bluuebunny/crossref_metadata_2025_split huggingface dataset:
Vocal fold lateralization using carbon dioxide laser and fibrin glue
Authors: Linder Arne , Lindholm Carl-Eric 
Published: November 2007

AbstractLateralization of one or both vocal folds is a generally accepted surgical principle for the relief of the airway obstruction caused by bilateral vocal fold paralysis. A modified, entirely endoscopic method of lateralization has been developed, employing a carbon dioxide laser to reduce the bulk of the fold, and fibrin glue to maintain the lateral position. The results of 18 operations on 15 patients, including six who had unsatisfactory results after previous surgery, were analyzed and compared retrospectively with the results from 22 patients operated on before the introduction of the method. The patient's ability to perform everyday activities improved in 12 cases, which paralleled the results of the previous, more cumbersome methods. The incidence of re-operation was comparable, given the shorter follow-up after the more recent method.
Extranodal Rosai-Dorfman disease: an uncommon cause of persistent nodule in the ear
Authors: Tsang W. Y. W. , Chan J. K. C. , Ho W. K. , Yu H. C. , Chow L. T. C. 
Published: November 2007

AbstractA 40-year-old woman presented with a nodule over the tragus of the right ear. A biopsy was initially reported as showing non-specific inflammation. In view of the persistence of the lesion, the histological material was reviewed, leading to revision of the diagnosis to Rosai-Dorfman disease, a diagnosis further confirmed by immunoreactivity of the histiocytes for s-100 protein. This case represented the extranodal form of Rosai-Dorfman disease in the absence of lymph node involvement.
Persistent stapedial artery
Authors: Pahor A. L. , Hussain S. S. M. 
Published: November 2007

AbstractPersistence of the stapedial artery is rare. A case is presented in which the stapedial artery was found over the footplate during stapes surgery. The technical problems encountered are discussed.A wire prosthesis has previously been used in the presence of a persistent stapedial artery and we describe the use of an all Teflon prosthesis.A subsequent CT scan demonstrated the vessel in the middle ear.An outline of the embryology of the stapedial artery is given and the literature reviewed.
Acute leukaemic cell infiltration of the nose
Authors: Bais A. S. , Uppal K. , Logani K. B. , Narayan S. 
Published: November 2007

AbstractLeukaemic cell infiltration of the nose as a first manifestation of the disease is extremely rare. We report a case of a three year-old child who had presented with a swelling at the root of the nose for one month and proptosis of the right eye for one week. CT scan revealed a mass infiltrating the nose and nasal cavity along with infiltration of the retro-orbital region. Biopsy showed it to be myeloid cell deposits. Patient was put on antileukaemic chemotherapy but died two months after the first appearance of the symptoms.
Parapharyngeal lipoma
Authors: Kakani Rajesh S. , Bahadur Sudhir , Kumar Subrindra , Tandon D. A. 
Published: November 2007

AbstractLipomatous tumours of the parapharyngeal space are rare. A case of lipoma of the parapharyngeal space is reported for its rarity, characteristic radiological findings, and effect on growth of the facial bones.
The Pope Wick as a myringoplasty ear canal dressing
Authors: McRae Duncan , Dilkes Michael , Kenyon Guy 
Published: November 2007

AbstractA study of 50 consecutive patients undergoing myringoplasty using a Merocel Sponge Pope Ear wick as an ear canal dressing showed the wick to be complication free with potential advantages over the time honoured Bismuth Iodoform Paraffin Paste dressing.
What is the effect of translabyrinthine acoustic schwannoma removal upon tinnitus?
Authors: Baguley David M. , Moffat David A. , Hardy David G. 
Published: November 2007

AbstractA series of 129 patients who had undergone translabyrinthine removal of a unilateral acoustic schwannoma completed a postal questionnaire about pre- and post-operative tinnitus. A simple grading system was devised from which it was possible to determine the likely outcome of translabyrinthine acoustic schwannoma surgery upon tinnitus. The results have been analyzed in detail, and as a result it is possible to advise a patient undergoing this form of surgery that if they have no tinnitus pre-operatively they are unlikely to develop it, and if they do it will not besevere enough to significantly affect their quality of life. If they have mild or moderate tinnitus it is most likely to stay the same, or become less intense. If a patient has severe tinnitus it is very likely to improve and not affect their future quality of life.
Vertical partial laryngectomy: our results after treating 81 cases of T2and T3laryngeal carcinomas
Authors: Daniilidis J. , Nikolaou A. , Fountzilas G. , Sombolos K. 
Published: November 2007

AbstractFrom 1976 to 1989,81 patients with T2and T3laryngeal carcinomas were treated with vertical patrial laryngectomy at the University ENT Department of Thessaloniki, Greece. All patients were male with a median age of 56 years (33–71 years). Four patients had N, lymph nodes. Ten patients received post-operative radiotherapy. Seventeen patients developed local recurrences or distant metastases. Mean follow-up was more than seven years. Absolute three-year survival was 94.6 per cent for 74 patients and absolute five-year survival was 89.6 per cent for 58 patients. Actuarial five-year survival of the whole group of 81 patients was 91 per cent calculated with the Kaplan-Meier method. Recurrence rate and survival of stage II and III patients are also discussed and compared using the log-rank test. We conclude that vertical partial laryngectomy is avery successful treatment selection for T2glottic and false vocal cord carcinomas and for someselected T3glottic lesions.
Infection of the neck spaces: a present day complication
Authors: Irani B. S. , Martin-Hirsch D. , Lannigan F. 
Published: November 2007

AbstractAlthough advances in antibiotic therapy have made adult neck space infections an uncommon event, it is essential to bear them in mind when treating oro-dental and oro-pharyngeal sepsis, as they can often progress with life threatening sequelae.Three cases of neck space infection as a consequence of dental infection, pharyngitis and peritonsillar abscess are presented. The management of a potentially compromised airway is of paramount importance in the immediate treatment of neck space sepsis.
Retro-pharyngeal liposarcoma
Authors: Menown I. B. A. , Liew S. H. , Napier S. S. , Primrose W. J. 
Published: November 2007

AbstractWe present a case of extensive recurrence of a retro-pharyngeal liposarcoma following surgical removal 18 years previously. The surgery and pathology are discussed, and management strategies of head and neck liposarcomas are reviewed.
Influence of the mode of preparation on the long-term efficacy of homologous costal cartilage implants
Authors: Adlington P. , Anscombe A. J. , Pmllips J. J. 
Published: November 2007

AbstractDevitalized homologous costal cartilage is widely employed as an implant in the management of the saddle nose. The tissue response induced by the implant is a combination of enveloping fibrosis and implant resorption, which will probably, ultimately, be complete. We have studied the balance between resorption and fibrosis, following different modes of cartilage preparation, in the mouse. Homologous costal cartilage was devitalized by four common methods—irradiation, formalin, glutaraldehyde and alochol. Segments of this cartilage were inserted at separate sites in the subcutaneous plain of the tail. These implants were harvested after one year for histology. Variations in the mode of cartilage devitalization, while inducing variations in the degree of the tissue response, did not influence the balance between fibrosis and resorption. Thus the long term maintenance of tissue bulk following homologous cartilage implantation is not influenced by the mode of preparation. Evidence suggests that the ultimate cosmetic results of autologous and homologous costal cartilage implantation would be much the same, and the use of homologous cartilage must be justified on other grounds.
Bilateral acute mastoiditis complicated by lateral sinus thrombosis
Authors: Oyarzabal M. F. , Patel K. S. , Tolley N. S. 
Published: November 2007

AbstractA case of bilateral mastoiditis with subperiosteal abscesses complicating acute otitis media in a two and a half year old girl is presented. Contrast enhanced computerized tomography confirmed the diagnosis of right lateral sinus thrombosis. The aetiology, diagnosis and management of these conditions are discussed.
Functional aphonia in young people
Authors: Harris Carol , Richards Coral 
Published: November 2007

AbstractThe study reviewed the case histories of 14 young aphonies. A questionnaire was completed by the five speech therapists involved with these cases. The patients were all initially examined by E.N.T. specialists and then treated by speech therapy. All the patients were ‘cured’ by speech therapy, that is the voice returned to its premorbid state. This study looks at common characteristics of presentation, different approaches to management, and the patterns of voice return.
Percutaneous tracheostomy in a head and neck unit
Authors: Fisher Edward W. , Howard David J. 
Published: November 2007

AbstractA recent innovation in the technique of tracheostomy is now available as a commercial kit. A standard tracheostomy tube is inserted using a guidewire and dilator as in the Seldinger technique. The kit was used in nine cases in a unit with a head and neck oncology interest. Two failures were experienced but no serious or fatal complications. The technique is limited when applied to necks which are not anatomically ‘ideal’, and hence will have application in head and neck surgery only after careful patient selection
Antroscopy in rhinoscleroma
Authors: Soni N. K. 
Published: November 2007

AbstractRhinoscleroma is a chronic specific granulomatous inflammatory condition that has an affinityto the mucosa of the upper respiratory tract. Involvement of maxillary antrum is said to be very uncommon. In the present study antroscopy was performed in 20 patients with rhinoscleroma to find out the type, nature and site of the lesion in the maxillary antrum. The maxillary antrum was involved in 60 per cent of cases with rhinoscleroma. The lesions occurred in the form of atrophic changes, granuloma, and the fibrotic thick healed stage. The anterior–inferior part and medial wall of the antrum are found to be more commonly affected. It is suggested that involvement of maxillary antrum in scleroma may act as a reservoir of infection and such patients may therefore take a longer time to respond to antibiotic therapy.
Is injectable collagen truly safe?
Authors: Takayama Etsuyo , Ikeda Makoto , Tsuru Sumiaki , Ogura Masami , Kitahara Satoshi , Inouye Tetsuzo , Healy Gerald B. 
Published: November 2007

AbstractMost patients have no response to injectable collagen or silicone, but some cases may have positive or ‘undersea’(= clinically negative but immunologically positive) response to collagen. From the results of the Macrophage migration inhibition test, the relative immunogenicity was augmented most when we used implants with the following combination. The firstimmunization was collagen and the second one was collagen with silicone.The augmented antigenicity might be enough to cause an allergic reaction to the patients who had no response to each implant alone. The purpose of this article is to warn of the potential hazard of injection.
Surgery of the ‘only hearing ear’ with chronic ear disease
Authors: Sanna Mario , Shea Coyle M. , Gamoletti Roberto , Russo Alessandra 
Published: November 2007

AbstractThe management of chronic ear disease affecting the only hearing ear is a controversial subject. The relative scarcity of literature on the subject prompted us to prepare a questionnaire which was sent to European and American otologists and to review 19 cases operated at the ENT Clinic of the University of Parma, Italy, and 16 cases operated at The Baptist Memorial Hospital, Memphis, U.S.A. Surgery of cholesteatoma involving the only hearing ear is advised by all the interviewed otologists without exception, even in the presence of a labyrinthine fistula. The cases from the University of Parma were managed as follows: a classic modified radical mastoidectomy was performed in 10 cases, a staged intact canal wall tympanoplasty was done in four cases, an open tympanoplasty in three and a radical mastoidectomy in the remaining two cases. The cases from The Baptist Memorial Hospital were managed with an intact canal wall tympanoplasty (ICWT) in nine and with an open procedure in seven cases. All the otologists interviewed agreed that surgery of the only hearing ear requires particular attention and experience, and should be performed with extreme care by a very experienced surgeon.
Cisplatin-albumin complex for treatment of cancer of the head and neck
Authors: Vreeburg G. C. M. , Stell P. M. , Holding J. D. , Lindup W. E. 
Published: November 2007

AbstractMany patients with cancer of the head and neck are unable to receive or continue treatment with cisplatin, which is nephrotoxic, because of poor renal function. We present here, however, the case of a patient who underwent conventional cisplatin therapy but who then had to be withdrawn from treatment because of renal toxicity despite having undergone partial remission. Treatment was then changed to cisplatin in the form of a cisplatin-albumin complex which is not nephrotoxic. The patient went on to a histologically confirmed complete response and we suggest that although the cisplatin-albumin complex may not be as effective as the conventional form of the drug it offers a possible form of treatment of patients with compromised renal function who could not otherwise be treated.
Early changes of auditory brain stem evoked response after radiotherapy for nasopharyngeal carcinoma—A prospective study
Authors: Lau S. K. , Wei W. I. , Sham J. S. T. , Choy D. T. K. , Hui Y. 
Published: November 2007

AbstractA prospective study of the effect of radiotherapy for nasopharyngeal carcinoma on hearing was carried out on 49 patients who had pure tone, impedance audiometry and auditory brain stem evoked response (ABR) recordings before, immediately, three, six and 12 months after radiotherapy. Fourteen patients complained of intermittent tinnitus after radiotherapy. We found that 11 initially normal ears of nine patients developed a middle ear effusion, three to six months after radiotherapy. There was mixed sensorineural and conductive hearing impairment after radiotherapy. Persistent impairment of ABR was detected immediately after completion of radiotherapy. The waves I–III and I–V interpeak latency intervals were significantly prolonged one year after radiotherapy. The study shows that radiotherapy for nasopharyngeal carcinoma impairs hearing by acting on the middle ear, the cochlea and the brain stem auditory pathway.
Carcinoma of temporal bone presenting as malignant otitis externa
Authors: Al-Shihabi B. A. 
Published: November 2007

AbstractA 69-year-old man presented with a three-month history of otalgia and tenderness of the right ear and a one-week history of a painful right parotid swelling. Examination revealed granulation tissue in the right ear canal with normal looking tympanic membranes and a parotid abscess. Repeated biopsies from the ear canal and parotid showed non-specific inflammation. Repeated cultures from both areas grew Ps. aeruginosa. The patient's condition improved following three weeks of intensive treatment for malignant otitis externa only to relapse five weeks after the end of treatment. He received a second course, only to improve temporarily. He developed a right facial nerve palsy five weeks after he was first seen, followed four months later by palsies of all cranial nerves except the olfactory, before dying, seven months after his first appointment.The radiological, histological and post-mortem findings are discussed.
Closure of tympanic membrane perforation after the removal of Goode-type tympanostomy tubes: the use of silastic sheeting
Authors: Courteney-Harris R. G. , Ford G. R. , Ganiwalla T. M. J. , Mangat K. S. 
Published: November 2007

AbstractThe reported incidence of persistent tympanic membrane perforation after the extrusion or removal of Goodetype tympanostomy tubes varies from 3 per cent to 47.5 per cent.A prospective randomized study of 152 Goode-type T-tube removals is presented. In one group of 79 ears, the edge of the defect was just freshened, but in the other 73 ears, the edge was freshened and a small piece of 0.13 mm silastic sheeting placed over the defect. Follow-up was performed at six weeks and three, six and nine months and shows that the use of silastic sheeting increases the rate of closure of the perforation and also significantly decreases the number of persistent perforations at nine months.
Long-term results of revision stapes surgery
Authors: Vartiainen Eero , Nuutinen Juhani , Virtaniemi Jukka 
Published: November 2007

AbstractResults of 45 re-operations for persistent or recurrent conductive deafness after primary stapes surgery were studied. The mean follow-up period after the revision surgery was 7.6 years. Long-term hearing results were found to be disappointing, air-bone gap to within 10 dB was achieved in only 46 per cent of the patients. Mean hearing levels improved by 11 dB or more in 73 per cent. Outcome of surgery was dependent on the surgical pathology, the best hearing results were obtained in cases with re-fixation after stapes mobilization operation. Sensorineural hearing loss as a result of surgical trauma to the inner ear occurred in revision surgery more frequently than in primary operations, cases with regrowth of otosclerotic bone to the oval window after stapedectomy having the greatest risk of labyrinthine trauma.
Acute tonsillectomy in the management of infectious mononucleosis
Authors: Stevenson D. S. , Webster G. , Stewart I. A. 
Published: November 2007

AbstractLife-threatening upper airway obstruction can be caused by tonsillopharyngitis secondary to infectious mononucleosis (IM). The administration of corticosteroids, emergency tracheostomy and acute tonsillectomy have been advocated as ways of managing this problem. In a series of 25 patients admitted over a five-year period with IM, 15 were judged to have symptoms severe enough to warrant the administration of corticosteroids. Six of these 15 patients had little improvement in their condition and thus underwent acute tonsillectomy. There were no significant complications of this surgery. A further three patients who received corticosteroids required tonsillectomy for recurrent tonsillitis later in the study period. By contrast, only one of the ten patients who did not receive corticosteroids subsequently required tonsillectomy. Acute tonsillectomy is of value in selected cases of IM tonsillopharyngitis. It may decrease the morbidity of recurrent tonsillitis after IM, in addition to averting the immediate risk of respiratory obstruction.
Fistula between the external auditory canal and the temporomandibular joint: a rare complication of otitis externa
Authors: Dingle Ann F. 
Published: November 2007

AbstractOtitis externa is a relatively common complication of ear syringing. Temporomandibular joint complications of otitis externa are rare. A case of otitis externa with communication between the external auditory canal and the temporomandibular joint is described.
Acute peritonsillar abscess caused by Arcanobacterium haemolyticum
Authors: Barnham M. , Bradwell R. A. 
Published: November 2007

AbstractA patient is reported with a peritonsillar abscess yielding Arcanobacterium haemolyticum. This appears to be only the fifth such case described in the medical literature and the first from Europe. The organism has been reported as an occasional cause of tonsillopharyngitis with rash, resembling infection with Streptococcus pyogenes but often unresponsive to penicillin therapy. A. haemolyticum easily passes unrecognized in bacteriological cultures as a result of its slow growth, coryneform appearance in the Gram's stain and weak haemolytic activity on conventional laboratory media.
Spontaneous healing of traumatic tympanic membrane perforations in man: A century of experience
Authors: Kristensen Søren 
Published: November 2007

AbstractWidespread controversy exists concerning the treatment of traumatic tympanic membrane perforations. To elucidate the issue, a reference value for the rate of spontaneous tympanic membrane closure in man, to which the healing rates following different techniques of early surgical repair should be compared, was established on the basis of a review of more than 500 texts covering a century's literature on the traumatically perforated tympanic membrane. The spontaneous healing rate appeared to be close to 80 (78.7 per cent) in 760 evaluable cases of traumatic tympanic membrane perforations of all sorts diagnosed within 14 days post injury. A relative, causal-related variation of spontaneous healing could be demonstrated, and a pathogenetic classification of direct traumatic tympanic membrane perforations into ruptures induced by air-pressure changes, heat or corrosives, solids, and water pressures, is of proved clinical value and may have medico-legal validity. There is an obvious need for clinically controlled studies on the spontaneous healing of all kinds of traumatic perforations of the tympanic membrane in humans, and important elements in the design of future studies are advocated.
Clinical and bacteriological profile of the ear in otogenic tetanus: A case control study
Authors: deSouza Chris E. , Karnad Dilip R. , Tilve G. H. 
Published: November 2007

AbstractTwenty two patients presented with otogenic tetanus. Seventeen patients had acute histories with only a single episode of otitis media with otorrhoea. Fifteen patients had unilateral central perforations, five had bilateral central perforations and two had no perforations but had acutely congested tympanic membranes which were bulging suggesting the presence of purulent fluid behind them. All patients with perforations had a purulent pulsatile discharge. A coexisting aerobic infection was seen in 85 per cent of the cultures and 59 per cent of these were due tostaphylococcus aureus(versus 25 per cent in the controls). Only one patient had received partial immunization. Tetanus resulting from otitis media is not an indication for surgery.
The otological status of patients with nasopharyngeal carcinoma after megavoltage radiotherapy
Authors: Tang Nelson L. S. , Choy Alexander T. K. , John D. Gareth , van Hasselt C. A. 
Published: November 2007

AbstractA middle ear effusion is a common complication of nasopharyngeal carcinoma both before and after radiotherapy. An effusion was found in 38 per cent of patients before radiotherapy and 9 per cent developed an effusion after the start of radiotherapy. Surgical treatment by myringotomy with or without grommet insertion was associated with a high incidence of otorrhoea (26 per cent) which was often refractory to treatment. In view of the frequency of this complication and the fact that a middle ear effusion may not be of concern to an adult patient with nasopharyngeal carcinoma, a ‘wait and see’ policy may be appropriate in the management of a middle ear effusion in these patients.