bluuebunny/crossref_metadata_2025_split huggingface dataset:
Long-term results after treatment of nasal fractures
Authors: Illum Peter 
Published: November 2007

AbstractOne hundred and six patients with nasal fractures, treated by reduction in 65 percent, were seen three months and three years after the trauma. The results were compared with a normal group.Sixteen patients (15 per cent) had sustained recent nasal injuries, and another four patients had undergone correction of the nose during the follow-up period. These patients were left out of the statistical analysis, which thus comprises 88 patients.Ninety per cent were satisfied with the result, and 84 per cent reported normal passage of air. Physical examination revealed a considerable number of deformities in all groups. including the normal group. Deviation of the external nose was significantly more common in the patients than in the normals. During the follow-up period, secondary deformity—saddling or hump—developed in some cases. Most deformities were slight and of little importane to the patient. Septal deformities were present in over 50 per cent of all groups, including the normal group. There was no aggravation of septal deformities or increasing nasal stenosis during the follow-up period. There patients were interested in secondary corrective treatment.It is concluded that closed reduction of nasal fractures affords satisfactory long-term results. The study does not support the view that a large number of cases of nasal fracture should be treated by open reduction.
Monostotic fibrous dysplasia of the ethmoid Surgical treatment using a combined endocranial and transfacial approach
Authors: Gil-Carcedo L. M. , Gonzalez M. 
Published: November 2007

SummaryTwo cases of monostotic fibrous dysplasia of the ethmoid are presented. This condition is of interest to the rhinologist because of the difficulty of differential diagnosis, its location, and the frequent tendency to local recurrence. The two patients presented in this paper were aged fifteen and seven respectively, with almost iddentical lesions and with very similar x-rays. A clinical picture of each patient is given, following a brief description of fibrous dysplasia. Special emphasis has been placed on the treatment which is necessarily surgical. In both cases extensive radical surgery of the lesion was performed using a combined craniofacial approach. Finally, a brief evaluation is made of these two cases.
Nasal mucus clearance
Authors: Golhar Sanjiv 
Published: November 2007

SummaryNasal mucus clearance (N.M.C.) varies with geographical conditions. Studies on the evaluation of this important function have so far been done only in the western part of the world, but now the normal values of N.M.C. in India have been established by measuring the transportation of saccharine crystals through the nose. This has been compared with the values obtained in various diseases of the nasal and lower respiratory tracts, thus establishing the prognostic and diagnostic importance of measuring the nasal mucus clearance.
Transcannular maxillary antral biopsy with Tru-Cut needle
Authors: Ijaduola Taiwo G. A. 
Published: November 2007

SummaryA Transcannular Tru-Cut needle maxillary antral biopsy technique, which has been devised as an out-patient procedure to speed up histological diagnosis in antral disease, is here described. A trial carried out with this technique shows that the histological diagnosis reached from such biopsy specimens compares favourably with that reached from specimens taken through an intranasal antrostomy.
Neurilemmoma of the larynx: (A case report)
Authors: Takumida M. , Taira T. , Suzuki M. , Yajin K. , Harada Y. 
Published: November 2007

SummaryThe authors have treated a 61-year-old woman with neurilemmoma of the larynx. The tumour was located in the submucosal region of the arytenoid on the right side of the larynx. Surgical resection of the tumour had to be done by external neck excision instead of endoscopically.
Untreated persistent middle ear effusion
Authors: Leiberman A. , Bartal N. 
Published: November 2007

AbstractSeventy-nine children have been followed with persistent middle ear effusion (MEE). They were scheduled for myringotomy and insertion of ventilating tubes (VT). Several factors delayed elective surgery for two-and-a-half years in a closed population. After that period, the children were again examined otomicroscopically and hearing tests were performed. MEE persisted in 69 per cent of the ears, but was absent in 31 per cent. Atelectasis appeared in 26 per cent of the ears; in only a very few cases did severe atelectasis develop. Complications following delay of myringotomy and introduction of VT are minor.
Ear protection against water-borne infection: an objective evaluation
Authors: Laitakari Kyösti , Sorri Martti , Pirilä Tapio , Löppönen Heli , Helisten Laila 
Published: November 2007

AbstractEight different ear plug materials were tested, in 5 ears each, in artificial shallow underwater conditions for 30 minutes, in order to determine their efficacy in sealing the ear canals to avoid water-borne infections in ear canals and open middle ears. Most of the plugs tested would meet everyday requirements for protection, but the polymeric foam plugs, treated with petroleum jelly, and moldable plastic materials were most effective in protecting both the middle ear and the ear canal skin.
Carcinoid tumour of the larynx
Authors: Weighill J. S. , Tankel J. W. , Mene A. 
Published: November 2007

SummaryCarcinoid tumours of the larynx are extremely rare, only 13 cases having previously been reported in the world literature. A case is reported here with the unusual complication of skin metastases. The true diagnosis is seldom made on the original biopsy, which is commonly reported as poorly differentiated carcinoma. A review of the literature is made with a discussion of the histological diagnosis and treatment modalities.
Survival after surgical treatment in maxillary neoplasms of epithelial origin
Authors: Lindeman Pontus , Eklund Ulf , Petruson Björn 
Published: November 2007

SummaryDuring 1968–1979, 55 cases of epithelial neoplasms originating from the maxillary antrum were diagnosed and treated within the referral area of 1.5 million inhabitants.A majority of the patients were operated upon after pre-operative irradiation therapy (40–50 Gy). No significant difference in survival rate was found between patients operated on by total maxillectomy, including orbital exenteration, and patients subjected to partial maxillectomy. Patients with tumours not completely removed during primary surgery and patients with glandular involvement had a poor prognosis despite additional surgery and radiotherapy. The prognosis for the remaining patients was considerably better, with a 5-year survival rate of 60 per cent.
Spontaneous haemorrhage from the tonsil
Authors: Mccormick M. S. , Hassett P. 
Published: November 2007

SummaryThe presentation and management of a two-year-old child with a severe spontaneous haemorrhage from the tonsil is reported. This was shown to be associated with an acute infection of the tonsil. It is suggested that early tonsillectomy be advised in patients with this symptom.
Posterior pharyngeal wall schwannoma
Authors: Triaridis C. , Tsalighopoulos M. G. , Kouloulas A. , Vartholomeos A. 
Published: November 2007

SummaryA rare case of a schwannoma localized on the posterior pharyngeal wall is presented. It concerns a young man with an inflammatory ulcerated mass in the posterior wall of the pharynx causing severe difficulty in swallowing.Although schwannomas of the lateral pharyngeal wall are common, only one case located on the posterior wall has been described. The origin of these tumours at this particular site is thought to be the sympathetic nervous plexus of the posterior pharyngeal wall.In presenting our case, we comment on the origin of posterior pharyngeal wall schwannomas.
Tracheostoma valve for speech rehabilitation in laryngectomees
Authors: Singh Waryam 
Published: November 2007

AbstractIn the newer surgical procedures for fistula speech, finger occlusion of the tracheostoma is mandatory for speech production. This can be embarrassing as it draws attention to the patient's stoma. Finger occlusion is unhygienic and at times inconvenient. A new tracheostoma valve has been designed to eliminate the need for finger occlusion for speech. It has been evaluated clinically in nine laryngectomees, all of whom retained a good objective quality of speech similar to that obtained by finger occlusion. Vocal efficiency measurements with the valve are very encouraging. The valve is simple to use, of universal size, self-retaining, does not need any skin cleansing and obviates the need for skin adhesives to hold the valve in place.
Electrolaryngography in near-total laryngectomy with myo-mucosal valved neoglottis
Authors: Singh Waryam 
Published: November 2007

AbstractNear-total laryngectomy with myo-mucosal valved neoglottis is the most recent of the various surgical procedures for speech rehabilitation. The site and mechanism of phonatory function of the neoglottis has been investigated in eight patients by means of electrolaryngography. Results demonstrate substantial similarity in the nature of function of the neoglottis when compared with the normal human glottis.
Fluctuating hearing loss in presbyacusis
Authors: Martin F. W. , Ruckley R. W. 
Published: November 2007

AbstractThirty-six patients with bilateral symmetrical presbyacusis who reported a temporary improvement in the hearing of one ear following a Valsalva's manoeuvre were further investigated. Bone conduction and air conduction thresholds, middle ear pressure and middle ear compliance were measured before and after Valsalva's manoeuvre in the ears which had a subjective improvement in hearing following auto-inflation. Bone conduction thresholds remained unaltered in 66 per cent of ears while average air conduction thresholds varied by less than 5 decibels. Middle ear pressure was unchanged in over half the ears tested and in 81 per cent of the ears there was no change in middle ear compliance. There appears to be no simple explanation for the temporary subjective fluctuation in hearing reported by patients with presbyacusis.
Laryngoplasty: results and problems after the creation of a neoglottis
Authors: Klima A. , Ilberg C. V. 
Published: November 2007

AbstractVoice rehabilitation in the laryngectomy patient has been a major goal of reconstructive laryngeal surgery. 36 patients underwent laryngectomy with the creation of a phonatory neoglottis as outlined by Staffieri. In 13 patients good voice rehabilitation was achieved. In 23 patients who failed to develop voice production, altered swallowing function was the major problem.
Chondrosarcoma of the epiglottis
Authors: Kasanzew Maria , John D. G. , Newman P. , Lesser T. J. H. , Thomas P. L. 
Published: November 2007

SummaryMalignant cartilaginous tumours of the larynx are very rare, and usually arise from the cricoid cartilage. We report the first documented case of a chondrosarcoma of the epiglottis. The diagnosis, histology and treatment of these tumours are discussed.
Thyroid cartilage at the suprasternal notch with low situated thyroid gland
Authors: Soliman Soliman M. 
Published: November 2007

AbstractThe thyroid cartilage and thyroid gland forming a lump at the suprasternal notch is a surprising congenital anomaly which I believe has not been previously reported.A case with co-existent low hyoid bone, pharyngo-oesophageal junction and intrathoracic cricoid cartilage with no cervical trachea is presented. Its pathogenesis is suggested and its surgical importance is discussed.
Prospective management of malignant hyperthermia in the otolaryngological patient
Authors: Wackym Phillip Ashley , Abdul-Rasool Imad H. 
Published: November 2007

AbstractMalignant hyperthermia (MH) is a seemingly rare genetic myopathy. Hypermetabolic crises accompanied by a rise in body temperature to as high as 44°C are its hallmark. These are usually triggered by potent inhalation anesthetics or depolarizing muscle relaxants. Because of the extraordinary risk of death in patients who are at risk, otolaryngologists may be reluctant to operate on these patients. Ten such patients undergoing tonsillectomy and adenoidectomy, myringotomy with ventilation tube insertion, and nasal polypectomy were anesthetized with nitrous oxide, barbiturates, opiates, tranquilizers and non-depolarizing muscle relaxants without complication. The patients were not treated prophylactically with dantrolene. Cardiac monitoring and rectal temperatures were followed. All ten patients had vastus lateralis muscle biopsy performed and subsequent caffeine/halothane contracture studies completed. The contracture study was positive in eight out of the patients studied. No anesthetic or surgical complications were encountered. This study demonstrates that patients at risk of developing MH crisis can have otolaryngologic procedures performed safely while undergoing appropriately selected general anesthesia.
An unusual posterior cranial fossa tumour causing hearing loss
Authors: Pace-Balzan A. , Ramsden R. T. , Lye R. H. , Jenkins J. P. R. 
Published: November 2007

AbstractClivus meningioma is an uncommon tumour arising from the region of the synchondrosis between the basal portions of the sphenoid and occipital bones. We report a case of a patient with a large meningioma of the clivus whose presenting symptom was auditory change. Alteration of hearing is a rare mode of presentation for such a tumour although it may present at a later stage in about 50 per cent of cases. The discrepancy between the size of the tumour and the paucity of physical findings, the value of a multiple test auditory screening strategy, and the surgical approach in this case are discussed.
Glomus jugulare or tympanicum?
Authors: Phelps P. D. , Stansbie J. M. 
Published: November 2007

AbstractSmall chemodectomas in the middle ear cavity can be recognised by otoscopy, but only radiology will show i f the jugular bulb is involved. This assessment can be difficult, but largely governs the surgical approach. Magnetic resonance is a valuable adjunct to CT, providing some tissue characterisation. The relative value of various imaging techniques is discussed.
The value of Politzerization in the treatment of atelectatic ears
Authors: Luntz M. , Sadé J. 
Published: November 2007

AbstractThe value of Politzerization as a method of treatment in atelectatic ears and secretory otitis media is controversial. In some places it has been used routinely for decades, in others it has been almost forgotten. A quantitative study of its therapeutic value has been difficult to find.The present study is an attempt to evaluate the therapeutic value of such an ‘air douche’ in atelectatic ears. Thirteen middle ears with atelectasis were Politzerized daily with air or N2for up to five consecutive days. Once Politzerized, the atelectasis and retraction pockets disappeared in all the ears examined. However, continuous observation of the Politzerized ears with the surgical microscope revealed that all the ear drums returned swiftly to their retracted position. The time it took for a drum to return to its original place varied from 15 minutes up to a maximum of 335 minutes. Our observations show that even an increased number of Politzerizations did not alter the speed of reappearance of the atelectasis. It would therefore seem that the therapeutic value of Politzerization in atelectatic ears is doubtful.
Nasal mucosal blood flow in patients with diabetes mellitus
Authors: Löth S. , Löth A. , Bende M. 
Published: November 2007

AbstractFifty patients with diabetes mellitus of varying duration were divided into two groups according to whether they were on treatment with insulin or not. Nasal mucosal blood flow was investigated and the results were compared with a reference material from healthy subjects, and were also related to the degree of retinopathy. Patients with diabetes mellitus had normal mucosal blood flow. There was no correlation between the duration of diabetes and nasal blood flow, nor was there any correlation between the degree of retinopathy and nasal blood flow. Diabetes mellitus does not seem to be accompanied by changes in blood flow in the nasal mucosa.
Septic cavernous and lateral sinus thrombosis
Authors: TveteråS K. , Kristensen S. , Dommerby H. 
Published: November 2007

AbstractThe incidence of both lateral and cavernous sinus thrombophlebitis has been significantly reduced in the antibiotic era. Since septic cavernous sinus thrombosis (CST) is mainly a complication of facial abscesses and septic lateral sinus thrombosis (LST) is almost invariably due to chronic otitis media, both conditions are of clinical relevance to the otolaryngologist.The predominant bacterium in septic CST isStaphylococcus aureuswhereas in septic LST the bacteriology is very similar to that found in chronic otitis media. The diagnosis of septic CST can be established in most cases after thorough clinical examination, and contrast computerized tomography (CT) using the coronal projection usually confirms the clinical diagnosis. The signs and clinical course of septic LST are non-specific and the final diagnosis rests upon radiological investigations including CT-scan. The treatment of both conditions consists of broad-spectrum antibiotics, including beta-lactamase resistant penicillin in cases of septic CST. Most cases of septic LST also require surgical intervention.Two cases oi septic intracranial sinus tiuombosis ate presented. The need for early diagnosis and treatment of this potentially lethal condition is emphasized.
Mandibular pathology presenting as a parotid tumour
Authors: Ling Jennifer , Barnard David 
Published: November 2007

AbstractSwelling in the parotid region is often the presenting sign of a tumour of salivary gland origin. However, the possibility of disease involving adjacent structures must always be considered. Three cases are presented where pathology of the mandibular ramus presented as swelling in the parotid region. A clinical diagnosis of a parotid tumour was made, parotidectomy scheduled, and in two cases carried out before the correct diagnosis was reached. Difficulties of differential diagnosis are discussed, and imaging techniques reviewed. The value of plain radiographs of the adjacent hard tissues is emphasised. Careful interpretation should be based on a sound understanding of pathology of the jaws.
Fine needle aspiration cytology in the management ENT of patients
Authors: Smallman Lesley A. , Young Jennifer A. , Oates J. , Proops D. W. , Johnson A. P. 
Published: November 2007

AbstractAspirates were obtained from 142 masses in 120 patients who presented with palpable swellings in the head and neck region. 120 specimens (84.51 per cent) were adequate for diagnostic purposes and the remaining 22 (15.49 per cent) were unsatisfactory. Final diagnosis was based on resection histology in 87 cases and close clinical follow-up in 55 patients. The overall sensitivity and specificity including unsatisfactory aspirates was 81.37 per cent and 93 per cent respectively (if the technically inadequate specimens were deleted 98.81 per cent and 94.44 per cent). In comparison with the final diagnosis typing of malignant tumours was possible in 58.33 per cent. The correct diagnosis was made in 63.89 per cent of benign lesions.
BERA in the diagnosis of deafness in children: A retrospective survey of its use in a general hospital
Authors: Purmessur M. N. S. , Singh R. S. 
Published: November 2007

AbstractBrainstem Evoked Responses have been used in the Audiology Unit in Crosshouse Hospital since it opened in 1984, and have now come to form a vital asset in our assessment and diagnosis of the hearing threshold in children. This particular survey is a retrospective study of the BERA used in determining the hearing threshold in children. The survey has been limited to the BERA performed on children from January, 1985 until December, 1986.
Parental smoking and middle ear effusions in children
Authors: Hinton A. E. , Buckley G. 
Published: November 2007

A study was conducted on seventy children to ascertain any relationship between parental smoking and the presence of middle ear effusions in the children.Information was collected using a questionnaire, clinical examination and audiological tests. Both groups of children (with and without effusions) has similar age, sex and social class distributions.It was found that the presence of middle ear effusions in the children was associated with an increased incidence of parental smoking. Those children with an abnormal tympanometry result were more likely to have at least one parent who smoked than those with normal tympanometry results. There was no relationship between resolution of the effusion and parental smoking.It is therefore suggested that as part of the management of this condition parents should be advised of the effects of smoking on the condition and encouraged to avoid smoking in the same environment as their children.
Recurrent respiratory papillomatosis: A 10 year study
Authors: Benjamin Bruce , Parsons David S. 
Published: November 2007

AbstractSixty cases of recurrent respiratory papillomatosis in both children and adults treated over a 10 year period were reviewed. An unexpected finding was that nine of the 60 patients (15 per cent) had symptoms by two months of age; an earlier onset than previously described. The control rate was 66 per cent for paediatric onset patients and 44 per cent with adult onset; the former required more operations. No anaesthetic deaths or complications were encountered. Glottic webs were the only surgical complication. The findings confirm that there is no relationship between puberty and the rate of control of recurrence. The necessity for precise and comprehensive endoscopic examination of the upper aerodigestive tract using a range of endoscopes and rigid telescopes under general anaesthetic is emphasized.
Teratoma of the mastoid region in a newborn
Authors: Talmi Y. P. , Sadov R. , dulitzky F. , Finkelstein Y. , Zohar Y. 
Published: November 2007

AbstractTeratomas are congenital tumours arising from pluripotent cells and usually consisting of tissue arising from all 3 embryonic germ layers. Teratomas are quite uncommon in head and neck sites and to date only 150 such cases have been reported. A rate case of teratoma of the mastoid region in a newborn is reported. The methods of diagnosis and treatment are discussed and the literature is reviewed.
Correlation of the sinoscopic appearance of the maxillary antrum with histological and bacteriological findings
Authors: Smith M. C. F , Cable H. R. 
Published: November 2007

AbstractAssessment of the maxillary antral mucosa in chronic sinusitis prior to surgery is notoriously difficult. Sinoscopy using a Hopkin's rod system is proving increasingly popular. The accuracy diagnosis of mucosal disease by this means in 26 antra is here correlated with histological evidence of inflammation and bacteriological evidence of infection in antral mucosal biopsies. It is shown that the surgeon's assessment of the mucosal appearance correlates well with the histology and bacterial culture. Absence of mucopus or bacterial growth on culture did not indicate absence of disease.
Topical nasal steroids in non-atopic perennial rhinitis; subjective symptom scores and objective measurement of nasal resistance by active anterior rhinomanometry
Authors: Jones N. S. , Kenyon G. S. 
Published: November 2007

AbstractWe present a study of 22 patients with perennial non-atopic rhinitis who have been treated with a course of topical beclomethasone diproprionate (Beconase). All subjects were skin-test negative for the common inhaled allergens and had normal total and specific IgE levels. The results of treatment were assessed by symptom scoring and by active anterior rhinomanometry, and are compared to measurements of resistance made in 22 untreated controls and an equal number of normal volunteers.