bluuebunny/crossref_metadata_2025_split huggingface dataset:
Metastatic papillary thyroid carcinoma presenting as a typical branchial cyst
Authors: McDermott I. D. , Watters G. W. R. 
Published: November 2007

AbstractTwo cases of papillary thyroid carcinoma presenting as a cystic lateral neck mass are reported. This tumour characteristically presents in patients under 40-years-old and in the presence of an occult primary tumour may mimic a branchial cyst. In such cases simple aspiration of the cyst will produce a chocolate-brown serous fluid which excludes the diagnosis of a branchial cyst and is characteristic of papillary thyroid carcinoma. Cytological examination of the fluid has a high degree of sensitivity and specificity in the diagnosis of thyroid malignancy and should avoid delay in diagnosis and unneccessary surgical exploration prior to definitive treatment.
Laryngeal paraganglioma. A review and report of a single case
Authors: Özünlü Adnan , Dündar Ahmet , Satar Bülent , Günhan Ömer 
Published: November 2007

AbstractLaryngeal paraganglioma originates in the neural crest cells in the laryngeal paraganglia. Two distinct types may be cited on the basis of clinical features, but biopsy is essential for diagnosis. By light microscopy, the Zellballen pattern appears pathognomonic. The treatment consists of surgical excision.In this article, due to the rareness of the tumour, one case of laryngeal paraganglioma is presented. The general knowledge and the available literature are reviewed. The difficulties in the differential diagnosis are stressed and treatment principles are discussed.
Severe acute pancreatitis as a first symptom of primary hyperparathyroid adenoma: a case report
Authors: Shimizu Hironori , Kodama Akira 
Published: November 2007

AbstractWe present a case of severe acute pancreatitis in a 14-year-old boy that may have been caused by hyperparathyroidism. The clue to finding the parathyroid adenoma was the hypercalcaemia. Although the patient did have acute pancreatitis, no therapy had been effective until the discovery of the parathyroid adenoma. After the excision of the parathyroid adenoma, the function of the pancreas and serum calcium returned to normal. This result suggests a certain cause and effect relationship between hyperparathyroidism and acute pancreatitis.
Cryoglobulinaemia and septal perforation: a rare but logical cause
Authors: Smith I. , Smith M. , Mathias D. , Wallis J. 
Published: November 2007

AbstractA case of nasal septal perforation secondary to cryoglobulinaemia is reported. In this instance the cryoglobulinaemia was due to Waldenstrom's macroglobulinaemia (lymphoplasmocytic lymphoma with IgM paraprotein) in which the paraprotein was a potent cryoglobulin.
Abductor vocal fold palsy in the Shy-Drager syndrome presenting with snoring and sleep apnoea
Authors: McBrien Fergus , Spraggs Paul D. R. , Harcourt John P. , Croft Charles B. 
Published: November 2007

AbstractThe case of an elderly male with Shy-Drager syndrome is presented. His presentation to the Sleep Clinic for assessment of snoring illustrates bilateral abductor vocal fold palsy as a rare presentation of the syndrome. This case emphasizes the need for thorough investigation of all patients with sleep-related breathing disorders with video and sound recordings prior to anaesthesia and surgery.
Spontaneous closure of acquired tracheo-oesophageal fistula
Authors: Senthilkumaran G. , Crankson S. , Yousef M. 
Published: November 2007

AbstractAcquired tracheo-oesophageal fistulae are uncommon in the paediatric age group. A case of such a fistula secondary to impaction of a button battery is reported below. Prompt management is essential to reduce morbidity and mortality in these cases.
Wegener's granulomatosis presenting as major salivary gland enlargement
Authors: Ah-See K. W. , McLaren K. , Maran A. G. D. 
Published: November 2007

AbstractSalivary gland involvement is rare in Wegener's granulomatosis. We report the first case of widespread major salivary gland enlargement as part of the presentation of this disease. A review of the few reported cases in the literature suggests that salivary gland involvement may be associated with a limited form of the disease and an improved prognosis. The anti-neutrophil cytoplasmic antibody (c-ANCA) assay remains the gold standard of diagnosis but care should be exercised in the interpretation of results. This patient responded well to current immunosuppressive therapy.
Reconstruction with composite nasal septal cartilage and auricular cartilage in extended partial laryngectomy
Authors: Şekercioğlu Nihat , Cansiz Harun , Güneş Muammer 
Published: November 2007

AbstractSeveral reconstruction techniques have been employed following partial laryngectomy in order to improve laryngeal function. We report 12 cases in which composite nasal septal cartilage and auricular cartilage were used. We decannulated the patients in an average of 19 days. Following the reconstruction we obtained a satisfactory phonatory function and swallowing. Six patients completed a follow-up period of three years without presenting any recurrences or mortality. Our experience with reconstruction using composite nasal septal and auricular cartilage following partial laryngectomy proved effective.
An unusual cause of facial pain
Authors: de Carpentier J. P. , Flanagan P. , Hargreaves S. P. , Timms M. S. 
Published: November 2007

AbstractA case of chronic facial pain and headache is presented. This was found to be due to two pieces of windscreen-glass lodged in the superior meatus of the patient's nose since a road-traffic-accident 14 years earlier. Despite being reported as normal, review of previous X-rays of her sinuses showed that the glass was visible. The importance of carefully assessing the intranasal area on sinus-views is illustrated.
Intestinal-type sinonasal adenocarcinoma: a sporadic case
Authors: Böör Andrej , Jurkovič Ivan , Dudríková Katarína , Kavečanský Vojtech , Friedmann Imrich 
Published: November 2007

AbstractA sporadic case of the intestinal-type sinonasal adenocarcinoma is described. The patient was a comparatively young 33-year-old woman employed as a senior biochemical scientific technologist for several years. The light microscopical pattern was that of a papillary-tubular adenocarcinoma with areas of more solid mucinous elements in the deeper parts of the neoplasm. The neoplasm had invaded the nasal septum and reached the left orbit invading the left ethmoidal sinus. The glands were lined by columnar cells with elongated spindle-shaped nuclei and the cells expressed cytokeratin, carcinoembryonic antigen (CEA), Chromogranin A, gastrin and serotonin but not neurone-specific enolase (NSE) nor synaptophysin. Neurosecretory granules were present. There was no history of wood dust inhalation and her exposure to chemicals is of some interest but had probably little or no role in the causation of this neoplasm.
Treatment of rhinophyma with carbon dioxide laser
Authors: Simo R. , Sharma V. L. 
Published: November 2007

AbstractRhinophyma is a slowly progressive, disfiguring disorder of the nose which represents the end stage of acne rosacea. The cosmetic deformity is often the reason for patients to seek medical attention. Over the years many treatment modalities, including dermabrasion, electrocautery, excision and grafting, decortication and cryosurgery amongst others, have been described to treat this condition, but none of them are very satisfactory. Special concern about the droplet dispersion of blood in dermabrasion have made this method less acceptable as it poses a potential risk to health workers.We describe a technique in which this proliferative disorder can be treated, using carbon dioxide laser excision and vaporization. This method provides a very dry surgical field which allows the sculpting of the hypertrophic areas to be very effective, giving a very satisfactory cosmetic result.
Middle ear infection and sixth nerve palsy
Authors: Homer J. J. , Johnson I. J. M. , Jones N. S. 
Published: November 2007

AbstractThree cases of patients with acute middle ear infections complicated by a sixth nerve palsy are described. The possible causes of sixth nerve palsy in such cases are discussed. We propose that where there is a sixth nerve palsy without petrositis and without raised intracranial pressure, it can arise as a result of spreading phlebitis along the inferior petrosal sinus from the lateral sinus.
Occult pharyngeal perforation secondary to ‘pencil injury’
Authors: Smyth David A. , Fenton John , Timon Conrad , McShane Donald P. 
Published: November 2007

AbstractPalatopharyngeal injuries due to impaction of rigid objects held in the mouth are common. Most are essentially innocuous injuries requiring no specific treatment. However, there is the potential for perforation of the pharyngeal wall with the subsequent development of serious infection such as retropharyngeal abscess or mediastinitis. This possibility is more likely to be suspected in the presence of a visible laceration or puncture wound at the site of impact in the mouth or pharynx. We report three cases in which occult pharyngeal perforation occurred without any clinical signs of breech of the pharyngeal wall. In all cases a lateral soft tissue neck X-ray was diagnostic of perforation, showing the presence of retropharyngeal air. We, therefore, advocate the routine performance of soft tissue neck X-rays in all patients who present with a history of falling on a rigid object held in the mouth.
Do antral washouts have a place in the current management of chronic sinusitis?
Authors: Pang Y. T. , Willatt D. J. 
Published: November 2007

AbstractAntral washouts have been widely used in the management of chronic sinusitis. With the advent of modern antibiotics and powerful topical nasal steroids, we sought to establish if a role remains for this procedure.One hundred and fourteen patients with chronic sinusitis were randomised into two groups. Patients in Group A received antral washouts followed by antibiotics and topical nasal steroids. Patients in the Group B received antibiotics and topical nasal steroids alone. In each group 51.6 percent and 50 per cent of patients respectively improved with treatment. The outcome of treatment is also not influenced by endoscopic abnormality. The difference was not statistically significant (p= 0.86). The study indicates that half of patients with chronic sinusitis will improve with medical treatment but the addition of antral washout confers no additional benefits.
Hydatid cyst of the pterygopalatine-infratemporal fossa
Authors: Gangopadhyay K. , Abuzeid M. O. , Kfoury H. 
Published: November 2007

AbstractHydatid disease is caused by the parasitic tapewormEchinococcus. This parasite in larval stage can thrive in many parts of the body, most commonly in the liver and the lung. Hydatid disease in the head and neck region is rare. An unusual location for hydatid disease in the pterygopalatine fossa-infratemporal fossa is presented. The patient did not have evidence of any other cyst on a ten-year follow-up.
An audit of the cochlear implant service in Manchester
Authors: Mawman D. J. , Edwards J. D. , Giles E. C. , Aplin D. Y. , O'Driscoll M. , Woolford T. J. , Ramsden R. T. 
Published: November 2007

AbstractThe adult cochlear implant programme in Manchester was established in 1988 and the evaluation of the cochlear implant service involved the first 58 implants users (mean age = 51.65 years, range 19–75 years). Questionnaires were sent to implant users and their partners to evaluate the service with regard to provision of information, clinical care during in-patient assessments, waiting times, operation for cochlear implant and postoperative rehabilitation. The results show that the majority of patients (78 per cent) felt that the implant gave them as much or more benefit than expected. Areas identified for improvements include provision of more written information about cochlear implants; reduction in waiting times for first appointments; more information about the surgical risks and more instruction about home auditory training exercises for family and friends.As a consequence of the audit results the clinical practice and service provision for cochlear implantation in Manchester has been modified.
Hemifacial spasm associated with external carotid artery compression of the facial nerve
Authors: Rakover Yoseph , Dharan Muralee , Rosen Gabriel 
Published: November 2007

AbstractWe report a unique case of hemifacial spasm due to compression of the facial nerve by the main trunk of the external carotid artery within the parotid space. Decompression of the facial nerve as well as partial section of the proximal trunk of the nerve, caused the hemifacial spasm to disappear.Our case gives support to the theory that hemifacial spasm can be caused by pressure on the facial nerve along all its course and not only in its intra-cranial portion.
Kimura's disease
Authors: Pamaraju Nalinikanth , Khalifa S. A. , Darwish Abdulla , Paulose K. O. , Ahmed Nissar , Yousif Hisham 
Published: November 2007

AbstractKimura's disease is a rare condition of unknown aetiology. It usually presents as a mass in the head and neck region. The diagnosis is confirmed by biopsy and usually treated by excision even though recurrence is common. This condition can be mistaken for a malignant tumour. In this case report Kimura's disease presented as a nonspecific lymphadenitis in an Arab patient.
An in vitro study of tracheostomy tube cuff herniation and inflation characteristics
Authors: Hollis L. J. , Almeyda J. S. , Mochloulis G. , Patel K. S. 
Published: November 2007

AbstractSeven of the most commonly used tracheostomy tubes used in the UK were tested for cuff herniation and creasing in synthetic tracheas corresponding to the shapes and sizes found in vivo. Results demonstrated that only two tubes of one particular brand herniated and that creasing occured in tubes disproportionaltely large for the trachea used. A discussion of modern tracheostomy tube manufacture is included.
Speech and voice rehabilitation in selected patients fitted with a bone anchored hearing aid (BAHA)
Authors: Thomas Julie 
Published: November 2007

AbstractWithin the Birmingham osseointegrated implant programme there have been several patients with severe pre-lingual conductive hearing loss. The majority of these have been patients with Treacher Collins syndrome.There are characteristic features of speech and voice in those with long-standing conductive hearing loss. In addition, the associated abnormalities of jaw, teeth and palate may amplify the problem. There may be spontaneous improvement in features such as voice pitch, quality and intensity following the fitting of a BAHA. However, in those with a pre-lingual hearing impairment, speech therapy may be necessary. Patients assessed as suitable for BAHA have a full assessment of communication skills including audio recording of speech and voice. Post-operative training improves auditory discrimination and perception and is followed by training in the production of the newly perceived speech sounds.
A cadaver larynx holder for teaching laryngomicrosurgery
Authors: Paczona Robert 
Published: November 2007

AbstractAlthough many reports can be found in the literature about temporal bone holders for postgraduate temporal bone surgery courses, the author did not find any kind of suitable description of a larynx holder for laryngomicrosurgery courses. A cadaver larynx holder is presented, made by the author himself for individual and postgraduate teaching courses. This simple model has been proved already to be a unique and a very useful tool for a practising course on laryngomicrosurgery during two training courses and the instructional session of the IIIrd EUFOS Congress in Hungary in 1996.
Undifferentiated carcinoma of the nasopharynx and leukemoid reaction: report of case with literature review
Authors: Saussez Sven , Heimann P. , Vandevelde Luc , Bisscnop Pierre , Jortay Albert , Schandene Liliane , Cogan Elie 
Published: November 2007

AbstractA case of undifferentiated carcinoma of the nasopharynx presenting as a cervical mass associated with a paraneoplastic neutrophilic leukemoid reaction is reported. The diagnosis of undifferentiated nasopharyngeal carcinoma of the Regaud type was established by the presence of aggregates of epithelial neoplastic cells separated by areas of reactive lymphoid cells; the epithelial nature being confirmed by the positivity for epithelial markers (AE1/AE3, EMA). Serum IL-la, GM-CSF and TNFα remained undetectable suggesting that these factors were not involved in the occurrence of the paraneoplastic leukemoid syndrome.
Microscopic rhinoscopy in lepromatous leprosy
Authors: Soni N. K. 
Published: November 2007

AbstractTen patients with lepromatous leprosy have been studied to detect intranasal pathology by conventional naked eye rhinoscopy and also by use of the surgical microscope. The comparison of both methods reveals that microscopic rhinoscopy is superior in providing more accurate details of intranasal lesions in leprosy and biopsy can be taken in a precise manner from accurate and representative sites. Use of the microscope with adequate exposure and bright illumination provides precise details of lesions and an opportunity for bimanual manipulation, photography, teaching and recording. Thus, it is worthwhile to perform microscopic rhinoscopy in such cases.
Angiosarcoma of the head and neck
Authors: El-Sharkawi Salah 
Published: November 2007

AbstractAngiosarcoma of the head and neck is a rare tumour of vascular origin that affects the elderly. A 74-year-old man who presented with bruise-like macules of the scalp and face is reported. He was treated for a few months with different antibiotics and anti-allergic medication by his own family doctor, and referred for specialist opinion when he failed to derive any benefits from the medications. A biopsy was obtained from the lesion and proved to be an angiosarcoma. A review of the literature indicates that the most important prognostic factor in this particular disease is the size of the lesion on presentation, hence the importance of early diagnosis. This case is reported, and the literature for similar cases is reviewed, to highlight the diagnostic and therapeutic aspects of this uncommon aggressive tumour in an attempt to help in the process of early diagnosis.
Benign necrotizing osteitis of the external auditory meatus
Authors: Kumar B. N. , Walsh R. M. , Sinha A. , Courteney-Harris R. G. , Carlin W. V. 
Published: November 2007

AbstractBenign necrotizing osteitis of the external auditory meatus is a rare condition which occurs in non-diabetic healthy people. The aetiology of the necrotic process with the formation of sequestrum in the bony external meatus is unknown. It is important to differentiate this benign process from malignant otitis externa and radionecrosis of the temporal bone as the management of these conditions differs. We present two cases, one managed surgically and the other medically, and review the literature. Immediate surgical excision of the sequestrum is advocated instead of long-term medical therapy and waiting for it to separate spontaneously.
Sensorineural hearing loss in MELAS syndrome
Authors: Warrick P. D. , Wardrop P. , Sim D. W. 
Published: November 2007

AbstractA case of sensorineural hearing loss (SNHL) in MELAS syndrome, a variety of mitochondrial cytopathy, is presented. Mitochondrial cytopathies have gone almost unreported in the otolaryngology literature, despite evidence from a recent review that about 60 per cent of such patients suffer from SNHL (Gold and Rapin, 1994). The same review revealed that only one of 117 case reports in the period 1984–1993 contained an audiogram (Swift and Singh, 1988), and none presented sequential audiograms. However, audiometry has since been published on 23 members of a family with a mitochondrial point mutation causing only sensorineural hearing loss with no other symptoms (Vernham et al., 1994). We present a case of mitochondrial cytopathy three years after diagnosis with two sequential audiograms.
Mucous membrane plasmacytosis of the upper aerodigestive tract. A case report with effective treatment
Authors: Khan N. A. , McKerrow W. S. , Palmer T. J. 
Published: November 2007

AbstractWe present a case of plasmacytosis of the mucous membrane of the upper aerodigestive tract. This is a rare benign condition characterized by plasma cell infiltration of the mucosa, with only nine cases described previously (Ferreiro et al., 1994). The lesions, which have a cobblestone appearance, cause throat discomfort, dysphonia and mild dyspnoea. All the cases described previously failedto respond to antibiotics, systemic steroids, or to surgical resection. The present case has however responded favourably to intensive andprolonged treatment with beclamethasone oral spray and Corsodyl mouthwashes.
Neonatal and paediatric fibre-optic laryngoscopy and bronchoscopy using the laryngeal mask airway
Authors: Hinton A. E. , O'Connell J. M. , Besouw J. P. Van , Wyatt M. E. 
Published: November 2007

AbstractEndoscopy of the upper airways in neonates and infants has traditionally been accomplished using rigid laryngoscopes and bronchoscopes. The laryngeal mask may be used both to control the airway for anaesthetic ventilation and to guide a fibre-optic endoscope to the laryngeal inlet and beyond.We report our experience with five neonatal and paediatric cases where fibre-optic laryngoscopy and bronchoscopy were performed through the laryngeal mask airway. All were cases in which standard rigid endoscopy had proved difficult with only a poor and restricted view of the laryngeal inlet being obtained due to the age of the infants, or abnormal anatomy of the upper airways.No problems have been encountered with maintenance of the airway or with the endoscopic view obtained. In fact in neonatal patients, this technique has been found to be preferable with regard to safety and ease of use when compared to the ventilating bronchoscope. With the size 1 laryngeal mask airway it is not possible to simultaneously ventilate and endoscope the patient. Cases included, a vascular ring, Goldenhar's syndrome, laryngomalacia, supraglottis and vocal fold paresis.This technique provides a secure method of maintaining anaesthetic ventilation during airway endoscopy, and also a means of easily locating the glottis.
Giuseppe Gradenigo and his contributions to Audiology
Authors: Stephens Dafydd , Orzan Eva , Di San Cataldo Ferdinanda Galleti 
Published: November 2007

AbstractGiuseppe Gradenigo (1859–1926) was an important figure in the development of Otology. Within this paper the authors consider his background and his particularcontributions to the development of various aspects of audiology.