摘要:

The purpose of this investigation was to explain the spontaneous course of idiopathic facial palsy without treatment of any kind. The investigation included 1011 patients seen over a fifteen-year period. The patients were checked at short intervals until remission occurred, and these checks were discontinued only when normal function was restored or after a period of one year. For 85 percent of patients the first signs of remission were observed within three weeks after the outbreak; for the last 15 percent remission occurred three to six months later. Seventy-one percent recovered normal mimical function of the face, 13 percent had insignificant sequelae, and the last 16 percent had permanently diminished function with contracture and associated movements.

ISSN:0192-9763    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

Total or subtotal removal of the stapes footplate (stapedectomy) with tissue graft sealing of the oval window is still considered by many the safest surgical technique in otosclerotic deafness. However, Marquet and associates reported that a limited hole in the center of the footplate just large enough to admit a 0.6 mm Teflon piston is less likely to induce iatrogenic inner ear lesions and can result in better hearing in the higher frequencies than stapedectomy with vein graft interposition. Smyth and Hassard found that there was a significantly smaller incidence of fistula and immediate or delayed sensorineural hearing loss when a 0.3 mm Teflon piston in a 0.4 mm hole was used instead of standard stapedectomy techniques. They concluded that a small fenestra stapedectomy was the operation of choice.

ISSN:0192-9763    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

This article reports on a study of brain stem auditory evoked responses in twenty one patients with acoustic neuromas. Systematic analysis of ipsilateral and contralateral responses to auditory stimulation of the unaffected ear revealed abnormalities of peak and interpeak latencies as compared with a normal population. Latency changes were correlated with tumor size and reflected the extent of brain stem compression by the tumor. These findings indicate the importance of evaluating latency changes in brain stem auditory evoked responses from the unaffected ear in patients with acoustic neuromas.

ISSN:0192-9763    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

The creation of a perilymph Fistula secondary to stapedial footplate erosion by a total ossicular replacement prosthesis (TORP) has not been previously described. We have recently observed such a finding in a 12-year-old child.

ISSN:0192-9763    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

The use of several thin strips of fat rather than a single large piece to close the wound of translabyrinthine acoustic tumor surgery substantially reduces the incidence of postoperative cerebrospinal fluid leaks. In our series of 230 patients, only 1 had postoperative CSF leak that required surgical closure, for a leak rate of less than 0.5 percent.

ISSN:0192-9763    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

This article was accepted for publication inThe American journal of Otologybecause we feel it is important to have medical contact with our colleagues in the USSR. The English translation is a little difficult to follow, but we feel it is important to encourage the exchange of ideas between scientists regardless of political differences.

ISSN:0192-9763    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

Techniques for tympanoplastic reconstruction of middle ear conduction mechanism and tympanic membrane perforation have become standardized over the last twenty five years. The complications of tympanoplastic surgery are well known; they include postoperative graft failure with or without infection, postoperative graft thickening, blunting and/or lateralization, middle ear fibrous obliteration, ossicular discontinuity, and facial nerve paralysis. An unusual case of multiple recurrences of middle ear mucosal herniation with “cystic” obstruction of the external auditory canal is reported and a method is suggested for its management.

ISSN:0192-9763    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

Functional results with Plastipore prostheses inserted in 150 staged intact canal wall tympanoplasties at our Clinic are reported. Two groups of patients have been reviewed: The first group consists of those cases in which the prosthesis is directly in contact with the tympanic graft (77 cases); the second one comprises all cases with interposition of homologous cartilage between the head of the prosthesis and the tympanic graft (73 cases).The aim of this article is to see whether extrusion rate and audiometric and impedance result differences exist between the two groups.We have found a 15.4 percent extrusion rate in the group without cartilage but only a 1.9 percent rate in the group with cartilage (9.3 percent is the overall extrusion rate).There were no substantial differences in functional results between the two groups. It is valuable to outline the different functional results between the two types of prosthesis: TORPs got 56.8 percent excellent results and 78.4 percent good results, while PORPs had only 47.7 percent excellent results and 60 percent good results. Normal compliance (static compliance >0.3 cc) was found in 61.6 percent of cases without cartilage and in 46.7 percent of cases with cartilage.

ISSN:0192-9763    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

This investigation was undertaken to assess and compare the sensitivity/specificity rates for the identification of middle ear effusion generated by several immittance screening procedures used with preschool-aged children (N = 91). The Beery method (ASHA guidelines) used in conjunction with pure-tone screening, resulted in the highest sensitivity/specificity rates and likelihood ratio of those procedures examined.

ISSN:0192-9763    

出版商:OVID    

年代:1982

数据来源: OVID

ISSN:0192-9763    

出版商:OVID    

年代:1982

数据来源: OVID