bluuebunny/crossref_metadata_2025_split huggingface dataset:
Carcinoma of the ear: Retrospective analysis of 61 patients
Authors: Golding-Wood D. G. , Quiney R. E. , Cheesman A. D. 
Published: November 2007

AbstractMalignant tumours of the ear canal and middle ear retain a poor prognosis despite the development of increasingly radical procedures. We report the combined experience of 61 patients presenting to our hospital over the past 30 years with this condition. Radiotherapy was the preferred initial treatment in almost all patients. Early surgical treatment by local resection just before or just after radiotherapy and radical mastoidectomy produced disease free survival for two to 20 years in 59 per cent (16 of 27) patients. Long term survival was achieved in 50 per cent of patients with carcinoma of the external auditory meatus and only 24 per cent of those with middle ear carcinoma. Salvage surgery produced a variable degree and duration of palliation but few survivors. Little was gained in the quality of life by petrosectomy.
Changing incidence of sinus infection in children
Authors: Knight L. C. , Lesser T. H. J. 
Published: November 2007

AbstractThis study presents the results of a 20 year review of maxillary sinus wash-outs performed on children. The results show a decreasing incidence of purulent sinusitis over the study period.Only 17 per cent of antral wash-outs undertaken yielded pus, indicating that surgical practice has failed to adequately take account of the changing disease incidence.
Carcinoma of the laryngeal saccule: a novel biopsy technique to make a difficult diagnosis
Authors: Habashi S. , padel A. F. , Capper J. W. R. 
Published: November 2007

AbstractTumours of the laryngeal ventricle and saccule are rare and difficult to diagnose endoscopically. We present a case in which the tumour remained confined within the saccule, and describe how the problem of obtaining a positive biopsy was overcome.
Intravagal parathyroid adenoma
Authors: Takimoto T. , Okabe Y. , Ito M. , Umeda R. 
Published: November 2007

AbstractAn extremely rare case of intravagal parathyroid adenoma is presented. The tumour caused fusiform swelling of the left vagus nerve was shelled out. Post-operatively the left recurrent nerve palsy was recovered in the two months. Serum calcium level returned to normal on the tenth day after the surgical operation without symptoms of hypocalcaemia.
Carcinomas ex monomorphic adenoma of salivary glands
Authors: Luna Mario A. , Batsakis John G. , Tortoledo M. Eugenia , Junco G. W. Del 
Published: November 2007

AbstractA clinicopathological analysis of eight examples of carcinomas arising from salivary gland monomorphic adenomas, carcinomas ex monomorphic adenoma, is presented. These uncommon to rare neoplasms have a predilection for the parotid glands, are diagnosed about a decade later than their benign precursors, and most often arise from the dermal analogue type of monomorphic adenoma. As judged by follow-up periods of two to 16 years, carcinomas ex monomorphic adenoma are locally aggressive neoplasms with the clinical course marred by recurrences but without regional or distant metastases.
Radical neck dissection: a 19-year experience
Authors: Maran A. G. D. , Amin M. , Wilson Janet A. 
Published: November 2007

AbstractA series of 394 radical neck dissections performed over the 17 year period 1969–1986 is presented. The shortest period of follow-up is two years. Of the major complications reviewed, wound breakdown was associated with T stage, prior radiotherapy and incision used but not with age or N stage. Cervical recurrence was associated with N stage, prior radiotherapy and surgical incision and inversely associated with age. Wound breakdown and recurrence were lowest in parotid primary tumours. Carotid artery rupture occurred in 17 patients (4.3 per cent), was fatal in all cases and was strongly associated with wound breakdown and previous radiotheraphy. The importance of the choice of incision, clearance of the posterior belly of the digastric muscle and carotied artery protection are discussed.
Three cases of inter-sterno-costo-clavicular ossification associated with tonsillar infection
Authors: Furukawa M. , Miwa T. , Kamide M. , Sakumoto M. , Umeda R. 
Published: November 2007

AbstractThree cases of inter-sterno-costo-clavicular ossification (ISCCO) associated with chronic tonsillitis are reported. Two cases had additional symptoms of pustulosis palmaris et plantaris (PPP). All the patients underwent tonsillectomy. The histological changes of the palatine tonsils of case 1 and case 2 were characterized by so-called focal small lacunar ulcers and periarteriolar fibrosis (onion-skin lesion). Some multinucleated giant cells were observed in case 2. Following tonsillectomy, symptoms in the clavicular region and the PPP improved. It is possible to consider that ISCCO is caused by focal tonsillar infection.
Otitis media with effusion as a presenting symptom of chronic sinusitis
Authors: Finkelstein Y. , Talmi Y. P. , Rubel Y. , Bar-Ziv J. , Zohar Y. 
Published: November 2007

AbstractOtitis media with effusion was the presenting symptom in 23 per cent of patients suffering from chronic sinusitis. The inter-relationship between chronic sinusitis and otitis media with effusion was studied in 29 patients. Endoscopic evaluation of intranasal structures including sinus ostia and Eustachian tube orifices was carried out. We further suggest that otitis with media with effusion is not a separate entity but a presentation of sinus disease, predominantly of the ethmoid system. Patients with otitis media with effusion should be evaluated for sinusitis andvice versa. The value of careful nasendoscopy is demonstrated.
Transmastoid extracranial repair of CSF leaks following acoustic neuroma resection
Authors: Robson A. K. , Clarke P. M. , Dilkes M. , Maw A. R. 
Published: November 2007

AbstractAcoustic neuromas may be resected either by a suboccipital craniectomy or translabyrinthine approach; the latter gives good access without unduly traumatising the brainstem, but can lead to a higher incidence of cerebrospinal fluid (CSF) leaks. The surgical management of these leaks can be difficult; we describe a transmastoid extracranial technique using pedicled sternomastoid muscle that has produced complete resolution of the leak in all cases managed in this way.
Nasal mucociliary clearance in patients with diabetes mellitus
Authors: Yue W. L. 
Published: November 2007

AbstractFifty insulin-dependent diabetics and 50 non-diabetics without a history of nasal disease have been studied for nasal problems including mucociliary function complicated by diabetes mellitus. For the diabetics, the mean value of nasal mucociliary clearance was considerably decreased and this was more often associated with dry noses but increased pH-values, both of which were higher than those for non-diabetics (p<0.05). As suggested in earlier literature, more aggressive nasal moistening therapy must be recommended for those patients presenting with these conditions in the light of systemic diabetic abnormalities.
Langerhan's cell histiocytosis in the sphenoid sinus: a case of diabetes insipidus
Authors: Hussain S. S. M. , Simpson R. D. , McCormick D. , Johnstone C. I. 
Published: November 2007

AbstractWe present a case of diabetes insipidus in a young man caused by Langerhan's cell histiocytosis of the sphenoid sinus with involvement of the pituitary gland. Diagnosis and management of this rare condition is discussed, along with a brief view of the literature.
Nasal airflow: resistance and sensation
Authors: Jones A. S. , Willatt D. J. , Durham L. M. 
Published: November 2007

AbstractFor many years nasal resistance to airflow measured by rhinomanometry has been regarded as the objective measure of nasal patency. However, recently it has become apparent that this may not be the case.The present study was designed to affirm or refute this view by using large numbers of subjects and observations.Five hundred estimations of (objective) nasal resistance to airflow and (subjective) nasal sensation of airflow where carried out.No correlation could be demonstrated between these two parameters.It is concluded nasal resistance to airflow and nasal sensation of airflow are two separate modalities which are not directly related. The possible reasons for this finding are discussed with reference to previous work on nasal sensation.
The lingual tonsil. A neglected symptomatic structure?
Authors: Golding-Wood David G. , Whittet Heikki B. 
Published: November 2007

AbstractSurgical treatment of the lingual tonsil is seldom performed because problems attributable to chronic lingual tonsillar hypertrophy are infrequently diagnosed. We have reviewed a series of 25 patients with symptoms from enlarged lingual tonsils. The variety of presentation of lingual tonsillar lessions and the methods of surgical treatment are discussed.
Recurrent laryngeal nerve palsy following heart-lung transplantation: three cases of vocal cord augmentation in the acute phase
Authors: Murty G. E. , Smith M. C. F. 
Published: November 2007

AbstractThree cases of left recurrent laryngeal nerve palsy following heart-lung transplantation are described. In each case, within twelve hours of extubation, the left vocal cord was injected with Teflon, and the paralyzed vocal cord thus displaced to the midline. Effective closure of the glottis was then possible, permitting an adequate cough, adequate clearing of the bronchial tree and minimising the risk of aspiration. Augmentation under general anaesthesia as soon as possible after discovery of vocal cord dysfunction is advocated. Suitable materials for injection are discussed. To our knowledge, this is the first reported series of vocal cord augmentation in the acute phase following heart-lung transplantation.
Adenosquamous carcinoma of the thyroid gland
Authors: Nicolaides A. R. , Evans P. Rhys , Fisher C. 
Published: November 2007

AbstractA case of adenosquamous carcinoma of the thyroid gland is presented. This rare form of cancer behaves in an aggressive manner similar to anaplastic carcinoma and is characterized histologically by the intimate blending of the squamous and glandular elements. The prognostic significance of identifying areas of malignant squamous epithelium within papillary carcinoma as opposed to the much more common benign squamous metaplasia, is highlighted. The pathogenesis, differential diagnosis and management of the condition are discussed.
Calcium alginate fibre (Kaltostat 2) for nasal packing after trimming of turbinates—a pilot study
Authors: Sirimanna K. S. 
Published: November 2007

AbstractFollowing surgical trimming of the inferior turbinates, 32 nostrils were packed with Calcium alginate fibre (Kaltostat 2 gramme fibre packs 80:20 per cent calcium:sodium) for 36–48 hours to achieve haemostasis. There was no bleeding while the packs were in place or after they were removed. These results were compared with two retrospective groups of patients who had undergone the same surgical procedure but the nostrils had been packed with alternative materials.
Myxoid tumours in the temporal bone
Authors: Charabi S. , Engel P. , Bonding P. 
Published: November 2007

AbstractMyxoid tumours have the essential common feature, that they are difficult to remove radically because of their gelatinous consistency. Only one previous report describes a myxoid tumour—a myxoma—located to the temporal bone. This paper presents two such tumours in the temporal bone, a myxoma and an extraskeletal myxoid chondrosarcoma. The clinical and histological features of these tumours and the operative treatment are described and discussed.
Kawasaki syndrome in an adult
Authors: Thompson A. C. , Lamey P. J. 
Published: November 2007

AbstractKawasaki syndrome is a panvasculitis occurring principally in childhood. Symptoms include fever, ‘strawberry tongue’, cervical lymphadenopathy and dermatological signs. A rare case of Kawasaki syndrome in an adult presenting to the Otolaryngology department is reported. The clinical features of the disease are described highlighting its systemic nature. Treatment options and possible complications are discussed.
Laryngeal foreign bodies
Authors: Kent S. E. , Watson M. G. 
Published: November 2007

AbstractThis paper presents our experience with four cases of impacted laryngeal foreign bodies. A review of the literature reveals that the condition is rare, but far more dramatic and life threatening than bronchial foreign bodies. The history may not indicate the diagnosis, especially in the ethnic minority races where there is a language barrier. Suspicion of the diagnosis by the causalty officer and the immediate attendance of an experienced otolaryngologist may be life saving.Radiological examination is not necessary where the diagnosis is obvious. If the diagnosis is in doubt it must be remembered that many foreign bodies are not radio-opaque. The patient must be accompanied at all times by an otolaryngologist until the foreign body is removed.
Blindness: A potential complication of bilateral neck dissection
Authors: Balm A. J. M. , Brown D. H. , De Vries W. A. E. J. , Snow G. B. 
Published: November 2007

AbstractPermanent blindness, is a very rare, but devastating complication of simultaneous bilateral neck dissection. Most otolaryngologists/head and neck surgeons are unaware that amaurosis can result from this surgery, and this paper is meant as a poignant reminder of that end. A case report is presented, followed by a discussion of possible aetiology; a management protocol is proposed.
Sinusitis and the acute orbit in children
Authors: Swift A. C. , Charlton G. 
Published: November 2007

AbstractAcute orbital infection is an uncommon condition which is often secondary to acute sinusitis. Although it can present in any age group it is most prevalent in children and may cause impaired vision, blindness, intracranial complications and death. This paper documents the experience at the Royal Liverpool Childrens Hospital, Alder Hey, from 1973 to 1989. Clinical details were recorded retrospectively from the hospital case notes. Sixty-eight children had orbital sepsis of whom 30 had associated acute sinusitis. Of these 30 children, orbital sepsis was always unilateral with a preference for the left side; ten had diplopia of whom four had a sub-periosteal abscess which was subsequently drained. There were no serious complications although two children had diplopia for two to three months.
Our experience in the surgical treatment of T1 carcinoma of the vocal cord
Authors: Daniilidis J. , Nikolaou A. , Symeonidis V. 
Published: November 2007

AbstractFrom 1971 to 1986, 94 patients suffering from T1 glottic carcinoma underwent cordectomy at the University ENT Clinic of Thessaloniki, Greece. There were five female and 89 male patients with a median age of 61.7 years.Two year survival rate was 93.7 per cent; five year survival rate was 93.2 per cent. Seventeen of the patients suffered recurrence, but 11 of them after laryngectomy or radiotherapy are alive with no sign of the disease. Tracheostomy was not performed in the majority of our cases. The relationship between the site of recurrence and survival as well as the role of radiotherapy before and after cordectomy in some of our patients are discussed.We believe that despite the good results of radiotherapy in T1 carcinoma of the vocal cord and the introduction of other treatment modalities such as CO2 laser, cordectomy by laryngofissure is still of value with very good survival results and minimal discomfort for the patient.
Tracheal stenosis in infants and young children
Authors: Laing M. R. , Albert D. M. , Quinney R. E. , Bailey C. M. 
Published: November 2007

AbstractEight cases of intra-thoracic tracheal stenosis presenting to the ENT department at the Hospital for Sick Children, Great Ormond Street, over the past 10 years are reported. The varied aetiology and presentation of these cases is discussed and the frequency of associated cardio-pulmonary anomalies emphasized. Difficulties in diagnosis and investigation are outlined, in addition to an overview of current management. While the overall outlook for many of these children remains poor there is reason to believe that a balance of conservative management and surgical reconstruction in selected cases will result in improved survival figures.
Patulous Eustachian tube: A radiological perspective
Authors: Tolley N. S. , Phelps P. 
Published: November 2007

AbstractThe diagnosis of a patulous Eustachian tube relies mainly upon the history, examination and a clinical awareness of the condition. More recently, objective tests such as tympanometry and sonotubometry have been shown to be useful in confirming the diagnosis. This paper describes how computed tomographic imaging may also be useful in aiding the diagnosis. Supporting this, clinical cases of patulous tubes are demonstrated radiologically associated with congenital hemifacial microsomia and following radiotherapy for a nasopharyngeal carcinoma. The role of computed tomographic imaging in the diagnosis, research and monitoring of treatment for his condition is discussed.
Electrocochleography: a new technique
Authors: Hickey S. A. , Mitchell D. B. , Buckley J. G. , Fitzgerald O'Connor A. F. , Wunderlich J L. 
Published: November 2007

AbstractThe near field monitoring of an auditory evoked response from the cochlear (electrocochleography) is a tried and trusted clinical tool. Conventional techniques for performing electrocochleography are cumbersome to use and frequently uncomfortable for the patient. We present a simple, modified technique which provides more flexibility with regard to where and when electrocochleography may be performed and also improves patient comfort during the test.
Lymphogranuloma venereum of the tonsil
Authors: Watson D. J. , Parker A. J. , Macleod T. I. F. 
Published: November 2007

AbstractA case of lymphogranuloma venereum of the tonsillar lymph tissue is presented. The similarities of tonsils to cervical lymph nodes are discussed and the importance of histological examination of abnormal tonsil tissue is reiterated.
Spontaneous dissection of the intrapetrous internal carotid artery
Authors: Saeed S. R. , Hinton A. E. , Ramsden R. T. , Lye R. H. 
Published: November 2007

AbstractTwo cases of cervicocephalic arterial dissection of the intrapetrous carotid artery are described. One patient presented with intolerable objective pulsatile tinnitus, the other with a cerebral infarction. Both were successfully treated with anticoagulants. The significance of minor degrees of trauma and of neck extension in the aetiology of these apparently spontaneous lesions is discussed.
Unusual case of bilateral conductive deafness
Authors: Hoare T. J. , Aldren C. J. , Morgan D. W. , Bull T. R. 
Published: November 2007

AbstractA 30-year-old female presented with a ten-year history of bilateral conductive deafness. A pre-operative diagnosis of otosclerosis was made but at tympanotomy, the stapes crura in each ear was found to be disconnected from the foot- plate, the ossicular chain being otherwise normal. A Teflon-wire prosthesis was used to join incus and footplate, with good results. In the absence of a history of trauma or sepsis this may be a late presentation of a congenital stapedial anomaly which has not previously been reported.
Midline sublingual dermoid cyst
Authors: Al-Khayat M. , Kenyon G. S. 
Published: November 2007

AbstractThe case of an 18-year-old man who presented with a large cystic mass in the floor of the mouth extending into the left submandibular triangle of the neck is reported. Histopathology of this mass, which was totally excised by a combined intra-oral and cervical approach, confirmed it to have originated in ectodermal remnants (congenital dermoid cyst) and to be actively secreting sebum. This case is reported both because dermoids at this site are rare because they may present some problems in management.
Comparison of electro and chemical cautery in the treatment of anterior epistaxis
Authors: Toner J. G. , Walby A. P. 
Published: November 2007

AbstractIn the ENT Department of the Royal Victoria Hospital, Belfast, the impression (supported only by anecdotes) was that electro-cautery was superior to chemical cautery in the treatment of simple anterior epistaxis. Since no evaluation of the relative merits of electro and chemical cautery has been reported, a prospective randomized study was conducted to assess the effectiveness of electro-cautery and cautery with silver nitrate. The results of the study showed that there was no statistically significant difference between the two methods in either controlling the epistaxis or in the incidence of complications. It is concluded that since cautery with a silver nitrate tipped applicator is simpler, and of equal effectiveness, it would appear to be the treatment of choice for simple anterior epistaxis.
Radiation therapy of laryngeal cancer: A twenty year experience
Authors: Robson N. L. K. , Oswal V. H. , Flood L. M. 
Published: November 2007

AbstractThis paper reviews a 20 year experience of radiation treatment of 286 laryngeal cancers and presents results with a minimum five year follow-up. All cases presented had glottic or supraglottic squamous cell carcinomas with no clinical evidence of nodal metastasis. A policy of primary radiotherapy, with surgery for salvage of treatment failures, produced control of primary disease and prevention of metastases superior to most other regimes documented in the literature.
A long term view of myringoplasty in children
Authors: Blanshard J. D. , Robson A. K. , Smith I. , Maw A. R. 
Published: November 2007

AbstractFifty-nine type 1 tympanoplasties in children under 14 years of age were assessed by recall to a special follow-up clinic up to 15 years post-operatively. Overall 78 per cent of tympanic membranes were found to be intact with a late failure of grafts noted in 6 per cent of cases. An improvement in the audiological threshold was found in 51 per cent, 24 per cent were unchanged, the remaining 25 per cent suffered a deterioration which was seen both immediately post-operatively and thereafter until reviewed in the special clinic. The age at operation, size of the perforation, grade of surgeon carrying out the operation and prior adenoidectomy had no statistically significant influence on the success rate or the audiologicaloutcome. Revision procedures achieved similar graft take rates to the initial procedures but fared worse audiologically. We conclude that in the majority the operation was successful but hearing gain was not as good as expected and subject to late deterioration. A long term follow-up is important to detect this and other complications.
Pharyngeal pouch carcinoma: two unusual cases
Authors: Burton M. J. , Lund W. S. 
Published: November 2007

AbstractTwo patients with carcinomata arising in pharyngeal pouches are reported. In one, the tumour was detected preoperatively by a contrast radiographicstudy. In the second the lesion was acarcinoma in situ. The English literature is reviewed with reference to these two unusual features.
Quelprud's Nodule: a post-auricular cartilaginous nodule
Authors: Khanobthamchai Kiti , Bingham Brian , Hawke Michael 
Published: November 2007

AbstractA number of minor variations to the configuration of the external ear are well recognized. This paper brings attention to one entity which is characterized by a small cartilaginous nodule or prominence arising from the posterior surface of the pinna and which we have named Quelprud's nodule. A prospective clinical survey of 208 patients attending an ENT clinic revealed that nearly one-third of the population studied possess this nodule. There was an equal sex incidence. The Quelprud's nodule was identified within families in a distribution which suggests an autosomal dominant inheritance with variable expressivity.