bluuebunny/crossref_metadata_2025_split huggingface dataset:
Post-Operative cholesteateatomas and retraction pockets after obliterative surgery in ears without cholesteatoma
Authors: Ojala K. , Sorri M. , Sipilä P. , Palva A. 
Published: November 2007

AbstractThe frequency of post-operative cholesteatomas, epidermizations and retraction pockets in a series of 343 chronically infected ears (315 patients) without cholesteatoma at primary surgery was evaluated. The ears were operated on radically, exclusively by the Palva method, with removal of the bridge in 248 ears and preservation of it in 95 ears. Musculo-periosteal obliteration and seclusion of the aditus were performed in every case with a Palva flap and with a temporalis muscle-fascia graft. The primary operations took place over the period 1964–1972, and all the ears without cholesteatoma at primary surgery were included; they were followed up annually. The evaluation of this material was carried out in 1976–1979 and the follow-up time was on an average of 8.5 years (5–15 years).Cholesteatoma was found in six (6/343; 1.7 per cent), epidermization of the tympanum in four (4/343; 1.2 per cent), and retraction pockets without cholesteatoma in six (6/343; 1.7 per cent) of the ears. Preservation or removal of the bridge at operation did not cause any significant difference in the frequency of the post-operative complications mentioned (p > 0 05). Most of the complications were discovered after the first postoperative year.
Some unusual cures of deafness
Authors: Markides Andreas 
Published: November 2007

AbstractThis paper describes some unusual cures of ‘deafness and dumbness’ which have been used from ancient times down to the end of the seventeenth century. The cures described are presented in relation to the basic philosophical and religious beliefs regarding the causation of deafness as they existed first, during the Greco-Roman period; and secondly, during the Byzantine and Medieval periods. The influence of the rise and spread of Christianity on the medical treatment of deafness is also considered.
Otitis media with effusion in children and its association with deformity of the vomero-ethmoid suture
Authors: McNicoll W. D. 
Published: November 2007

AbstractFifty children aged between five and eight years of age who have had proven otitis media with effusion have been retrospectively assessed. Twenty-five children who had attended the Casualty Department with head injuries, who have had X-radiography of their skulls as part of their investigation, acted as controls. All the children in this group were selected because they had no otological history.The 50 Children comprising the retrospective survey were split into two groups: Group 1, with recurrent secretory otitis media requiring surgical intervention on more than three occasions; Group 2, comprising 25 children who had had up to three surgical interventions.All the children had PA X-radiography of their skulls in order to demonstrate the bony nasal septum. In Group 1, a septal deformity was found to be sited at the middle third of the bony septum at the vomero-ethmoid suture. In Group 2, the deformity was found to involve the whole of the middle third of the bony septum, plus portions of the upper and lower thirds of the bony septum.In the control group, in whom there was no history of otological disease, there was no deformity sited at the middle third of the bony septum.
Post-operative roentgenological findings and changes after mastoid obliteration
Authors: Ojala Kauko , Lahti Reijo , Palva Antti , Sorri Martti 
Published: November 2007

AbstractThis study consisted of the evaluation of the plain X-ray findings of films taken at early follow-up (mean 1.5 months after surgery) and at late follow-up(4–14 years after the early films) of 211 ears which had been operated on radically and obliterated. Residual cells which were detected on the basis of the early films were associated with a more frequent occurrence of post-operative infection and were thus hallmarks of a poorer prognosis. Changes in the bone surrounding the surgical cavity and the radiological quality of the walls of the surgical cavity, the presence of new bone formation in the cavity and other radiological features did not yield useful information about post-operative complications. New bone formation was associated with a smaller amount of post-operative cavitation. Post-operative X-ray examination of the obliterated ear is a prognostically useful examination, but it does not significantly contribute further to the information available by clinical and otomicroscopic examination in regards to the complications of infection and cholesteatoma.
Histological findings following oestrogen treatment of hereditary haemorrhagic telangiectasia
Authors: Vase P. , Lorentzen M. 
Published: November 2007

AbstractIn a controlled investigation of 22 patients with hereditary haemorrhagic telangiectasia, an evaluation has been carried out of the connective tissue content of muco-substances prior to and after treatment with oral oestrogen (oestradiol valerate 4 mg. daily). The clinical condition of the patients, all of whom had haemorrhagic anaemia, was evaluated by the frequency of epistaxis and by blood analyses. No effect of treatment could be demonstrated by means of histochemical, clinical or laboratory methods.
Intact bridge tympanomastoidectomy (I.B.M.)—combining essential features of open vs. closed procedures
Authors: Paparella Michael M. , Jung Timothy T. K. 
Published: November 2007

AbstractIn recent years, closed cavity intact wall tympanomastoidectomy or combined approached tympanoplasty—(CAT)—has been described and recommended by many. The pendulum now appears to be swinging back again to open cavity tympanomastoidectomy. Pertinent literature in this regard is reviewed. In all patients with chronic otitis media and mastoiditis with intractable tissue pathology, the primary objective is total eradication of disease with the achievement of a dry safe ear while a concomitant but secondary objective is hearing retention and restoration utilizing tympanoplasty techniques. Over a three-and-a-half year period we have utilized a one-stage procedure which provides the desirable objectives of both open and closed cavity tympanomastoidectomy called intact bridge tympanomastoidectomy (I.B.M.). The salient features include: (1) good exposure, as in open cavity tympanomastoidectomy; (2) maintaining and widening the middle-ear space by bony bridge retention and facial buttress sculpturing, to enhance grafting and ossiculoplasty such as TORP or PORP, as in canal up tympanomastoidectomy; (3) enhancement of mastoid obliteration for large cavities, by blocking the aditus with bone pate or cartilage and by providing a separation between middle ear and mastoid. Specific methods, techniques and results are presented and discussed. The results have been gratifying to date. In comparison to intact wall tympanomastoidectomy, this one-stage operation avoids the cost and discomfort of a second and sometimes third stage; surgery for recurrent pathology has been avoided and hearing results have been at least comparable if not improved.
Melanotic neuro-ectodermal tumour of infancy
Authors: McCormick M. V. , Hogg D. S. , Chrystal V. , Cook M. R. B. 
Published: November 2007

A case of melanotic neuro-ectodermal tumour of infancy (retinal anlage tumour, melanotic ameloblastoma) is described. Although a well recognized entity, the biological origin of this tumour is still disputed.A confusing array of names has been awarded to this tumour which characteristically occurs in infants under one year of age, commonly arising from the maxilla but also from the mandible, frontal bone, mediastinum, shoulder and cerebellum.While the origin of the tumour remains unclear, the ultra-structural evidence of Haywood et al. (1969) supports a neural crest origin. Consistent with this are the findings by Borello and Gorlin (1966) of high urinary vanillylmandelic acid excretion in one case and the correlation of tumour enzyme patterns with those of paragangliomas, neuroblastomas and phaeochromocytomas.
New clinical applications of the stapedial reflex
Authors: Laurian N. , Laurian L. , Sadov R. , Strauss M. , Kalmanovitz M. 
Published: November 2007

AbstractStapedial reflex data were obtained from 11 myasthenic, 18 hyperthyroid and six hypothyroid patients. Data were studied with respect to reflex threshold, amplitude and decay. Elevated threshold, decreased amplitude, and high and low frequency reflex decay were observed in myasthenic and hyperthyroid patients. Hypothyroidism merely increases stapedial reflex amplitude but causes no significant threshold or decay changes.
Phonocephalography: a non-invasive diagnostic technique
Authors: Tewfik Sayed 
Published: November 2007

AbstractPhonocephalography is the amplification and recording of sounds from the surface and cavities of the head. It is on trial for a simple, passive non-invasive diagnostic technique in tinnitus and intracranial angiology. This article presents the recordings of normal phonocephalography, i.e. the recording of normal sounds in the head.
The radionuclide diagnosis, evaluation, and follow-up of malignant external otitis (MEO)
Authors: Garty I. , Rosen G. , Holdstein Y. 
Published: November 2007

AbstractA patient suffering from malignant external otitis (MEO) underwent early blood pool scanning followed after 2 hours by 99m To MDP bone scanning, and serial Ga-67 citrate scintigraphies of the skull. The former two procedures served as a diagnostic tool to MEO. The latter was used for estimating the extent of the infective process, and for following-up the efficacy of treatment.The complementary role of these three procedures in the diagnosis, and follow-up of MEO, with special emphasis on immediate blood pool scanning as part of the diagnostic procedure, is illustrated.
Autologous fitted incus versus PlastiporeTM PORP in ossicular cgain reconstruction
Authors: Sanna M. , Gamoletti R. , Scandellari R. , Delogu P. , Magnani M. , Zini C. 
Published: November 2007

AbstractHearing results and causes of failure with three types of ossicular reconstruction techniques over an infact stapes, during second-stage intact canal wall tympanoplasty, are reporte herein.The three types of reconstruction are: fitted autologous incuc (38 cases): PlastiporeTM PORP with cartilage (41 cases): PlastiporeTM PORP without cartilage (32 cases).A residual air-bone gap within 15 dB. was found in 63.2 per cent of fitted incudes, in 41.5 per cent of PORPs with cartilage, and in only 37 per cent of PORPs without cartilage.Eighty-four per cent fitted incudes, 63 per cent PORPs with cartilage and 44 per cent PORPs without cartilage yielded a residual air-bone gap within 25 dB.Extrusion has been the main cause of failure among PlastiporeTM prostheses.
The value of X-ray examination of the paranasal sinuses after epistaxis
Authors: Vimpel Tom , Felding Jens Ulrijk , Bonding Per 
Published: November 2007

SummaryIn a number of Danish ENT departments, X-ray examination of the paranasal sinuses has been a routine procedure in cases of servere epistaxis of uncertain genesis two to four weeks after its treatment has been completed. The object has been to rule out cancer of the nose and/or paranasal sinsues. In the present study, the value of this procedure was assessed.
Remediastinoscopy
Authors: Balle V. H. , Bretlau P. 
Published: November 2007

SummaryThe experiences and results of four re-mediastinoscopies are presented. All the patients had to some degree developed mediastinal fibrosis but not to a degree seriously interfering with the procedure. It is concluded that re-mediastinoscopy should be done if it can contribute to the diagonsis.
Eosinophilic granuloma of the temporal bone
Authors: Fradis M. , Podoshin L. , Ben-David J. , Grishkan A. 
Published: November 2007

AbstractInvolvement of the temporal bone by eosinophilic granuloma is rare. Four cases are presented here and the pertinant literature is reviewed.This disease must be kept in mind by the otolaryngologist because of the diagnostic and therapeutic problems that may arise.Direct injection of methyl-prednisolone sodium succinate is suggested as a treatment of eosinophilic granuloma in the temporal bone.
Extracochlear eight-channel electrode system
Authors: Banfai P. , Hortmann G. , Kubik S. , Karczag A. , Lüers P. , Sürth W. 
Published: November 2007

SummaryThe Cologne-Diiren research group has developed a new extracochlear eight-channel electrode system. The first observations on six cases have shown encouraging psychoacoustic results.
Causes of glue ear
Authors: Black N. 
Published: November 2007

SummaryOver the past one hundred years medical views on the cause of glue ear have frequently changed. The medical literature was reviewed to see if these changes reflected advances in the level of scientific support for different causes. This revealed that only a few of the many proposed causes command any scientific support. An explanation for the changing pattern of views on the aetiology of glue ear was therefore sought by considering secular changes in medical knowledge and belief in general. This suggested that the views held on the cause of glue ear at any given time are influenced and largely determined by the prevailing knowledge and beliefs of medicine as a whole. This phenomenon is not peculiar to glue ear—though conditions about which there is considerable uncertainty are probably more susceptible to such influences.
Naproxen in otitis media with effusion
Authors: Abramovich S. , O'Grady J. , Fuller A. , MacKinnon M. , Lavelle R. 
Published: November 2007

AbstractThe levels of prostaglandian E2(PGE2) were measured in aspirates of the effusion fluid from children suffering from secretory otitis media. The effects of naproxen 5 mg./kg. twice daily for eight weeks on the condition were studied in a placebocontrolled double-blind trial.Nineteen middle-ear aspiraes from 13 children, six of whom had bilateral aspirations were examined. Detectable levels of PGE2and those without.In a separate trial of naproxen, 11 patients received active drug and 13 received placebo. Naproxen had no significant effect on otalgia or hearing loss compared to placedo.These findings suggest that is it unlikely that non-steroidal anti-inflammatory drug will be of therapeutic benefit in secretory otitis media.
Peristaltic closure of a safety pin—An unusual fate of a safety pin seen as a foreign body in the gastrointestinal tract
Authors: André Lars , Ingelstedt Sven , Tjernström Örjan 
Published: November 2007

SummaryThis report presents a case where an open safety pin passed through the Esophagus and where Nature herself finally solved the problem by closing the pin, which was afterwards carried in the faecal stream and discharged from the body without any harm to the patient.
Use of tongue flap in submucous palatal fibrosis
Authors: Tepan M. G. , Saigal G. S. , Tilak Sheela B. 
Published: November 2007

SummarySubmucous palatal fibrosis invariably leads to trismus due to fibrosis in the retromolar region. Medical lines of treatment are of no use in relieving the trismus once it is established. Various surgical methods, such as excision of fibrous tissue or excision of fibrous tissue with skin grafting, have been suggested, but none of them has been proved to give a lasting cure. We have made use of tongue flaps on either side in cases of trismus due to submucous palatal fibrosis in the retromolar region. Twentyfive cases have been operated upon with this technique and the results are quited encouraging. Regular follow-up for up to three years has shown good results without any complications.
Papillary cystic oncocytoma and Warthin's tumor of the parotid gland
Authors: Wackym P. A. , Gray G. F. , Rosenfeld L. , Friedmann I. 
Published: November 2007

AbstractA 69-year-old white female had a left superficial parotidectomy for a papillary cystic oncocytoma. The histologic appearance was identical to Warthin's tumor except that it lacked a lymphoid component. This case suggests that the general morphology of a Warthin's tumor does not depend on the presence of lymphoid tissue or association with an intra-parotid lymph node. We reviewed 50 patients with Warthin's tumor to investigate the histogenesis of the lesion. We found that most Warthin's tumors (86%) appeared to be within lymph nodes, as indicated by the presence of a lymph node capsule or sinuses. The anatomy of intra-parotid lymph nodes in glands containing Warthin's tumors has been compared with that found in 11 parotid glands containing mucoepidermoid carcinomas. So-called heterotopic ductal inclusions may actually represent the normal intimate relationship of parotid gland to intra-parotid lymph nodes.
S-100 protein and myoepithelial neoplasms
Authors: Batsakis J. G. , Ordonez N. G. , Ro J. , Meis J. M. , Bruner J. M. 
Published: November 2007

AbstractBesides advancing our knowledge of histogenesis, immuno-cytochemical studies of salivery gland tumors have added an important objective component to the diagnosis and classification of the tumors. Cellular localization of S-100 protein now allows identification of myoepithelial cells and tumors composed of these cells. The four tumors presented in this report illustrate the diagnostic advantages afforded by S-100 protein immunocytochemistry.
Labyrinthine sequestrum
Authors: Mathews T. J. 
Published: November 2007

AbstractAn unusual case of a labyrinthine sequestrum is presented. During mastoidectomy on a patient with chronic recurrent mastoiditis, a large sequestrum in the labyrinth was found. Four years earlier he had been treated for a posterior fossa abscess, which had followed acute otitis media. An extensive ablative and drainage procedure of the pars superior and pars inferior with preservation of the facial nerve was indicated in this patient.
Cranial hyperostosis and hearing loss (A new syndrome?)
Authors: Moesker W. H. , Tange R. A. 
Published: November 2007

SummaryWe present two patients, mother and daughter, with a skeletal disorder of the skull, hearing loss and in one of them recurrent facial paralysis. In one patient middle ear exploration was performed. The malleus and incus were found to be fixed in the epitympanum.The differential diagnosis is discussed. We reviewed all known hereditary conditions with hearing loss and musculoskeletal disease but we could not accept any of these diagnoses for our patients.
The use of mini-tracheostomy and high frequency jet ventilation in the management of acute airway obstruction
Authors: Squires S. J. , Frampton M. C. 
Published: November 2007

AbstractA case is described in which upper airway obstruction was successfully treated using cri-cothyroidotomy in association with high frequency jet ventilation. This procedure allowed time for the patient to be transferred to the operating theatre for formal tracheostomy under optimal conditions. It is suggested that the Portex ‘Mini-trach’ kit, though primarily designed for tracheobronchial toilet, can be used to provide a satisfactory and safe airway during the resuscitation of an obstructed patient, particularly if jet ventilation is available.
Intracranial hypertension following neck dissection
Authors: de Vries W. A. E. J. , Balm A. J. M. , Tiwari R. M. 
Published: November 2007

AbstractA 51-year-old man developed prolonged papilloedema as a result of increased cerebrospinal fluid pressure following staged bilateral radical neck dissection. The patient recovered completely with no further specific therapy. Although the prognosis for vision is usually good in patients with longstanding papilloedema due to raised cerebrospinal fluid pressure, permanent visual impairment remains a serious complication. In the presence of anatomical variations of the venous pathways by which the blood leaves the brain, a raised intracranial pressure may also develop following unilateral radical neck dissection. Nine cases of increased intracranial pressure following unilateral radical neck dissection reported in the literature until now are briefly reviewed.
Otitis media in Dar es Salaam, Tanzania
Authors: Manni J. J. , Lema P. N. 
Published: November 2007

AbstractTo assess the prevalence of otitis media in Tanzania a study was made of 3772 patients attending for the first time the ENT out-patient department of Muhimbili Medical Centre, University Hospital of Dar es Salaam. Otitis media in one form or another was present in 524 patients (14 per cent). The majority reported a long history of ear discharge.Hearing loss was a major complaint and was often found to be between 40–60 dB. H.L. Most patients admitted previous treatment, but otoscopy had rarely been performed. The medical profession in Tanzania cannot possibly deal with the large number of cases of chronic otitis media.With the recent introduction of otorhinolaryngology into the curriculum of the medical school of Tanzania it seems advisable to include otology in the programme for primary health workers.
Life-threatening laryngeal polyp in a child (a case report)
Authors: Juhlin-Dannfelt M. , Densert O. 
Published: November 2007

AbstractA laryngeal polyp caused a life-threatening airway obstruction in a 3-year-old child. This condition required an emergency tracheotomy, which was performed without previous intubation. The histological picture indicated the diagnosis of a teleangiectatic granuloma. No other case of solitary laryngeal polyp causing upper airway obstruction in a child has been previously reported.
Downbeat nystagmus during eye closure
Authors: Kitamura Ken 
Published: November 2007

SummaryTwo patients with dizzy spells demonstrated downbeat nystagmus during eye closure. The eye movements were examined by simultaneous horizontal and vertical electro-oculography. As the eyeballs were depressed to the midline position during eye closure, downbeat nystagmus appeared. There were no remarkable neurological findings in either patient. The pathophysiology of this nystagmus remains to be defined.
The nasopharynx and under-aeration of the middle-ear
Authors: Metcalfe Stephen 
Published: November 2007

SummaryThis study compared nasopharyngeal sepsis with under-aeration ear disease. Nasopharyngeal sepsis was assessed by culture taken directly from the surface of removed adenoid tissue. 156 cases were studied; 100 showed varying degrees of middle-ear under-aeration and 56 had no active ear disease or history of it. In addition, an assessment of post-nasal obstruction was made and this too was compared with middle-ear status.The conclusions suggested that, whilst normal ears can exist in the presence of accepted nasal pathogens, diseased ears are rarely seen in the absence of nasal sepsis. The degree of post-nasal obstruction seemed irrelevant.The commonest nasopharyngeal pathogen was Haemophilus influenzae and when found alone this had a particularly detrimental affect on middle-ear aeration, causing a significant incidence of mucoid middle-ear effusion in this group.
The supression of palatal (or intra-tympanic) myclonus by tinnitus masking devices
Authors: East C. A. , Hazell J. W. P. 
Published: November 2007

SummaryTwelve cases of well established palatal myoclonus with objective clicking tinnitus were treated with tinnitus masking techniques. After a few months, three patients became completely symptom free, one for five years now. A further four patients continued to get periods of relief from their clicking sounds with continuous masking, and four patients found the distracting effects of the white noise helped them. The mechanism of palatal myoclonus is discussed with reference to the part played by masking therapy in this condition.
Granuloma gravidarum of the nasal mucous membrance
Authors: Skau N. K. , Pilgaard P. , Neilsen G. 
Published: November 2007

AbstractGranuloma gravidarum of the nasal mucous membrane is a rare benign tumour. Clinically it may appear as alarming bleeding with a rapidly growing, non-tender polyp producing nasal stenosis. A case is reported in a young healthy pregnant woman, who developed a granuloma gravidarum on the right side of her nasal septum, recurring several times after delivery in spite of extirpation. Histologically foamy histocytes were present, which could represent a special feature of this type of tumour.