bluuebunny/crossref_metadata_2025_split huggingface dataset:
The possible contributing factors for the success of steroid therapy in Bell's Palsy: a clinical and electrophysiological study
Authors: Shafshak Tarek S. , Essa Aymen Y. , Bakey Fathy A. 
Published: November 2007

AbstractIncomplete recovery from Bell's palsy was observed in some patients even after the intake of corticosteroids. This prospective study was performed on 160 patients with unilaterial nonrecurrent Bell's palsy in order to investigate the role of prednisolone on the prognosis of Bell's palsy. Ninety-three patients were given prednisolone tablets (1 mg/kg body wt/day up to 70 mg) for six successive days, then the dose was reduced gradually over the next four days. The remaining 67 patients were not given prednisolone (control group). Facial nerve recovery was assessed clinically and electrophysiologically for up to one year. The results of this study suggested that the most probable contributing factor for the success of prednisolone in improving the prognosis of Bell's palsy was its early intake (within the first 24 hours following onset).
Microvascular free flaps in head and neck surgery
Authors: Macnamara Marcelle , Pope Sarah , Sadler A. , Grant H. , Brough M. 
Published: November 2007

AbstractThis study is a retrospective review of 60 patients who had microvascular free flap reconstructions in the head and neck region. They were all performed over a 10-year period by a single surgeon. The series includes a wide range of flap types and analyses pre-operative risk factors for flap failure as well as complications and outcome. Smoking and advanced age did not appear to prejudice flap survival but peripheral vascular disease, cardiac disease and alcohol withdrawal were found to increase the likelihood of flap failure. The most frequent complications encountered were thrombosis of one of the anastomosis and haematoma. The most successful flap in terms of survival and function was the fasciocutaneous radial forearm flap. The literature is reviewed in relation to the general principles of microvascular free flap surgery and the results of this series are placed in context.
Reconstruction of the mandible with conventional bone graft: an evaluation
Authors: Tiwari Rammohan , Snow Gordon B. , van der Waal Isaac 
Published: November 2007

AbstractEighteen patients with bony defects of the mandible had the mandible reconstructed using conventional nonvascularized bone grafts from the iliac crest. After surgery they received radiotherapy for cancer in the oropharynx or oral cavity. This study was carried out over a 10-year period. All patients were followed-up both for their tumour growth and the results of their reconstruction. Four to 10 years after surgery 55.5 per cent were alive and well. Full dental rehabilitation was achieved in 33 percent and 12.5 percent were without dental rehabilitation.
Fibrosacroma of the vocal fold: a late complication of radiotherapy
Authors: Nageris B. , Elidan J. , Sherman Y. 
Published: November 2007

AbstractThe carcinogenic effect of ionizing radiation is a well known phenomenon. However, the induction of malignancies following irradiation for head and neck cancers is quite rare (Steeves and Vataini, 1982). Most reported cases are osteogenic sarcomas with soft tissue sarcomas encountered less often.We report a rare case of fibrosarcoma of the larynx, following radiation therapy for glottic carcinoma.
Mast cell ultrastructure in the adenoids of children with and without secretory otitis media
Authors: Drake-Lee Adrian , Price Jacqueline , Varley R. 
Published: November 2007

AbstractThis study was designed to compare the differences in morphology of the mast cells from the adenoid in children with otitis media with effusion (OME) and those from children with recurrent tonsillitis. Tissue for electron microscopy was prepared in the standard manner and between three and 10 blocks were examined for each child. All the mast cells with nuclei were photographed and the condition of the granules noted. The number of electron dense granules in each cell was assessed on a scale between zero and 10. Sixteen unselected children with OME were compared with 19 children with recurrent tonsillitis. There were no obvious differences in the degree of degranulation between the two groups although there was more vacuolation than reviously described in the normal nose but less than in those patients with perennial allergic rhinitis. Allergy and mast cell reactions do not seem to predispose to OME. It was concluded that the adenoids are not the ideal tissue in which to study normal mast cells.
Cervical node metastases presenting with features of branchial cysts
Authors: Flanagan P. M. , Roland N. J. , Jones A. S. 
Published: November 2007

AbstractFor many years it has been recognized that seemingly benign neck cysts may contain carcinoma. The true incidence is unknown. This paper investigated nine out of 270 patients presenting with a neck mass — which proved to contain a squamous carcinoma. Records (from a 30-year period) of over 3400 patients with squamous carcinoma of the head and neck, were examined. The histology slides were reviewed, the number of cystic lesions was noted and also the clinical outcome. Out of the 270 patients nine presented with a cystic lesion and these were studied. Six cystic lesions were originally diagnosed as branchial cysts although the youngest age was 39 years. All patients underwent a simple excision.In six cases the tonsil was the primary site, in one the primary was in the base of tongue and in two the primary remained occult. One-third of the patients had died of their disease by the time this report was written and the maximum follow-up time for the remaining patients was 18 months. Therefore 16 per cent of branchial cysts in this series represented metastases from squamous cell carcinoma.At the Royal Liverpool University Hospital only 25 patients had branchial cysts excised between 1988 and 1993: out of these only four contained squamous carcinoma.In patients over 40 years of age panendoscopy and ipsilateral tonsillectomy is mandatory prior to cyst excision.
Vile bodies: an endoscopic approach to nasal myiasis
Authors: Badia Lydia , Lund Valerie J. 
Published: November 2007

AbstractNasal myiasis is the infestation of the nasal cavities by larvae (maggots) of Diptera flies. Several species of flies deposit their ova in the nose and the larvae feed on the host's tissues. We present a case of nasal myiasis by larvae of Oestrus ovis – Sheep Nasal Bot Fly. The larvae of Oestrus ovis are well known parasites in the nasal cavities and paranasal sinuses of sheep and goat. In Britain very rarely larvae may be deposited in the eye, nostrils or outer ear of man, usually husbandry workers. Reputedly, the larvae never survive beyond the first stage with acute catarrhal symptoms lasting only a few days.This is the first reported case in the UK of an urban-dwelling patient infected by mature, third instar larvae of O. ovis. His nasal infestation resolved after endoscopic removal of the live maggots.
Surgical management of a case of third branchial pouch fistula
Authors: Dutt Sunil N. , John Herman , Nayar Ravi C. , Nalinesha K. M. , Prasad Devi 
Published: November 2007

AbstractA case of left pyriform sinus fistula in a 20-year-old male is presented. The surgical management of this uncommon condition is discussed. Its embryological and clinical aspects are reviewed.
Subcutaneous tissue reaction to synthetic auditory ossicle (Apaceram®) in rats
Authors: Cui Peng-Cheng , Ohsaki Katsuichiro , Ii Kunio , Tenshin Satoru , Kawata Terushige 
Published: November 2007

AbstractA study was carried out in order to obtain further information about the soft tissue response to thin Apaceram®discs of dense hydroxyapatite (HA) implanted in rats for various periods of time between one day and 10 months. The Apaceram®discs were implanted subcutaneously into the interscapular region of 33 rats. A sham operation was performed on eight rats used as controls. Decalcified histological sections stained with haematoxylin and eosin and Mallory's azan were examined and the different cell types found around the implants were counted. It was found that an acute inflammatory reaction occurred after one day and disappeared at about two weeks after implantation. In the test groups, macrophages and lymphocytes disappeared about one week later, and no inflammatory reaction was observed from one to three months. However, a tissue reaction occurred at six months with the appearance of macrophages and lymphocytes, and decreased gradually at 10 months. Meanwhile, a few foreign body giant cells at the Apaceram®-tissue interface and a thick layer of fibrous connective tissue around the Apaceram®disc were observed at 10 months. No osteogenesis was observed in any specimen. The results obtained so far suggest that Apaceram®is still a useful material for reconstructive surgery, despite the possible appearance of a slight macrophage reaction at six months.
Post-radiation primary intranodal leiomyosarcoma
Authors: Fujii Hiroaki , Barnes Leon , Johnson Jonas T. , Kapadia Silloo B. 
Published: November 2007

AbstractAn unusual case of post-radiation primary intranodal leiomyosarcoma of the cervical lymph node is presented. The patient was a 32-year-old white man who was treated in 1986 with hemiglossectomy and right neck dissection, followed by radiation therapy, for squamous cell carcinoma of the tongue. Six years later, he presented with an enlarged left cervical lymph node which on biopsy showed a high grade spindle cell malignant neoplasm. Immunohistochemistry and electron microscopic study verified the smooth muscle origin of the tumour.Extensive work-up for a second primary lesion was negative. Primary intranodal leiomyosarcoma is extremely rare. We briefly discuss the histological differential diagnosis of spindle cell lesions of lymph nodes, leiomyosarcoma of the vessel wall and radiation-associated sarcoma.
Squamous cell carcinoma of the posterior pharyngeal wall: characteristics compared with the lateral wall
Authors: Barzan Luigi , Barra Salvatore , Franchin Giovanni , Talamini Renato , Zanelli Giuseppe , Caruso Giuseppe , Maione Arturo , Pin Marco , Politi Doriano , Gobitti Carlo , Minatel Emilio , Trovo Gaetano M. , Comoretto Roberto 
Published: November 2007

AbstractSquamous cell carcinoma of the posterior oro-and hypopharyngeal wall (SCCPPW) is a relatively rare tumour. A retrospective investigation of 63 patients with SCCPPW and 449 patients with carcinoma of the lateral oro- and hypopharyngeal wall, treated between 1964and 1992, has been carried out. Most SCCPPW were asymptomatic, macroscopically superficial and at early stages. They were usually detected by chance during an examination for a different type of malignancy. Fifty-seven per cent of SCCPPW patients had multiple tumours; however this occurrence did not alter the survival rate. The crude five-year survival rate for SCCPPW was 22 per cent and was not significantly different from that of patients with lateral wall tumours. Moreover, both local control and recurrences also were not statistically different.
A modification to the brow incision for access to the anterior skull base and paranasal sinuses
Authors: Beasley N. J. P. , Jones N. S. 
Published: November 2007

AbstractWe present four cases where a brow incision was indicated for access to the anterior skull base and paranasal sinuses. We discuss the indications for this incision and present a modification of the incision, to improve cosmesis over the nasion.
An unusual presentation of squamous cell carcinoma of the pyriform fossa as a pedunculated polypoidal mass — a case report
Authors: Singh Mangal , Ahluwalia Hemant 
Published: November 2007

AbstractA rare case of a squamous cell carcinoma of the left pyriform fossa is presented. It was found as a pedunculated polypoidal mass in a 17-year-old Hindu girl. A review of literature is included.
Polycystic disease of salivary glands
Authors: McFerran D. J. , Ingrams D. R. , Gallimore A. P. , Grant H. R. 
Published: November 2007

AbstractPolycustic disease of salivary glands is a rare condition which hitherto has been reported only glands. We report a case in which and accessory salivary gland had evidence of plycystic disease.
Bismuth subgallate – its role in tonsillectomy
Authors: Fenton J. E. , Blayney A. W. , O'Dwyer T. P. 
Published: November 2007

AbstractThere have been many attempts at identifying substances and describing methods that would assist the surgeon and be of benefit to the patient undergoing a tonsillectomy. The use of bismuth subgallate as a haemostatic adjunct during tonsillectomy has only been described previously in retrospective studies. A controlled prospective randomized trial of 100 paediatric patients, in which 50 patients had a tonsillectomy performed using bismuth subgallate as a haemostatic agent and in which the remainder did not have any associated haemostatic substance, is presented here.Data on 72 patients was analysed, 39 patients belonging to the bismuth subgallate group and the remaining 33 to the control group. The time for haemostasis was three to 18 (mean 7.8) minutes in the bismuth group. It was four to 16 (mean 9.9) minutes in the non-bismuth group. These figures are statistically significant.The range of ties used in the bismuth group was none to three (mean 1.5) ties and one to seven (mean 3.4) ties in the non-bismuth group. These figures are also statistically significant. The remainder of the recorded parameters did not differ significantly.It was found that bismuth subgallate/adrenaline paste decreases operating time by significantly reducing the haemostasis time and the number of ties required but does not decrease post-operative morbidity.
The future of stapedectomy — the Singapore problem
Authors: Leong H. K. 
Published: November 2007

AbstractConcern has been expressed in the recent literature regarding the problem of a dwindling number of stapedectomy cases and an increasing number of surgeons trained to do this operation. In Singapore, the problem is made worse by the very low incidence of this disease in its main ethnic groups of Chinese and Malays who together make up more than 90 per cent of the population.We report here an audit of 47 ears that underwent stapedectomy in a teaching hospital over a six-year period. The hearing results for consultants and surgical trainees were compared. Closure of the air–bone gap to within 10 dB was obtained in 64 per cent of Consultants' cases and 68 per cent of trainees' cases. These results fall short of the 90 to 95 per cent figure reported by experts in this procedure and only comparable to the less satisfactory results of several series recorded by residents in North America.We conclude that the unsatisfactory results arise from the small number of surgical cases available for each surgeon to improve and maintain his skills in a technically demanding procedure. It is proposed that such cases be directed to those pursuing otology as a subspecialty rather than all otolaryngologists in general.
Tuberculoma of the mastoid
Authors: Grewal D. S. , Bhargava Puneet , Mistry Bachi , Gaikwad Ninad 
Published: November 2007

AbstractTuberculoma is a rare but known complication of tuberculosis. It rarely occurs in the mastoid bone. When it occurs in the middle ear cleft, it can lead to intracranial complications if there is a delay in the diagnosis and management.A rare case of tuberculosis of the middle ear cleft which presented as tuberculoma of the mastoid bone with infranuclear facial palsy is described. The tuberculoma was removed and a canal wall down tympanomastoidectomy was performed. Post-operatively the patient was kept on antituberculous therapy. The various problems encountered in the diagnosis and management of this case are discussed.
Laryngeal papillomatosis with subsequent development of papillomata in the paranasal sinuses – is it seeding by intubation?
Authors: Colquhoun-Flannery W. , Carruth J. A. S. , Cheesman A. D. 
Published: November 2007

AbstractConcern has been expressed regarding the seeding of viral DNA, in laryngeal papillomatosis, to other sites in the respiratory tract during treatment. Controversy exists regarding the concept of seeding by the laser plume. However, instrumentation and anaesthetic intubation are also strongly implicated in seeding DNA to the proximal respiratory tract. No cases of recurrent laryngeal papillomatosis and subsequent papilloma in the paranasal sinuses have been reported.
The G syndrome/Opitz oculo-genital-laryngeal syndrome/Opitz BBB/G syndrome/Opitz-Frias syndrome
Authors: Conlon Brendan J. , O'Dwyer Tadhg 
Published: November 2007

AbstractWe report on a family exhibiting a range of congenital anomalies consistent with the G syndrome of Opitz. Three members of the family had laryngo-tracheo-oesophageal clefts, one of which succumbed. There was a strong family history of perinatal mortality on the maternal side of the family. We note also the paucity of reported cases of this syndrome in the otolaryngological literature and stress the necessity of early diagnosis in the management.
Transection of cervical trachea following blunt trauma
Authors: Hosny A. , Bhendwal S. , Hosni A. 
Published: November 2007

AbstractLaryngotracheal injuries are relatively rare but their mortality rate is fairly high. Complete disruption of the trachea is extremely rare and a systematic approach is needed for early diagnosis and favourable outcome. The patient's symptoms and physical signs do not necessarily correlate with the severity of the injury as this case report highlights. X-rays, CT scans, barium swallows and endoscopies are recommended for evaluation of such injuries. However, direct laryngoscopy and fibre optic bronchoscopy are the most accurate.
Hearing loss associated with weapons noise exposure: when to investigate an asymmetrical loss
Authors: Cox H. J. , Ford G. R. 
Published: November 2007

AbstractThe air conduction thresholds in the right and left ears, and the interaural asymmetry of thresholds at 0.5, 1, 2, 3, 4 and 6 kHz were measured in a group of 225 soldiers exposed to a variety of weapon noise who were referred for assessment because of a deterioration in hearing on routine testing. At 0.5 and I kHz the threshold levels rarely exceeded 25 dB and the interaural asymmetry was 10 dB or less in 90 per cent of cases. The degree of hearing loss and interaural asymmetry increased as the frequency increased, with the average loss being significantly greater in the left ear at 2, 3, 4 and 6 kHz.Recommendations are made for the selection of cases of asymmetrical hearing loss exposed to weapon noise which require further investigation to exclude a retrocochlear cause or to define spurious hearing threshold levels.
Nasal laser mucotomy (L-mucotomy) of the interior turbinates
Authors: Englender Moshe 
Published: November 2007

AbstractEighty-seven patients who were treated by laser mucotomy (L-mucotomy) of the inferior turbinates were followed-up for one year. Patients presented for laser surgery because of one of the three following symptoms: sneezing, rhinorrhoea, or nasal obstruction. All of them had had prior conservative or surgical treatments for their symptoms without improvement in their complaints and/or quality of life. L-mucotomy is a simple procedure performed under local anaesthesia on an ambulatory basis. A controlled amount of tissue from the inferior turbinates is ablated with improvement in the symptoms, as reported by the patients one year after laser surgery.The procedure is easy to perform, there is no bleeding, it is painless and without complications, but it requires rather expensive surgical equipment.
Case report: greatly enlarged jugular fossa with progressive sensorineural hearing loss
Authors: Good C. D. , Phelps P. D. , Lim D. P. 
Published: November 2007

AbstractA case of a five-year-old child with a greatly enlarged jugular fossa and high jugular bulb with associated progressive sensorineural hearing loss is presented. While various forms of this anatomical variant have been described by many authors, this is an extreme example, and progressive symptoms are most unusual.
A comparison between two methods of measuring pressure in the pharyngeal airway: transducer probe versus open catheter
Authors: Tvinnereim M. , Haight J. S. , Hansen R. K. , Cole P. 
Published: November 2007

AbstractA new multi-transducer probe system for measuring pharyngeal pressures was compared with an established open catheter system. Pharyngeal pressure measurements were made at the same time, and site, in subjects awake, at unmodified and with artificially increased nasal airway resistances, and during sleep documented by polysomnography. The two systems yielded almostidentical results. It is anticipated that the multi-transducer probe system will prove of clinical value.
Multidisciplinary management of dysphagia: the first 100 cases
Authors: Singh V. , Brockbank M. J. , Frost R. A. , Tyler S. 
Published: November 2007

AbstractA report of the first 100 patients treated in the multidisciplinary Dysphagia Clinic in Salisbury District Hospital is presented. It was established in January 1992 and involves the Departments of ENT Surgery, Clinical Radiology and Speech and Language Therapy. In the first 18 months, 100 patients have been assessed and treated. These included 46 males and 54 females, between the ages of four and 93 years. Neurological problems accounted for 39 cases. The management comprised the assessment clinic, videofluoroscopy in 83 patients, and finally the appropriate treatment. Forty-four patients were treated primarily by swallowing therapy. Seventy-three patients showed complete recovery, resolution of their symptoms or did not require treatment. Two patients were still under treatment at the time of writing this paper.
Bleeding after tonsillectomy in severe von Willebrand's disease
Authors: Alusi G. H. , Grant W. E. , Lee C. A. , Pasi K. J. , Stearns M. P. 
Published: November 2007

AbstractA case is reported of a HIV–positive patient with severe von Willebrand's disease describing the bleeding complications during and after tonsillectomy. This patient underwent surgery for asymmetrical tonsillar hypertrophy. The tonsils were spontaneously haemorrhaging and there therefore was a suspicion of neoplasia. Despite close cooperation between the ENT Department and the Haemophilia Centre, involving per–operative Factor VIII monitoring and replacement, the patient suffered both protracted primary and secondary haemorrhages. We report this as a cautionary tale as our previous experience with mild to moderate haemophilia has been uncomplicated, but on this occcasion there was massive haemorrhage. We feel that tonsillectomy should not be undertaken in a patient with a severe bleeding disorder without an absolute indicate.
Computed tomographic findings in peritonsillar abscess and cellulitis
Authors: Sakaguchi Masanori , Sato Susumu , Asawa Shiro , Taguchi Kiichiro 
Published: November 2007

AbstractThe differentiation of a peritonsillar abscess from peritonsillar cellulitis, although difficult on physical examination, is required in order to determine the appropriate treatment. Peritonsillar cellulitis can be treated with antibiotics alone, while a peritonsillar abscess should be drained. Computed tomography (CT) of the neck is often performed to identify the formation of a deep abscess in the neck, but is rarely used to diagnose peritonsillar infections. We report a patient in whom CT was a useful diagnostic tool for distinguishing peritonsillar abscess from peritonsillar cellulitis.