bluuebunny/crossref_metadata_2025_split huggingface dataset:
Role of magnetic resonance imaging in predicting late facial motor function after removal of vestibular schwannomas by the translabyrinthine approach
Authors: Moulin Guy , Dessi Patrick , André Philippe , Cannoni Maurice , Pellet William , Zanaret Michel , Emram Bruno , Chagnaud Christophe , Giusano Bernard , Bartoli Jean-Michel 
Published: November 2007

AbstractFacial motor function was assessed in 61 patients 18 months after surgical resection, by the translabyrinthine approach, of vestibular schwannoma involving both the cerebellopontine angle (CPA) and the auditory canal.Pre-operative magnetic resonance imaging (MRI) was performed to measure the maximum extracanalicular diameter of the tumour between the porus and the farthest extension in the CPA on tranverse slices and to calculate extracanalicular tumour volume. Post-operative facial motor function was graded according to the House and Brackmann system.There was a statistically significant relationship between late facial motor function and extracanalicular diameter. The best cut-off point for good and poor results was 20mm. There was no relationship between the tumour volume and the late post-operative facial motor function grade.In this study the best pre-operative radiological predictor of the late facial motor function in patients operated on by the translabyrinthine approach was the maximum diameter measured byMRI.
Inherited degenerative chondropathy – an autosomal dominant new clinical entity: report two cases and follow-up of four cases
Authors: Kurien Mary , Seshadri M. S. , Zachariah Anand 
Published: November 2007

AbstractFour cases of the rare disorder, inherited degenerative chondropathy have been previously reported (Kurien et al., 1989). A five-year follow-up of these patients and two additional cases are presented in this report. The progress of this disease appears to be arrested after regulardapsone therapy and there was no other organ involvement noted during the follow-up period.
The value of radiographic assessment for oropharyngeal foreign bodies
Authors: Marais J. , Mitchell R. , Wightman A. J. A. 
Published: November 2007

AbstractA double-blind, controlled study to assess the accuracy of interpretation of lateral soft tissue radiographs of 60 patients with suspected foreign body impaction in the oro/hypopharynx was carried out by 18 respondents from three different specialities. All the patients had endoscopy carried out and foreign bodies were present in 25. Of these, foreign bodies were diagnosed on the radiograph in only 38.3 per cent. False-positive diagnoses were made in a mean of 26.3 per cent of those patients who did not have a foreign body.
Scanning electron microscopy findings of human respiratory cilia in chronic sinusitis and in recurrent respiratory infections
Authors: Toskala Elina , Nuutinen Juhani , Rautiainen Markus 
Published: November 2007

AbstractAcute and chronic infections cause morphological changes in the respiratory mucosa. The ultrastructure of human respiratory mucosa was studied by scanning electron microscopy from the maxillary sinuses of 28 patients, with chronic sinusitis, from middle turbinates of 60 patients, with recurrent respiratory infections, and from healthy sphenoidal sinuses of 31 patients. A loss of ciliated cells and an increasing number of nonciliated columnar cells with microvilli were seen in 62 per cent of the maxillary sinus mucosa. Ciliary disorientation was seen in 81 per cent of the chronically infected sinus mucosa and eight per cent in the healthy sphenoidal sinuses. Also metaplasia and extrusion of epithelial cells were prominent in chronic infections. Compound cilia were seen in 52 per cent of the samples from patients with chronic sinusitis and in 31 per cent of the healthy sphenoidal sinuses. Short cilia were often seen in infected mucosa indicating ciliogenesis.
Giant cell reparative granuloma of the concha bullosa
Authors: Koay C. B. , Whittet H. B. , Ryan R. M. , Lewis C. E. 
Published: November 2007

AbstractGiant cell reparative granuloma is a benign lesion occurring most commonly in the bones of the jaw and rarely in the paranasal sinuses. We present an unusual case of giant cell reparative granuloma arising within a concha bullosa. Complete excision was achieved using an endoscopic transnasal approach.
Factors associated with recurrence of cholesteatoma
Authors: Vartiainen Eero 
Published: November 2007

AbstractAfter a mean follow-up period of 7.3 years, a recurrence was found in 43 (12.3 percent) out of 349 consecutive patients undergoing surgical treatment for acquired cholesteatoma. The great majority of residual cholesteatomas detected in the ‘second-look’ operations arose from the oval window area.Chronic otorrhoea and a reperforation were the most common signs of late recurrences. In eight ears a recurrent cholesteatoma developed from a retraction pocket. The recurrence rate was higher in children than in adults. The type of surgical technique had no significant effect on recurrence rate. Recurrences were more frequent in pre-operatively discharging ears than in dry ears. Some suggestions have been made to improve the results of surgery for cholesteatoma.
Amylase activity in tracheobronchial secretions of laryngectomized patients
Authors: Nandapalan V. , McIlwain J. C. , England J. 
Published: November 2007

AbstractThe alpha-amylase activity in tracheobronchial secretions of 16 consecutive patients with a total laryngectomy was studied. None of these patients had a tracheopharyngeal fistula or pulmonary disorder which might affect the amylase activity. This study proves the presence of amylase in tracheobronchial secretions of laryngectomized patients with a normal lung at a level between x and y and the quantitative analysis of the amylase activity is discussed. The relevance of investigating laryngectomy patients is because of the nature of the surgery the lower respiratory tract is permanently and physically isolated from any other source of salivary amylase. No similar study of the analysis of amylase in normal lung tissue had been reported before.This information may be of value in order to detect salivary aspiration in patients with a tracheostomy or endotracheal intubation if the level in the aspirate is in the order of a-b times greater than that found in normal tracheobronchial secretions, (x = 35 and y = 1125 i.u./l; a = 31.8 and b = 628.6 i.u./l).
How I do it: an improved temporal bone holder
Authors: Gendeh B. S. , Gibb A. G. , Khalid B. A. K. 
Published: November 2007

AbstractAlthough some form of temporal bone holder is in use in virtually all ENT postgraduate teaching departments, a paucity of information in the literature may cause problems in selecting the most appropriate model to those responsible for equipping temporal bone laboratories.The bone holder which we describe is based on existing designs but incorporates a built-in irrigation system which offers considerable advantages to the unassisted operator.
Paediatric tonsillectomy: bipolar electrodissection and dissection/snare compared
Authors: Pang Y. T. 
Published: November 2007

AbstractTonsillectomy is a common operation in children performed by a variety of techniques. Recently we have introduced a modified form of electrodissection tonsillectomy using bipolar diathermy. A prospective study was designed to evaluate this technique against the conventional dissection/snare technique. Sixty children were entered into each section of the study (total 120 children). There is a statistically significant shorter operating time (mean 11.2 minutes) and lower intraoperative blood loss (mean 5 ml) using the bipolar diathermy technique. Post-operatively, the children who had bipolar diathermy tonsillectomy were found to be able to drink and eat significantly earlier than the cold dissection group. There was no measurable difference in analgesia requirements before discharge and the time of discharge between the two methods. Post-operative haemorrhage occurred in two out of 60 (3.4 per cent) and one out of 60 (1.7 per cent children) in the conventional and bipolar diathermy dissection, respectively, but this was not statistically significant.
Life-size photograph transparencies: a method for the photographic detection and documentation of recovery from facial paralysis
Authors: El-Naggar Mohamed , Rice Brian , Oswal Vasant 
Published: November 2007

AbstractWe describe a simple and objective practical method for the detection of recovery from facial paralysis by multiple photographic assessments. The photographs are printed as life-size transparencies representing maximal effort. Each time the patient attends for review the new transparency is overlapped on the previous one and the difference can be detected easily. The prints are filed with the patient's notes for future reference. To achieve this system a specific photographic protocol is mandatory in order to avoid technical artefacts. We believe that this system avoids many of the complexities of other grading systems and is very suitable for use at outpatient follow-up.
Adult floppy epiglottis: a simple surgical remedy
Authors: Harries P. G. , Randall C. J. 
Published: November 2007

AbstractEpiglottis prolapse during inspiration is an unusual cause of upper airway obstruction. We present a case of a previously fit. 73-year-old, male with upper airway obstruction secondary to a floppy epiglottis. We describe a simple method of treatment without the need for partial or total excision of the epiglottis or trecheostomy.
Endoscopic balloon dilatation of subglottic stenosis
Authors: Axon P. R. , Hartley C. , Rothera M. P. 
Published: November 2007

AbstractChildren with subglottic stenosis present a challenging problem to otolaryngologists. In many cases, a tracheostomy is necessary to safeguard the airway, but morbidity and mortality in the tracheostomized child may be significant. Therefore attempts to improve the airway by endoscopic means are often made; unfortunately, these have a variable success rate. Recent encouraging results in the use of balloon dilatation for subglottic stenosis led us to the successful use of this technique in a child whose stenosis had not responded to conventional endoscopic techniques. The reasons for the success are discussed.
Schwannoma of the posterior pharyngeal wall
Authors: Singh Bharath , Ramjettan Shanil , Maharaj Tej Prakash J. , Ramsaroop Reena 
Published: November 2007

AbstractSchwannoma of the posterior pharyngeal wall, in a 36-year-old male patient is presented demonstrating the asymptomatic nature of the tumour (which is peculiar to schwannomas). The tumour gradually increased in size, destroyed the body of the third cervical vertebra but remained asymptomatic. The patient only presented to hospital when the tumour obstructed the airway, because of its large size.
The management of benign thyroid goitre causing tracheo-oesophageal embarrassment
Authors: Martin-Hirsch D. P. , Lannigan F. J. 
Published: November 2007

AbstractThe case of a massive benign thyroid goitre extending from the arch of aorta to the nasopharynx presenting with acute aerodigestive obstruction is reported. The management of the case is discussed and also a review of the relevant literature.
Ingested foreign bodies – a contemporary management approach
Authors: Tong Michael Chi Fai , Sang Woo John Kong , Sham Cheuk Lun , Van Hasselt Charles Andrew 
Published: November 2007

AbstractA prospective study of all foreign body complaints presenting through our Accident and Emergency Department was conducted in a population where the condition is endemic. All patients were managed by otolaryngologists. Six hundred and eight patients were attended to yielding 179 foreign bodies. Making use of modern equipment and a practical approach, the requirement for examination under general anaesthesia was 6.3 per cent. In this series there was a complication rate of 0.5 per cent.
Complicated suppurative otitis media in a Greek diver due to a marine halophilicvibriosp.
Authors: Tsakris A. , Psifidis A. , Douboyas J. 
Published: November 2007

AbstractHalophilic vibrios are distinct from non-cholera vibrios and have been recognized increasingly as potentially pathogenic bacteria in extraintestinal infections. A case of suppurative chronic otitis media in a Greek diver withVibrio alginolyticusrecovered from an ear drainage culture, is reported. The patient received appropriate antimicrobial therapy and her hearing improved significantly after a tympanoplasty type I was performed.The association of halophilicVibriospp. infections with prolonged seawater contact, particularly in subtropical climates, is discussed. In swimmers with extensive exposure to salt water, individual preventive measures and aetiological treatment of ear infections seems to be required in order to reduce the severity of possibleVibriospp. ear infections.
Paradoxical vocal fold movement: a case report
Authors: Lloyd R. V. , Jones N. S. 
Published: November 2007

AbstractParadoxical vocal fold movement leads to marked inspiratory stridor with adduction of the vocal folds on inspiration. A patient is presented who illustrates some of the difficulties in diagnosis and management. A range of treatments were tried including tracheostomy, laser arytenoidectomy and vocal fold lateralization.
Tympanic neurectomy in the management of parotid sialectasis
Authors: Daud A. S. , Pahor A. L. 
Published: November 2007

AbstractThe term sialectasis refers to dilatation of the salivary ducts. Parotid sialectasis presents itself as recurrent painful swellings during mastication and/or swallowing. Our results with 10 cases treated by tympanic neurectomy over a period of nine years, from 1983 to 1992, were encouraging as seven cases had improvement of their symptoms.Anatomy of the tympanic plexus and surgical procedure are discussed as well as a review of the literature.We recommend extensive interruption of the secreto-motor nerve fibres by thoroughly drilling into the hypotympanum and below the basal turn of the cochlea. We also recommend that this be carried out by an experienced otologist to avoid possible complications.
Leiomyomatous hamartoma of the posterior tongue: a case report
Authors: Goldsmith P. , Soames J. V. , Meikle D. 
Published: November 2007

AbstractA case of a rare leiomyomatous hamartoma arising in the posterior tongue of a sixteen-month-old male is reported. There has been no recurrence following simple excision and presenting symptoms of choking on swallowing have resolved. Most other leiomyomatous hamartomas in the upper aerodigestive tract have been reported in Japanese patients and have involved the maxillary gingiva and hard palate.
The paranasal sinuses before and after radiotherapy for nasopharyngeal carcinoma: a computed tomographic study
Authors: Porter M. J. , Leung S. F. , Ambrose R. , Cheung H. S. , van Hasselt C. A. 
Published: November 2007

AbstractA study comparing the pre- and post-radiotherapy computed tomographic scans of patients treated for nasopharyngeal carcinoma revealed that the incidence of major mucosal abnormality was significantly increased and approximately doubled after radiotherapy. The most significant factor predicting major mucosal abnormality after radiotherapy was the presence of tumour in the sinus before treatment. In the maxillary sinus there was significant association of major mucosal abnormality before and after radiotherapy although this was not so for the other sinuses. The mucosal changes observed were evident as early as six months after radiotherapy.
Pleomorphic adenoma of the external auditory canal: a case report and review of the literature
Authors: Haraguchi Hidetoshi , Hentona Hitoshi , Tanaka Hidekazu , Komatuzaki Atsushi 
Published: November 2007

AbstractPleomorphic adenoma arising in the external auditory canal is rare. We report the case of a 38-year-old man. To better grasp the clinical features and natural history of this uncommon tumour, we also reviewed the world wide literature and found 24 similar cases, which we analysed together with our own.
Leiomyoma of the nasal septum: report of a case and review of the literature
Authors: Llorente J. L. , Suárez C. , Seco M. , Garcia A. 
Published: November 2007

AbstractLeiomyomas of the nasal cavity are very rare. A case of leiomyoma arising in the nasal septum is presented. The tumour was removed by endoscopic sinus surgery. The literature on the topic is reviewed.
Recurrent laryngeal papillomatosis developing into laryngeal carcinoma with human papilloma virus (HPV) type 18: a case report
Authors: Sakakura Atsushi , Yamamoto Yuzo , Takasaki Tomohiko , Makimoto Kazuo , Nakamura Masahiro , Takahashi Hiroaki 
Published: November 2007

AbstractWe report a case of recurrent laryngeal papillomatosis which developed into laryngeal squamous cell carcinoma 11 years after the first diagnosis. Interestingly, we could identify HPV type 18 DNA in the carcinoma tissue using the polymerase chain reaction (PCR). Other known risk factors of irradiation, smoking, exposure to chemical agents, or a hereditary tendency to malignant tumours were not present in this case. Our finding suggests that HPV type 18 is another aetiological agent for laryngeal carcinoma.
Lipoma of the parotid gland presenting with facial palsy
Authors: Srinivasan V. , Ganesan S. , Premachandra D. J. 
Published: November 2007

AbstractFacial palsy in the presence of ipsilateral parotid tumour is considered to be pathognomonic of malignancy. However, benign neoplasms and inflammatory lesions of the parotid gland have been reported to present with facial palsy. A case of lipoma of the parotid gland associated with partial facial paralysis is reported. Lipomas are very rarely seen in this site. To our knowledge, a lipoma of the parotid producing facial paralysis has not been described previously. This report highlights the difficulties in pre-operative diagnosis and management of such a lesion.
Client centred hypnotherapy in the management of tinnitus – is it better than counselling?
Authors: Mason J. D. T. , Rogerson D. R. , Butler J. D. 
Published: November 2007

AbstractThe aim of this study was to assess whether client centred hypnotherapy (CCH) which required three sessions with a trained therapist was superior to a single counselling session in reducing the impact of tinnitus.Patients were randomly allocated to receive either counselling (n = 42) or CCH (n = 44). The outcome measures were: tinnitus loudness match, subjective tinnitus symptom severity score, trend of linear analogue scale, request for further therapy and whether the patient had an impression of improvement in their tinnitus after treatment.CCH was no better than counselling in reducing the impact of tinnitus using the three quantative measures of tinnitus, and requests for further follow up.The only significant difference between the two therapies was that 20 (45.5 per cent) of the CCH group reported a general sense of improvement compared to six (14.3 per cent) in the counselling group, this is significant p<O.Ol. The study did not demonstrate whether this was a genuine hypnotic effect or simply a response to the additional attention from the therapist.
Laser-Doppler blood flowmetry measurement of nasal mucosa blood flow after injection of the greater palatine canal
Authors: Gurr Paul , Callanan Vincent , Baldwin David 
Published: November 2007

AbstractLaser-Doppler blood flowmetry was used to measure the mucosal blood flow of the inferior turbinate before and after injection of the greater palatine canal with 2 ml of a 0.5 per cent bupivicaine hydrochloride solution. Injection of the greater palatine canal is a useful technique in the control of posterior epistaxis. The arterial blood supply to the inferior turbinate is via a single descending branch of the sphenopalatine artery. We conjectured that injection of the pterygopalatine fossa, via the greater palatine canal, would result in a reduction of blood flow to the inferior turbinate. In this study injection of the pterygopalatine fossa caused only a 4.7 per cent decrease in blood flow to the inferior turbinate mucosa (p0.571). Elevation of the head by an angle of 20 degrees reduced nasal mucosal blood flow by 38.3 per cent (p<0.0001). Depression of the head by an angle of 20 degrees increased nasal mucosal blood flow by 74.7 per cent (p<0.0001). We conclude that there is an adequate collateral blood circulation to the anterior portion of the inferior turbinate.
The deep parotid lymph nodes: an anatomical and oncological study
Authors: Pisani Paolo , Ramponi Antonio , Pia Francesco 
Published: November 2007

AbstractIn order to better define the anatomical and clinical importance of the deep parotid lymph nodes, the surgical specimens obtained from a series of 18 total parotidectomies were evaluated. In 10 cases primary parotid pathology was found, whereas in the remaining eight cases metastases to glandular lymph nodes were present.One hundred and forty-nine lymph nodes, in all, were identified (range 3–14, average 8.2, mean 8), 118 located in the superficial parotid lobe (range 3–11, average 6.5, mean 7), and 31 in the deep lobe (range 0–5, average 1.7, mean 2).In the group of patients with oncological pathology, of the total 64 lymph nodes examined, 21 were found to be sites of metastasis, 11 in the superficial lobe, and 10 in the deep lobe.The above findings confirm the anatomical and oncological importance of the deep parotid lymph nodes, and highlight the necessity of a total parotidectomy in all cases in which intraglandular spread of lymph node metastases is certain or suspect.
Non-Hodgkin's lymphoma presenting as an isolated temporal soft tissue swelling
Authors: Benson-Mitchell R. , Warwick-Brown N. , Chappell M. E. 
Published: November 2007

AbstractNon-Hodgkin's lymphoma (NHL) of the head and neck has been described in several sites including the larynx, the pharynx, Waldeyer's ring, the nose and paranasal sinuses. NHL of the temporal region has not been previously described. We describe a 65-year-old woman with a diffuse swelling of the right temporal region. A histological diagnosis of NHL was made following complete excision of the lesion. No further treatment was given and there was no evidence of recurrence at six months.
Post-stapedectomy reparative granuloma: a misnomer
Authors: Fenton J. E. , Turner J. , Shirazi A. , Fagan P. A. 
Published: November 2007

AbstractThe pathophysiology of so-called ‘reparative granuloma’ occurring after stapedectomy has not been determined and universally accepted management of this rare complication has not yet been established. A case is presented in which a mass developed in the middle ear after the use of a fat/wire prosthesis in a stapedectomy. Histological assessment revealed nonspecific granulation tissue and fat necrosis. It is suggested that ‘reparative granuloma’ is a misnomer as there is no microscopic evidence in this case nor in the literature of granulomatous formation. The condition may follow stapedectomy or stapedotomy. Furthermore, the name leads to confusion with a different condition, giant cell reparative granuloma, which involves the jaws and rarely the temporal bone. An alternative name, ‘Stapes surgery induced granulation tissue’ (SSIG) is therefore suggested for this condition.
Intraductal papilloma as a cause of a parotid duct cyst. A case report
Authors: Alho Olli-Pekka , Kristo Aila , Luotonen Jukka , Autio-Harmainen Helena 
Published: November 2007

AbstractA case is presented of a rare intraductal papilloma being found simultaneously with a parotid duct cyst, which is a relatively common parotid disorder. The papilloma most probably played a significant role in the obstruction of the duct and thus caused the ductal cyst. Intraductal papillomas have been mostly described in minor salivary glands, but are rare in the parotid gland.
Bilateral phrenic nerve injury after neck dissection: an uncommon cause of respiratory failure
Authors: Yaddanapudi Sandhya , Shah S. C. 
Published: November 2007

AbstractThe case of a patient with carcinoma larynx who developed diaphragmatic paralysis and post-operative respiratory failure due to bilateral phrenic nerve injury is reported. The use of portable ultrasonography for an early diagnosis of diaphragmatic paralysis is discussed.