bluuebunny/crossref_metadata_2025_split huggingface dataset:
CO2 laser repair of the facial nerve: an experimental study in the rat
Authors: Dort Joseph C. , Wolfensberger Markus , Felix Heidi 
Published: November 2007

AbstractThe facial nerve is often injured by trauma, infection or during the course of tumour resection. Many techniques of nerve anastomosis have been described with the current standard nerve repair using the microscope and monofilament suture. The purpose of this study was to evaluate the CO2 surgical laser as a tool for facial nerve anastomosis. Following preliminary electrical measurements 36 nerves were anastomosed using either laser or conventional monofilament suture. Laser anastomosis had neither beneficial nor detrimental effects on nerve regeneration. This method of anastomosis may be advantageous when surgical access is limited. In addition this study found that the use of CO2 laser as a dissecting or vapourizing tool in proximity to intact facial nerves results in degenerative changes.
Scleroma of the lower respiratory tract: a bronchoscopic study
Authors: Soni N. K. 
Published: November 2007

AbstractTwenty cases suffering from rhinoscleroma were studied. Bronchoscopy was performed for detection of secondary involvement of the subglottic region, trachea and bronchus. The study revealed that the larynx was involved in 40 per cent, the trachea in 20 per cent and the bronchus in 10 per cent of cases. The intranasal lesion, endotracheal and endobroncheal lesions all occur in the form of an atrophic stage, granulomatous (proliferative) stage and finally a fibrotic or scarring stage. The role of bronchoscopy in early diagnosis, initial symptomatic treatment and in follow-up is discussed in the light of the available literature.
Advancement cheiloplasty for reconstruction of floor of mouth defects
Authors: Rubin John S. 
Published: November 2007

AbstractIn many cases of carcinoma of the floor of mouth, oncologic resection includes marginal mandibulectomy. Reconstruction poses a significant challenge. Requirements include coverage with thin but supple tissue to allow for dental implant or denture, and recreation of a mobile tongue and sensate floor of mouth gutter. Reconstructive efforts have ranged from skin grafts to free flaps, with variable success in fulfilling the above-mentioned requirements.This paper describes the preferred technique of the author, in which external mandibular periosteum is saved and elevated with a submucosal flap of lower lip, raised to the level of the vermilion border. This flap is then advanced to ventral tongue. In this manner the entire anterior floor of mouth can be reconstructed.Cases are presented demonstrating different aspects to the technique.
Bing-Neel syndrome or malignant external otitis in waldenstrom's macroglobulinaemia?
Authors: Lee W. C. , Sharp J. F. 
Published: November 2007

AbstractMalignant external otitis is classically associated with insulin-dependent diabetes mellitus probably due to generalized systemic immunodeficiency (Mowet and Baum, 1971). A unique case of malignant external otitis associated with Waldenstrom's macroglobulinaemia is presented.
Alar cartilage haematoma
Authors: Meehan T. , Kaddour H. , Lannigan F. J. 
Published: November 2007

AbstractWe present a previously undescribed site of a subperichondrial haematoma – the alar cartilage. Two children presenting acutely, following trauma, with the clinical appearance of a ‘blueberry’ within the nasal vestibule are described. We recommend early surgical drainage of this lesion, as delay in definitive treatment may give rise to a cosmetic deformity.
Three cases of mycobacterial cervical lymphadenitis
Authors: Dabrowski M. T. , Keith A. O. 
Published: November 2007

AbstractThree cases of mycobacterial cervical lymphadenitis in children are presented. The diagnosis and treatment are described in brief. None of the patients were from the risk groups traditionally associated with tuberculosis. With an increasing number of tuberculosis cases reported in the UK, the need for awareness of this re-emerging condition to ENT surgeons and paediatricians is stressed.
The use of digital subtraction angiography in penetrating neck injury–a very instructive case
Authors: Pringle M. B. , Charig M. J. 
Published: November 2007

AbstractThis case report illustrates the value of intravenous digital subtraction angiography (DSA) in cases of penetrating neck injury. The debate continues between a policy of mandatory exploration of all penetrating neck wounds versus one of selective exploration with observation of the remainder. The argument for the former policy is that vascular trauma can occur without clinical signs. Whichever policy is followed a DSA provides invaluable information in strengthening the decision either not to operate or if operating which operation to perform and which approach to use. DSA is a quick, simple and safe investigation that can be carried out at any time of day or night.
Plasmacytoma of the hyoid
Authors: Goel Sanjay , Moorjani Vijay , Kulkarni Pradeep , Patange Vijay , Sharma O. P. 
Published: November 2007

AbstractA case of plasmacytoma arising from the hyoid bone is described, this is a distinctly unusual site, as the marrow-containing flat bones are more commonly affected. On a review of the literature this appears to be the first report of plasmacytoma occurring in the hyoid bone. The patient underwent a CT scan and plain radiographs. Histopathology was diagnostic.
The assessment of hearing results following surgery for otitis media with effusion using the Glasgow Benefit Plot
Authors: Tay H. L. , Mills R. P. 
Published: November 2007

AbstractThe hearing data from a sample of 73 children undergoing surgical treatment for chronic otitis media with effusion (OME) were analysed using a modification of the Glasgow Benefit Plot. All the patients had bilateral middle ear effusions confirmed at surgery. Using 20 dB average hearing level as the ‘cutoff’ point between normal and abnormal hearing, 65 (89 per cent) patients had binaural normal hearing, five (7 per cent) had monaural normal hearing and three (4 per cent) had bilateral hearing loss after surgery. However, 70 patients (96 per cent) were found to benefit from surgery. The cases with persistent hearing loss were re-examined to determine the cause of failure.
A severe form of sjogren's syndrome
Authors: Puterman M. , Fliss D. M. , Ziskind E. , Laufer L. 
Published: November 2007

AbstractSjogren's syndrome is an autoimmune disease characterized by exocrine gland destruction and manifested by parotid, submandibular and lacrimal gland infection. We report a case with recurrent severe parotid gland infections. The sialographic and CT findings are presented.
The carcinogenic risk of exposure to sulphuric acid fumes from lead acid batteries
Authors: Houghton D. J. , White P. S. 
Published: November 2007

AbstractProlonged exposure to sulphuric acid fumes is associated with an increased risk of developing laryngeal carinoma. Lead acid batteries are a potential source of these fumes. We present a case of an electric fork lift truck driver who developed laryngeal carcinoma as a result of such exposure.
Necrobacillosis – an unusual case of pharyngotonsillitis
Authors: Carrie Sean , Fenton Patricia A. 
Published: November 2007

AbstractNecrobacillosis is a potentially life-threatening septicaemic illness occurring in the previously fit and healthy. The authors illustrate a case presenting as an atypical pharyngotonsillitis with renal complications, initially misdiagnosed as poststreptococcal glomerulonephritis. Necrobacillosis should be considered in cases of unusual pharyngotonsillitis.
The localization and specificity of guinea pig inner ear antigenic epitopes
Authors: Cao Ming-Yu , Gersdorff Michel , Deggouj Naïma , Tomasi Jean-Paul 
Published: November 2007

AbstractIn this study, we investigated the relative localization of some antigenic epitopes in the inner ear. The inner ear protein antigens were extracted from various parts of the guinea pig inner ear. Brain, kidney, lung, heart and liver extracts were also obtained. We found by SDS-polyacrylamide gel electrophoresis that total inner ear extracts separated into three high concentration polypeptide bands with molecular weights of approximately 30, 42, 58 kd and three low density bands of 20,25 and 35 kd. The 30 kd band was found mainly in the extract of the spiral ganglion and the acoustic nerve in the modiolus. The 42 and 58 kd bands were detected in the extract of the spiral ligament and the stria vascularis. The Organ of Corti and the basilar membrane extract gave rise to three bands of 30,42 and 58 kd. Twenty-eight of the 75 sera from patients with inner ear disease reacted with the 30 and 58 kd bands of the inner ear protein extracts by immunoblotting. Sixteen of these 28 positive sera were then used to probe immunoblots of the brain, kidney, lung, heart and liver extracts. The 58 kd band was also found in protein extracts of the brain, the lung and the liver. This study suggests that the 30 kd antigenic epitope may be mainly related to the acoustic nerve and that the 58 kd antigenic epitope is not cochlear specific.
Efficacy of fine needle aspiration cytology in the diagnosis of tuberculosis of the thyroid gland: a study of 18 cases
Authors: Mondal Asitava , Patra D. K. 
Published: November 2007

AbstractTuberculosis of the thyroid gland is an extremely rare condition. Amongst 1565 cases of thyroid lesions subjected to fine needle aspiration cytology (FNAC) over a period of nine years, 18 cases (1.15 per cent) were found to have cytological features consistent with tuberculosis thyroiditis. Acid-fast bacilli were isolated in all cases. The ages of the patients ranged from 36 to 52 years with a median age of 46 years: there were 12 females and 6 males. All the patients presented with painless solitary nodules of the thyroid. Three patients had concomitant cervical lympadenopathy and four patients were known to have tuberculosis of the lungs which was being treated. Solitary nodules of the thyroid were confirmed by a thyroid scan with radioactive iodine. Fine needle aspirates from thyroid swellings showed epithelioid granulomas with necrosis in all cases. There were no false reports or complications.It is evident from this study that FNAC is an efficient way with which to detect tuberculosis of the thyroid gland.
Delayed extrusion of a cochlear implant: a case report of an implant extruding 21 months after the original operation
Authors: El-Nagger Mohamed , Hawthorne Maurice 
Published: November 2007

AbstractWe present a case report of a lady who received a Nucleus 22 Channel cochlear implant in July, 1992. She presented again in April, 1994 when the cochlear implant had extruded spontaneously. The possible aetiology of this extrusion, as well as the technique of surgical management, is discussed.
An unusual case of laryngeal pseudotumour
Authors: Anstey S. T. , Marais J. , Wallace W. 
Published: November 2007

AbstractA pseudotumour represents a lesion that masquerades as a malignant neoplasm. We present an unusual case where the appearance of a tumour was the result of chronic inflammation stimulated by the presence of food matter. This inflammatory reaction resulted in upper airway obstruction associated with a mass lesion and vocal fold palsy.
Penetrating laryngeal injury: two case reports from Bosnia
Authors: Banfield G. K. , Chowdhury C. R. , Brookstein R. 
Published: November 2007

AbstractPenetrating injury to the larynx is uncommon. We present two cases resulting from the recent Bosnian conflict. It is possible to achieve good laryngeal function by appropriate conservative management once the airway is secured. Progress should be monitored by repeated endoscopic examination and imaging techniques.
Intraoperative herniation of a tracheostomy tube cuff
Authors: Bar-Lavie Yaron , Gatot Albert , Tovi Ferit 
Published: November 2007

AbstractA case of intraoperative tracheostomy tube obstruction is reported. The clinical features and the chain of events leading to the diagnosis of cuff herniation are presented. The different mechanisms of herniation are discussed. In the present case we speculate that a manufacturing defect together with nitrous oxide diffusion into the cuff caused dilatation and herniation of the latter which led to obstruction of the distal tube lumen. We draw attention to this rare but life-threatening complication.
A simple technique to measure body sway in normal subjects and patients with dizziness
Authors: Roland N. J. , Smith C. A. , Miller I. W. , Jones A. S. , Lesser T. H. 
Published: November 2007

AbstractFor many years vestibular testing has relied on measurements of the vestibulo-ocular reflex (VOR). More recently quantified assessment of balance, using fixed or moving force platforms and magnetometry have been applied to clinical research. These are objective attempts to quantify the vestibulospinal reflex (VSR). This study evaluates whether SwayWeigh, a simple device which measures lateral body sway, can provide an objective assessment of balance dysfunction. Forty patients with a balance disorder and 31 subjects with normal balance were tested with eyes opened and eyes closed whilst they were standing on a flat surface and then on an air bed. The lateral sway in patients with a balance disorder was compared to that in the normal subjects and highly significant differences (p<0.0001) were observed. The results also confirmed the importance of vision and proprioception in the maintenance of posture.The Sway Weigh balance platform is a simple and economical device which objectively measures balance dysfunction.
Airway obstruction with stridor due to nasal secretions
Authors: Dingle Ann F. , Douglas-Jones A. G. 
Published: November 2007

AbstractTwo cases of non-fatal airway obstruction by nasal secretions are described. The diagnosis was made after laryngoscopy and the features which suggested this previously undescribed aetiology were: depression of conscious level: poor oral hygiene; and irregular friable mass with mucoid areas obstructing the airway. The diagnosis was confirmed by histological examination of the obstructing material which was composed of laminated fragments of squamous epithelium, keratin debris and mucus. It is suggested that these masses form in the post-nasal space and then become dislodged descending into the larynx, where they cause partial laryngeal obstruction and stridor.In patients whose conscious level is depressed and who have poor oral hygiene, nasal secretions should be considered as a cause of sudden unexplained airway obstruction and stridor.
Peak nasal inspiratory flow – the plateau effect
Authors: Clarke R. W. , Jones A. S. , Richardson H. 
Published: November 2007

AbstractTo study the efficacy of peak nasal inspiration flow (PNIF) as a means of recording change in nasal patency 20 subjects were given increasing doses of intranasal 5tometazo1ine. Nasal resistance (NR) and peak nasal inspiratory flow (PNIF) were measured in the resting stateand after each xylometazoline administration. Successive increases in dose caused a progressive decrease in nasal resistance and an increase in PNIF but the change in peak nasal inspiratory flow (PNIF) was much less. Peak nasal inspiratory flow shows a plateau effect as nasal resistance decreases. The reasons for this plateau are discussed in terms of respiratory flow mechanics
An evaluation of mucus glycoproteins in the larynges of victims of sudden infant death syndrome
Authors: Brock Christine A. 
Published: November 2007

AbstractLarynges from 24 victims of Sudden Infant Death Syndrome (.S.I.D.S.) and 10 controls, with ages ranging from two days to 24 weeks in the controls and from two toN 16 weeks in theS.1.D.S. victims, were transversely, step-serially sectioned and then stained to show acid, neutral and mixed mucus glycoproteinsThe proportion of sulphated mucus glycoprotein and sialylated mucus glycoprotein to total acid mucus glycoprotein was determined by the use of various staining techniques and a comparison was made for each type between S.I.D.S. and controls. The differences were significant with a mean of 27 per cent in the controls compared to 59 per cent in the S.I.D.S. for sulphomucin (difference 32 per cent; standard error of difference 6 per cent;p<0.01) and 73 per cent in the controls compared to 41 per cent in the S.I.D.S. larynges (difference 32 per cent; standard error of difference six per cent;p<0.01) for sialomucin. The results suggest that sulphated mucus glycoprotein is secreted in excess in some victims of Sudden Infant Death Syndrome.
Lingual thyroid: tongue-splitting incision for transoral excision
Authors: Atiyeh Bishara S. , Abdelnour Amir , Haddad Fadi F. , Ahmad Hussein 
Published: November 2007

AbstractTwo patients presenting to the Central Military Hospital of Beirut with symptomatic lingual thyroid are reported. I131 thyroid scanning revealed the lingual thyroid to be the only functional thyroid tissue present in each patient. Subsequent CT scanning demonstrated the large size of these ectopic thyroids causing significant mechanical obstruction. These were excised transorally using a posterior midline tonguesplitting incision and reimplanted in the rectus abdominis muscles.Details of this modified tongue-splitting surgical approach are described. A brief review of the literature concerning lingual thyroid and its surgical treatment is also presented as well as three patients operated on for lingual thyroid at the American University of Beirut Medical Centre between 1975 and 1994 using an external neck incision.
Benign osteoblastoma of the mastoid part of the temporal bone: case report
Authors: Khashaba Ahmad , De Donato Giuseppe , Vassallo Gabriele , Landolfi Mauro , Russo Alessandra , Taibah Abdelkader , Sanna Mario 
Published: November 2007

AbstractOsteoblastoma is a benign bone lesion that mainly affects the long bones and rarely the temporal bones. Very few cases have been reported in the literature. This paper reviews the literature, discusses the differential diagnosis, clinical presentation, and CT scan findings of such a condition and details our experience with a young patient who had a temporal bone (mastoid process) osteoblastoma.
Recurrent massive epistaxis due to traumatic intracavernous internal carotid artery aneurysm
Authors: Bhatoe H. S. , Suryanarayana K.V. , Gill H. S. 
Published: November 2007

AbstractTraumatic internal carotid artery aneurysm presenting with epistaxis is rare. Epistaxis often occurs after a delay of weeks to months following head injury. The present case had bouts of recurrent massive epistaxis nearly four months after head injury. Diagnosis was made after carotid angiography. Epistaxis ceased after ipsilateral carotid ligation.
Malignant fibrous histiocytoma of the floor of the mouth: case report
Authors: Poli P. , Floretti G. , Tessitori G. 
Published: November 2007

AbstractMalignant fibrous histiocytoma (MFH) is a common neoplasm of soft tissue. The floor of the mouth is an unusual site of origin and has not been described in the literature previously. Its rarity, aspecific clinical symptoms and complex histopathology combine to make the diagnosis difficult. The treatment of choice is wide surgical excision with adjunctive irradiation.
Eye protection during mastoid surgery
Authors: Mitchell T. E. , Courteney-Harris R. G. , Innes A. J. 
Published: November 2007

AbstractA questionnaire was sent to all Full Members of the British Association of Otolaryngologists to ascertain whether and what type of eye protection surgeons and theatre nurses wear during mastoid surgery. Despite Department of Health recommendations only 58 per cent of surgeons and 19 percent of theatre nurses routinely wear any form of eye protection.
Cryotherapy in the treatment of nasal obstruction: indications in adults
Authors: Hartley C. , Willatt D. J. 
Published: November 2007

AbstractCryotherapy is an established method of treating hypertrophic obstructive inferior turbinates. The long-term effectiveness of the technique is assessed in this study, using the need for alternative nasal surgery as an objective way of distinguishing success from failure. Over 50 per cent of patients with obstructive symptoms, including those with minor septal deviation or allergy derived lasting benefit from the technique. Cryotherapy is an effective means of treating nasal obstruction due to mucosal hypertrophy of the turbinates and may replace the need for more radical surgery.
Early diagnosis and treatment of Ramsay Hunt syndrome: the role of magnetic resonance imaging
Authors: Kuo M. J. , Drago P. C. , Proops D. W. , Chavda S. V. 
Published: November 2007

AbstractWe present the case of a 47-year-old woman with left otalgia, rotatory vertigo, sensorineural hearing loss and acute facial nerve palsy. An enhanced magnetic resonance imaging (MRI) scan showed discrete enhancement of the facial and vestibulocochlear nerves in the left internal auditory canal as well as of the labyrinth. This appearance was compatible with that in Ramsay Hunt syndrome and acyclovir was started prior to the appearance of any vesicular eruption. The diagnosis was subsequently confirmed serologically. She regained full facial function but the sensorineural hearing loss persisted. The literature pertaining to the role of the MRI in acute facial palsies is reviewed.
Variation of expression of the gene for type 2 neurofibromatosis: absence of a gender effect on vestibular schwannomas, but confirmation of a preponderance of meningiomas in females
Authors: Evans D. G. R. , Blair V. , Strachan T. , Lye R. H. , Ramsden R. T. 
Published: November 2007

AbstractType 2 neurofibnormatosis is a dominantly inherited disorder in which the great majority of sufferes develop bilateral vestibular schwannomas. In a UK study of 183 individuals from 112 families we have previously shown a fairly similare disease course within families, but quite marked inter-familial variation. We have confirmed an increase in severity when the gene is inherited from an affected mother, but evidence that women are more severely affected than men is lacking. Age at onset of symptoms, of deafness and at diagnosis are idential for the entire dataset and for a comparison of 10 male/female sibling paries. Only three out of 42 pregnancies in symptomatic women were accompanied by reversible worsening in symptoms due to vistibular schwannomas. Of 328 consecutive cases of unilateral vesitibular schwannoma, there was no significant difference in the sex ratio or size. There now appears to be little evidence for a female hormonal effect on vestibular schwannomas. However, females with type 2 neurofibromatosis have significantly more meningfiomas.
Objective measurement of the benefit of walking sticks in peripheral vestibular balance disorders, using the Sway Weigh balance platform
Authors: Nandapalan V. , Smith C. A. , Jones A. S. , Lesser T. H. J. 
Published: November 2007

AbstractFollowing a lesion in the vestibylar system visual, proprioceptive and residual vestibular information is integrated by the brain, to enable a patient ot attain equilibrium. The basis of vestibular rehabilitation is to encourage these adaptive and compensatory mechanisms. Another form of rehabilitation is to provide some form of mechanical aid, and walking sticks are often used for this purpose in patients with balance disorders.There are no reported studies objectively assessing the use of walking sticks in patients with balance disorders. In this study we used the Sway Weigh balance patform (Raymar) to determine the efficacy of a walking stick in 25 patients with peripheral vistibular balance disorders. Patience were tested with their eyes opened and eyes closed whilst they were standing on a flat surface and on an air-filled bed (to alter limb proprioeption) on the Sway Weigh balance platform. All the tests were carried out with, and without, a walking stick. The results demonstrate that a walking stick significantly reduces lateral body sway in patients with peripheral vestibular balance disorders.