bluuebunny/crossref_metadata_2025_split huggingface dataset:
Monomorphic adenomas of the major salivary glands: clinicopathological study of 44 cases
Authors: Mauluzi M. , Salvinelli F. , Capelli A. , Carbone A. 
Published: November 2007

AbstractWe report 44 cases of monomorphic adenoma (MA) of the major salivary glands observed during the years 1979–1989. All of these tumours were reviewed and classified on the basis of the World Health Organisation (WHO) criteria. Histological type, site, sex and age were considered. 34 cases of adenolymphoma were observed, all of them located in the parotid glands; 10 MA without lymphoid stroma were located in both parotid and submandibular glands. Distinctive histological and clinico-pathological features of the latter group of tumours are discussed, as well as the diagnostic criteria in distinguishing these tumours from pleomorphic adenoma and adenoid-cystic carcinoma.
Role of routine fluid replacement in children undergoing tonsillectomy
Authors: Wilson P. S. , Snow D. G. , O'Connel J. , Proops D. W. , Barrow M. 
Published: November 2007

AbstractIt has been suggested that children undergoing tonsillectomy would benefit from an intravenous infusion, to counteract the period of pre-operativefasting combined with the blood loss at operation.A prospective study of 50 children undergoing tonsillectomy was undertaken. The children were randomly allocated into two groups, one to receive an infusion and a control group.There were no significant differences between the two groups, although the children with an infusion had a longer mean post-operative stay.There would seem to be no role for routine intravenous fluid replacement in children undergoing uncomplicated tonsillectomy.
Vertical partial laryngectomy on demand
Authors: Krajina Z. 
Published: November 2007

AbstractThe author proposes the term ‘vertical partial laryngectomy on demand’ for all modifications of vertical laryngectomics (frontal, frontolateral, vertical and hemilaryngectomy). This term includes two conditions: the first is complete oncological removal of the tumour (proven by histological examination and with the use of magnification or the operating microscope during the operation); secondly, reconstruction of the laryngeal defect by various procedures. The author uses the sternohyoid fascia in vertical and frontolateral partial laryngectomies. From 120 operated cases, a five-year survival rate of 81 per cent was achieved. The fascia showed resistance to post-operative complications and irradiation.
Use of EMLA cream as an analgesic in the management of painful otitis externa
Authors: Premachandra D. J. 
Published: November 2007

AbstractA new application of EMLA cream is described. Relief of pain in otitis externa is difficult and systemic analgesics for this localized condition are often ineffective. Meticulous cleaning of the external auditory meatus is an essential step in the treatment. EMLA cream is an effective analgesic which can be used to relieve pain and anaesthetize the external auditory meatus to allow cleaning in patients with intact tympanic membranes.
Fourth branchial pouch anomaly
Authors: Takimoto Toru , Yoshizaki Tomokazu , Ohoick Hiromi , Sakashita Hiofo 
Published: November 2007

AbstractWe present an extremely rare case of fourth branchial fistula in a 23-year-old male. The characteristic clinical feature was a recurrent left lower neck abscess which did not respond to appropriate medical and surgical therapy. Radiography and a computed tomographic scan with contrast material revealed a fistula running from the apex of the left pyriform sinus (internal opening) to the left lower neck abscess. The fistula tract was excised surgically. Histological examination of the excised fistula revealed a squamous epithelial lining and subepithelial lymphoid tissue. This pyriform sinus fistula is thought to be of fourth pharyngeal pouch origin, because of its surgical aspects and the histologicalfindings of the excised fistula.
Postauricular cerebellar encephalocoele secondary to chronic suppurative otitis media and mastoid surgery
Authors: Ramanikanth T. V. , Smith Michael C. F. , Ramamoorthyt Ravi , Ramalingam K. K. 
Published: November 2007

AbstractCerebellar herniation into the mastoid through the posterior aspect of the temporal bone as a result of chronic suppurative otitis media and mastoid surgery is a rare event. A case is reported in which such a hernia presented subcutaneously behind the pinna; its repair is discussed.
Attachment of bacteria to tonsillar epithelium during acute tonsillitis
Authors: Stenfors Lars-Eric , Räisänen Simo 
Published: November 2007

AbstractEpithelial cells were scraped from the tonsillar surfaces of 15 patients with current acute tonsillitis (AT) and of 15 individually matched healthy persons. The cellular mixture was stained with acridine orange and bacteria seen to be attached to the epithelial cells under the fluorescent microscope were calculated. Conventional bacterial culturing was also performed simultaneously. Significantly more bacteria were attached to epithelial cells from the AT group than from the controls (>10 attached bacteria per cell p = 0.0103, >50 attached bacteria per cell p 0.0212). In vivo determination of bacteria attached to epithelial cells offers prospects of gaining a better understanding of the aetiopathogenesis of acute tonsillitis.
Extramedullary nasal plasmacytoma
Authors: Navarrete M. L. , Quesada P. , Pellicer M. , Ruiz C. 
Published: November 2007

AbstractThe literature on this rare tumour has been reviewed and three cases of nasal plasmacytoma are described. Immunohistochemistry demonstrated cytoplasmic IgA and Kappa determinants in all cases. Two patients are disease-free at the present time, the third developed an IgG-k multiple myeloma, previously not described in the literature.
Intracordal Teflon injection: a question of timing
Authors: Habashi S. , Croft C. B. 
Published: November 2007

AbstractIntraeordal Teflon injection is commonly performed for recurrent laryngeal nerve palsy. It is generally agreed that injection should not be performed for a period of six months from the onset of an ‘idiopathic’ paralysis. A case is presented in which recovery occurred late, after intraeordal injection, with unfortunate results. Successful removal of the Teflon is described. The advisability of a longer wait before surgery for ‘idiopathic’ recurrent laryngeal nerve palsy is considered.
ENT presentation of Ollier's disease
Authors: Pfleiderer A. G. , Thomson P. , Milroy C. M. 
Published: November 2007

AbstractCartilaginous tumours occurring in the head and neck are usually regarded and seen as solitary lesions. However, we present an unique case where the cartilaginous tumour in the ENT region was the presenting feature of Ollier's disease (multiple enchondromatosis). It is recommended that further investigations be carried out in patients with cartilaginous tumours presenting in the head and neck to exclude the possible presence of this unusual and interesting syndrome.
Acoustic neuroma (schwannoma) surgery 1978–1990
Authors: Dutton J. E. M. , Ramsden R. T. , Lye R. H. , Morris K. , Keith A. O. , Page R. , Vafadis J 
Published: November 2007

AbstractA series of 151 patients with 154 acoustic schwannomas have been operated upon in Manchester Royal Infirmary by a joint Otological and Neurosurgical team, employing either the translabynnthine or the sub-occipital approach. The perioperative mortality rate was 3 per cent. Anatomical preservation of the facial nerve was achieved in 89 per cent of tumour removals and a good to normal functional result in 79 per cent of cases. Attempts at hearing preservation have been unsuccessful, largely because of the small number of patients in the series in whom useful hearing was present preoperatively. Complications included major brain stem ischaemia (1.2 per cent), CSF fistula (5 per cent) and facial dysaesthesia (7 per cent). The incidence of mortality and morbidity is directly related to tumour size and to the experience of the surgeons. A number of patients experienced an unusual type of post-operative dreamlike state which appeared to be a form of hypnagogic hallucination, and the possible neurophysiological mechanism responsible for this phenomenon is discussed. The continuing failure to attain the ideal of early diagnosis is lamented, and the importance of a flexible bidisciplinary surgical approach emphasized.
Acoustic rhinometry used as a method to monitor the effect of intramuscular injection of steroid in the treatment of nasal polyps
Authors: Elbrønd O. , Feeding J. U. , Gustavsen K. M. 
Published: November 2007

AbstractAcoustic rhinometry is a new method which describes the geometry of the nasal cavity and the epipharynx. The method, based on the reflection of an acoustic signal entered into the nasal cavity, can be used to evaluate the cross-sectional area of the nasal cavity asa function of distance from the nostril. The method has, together with nasal expiratory peak flow (NPF) and nasal index based upon a self assessment score, been used to evaluate, in an objective and dynamic way, the effect of systemic treatment of nasal polyps with steroids in a series of eight patients with recurrent nasal polyposis. The study shows a significant relationship between these three parameters before and after systemic treatment of nasal polyps with steroids. It is concluded that in this study acoustic rhinometry had an accurate and objective method for measuring the geometry of the nasal cavity before and after treatment for processes which block the nasal cavity.
Post cricoid lymphangioma
Authors: Smith N. M. , Staffordt F. W. 
Published: November 2007

AbstractA 69-year-old female patient presented with symptoms characteristic of globus pharyngeus and barium swallow examination was normal. Her symptoms persisted and pharyngoscopy was undertaken; a post-cricoid polyp was found and removed. Histological examination revealed this to be a lymphangioma. Histological appearances, pathogenesis and treatment are discussed. The case illustrates that persisting symptoms presenting as globus pharyngeus should be further investigated to exclude rare lesions.
MRI of the paranasal sinuses: incidental abnormalities and their relationship to symptoms
Authors: Cooke Lynn D. , Hadley Donald M. 
Published: November 2007

AbstractMagnetic resonance imaging is able to demonstrate a wide range of sinus abnormalities. Incidental findings in patients referred for neuroradiology because of suspected intracranial pathology are surprisingly common and were present in 37.5 per cent of 483 images examined. The maxillary and ethmoid sinuses were most commonly affected with 27 and 26 per cent of images abnormal whereas the frontal and sphenoid sinuses were less commonly affected with 5 per cent of each abnormal. If minor changes were excluded then 17 per cent of patients had either fluid, a polyp or marked mucosal thickening in at least one sinus. Nasal symptoms, other than the presence of a cold, showed no statistically significant relationship to abnormal findings. Many people with inflammatory changes in their sinuses demonstrated on MRI do not have symptoms classically attributed to sinusitis.
Reinke's oedema and thyroid function
Authors: White A. , Sim D. W. , Maran A. G. D. 
Published: November 2007

AbstractReinke's oedema (RO) of the vocal folds is a condition of unknown aetiology. Cigarette smoking and vocal abuse may contribute to its development. Hypo thy roidism has been described as an aetiological factor but, to date, no controlled study has been published confirming this association. This prospective, controlled study compared thyroid function in 61 consecutive RO patients with an age and sex matched control group (n = 65) without laryngeal disease. Thyroid function was assessed by measuring serum thyroid stimulating hormone (TSH), free thyroxine (T4) and tri-iodothyronine (T3). Hypothyroidism was diagnosed when TSH was above normal with a T3 and T4 below the normal range.Four RO patients were hypothyroid at the time of diagnosis, compared to five of the control group. Six RO patients had past or present hypothyroidism compared to seven of the controls. One RO patient and two controls were euthyroid with marginally elevated TSH levels. Although the incidence of hypothyroidism in this group of Reinke's oedema patients is higher than expected in a normal population, it is similar to that in an age and sex matched control group, reflecting the prevalence of hypothyroidism in middle aged women.This study suggests that hypothyroidism is not an aetiological factor in the development of Reinke's oedema.
Acanthoma fissuratum
Authors: Thomas M. R. , Sadiq H. A. , Raweily E. A. A. 
Published: November 2007

AbstractAcanthoma fissuratum secondary to the use of spectacles is a rare clinical finding associated with an ill-fitting frame. An interesting case is presented to highlight such a problem. Surgical excision of such lesions is recommended with advice to the patient regarding the suitable fitting of spectacles.
Paradoxical vocal cord motion: an unusual cause of stridor
Authors: George M. K. , O'Connell J. E. , Batch A. J. 
Published: November 2007

AbstractStridor due to obstructive causes is relatively common. Functional airway obstruction with paradoxical vocal cord motion is uncommon. Only 12 cases have been reported in the literature in the past 15 years. The majority were young female patients. We have recently encountered two cases. Lack of awareness of this condition caused several problems in management.
Management of childhood cholesteatoma
Authors: Mills R. P. , Padgham N. D. 
Published: November 2007

AbstractWe report a retrospective study of 54 children with 57 involved ears who underwent surgery for cholesteatoma before their sixteenth birthdays. The majority of these underwent open cavity operations (modified radical mastoidectomy, radical mastoidectomy or atticotomy). The incidence of residual disease was only 6 per cent and overall 70 per cent of ears have been free of chronic discharge. The post-operative hearing thresholds were disappointingly low, though overall no worse than those recorded before surgery. The mean post-operative hearing level for the group was 39 dB and the mean air-bone gap was 29 dB. Open cavity surgery is the method of choice for childhood cholesteatoma, mainly because of the low incidence of residual disease.
Synchronous primary mucosal melanoma and mucoepidermoid carcinoma of the maxillary antrum
Authors: Davis J. P. , Maclennan K. A. , Schofield J. B. , Watkinson J. C. , Gluckman P. 
Published: November 2007

AbstractWe present a case of contiguous primary malignant melanoma of the nose and maxillary antrum and mucoepidermoid carcinoma of the maxillary antrum. We believe that this association has not been previously recorded; whether this represents divergent differentiation in a single tumour or ‘collision’ of two separate tumours is uncertain.
Rare presentation of a parapharyngeal schwannaoma
Authors: Dilkes M. G. , Morrison G. A. J. , Orr W. P. 
Published: November 2007

AbstractSchwannoma, or neurilemmoma, is included in the differential diagnosis of masses in the parapharyngeal space. Schwannomata do not usually cause acute inflammation, and therefore do not tend to present as emergencies as in this case, in which there was acute respiratory embarrassment
Nasal endoscope in posterior epistaxis: a preliminary evaluation
Authors: Mcgarry G. W. 
Published: November 2007

AbstractThe findings of a preliminary, prospective evaluation of the role of endoscopy in the management of adult posterior epistaxis are presented.A cohort of patients managed by the endoscopic technique was compared with a control group managed by the traditional methods of nasal packing or epistaxis balloons.The endoscope allowed visualization and direct treatment of previously undiagnosed posterior bleeding points. Patients managed by the endoscopic technique had a significantly shorter duration of in patient stay than those managed by traditional methods.
Staging carcinoma: its value in cancer of the larynx
Authors: Reid A. P. , Robin P. E. , Powell J. , McConkey C. C , Rockley T. 
Published: November 2007

AbstractThree thousand four hundred and forty-five cases of cancer of the larynx were examined and 3,235 assigned to their TNM group. While good correlation with prognosis could be seen, the value of the detailed subsite (as opposed to the main laryngeal regions) was limited to defining T1a and T1b and aiding that of T2. T status gives some indication of prognosis, but the N status is of almost overriding importance.
Inhalation of foreign bodies by children: Review of experience with 74 cases from Dubai
Authors: Al-Hilou R. 
Published: November 2007

AbstractSeventy four out of 94 cases of bronchoscopy carriedout over a five year period are reviewed. The clinical history of choking followed by recurrent spasmodic cough were found to be the most important element in making the diagnosis and proceeding to diagnostic and therapeutic bronchoscopy. Radiology was inferior as a diagnostic aid although radioactive scanning may be helpful in difficult cases.
Eyelid gold weights in the management of facial palsy
Authors: O'Connell Janet E. , Robin P. E. 
Published: November 2007

AbstractWe reviewed our experiences with 20 patients with established facial palsy who had a total of 24 gold weights inserted. All patients had corneal symptoms: ulceration, exposure keratitis or discomfort abolished. Functional improvement i.e. reduction of lagophthalamos and restoration of the blink reflex was good in our opinion and that of the patients in all cases. Dissatisfaction with the cosmetic result was expressed by two patients due to the prominence of the weight under the thin eyelid skin. Three patients had to have the weight replaced because it was too light. Two patients had their weightsremoved because of recurrent eyelid infections. In two patients the weights were removed as they had migrated over the tarsal rim. In one of these patients the weight was replaced immediately in the appropriate position, in the other it was not replaced as dissatisfaction hadbeen expressed due to the bulky appearance of the weight under the eyelid skin.
Effect of nasal packing on Eustachian tube function
Authors: Thompson A. C. , Crowther J. A. 
Published: November 2007

AbstractSixty-three patients undergoing surgery to the nasal septum followed by bilateral packing had pre- and post-operative tympanometry in order to determine the effect on eustachian tube function. Fifty-five of the 126 ears tested (46 per cent) developed a reduction in middle ear pressure of at least 50 daPa; 76 per cent became normal within 24 hours of removing the nasal packs. All ears were asymptomatic and no patient had evidence of middle ear effusion. Nasal packing following septal surgery is a frequent cause of shortlasting eustachian tube dysfunction but rarely severe enough to cause symptoms or middle ear effusion. Tubal dysfunction is most likely due to a combination of surgical oedema and a direct effect of the nasal packing.
Source of tubercle bacilli in cervical lymph nodes: A prospective study
Authors: Lau S. K. , Kwan S. , Lee J. , Wei W. I. 
Published: November 2007

AbstractA prospective study searching for associated mycobacterial infection of the upper aerodigestive tract in patients with cervical tuberculous lymphadenitis (TBLN) was carried out. One hundred and thirteen patients with a clinical suspicion of cervical TBLN were included. All patients had a physical examination of the upper aerodigestive tract. Routine endoscopy and biopsy of the nasopharynx were performed. All of them had surgery to the cervical lymph node. Seventy-five patients had histologically confirmed cervical TBLN. Culture of the lymph node specimen showed Mycobacterium tuberculosis in 68 (90 per cent). In 45 (60 per cent) patients with cervical TBLN the primary foci of infection could not be found. Twenty-nine (39 per cent) had radiographic evidence of active or healed pulmonary tuberculosis. Sputum culture from two patients showed Mycobacterium tuberculosis. Five patients (six per cent) had tuberculous nasopharyngitis. In one of them (one per cent) the tuberculous nasopharyngitis was primary as no other evidence of mycobacterial infection was found. In the present study, mycobacterial infection of other parts of the upper aerodigestive tract was not found.
Pathology of labyrinthine ossification
Authors: deSouza Christopher , Paparella Michael M. , Schachern Pat , Yoon Tae H. 
Published: November 2007

AbstractOssification of the inner ear is the result of multifactorial pathogeneses, such as infection or malignant infiltration, and otosclerosis. Ossification of the innerear spaces is a well documented sequela of suppurative labyrinthitis. In this study of human temporal bones, sections from 14 patients (28 temporal bones)were studied. In additionto the osseous tissue within the inner ear, findings included neoplasms, otosclerosis, otitis media, trauma, and Fabry's disease. We have attempted to correlate these conditions and their influence on the formation of osseous tissue within the spaces of the inner ear. Tympanogenic infection and vascular compromise were found to play an important role in ossification. The scala tympani ofthe basal turn of the cochlea was frequently the site involved.
Bilateral facial nerve palsies: Groote Schuur Hospital experience
Authors: Wormald P. J. , Sellars S. L. , de Villiers J. C. 
Published: November 2007

AbstractBilateral facial nerve palsies are rare. This article details the Cape Townexperience of 24 patients with this condition seen over the past 20 years and highlights the three main groups in which these bilateral facial nerve palsies occurred. These are Bell's palsy, fracture of the temporal bones and sclerosteosis. Avariety of other rare causes was also found. Bell's palsy remains a diagnosis of exclusion though there has been some evidence to suggest implication of the Herpes simplex virus. The mechanism whereby temporal bone fractures cause bilateral facial nerve palsies is discussed. The clinical presentation and management of sclerosteosis is also discussed
Transnasal sinusectomy with combined microscopic and endoscopic technique
Authors: Teatine G. P. , Stomeo F. , Bozzo C. 
Published: November 2007

AbstractSevere, diffuse polyposis can be adequately treated through a transnasal approach which combines microscopic and endoscopic surgery. The operating microscope is used to perform ethmoidectomy, usually from the front to the back, and to open the sphenoid sinus and the antral window. The telescopes allow the sphenoid and maxillary sinuses to be cleaned under direct view control as well as enabling good drainage to be performed from the frontal sinuses. The results from 22 consecutive patients were good, with a very low rate of minor post-operative complications.
Intralabyrinthine schwannoma
Authors: Birzgalis A. R. , Ramsden R. T. , Curley J. W. A. 
Published: November 2007

AbstractIntralabyrinthine schwannomas are rare tumours which present with symptomssimilar to Meniere's disease. Preoperative diagnosis is rarely possible and most are foundincidentally during labyrinthectomy for persistent vertigo. A further case of this tumouris reported together with a review of the literature.
Air cyst of the maxillary sinus (pneumosinus dilatans, pneumocoele)
Authors: Tovi Ferit , Gatot Albert , Fliss Dan M. 
Published: November 2007

AbstractA cystic dilatation of a paranasal sinus by an entrapped air mass has beentermed pneumosinus dilatans or a pneumocoele. The occurrence of this condition in the maxillary sinus is quite rare. In the present case, a mid-face mass mimicking an osteoma was the presenting sign of the disease. The pathogenesis, clinical features and radiological aspects of this entity are reviewed. In order to avoid confusion with other conditions ofdifferent aetiopathogenesis, we propose to label the lesion as ‘air cyst’ of the paranasal sinus, a term that best describes the nature of the lesion.