bluuebunny/crossref_metadata_2025_split huggingface dataset:
Metastatic renal carcinoma to the parotid gland
Authors: Günbay M. U. , Ceryan K. , Küpelíjogülu A. A. 
Published: November 2007

AbstractA case of renal carcinoma metastatic to the left parotid gland is presented. A 60-year-old male patient developed a painful mass in his left parotid region one and a half years after he had undergone a left nephrectomy operation for renal carcinoma. The mass was excised surgically. The histopathological diagnosis was metastatic renal carcinoma. From a review of the literature, it is apparent that unlike most of the cases reported, this one had a very aggressive nature. The clinical presentation of the metastasis, and the factors determining the prognosis in cases of metastatic renal carcinoma to the head and neck are discussed.
Airgun pellet injuries of the neck
Authors: Cook J. A. , Dawkins R. S. 
Published: November 2007

AbstractPenetrating injuries of the neck are a cause of retropharyngeal abscess. Should a foreign body become lodged in the retropharyngeal tissues its removal may avoid this complication, but surgery can in itself be hazardous. Between 10 and 15 per cent of cases of retropharyngeal cellulitis resulting from whatever cause do not progress to abscess formation if treated conservatively. Consequently, it is important to have evidence of abscess formation before surgery is undertaken, as illustrated by this paper in the form of a case report and a review of the current literature.
Round window reflex and oval window fistulae
Authors: Grewal D. S. 
Published: November 2007

AbstractThe round window reflex is normally absent in stapedial fixation. In this study, six cases of oval window fistula are described in which the round window reflex was absent. This is probably because there is insufficient pressure transmitted to the round window membrane through the perilymph because of leakage from the oval window. This is considered as an important diagnostic sign of oval window/stapes footplate ligament disruption.
Surgical reduction of the inferior turbinate in children: extended follow-up
Authors: Thompson A. C. 
Published: November 2007

AbstractThe effectiveness and safety of surgical reduction of the inferior turbinate was assessed in 22 children of 15 years and below. All were interviewed and assessed by means of a questionnaire seven to 51 months post-operatively. Sixty-eight per cent of the children reported a sustained improvement in their nasal airway. There were no significant post-operative complications in this series. In particular there were no cases of serious post-operative haemorrhage, excessive dryness or crusting of the nose. It is concluded that surgical reduction of the inferior turbinate is a safe and effective option in the treatment of children with severe nasal obstruction.
Can post-tonsillectomy pain be reduced by topical bupivacaine? Double blind controlled trial
Authors: Violaris N.S. , Tuffin J.R. 
Published: November 2007

AbstractA double blind controlled prospective trial investigated the analgesic effect of topical Bupivacaine in 15 adult patients undergoing bilateral tonsillectomy. Each patient had one tonsillar fossa exposed to Bupivacaine 0.5 per cent solution and the other to normal saline. When visited four to six hours post-operatively, 12 out of 15 patients (80 per cent) stated that the Bupivacaine exposed side to be more uncomfortable than the saline exposed side. On the first post-operative mornning 9 out of 15 patients (60 per cent) confirmed the same. The remaining patients were unable to detect a significant difference and no patient found the Bupivacaine side to be more comfortable.These results suggest that topical Bupivacaine 0.5 per cent solution has no place in providing post-operative analgesia in adult tonsillectomy.
Metastatic squamous cell carcinoma of the paranasal sinuses from a primary squamous cell carcinoma of the urinary bladder
Authors: Kawai N. , Asakura K. , Sambe S. , Kataura A. , Enomoto K. 
Published: November 2007

AbstractMetastatic tumours of the paranasal sinuses from primary lesions of the urogenital tract are rare, with about 50 cases so far being reported in the literature. The most frequent primary lesions is a renal carcinoma. We have experienced a case of paransal sinus malignancy. There were no symptoms of urinary tract carcinoma preceding those in the paranasal sinuses. This case was later revealed at autopsy to be a metastasis from a diverticulum of the urinary bladder.
Hypopharyngeal involvement by thyroid cancer
Authors: Timon C. I. , Leen E. , Doyle-Kelly W. 
Published: November 2007

AbstractDirect upper airway infiltration by thyroid neoplasia is a rare occurrence, a unique case of papillary thyroid neoplasia presenting as a pyriform fossa mass is described and the management of these problem patients is discussed, emphasising the controversy between radical and conservative surgery.The possibility that the thyroid tumour resulted from previous radioactive iodine prescribed for thyrotoxicosis is also considered.
Fibrosarcoma of the ethmoid
Authors: Smith Michaei C. F. , Soames James V. 
Published: November 2007

AbstractFibrosarcoma may involve the ethmoid sinus by extension from the maxillary antrum or, more rarely arise as a primary neoplasm.A case of a well differentiated primary fibrosarcoma of the ethmoid sinuses is reported which presented in a 24-year-old male. The tumour was treated by wide local resection. From a review of similar cases in the literature together with their treatment modalities and outcome. It is concluded that wide local resection is the treatment of choice.
Patulous Eustachian tube syndrome: The relationship with sensorineural hearing loss Treatment by Eustachian tube diathermy
Authors: Robinson P. J. , Hazell J. W. P. 
Published: November 2007

AbstractThe patulous Eustachian tube syndrome has previously been regarded as a troublesome but benign condition. Nine out of 13 patients reported here had evidence of cochlear damage similar to that caused by acoustic trauma. These patients also had vestibular symptoms which improved with treatment of the patulous tube.It is postulated that abnormal patency of the Eustachian tube may allow excessive middle ear pressure changes to occur which may be transmitted by abnormal ossicular movement to the cochlea.Eustachian tube diathermy using a ureteric diathermy probe is a safe and effective method of treating this condition.
Diagnosis of frontal sinusitis: One-dimensional ultrasonography versus radiography
Authors: Suonpää J. , Revonta Matti 
Published: November 2007

AbstractIn a series of 407 patients suffering from acute frontal sinusitis, 159 sinues of 134 patients were trephined. Initial radiography of the operated sinues pointed out a slight tendency to overdiagnosis; 19 (12 per cent) of the 157 sinuses with positive radiographic signs did not yield secretion. Radiography missed only two true cases of fluid retention. Accuracy of diagnosis by radiography was 87 per cent.Initial ultrasonography gave a sign of retained secretion in 127 cases, of which 122 (96 per cent) were true positive However, 18(13 per cent) tracings of the 140 sinuses with secretion gave wrong negative findings. Accuracy of diagnosis by ultrasonography was 86 per cent. It seems evident, that ultasonography measures better retained secretion (excluding very small amounts) and radiography shows better mucosal swellings.
Rheumatoid nodule of the temporal bone
Authors: Hoffman Ronald A. , Horten Bruce 
Published: November 2007

AbstractA 69-year-old woman with severe rheumatoid arthritis presented with a history of chronic otitis and a facial nerve paralysis. She was found to have a rheumatoid nodule involving the mastoid and mesotympanum. This is believed to be the first reported case of a rheumatoid nodule involving the temporal bone.
Primary chondroid chordoma of the base of the petrous temporal bone
Authors: Rupa V. , Rajshekhar Vedantam , Bhanu T.S. , Chandi Sushil M. 
Published: November 2007

AbstractThe authors describe an unusual case of a primary chondroid chordoma arising from the base of petrous temporal bone. The patient, a young male, presented with a left sided jugular foramen syndrome. The CT findings of a tumour arising from the base of the left petrous temporal bone were confirmed at infratemporal exploration. The clinical and histopathological and immunohistochemical differences between classical (typical) chordoma and its chondroid variant are highlighted. The rarity of primary chordomas at this site is stressed.
Co-existent inverted papilloma and squamous carcinoma of the nasal septum
Authors: Sim David W. 
Published: November 2007

AbstractInverted papilloma is an uncommon benign nasal tumour which usually occurs on the lateral nasal wall and is prone to recurrence and malignant change. Inverted papilloma of the nasal septum is rare. A case of inverted papilloma and coexistent squamous carcinoma of the nasal septum in an adult male is described. The biology and treatment of these lesions are discussed.
Cholesterol granuloma of the paranasal sinuses
Authors: Bütler S. , Grossenbacher R. 
Published: November 2007

AbstractCholesterol granulomata of the middle ear occasionally accompany chronic middle-ear diseases with diminished ventilation. In the paranasal sinuses, especially in the frontal sinus, they have occasionally been mentioned in the literature.Disordered ventilation and impaired drainage are decisive pathogenic factors in the causation of cholesterol granuloma. Views remain divided on the source of the cholesterol and on the importance of bleeding in the development of cholesterol granuloma. Two patients with a cholesterol granuloma of the frontal sinus are presented and discussed.
Anthropological study of the mastoid air cell system in Pakistani races
Authors: Zaidi Shabih H. 
Published: November 2007

AbstractThis is an anthropological study of the development of the mastoid process in the four ethnic groups of Pakistani races: Turko-Iranian, Indo-Aryan, Scytho-Dravidian, and Aryo-Dravidian.Cephalometric studies have established that the majority of Pakistanis are brachio to ultrabrachiocephalic (Cephalic Index 82–x). Radiological evaluation of normal mastoids and their planimetric measurements show that the mastoid process is smaller (Av: 10.24 sq.cm. ± 0.8) than the Caucasian Western races (Av: 12–15 sq.cm.).Neither combined approach tympanoplasty, nor mastoid obliteration technique may be required, nor technically possible in a small mastoid. Natural epithelization of a small ‘peanut size’ mastoidectomy cavity does not justify these procedures. A modified radical mastoidectomy and tympanoplasty reconstruction provides a satisfactory result in chronic discharging ears.
Subarachnoid fat embolism complicating autologous fat grafting following translabyrinthine excision of acoustic neuroma
Authors: Reece A. T. , O'Reilly B. , Teasdale E. , Todd N. V. 
Published: November 2007

AbstractA 64-year-old man had complete excision of an acoustic schwannoma via the translabyrinthine route and the mastoid cavity was packed with fat. Post-operatively there were two episodes of aseptic meningitis and CT scanning demon strated migration of fat into the basal subarachnoid CSF spaces. This unusual complication should be recognized and differentiated from both true infective meningitis and aseptic meningitis from other causes.
Primary malignant melanoma of the oral cavity
Authors: Calabrese V. , Cifola M. , Pareschi R. , Parma A. , Sonzogni A. 
Published: November 2007

AbstractPrimary mucosal melanomas of the upper aero-digestive tract are uncommon and represent only 1.7 to 3 per cent of all primary melanomas. The most frequent localization are the nasal fossae, the paranasal sinuses and the oral cavity where melanomas most often arise from the palate and alveolar ridge, buccal mucosa, lips, tongue and floor of mouth.The authors describe a case of malignant melanoma of the uvula, review the literature and discuss the aetiology, pathology and diagnostic and therapeutic problems.
Complications in head and neck surgery and how to avoid trouble
Authors: Evans P. H. Rhys 
Published: November 2007

AbstractIncreasing litigation in recent years has made it more and more necessary for the surgeon to be aware of the problems, pitfalls and complications which may arise as a result of surgery. The risks are compounded in the head and neck not only because of its complex anatomy but also because of additional difficulties relating to surgery of the upper aero-digestive tract.Some problems are unavoidable. The potential risks of surgery and its complications should be carefully weighed against the natural history of the pathological process and a realistic expectation of the surgical outcome compared with alternative treatments. Other problems may result from genuine mistakes, but a number of complications are caused through actions or omissions which are avoidable and which in certain circumstances may be construed as professional negligence. Some of the more common pitfalls and complications in head and neck surgery are discussed with particular reference to their causation and possible avoidance.
Laryngeal chondrosarcoma: is conservative surgery adequate treatment?
Authors: Kambič V. , Žargi M. , Gale N. 
Published: November 2007

AbstractA case of laryngeal chondrosarcoma in a 63-year-old woman is presented. The report illustrates most of the features of this rare neoplasm, the difficulties in the histopathological evaluation and supports the previous ones that recommend an initial conservative attitude towards low grade laryngeal chondrosarcomas.
Mastoid ache in acoustic neuroma
Authors: Moffat D. A. , Baguley D. M. , Evans R. A. , Hardy D. G. 
Published: November 2007

AbstractIn a series of 100 patients with unilateral acoustic neuroma the incidence of mastoid aching was found to be 25 per cent, though none of the patients reported this as their principal symptom. Mastoid ache was not related to tumour size, hydrocephalus, or duration of symptoms. However, there was a significantly higher incidence of facial numbness and diminished facial sensation, but not facial weakness, compared with the whole series. Since motor fibres are more resistant to pressure than sensory fibres, mastoid ache may signify the pressure of an expanding cerebellopontine angle tumour.
Liposarcoma in the pharynx
Authors: Nofal F. , Thomas M. 
Published: November 2007

AbstractA rare case of an atypical lipoma in the pyriform sinus is described with an unusual presentation and some difficult histological features. Excision was performed endoscopically, there has been no evidence of recurrence for over a year. External surgical excision is reserved in case of recurrence of the tumour.
Early ossification within the human fetal otic capsule: morphological and microanalytical findings
Authors: Declau F. , Jacob W. , Dorrine W. , Appel B. , Marquet J. 
Published: November 2007

AbstractBesides the use of conventional techniques such as light and polarization microscopy, the present paper proposes the combined use of transmission electron microscopy, secondary and backscattered electron imaging, energy dispersive X-ray analysis and computed tomography for the diagnostic evaluation of ear pathology in the human fetus. These methods were used to revisit the primary calcification front of the fetal otic capsule between 16 and 23 weeks gestational age. Ultramicroscopic evaluation demonstrates similar fetal bone formation to that found in other bones of the human fetus. The formation of the endosteal and periosteal layers is a typical example of early intra-membranous ossification. The enchondral layer is made up of fibrillar bone, laid down around the calcified cartilage remnants. Microchemical analysis indicates a significantly higher Ca/P ratio in the endochondral layer with respect to the endosteum and periosteum. The consequences of a lower Ca/P ratio in the endosteal layer are discussed in view of calcium homeostasis and inner ear function.
Tinnitus in children with hearing loss
Authors: Viani Laura G. 
Published: November 2007

AbstractThere is scant literature relating to tinnitus in children. This may be due in part to the inability of the child to differentiate normal from abnormal, and also adults failing to communicate adequately with children to allow them to describe their observed symptoms.One hundred and two children with severe to profound hearing loss between six to seventeen years of age were questioned as to the presence of tinnitus. The 24 children (23 per cent) who reported tinnitus, also completed a questionnaire, and were interviewed about their symptoms and then were compared to the non-tinnitus children regarding hearing level, age, sex and aetiology of the deafness.No significant difference was found between the two groups. This study documents that tinnitus does exist in a significant number of children with severe to profound deafness and addresses the problem involved in its description and assessment.
Nature of spontaneous tympanic membrane perforation in acute otitis media in children
Authors: Berger G. 
Published: November 2007

AbstractThe study was undertaken to define the characteristics of spontaneous eardrum perforation in acute otitis media. Eighty (29.5 per cent) out of 271 children with acute otitis media had eardrums which perforated. An increased incidence of perforation was associated with a previous history of otitis media.All perforations were small and limited exclusively to the pars tensa. In 85 per cent of the patients, the perforation was located in the anterior-inferior quadrant. It had smooth margins enabling free drainage of pus and was associated with a favourable clinical course. In the remaining 15 per cent of the cases, the perforation was located in the posterior-superior quandrant. It had a nipple-like shape with a tiny opening that did not allow pus to drain sufficiently from the middle ear.The perforation closed in 94 per cent of the patients within one month. The healing process was gradual and following perforation closure, there was evidence of middle ear effusion for some time before normal aeration was regained.
Allergic aspergillus sinusitis—an overlooked diagnosis?
Authors: Jonathan D. , Lund V. , Milroy C. 
Published: November 2007

AbstractAspergillus infection of the nose and sinuses has been recognized for nearly 100 years but a variant, allergic aspergillus sinusitis, has recently been recognized. This non-invasive form causes chronic sinusitis characterized by thick green inspissated mucus in which eosinophils and Charcot-Leyden crystals are found. Fungal hyphae are scanty and are indentified with special stains. Consequently the diagnosis may frequently be overlooked. It has many similarities with allergic broncho-pulmonary aspergillosis and is treated by surgical debridement and aeration with or without cortico steroids, either topical or systemic.
Diabetes insipidus and hypercalcaemia secondary to nasopharyngeal carcinoma
Authors: Christmas H. E. , Mills R. P. , Davies R. 
Published: November 2007

AbstractWe report a case of nasopharyngeal squamous carcinoma complicated by diabetes insipidus and hypercalcaemia. As there was no evidence of bony metastases we conclude that this latter finding was due to a humoral factor produced by the tumour. The management of these problems is discussed.
Per-Oral excision of a branchial cyst
Authors: Dilkes M. G. , Chapman J. , Stafford N. D. 
Published: November 2007

AbstractThe treatment of branchial cysts is by surgical excision. We describe a case where the cyst was medial to the pharyngeal constrictors, making a per-oral approach the safest, and easiest method of removal. The position of the cyst supports the theory that branchial cysts are congenital in origin.
Unusual laryngeal cyst
Authors: Wansa S. A. , Jones N. S. , Watkinson J. 
Published: November 2007

AbstractWe report a lateral saccular cyst of the larynx with both an internal and external component. The patient had a four year history of a cervical swelling and hoarseness. He presented acutely with stridor. The cyst was resected successfully without tracheostomy.
Visual dysfunction: Abnormal sign of benign spheno-ethmoidal lesions
Authors: Rifai Mohamed , Kenawi Beshr 
Published: November 2007

AbstractIsolated visual dysfunction with or without proptosis is rarely described as a sign of benign sphenoethmoidal lesions. Five patients with benign swelling of the sino-orbital region and related visual defects are reported. Cases include one patient with fibrous dysplasia, two patients with mucocoeles and two patients suffering from aspergillosis of the sinuses. A review of the literature and discussion of the cases is presented.
Multiple submucosal out-fractures of interior turbinates
Authors: O'Flynn Paul E. , Milford Christopher A. , Mackay Ian S. 
Published: November 2007

AbstractNasal obstruction caused by the inferior turbinate is a common clinical problem. There are many surgical procedures which attempt to relieve it, but all of them have associated difficulties.We describe, for the first time, a new method, namely multiple submucosal out-fractures of the inferior turbinates, which is both effective and free from serious complication.
Pseudotumour of the maxillary antrum
Authors: Hadley J. , Coady A. T. , Milford C. A. 
Published: November 2007

AbstractOrbital pseudotumour is a non-specific inflammation of the orbit which forms a tumour-like mass composed of increased connective tissue and ground substance with vascular proliferation and an infiltrate of chronic inflammatory cells. No demonstrable aetiological agents are found locally, and there is no evidence of specific disease entities such as Hodgkins, SLE or temporal arteritis.The condition may present in many different ways to the otolaryngologist, and is therefore a rare but important differential diagnosis to be born in mind. We report a rare case of orbital pseudotumour presenting initially with involvement of the maxillary antrum and in association with Riedel's thyroiditis.
Atypical peripheral ameloblastoma of the palate
Authors: Siar Chong Huat , Ng Kok Han , Ngui Chon Hee , Chuah Cheng Huat 
Published: November 2007

AbstractClinical, radiological and histological characteristics of the peripheral ameloblastoma are briefly outlined. A case found occurring in the palate and presenting with atypical histological features is reported. The differential diagnosis of this lesion, its treatment and histogenesis are discussed.
Acoustic schwannoma of traumatic origin? A temporal bone study
Authors: Lesser T. H. J. , Pollak A. 
Published: November 2007

AbstractA tumour of the singular nerve was found on examination of the temporal bones of a child who died 13 months after meningitis. The tumour consisted of a main mass with the appearance of an acoustic neuroma but close by and not connected were some nests of tumour cells inside the vestibule. This very unusual finding raises questions of the aetiology of this tumour which may have a bearing on the aetiology of other tumours of the VIIIth. nerve.
Experiences with the sternocleidomastoid muscle and myocutaneous flaps
Authors: Tiwari Rammohan 
Published: November 2007

AbstractThe use of the sternocleidomastoid muscle and musculocutaneous flaps in the reconstruction of defects arising after surgery for cancer of the head and neck has been a subject of some discussion.Experience with these flaps over a ten year period from 1980 until 1989 is presented. Attention is drawn to the various types of flaps in vogue, their indications to date, benefits and drawbacks. A new reliable compound musculocutaneous flap developed by the author for use in defects of the skull base after total temporal bone excision is presented.
Heterotopic brain tissue: A rare cause of adult recurrent meningitis
Authors: Whittet H. B. , Barker S. , Anslow P. , Leighton S. 
Published: November 2007

AbstractHeterotopic brain tissue is a rare cause of symptoms in neonates in whom it may present with respiratory obstruction. In infants it may produce unilateral nasal obstruction due to a nasal ‘polyp’ or cerebrospinal fluid rhinorrhoea with an associated risk of meningitis. It is exceedingly rare in adults but may nevertheless be a cause of significant morbidity as this case demonstrates.