摘要:

Stenosis of the tracheostome is an occasional complication following laryngectomy. Having tried a number of procedures recommended for correction of such stenoses with limited results, we developed a new technique. This technique which is based on multiple Y‐V plasties has been applied to 20 patients. Measurements of the stomal area following surgery in 18 patients showed an average increase in stomal size by a factor of 3.8. One patient apparently had no increase of the stoma. In 2, no post‐operative measurements were available. Post‐operative infection resulted in recurrence of the stenosis in one patient. He was successfully reoperated using the same technique. Follow‐up revealed that none of the patients had complaints related to thei

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1992.tb00986.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

In 169 children with a runny nose the difference between the group with rhinitis and those diagnosed as having sinusitis was indistinct. History and examination, and the results of radiology, ultrasound, the appearance of the sinus washings, the number of leucocytes in the washings, and the presence of pathogenic bacteria in the culture of the secretion from the nose and sinuses had little correlation with each other or with the clinical picture. In our view there is no marked difference between rhinitis and simple sinusitis, that is, mucosal inflammation of the maxillary sinus. This difference is also of no therapeutic relevance, and both diseases may be regarded as part of an upper airway infection.It is important to distinguish between sinusitis with and without empyema, because empyema must be treated differently. The latter disease produces distinct symptoms in the acute stage resembling ethmoiditis in children or maxillary and frontal sinusitis in adults. This type of sinusitis did not occur in our patients. Further investigation in children with a runny nose is indicated only in those with typical symptoms of an empyema.

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1992.tb00987.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

Clinical voice testing forms part of the routine assessment of children's hearing. However, its role in paediatric practice has not been defined. In particular, the sensitivity and specificity of the test in detecting the presence of a hearing impairment is not known.The value of the test as a screen was assessed by comparison of the results of free‐field clinical voice testing with pure‐tone audiometric thresholds in 141 children aged 5–12 years.In order to pass the screen, a child had to respond to a whispered voice 2 feet (60 cm) from the test ear. The mean pure‐tone average (average at 0.5, 1.0 and 2.0 kHz) of those ears that passed was 14 dB HL compared with 31 dB HL for those that failed (P<0.001). The test was 80% sensitive (95% specific) in detecting a hearing impairment ≥ 25 dBHL, and 89% sensitive (90% specific) in detecting a hearing impairment ≥ 30 dB HL.Therefore, clinical voice tests will fail to detect a significant proportion of children with a hearing impairment and cannot be advocated as a screening method. The test would appear to be of limited value in a specialist situation where facilities for pure‐tone aud

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1992.tb00988.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

The clinicopathological features of 10 adult patients with nasopharyngeal tuberculosis (TB) are presented. 9 patients had no evidence of chest or systemic disease. 7 patients presented with cervical lymphadenopathy, and only 4 had nasal symptoms. Examination of the nasopharynx showed no abnormality in 2 patients, lymphoid hyperplasia in 4 patients, and a tumour‐like mass in 4 patients. These findings suggest that nasopharyngeal TB may occur more frequently as part of an isolated upper respiratory tract infection than as secondary to pulmonary infection. The nasopharynx may be a portal of entry for tubercle bacilli in patients who develop cervical lymphadenitis. Involvement of the nasopharynx by TB may be underdiagnosed because it does not produce obvious symptoms or physical signs in all case

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1992.tb00989.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

Recent research on inflammatory sinus disease has implicated a central role for the ethmoid labyrinth, which may influence changes in the maxillary and frontal sinuses. CT can provide excellent definition of the paranasal sinuses and particularly the ethmoids, which is a prerequisite for endoscopic surgery. We describe a prospective series of 110 coronal CT scans performed on patients with a clinical diagnosis of sinusitis who had undergone diagnostic nasal endoscopies and medical treatment prior to surgery. 86% of the scans showed abnormal mucosal thickening. The ethmoids were affected in 73% and the maxillary sinus in 64%. Pneumatization of the middle turbinate was a common variant and when present was associated with anterior ethmoid disease in 60% of patients. Anterior ethmoid inflammatory changes were demonstrable in 95% of patients with maxillary sinus disease.Direct coronal CT can readily demonstrate disease in the infundibulum, frontal recess and posterior ethmoids in the same orientation confronting the endoscopist, and helps in the planning of ethmoidal surgery. Following surgery the sinuses can be directly inspected in outpatients which reduces the need for any further plain radiographs. It is important that the diagnosis of sinusitis is not based on CT findings alone as isolated areas of mucosal thickening are common in the normal population.

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1992.tb00990.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1992.tb00991.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

The following are the abstracts of the 173rd meeting held in Groningen, 19–20 April 1991The significance of false‐positive neck nodes in patients with oral cancerR.J. BAATENBURG DE JONG&J.L. FREEMANResults of a clinical trial on the efficacy of amoxicillin‐clavulanic acid in recurrent acute otitis mediaJ.O.P.J. CLAESSEN, C.L.M. APPELMAN, F.W.M.M. TOUW‐OTTEN, R.A. DE MELKER&G. J. HORDIJKSequelae of long‐term ventilation tubesG.M.A.C. DE SAAR, J.J.S. MULDER&P. VAN DEN BROEKExplorative cordotomyF.G. DIKKERS, H.K. SCHUTTE&T. VAN DER LAANEndoscopic treatment of pharyngeal pouches: electrocoagulationvscarbon dioxide (CO2) laserD.C. FLIKWEERT&S. VAN DER BAANThe dynamics of mast cells in the nasal mucosaW.J. FOKKENS, T. GODTHELP, A.F. HOLM, TH.M. VROOM&E. RijntjesVoice virilization in post‐menopausal women after medication with the anabolic steroid nandrolone decanoate (Decadurabolin)E.J. GERRITSMA, M. P. BROCAAR, H. W. VAN RHIJN&M.M. HakkesteegtDynamics of nasal eosinophils in response to a non‐natural allergen challenge in patients with isolated grass‐pollen allergy and controls: a biopsy and brush studyT. GODTHELP, W.J. FOKKENS, A.F. HOLM, P. DOORNENBAL, P.G.H. Mulder&E. RijntjesFirst results with a total alloplastic middle ear and an artificial tympanic membraneJ.J. GroteFurther investigations of the effect of lignocaine in the treatment of tinnitusC.G.J.M. HILDERS, J.H. HULSHOF, P. VERMEIJ, J. DEN HARTIGH&A.F. COHENT cells and allergic rhinitisA.F. HOLM, W. J. FOKKENS, T. GODTHELP, TH.M. VROOM&E. RijntjesThe vestibulogram: a well balanced analogue of the audiogramH. KINGMA, J.J. KONIJNENBERG, M.E.A. BONINK&E.J.A. VAN LIESHOUTHaemorrhage into the orbit during surgery of the ethmoid sinusP. KNEGT, R. POUBLON&C.D.A. VERWOERDResults of laryngeal framework surgeryH.F. MAHIEU&H. K. SCHUTTECorneal autoimmunity in Cogan's syndrome?M.H.J.M. MAJOOR, F.W.J. ALBERS, R. VAN DER GAAG, F. GMELIG‐MEYLING&E.H. HUIZINGSquamous cell carcinoma of the oropharynx: is site a prognostic factor?S. MAK‐KREGAR, F.J.M. HILGERS, G. BARIS, P.F. SCHOUWENBURG&A.A.M. HARTMyospherulosis in otorhinolaryngology. Review of literature and case reportJ. J. MANNI, P.P.C.A. VENNIX&H.E. SCHAAFSMAThe vestibular structures in relation to stapedotomyK.H. PAUW, A.M. POLLAK&U. FISCHComparison between brain‐stem evoked response audiometry and behavioural audiometry in difficult‐to‐test childrenL. RACHMAT, A.F.M. SNIK&R.J.C. ADMIRAALSpeech reception after successful surgery in unilateral congenital aural atresiaA.F.M. SNIK, E. TEUNISSEN&C.W.R.J. CREMERSPreoperative electrostimulation for the selection of cochlear implant candidates by means of an electrode in the ear canalT.H. SPIES, L.H.M. MENS, A.F.M. SNIK&P. VAN DEN BROEKPosterior nasal packing and sleep apnoeaM. VAARTJES, R.L.M. STRIJERS&N. DE VRIESMechanisms of inherent resistance to methotrexate in human squamous carcinoma cell lines of the head and neckB.F.A.M. VAN DER LAAN, G. JANSEN, I. KATHMANN, J.H. SCHORNAGEL&G.J. HORDIJKDiagnosis in laryngeal paralysis; a new start!T. VAN DER LAAN, H.K. SCHUTTE&H.F. MAHIEUOssification of the human nasal septumJ. VAN LOOSEN, R.O. VAN DER HEUL, H.L. VERWOERD‐VERHOEF, C.D.A. VERWOERD&D. VAN VELZENEndoscopic sinus surgery for nasal polypsM. VLEMING&N. DE VRIESVoice testing in voice stress professions; why, and by what meansC.H. WAAR&E.J. GERRITSMAStroboscopy: additional diagnostic value in the clinical examination of the larynxA.G. ZWAANS‐HESSEL

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1992.tb00992.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

The following are the abstracts of the meeting held in London in October 1991A comparison of four different methods of sampling cells for nasal cytologyM.A. BIRCHALL, I.P. PHILLIPS, T. KRAUSZ&N.B. PRIDEThe effect of recurrent tonsillitis and tonsillectomy on growth in childhoodA.E. CAMILLERI, K. MACKENZIE,&S. GATEHOUSEManipulation of the fractured nose under local anaesthesiaJ.A. COOK, N.M. MURRANT, K.L. EVANS&R.J. LAVELLEProliferating cell nuclear antigen: a new prognostic indicator in transitional cell nasal papillomasR.W.R. FARRELL, HAZEL HOLDEN&DEIRDRE M. MCKENNAAcoustic rhinometry and the nasal cycleE.W. FISHER, G.K. SCADDING&V.J. LUNDMeasurement of ciliary beat frequency using a PC‐compatible computerA. GREEN, LESLEY A. SMALLMAN, ANNE LOGAN, P.R. AUSTIN&A.B. DRAKE‐LEEBinaural listening sequelae in adults from OME in childhoodM.P. HAGGARD, D.A. FANT1Nl, J. SENIOR, H. STEPHENSONRelationship between middle ear pressure and the deviated nasal septumW.K. LOW&D.J. WILLATTAn investigation of normally hearing subjects with tinnitusG.J. MCKHK&S.D.G. STEPHENSTussometry, lung function parameters and intraoral pressuresG.E. MURTY, D. VEALE&P.J. KELLYA prospective randomized study comparing pain following tonsillectomy with different methods of haemostasisKALPESH S. PATEL, MANUEL OYARZABAL, BHIK KOTECHA&NEIL S. TOLLEYThe effects of posturally induced changes in cochlear fluid pressure on three objective audiological measurementsA.J. PHILLIPSDoes a single perioperative dose of antibiotic/steroid eardrops affect early infection rates following ventilation tube insertion?A.K. ROBSON, M.W. ZACHARIA&C.S. SHINKWINThe assessment of hoarsenessR.J. SANDERSONThe response of the nasal vasculature to simulated divingI.W. SHERMAN&A.S. JONESTympanogram asymmetries and fluctuations in OME: implications for binaural developmentH. STEPHENSON, M.P. HAGGARD, G.A. ZIELHUIS, P. VAN DEN BROEK&A. SCHILDERThe effect of methacholine on nasal transepithelial potential differenceELEANOR J. STEWART, MICHAEL J. CINNAMOND, PAUL NICHOLLS&C. FRED STANFORDThe effect of vocal cord palsy (VCP) on swallowing performanceJ. A. WILSON, A. PRYDE, A. WHITE, L. MAHER&A.G.D. M

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1992.tb00993.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

The following are the abstracts of the 3rd meeting held in Copenhagen, 19–20 April 1991Prognostic value of Epstein‐Barr virus titres in nasopharyngeal carcinomaJ. Bentzen, P. Ebbesen, H. Albeck, N. Keldsen&H. S. HansenClinical radiobiology of oropharyngeal carcinomaS. M. BentzenPatients with advanced head and neck carcinoma treated before irradiation with cisplatin and 5‐fluorouracilA. BerthelsenCancer of the oropharynx: incidence reports for 1985 from Denmark, Finland, Norway and SwedenA. BIÖRKLUND, M. BOYSEN, H. S. HANSEN&H. PUHAKKAEvaluation of malignancy in oral carcinomaT. BUNDGAARD, F. B. SORENSEN, M. GAIHEDE, H. SØGAARD&J. OVERGAARDEpidermal growth factor receptor expression in normal oral mucosa, dysplasia and squamous cell carcinomaM. CHRISTENSEN, M. H. THERKILDSEN, H. ALBECK, P. BRETLAUNimorazole as a hypoxic cell radiosensitizer in laryngeal and pharyngeal carcinoma. DAHANCA Protocol 5–85The Danish Head and Neck Cancer Study GroupSurgical complications after 50–60 Gy preoperative irradiation for carcinoma of the tongueR. GRÉNMAN, H. JOENSUU, J. SUONPÄÄ, K. AITASALO, H. PUHAKKA&E. NORDMANAnalysis of tumour growth in human squamous cell carcinoma of the head and neck region after iododeoxyuridine labellingin vivoH. GUSTAFSSON, C. BERGSTRÖM, K. NYLANDER, G. ROOS, R. STENLING&B. ZACKRISSONImportance of the time interval between preoperative radiotherapy and surgery in the treatment of oral cavity cancerO. HANSEN, J. SØRENSEN, S. SIEMSSEN&H. POULSENPhase II trial of accelerated hyperfractionated radiotherapy in cancer of the larynxN. V. JENSEN,&L. BASTHOLTCarbacholine in the treatment of radiation induced xerostomiaH. JOENSUU, P. BOSTRÖM, T. MAKKONEN&R. GRENMANSquamous cell carcinoma of the oropharynx: therapeutic results in a series of 105 patientsJ. JOHANSEN&K. JØRGENSENRadiotherapy of oropharyngeal squamous cell carcinomaL.V. JOHANSEN&J. OVERGAARDSurgical treatment of advanced oropharyngeal carcinomaJ. KIRKEGAARDThe status of the on‐going Scandinavian study of induction chemotherapy in advanced squamous cell carcinoma of the head and neckF. LewinInduction chemotherapy in advanced squamous cell carcinoma of the head and neckF. LEWIN, J. WENNERBERG&C. MERCKESquamous cell carcinoma of the oropharynx: primary radiotherapy, treatment schedules and resultsB. LINDELØV, J. MONBERG&H. S. HANSENThe management in Scandinavia of small squamous cell carcinomas of the mobile tongueA. NATHANSON, H. HJARTARSON, A. B. JACOBSEN, J. KIRKEGAARD&J. PUKANDERExamination and rehabilitation of the oral cavity in treatment of orofacial tumoursO. ODELBERG‐JOHNSON, A. NILSSON&I. JÄRNESTENProtein kinase activity in squamous cell carcinoma and normal mucosa of the oral cavityE. L. RYDELL, K. L. AXELSSON, S. HELLEM&J. OLOFSSONEvaluation of swallowing disorders of patients with head and neck cancer treated by surgery and/or radiotherapy. A rehabilitation programmeN. SANDBERG, S.‐Å. ALMQVIST, H. DOTEVALL, M. RUTH&P. SVENSSONA phase‐III study of adjuvant 13‐cisretinoic acid in squamous cell carcinomas of the mouth, pharynx and larynxP. WAHLBERG, J. WENNERBERG, A. ASK, G. FEX, L.E. RUTQVIST&F. LEVINHeterogeneous DNA content in oral squamous carcinomaM. TYTOR, S. WINGREN&J. OLOFSSONChemotherapy for recurrence of squamous cell head and neck cancer using infus

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1992.tb00994.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

Book review in this article:Surgery of Skull Base TumoursEdited by C. Gary Jackson

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1992.tb00995.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY