bluuebunny/crossref_metadata_2025_split huggingface dataset:
Medullary (thyroid) carcinoma-like carcinoids of the larynx
Authors: El-Naggar Adel K. , Batsakis John G. , Vassilopoulou-Sellin Rena , Ordonez Nelson G. , Luna Mario A 
Published: November 2007

AbstractThe histopathological spectrum of neuroendocrine neoplasms of the larynx includes a subset that may be indistinguishable from a medullary carcinoma of the thyroid gland. For a patient who presents with a medullary carcinoma-like metastasis in a cervicallymph node and in whom there is no clinically demonstrable thyroid lesion, a laryngeal atypical carcinoid must be excluded. The literature's third example ofa primary medullary carcinoma-like atypical carcinoid of the larynx is presented.
CT and MR imaging in lateral sinus thrombosis
Authors: Irving R. M. , Jones N. S. , Hall-Craggs M. A. , Kendall B. 
Published: November 2007

AbstactEstablishing a pre-operative diagnosis of lateral sinus thrombosis can be difficult, as the clinical features are non-specific and laboratory tests unhelpful. CT maydemonstrate abnormal high density of the lumen of the sinus, which does not enhance afterintravenous contrast medium. Enhancement of the dura surrounding the sinus may be prominent, causing the ‘empty triangle’ or ‘delta sign’ which may suggest the diagnosis. Magnetic resonance (MR) imaging may show both lack of flow and abnormal signal from the sinus, thus providing definitive evidence of thrombosis.
Cytomegalovirus ulceration of the oropharynx
Authors: French P. D. , Birchall M. A. , Harris J. R. W. 
Published: November 2007

AbstractCytomegalovirus (CMV) is a common opportunistic infection in both iatrogenic and HIV-induced immunosuppression. The usual sites of involvement are the gastro-intestinal tract, retina and lung. We present three cases of CMV ulceration of the oropharynx. All three patients presented with symptoms localized to the oropharynx and in each case the diagnosis was only made on histological examination of ulcer biopsy specimens. The patients all responded well to ganciclovir treatment and at writing none have required maintenance therapy (7–11 months post diagnosis).
Tracheo-oesophageal puncture without tears: the forceps technique
Authors: Rhŷs Evans Peter H. 
Published: November 2007

AbstractCertain problems have been encountered using a rigid endoscopic technique for tracheo-oesophageal puncture in voice restoration following laryngectomy. An alternative method is described using a modified curved abdominal forceps which allows quicker and more predictable access to the puncture site.
Tracheo-oesophageal puncture: a review of problems and complications
Authors: Garth R. J. N. , McRae A. , Evans P. H. Rhŷs 
Published: November 2007

AbstractTracheo-oesophageal puncture now has a well established role and in several units is now the principal means of speech rehabilitation following laryngectomy. Although not a difficult procedure, there are a number of problems and complications that may be encountered. With proper management these can usually be overcome and a useful voice achieved.This study looks at those problems in a series of 119 patients and discusses their management.
Bezold's abscess
Authors: Gaffney R. J. , O'Dwyer T. P. , Maguire A. J. 
Published: November 2007

AbstractSince the introduction of antibiotics for the treatment of suppurative otitis media the incidence of complications from this disease has been greatly diminished. Acute mastoiditis, resulting in the deep neck abscess known as Bezold's abscess, has become very rare. A case of Bezold's abscess is presented with special reference to the clinical presentation and pathogenesis of this now uncommon condition. The variations in the routes of spread of the abscess in the fascial planes of the neck are described in detail. The difference between what is known today as a Bezold's abscess and the abscess that Bezold described in the early part of this century are presented.
Can meta-analysis help uncertainty in surgery for otitis media in children
Authors: Bodner Elizabeth E. , Browning George G. , Chalmers Frances T. , Chalmers Thomas C. 
Published: November 2007

AbstractWhile otitis media is perhaps the most common disease of childhood that receives medical attention, there is little agreement concerning the efficacy of the medical and surgical therapies employed to try to alleviate its symptoms or hasten its natural resolution. Because various surgeries including adenoidectomy, myringotomy, and insertion of tympanostomy tubes are frequently involved in the treatment of otitis media with effusion (OME), it is likely the most expensive condition being managed in national terms.In an attempt to elucidate the most appropriate management of this condition, a meta-analysis was attempted to the 12 randomized control trials of surgical treatments for OME in children, published between 1966 and 1990. Heterogeneity both in the populations and comparisons studied and in the out comes presented made meta-analysis an inappropriate method for clarifying this area of clinical uncertainty. Important elements in the design of randomized control trials that should be included in future studies of treatment for OME are therefore discussed.
Young's procedure in the treatment of epistaxis
Authors: Brooker D. S. , Cinnamond M. J. 
Published: November 2007

AbstractIntractable epistaxis associated with septal perforation is a difficult problem to treat, particularly if nose-picking appears to be associated. Two such cases are presented in which Young's procedure of nasal closure was used to prevent epistaxis. Although the procedure was fully successful in only one patient. we feel the procedure has a part to play in the management of such cases of epistaxis.
Papillary adenocarcinoma of the nasopharynx
Authors: Van Hasselt C. Andrew , Ng H. K. 
Published: November 2007

AbstractThe first case of low-grade papillary adenocarcinoma of the nasopharynx is described from an area where carcinoma in the nasopharynx is endemic. Clinicopathological features are detailed and differences between the prevalent nasopharyngeal cancer and low-grade nasopharyngeal papillary adenocarcinoma are emphasized. This tumour requires positive identification as surgical management is necessary to avoid the possibility of future recurrence.
Human temporal bone feedings in acquire hypothyroidism
Authors: Hald J. , Milroy C. M. , Jensen K. Damkjær , Parving A. 
Published: November 2007

AbstractHistological studies of the auditory organ in patients with acquired hypothyroidism are scarce. Thus the aim of the present study was to examine the temporal bones and the brain is subjects with hypothyroidism. Four temporal bones and two brains from clinically and biochemically hypothyroid subjects were removed and evaluated by light microscopy determine to the morphological changes and deposition of neutral and acid glycosaminnoglycans. An audiogram from one of the patients showed a sensorineural hearing loss. Which could be ascribed to occupational noise exposure. The study revealed histological changes compatible with age and infectious disease. No accumulation of neutral or acid glycosaminoglycans could be demonstrated in the temporal bones, or in the brains.
Laryngeal preservation in cases of advanced laryngeal cancer treated with platinum based induction chemotherapy befire local treatment
Authors: Nikolaou A. , Fountzilas G. , Kosmidis P. , Banis C. , Sobolos K. , Danilidis J. 
Published: November 2007

AbstractIn this study we analyse our preliminary results after treating 28 patients with locally advanced laryngeal cancer with platinum based induction chemotherapy followed by radiation therapy or surgery.The median age of our patients was 60 (46–75) years and median performance status was 80 (60–100). In 18 of the 28 patients locoregional treatment was radiation therapy with an overall response of 94.4 per cent.After a median follow-up of 26 (15–40) months 39.3 per cent of the whole group of patients are alive and disease-free and six (21.4 per cent) patients are alive and disease-free preserving their larynx.We conclude that although more extensive studies with large groups of patients and longer follow-up is needed to reach definite conclusions, it seems that platinum based induction chemotheraophy can be used successfully in locally advanced laryngeal cancer followed by radiotherapy. In those cases who respond well. the patient's larynx is preserved without compromizing the overall survival.
Orf of the pinna
Authors: Shinkwin C. A. , Holmes A. H. , Freeland A. P. 
Published: November 2007

AbstractA case of orf affecting the pinna is discussed. This is an unusual presentation of aninfection that is common in farming communities.At the initial presentation the diagnosis was not suspected, the management therefore was inappropriate and probably gave rise to the secondary infection that ensued. The history described is classical.Orf affecting the external auditory canal has been reported once, but orf affecting the pinna has not been described before.
Adenoidectomy in a girl with haemophilia
Authors: Harrison H. C. , Lammi A. 
Published: November 2007

AbstractHaemophilia A is a sex-linked inherited disease in which those affected are usually males, and females are usually asymptomatic carriers. This paper presents a haemophilia A carrier who has a low factor VIII level first, to remind readers that females can have low factor VIII levels with consequent increased tendency to bleed; second, to stress the importance of routine questioning regarding a bleeding tendency in the patient or the patient's family and third, to illustrate the importance of pre-operative diagnosis to allow adequate correction of the defect so that surgery such as adenoidectomy can be undertaken with safety in such a patient.
Effect of middle ear effusion on the vestibular labyrinth
Authors: Golz Avishay , Westerman S. Thomas , Gilbert Liane M. , Joachims Henry Z. , Netzer Aviram 
Published: November 2007

AbstractAlthough middle ear effusion was once described as the most common cause of vestibular disturbance in children, the association between glue ear and symptoms of dysequilibrium has never been quantified objectively.In this study the effect of middle ear effusion on the vestibular system of the inner ear was studied in a select group of children suffering from long lasting effusion in the middle ear with no evidence of infection at least one year prior to the study. The results were compared with results obtained from otitis free children, as well as from examinations of children after the insertion of ventilating tubes.The results of this study confirm the assumption that middle ear effusion has an adverse effect on the vestibular system, which can be resolved following the insertion of ventilation tubes.This effect may also contribute to the adverse effect that otitis media has on a child's development.
Calvarial bone grafts for augmentation rhinoplasty
Authors: Baser Brajendra , Shahani Rekha , Khanna Shalini , Grewal D. S. 
Published: November 2007

AbstractA large variety of graft materials have been used for augmentation rhinoplasty. To date there has been no graft material which can be regarded as completely satisfactory. The modern trend is to prefer autologous material to new biological material. The membranous bones of the calvarium are extremely suitable for augmenting moderate to severe saddle nose deformities. Calvarial bone grafts can be harvested easily, with minimum donor site morbidity and disfigurement. Our experience with calvarial bone grafts for augmentation rhinoplasty is presented.
Primary mucosal malignant melanoma of the middle ear
Authors: Sherman I. W. , Swift A. C. , Haqqani M. T. 
Published: November 2007

AbstractOnly one case of primary malignant melanoma of the middle ear has been reported in the literature to date.We report a case of middle ear and nasopharyngeal malignant melanoma where the primary is likely to have arisen in the middle ear and discuss the relevant literature.
Post-irradiation leiomyosarcoma of the maxilla
Authors: Martin-Hirsch D. P. , Habashi S. , Benbow E. W. , Farrington W. T. 
Published: November 2007

AbstractPrimary malignant smooth muscle tumours of the maxilla are extremely rare. A case of leiomyosarcoma of the maxilla associated with previous irradiation is presented. The aetiology, pathology and clinical aspects of this tumour are reviewed.
Bipolar diathermy or ligation for haemostasis in tonsillectomy? A prospective study on post-operative pain
Authors: Choy A. T. K. , Su A. P. 
Published: November 2007

AbstractForty-nine children for tonsillectomy were entered in a prospective controlled single blind study to compare the post-tonsillectomy morbidity of bipolar diathermy as opposed to ligation for haemostasis. We found no significant difference in post-operative discomfort nor reactionary or secondary haemorrhage in the two methods used. This is the first controlled trial where bipolar, rather than unipolar diathermy is used, and compared with ligation in the operation of tonsillectomy
The laryngeal mask airway in ENT surgery
Authors: Daum R. E. O. , O'Reilly B. J. 
Published: November 2007

AbstractWe report our experience of using the laryngeal mask airway (LMA) over a period of 18 months in 217 patients undergoing a variety of otorhinolaryngological operations. Advantages over conventional intubation for both patient and surgeon are suggested in both safety, speed and economy. An inadequate airway, necessitating replacement of the LMA, only occurred on two occasions whilst two known cases of difficult intubation easily had their airways secured by use of the LMA. Protection of the lower airways from secretions, fluid or blood, arising above the LMA, would appear to be confirmed
Chondrosarcoma of the maxilla
Authors: Anwar R. , Ruddy J. , Ghosh S. , Lavery K. M. , Wilson F. 
Published: November 2007

AbstractA patient was referred to us with a mass in her upper jaw. This was diagnosed to be a chondrosarcoma of the maxilla. The mass was removed surgically. We present the case here and discuss the salient features.
Carcinoma of the soft palate
Authors: Tandon D. A. , Bahadur S. , Rath G. K. 
Published: November 2007

AbstractDuring a 10 year period 30 patients with carinoma of the soft palate were treated. There were 22 cases in stages I and II. A curative dose of irradiation was used in 25 cases, fourof whom required surgical salvage. Another five cases were treated by a combined modality of surgery and postoperative radiation. Seven cases had nodal metastases. A mean two-year disease-free survival of 83 per cent was obtained. The probability of five-year disease free survival was 65 per cent.
Salvage surgery following irradiation with different fractionation regimes in the treatment of carcinoma of the laryngo pharynx: experience gained from a British Institute of Radiology Study
Authors: Alcock C. J. , Fowler J. F. , Haybittle J. L. , Hopewell J. W. , Rezvani M. , Wiernik G. 
Published: November 2007

AbstractThe 10-year follow-up of patients in a clinical trial involving the comparison of treatment by three fractions per week versus five fractions per week in radiotherapy of squamous carcinoma of the larynx and hypopharynx has now been completed. The trial involved an intake of 734 patients between 1966 and 1975. No statistically significant differences have been found between the two trial arms in terms of overall survival, age corrected survival, local recurrence, laryngectomy-free rates or effects on the normal tissues. Local recurrence was found in 320 of the 713 evaluable patients (45 per cent). Salvage laryngectomy was performed in 151 of the 320 patients with recurrence (47 per cent). Survival at 10 years for all node negative patients was 50 per cent in those patients without primary recurrence, compared with 40 per cent in those undergoing salvage laryngectomy.
Primary neuroendocrine carcinoma of the skin arising from the post aural region
Authors: Kacker A. , Thaker A. , Singh M. , Bahadur S. 
Published: November 2007

AbstractNeuroendocrine carcinoma of the skin is an uncommon neoplasm. A case of one such tumour in the head and neck region is being presented. This case is the youngest known patient. The literature has been reviewed. The current concepts in diagnosis and management of this tumour are discussed.
Squamous cell carcinoma of the nasal vestibule
Authors: Patel Piyush , Tiwari R. , Karim A. B. M. F. , Nauta J. J. P. , Snow G. B. 
Published: November 2007

AbstractWe reviewed 30 patients with squamous cell carcinoma of the nasal vestibule to present our experience of their management and to evaluate the prognostic factors that may influence their outcome. For T1 lesions radiotherapy remains the treatment of choice, because of the superior cosmetic result. Fifteen (68 per cent) out of 22 patients with T2 lesions were treated with primary radiotherapy. Surgery however, was eventually required in 16 (72 per cent) out of 22 patients, either as a primary treatment (seven patients) or as salvage surgery (nine patients). For the larger T3 lesions the treatment of choice is surgery followed by post-operative radiotherapy where appropriate. Regional nodal metastases at the time of presentation were a significant indicator of local and regional recurrence and of prognosis. The cause specific five-year survival for patients with an uninvolved neck (22 patients) was 100 per cent compared with 38 per cent forpatients with nodal metastases at presentation (eight patients). Elective treatment for uninvolved regional nodes is not considered necessary.
Detection of occult nasopharyngeal primary tumours by means of in situ hybridization
Authors: Feinmesser R. , Feinmesser M. , Freeman J. L. , Noyek A. M. , Livni N. 
Published: November 2007

AbstractDetection of nasopharyngeal carcinoma primaries in patients presenting with neck node metastases may sometimes demand considerable efforts. By using the ‘ in situ hybridization’ technique, wemanage to identify the Epstein-Barr virus in neck metastases secondary to nasopharyngeal carcinomas. We propose that such identification in neck node metastases where the primary lesion is unknown indicates a nasopharyngeal primary.
Use of a portable manometer as a screening procedure in voice rehabilitation
Authors: Morgan D. W. , Hadley J. , Willis G. , Cheesman A. D. 
Published: November 2007

AbstractAbnormal tone in the pharyngo-oesophageal (PO) segment may lead to failure in developing oesophageal speech. Videofluoroscopy may give a qualitative assessment of the PO segment but is expensive, time consuming and lacks quantification. A custom built PO segment manometer was therefore assessed as a means of predicting eventual oesophageal speech outcome. Two groups of patientswere studied. In group 1(18 patients) the PO segment pressures were compared to their videofluoroscopy findings. Videofluoroscopy categorized the patients into four groups. The PO pressurescorresponded to this grouping, pressures above 20 mmHg being associated with voice failure. Ingroup 2 (12 patients) the PO pressures in the early post-operative period were compared to their eventual speech outcome. In all cases the pressures predicted the eventual speech outcome. The pressure manometer is a simple, cheap and portable device which is a reliable screening testto predict the potential for oesophageal speech.
Angiosarcoma of the nasal cavity
Authors: Kimura Yasuyuki , Tanaka Saichiro , Furukawa Mitsuru 
Published: November 2007

AbstractAngiosarcoma of the nasal cavity is extremely rare. We present a case of angiosarcoma of the nasal cavity in an eight-yearold boy. He was treated with medial maxiUectomy via lateral rhinotomy. The histological diagnosis was confirmed by immunohistological stain with Factor Vlll-like antigen. Magnetic resonance imaging (MRI) was useful in determining the extent of the tumour.
Necrobacillosis—an unusual cause of cervical abscess
Authors: Chalstrey S. E. , Williams H. O. L. , Reilly G. 
Published: November 2007

AbstractNecrobacillosis is a rare infection which may be fatal if inadequately treated. We present a case demonstrating the classical clinical picture upon which correct diagnosis depends. The need for a high index of suspicion is highlighted and appropriate management is discussed.
Nasal septal haematoma in Nigeria
Authors: Chukuezi A. B. 
Published: November 2007

AbstractA prospective study of 46 consecutive patients with nasal septal haematoma admitted at the General Hospital, Owerri, Nigeria over a five year period is presented. The disease was commoner in males than females. The majority of the cases (65.6 per cent) were of unknown cause and were therefore grouped as spontaneous haematoma while 30.4 per cent were due to trauma. Trauma was more common in patients below the age of 15 years while spontaneous haematoma was common in patients above that age. All the patients with septal haematoma represented 0.2 per cent of total attendances to the ENT clinic over the period. Most of the patients presented with severe and threatening symptoms necessitating intense aggressive management. All the patients were managed by surgical incision and drainage, four had marked nasal abnormalities. Three patients died from a brain abscess as a complication of infected haematoma.
Informed consent: the assessment of two structured interview approaches compared to the current approach
Authors: Dawes P. J. D. , O'Keefe L. , Adcock S. 
Published: November 2007

AbstractWe prospectively studied 190 patients undergoing tonsillectomy or nasal surgery to assess the value of two structured interview techniques. There were four groups: Group A did not have a consent interview during the study period. Group B had an informal interview. Group C had a structured interview and Group D had a structured interview and were given an information sheet. Anxiety assessments were made and patients' recall of the operation name, details of the operation and its complications was assessed.Patients had higher than normal anxiety levels when admitted, but several hours after the interview anxiety was normal for Groups B, C and D. Group A maintained a higher anxiety level.Only 37 per cent correctly recalled the operation name, where as 87 per cent of all groups recalled the explanation of the operation. However, Groups C and D recalled a higher mean number of complications per patient.A structured interview when obtaining informed consent increases the number of complications recalled without increasing pre-operative anxiety.
Giant parotid calculus—an unusual presentation
Authors: Iqbal S. Md. , Murthy J. G. , Sharma Neeta 
Published: November 2007

AbstractWe describe a case of a giant sialolith of Stensen's duct in a 48-year-old woman. The patient was investigated and treated with a mistaken diagnosis of chronic inflammation until the clue to the diagnosis was provided by plain radiography. This is an unusual presentation of a salivary calculus and to our knowledge such a huge parotid calculus has not been reported so far in the literature.
Cervical meningocoele presenting as a neck mass in a patient with neurofibromatosis 1
Authors: Freund Brian , Timon Conrad 
Published: November 2007

AbstractWe report a case of an anterolateral cervical meningocoele presenting as a neck mass in a patient with neurofibromatosis 1. This lesion was diagnosed with the aid of computerized tomography and radionucleide scanning. The presentation, behaviour and treatment options of this uncommon lesion are briefly discussed.
Use of protein electrophoresis in the diagnosis of cerebrospinal fluid rhinorrhoea
Authors: Porter M. J. , Brookes G. B. , Zeman A. Z. J. , Keir G. 
Published: November 2007

AbstractThe diagnosis of CSF rhinorrhoea on clinical grounds alone can be difficult. We describe how the use of noninvasive electrophoretic analysis of nasal secretions for tau protein (asialotransferrin) helped in the management of cases where the existence of a CSF leak was in doubt. Patients were thus saved unnecessary invasive investigations or surgery. A modification of the method of analysis, which improves diagnostic accuracy, is described.