bluuebunny/crossref_metadata_2025_split huggingface dataset:
Multiple glomus tumours
Authors: Balatsouras Dimitris G. , Eliopoulos Panayotis N. , Economou Costas N. 
Published: November 2007

AbstractA patient with multiple, synchronous, non-familial head and neck paragangliomas is reported. There were three primary neoplasms, a glomus tympanicum and glomus vagale on the right side and a glomus tumour of the carotid body on the left. Such a combination has never been reported previously.The reports of all the series with paragangliomas in the literature, as well as the reports of single cases with multiple tumours during the last three decades, are reviewed. Specific problems in diagnosis and management of multiple glomus tumours are discussed.
Clear cell neoplasm
Authors: Nichols Chris , Geist Rose Yin , Nichols Kara M. 
Published: November 2007

AbstractWe are reporting four cases of clear cell neoplasm. Local infiltration and destruction was observed in one case while in a second case, originating in the sublingual gland, metastasis to the lymph nodes occurred. The behaviour of these neoplasms has prompted the suggestion that these tumours be designated carcinomas rather that noncommittally tumours or neoplasms (Batsakis and Regezzi, 1977).The histopathological characteristics of our four cases conform to those that have been articulated and believed to be the distinctive features of these tumours (Batsakis and Regezzi, 1977). It is hoped that ours and similar reports will be helpful towards clearing the diagnostic and taxonomic confusion regarding these tumours.
Acute phase reactant proteins—an aid to monitoring surgical treatment of laryngeal carcinoma
Authors: Krecicki T. , Leluk M. 
Published: November 2007

AbstractThe serum concentration of four acute phase reactant proteins (haptoglobin, sialic acid, α, 1-antitripsin, ceruloplasmin) were determined in 160 patients with laryngeal cancer. In 50 cases treated by surgery serial determinations were performed. The control group included healthy persons and patients with non-neoplastic diseases. The levels of haptoglobin, α 1-antitripsin and sialic acid were significantly higher in cancer patients than in control group. The levels of ceruloplasmin reveals no statistically significant difference between particular groups of patients. The serum concentrations of haptoglobin, α 1-antitripsin and sialic acid correlated with the clinical status of cancer patients. We suggest that serial determination of certain acute phase reactant proteins may be useful as a prognostic acid in following patients with laryngeal carcinoma.
Nucleolar organizer regions (NORs) and myoepitheliomas: a comparison with DNA content and clinical course
Authors: Carrillo Rosario , El-Naggar Adel K. , Luna Mario A. , Rodriguez-Peralto Jose L. , Batsakis John G. 
Published: November 2007

AbstractNucleolar organizer regions (NOR) were studied in 15 salivary gland myoepitheliomas by an argyrophilic staining technic (AgNOR). The AgNOR data were then compared with flow cytometric DNA content of the neoplasms and also with selected clinicopathologic parameters. We conclude that AgNOR's: (1) do not correlate well with DNA cytometric indices and (2) at best, provide redundant information.
Salivary gland choristoma of the middle ear
Authors: Bottrill I. D. , Chawla O. P. , Ramsay A. D. 
Published: November 2007

AbstractA salivary gland choristoma is an extremely uncommon tumour in the middle ear space. It appears to be a developmental abnormality and may be associated with abnormalities of adjacent structures.It usually presents with unilateral conductive deafness which may be long–standing and the tumour often pursues a benign, slow growing course. It is usually possible to excise it, but problems may arise as there may be variable associated anatomical abnormalities of the middle ear.We present the nineteenth recorded case, review the literature and discuss the management of this condition.
A clinico-pathological classification of laryngeal paraganglioma
Authors: El-Silimy Osama , Harvy Leonard 
Published: November 2007

AbstractA case of metastatic laryngeal paraganglioma is presented. We have reviewed the current world literature on this entity and thereby identified two apparently distinct types of this rare lesion (type I and type II).The histopathological features are unhelpful in discriminating these two types and this is instead based on clinicoepidemiological differences. The latter are annotated and discussed with respect to prognosis and management. A true estimate of the frequence of type II (potentially malignant) awaits the utilization of the recent improvements in diagnostic. techniques.
Plexiform neurofibroma of the cervical portion of the vagus nerve
Authors: Galli J. , Almadori G. , Paludetti G. , Rosignoli M. , Corina L. , Ieraci A. 
Published: November 2007

AbstractThe authors describe a rare case of plexiform neurofibroma of the cervical portion of the vagus nerve, and discuss its aetiopathogenesis, clinical, histological and therapeutic features, emphasizing the difference from other benign tumours of the vagus nerve.The clinical characteristics of the mass, ultrasound tomography, CT scanning and digital subtraction angiography were useful in defining its extension and relationships with the surrounding structures.Surgery is the treatment of choice. After mentioning the most commonly employed surgical approaches, they emphasize the advantages of the lateral-cervical approach which allows a wide exposure of the possible sites of origin of the tumour and its complete removal.Finally they stress the need of an accurate histological and immunohistochemical examination in order to differentiate neurofibromas from neurilemmomas.
Unusual multiple metastases from malignant pleomorphic adenoma of the parotid gland
Authors: Cherian T. , Sebastian P. , Abraham Elizabeth K. , Ahmed Iqbal M. , Jayakumar K. L. , Sivaramakrishnan P. 
Published: November 2007

AbstractA case of malignant pleomorphic adenoma of the left parotid gland which metastasized to the kidney and multiple subcutaneous sites is presented. The patient presented as an acute emergency due to spontaneous rupture of the kidney containing metastasis. All the distant metastatic lesions were confined to the right side of the body.
Primary haemangiopericytomas of the parotid gland
Authors: Carrillo Rosario , Rodriquez-Peralto Jose L. , Batsakis J. G. , El-Naggar Adel K. 
Published: November 2007

AbstractHaemangiopericytomas involving the parotid gland are uncommon and those arising from the gland itself are rare. Three examples of primary parotid gland hemangiopericytoma are presented. The biological course of parotid or periparotid haemangiopericytomas does not differ from that manifested by their counterparts arising from somatic soft tumours.
Flexible nasopharyngoscopy for fish bone removal from the pharynx
Authors: Choy A. T. K. , Gluckman P. G. C. , Tong M. C. F. , Van Hasselt C. A. 
Published: November 2007

AbstractThe use of flexible nasopharyngoscopy with biopsy forceps for the removal of fish bones found in the oropharynx and hypopharynx is described. One hundred and sixty-eight patients with ingested fish bones in the upper aero-digestive tract were studied over a 12-month period. Of these, 73 percent were removed per-orally, or by indirect laryngoscopy. Fifteen percent were removed using the fibreoptic nasopharyngoscope. Twelve percent required a general anaesthetic and rigid oesophagoscopy for removal of fish bones at or below the level of the cricopharyngeus muscle. The technique has proven to be quick, well tolerated and low in morbidity. It is invaluable in patients in whom indirect laryngoscopy is unsatisfactory.
Few surgical complications after 5,000 to 6,500 cGy pre-operative irradiation for carcinoma of the tongue
Authors: Joensuu H. , Grenman R. , Suonpää J. , Aitasalo K. , Puhakka H. , Nordman E. 
Published: November 2007

AbstractTwenty-four patients with squamous cell carcinoma of the tongue were treated with 5,000 cGy to 6,500 cGy pre-operative irradiation. Surgery usually consisted of resection of the tongue, possibly the floor of mouth, and modified or radical neck dissection. Musculocutaneous flaps for reconstruction were used in three cases and a forearm flap in one case. Despite the high radiation dose, no major difficulties were encountered at surgery or during the convalescence period, except for one osteoradionecrosis of the mandible, which was successfully treated by microvascular osteomyocutaneous grafting. Residual carcinoma was seen on histological examination of the excised tissue in 9 out of 18 (50 percent) patients who received ≥6,000 cGy, and in 4 out of 6 (67 percent) patients who received about 5,000 cGy tumour dose. The 2-year crude survival rate was 65 percent. The data suggest that high dose pre-operative irradiation is feasible and does not compromise surgical treatment.
Complications of treatment of recurrent laryngeal papillomatosis with the carbon dioxide laser in children
Authors: Saleh Ezzat M. 
Published: November 2007

AbstractA retrospective study of the complications of treatment with the carbon dioxide (CO2) laser of 17 patients diagnosed to be suffering from recurrent laryngeal papillomatosis is presented. No immediate complications occurred except one case of laryngospasm and failure to intubate during anaesthesia leading to hypoxic encephalopathy. Three patients were completely free from disease and complications. Another patient was free from laryngeal lesions but developed a papilloma in the right tonsillar pillar. Five other patients showed one or more multiple sites of involvement in addition to the larynx. Laryngeal scarring developed in ten patients. Six patients (35.29 percent) developed scarring as anterior glottic webs while in two scarring (11.7 percent) occurred as posterior glottic webs. One developed scarring in the supraglottic region. The remaining one had scarring in both the glottic and supraglottic regions. One patient developed tracheal scarring necessitating laryngo-tracheal separation. Two patients were psychologically disturbed during treatment requiring psychiatric consultation and therapy.
The open access ENT casualty service
Authors: Agrawal R. , Hampal S. , Flood L. M. 
Published: November 2007

AbstractThe ENT specialist's experience of emergencies is usually influenced by a process of prior selection in the GP surgery or in a general Casualty Department. A survey of 1,000 consecutive patients presenting to a 24 hour open access ENT Casualty service is presented. For a variety of reasons, over half of these patients had never sought their G.P.'s advice for their ENT complaint but preferred the hospital service. The value of even a brief exposure to ENT casualty work for GP trainees is demonstrated.
Darier's disease of the external ear
Authors: Thompson A. C. , Shall L. , Moralee S. J. 
Published: November 2007

AbstractDarier's disease is a hereditary dermatological condition characterized by crusted papules distributed over the seborrhoeic areas of the trunk and head. A case of Darier's disease presenting to the Otolaryngology department because of severe involvement of the pinna is reported. The typical histological appearances are described and treatment discussed.
Malignant parotid salivary gland peripheral nerve sheath tumour in a twelve-year-old girl
Authors: Athow Anna C. , Kirkham Nigel 
Published: November 2007

AbstractA case of a malignant parotid salivary gland nerve sheath tumour is reported in a 12-year-old girl who developed a right parotid mass. Initial incisional biopsy showed a tumour with a mesenchymal spindle cell appearance. Immunohistochemical studies showed positive staining of tumour cells for vimentin and focally for S-100 protein. These features together with ultrastructural evidence of basal lamina material suggested that the tumour was of nerve sheath origin. After subtotal parotidectomy the tumour metastasised to cervical lymph node and lung. There was evidence of a partial response to chemotherapy. A detailed illustrated histopathological description of the tumour is given.
Long-term effects of topical corticosteroids in the nose
Authors: Bende M. , Mark J. 
Published: November 2007

AbstractIn a prospective study, biopsies were taken from the septal mucosa in 21 patients of whom 11 had been using topical nasal corticosteroids. In contrast to the effect of long-term treatment with corticosteroids in the skin, but in accordance with previous investigations of the nasal mucosa, no histopathological changes of significance were found, although the biopsies were taken from different sites. These findings do not suggest that topically corticosteroids are harmful to the nasal mucosa.
NasopharyngealCorynebacterium ulcerans: a different diptheria
Authors: de Carpentier J. P. , Flanagan P. M. , Singh I. P. , Timms M. S. , Nassar W. Y. 
Published: November 2007

AbstractA case of toxigenicCorynebacterium ulceransinfection is presented. The diagnosis was delayed and no anti-toxin administered. A nasopharyngeal biopsy was complicated by severe haemorrhage necessitating a post nasal pack. A brief review of the pathology and treatment ofCorynebacterium ulceransis given.
Tragal cartilage inferior turbinate mucoperiosteal sandwich graft technique for repair of nasal septal perforations
Authors: Hussain A. , Kay N. 
Published: November 2007

AbstractTen cases of large nasal septal perforation were repaired with a tragal cartilage inferior turbinate mucoperiosteal sandwich graft technique with 70 per cent success rate over a follow-up period of up to 24 months. The technique is described in detail. The results are comparable to other techniques.
Infra red coagulation for bleeding mucosal telangiectasia
Authors: Colver G. B. , Davies S. , Bullock J. 
Published: November 2007

AbstractThe technique of infra red coagulation is well suited to the destruction of superficial blood vessels in the skin and/or mucosal surfaces. A method is described here for the destruction of resistant bleeding telangiectasia of the palate and lip in Osier-Weber-Rendu syndrome.
Inhalation of a Montgomery safe T-tube plug
Authors: Shinkwin C. A. , Murty G. E. , Gibbin K. P. , Bradley P. J. 
Published: November 2007

AbstractThe first case of an inhaled Montgomery Safe T-tube plug is reported. Both the surgeon and the patient should be aware of this possible complication and regular inspection of the plug is recommended. More than one plug should be provided with each T-tube.
Cavernous haemangioma of the temporal bone
Authors: Buchanan D. S. , Fagan P. A. , Turner J. 
Published: November 2007

AbstractCavernous haemangioma of the temporal bone is a rare lesion and nearly always of limited extent. A case of a large and rapidly progressive temporal bone haemangioma in a child is presented.Negative angiography led to biopsy at which profuse and troublesome haemorrhage was encountered. Subsequent Red Blood Cell labelled scan demonstrated blood pooling in the lesion. The combination of positive RBC labelled scan and negative angiography can only occur in lesions in which blood pooling takes place, enabling biopsy with its hazards to be avoided.The tumour was resected using a skull base, infratemporal approach. Morbidity was minimal. There was no evidence of recurrence at a 15 month follow-up.
Osteomyelitis of the cervical spine following laryngectomy
Authors: Ell S. R. , Parker A. J. , Limb D. , Clegg R. T. 
Published: November 2007

AbstractOnly one case of osteomyelitis of the cervical spine following laryngectomy for carcinoma of the larynx has been reported in the literature to date. We report an unusual case of osteomyelitis of the cervical spine following treatment of laryngeal carcinoma by radiotherapy (RT) and subsequent laryngectomy and discuss the relevant literature.
Foetal Warfarin Syndrome—a complex airway problem
Authors: Mason J. D. T. , Jardine A. , Gibbin K. P. 
Published: November 2007

AbstractPremature cartilaginous calcification and nasal hypoplasia following first trimester exposure to warfarin are known as the Foetal Warfarin Syndrome (FWS). There are over 40 cases reported in the literature, many of which describe breathing and feeding difficulties in the first few months of life. We report a case where a child had had difficulties breathing and feeding in the first months of life. These had been attributed to nasal hypoplasia. After proper ENT assessment the child benefitted from adenoidectomy.ENT surgeons should be aware of the syndrome as more women of child bearing age are taking warfarin following cardiac surgery and treatment of thromboembolic disease. ENT surgeons may be asked to review these children who often present with airway and feeding problems which have been attributed to nasal hypoplasia.
A case of Merkel-cell carcinoma metastatic to the tonsil
Authors: Tesei F. , Farneti G. , Cavicchi O. , Antonelli P. , Zanetti G. , Leone O. 
Published: November 2007

AbstractMetastatic tumours are rare in the tonsil. We describe a 69-year-old male patient who had previously undergone a resection of a Merkel-cell tumour of the left forearm and subsequently presented with a left tonsillar tumour. Biopsy revealed a metastatic Merkel-cell carcinoma. Our patient is the first described case of Merkel-cell carcinoma metastasizing to the tonsil. The clinical and histopathological picture of this rare tumour is presented, along with a review of literature
Two simultaneously occurring hypopharyngo-oesophageal diverticula
Authors: Boysen Morten , Aasen Steinar , Løtveit Torbjørn , Bakka Arne 
Published: November 2007

AbstractWe report a case of two simultaneously occurring hypopharyngeal-oesophageal diverticula. one apparent originating above. the other below the cricopharvngeal muscle. The radiological and clinical findings of tis rare condition are condition are presnted.
Histoplasmosis of the oral cavity, oropharynx and larynx
Authors: Rajah V. , Essa A. 
Published: November 2007

AbstractA patient with oropharyngolaryngeal histoplasmosis is presented. He has been treated for disseminated tuberculosis (TB) for 10 months, with no improvement.Repeat biopsy of a tongue ulcer, together with a swab of the ulcer base, confirmed the presence ofHistoplasma capsulatum.Treatment with amphotericin B resulted in a rapid recovery.
Are haematological tests warranted prior to tonsillectomy?
Authors: Livesey J. R. 
Published: November 2007

The use of phlebotomy for a full blood count (FBC) and group and serum storage (G&S) prior to tonsillectomy with or without adenoidectomy was assessed by means of a postal questionnaire sent to consultant otolaryngologists within the South West Thames region. This was compared with ‘countrywide’ practice assessed by means of questions to attenders at an otolaryngology course.A postal response rate of 86 per cent was obtained with 67 per cent within the region requesting a FBC prior to tonsillectomy and 50 per cent to adenoidectomy alone. This was much greater than for the ‘countrywide’ group with 24 per cent and 6 per cent respectively. Requests for pre-operative G&S were 17 per cent and 6 per cent respectively.This large difference in practice suggests that in the clinically healthy patient with no specific indications, pre-operative haematological investigations may be non-contributary, which has important financial implications. The maintenance of post-operative intravenous access is considered to be much safer, less traumatic and cheaper.
Hamartoma of the tongue
Authors: Owen Gwyneth , Berry Jeremy , Bicknell Philip 
Published: November 2007

AbstractA female infant nine months of age presented with a bilobed swelling at the base of her tongue. Histological examination showed it to be a hamartoma of the tongue. Lingual hamartomas are rare. There are fifteen case reports of lingual hamartoma in the world literature. Our case is presented and the previous case reports are reviewed.
Temporal bone histopathology of open mastoidectomy cavities
Authors: Youngs Robin 
Published: November 2007

Open cavity mastoidectomy remains the principle surgical treatment of middle ear cholesteatoma in the United Kingdom. A significant proportion of mastoid cavities are prone to intermittent or continuous discharge.In this study the temporal bone histopathology of four patients who had undergone open cavity mastoidectomy is presented. Cavities were predominantly lined with stratified keratinizing squamous epithelium. Residual air cells were obliterated by fibrous tissue, with no evidence of persistent respiratory epithelium. Where inflammatory changes were found, these consisted of areas of granulation tissue in association with epithelial ulceration. Residual cholesteatoma pearls (epidermoids) were not associated with significant inflammatory changes.
Gentamicin ototoxicity in continuous ambulatory peritoneal dialysis
Authors: Gendeh B. S. , Said H. , Gibb A. G. , Aziz N. S. , Kong N. , Zahir Z. M. 
Published: November 2007

AbstarctA prospective study was undertaken of 10 chronic renal failure patients on Continuous Ambulatory Peritoneal Dialysis (CAPD) complicated by repeated bouts of peritonitis treated with gentamicin. Each 10-day treatment course consisted of a 120 mg loading dose, followed by 16 mg in 21 of peritoneal dialysate, given four times a day. Serum gentamicin analysed by enzyme immunoassay showed a mean level of 5.2 µg/ml, (range 3.7 to 6.6 µg/ml) four hours after the loading dose. Similar levels, well within the therapeutic range, were maintained on the 3rd, 5th, 7th and 9th days of intraperitoneal gentamicin therapy, suggesting no accumulation of gentamicin in the serum. Pure tone audiometry, electronystagmography and clinical assessment were performed during each course of treatment. Although no evidence of ototoxicity was found during the first two courses of gentamicin, but disequilibrium and bobbing oscillopsia were present during the third and fourth courses of gentamicin. These findings could be explained by cumulative injury to the vestibular apparatus caused by repeated therapeutic insults.
The use of cortical bone grafts in ossiculoplasty
Authors: Mills R. P. , Heaton J. M. , Gray I. G. 
Published: November 2007

AbstractThis paper describes the results of a comparative audit of the costs of using artificial prostheses and cortical bone. The costs of using a bone graft have been calculated by estimating the expenses incurred as a result of the additional time required for preparation of the grafts. The mean cost of preparing a graft was £29.10, while the mean cost of using a prosthesis was £65.01.
Same-day tonsillectomy
Authors: Tewary A. K. , Curry A. R. 
Published: November 2007

AbstractTonsillectomies have been performed on a same-day basis in Coventry for the past three years. We report our experience with this technique which has gradually evolved over the last ten years. The procedure is described in detail and the results of the first two years have been analysed. In common with the experience of others, it is possible to perform tonsillectomies safely on a same-day basis.
Synovial osteochondromatosis of the temporo-mandibular joint
Authors: Nomoto Minoru , Nagao Koichi , Numata Tsutomu , Konno Akiyoshi , Kaneko Toshio 
Published: November 2007

AbstarctA rare case of synovial osteochodromatosis of the temporo-mandibular joint is presented. Important diagnostic information can be obtained by CT, MRI, 99m Tc bone scan and aspiration biopsy. Observation using a light microscope showed mild cellular atypia, but the hallmarks characteristic of chondrosarcoma were not found. Observation using an electron microscope showed the mature chondrocytes contained a well-developed rough endoplasmic reticulum. Histological evaluation indicated that the present case was benign synovial osteochondromatosis in an early stage.