ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1993.tb00536.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Flow cytometric DNA ploidy measurements were performed on formalin fixed paraffin embedded tumour specimens from patients with a T1glottic laryngeal carcinoma in order to evaluate the role of DNA content in relation to local control. From 1980 to 1987, a consecutive series of 90 patients with a T1glottic laryngeal carcinoma were treated by radiotherapy with curative intent. Biopsies from 44 of these patients were readily available for DNA flow cytometry. In this group aneuploidy was associated with a significantly higher risk (P= 0.018) of local recurrence within 2 years after completion of radiotherapy (38% vs. 9% in the diploid group).

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1993.tb00537.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Balloon dilatation has become a widely accepted technique in the management of oesophageal and other gastrointestinal strictures. The use of this procedure in the pharynx has rarely been reported. We have performed 55 balloon dilatations on 13 patients with pharyngeal strictures. In three patients all symptoms were permanently abolished after one dilatation. Seven patients were successfully managed with repeated, regular dilatations. Two patients had a good initial response but this was not maintained and one patient had no relief of symptoms.Balloon dilatation is minimally invasive, less traumatic than rigid pharyngoscopy with dilatation, and well tolerated. It may be frequently repeated, and has successfully relieved dysphagia caused by benign and malignant strictures of the pharynx, including instances where previous rigid bouginage had failed.

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1993.tb00538.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Although cochlear implants have been reported to be easy to perform, some difficulties have been experienced in 4 of 21 operations. In order to make this surgery easier, the following points should be considered. Pre‐operative CT and MRI must be performed in order to determine the condition of the cochlea. To determine the condition of the round window, exploratory tympanotomy is recommended in some cases. After insertion of the elecrode in the cochlea, a radiography should be taken during the operation to confirm that the electrode is correctly positione

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1993.tb00539.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Strong acid ingestion produces distinctly different injuries from alkali burns. Alkali burns are well described but the lack of literature on the diagnosis and management of acid burns is apparent.This retrospective review of 18 patients with battery acid (30% sulphuric acid) ingestion showed no correlation between the severity of the symptomatology and the degree of injury. The quantity of acid needed to cause a significant upper GIT burn was more than 200 ml. Previous reports that acid spared the ocsophagus due to rapid transit were disproved, since oesophageal involvement was found in 55% (10/18). Deep burns rather than circumferential burns resulted in stricture formation. The major injury site was the gastric antrum with 4 patients (23%) requiring surgical intervention to restore function.

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1993.tb00540.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Tonsillectomy, adenoidectomy and adenotonsillectomy are among the commonest surgical procedures undertaken in children. The notes of 413 consecutive children having tonsillectomy, adenoidectomy or adenotonsillectomy were analysed retrospectively to determine complication rates. Of the total number of children, 5.6% had at least one complication, the most common of which was haemorrhage occurring as a first complication in 3.9% (16 children). Three children with bleeding required active treatment (0.7%), one requiring transfusion and two requiring a return to theatre, all within 3 1/2 hours of operation. The incidence of reactionary bleeding was not associated with the grade or seniority of the surgeon. Six children (1.5%) developed a fever post‐operatively, of which one required antibiotic treatment. On the basis of these results it is feasible for such procedures to be carried out on a day‐care ba

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1993.tb00541.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Haemorrhagic nodules have been mentioned previously as a significant cause of epistaxis in adults. We have taken photographs and obtained biopsies to characterize them. They consist of an ancurysmal dilatation of an unusually sited muscular artery with evidence of hypertensive changes in the wall, and thrombus and haemorrhage into the adjacent connective tissue.

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1993.tb00542.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

This study assesses the laryngeal airflow characteristics in 10 patients with laryngeal polyposis before and after surgical excision.The results indicate that mean airflow rates in the presence of polyps are a reflection of two mechanical processes. Narrow based polyps splint the glottis open during phonation, thus increasing flow rates, whereas large broader based polyps tend to obstruct the glottis and reduce the airflow.The results suggest that mean airflow rates may be used to measure the improvement in laryngeal function following surgical intervention in individual patients.

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1993.tb00543.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Open structure rhinoplasty (OSR) uses the open or external approach via a mid‐columellar and bilateral marginal incision. In combination with grafting procedures, such as columellar struts, dorsal grafts and tip grafts, rhinoplasty has developed from a merely reductive procedure to a more graduated approach to the nose. Emphasis is now placed on repositioning, augmentation and restructuring the nassal anatomy to create as natural and fuctional a nose as possible. This retrospective study analyses our experience with 130 rhinoplasties over a 3‐year‐period. The study reveals OSR to be a safe and reliable technique which produces predictable re

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1993.tb00544.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

This prospective study included 51 patients with chronic maxillary sinusitis who had 90 middle meatal antrostomy procedures. The aim of the study was to examine the long‐term patency of the antrostomy 18‐30 months post‐operatively (average 26 months) and the relationship between the degree of patency and the degree of improvement in each of the symptoms of chronic maxillary sinusitis. Our results showed patency as follows: 80% widely patent (more than 8 mm), 9% patent (5–8 mm), 4.5% stenosed (less than 5mm), 6.5% blocked by mucosal disease and none were closed by bone. For all symptoms, there was a significant relationship between the degree of patency and the degree of improvement (P<0.01 for headache, nasal obstruction and pain,P<0.05 for post‐nasal discharge). We conclude from this study that middle meatal antrostomy has a long‐term high patency rate and there is a significant relationship between the degree of patency and the degree of improvement in1each of the symptoms of chronic maxillar

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1993.tb00545.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY