different group of 127 patients prior to clinical or audiometric evaluation. The results were subsequently compared to air and bone conduction pure-tone thresholds assessed using rigorous standards.Depending on the audiometric definition as to what constitutes a hearing impairment, the sensitivity of free-field voice testing to identify such an impairment because of an inability to hear a whispered voice at two feet (60 cm.) was 86 per cent or better with the specificity being in the region of 90 per cent.In the Rinne test the 256 Hz fork was superior to the 512 Hz fork (p<0.05) and the loudness comparison method superior to the threshold decay method (p<0.01) in detecting an air-bone gap. Combining the responses to the two forks did not improve the results. The Rinne test with the 256 Hz fork will identify correctly 48 per cent of individuals with a 15 dB, 69 per cent with a 20 dB, 87 per cent with a 25 dB, and 95 per cent with a 30 dB conductive impairment. In all instances the specificity is greater than 90 per cent.
Does severe water deprivation affect the inner ear?
Authors: Barbara M. , Bagger-Sjöbäck D. , Rask-Andersen H. , Filipo R. 
Published: November 2007

AbstractThrough an ultrastructural study of the endolymphatic duct (ED) and sac (ES) system, the effects of an impaired body fluid metabolism on the inner ear fluid environment in the mongolian gerbil has been evaluated. A dehydrative state has been determined depriving of water for both five and twelve days this desert animal, which is known to withstand long periods of water abstinence. The morphological changes of the ED and ES under these circumstances have been compared with those induced by ethacrynic acid intoxication. Although the cochlear partition did not show signs of damage, the ED and ES system seems to be negatively influenced by the dehydrative state and displays a marked imbibition of the subepithelial tissue, which at places shows accumulation of an organic matrix.A regulating role for the antidiuretic hormone on the inner ear fluids of the mongolian gerbil is also proposed and discussed.
Mycotic infection of the ear (otomycosis): A prospective study
Authors: Paulose K. O. , Khalifa S. Al , Shenoy P. , Sharma R. K. 
Published: November 2007

AbstractOtomycosis (fungal infection of the ear) is a not uncommon clinical problem encountered in our ENT practice. It makes up to 6 per cent of all patients with symptoms of ear disease seen in the Outpatient Clinic. Of the 193 patients with a clinical diagnosis of otomycosis, 171 cases produced positive fungal isolates. In this study Aspergillus species (niger and fumigatus) have been the most common fungal pathogens. Various aetiopathological factors have been examined in detail, and the available literature reviewed. The results of the treatment by nine antifungal agents currently available in Bahrain have been analysed.
Validity of tympanometry in cases of confirmed otosclerosis
Authors: Muchnik C. , Hildesheimer M. , Rubinstein M. , Gleitman Y. 
Published: November 2007

AbstractThe otoadmittence or impedance measurements are common procedures in the diagnosis of middle ear pathologies. The present study was undertaken for the purpose of studying the clinical validity of static admittance values in 42 confirmed otosclerotic ears. For both 220 Hz and 660 Hz probe tones only one third of the otosclerotic ears had low admittance values, as expected. The remainder showed admittance values in the normal or high ranges. No significant correlation was found between air bone gap (ABG) and the admittance values.
Bone pâté repair of the eroded incus
Authors: Solomons N. B. , Robinson J. M. 
Published: November 2007

AbstractThe authors report on a series of 25 patients who, in the process of undergoing tympanoplasty, were noted to have erosion of the long process of the incus. This was rapaired with bone pâté in an attempt to restore ossicular continuity. The methods and results are presented and the prospects for the future are discussed.
Evaluation of recent experience in hypoglossal-facial nerve anastomosis in the treatment of facial palsy
Authors: Clayton M. I. , Rivron R. P. , Hanson D. R. , Fenwick J. D. 
Published: November 2007

AbstractThis evaluation of recent experience of hypoglossal-facial nerve anastomosis in ten patients who had undergone acoustic neuroma resection, indicates that this procedure may have a role to play in the treatment of this disfiguring condition. Facial symmetry at rest is satisfactory in the majority of patients, who suffered little long term deficit from the loss of their hypoglossal nerve. This procedure is ideally suited to otolaryngological practice.
Recurrent meningitis associated with meningioma of the mastoid cavity
Authors: Kelleher R. J. , Murray J. A. M. , Welsby P. D. 
Published: November 2007

AbstractA 53-year-old female patient who presented with recurrent meningitis as a result of a meningioma, is reported. The meningioma was found to be wholly contained within the left mastoid antrum. To our knowledge this is the first reported case of a meningioma localised to the mastoid antrum. The patient had been assessed in the ENT department on two separate occasions, 17 years and 19 years previously for nebulous symptoms related to the left ear which had cleared spontaneously. Following a second episode of pyogenic meningitis, both of which were associated with aural symptoms, radiological examination suggested an intramastoid pathology which prompted mastoid exploration. Histological examination of the mass confined to the mastoid antum provided the diagnosis of meningioma. There was no clinical or radiological evidence of extratemporal spread of tumour.
Facial nerve recovery after acoustic neuroma removal
Authors: Moffat D. A. , Croxson G. R. , Baguley D. M. , Hardy D. G. 
Published: November 2007

AbstractA retrospective analysis of 76 patients who underwent acoustic neuroma removal is reported. Facial nerve function prior to surgery and tumour size are assessed with respect to final facial nerver recovery and the need for surgical rehabilitation. Both pre-operative facial weakness and tumour size greater than 2.5 cm. are shown to be predictive factors of poor facial nerve recovery. Multiple surgical rehabilitative procedures are often required when inadequate function and/or cosmetic results are obtained. Primary nerve repair and facial-hypoglossal anastomosis give better rehabilitative results than dynamic and static procedures. The association of tumour size greater than 2.5 cm. with increased risk of poor facial recovery re-emphasizes the need to detect and remove acoustic neuromas at an early stage.
Chronic aspiration and laryngeal competence
Authors: Bevan K. , Griffiths M. V. 
Published: November 2007

AbstractAspiration into the lower respiratory tract can be detrimental to life. Ten patients, suffering from neurological dysphagia with aspiration, were studied. Neurological disorders can cause inadequate glottic closure resulting in aspiration. It has not been well recognized however, that even patients who have full glottic closure are still capable of aspirating in the pre- and post-deglutition stages of swallowing. The combined techniques of videofibrolaryngoscopy and videofluoroscopy are found to be the best methods for demonstrating these abnoralities. Development of new techniques, in the prevention of aspiration, should also take into account silent, pre- and post-deglutitional aspiration.
Metastatic bone marrow involvement from supraglottic squamous cell carcinoma
Authors: Toner G. C. , Thomas R. L. , Schwarz M. A. 
Published: November 2007

AbstractA case of an aggressive supraglottic squamous cell carcinoma, which was managed with neo-adjuvant chemotherapy and radical surgery, is described. The post-operative course was of rapid deterioration and death due to progressive metastatic disease involving bone marrow and liver. This is the first reported case of bone marrow infiltration by squamous cell carcinoma of the head and neck diagnosed ante-mortem. The incidence and pattern of metastatic disease from head and neck tumours is reviewed, and the importance of initial staging in determining the risk of distant metastatic disease is emphasised.
Bacteriology of otitis media with effusion
Authors: Sriwardhana K. B. , Howard A. J. , Dunkin K. T. 
Published: November 2007

AbstractA study was undertaken to evaluate the prevalence and antibiotic susceptibility of bacteria present in the middle ear of patients with otitis media with effusion. Middle ear effusions (MEE), nasopharyngeal and throat swabs were obtained at operation and cultured for aerobic and anaerobic bacteria. Two hundred and fifty-nine effusions were obtained from 152 subjects examined.Haemophilus influenzaewas isolated from 32 (12.3 per cent) effusions.Streptococcus pneumoniaefrom seven (2.7 per cent),Staphylococcus aureusfrom seven (2.7 per cent), Branhamella catarrhalis from one (0.4 per cent)—Group A β haemolytic streptococci from one (0.4 per cent) andStaphylcoccus epidermidisfrom three (1.9 per cent). The occurrence of respiratory pathogens in MEE reflected their prevalence in the upper respiratory tract. Significantly fewer children who had received antibiotics prior to surgery had organisms present in the MEE. Eight and a half per cent ofH. influenzaeand 64 per cent ofB. catarrhaliswere resistant to ampicillin. The present study confirms that bacteria are present in the middle ear in a significant number of patients with otitis media with effusion.
Cerebrospinal fluid in the rhinitis clinic
Authors: Brockbank M. J. , Veitch D. Y. , Thomson H. G. 
Published: November 2007

AbstractThe Rhinitis Clinic at the Royal National Throat Nose and Ear Hospital is a direct referral clinic dealing with approximately 300 new cases a year. Last year three cases of spontaneous CSF rhinorrhoea were liagnosed. In each case long term topical steriod sprays had been prescribed and the patients had been eferred for further management of their ‘rhinitis’. Spontaneous CSF rhinorrhoea is potentially life hreatening as failure to recognize the problem may lead to the development of meningitis and possibly death. The diagnosis is simple and is based on a good clinical history which may be confirmed by chemical pathology. Radiology is often non-contributory, the site of the leak may have to be identified at surgery. Morbidity and mortality are reduced if an extracranial, trans-nasal/external ethmoid route for repair of the istula is employed.Three case reports are presented and the diagnosis and management of CSF rhinorrhoea is reviewed.
Psychogenic stridor
Authors: Skinner D. W. , Bradley P. J. 
Published: November 2007

AbstractObstruction of the laryngeal airway is a life threatening problem due normally to obstructive pathology within the upper aero-digestive tract. We describe four cases of laryngeal stridor (two adults and two children) of psychogenic origin, one of which required a tracheostomy. The literature is reviewed and the subsequent pattern of this disease documented on the basis of 28 patients previously described.
Eyelid necrosis complicating acute maxillary sinusitis
Authors: Hill J. , Alun-Jones T. 
Published: November 2007

AbstractOrbital cellulitis is a well recognized complication of paranasal sinusitis. Fearon et al. (1979) reviewed 6,770 cases of sinusitis, of which only 159 had orbital cellulitis. We report a case in which orbital cellulitis progressed to necrosis of the eyelids. This was treated by desloughing and split skin grafting.
Dermoids (‘hairy polyps’) of the oro-nasopharynx
Authors: McShane D. , El Sherif I , Doyle-Kelly W , Fennell G , Walsh M 
Published: November 2007

AbstractDermoids, or hairy polyps, are rare lesions affecting the head and neck region. To date approximately 120 cases have been recorded. They arise during early embryogenesis and are invariably benign. Unlike the more differentiated types of teratoma, hairy polyps are derived from only two germinal layers, ectoderm and mesoderm. Most originate in the oro-nasopharyngeal region, either as pedunculated or sessile masses. They usually present at, or soon after, birth with signs of upper aerodigestive tract obstruction. Treatment consists of surgical removal. In young children with airway compromise, the expertise of an experienced paediatric anaesthetist is essential.Three new cases of hairy polyp are described to add to the present literature. Two originated in the nasopharynx and one in the oropharynx. Interestingly, one patient, a neonate, also suffered from severe osteopetrosis. All lesions were removed by simple surgical excision under general anaesthesia. There were no operative or post-operative complications.