ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb01180.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

Nasal Schneiderian papillomas are unique lesions involving the mucosa of the nasal cavity and paranasal sinuses. Most often epidermoid in histological appearance, they favour 2 sites: the septum and the lateral wall of the nasal cavity. The medical literature on these tumours contains a plethora of contradictions concerning the nomenclature and no less than 54 separate designations are used. The synonyms are discussed and the term Schneiderian papilloma is proposed as the most suitable alternative. This study includes 83 patients with Schneiderian papillomas in whom the history, clinical and radiological findings, treatment procedures, pathological sections, recurrences, and associated malignancies were analyzed. Histological and clinical features were not helpful in predicting recurrence, but the recurrence rate was related to the treatment modalities; with 17% recurrences using an extranasal approach (lateral rhinotomy) and 59% using intranasal approach with limited excision. Schneiderian papillomas were associated with squamous cell carcinoma in 7 patients. Simultaneous papilloma and carcinoma were demonstrated in 4 patients at presentation (5%) and subsequently developing carcinoma in 3 patients (4%). As recurrences are frequent after inadequate removal and as association with maligancies may occur in both septal and lateral wall papillomas, radical aggressive surgery, thorough histological examination of the entire specimen, and careful follow‐up are advocate

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb01181.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

A series of 21 patients with inverted papillomas of the nose and/or the paranasal sinuses is presented. In 19 patients the tumour arose from the lateral nasal wall or paranasal sinuses, in 2 it arose from the nasal septum. Nine patients had been previously treated by nasal polypectomy. None of the patients with recurrences after primary surgical treatment showed any evidence of a progression from benign to malignant lesions. Only 14% of the patients suffered from recurrence, and it seems likely that this is because extensive surgical extirpation was recommended as primary treatment in most cases. We feel justified in recommending early and radical surgery.

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb01182.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

In a double blind randomised trial of 95 children aged 3–8 years with otitis media with effusion (OME), the efficacy of the mucolytic agent bromhexine hydrochloride (Bisolvon) was compared with a placebo. Each child received two 4 week courses of either bromhexine or placebo in a random fashion. One hundred and ninety ears were available for analysis, i.e. 380‘ear treatments’ . There were 198 ears in the placebo group and 182 ears in the bromhexine group. The resolution rate in the placebo treated group was 19% and in the bromhexine treated group 16%. Bromhexine does not appear to be a useful drug for the treatment of OME in chi

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb01183.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

In 9 patients with recurrent attacks of acute or chronic frontal sinusitis, interfrontal sinus septum resection was performed. In 5 patients there was unilateral disease and in 4 bilateral. As all patients had previously had their frontal sinus trephined, pre‐and post‐operative naso‐frontal duct function tests were performed. Pre‐operatively, of 11 naso‐frontal ducts tested (2 patients bilaterally) not one showed air flow on spontaneous respiration. Passage of air was obtained at forced inspiration and expiration in one patient and by Valsalva's manoeuvre in 6. No flow of air whatsoever was obtained in 4 of the ducts, whatever the method used. At follow‐up performed 1–8 years post‐operatively 7 out of the 9 patients had no frontal sinus problems. The remaining 2 patients, who both had nasal allergy, were improved. Post‐operative testing of the 9 patients showed flow of air on spontaneous respiration in 4 patients, whereas 4 needed forced inspiration or expiration and only one patient Valsalva's manoeuvre. The sinus septum resection, which is very simple to perform, is a good alternative to more extensive frontal sinus surgery but may be of less value in patients w

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb01184.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

A simple database for head and neck cancer using a simple coding system is described. New patients and follow‐up data can be added easily at the terminal. Interactive data‐analysis can easily be performed by anyone who understands the coding system; specific skills in computer programming and system handling are not nee

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb01185.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

The results of tympanoplasty operations in 55 ears with chronic adhesive otitis media were analysed. In 34% of the ears, the tympanic cavity was found to be aerated on follow‐up examination. Hearing improved significantly in only 13 ears (24%). There were severe complications of surgery in two ears (3.6%); one ear became totally deaf and an iatrogenic cholesteatoma developed in the other. Because of these poor results, tympanoplasty is not recommended in the treatment of chronic adhesive otitis medi

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb01186.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

The air conditioning capacity of the nose was assessed by a method which permits measurements in both nasal cavities without blockage of the passage between the nasopharynx and oropharynx. By this method the degree of warming of the air and its humidification during the passage through the nasal cavity can be calculated. The effect of intranasal application of ipratropium bromide (Atrovent) on the air conditioning capacity of the nasal mucosa was evaluated in a group of normal subjects and a group of patients with vasomotor rhinitis. In this short term trial Atrovent was found not to have any effect on this capacity.

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb01187.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY