bluuebunny/crossref_metadata_2025_split huggingface dataset:
When is a biopsy justified in a case of relapsing polychondritis?
Authors: Reina Carlos O'Connor , Iriarte Maria Teresa Garcia , Reyes Francisco Javier Barron , Monge Ernesto Garcia , Barona Rafael Luque , Angel Diego Gomez 
Published: November 2007

AbstractRelapsing polychondritis (RP) is a relatively rare rheumatic condition of unknown aetiology. It is characterized by recurrent episodic inflammation of cartilaginous structures (nose, ear and trachea). The clinical diagnosis of polychondritis can frequently be made with confidence in the absence of histological confirmation. A 61-year-old diabetic man, with bilateral relapsing aural inflammation, left ear deafness with tinnitus and pain at the sternocostal junctions is reported. After clinical diagnosis of relapsing polychondritis steroid therapy was started. An ear cartilage biopsy was performed confirming the clinical diagnosis. Subsequently soft tissue infection occurred at the operation site. The abscess was drained and oral ciprofloxacin was given with complete resolution of the infection over 30 days. As the infection is the main cause of death in these patients, we analyse whether biopsy is absolutely necessary for the diagnosis of RP in some patients.
An extreme and unusual variant of Ramsay Hunt syndrome
Authors: De S. , Pfleiderer A. G. 
Published: November 2007

AbstractRamsay Hunt syndrome is characterized by facial nerve paralysis, herpetic vesicles in or around the ear and pain often associated with vestibulocochlear nerve involvement. It is thought to be a cranial polyneuropathy caused by the herpes zoster virus. We present an extreme and unusual variant of this disease with involvement of VIIth, VIIIth, Xth, XIth and XIIth cranial nerves as well as C2–4 sensory dermatomes and profound systemic upset which caused some diagnostic uncertainty.
Spontaneous carotico-cavernous fistula presenting as pulsatile tinnitus
Authors: Robertson A. , Nicolaides A. R. , Taylor R. H. 
Published: November 2007

AbstractA patient with sudden onset pulsatile tinnitus resulting from a spontaneous carotico-cavernous fistula is presented. The case is discussed and illustrated to highlight the clinical features and natural history of a condition rarely seen by ENT surgeons.
Penetrating oesophageal foreign bodies in the thyroid gland
Authors: Goh Y. H. , Tan N. G. 
Published: November 2007

AbstractOesophageal penetration and migration of oesophageal foreign bodies into the thyroid gland is extremely rare with only occasional case reports appearing in the medical literature over the years. This is a retrospective review of four patients who were managed for penetrating oesophageal foreign bodies in the thyroid gland over an 11-year period. The clinical, radiological and intra-operative findings of the four cases are discussed.
Monostotic fibrous dysplasia of the temporal bone
Authors: Xenellis J. , Bibas A. , Savy L. , Maragoudakis P. , Nomicos P. 
Published: November 2007

AbstractFibrous dysplasia is a slowly progressive bony disorder where normal bone is replaced by abnormal fibroosseous tissue. Its monostotic variety in the temporal bone is very rare and such a case is presented here. Computed tomography (CT) may be adequate for the diagnosis and follow-up of these patients. Limited surgery should only be considered in cases of symptomatic disease.
Early complications of surgery for chronic otitis media
Authors: Dawes P. J. D. 
Published: November 2007

AbstractThis audit report details early post-operative complications following surgery for chronic otitis media. One hundred and forty-five cases were assessed. There were no facial nerve palsies, a bone conduction threshold elevation occurred in 4.6 per cent of cases. A wound infection occurred in six per cent of cases as did BIPP allergy. Twenty-six per cent of patients reported symptoms consistent with chorda tympani trauma. Short-lived symptoms of jaw discomfort were reported by 46 per cent of patients and imbalance or vertigo by 10 per cent of patients. The findings are compared with other published reports of complications following ear surgery.
Removal of a foreign body from the bronchial tree – a new method
Authors: Umapathy N. , Panesar J. , Whitehead B. F. , Taylor J. F. N. 
Published: November 2007

AbstractTracheo-bronchial foreign bodies can be very difficult to remove. This may be related to the location and type of foreign body, the experience of the bronchoscopist and the availability of appropriate instruments.We report a case of an uncommon foreign body in an unusual location in an adolescent in whom conventional attempts to remove it failed. The foreign body was eventually recovered using a flexible bronchoscope and an intravascular wire loop snare under fluoroscopic control. The patient was saved from thoracotomy and possible lobectomy.To our knowledge, this combined fluoroscopic and endoscopic approach for the removal of a difficult tracheobronchial foreign body is the first reported case in the literature.
Is Ollier's disease an understaging of Maffucci's syndrome?
Authors: Ahmed S. K. , Lee W. C. , Irving R. M. , Walsh A. R. 
Published: November 2007

AbstractOllier's disease and Maffucci's syndrome are similar multiple enchondromatous conditions. Other co-existing pathologies, particularly other primary malignancies, have been described sporadically in both conditions but more so in Maffucci's syndrome. Maffucci's syndrome is distinguished from Ollier's disease by the presence of haemangiomas in the former. In this report, a patient believed to have Ollier's disease for 44 years was subsequently found to have large splenic haemangiomas on magnetic resonance imaging (MRI). In the light of this, we recommend that any patient diagnosed with Ollier's disease to have total body MRI to search for haemangiomas that will alter the diagnosis to Maffucci's syndrome and hence the prognosis. MRI also screens for the presence of other associated malignancies.
Feingold syndrome – a cause of profound deafness
Authors: Dodds Annabel , Ramsden Richard , Kingston Helen 
Published: November 2007

AbstractA case of Feingold syndrome is presented with a previously undescribed association of bilateral profound hearing impairment. Computed tomography (CT) scanning revealed severe narrowing of the internal auditory meatuses at the peripheral end with non-existent auditory nerves. This pathology is significant in the future habilitation of the child, as cochlear implantation is not possible. Children with multiple congenital anomalies should have radiological investigations before hopes are raised with respect to cochlear implantation.
Nasopharyngeal tuberculosis
Authors: Percodani J. , Braun F. , Arrue P. , Yardeni E. , Murris-Espin M. , Serrano E. , Pessey J. J. 
Published: November 2007

AbstractRhinopharyngeal tuberculosis is a rare pathological condition. It is most often associated with lymph node and pulmonary lesions, but it may be an isolated finding. The authors report a recent case of an isolated rhinopharyngeal tuberculosis in a 64-year-old female. A review of the literature is presented. They emphasize the clinical presentation, that, in all aspects, may resemble a malignant tumour of the nasopharynx, as well as the difficulty of obtaining a pathological and bacteriological diagnosis.
Severe congenital laryngeal hypoplasia in a 45-year-old man
Authors: Ali Osman , Snow D. G. 
Published: November 2007

AbstractCongenital laryngeal anomalies are rare. They usually present in infancy and early childhood. We present a case of severe congenital hypoplasia, with multiple anomalies of the laryngeal cartilages in a 45-year-old man.
Development of the Midland adult cochlear implant programme
Authors: Cooper H. R. , Cheshire I.M. 
Published: November 2007

AbstractThis paper describes the development of adult cochlear implantation in Birmingham over its first six years, from 1990 to 1996. During this time 366 patients were referred to the implant programme, female referrals outnumbered males 1.2:1. Eight per cent of referrals were over the age of 70.The annual rate of referral suggests a fairly steady demand for the service. Approximately one third of patients referred each year were subsequently implanted. The centre is currently performing an average of 2 implants per month. The average time from referral to implant is approximately 19 months.The greatest number of referrals originated from health districts closest to the implant centre. An examination of patients implanted suggested an imbalance in the uptake of the service amongst the different socio-economic groups.
Evaluation of cochlear implantation in post-meningitic adults
Authors: Thomas J. , Cheshire I. M. 
Published: November 2007

AbstractMeningitis is an important cause of deafness and in some studies has been associated with poorer outcomes in adult patients following cochlear implantation. Of the first 100 adults implanted under the Midland Cochlear Implant Programme, 28 were deafened as a result of meningitis. We compare our experience with these patients with patients with a non-meningitic aetiology.A degree of cochlear ossification was a more common finding in the meningitic group. In six cases (four meningitics, two non-meningitics) ossification was encountered only during surgery, not being apparent on pre-operative radiology.The average scores achieved on auditory tests by the meningitic group were similar to those achieved by non-meningitic patients. At nine months, using only the implant, users were able to identify 54 per cent of common environmental sounds, achieved an average score of 30 words per minute on connected discourse tracking and identified an average of 42 per cent of words correctly in BKB sentences.Poorer outcomes were more commonly associated with cochlear ossification. In patients with cognitive and neurological sequelae, benefits with the implant were not always apparent in the early months, however, with intensive therapy these patients can obtain measurable sustained benefit from their implant.
Clinical monitoring of the effects of gentamicin by electrocochleography
Authors: Keene Malcolm , Graham John M. 
Published: November 2007

AbstractEight patients receiving prolonged treatment with gentamicin for bacterial endocarditis were monitored for possible ototoxicity using transtympanic electrocochleography as an adjunct to pure tone audiometry, vestibular function tests and serum gentamicin levels. An immediate effect of intravenous gentamicin on the cochlea, shown by changes in the whole nerve action potential and/or cochlear microphonic was recorded in seven patients, none of whom had experienced vestibular or auditory symptoms with gentamicin prior to testing. Two patients subsequently developed evidence of vestibular dysfunction, and a high frequency sensorineural hearing loss occurred in a third individual. There have been no previous report of the immediate effects of gentamicin on the human cochlea to date. The significance of these findings in routine clinical monitoring of ototoxicity is discussed in the light of clinical and animal evidence for the possible mode of action of aminoglycosides on the auditory and vestibular apparatus.
Cholarmphenicol ototoxicity
Authors: Iqbal S. Md. , Srivatsav C. B. P. 
Published: November 2007

AbstractA case of bilateral profound sensori-neural hearing loss following systemic administration of chloramphenicol is reported because of its rarity. The hearing loss was gradually progressive, involving one ear; and with a repeat course of the drug, the other ear too was involved. An idiosyncratic or allergic response to previous exposure to the drug may be the cause of the toxicity. One should be careful in prescribing the drug repeatedly; when this is done, the patient must be carefully observed for possible toxic effects.
Laryngeal edema as the only symptom of hypersenitivity to salicylic acid and other substances
Authors: Hillerdal G. , Lindholm H. 
Published: November 2007

SummaryIdiosyncrasy to salicylic acid and related substances is well known, the most common symptoms being asthma, rhinorrhea and urticaria. We here describe two cases whose only symptoms were hoarseness and in which inspection revealed laryngeal edema when the patients ingested any of these substances. In cases of chronic recurring hoarseness, a history should be taken with respect to such hypersensitivity and suspect cases should be challenged, since a strict diet may improve the symptoms.
Recurrent meningitis in children due to inner ear abnormalities
Authors: Quiney R. E. , Mitchell D. B. , Djazeri B. , Evans J. N. G. 
Published: November 2007

AbstractRecurrent meningitis in children is not only a potentially life threatening condition, but often involves the child in the trauma of repeated hospital admissions and multiple and invasive investigations to try and find an underlying cause. Symptoms and signs of CSF rhinorrhoea or otorrhoea are infrequent in these patients. Unilateral deafness may be difficult to diagnose in the young child. Full ENT examination may be normal.We report seven cases of children with recurrent meningitis in whom inner ear abnormalities were only indicated as the site of entry of infection by hypocycloidal tomography or high resolution CT scanning of the temporal bone. Subsequent tympanotomy confirmed the site of the CSF leak as the oval window in the majority of cases; packing the vestibule with muscle halted further attacks in these patients.
Nasal myiasis: Review of 10 years experience
Authors: Sharma H. , Dayal D. , Agrawal S. P. 
Published: November 2007

AbstractNasal myiasis is a manifestation of the nasal cavities by larvae of the fly of genus Chrysomia. It is prevalent in tropical countries. Atrophic rhinitis is the most commonest predisposing factor for this condition. The maggots can cause extensive erosion of the nose, face and intra-cranial structures occasionally causing meningitis and death. Conservative management by packing the nose with a chloroform and turpentine (1:4) mixture followed by manual removal of the dead maggots is an effective method. Recurrence is known but partial closure of both nostrils to improve the condition of nasal mucosa is the important part of management.
Endoscopic transnasal surgery in chronic maxillary sinusitis
Authors: Kamel R. H. 
Published: November 2007

AbstractThe treatment of chronic maxillary sinusitis aims at the re-establishment of proper aeration and drainage of the antrum. Middle meatal antrostomy offers ventilation and clearance of the antrum and has anatomical, physiological, physical and pathological basis.This work included 66 cases of chronic maxillary sinusitis, for whom 94 operations of endoscopic middle meatal antrostomy were performed (38 unilateral and 28 bilateral procedures). Any associated anatomical variations and/or pathological abnormalities at the ostiomeatal area were dealt with. Follow-up of these cases for periods ranging from four to 12 months showed that 95.5 per cent of the cases experienced subjective improvement. Endoscopically 96.8 per cent of the antrostomies were patent and 94.7 per cent of the maxillary sinuses were clear and regained healthy mucosa. The author concluded that middle meatal antrostomy, when done endoscopically, is a safe procedure with good results
Tympanosclerosis: review of literature and incidence among patients with middle-ear infection
Authors: Asiri Saad , Hasham Alaa , Anazy Fatma Al , Zakzouk Siraj , Banjar Adel 
Published: November 2007

AbstractThe aim of the study was to review the literature of tympanoscierosis especially its pathogenesis, to study the general incidence of tympanoscierosis among patients with chronic suppurative otitis media (CSOM), its association with cholesteatoma and also the type of hearing loss as well as its relation to the degree and site of tympanosclerosis.Seven hundred and seventy-five patients with CSOM were studied retrospectively. A full history was taken and thorough ENT examinations were carried out. Pure tone audiograms (PTA) of all patients were done and analysed. The operative finding of tympanosclerosis as well as middle-ear status were inspected.The incidence of tympanosclerosis was found to be 11.6 per cent (90 patients out of 775 CSOM cases). Most tympanosclerosis cases had dry ear, (85.6 per cent). Of the 57.8 per cent who had myringosclerosis, their PTA showed an AB gap 20–40 dB. When sclerosis affect both the tympanic membrane and middle ear, 61 per cent of patients had an AB gap >40 dB. The association of cholesteatoma and tympanosclerosis may be regarded as uncommon, 2.2 per cent.The exact aetiology and pathogenesis of tympanosclerosis is as yet not well known. Our study concentrated on the clinical picture of tympanosclerosis among patients with CSOM. The majority of hearing loss associated with tympanosclerosis was of the conductive type.
Early post-operative morbidity following tonsillectomy in children: implications for day surgery
Authors: Panarese A. , Clarke R. W. , Yardley M. P. 
Published: November 2007

AbstractAdenotonsillectomy and tonsillectomy are amongst the most commonly performed surgical procedures. In our prospective study we looked at early post-operative morbidity (haemorrhage, vomiting and pyrexia) in 521 consecutive children following tonsillectomy, adenotonsillectomy and adenoidectomy. While the incidence of reactionary haemorrhage is low, pyrexia and vomiting are common. The implications of this high early post-operative morbidity for day surgery are discussed.
A case of malignant otitis externa following mastoidectomy
Authors: Patel S. K. , McPartlin D. W. , Philpott J. M. , Abramovich S. 
Published: November 2007

AbstractWe present a case of a 63-year-old diabetic male who developed malignant otitis externa following mastoidectomy. Extensive skull base osteomyelitis caused thrombosis of the jugular bulb and subsequent paralysis of cranial nerves VII, IX, X and XII. Hewas treated aggressively with intravenous antibiotics and debridement of granulation tissue in the mastoid bowl with full recovery of the cranial nerve palsies associated with recanalization of the jugular bulb. We believe this is the first reported case of malignant otitis externa to occur following mastoidectomy with complete recovery of the cranial nerve paresis.
Bilateral secondary syphilis of the tonsil
Authors: Mannarà Giacinto, M. , Sacilotto Claudio , Frattasio Alfonsina , Pedace Ernesto , Di Loreto Carla , Ferlito Alfio 
Published: November 2007

AbstractA patient with bilateral tonsillar enlargement secondary to syphilis is presented. Clinical appearance, histological findings and serological tests permitted a correct diagnosis to be obtained, ruling out the suspicion of cancer.
Benjamin Guy Babington and his mirror
Authors: Harrison Donald 
Published: November 2007

AbstractDespite good evidence to the contrary, the Spanish singing teacher Manuel Garcia is still credited by many to have been the discoverer of the mirror for inspecting the larynx. Although the adoption of this technique into clinical practice, and thus the beginning of laryngology as a specific discipline, is rightly credited to others Manuel Garcia achieved unwarranted fame…if not fortune. Careful examination of the published literature has substantiated the claim that 26 years prior to the paper presented on Garcia's behalf to the Royal Society of London, Babington had described to the Hunterian Society a similar device which later evidence indicated had been used clinically on at least one laryngologist. This claim was also supported by no less than Morell Mackenzie in a published lecture in 1864, nine years after Garcia's lecture. Possible explanations for this aberration of justice are considered.
Parapharyngeal emphysema – an unusual complication of temporal bone trauma
Authors: Plaza G. , Millán J. Martínez-San , Navas C. , Martínez-Vidal A. 
Published: November 2007

AbstractWe report a case of a 36-year-old woman who suffered a temporal bone trauma due to a bicycle crash. Computed tomography revealed parapharyngeal emphysema despite only minor temporal bone changes.
The use of positron emission tomography and computed tomography in the assessment of trismus associated with head and neck malignancy
Authors: Tierney P. A. , Farag I. , Saunders C. A. B. 
Published: November 2007

AbstractThe assessment of head and neck cancer has traditionally involved clinical examination and anatomical imaging by computed tomography (CT) or magnetic resonance imaging (MRI). We present a case where a problem of clinical confusion and inconclusive radiology was resolved by the use of positron emission tomography (PET) coregistered with CT.
Space, and more
Authors: Bayle François 
Published: November 2007

AbstractAmong the questions regularly put to me, those that recur most often touch upon three aspects, three things to consider that are, truth to tell, unending within the domain of organised sounds. Those questions that take the lead are usually concerned with space – the representation of space as well as the production of space. Then come those that deal with listening, active or passive. Last are those relating to tools for making and for listening. Together, these approaches run through the stages that are very natural in position problematics: where, when, how, for whom, why? I would like, in formulating these repeated questions once more, to make myself re-orientate them in such a way to show that by bringing to bear forty years of experience, I have tried to reply to them as much through practice as through theory, putting forward the idea of a family of operational concepts linked together through the perceptual radical ‘acous’: acousmatic, acousmonium, acousmographe, acousmathèque.
The GRM: landmarks on a historic route
Authors: Gayou Évelyne 
Published: November 2007

AbstractThe year 1958 witnessed the birth of the institution GRM, nurtured by the French Radio and Television service (RTF). However, the fifty years of the GRM cannot be dissociated from the preceding period, datable from 1942, when Pierre Schaeffer began experiments with radiophonic sound which led him to musique concrète while bringing into existence the institutional infrastructure of the group. We can therefore see the Studio d'Essai (1942–46), the Club d'Essai (1946–60) with its Groupe de Recherche de Musique Concrète (GRMC, 1951–58) as forebears of the GRM. The fundamental principle, which lies in working with sonic material directly on the recording media through a precise listening to recorded elements, led Schaeffer to affirm that there is another way to access music other than from notation.He used this powerful idea as the fixed point on the compass for all his research. Linked from its origins to the broadcasting services – RTF until 1964, ORTF up to 1974, then INA ever since – the GRM has constantly adapted its theories and its ideas to successive technological developments: smooth disks (shellac records), magnetic tape, computer memory. A fruitful period at the Service de la Recherche (1960–75) allowed Schaeffer and his team to systematically examine the world of sounds from their own listening experience. The Traité des Objets Musicaux (Treatise of Musical Objects) bears witness to this research. Since 1975 another adventure has been under way: that of the preservation and making available of works and discoveries gathered over the years – an exceptional heritage which continues to grow and interest an ever larger public.