ISSN:0192-9763    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

The earliest possible diagnostic evaluation of bilateral sensorineural hearing impairment among infants and children is of the utmost importance for the future well-being of these patients. In this article the otologic significance of the pediatric medical history and physical examination is demonstrated based on 127 case histories of bilateral sensorineural hearing loss seen during the period 1980 to 1982.Along with neonatal viral screening processes, polytomography is shown to be the most important laboratory procedure for diagnostic evaluation.

ISSN:0192-9763    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

The majority of ears affected by otitis media with effusion recover, but whether these recoveries are assisted by noninvasive therapies is not yet established. What is known is that some middle ears affected by otitis media with effusion will eventually develop permanent structural and functional defects in spite of surgical intervention. The role of medications and the arguments for and against adenoidectomy and tympanostomy are reviewed in relation to the author's findings from short- and long-term studies of ears treated surgically.

ISSN:0192-9763    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

A case is reported in which excision of the jugular bulb during glomus tumor surgery resulted in the development of postoperative benign intracranial hypertension. The pathogenesis of this previously unreported complication of glomus tumor surgery is discussed, and the principles of management are reviewed.

ISSN:0192-9763    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

An unusual acoustic reflex response was documented by immittance recording in a patient with acute facial palsy. The amplitude of the stapedial response to sustained stimulation was reduced when recorded from the affected side, suggesting the facial nerve was affected proximal to the stapedius muscle. In addition, the impedance change at onset of intense acoustic stimulation of the affected side was unusually large, regardless of which stapedius response was recorded. The large change was coincident with the reported hyperacusis in the stimulated ear. This suggested the cochlear nerve as site of involvement of hyperacusis in this case of facial palsy.

ISSN:0192-9763    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

Acoustic tumors are one of the common problems that both the otologist and the neurosurgeon face in Egypt. Early diagnosis and choice of surgical approach—whether middle fossa, translabyrinthine, or subocccipital—are discussed after review of forty-one cases of cerebellopontine angle masses we have seen over the last fifteen years. Particular attention is given to the difficulties in the diagnosis and management of acoustic tumors in developing countries. The reliability of the simple, inexpensive radiologic and audiometric tests is compared with that of the sophisticated CT scanning, polytomography, and brain stem evoked response audiometry. The high operative morbidity and mortality rates in this series are analyzed and the value of microsurgery in total extracapsular tumor resection is stressed.

ISSN:0192-9763    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

A case of traumatic facial neuroma discovered at tympanoplasty is described. Its appearance and histologic findings are compared with those of four previously reported temporal bones with this diagnosis. The clinical significance of such rare lesions appears in their differentiation from more aggressive facial tumors.

ISSN:0192-9763    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

This article is based on a report presented at the Second International Conference on Cholesteatoma and Mastoid Surgery, in Tel Aviv, in March 1981. The principal aim is to illustrate our personal experience with the so-called congential cholesteatoma of the middle ear, that is, a cholesteatoma growing inside the tympanic cavity affecting subjects with no inflammatory processes in their clinical history and a perfectly normal eardrum. Eleven cases out of a toal of 429 cases with cholesteatoma (2.56%) operated on at the Otorhinolaryngology Clinic II of Parma are reported. All patients—nine children and two adults—underwent a combined-approach closed tympanoplasty. The diagnostic stages are analyzed in particular, as well as the clinical and impedance audiometric data, which are correlated with surgical findings. Pathogenetic mechanisms are discussed briefly. The need for screenings to be carried out in schools and an accurate evaluation of all unilateral impairments in hearing conduction are emphasized with a view to early diagnosis.

ISSN:0192-9763    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

A case of fracture of the footplate of the stapes resulting in air in the labyrinth is reported. The pneumolabyrinth was demonstrated by CT scan of the temporal bone but not by complex motion tomography. We consider pneumolabyrinth to be a new diagnostic CT finding in stapes footplate fracture.

ISSN:0192-9763    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

Tinnitus has traditionally been thought of as a condition that simply must be endured. Recent evidence suggests that relaxation-biofeedback treatment is effective in reducing or eliminating tinnitus. Eleven male subjects participated in seven to thirteen sessions of relaxation treatment; during three of these sessions biofeedback monitoring occurred. Subjects completed scales and questionnaires prior to treatment. These data were then compared with post-treatment responses. One scale was used for subjects' description of tinnitus severity, and another scale recorded subjects' general tension levels. Results revealed a statistically high correlation between subject reports of tinnitus and tension. Shortly after treatment, two subjects no longer reported the sensation of tinnitus. At an eighteen-month follow-up, 90 percent of the subjects reported that relaxation-biofeedback reduced or decreased their negative reaction to tinnitus; 63 percent of subjects reported a recognizable reduction ordecrease in the tinnitus itself.

ISSN:0192-9763    

出版商:OVID    

年代:1984

数据来源: OVID