bluuebunny/crossref_metadata_2025_split huggingface dataset:
Endoscopic ligation of the sphenopalatine artery (ELSA): a preliminary description
Authors: White Paul S. 
Published: November 2007

AbstractTwo cases of transantral endoscopic ligation of the sphenopalatine artery are presented, and the surgical technique described. The main advantage of this minimal access operation being avoidance of the morbidity associated with the conventional Caldwell-Luc approach.
Cervical necrotizing fasciitis: a distinct clinicopathological entity?
Authors: Banerjee A. R. , Murty G. E. , Moir A. A. 
Published: November 2007

AbstractNecrotizing fasciitis of the head and neck has previously been classified as a homogeneous group. We present two cases of necrotizing fasciitis confined to the neck and demonstrate with a review of the literature that cervical necrotizing fasciitis and craniofacial necrotizing fasciitis are two distinct clinicopathological conditions.
Complications of paediatric tonsillectomy post-discharge
Authors: Lee W. C. , Sharp J. F. 
Published: November 2007

AbstractA post-operative survey of 291 children was conducted to assess morbidity found at home in the first five days post-tonsillectomy. Analgesic requirement (92.4 per cent), signs of distress (90.4 per cent), otalgia (69.1 per cent), halitosis (66.7 per cent) were common. Physical or behavioural changes (36.8 per cent) and secondary haemorrhage (8.9 per cent) were also prominent features. Nausea was reported in 59 children (20.3 per cent) and delayed return to a normal diet which in turn predisposed to secondary haemorrhage. Return to normal diet was independent of pain. General Practitioners were consulted by 60.6 per cent and more than half were prescribed drugs. The presence of an organized clot in the tonsillar fossa (3.45 per cent) post-operatively did not delay discharge from hospital and none of these patients re-presented with secondary haemorrhage. Based on their child's experience in this study, only one third of the parents approved of day-case tonsillectomy in principle, a finding which has implications for the instigation of day-case tonsillectomy procedures.
The role of stroboscopy in the management of a patient with a unilateral vocal fold paralysis
Authors: Harries Meredydd Lloyd , Morrison Murray 
Published: November 2007

AbstractStroboscopy is well established as an essential diagnostic tool in the assessment of the vocal folds during phonation. This paper analyses the stroboscopic findings in 100 patients with a unilateral vocal fold paralysis. Reliable stroboscopic signals were only obtained in patients with the paralysed fold close to the midline. These patients seldom require surgery however, usually responding to speech therapy with laryngeal compensation giving a good voice. Most patients that require surgery have a large glottal deficiency, but in this series these patients did not give an adequate signal for analysis. Although useful in the assessment of the muscle tone of the paralysed fold, the influence of stroboscopy on the surgical treatment in this series was limited.
Adenomatoid hyperplasia of palatal minor salivary glands
Authors: Bryant C. , Manisali M. , Barrett A. W. 
Published: November 2007

AbstractAdenomatoid hyperplasia of palatal minor mucous glands is rare but significant because the clinical appearance mimics malignant disease. The typical history of a painless, indolent palatal swelling, together with the histological picture of benign glandular hyperplasia and hypertrophy, are illustrated in this report.
Atypical intramuscular lipoma of the tongue
Authors: Kacker Ashutosh , Taskin Metin 
Published: November 2007

AbstractLipomatous tumours of the tongue are rare and most of them are benign ordinary lipomas. In this report, we describe the first case of atypical lipoma of the tongue in a 78-year-old male, and review the current literature and controversies surrounding the nomenclature and biology of this unusual lesion.
Disabililty after labyrinthectomy
Authors: Pereira Kevin D. , Kerr Alan G. 
Published: November 2007

AbstractA labyrinthectomy is known to relieve vertigo successfully in the majority of patients who suffer from Menière's disease and have non-serviceable hearing in the affected ear. It is assumed that the procedure reduces disability, helps the patient to return to work and improves the quality of life. Eighteen patients who underwent a transmastoid drill-out labyrinthectomy between 1980 and 1990 were interviewed and an attempt was made to evaluate the success of the operation in accordance with the guidelines set out by the AAO-HNS 1985. In the present series it was noted that although vertigo was relieved in 89 per cent of patients after labyrinthectomy, only 50 per cent of them returned to work. In this study, the age and occupation of the patient at the time of surgery and the relief of vertigo did not accurately predict whether or not a patient returned to work.
Hearing loss in multiple sclerosis: localization of the auditory pathway lesion according to electrocochleographic findings
Authors: Marangos N. 
Published: November 2007

AbstractMultiple sclerosis is known to affect the myelin of the auditory pathway resulting in acute hearing loss. Two cases of sudden deafness due to multiple sclerosis have been evaluated by conventional audiometry, brainstem auditory evoked response audiometry and transtympanic electrocochleography. The abnormalities of the compound action potential in both patients (enhanced latency, abnormal adaptation using fast stimulus rate) and the normal receptor potentials (cochlear microphonic, summating potential), as well as the absence of brainstem responses suggest a disturbance of synchronization at the level of the first auditory neurone. The electrocochleography provides valuable information for the topodiagnosis of this and other neural hearing losses, especially in the absence of reliable brainstem responses.
An unusual foreign body migrating from pharynx to mediastinum
Authors: Sinha A. , Shotton J. C. 
Published: November 2007

AbstractA case of a swallowed foreign body migrating from the pharynx into the soft tissues of the neck is presented, whose management was complicated by its undetected migration to the superior mediastinum occurring between radiological localization in the neck three days prior to exploration and its attempted removal. A median sternotomy was then required to retrieve the object. Radiological guidance with regard to the localization of a foreign body in the neck can only be relied on when performed immediately prior to surgical removal.
Tonsillar metastasis from adenocarcinoma of the stomach
Authors: Benito Ignacio , Alvarez-Gago Tomás , Morais Darío 
Published: November 2007

AbstractMetastatic carcinoma of the tonsil is rare with only some 100 cases having been reported in the literature, of which nine have resulted from stomach carcinoma. Tonsillar metastases rarely become apparent before the diagnosis of the primary neoplasm. We describe here the clinical and histopathological findings of a case of unilateral palatine tonsil metastasis as the first sign of a signet-ring cell carcinoma of the stomach. This has not been reported previously.
Intra-operative image guidance in otolaryngology – The use of the ISG viewing wand
Authors: Carney A. S. , Patel N. , Baldwin D. L. , Coakham H. B. , Sandeman D. R. 
Published: November 2007

AbstractThe ISG viewing wand is an intra-operative guidance system with a proprioceptive robotic-like jointed arm. It provides surgeons with almost instantaneously reconstructed computer-generated CT or MRI images in two or three dimensions and can correlate any point within the operative field to its corresponding locus on the reformatted scan images. In addition to having been used in over 400 neurosurgical patients in Bristol, 14 patients with skull-base, cerebello-pontine angle or temporal bone lesions have also undergone wand-guided resections. The wand has proved to be particularly useful in pre-operative planning, allowing minimally-invasive incisions, providing per-operative navigation, identifying the relationship and proximity of important anatomical structures and in assessing the extent of lesion resection. We illustrate the advantages of intra-operative image-guidance by discussing four cases. The potential applications of this form of imaging technology to other otolaryngological procedures are discussed.
Immunoglobulin-coated bacteria on the tonsillar surface during infectious mononucleosis
Authors: Stenfors Lars-Eric , Räisänen Simo 
Published: November 2007

AbstractSequential bacterial samples were obtained from the tonsillar surface of 19 consecutive patients (12 females, seven males; mean age 16.1 years, range four to 24 years) suffering from infectious mononucleosis with membranous tonsillitis. The specimens were examined with respect to aerobes (culture on blood and chocolate agar plates) and proportions of bacteria coated with immunoglobulins (secretory IgA, IgG, IgM) by using an immunofluorescence assay. In the early stage of the membranous tonsillitis phase, attachment of secretory IgA (SIgA) and IgG to the bacteria was greatly suppressed, as compared with healthy controls. Coating with IgM was evident only late in the membranous tonsillitis phase but was contracted and still evident even after the clinical throat symptoms had abated. The findings suggest that the B-lymphotropic Epstein-Barr virus, causative agent of infectious mononucleosis, exerts a transient suppression of immunoglobulin-coating of bacteria harboured on the tonsillar surfaces, with consequent abundant bacterial attachment to the epithelial cells and massive bacterial colonization on the palatine tonsils.
The ‘Darling’ elbow rest—an aid to a stable operating position in endoscopic sinus surgery
Authors: Gardiner Q. , Tan L. , Oluwole M. , White P. S. 
Published: November 2007

AbstractThe ‘Darling’ elbow rest provides a compact, easily manoeuvrable platform for the surgeon's elbow during endoscopic sinus surgery, stabilizing the endoscope and increasing operative safety.
Cerebellopontine angle metastasis from clear-cell renal carcinoma presenting as bleeding from the ear
Authors: Bhatoe H. S. , Deshpande G. U. 
Published: November 2007

AbstractMetastatic lesions in the cerebellopontine angle are rare. We encountered one such metastatic lesion from clearcell renal carcinoma that had a striking clinical appearance, bleeding from the ear and multiple lower cranial nerves' involvement. While the overall prognosis in CNS metastasis from systemic malignancy is gloomy, useful palliation can be achieved in patients with solitary lesions.
Persistent nasal crusting due to hypohidrotic ectodermal dysplasia
Authors: Al-Jassim A. H. , Swift A. C. 
Published: November 2007

AbstractHypohidrotic ectodermal dysplasia is an hereditary condition of the ectodermal tissues which may escape recognition because of lack of clinical awareness due to its rarity. Otorhinolaryngological features of this syndrome include chronic respiratory tract infections, persistent foul-smelling nasal discharge and crust formation, and hearing problems.The condition is usually an X-linked recessive disease affecting mainly ectodermal tissue, although nonectodermal tissue may also be affected. The notation ‘ectodermal’ is used because ectodermal tissues are always involved. The syndrome is characterized by complete or partial absence of sweat glands, sparse hair growth, absent or deformed peg teeth, sparse sebaceous glands, occasional absence of salivary and lacrimal glands, scanty mucous glands and deficient cilia.We describe two children with this disorder with specific reference to the effect on the upper respiratory tract.
Trigeminal neuralgia in nasopharyngeal carcinoma
Authors: Chong V. F. H. 
Published: November 2007

AbstractTumours at the skull base may show perineural infiltration of the mandibular nerve. Subsequent retrograde spread into the cavernous sinus, Gasserian ganglion, the trigeminal nerve and the pons may be seen. The patient, a known and treated case of nasopharyngeal carcinoma (NPC), complained of trigeminal neuralgia and difficulty in chewing. Magnetic resonance imaging (MRI) revealed a Gasserian ganglion and trigeminal infiltration with resultant atrophy of the muscles innervated by the mandibular nerve. Proximal cranial nerve involvement should be suspected in patients with skull base malignancy presenting with trigeminal neuralgia. MRI is the modality of choice in delineating the pathological process.
Epithelial-myoepithelial carcinoma – Report of a case arising in the nasal cavity
Authors: Harada Hiroshi , Kashiwagi Sho-Ichi , Fujiura Hitomi , Kusukawa Jingo , Morimatsu Minoru 
Published: November 2007

AbstractWe present an extremely rare case of epithelial-myoepithelial carcinoma (EMC) arising in the nasal cavity. The patient was a 56-year-old Japanese male with a polypoid tumour arising from the nasal septum. Histopathological examination revealed the tumour to consist of a solid proliferation of clear-cells and, in some areas, small or elongated duct structures with a double-layered arrangement of inner cuboidal cells and outer clear-cells. Dual differentiation toward myoepithelial and ductal cells were confirmed immunohistochemically. The occurrence of EMC in the nasal cavity is possible and this entity should be generally recognized by surgical pathologists, not only those engaged in head and neck surgery.
Leiomyosarcoma of the parotid gland
Authors: Öncel Semih , Doǧanay Musa , Özer Ali , Arslanoǧlu Seçil , Ermete Murat , Erdoǧan Nezahat 
Published: November 2007

AbstractA 36-year-old patient with a primary leiomyosarcoma of the left parotid gland is presented. To our knowledge this is only the second case of a parotid leiomyosarcoma in the world according to the literature review.
An animal model for training in endoscopic nasal and sinus surgery
Authors: Gardiner Quentin , Oluwole Matthew , Tan Luke , White Paul S. 
Published: November 2007

AbstractAn animal model has been devised to allow trainees in nasal and sinus endoscopy to develop basic instrument handling and psychomotor skills, without risk to patients.The sheep's head obtained from the abattoir was modified slightly to simulate more closely the human situation. The model permits nasendoscopy, foreign body removal, septoplasty, turbinate reduction, frontal and maxillary sinoscopy, antrostomy and an epistaxis exercise. To date the tissues have been used freshly thawed, and must be used on the day of preparation.
Inhibition of head and neck metastatic and/or recurrent cancer by local administration of multi-cytokine inducer OK-432
Authors: Kitahara Satoshi , Ikeda Makoto , Inouye Tetsuzo , Matsunaga Takeshi , Yamaguchi Kengo , Takayama Etsuyo , Healy Gerald B. , Tsukuda Mamoru 
Published: November 2007

AbstractThe multi-cytokine inducer OK-432 is a pulverized preparation of the low-virulence SU strain of Streptococcus pyogenes of human origin. A reduction of the tumour mass in the OK-432-injected areas was observed in 11 out of 13 patients with metastatic and/or recurrent head and neck cancer. Complete response (CR), partial response (PR) and minor response (MR) were noted in six, three and two cases respectively. OK-432 local administration therapy could create a new strategy for cancer therapy.
Vestibular nerve dysfunction and decompression in Engelmann's disease
Authors: Hellier William P. L. , Brookes Gerald B. 
Published: November 2007

AbstractVestibular nerve dysfunction as the major neuro-otological symptom in one of the osteopetrosis group of bone disorders is unusual. We describe a patient with Engelmann's disease who presented in this manner and who benefited from an eighth nerve decompression procedure. Surgical decompression of the internal auditory meatus to relieve vertigo has to our knowledge not been previously reported in this condition.
Benign fibrous histiocytoma of the larynx: presentation of a case and review of the literature
Authors: Van Laer C. , Hamans E. , Neetens I. , Van Marck E. , Van Oosterom A. , Van De Heyning P. 
Published: November 2007

AbstractA case of a benign histiocytoma of the larynx in a 39-year-old man is presented. Laryngeal fibrous histiocytoma is extremely rare. Its pathology is described including arguments for benignity. The literature is reviewed and management is discussed.
Hoarseness as the initial manifestation of systemic lupus erythematosus
Authors: Tsunoda Koichi , Soda Yasushi 
Published: November 2007

AbstractA 51-year-old woman complained of hoarseness of two years duration. The patient's past medical history was significant for autoimmunological hepatitis and arthritis for which she had not received treatment. Laryngoscopy and laryngeal stroboscopy revealed ‘bamboo joint-like nodules’ on both true vocal folds. These nodules resembled rheumatoid nodules and were suggestive of a collagen disease. Previous reports have documented that the treatment for such conditions related to collagen diseases is surgical resection. However, we initially attempted to treat the laryngeal lesions systemically with prednisolone. The hoarseness and the bamboo-like nodules disappeared six months after the treatment. Furthermore, the liver function test returned to normal and arthritis completely resolved. Based on our patient's response to this treatment, we diagnosed atypical-SLE and a lupus laryngitis. This case suggests that studies of the larynx may be helpful in the early diagnosis of collagan diseases and that such conditions may respond to systemic treatment.
The use of Merocel nasal packs in the treatment of epistaxis
Authors: Pringle M. B. , Beasley P. , Brightwell A. P. 
Published: November 2007

AbstractOver the period of a year, Merocel nasal packs were used routinely as the primary form of packing in patients referred to the hospital with epistaxis that had not resolved with simple measures, and in whom packing was thought to be required. Their effectiveness was assessed. The packing was usually performed by inexperienced senior house officers. The Merocel packs successfully controlled bleeding in 91.5 per cent of the patients in whom they were used. Use of the correct insertion technique is very important but is very easy to learn and perform. The actual insertion takes only a couple of seconds. Discomfort during insertion, whilst in situ and on removal was assessed.Merocel nasal packing is an effective form of first line treatment in patients with epistaxis.
Misdiagnosis of hearing loss due to ear canal collapse: a report of two cases
Authors: Mahoney Cliodna F. O , Luxon Linda M. 
Published: November 2007

AbstractCollapse of the external auditory meatus during audiometry can lead to spuriously increased hearing thresholds being obtained, particularly at high frequencies, and may simulate conditions such as noise-induced hearing loss, presbyacusis and retrocochlear pathology. Consequently, inappropriate investigations and management may be undertaken. Two patients with elevated thresholds secondary to ear canal collapse are described. The implications of initially failing to identify the true nature of their ‘hearing losses’ are highlighted and strategies to avoid such pitfalls are discussed.
Cochlear implantation in an intralabyrinthine acoustic neuroma patient after resection of an intracanalicular tumour
Authors: Tono Tetsuya , Ushisako Yasuaki , Morimitsu Tamotsu 
Published: November 2007

AbstractThis case study describes a therapeutic strategy using a cochlear implant for a bilateral acoustic neuroma deafened patient. The cochlear nerve had previously been sacrificed on one side during tumour removal, but on the remaining side a functioning cochlear nerve was assessed by electric promontory stimulation in spite of a neuroma extending into the vestibular labyrinth. The patient was successfully stimulated with a Nucleus 22- channel implant after removal of the intracanalicular portion of the neuroma via a middle fossa approach.
Solitary infantile and adult myofibromatosis of the nasal cavity: a report of two cases
Authors: Walsh R. M. , Leen E. J. , Gleeson M. J. 
Published: November 2007

AbstractMyofibromatosis is an uncommon, usually cutaneous, condition in which there is a benign proliferation of myofibroblasts. Solitary and multicentric nodular forms with, and without, visceral involvement have been described. Infantile and adult sub-types have been reported, each having distinct clinicopathological features. Presentation in the head and neck is common. It is frequently misdiagnosed because of its peculiar histological features. The first documented cases of infantile and adult myofibromatosis involving the nasal cavity are reported.
Surgical management of lymphangiomas in adults
Authors: Curran A. J. , Malik N. , McShane D. , Timon C. V. I. 
Published: November 2007

AbstractLymphangiomas are uncommon benign congenital tumours. Most occur in the head and neck region and the vast majority present before the age of two. This paper describes the presentation and management of four cases presenting after puberty and involving the parotid gland. The cases are unusual in that all were intimately associated with the facial nerve and in an older population. The value of selective neck dissection and facial nerve exposure as an approach to these lesions is discussed.
Barotitis in children after aviation; prevalence and treatment with Otovent®
Authors: Stangerup Sven-Eric , Tjernström Örjan , Harcourt Jonathan , Klokker Mads , Stokholm Jens 
Published: November 2007

AbstractBarotitis is an acute or chronic inflammation caused by environmental pressure changes. The most common cause is the pressure change during descent in civil aviation. To prevent barotitis the middle ear pressure has to be equalised several times during descent. This can be achieved by performing the Valsalva manoeuvre, but for children, many of whom have a dysfunction of the Eustachian tube, this is difficult to perform and they are therefore at high risk of developing barotitis during flight. The traditional treatment modalities of barotitis are inflation by a Politzer balloon, myringotomy or prophylactic grommet insertion. An alternative treatment or prophylactic measure is autoinflation using the Otovent® treatment set. This prophylaxis/treatment can be performed by the child with assistance from its parents as soon as possible or rather before the descent has started. The prevalence of barotitis amongst transit passengers was found to be highest in young children, 25 per cent, compared with adults, five per cent. Only 21 percent of the youngest children with negative middle ear pressure after flight managed a successful Valsalva's manoeuvre, whereas 82 per cent could increase the middle ear pressure inflating the Otovent® set. In conclusion we recommend autoinflation using the Otovent® set by children and adults with problems clearing the ears during flight.