摘要:

The middle ear effusion (MEE) total white cell count (TWCC) was correlated with clinical and bacteriologic data in 184 MEEs from 125 patients diagnosed as having acute primary and recurrent otitis media and chronic otitis media with effusion. The MEE total white cell count was classified as high, low, or acellular. Polymorphonuclear leukocytes predominate in the MEE having a high TWCC. The overall incidence of culture-positive MEE was 62.5 percent. A cellular component was found in 81 percent of the MEEs, 63 percent having a neutrophilic-predominant high TWCC. In very young children (up to 2 years old) a neutrophilic-predominant high TWCC was found in 80 percent of MEEs as compared with 28 pecent in patients over 5 years old. According to the MEE type, neutrophilic-predominant high TWCCs were found in 89 percent of the purulent effusions, 46 percent of the mucoid, and 35 percent of the serous effusions. The incidence of neutrophilic-predominant high TWCC was 78 percent in acute primary 76 percent in recurrent otitis media and 18 percent in chronic otitis media with effusion. The impact of age on the MEE cellularity was shown to be independent of the chronicity of the disease. The incidence of neutrophilic-predominant high TWCC in MEE in whichStreptococcus Pneumoniae or Hemophilus influenzaewas identified was 85 percent and 92 percent respectively. The diagnostic value of a high TWCC in predicting a culture-positive MEE was shown by a sensitivity of 83 percent, false positivity of 25 percent, and false negativity of 27.5 percent.The TWCC proved to be a useful diagnostic tool leading to a better clinical integration of the bacteriologic data.

ISSN:0192-9763    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

A rare congenital autosomal dominant syndrome of thickened bilateral lop auricles, conductive hearing loss, ossicular anomalies, and micrognathia is reported. The anomaly is presumably a defect in the first and second branchial arch development during the sixth and seventh weeks of gestation with an auricle abnormality (first and second arch), abnormal incus and malleus (first and second arch), abnormal stapes (second arch), and micrognathia (first arch). Recognition of low-set or malformed auricles with a unilateral or bilateral conductive hearing loss should alert the otolaryngologist to possible middle ear abnormalities and other associated branchial cleft anomalies.Surgical correction of the congenital conductive hearing loss may include prosthetic ossicular reconstruction and otoplasty. The possibility of associated congenital anomalies of other systems (for example, vestibular, cardiac, genitourinary, reproductive, and so on) should be evaluated. An accurate pedigree and family medical and genetic history should be obtained to screen for other involved family members and for assessment of genetic passage of the trait.

ISSN:0192-9763    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

The surgical technique described in this article consists of performing an 0.8-mm stapedotomy at the posterior third part of the footplate using a large 6 mm square vein graft interposition and performing a vigorous inflation of the middle ear as early as the twenty-fourth postoperative hour.This technique allowed the authors to perform a series of more than 5000 operations over the last five years without any dead ear and with remarkable hearing improvement.

ISSN:0192-9763    

出版商:OVID    

年代:1984

数据来源: OVID

ISSN:0192-9763    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

A case of functional hearing loss presenting as sudden sensorineural hearing loss in the only hearing ear of a musician is presented. Pure-tone audiometric evaluation showed good intratest and intertest consistency. The pitfalls of diagnosis, ultimately made by brain stem evoked response audiometry, are discussed in light of the literature on sudden and functional hearing loss. Psychiatric evaluation revealed features consistent with hysterical conversion. It is argued that it is important to establish the exact etiologic agent of functional hearing loss despite the difficulty of diagnosis so that the patient may receive appropriate treatment.

ISSN:0192-9763    

出版商:OVID    

年代:1984

数据来源: OVID

ISSN:0192-9763    

出版商:OVID    

年代:1984

数据来源: OVID

ISSN:0192-9763    

出版商:OVID    

年代:1984

数据来源: OVID

ISSN:0192-9763    

出版商:OVID    

年代:1984

数据来源: OVID

ISSN:0192-9763    

出版商:OVID    

年代:1984

数据来源: OVID

ISSN:0192-9763    

出版商:OVID    

年代:1984

数据来源: OVID