bluuebunny/crossref_metadata_2025_split huggingface dataset:
Unusual cases of congenital cholesteatoma of the ear
Authors: Rashad Usama , Hawthorne Maurice , Kumar Udhaya , Welsh Andrée 
Published: November 2007

AbstractCongenital cholesteatoma may originate at various sites in the temporal bone. For example, in the petrous apex, the cerebellopontine angle, the middle ear cavity, the mastoid process or the external auditory canal. The least common site being the mastoid process. We present two cases of congenital cholesteatoma of the mastoid process, each presenting with different symptoms and at different ages. Both patients underwent surgical treatment, which confirmed the diagnosis and radiological findings.
Clinical course of acute laryngeal trauma and associated effects on phonation
Authors: Brosch S. , Johannsen H. S. 
Published: November 2007

AbstractWe report the clinical course of blunt laryngeal trauma in three young patients. All three patients underwent several phoniatric examinations as well as indirect microlaryngoscopy and microstroboscopy. The follow-up period ranged from three to eight months. In the first case, there was isolated haemorrhage of the left vocal fold; in the second, dislocation of the arytenoid cartilage with formation of an adhesion in the area of the anterior commissure; and, in the third, non-dislocated fracture of the thyroid cartilage with development of haematoma in the right hemilarynx and transient vocal fold paralysis. One patient required surgical treatment; however, repositioning of the arytenoid cartilage, attempted seven weeks following the injury, proved unsuccessful.In conclusion, all three patients showed significant limitation of vocal fold vibration many months after trauma which was unrelated to the extent of resulting tissue damage. In all three cases, patients developed secondary posttraumatic functional dysphonia requiring treatment.
Laryngeal paraganglioma in a five-year-old child – the youngest case ever recorded
Authors: Thirlwall A. S. , Bailey C. M. , Ramsay A. D. , Wyatt M. 
Published: November 2007

AbstractA paraganglioma is a neuroendocrine neoplasm that originates from the paraganglion cells of the parasympathetic system. The average age of presentation is in the fifth decade. We report a case of laryngeal paraganglioma in a five-year-old child, the youngest case ever recorded. The features of paraganglioma which differentiate it from other tumours are also discussed.
Surgical simulation: an animal tissue model for training in therapeutic and diagnostic bronchoscopy
Authors: Ram Bhaskar , Oluwole Matthew , Blair Robin L. , Mountain Rodney , Dunkley Peta , White Paul S. 
Published: November 2007

AbstractA series of surgical simulation exercises has been developed using an animal model to allow trainees to practise basic instrument handling and develop psychomotor skills in bronchoscopy, without risk to patients. A pig model was found to be most suitable. After suitable preparation the model can be used for diagnostic and therapeutic exercises in bronchoscopy, including lavage, biopsy and the removal of various foreign bodies. The model is a safe, inexpensive and convenient means of bronchoscopic training for otolaryngology trainees. For the trained specialist who has to remove bronchial foreign bodies infrequently, the model is a useful way of maintaining skills.
Dercum's disease (adiposis dolorosa)
Authors: Reece P. H. , Wyatt M. , O'Flynn P. 
Published: November 2007

AbstractDercum's disease (adiposis dolorosa) is a rare condition characterized by progressively painful fatty deposits, usually, in menopausal women with obesity, asthenia and mental phenomena. We report a case of a 48-year-old woman with recurrent neck swelling and pain in the neck and parotid region, and a review of management of this uncommon problem.
Paranasal sinus enlargement in Sturge–Weber syndrome
Authors: Ku Peter K. M. , Kew Jacqueline , Van Hasselt Charles Andrew 
Published: November 2007

AbstractA case of Sturge-Weber syndrome is described in which all paranasal sinuses were grossly enlarged. The mastoid, petrous and squamous portions of the temporal bone on both sides were fully pneumatized and the right orbit was distorted. There was resistant infection in the left maxillary sinus. These unusual features were well demonstrated by computed tomographic scans.
Tall cell variant of papillary carcinoma arising from ectopic thyroid tissue in the trachea
Authors: Hari C. K. , Brown M. J. K. M. , Thompson I. 
Published: November 2007

AbstractEctopic thyroid tissue within the submucosa of the trachea is a rare cause of upper airway obstruction. Primary neoplasms arising from such thyroid nests are rare. This report describes a case of tall cell variant of papillary carcinoma arising from ectopic thyroid tissue in the trachea.
Pharyngeal pouch endoscopic stapling – are post-operative barium swallow radiographs of any value?
Authors: Ong Chun C. , Elton Paul G. , Mitchell David 
Published: November 2007

AbstractPosterior pharyngeal pouch endoscopic stapling has gained increasing popularity among otolaryngologists especially in elderly patients. Post-operative barium swallow appearances can create confusion with the appearance of persistent pouches. We describe our experience in 10 patients, three of whom had external excision with cricopharyngeal myotomy and the remaining seven had endoscopic stapling approach. All three patients who had external excision showed no residual pouch whereas all seven patients who had endoscopic techniques performed showed some residual pouch. We were unsuccessful in our attempt to correlate post-operative symptoms with radiological appearance. Attempts by other radiologists at identifying pre- and post-operative barium swallow radiographs in patients who had endoscopic stapling of pharyngeal pouch were unsuccessful. We conclude that post-operative barium swallow radiography plays no role in determining the success of endoscopic stapling of pharyngeal pouch.
Laryngeal amyloidosis with laryngocele
Authors: Aydin Ömer , Üstündaǧ Emre , İşeri Mete , Özkarakaş Haluk , Oǧuz Ali 
Published: November 2007

AbstractBoth laryngocele and laryngeal amyloidosis are uncommon, and simultaneous occurrences of these entities are extremely rare. A case of laryngeal amyloidosis with laryngocele in which the computed tomography (CT) and magnetic resonance (MR) imaging of the larynx, clearly demonstrating both disease processes, is discussed. Diagnosis is confirmed by histopathologic specimens. Only two cases have been reported in the world literature, and this is the third case of laryngeal amyloidosis associated with laryngocele.
Transpharyngeal approach for the treatment of dysphagia due to Forestier's disease
Authors: Uppal S. , Wheatley A. H. 
Published: November 2007

AbstractForestier's disease (diffuse idiopathic skeletal hyperostosis) is characterized by extensive spinal osteophyte formation and endo-chondral ossification of paravertebral ligaments and muscles. Dysphagia in the setting of Forestier's disease is a rare and hence often unrecognized entity. The dysphagia is due to mechanical obstruction in the initial stages and later by due to inflammation and fibrosis. Most of these patients are treated conservatively in the initial stages and later by excision of osteophytes through a lateral cervical approach. We present a case of dysphagia due to cervical osteophytes in the setting of Forestier's disease causing narrowing of the pharynx. The patient was treated surgically via a peroral-transpharyngeal route with excellent results.
Laser stapedotomy
Authors: Shabana Yousef K. , Allam Hassan , Pedersen C. Brahe 
Published: November 2007

AbstractThirty-four ears with conductive hearing loss due to otosclerosis were operated upon using the laser stapedotomy technique. Audiological results were compared with the results of 316 non-laser stapedotomies. The post-operative air-bone gap, calculated as the difference between the postoperative air and bone conduction levels, was smaller with the laser stapedotomy group. Also, the bone conduction showed significant improvement with the use of laser.Significant sensorineural hearing loss was not found in any of the laser-treated patients. According to our results, we concluded that laser is of benefit in stapes surgery for improving the hearing results and minimizing the inner ear trauma.
Benign disease of the thyroid gland and vocal fold paralysis
Authors: Abboud Bassam , Tabchy Bassam , Jambart Sélim , Hamad Walid Abou , Farah Pierre 
Published: November 2007

AbstractDevelopment of vocal fold paralysis in the presence of thyroid disease is strongly indicative of thyroid cancer, and requires surgical exploration. At the same time, vocal fold paralysis does not relieve the surgeon of his obligation to identify and preserve the recurrent laryngeal nerves, since the cause of the paralysis may be a benign disease, with a fair chance of functional recovery after surgery. We hereby report a case of recurrent laryngeal nerve palsy secondary to a multinodular goitre.
Extensive and symptomatic cranial pneumatization: caused by frequent performance of Valsalva's manoeuvre?
Authors: Nyrop Mette , Bjerre Per K. , Christensen Johnny , Jørgensen Karsten E. 
Published: November 2007

AbstractPneumocranium and spontaneous pneumocephalus are very rare disorders. We report a case in which the patient had suffered for some time from neck pain and neurological symptoms which originated from an extensively pneumatized cranium. The symptoms and the abnormal bone pneumatization disappeared after normalization of a high middle-ear pressure. The history and the findings suggest that the pathological pneumatization was caused by the patient's habit of frequently performing Valsalva's manoeuvre, in combination with the Eustachian tube functioning as a valve.
Pleomorphic adenoma of the nasal septum
Authors: Jassar P. , Stafford N. D. , MacDonald A. W. 
Published: November 2007

AbstractPleomorphic adenoma is the commonest benign tumour of the major salivary glands. It can also occur in minor salivary glands, mainly in the oral cavity, but also in other sites in the head and neck both within and outwith the upper aerodigestive tract. We present a rare case of pleomorphic adenoma of the nasal septum with consideration of the clinical management and a review of the literature.
Prognostic factors in carcinoma of the larynx: relevance of DNA ploidy, S-fractions and localization of the tumour
Authors: Đanić Davorin , Miličić Damir , Prgomet Drago , Leović Dinko 
Published: November 2007

AbstractThe influence of the cell cycle profile and the site of the primary tumour on the overall survival were examined in 36 patients with squamous cell carcinoma of the larynx. DNA ploidy (p = 0.0091), the overall proliferative activity (p = 0.0001), the overall proliferative activity of diploid tumour cells (p = 0.0017) and primary tumour site (p = 0.0008) were found to be significant single prognostic factors of the overall survival. Multivariate analysis showed that only the overall proliferative activity was prognostically significant (p = 0.013). The results of the study show that the supraglottic site of the tumours correlates significantly with DNA ploidy (p = 0.0334) and the overall proliferative activity of tumour cells (p = 0.0159), whereas the correlation with proliferative activity of diploid tumour cells (p = 0.1416) has not been confirmed by this study. Glottic tumours showed a prognostically significant correlation with the overall proliferative activity (p = 0.0037) and proliferative activity of diploid tumour (p = 0.0054). Such a prognostic correlation was not found for DNA ploidy (p = 0.6542).
Herpes and the head and neck: the difficulties in diagnosis
Authors: Whallett Elizabeth J. , Pahor Ahmes L. 
Published: November 2007

AbstractA case of primary herpes of the head and neck is presented. The exact source of infection and the precise diagnosis proved difficult to establish, but evidence tended to support a diagnosis of varicella zoster infection as opposed to a herpes simplex infection, though a dual infection was not ruled out.Herpes simplex has specific clinical features which usually make its distinction from varicella zoster clear cut. In this case we relied heavily on laboratory investigations to improve the accuracy of our diagnosis since the clinical characteristics were blurred.Unlike varicella zoster there has been little written about herpes simplex infections specifically affecting the ear, face and neck.
Rapidly invading sebaceous carcinoma of the external auditory canal
Authors: Ray J. , Schofield J. B. , Shotton J. C. , Al-Ayoubi A. 
Published: November 2007

AbstractA very rare case of a sebaceous carcinoma of the external auditory canal with basal cell differentiation is presented. Fewer than 400 cases affecting any part of the body have so far been reported and of that only seven cases have been known to involve the external auditory canal. The clinical features, pathology and treatment are described and the relevant literature has been reviewed.
Are pre-operative vocal fold checks necessary?
Authors: Green K. M. J. , de Carpentier J. P. 
Published: November 2007

AbstractOver a 26-year period, from 1970 to 1995, 2250 pre-operative vocal fold checks were carried out by the ENT team at Manchester Royal Infirmary in patients undergoing thyroid, parathyroid and cardiothoracic surgery. A register was kept of all pre-operative fold checks. This register was retrospectively analysed and 23 vocal fold palsies were documented. In six of these patients the notes were either missing or incomplete. All of the remaining 17 patients had a history suggestive of vocal fold palsy. We suggest that in the absence of symptoms, either current or on history, a routine pre-operative vocal fold check is unnecessary.
Tracheocarotid artery fistula infected with methicillinresistantStaphylococcus aureus
Authors: Tungekar M. F. 
Published: November 2007

AbstractMassive life-threatening haemorrhage from a fistula between the trachea and a major blood vessel of the neck is a rare complication of the tracheostomy procedure, well-recognized by anaesthetists and otolaryngologists. Although the lesion is likely to be encountered at autopsy, it is not described in histopathological literature. The possible causes are discussed together with the macroscopic and microscopic appearances of the lesion. Suitable procedures for its identification and for obtaining appropriate histopathological blocks are suggested. Presence of methicillin-resistantStaphylococcus aureus(MRSA) has not been documented before and might have contributed to the genesis of the fistula in this case.
Subtemporal exposure of the intrapetrous internal carotid artery. An Anatomical study with surgical application
Authors: Naguib Maged B. , Sanna Mario 
Published: November 2007

AbstractThis work describes the exposure of the intrapetrous internal carotid artery (ICA) through the subtemporal approach. The anatomical details of 25 fresh temporal bones were studied and provided the initial background for this procedure. Bone drilling in the meatal plane anterior to the internal auditory canal could create a four-sided quadrangular area. The exposure of the ICA through this area was applied on three occasions. It proved safe as regards the surrounding structures and also provided an ample working space for the extirpation of tumours surrounding the artery.
Myxoid chondrosarcoma of the external auditory meatus
Authors: Worley George A. , Wareing Michael J. , Sergeant Robert J. 
Published: November 2007

AbstractExtraskeletal myxoid chondrosarcoma presenting in the head and neck is extremely rare. Histological diagnosis is difficult and requires close co-operation between clinician, radiologist and pathologist. The tumour has a good prognosis in comparison to myxoid chondrosarcoma of the bone but surgical resection may be difficult due to its gelatinous nature. We present a case of extraskeletal myxoid chondrosarcoma originating in the external auditory meatus of a 42-year-old man. This is the first report of this tumour in this site.
Reversible hyposmia caused by intracranial tumour
Authors: Ishimaru Tadashi , Miwa Takaki , Nomura Motohiro , Iwato Masayuki , Furukawa Mrrusuru 
Published: November 2007

AbstractTwo patients with hyposmia caused by an intracranial tumour recovered olfactory functions after craniotomy. The first case was a 68-year-old male with a tumour metastasized from the lung to the right frontal lobe. The second case was a 75-year-old male with meningioma of the right frontal lobe. Results of T & T olfactometry and venous olfaction tests also indicated suspected central hyposmia. Magnetic resonance imaging (MRI) indicated compression of the frontal lobe by intracranial tumour. Pressure on the olfactory centre located in the frontal lobe produced hyposmia. Decompression of the frontal lobe by craniotomy improved the sense of smell. Therefore, some cases of olfactory disturbance caused by intracranial tumour may be reversible if they are the result of simple compression of the olfactory centre.
Skull base osteomyelitis interpreted as malignancy
Authors: Subburaman N. , Chaurasia M. K. 
Published: November 2007

AbstractLesions in the skull base may present difficulties in diagnosis primarily because the access needs to be invasive and one has to rely on imaging that may still be misleading. The case presented here illustrates this example in that the patient had abnormalities on computed tomography (CT) and magnetic resonance image (MRI) scans quite convincing of malignancy but which with time proved, essentially through clinical judgment, to be skull base osteomyelitis secondary to malignant external otitis (OME).
A three-array cochlear implant: a new approach for the ossified cochlea
Authors: Richardson H. C. , Beliaeff M. , Clarke G. , Hawthorne M. 
Published: November 2007

AbstractThe ossified cochlea, although rare, represents a challenge for cochlear implantation. While it is no longer considered an absolute contra-indication to implantation, insertion may be technically difficult and the results may be suboptimal. Techniques which have been employed are reviewed. The new Digisonic™ multi-array implant, which was designed specifically for use in the ossified cochlea is described, along with the technique used for its insertion.In the first patient to be implanted with this new implant, all electrodes lie within the cochlea and are functional. The new Digisonic™ multi-array implant may have advantages over other solutions for the ossified cochlea.
The use of the pedicled buccal fat pad (BFP) and palatal rotating flaps in closure of oroantral communication and palatal defects
Authors: El-Hakim Ibrahim E. , El-Fakharany Abdel Magid 
Published: November 2007

AbstractThe use of the buccal fat (BFP) and palatal rotating flaps for the closure of oro-antral communication and reconstruction of palatal defects was compared clinically. The BFP proved to be consistently successful in closing oro-antral fistulae and palatal defects resulting from tumour resection, preserving the normal anatomical architecture of the oral mucosa. No denuded area requiring secondary granulation was required as in the case of palatal flaps. In addition, no facial disfigurement was observed on the operated side.BFP is considered a reliable, convenient method for closure of palatal defects and closure of oro-antral communication. It can also be considered as a reliable back-up procedure in the event of failure of other techniques.
Phlebectasia of left anterior jugular vein
Authors: Uzun Cem , Taskinalp Oguz , Koten Muhsin , Adali Mustafa Kemal , Karasalihoglu Ahmet Rifat , Pekindil Gökhan 
Published: November 2007

AbstractWe present a rare case of unilateral phlebectasia of the anterior jugular vein in a 56-year-old male patient whose complaint is a neck swelling that appears during talking. Although in this age group the most common cause of such a mass in the anterior aspect of the neck increasing in size during any type of straining or Valsalva manoeuvre is a laryngocele, phlebectasia of the anterior jugular vein should be considered in the differential diagnosis. Doppler ultrasound and computed tomography are the most useful and non-invasive methods to use for the investigation. Treatment should be conservative.
The use of toluidine blue gargles to aid the detection of impacted pharyngeal fish bones
Authors: Jassar P. , Murray D. P. , Lee M. S. W. 
Published: November 2007

AbstractFishbone impaction is a common clinical problem. In most cases careful examination pinpoints the impacted bone which can then be removed. If no bone is detected a distinction must be drawn between mucosal abrasion mimicking fishbone impaction and a fine or deeply impaled fishbone eluding detection. We present a new method that may be helpful in the detection of pharyngeal fishbones.
Parotid tuberculosis simulating malignancy
Authors: Bhargava Asha K. , Shenoy A. M. , Kumar Rekha V. , M.S. Nanjundappa , Rao Clementina Rama 
Published: November 2007

AbstractAn interesting case of parotid tumour simulating malignancy is reported. The rarity of this lesion and the associated clinical and diagnostic problems are emphasized together with the relevant literature.
Brush cytology and its comparison with histopathological examination in cases of diseases of the nose
Authors: Maru Y. K. , Munjal S. , Gupta Y. 
Published: November 2007

AbstractNasal cytology is a simple, easy, bloodless and quite reliable investigation. Although its utility was recognized as early as 1927 by Eyerman, it has not yet gained much popularity. Here, an attempt is made to assess its efficacy for the diagnosis of various inflammatory, benign and malignant conditions in 151 cases of common rhinological problems in the M. Y. Group of Hospitals, Indore MP India.This method can be used as an adjuvant to clinical diagnosis and histopathological diagnosis as an outpatient department (OPD) procedure with the help of a nasal endoscope, as it was found to be a simple, reliable and time-saving procedure for further management. It can also be used as a screening test for the detection of symptomless patients particularly in precancerous lesions.
Hearing loss associated with large internal auditory meatus: a report of five paediatric cases
Authors: Birman Catherine S. , Gibson William P. R. 
Published: November 2007

AbstractThis paper describes the abnormality of a large internal auditory meatus (LIAM). Computed tomography (CT) scans show the otic capsule to be affected by a widened, bulbar internal auditory meatus with loss of or reduction of the bony wall dividing the lateral fundus of the meatus from the cochlea. The vestibule is abnormally dilated. We report five cases of children with LIAM and profound hearing loss. Three of these children are girls and two children were boys. Three had congenital progressive hearing loss, one of these had an accompanying large vestibular aqueduct and dysplasia of the cochlea. Two patients had had meningitis resulting in profound loss.
Primary tuberculosis of the posterior oropharyngeal wall
Authors: Hajioff D. , Snow M. H. , Thaker H. , Wilson J. A. 
Published: November 2007

AbstractWe report a case of primary tuberculosis of the posterior oropharyngeal wall presenting with sore throat, fever and malaise. Pharyngeal tuberculosis is rare and usually occurs with primary pulmonary disease. Primary disease has been reported in small numbers in the nasopharynx and palatine tonsil but never before, to our knowledge, in the posterior oropharyngeal wall.
Metastatic melanoma of the tonsil
Authors: Sood S. , Nair S. B. , Fenwick J. D. , Horgan K. 
Published: November 2007

AbstractMetastasis to the tonsils from malignant melanoma is rare. This paper describes one such case in a woman with synchronous breast adenocarcinoma and cutaneous malignant melanoma who had a most unusual clinical course.