bluuebunny/crossref_metadata_2025_split huggingface dataset:
Conservative treatment in the management of inflammatory aural polyp
Authors: Hussain S. S. M. 
Published: November 2007

AbstractThis prospective study assesses the role of intensive outpatient based conservative treatment in the management of aural polyp.All cases of aural polyp that presented to the department during 1990 were included. Patients with obvious cholesteatoma or in whom inner ear or intracranial pathology was suspected were excluded as were children and patients who had undergone previous ear surgery.We found that treatment with topical steroid/antibiotic decreases disease activity and renders subsequent surgery less extensive.
Autologous fibrin glue in the repair of dural defects in craniofacial resections
Authors: Toma Abbad G. , Fisher Edward W. , Cheesman Anthony D. 
Published: November 2007

AbstractCerebrospinal fluid leakage is a serious and well recognized complication of craniofacial resection for ethmoidal tumours in which the integrity of the dura has been breached. Autologous fibrin glue is a safe, inexpensive and simple method of improving the seal of dural repair and hence minizing CSF leakage. The principles and method of autologous fibrin glue preparation are described. The technique has proven satisfactory in 20 consecutive craniofacial resections with dural defects and is recommended as an adjunct to current techniques of dural repair.
Nasal teeth
Authors: Pracy J. P. M. , Williams H. O. L. , Montgomery P. Q. 
Published: November 2007

AbstractEctopic and supernumerary teeth occur in a wide variety of sites. Those that have been reportedinclude the mandibular condyle, coronoid process, orbit, palate, nasal cavity and the maxillaryantrum. Eruption of teeth into these sites is rare, and easily overlooked. We present two casesin which eruption of teeth into the nose and paranasal sinuses was associated with significant morbidity and show how this was relieved by appropriate surgery.
Antimicrobial Prophylaxis for Major head and neck cancer surgery with piperacillin and ornidazole
Authors: Dominici L. , Gondret R. , Broc V. , Dubos S. , Viallard M. , Deligne P. 
Published: November 2007

AbstractA prospective study in 53 eligible patients, undergoing major head and neck cancer surgery was carried out to assess the combination of an ureido penicillin, piperacillin with a nitro imidazole agent, ornidazole, in order to prevent post-operative general and wound infections. Both antibiotics were administered for five days. Each patient had piperacillin 4 gm every eight hours and ornidazole 1 gm every 24 hours.The overall rate of infections was 13.2 per cent (n = 7), with 3.8 per cent (n = 2) wound infections and 11.3 per cent (n = 6) general infections (one patient presented both complications).There was no wound infection in the total surgery group (n = 12). General infections who only consisted of pneumonias were respectively 12.2 per cent (n - 5) in the group with partial procedures (n = 41) and 8.3 per cent (n = 1) in the total surgery group.This antibioprophylaxis can be recommended in major oncological neck surgery, specially in the case of partial procedures.
Combined therapy in advanced head and neck cancers
Authors: Bahadur Sudhir , Kumar Subirendra , Tandon D. A. , Rath G. K. , De Sudarsan 
Published: November 2007

AbstractThe results of single modality treatment using surgery or radiotherapy alone in advanced head and neck cancers are known to be unsatisfactory. The present study analyses 252 cases with stage III and IV resectable cancers of the head and neck region selected to be treated by a combined regime of pre- or post-operative radiation and radical surgery. Only 193 patients completed the treatment protocol. There were 58 cases (33.5 per cent) who failed either at primary or regional sites or both. Nine cases (five per cent) developed distant metastasis. Absolute and determinate four year disease-free survival was 55 per cent and 61 per cent respectively. Early lesions (stage I and II) have been excluded from the study. The study indicates that a reduction in primary and regional failures correlates well with a combined therapy, though prolonged treatment may affect patients' compliance to some extent.
A difficult intubation—Fatal respiratory arrest secondary to an oral epulis
Authors: Farrell Roy W. R. , Mckenna Deirdre M. , Anaes Desmond Breen F.C. , Parker Andrew J. 
Published: November 2007

AbstractWe report an unusual case of cardio-respiratory arrest and eventual death secondary to a benign tumour of the oral cavity obstructing the oropharynx. We review the literature of similar occurrences causing difficulty with respiration and intubation, and highlight the importance of early diagnosis and treatment.
Recovery ofChlamydia pneumoniae, in six patients with otitis media with effusion
Authors: Ogawa* Hiroshi , Hashiguchi Kazuhiro , Kazuyama Yukumasa 
Published: November 2007

AbstractSix cases of otitis media with effusion associated withChlamydia pneumoniae, a currently recognized respiratory tract pathogen, are presented. The organism was isolated from the middle ear fluids and serological evidence confirmed it as the infectious agent. The study population is small; however, these reports suggestC. pneumoniaeas a causative agent of middle ear diseases.
Oesophageal foreign body: an unusual cause of respiratory symptoms in a three-week-old baby
Authors: Chowdhury C. R. , Bricknell M. C. M. , MacIver D. 
Published: November 2007

AbstractImpaction of a foreign body in the oesophagus is common in children. If the event is not witnessed by an adult or the object is radiolucent the diagnosis is difficult as respiratory symptoms may predominate. We report a three-week-old child with respiratory symptoms who had both a respiratory syncytial virus infection and a radio-lucent oesophageal foreign body. This case is the youngest yet reported and serves as a reminder of the difficulties in the diagnosis of this important condition.
Role of prophylactic antibiotics in surgery for advanced head and neck cancer
Authors: Tandon D. A. , Bahadur S. , Laldina H. C. , Sundaram K. R. 
Published: November 2007

AbstractFour regimens of prophylactic antibiotics were utilized in 122 consecutive patients of stages III and IV carcinoma of the upper aero-digestive tract undergoing major resections in a randomized single-blind study. Ampicillin, gentamicin, cephalexin and metronidazole were used in different combinations for periods of 5 or 10 days. A cephalexin-metronidazole protocol for 10 days was associated with lowest post-operative infection rate. Oral-oropharyngeal resection and use of pectoralis major myocutaneous flap were the most important factors contributing to infection.
Nasal polpectomy: should antral washout be a routine?
Authors: Dowell Marque , Pahor Ahmes L. 
Published: November 2007

AbstractSeventy patients with nasal polyps were studied. Forty-seven of these had pre-operative sinusradiographs and all seventy patients had antral washouts at the time of nasal polypectomy. One hundred and seventeen antral aspirates were sent for culture and microscopy. The naked eyeappearance of aspirates were turbid in 34 patients. Bacteria were cultured from 15 of the specimens in 10 patients.It was concluded that antral washout should be recommended in all patients who have nasal polypectomy and that there is no need for sinus radiographs in those patients who have uncomplicated nasal polyps.
Ceruminous gland tumours: a reappraisal
Authors: Mansour P. , George M. K. , Pahor A. L. 
Published: November 2007

AbstractCeruminous glands should no longer be regarded as purely apocrine glands, but as apoeccrine glands with both apocrine and eccrine modes of secretion. We present two cases of pleomorphic adenoma of ceruminous glands, among the rarest of such tumours. The use of such terms as ‘ceruminoma’ and ‘hidradenoma’ should finally be abandoned, and ‘ceruminous gland tumour’ used instead as a generic term. Classification should be based on Wetli's prototype (adenoma, pleomorphic adenoma, adenoid cystic carcinoma and adenocarcinoma), with the addition of benign eccrine cylindroma and syringocystadenoma papilliferum; the inclusion of mucoepidermoid carcinoma should await full validation. Wide local excision is necessary for all tumours, with only follow-up for histologically benign neoplasms. Malignant tumours need early aggressive surgery and radiotherapy. If marginal invasion cannot be assessed histologically, then adenoma and adenocarcinoma cannot be distinguished and we suggest that the tumour be reported as ‘of uncertain malignant potential’. Long-term studies are needed to confirm or refute the view that all ceruminous gland tumours are potentially malignant.
Vestibular neurectomy by the infralabyrinthine approach
Authors: Magliulo G. , Vingolo G. M. , Petti R. , de Vincentiis M. 
Published: November 2007

AbstractThere are a variety of approaches for treating vertigo with selective vestibular neurectomy but each has definite limitations proving that no ideal technique is yet available. An original posterior-inferior approach to the internal auditory canal (infralabyrinthine approach) has been recently proposed. It attempts to overcome the limitations and to combine the advantages of the previous procedures. This report presents our preliminary results using this particular technique in the management of vestibular symptoms of Meniere's disease.
A conservative approach to the management of otitis media with effusion in cleft palate children
Authors: Robson A. K. , Blanshard J. D. , Jones K. , Albery E. H. , Smith I. M. , Maw A. R. 
Published: November 2007

AbstractOtitis media with effusion (OME) is almost universal in children born with a cleft palate. Early placement of a ventilation tube to alleviate hearing problems is common. A retrospective study has been carried out to assess whether the practice of tube placement only for definite clinical indications is successful in terms of subsequent hearing levels and speech and language development. This was assessed by a case note review, analysis of speech therapy data and by means of a special follow-up clinic.There was no difference in speech development between those treated with tube insertion for OME and those untreated. Audiological thresholds were worse in the treated group. A similar number in each group required regular speech therapy. More abnormal otological findings were present at follow up in those who had tubes inserted, some of these were directly attributable to the presence of tubes.A conservative management of OME in cleft palate children, with tube insertion for only definite clinical indications, is an appropriate management, and will lead to fewer otological complications of tube insertion.
Allergic aspergillus sinusitis with proptosis
Authors: Daghistani K. J. , Jamal T. S. , Zaher S. , Nassif O. I. 
Published: November 2007

AbstractAllergic aspergillus sinusitis has recently been increasingly recognized. Five cases are discussed. All presented with proptosis, signs and symptoms of allergic rhinitis and radiological evidence of expansile masses with calcification and bony erosions involving multiple sinuses. Greenish cheesy material was seen at surgery. Histologically the lesions contained eosinophils, Charcot-Lyden crystals and fungal septate hyphae.Aspergillus fumigatuswas grown from all cases. Surgical removal with drainage and aeration were performed. The follow-up period ranged between three to 18 months. Recurrence occurred in one patient.Allergic aspergillus sinusitis can mimic malignant disease and should be considered in the differential diagnosis of lesions involving multiple sinuses. It should also be considered in all cases of proptosis.
Guillotine and dissection tonsillectomy in children
Authors: Ünlü Yaşar , Tekalan Şerif Ali , Cemiloglu Refik , Ketenci Ibrahim , Kutluhan Ahmet 
Published: November 2007

AbstractTonsillectomy as an outpatient or same day-stay procedure is becoming increasingly popular. A retrospective study was performed on 1,049 children who underwent tonsillectomy and adenotonsillectomy either with guillotine or dissection with snare method. The dissection method was performed both under general anaesthesia and with local anaesthesia, but the guillotine method was performed only with local anaesthesia. Generally, bleeding control required no special intervention in the guillotine method but haemostasis was achieved by ligation and electrocauterization in one-third of the patients in the dissection group operated under general anaesthesia. The greatest percentage of haemorrhage in both methods occurred within the first four post-operative hours. There was a 1.8 per cent incidence of severe reactive haemorrhage required surgical intervention in the dissection group operated under general anaesthesia, but there was no such case in the guillotine group.The results of this study show that in carefully selected children guillotine tonsillectomy with local anaesthesia is a safe, time saving and cost-effective procedure.
Fibromatosis on the dorsum of the nose
Authors: Varghese George , Murthy P. S. N. , Puranik K. R. , Kurien Mathew , Narayan K. Ram 
Published: November 2007

AbstractAn extremely rare case of fibromatosis in a 25-year-old Indian male is reported. The clinical examination and pre-operative findings were suggestive of a benign neoplasm, probably of neurogenic origin. The mass was well circumscribed and could be shelled out en masse. Histopathological examination showed it to be fibromatosis. An external rhinoplasty approach enabled a complete wide excision to be performed without any resulting cosmetic defect.
Use of the carbon dioxide laser with the Montgomery T-tube in the management of extensive subglottic stenosis
Authors: Whitehead Edward , Salam M. A. 
Published: November 2007

AbstractSubglottic and tracheal stenosis frequently present difficulties in management.Two cases of subglottic stenosis occurring after prolonged endotracheal intubation are presented where the vertical length of complete obstruction by scar tissue was greater than 2.5 cm. One case was successfully managed by the use of the laser and immediate insertion of a stent. The other case still requires subglottic stenting, although an excellent lumen was established by laser vaporization of the stenosed segment.
Isolated bilateral paralysis of the soft palate in an adult
Authors: Izzat M. , Sharma P. D. 
Published: November 2007

AbstractA case of bilateral paralysis of the soft palate occurring in a 42-year-old patient is presented.Idiopathic paralysis of the soft palate as an isolated clinical entity was first described by Edin et al. 1976. Since then 22 similar cases have been reported, all in children and all unilateral.A search of the English language literature has not revealed a case of bilateral palatal palsy in an adult.
Relapsing polychondritis—two cases with tracheal stenosis and inner ear involvement
Authors: Clark L. J. , Wakeel R. A. , Ormerod A. D. 
Published: November 2007

AbstractRelapsing polychondritis is a rare disease which often presents firstly to ear, nose and throat (ENT) departments. Its complications, respiratory, cardiovascular, renal and neurological are life-threatening; thus it is important to recognize the disease and its complications early. Treatment for relapsing polychondritis may have serious side-effects which should be taken into account when managing these patients. We report two young patients with relapsing polychondritis and their treatments; both had severe tracheal stenosis responding in one case to pharmacological and in the other to surgical intervention.
An apparatus to measure pressure, flow and speech parameters in patients producing speech using the Groningen valve prosthesis
Authors: Parker A. J. , Stevens J. C. , Clegg R. T. 
Published: November 2007

AbstractWe present a validated method of determining in vivo pressure, flow and voice parameters from patients using tracheo-oesophageal voice prostheses post laryngectomy.This apparatus was constructed simply using equipment which should be available in most large Otolaryngology Departments. There was good agreement between measurements made over two separate sessions of in vivo opening pressure, maximum flow through the device and maximum voice amplitude and these were significant. These measurements may be useful in monitoring patient progress and also in elucidating the mechanics of prosthesis failure.
Relapsing polychondritis—A study of four cases
Authors: Irani B. S. , Martin-Hirsch D. P. , Clark D. , Hand D. W. , Vize C. E. , Black J. 
Published: November 2007

AbstractFour case reports of relapsing polychondritis, (RP), are presented, together with a literature review and management suggestions. There are approximately 211 reported cases in world literature making RP an uncommon condition associated with high morbidity and mortality rates. The key to the management of RP is based on accurate and early diagnosis though the ideal medical regimen has yet to be elucidated.
Rhinocerebral aspergillosis
Authors: Kameswaran Mohan , Al-Wadei Abdulla , Khurana Praful , Okafor B. C. 
Published: November 2007

AbstractAspergillosis is increasingly being recognised as a common fungal infection of the paranasal sinuses. Although the disease is almost endemic in neighbouring Sudan, there are few reported cases from the Kingdom of Saudi Arabia. We report four cases of sinus aspergillosis with involvement of the skull bases and/or intracranial spread; a condition we have termed rhinocerebral aspergillosis. Invasive aspergillosis in our subgroup of patients occurs in otherwise healthy patients with normal immune status, quite unlike most reported cases in the western literature. The causative agent in all our patients was identified as aspergillus flavus, similar to patients reported from Sudan. This is again at variance with the case reports from other geographical locations, where aspergillus fumigatus is the commonest causative agent. Saudi Arabia would appear to represent a distinct geographical enclave, together with Sudan, where rhinocerebral aspergillosis of the sinuses and skull base may be more common than has previously been realised.
Necrotizing fasciitis of the neck
Authors: Kaddour H. S. , Smelt G. J. C. 
Published: November 2007

AbstractNecrotizing fascitis (N.F.) is a rare but serious infection of subcutaneous tissues and deep fascia with resulting skin gangrene and septicaemia. It is due to mixed anaerobic and aerobic organisms. It has been reported under a variety of synonyms.We describe two cases of necrotizing fasciitis of the neck probably secondary to chronic dental infection, one was diagnosed early and the other late with very different outcomes. We highlight the importance of early and aggressive surgical treatment to complement parenteral antibiotics covering both aerobic and anaerobic organisms.
Histological changes during progression of adenoid cystic carcinoma
Authors: Yamamoto Yuzo , Saka Tetsuro , Makimoto Kazuo , Takahashi Hiroaki 
Published: November 2007

AbstractEight cases of adenoid cystic carcinoma were reviewed to determine whether and how the histological features of the tumour vary with the progress of the disease. The tumours were classified by their histological patterns as tubular, cribriform, trabecular or solid. The relative amount of each pattern seen in routine light microscopic sections was calculated histomorphometrically and compared in the primary tumour and recurrent and/or metastatic lesions in the same case. In the early stage, the tubular pattern predominated. Later, the highest percentage shifted to the cribriform, then to the trabecular and finally, in the late stage, to the solid pattern. There was no reverse direction of histological transformation from the solid to the tubular pattern. These results may help to explain previous reports that the tubular pattern usually represents a favourable prognosis, the solid pattern a poor prognosis and the cribriform pattern an intermediate prognosis.
Acute epiglottitis—25 years experience with nasotracheal intubation, current management policy and future trends
Authors: Andreassen U. K. , Baer S. , Nielsen T. G. , Dahm S. L. , Arndal H. 
Published: November 2007

AbstractDuring a 25-year period 168 adults and 111 children in Copenhagen County were treated for acute epiglottitis. Four patients, two children and two adults died, of these the two children and one adult had a cardiac arrest on arriving at the hospital.Most children were treated by nasotracheal intubation while only some adults required nasotracheal intubation in order to secure the airway. Our data indicate that intubation of adults with epiglottitis is technically more difficult than in children.The fibrelaryngoscope, a new diagnostic tool, is advocated, and was in this study used to establish the diagnosis in 12 unclear cases of acute epiglottitis.The incidence of acute epiglottitis in children was calculated at 3.2/100,000 with a minor annual variation. As vaccination against Haemophilus influenzae type b becomes more common, the incidence will probably be markedly reduced, maybe even eradicated in children, but in adults the same reduction cannot be expected as the causative agent in this group is less frequently Haemophilus influenzae type b.
Fistulae in the inner canthus associated with ethmoiditis
Authors: Shvero J. , Hadar T. , Feinmesser R. 
Published: November 2007

AbstractA case of fistulae in the inner canthus arising from the ethmoidal air cell sinuses is presented.This type of complication is very rare, and to the best of our knowledge no similar case has been reported in the literature.Clinical findings, imaging, pathology and treatment are presented and discussed.
A clinical, genetic and audiological study of patients and families with bilateral acoustic neurofibromatosis
Authors: Neary W. J. , Newton V. E. , Vidler M. , Ramsden R. T. , Lye R. H. , Dutton J. E. M. , Richardson P. L. , Harris R. , Evans D. G. , Strachan T. 
Published: November 2007

AbstractThe neurofibromatoses consist of at least two distinct autosomal dominant hereditary disorders. Neurofibromatosis type 1 (NF1) is due to a lesion on chromosome 17q. Neurofibromatosis type 2 (NF2) is caused by a defect on chromosome 22q. The hallmark of NF2 is the development, in the second and third decades, of bilateral acoustic neuromas. NF1 is characterized by the appearance of cafe-au-lait spots and neurofibromas in addition to iris hamartomas, or Lisch nodules, of the eye, during the first and second decades.Ten families were personally studied. A total of 16 members were found to be affected with NF2. A protocol for evaluation and review of subjects and relatives of NF2 families is proposed. A team approach, coordinating the expertise of multiple specialties is recommended.
Prolonged and recurrent tonsillitis associated with sexually transmitted Chlamydia trachomatis
Authors: Ogawa Hiroshi , Hashiguchi Kazuhiro , Kazuyama Yukumasa 
Published: November 2007

AbstractChlamydia trachomatis is a common sexually transmitted pathogen. We describe six cases of tonsillitis associated with sexually transmitted C. trachomatis infection. The organism was isolated from tonsillar crypts in all patients, and from uro-genital swabs in five of the six patients. In three partners of the patients, C. trachomatis infection of the uro-genital organ was assessed. They all had a history of orogenital sexual intercourse prior to the illness.
Bilateral carcinomas of the maxillary sinus
Authors: Sakaguchi Masanori , Moriya Kumiko , Taguchi Kiichiro , Katsuno Satoshi 
Published: November 2007

AbstractWe report a 68-year-old male with a rare case of synchronous bilateral carcinomas of the maxillary sinus. A CT scan revealed a large tumour mass that extruded from the left maxillary sinus; tissue of soft density filled the right antrum which had intact bony walls. A probe antrostomy on the right side disclosed a tumour which was diagnosed histologically as the same poorly differentiated squamous cell carcinoma as that in the left antrum. The incidence and aetiology of this disorder are presented, and its diagnosis and management are discussed.