ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1994.tb01230.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1994.tb01231.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

A prospective analysis of the incidence of paranasal sinus opacification in 100 patients referred for cranial computerized tomography (CT) for non‐sinus related problems is described.The findings were correlated with symptomatic assessment. Twenty‐seven per cent of asymptomatic patients had sinus opacification. The study illustrates the importance of careful clinical correlation when interpreting CT scans of the paranasal sinu

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1994.tb01232.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Seventy‐five patients with Graves’disease have been treated by transantral orbital decompression. In the first post‐operative month the average reduction in proptosis was 3 mm. In the years following the operation this reduction increased to an average of 4.5 mm. In 32% of the patients without diplopia before surgery, the diplopia that developed afterwards did not disappear, 83% of them were successfully treated by extraocular muscle surgery. Seventy per cent of the patients experienced immediate post‐operative improvement of visual acuity. Only three patients remained with anaesthesia of the infra‐orbital nerve. A total of 65% of the patients found the operation procedure beneficial while 76% were satisfied with the ophthalmological result. We conclude, that transantral orbital decompression, though with moderate morbidity, gives good results in patients with the orbital complications of Grave

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1994.tb01233.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Functional changes after total laryngectomy, including voice quality, hyposmia and dysgeusia, nasal discharge, swallowing and smoking habits were studied by means of a structured interview with 63 laryngectomized patients. Eighty per cent of the patients reported that they were satisfied with the quality of their voice including speaking on the telephone. Significant correlations were found between the quality of the voice and fatigue, frequency of making telephone calls and anxiety about speaking (P<0.01). Vocal rehabilitation was achieved in the majority of patients (78%) with the indwelling Provox™ voice prosthesis. Forty‐five per cent of the patients complained about annoying eructation. Hyposmia was reported by 52% of the patients, while 15% experienced dysgeusia. A significant correlation was found between hyposmia and dysgeusia (R= 0.43,P<0.001). All patients with a taste problem also reported a poor sense of smell. Daily nasal discharge was reported by 38% of the patients. Due to difficulties in swallowing solid food, about one quarter of the patients changed their diet. All but one patient had been heavy smokers pre‐operatively. Only 9% continued to smoke post‐operatively.These results, along with the previously reported respiratory problems resulting from total laryngectomy, should be taken into account in counselling patients who are candidates for this surgical pr

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1994.tb01234.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Although the short‐ and long‐term results of surgical procedures for treatment of posterior pharyngeal diverticula are well documented, their effect on normal swallowing has not been extensively investigated.The aim of this study was to assess the changes in swallowing that occur after diverticulectomy with cricopharyngeal myotomy. Fifteen patients who underwent surgery in the previous 10 years were interviewed, examined and underwent a video‐fluoroscopic barium swallow.Frame to frame analysis of the barium studies showed a multitude of abnormalities, even amongst those who were asymptomatic. Excision of a pharyngeal pouch does not appear to restore a normal swallowing mech

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1994.tb01235.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

The epithelial migration in 18 dry ears with a cavity after surgery was studied by the ink‐dot method and compared with the epithelial migration in 15 normal ears. A qualitatively normal centrifugal migration pattern was observed in all cavity ears. Considerable variation in migration speed was observed within the same cavity ear, thus a comparison with the migration speed in normal ears was impossible. No definite relationship was apparent between migration speed and the self‐cleansing ability of the ear, which primarily appeared to be a function of the macroscopic appearance of the cavity (i. e. the presence of pockets or ridges).We conclude that epithelial migration is as important in maintaining the self‐cleansing function and non‐infected state in cavity ears as it is in norm

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1994.tb01236.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

In order to understand the immunological and inflammatory processes in which the tonsils are involved it is necessary to know the spatial relation between bacteria and the tissues. In this study four adenoids and four palatine tonsils obtained at elective surgery and four palatine tonsils obtained during a chaud surgery for quinsy were examined histologically. Acridine orange and fluorescence microscopy were used to identify bacteria in tonsillar tissue. The adenoids were also stained with haematoxillin‐eosin. Bacteria were in every case seen on the surfaces and in the crypts of the tonsils and adenoids. In the tissues, however, bacteria were never seen irrespective of whether the tonsils were obtained during an acute infection or not. We conclude that bacterial invasion in tonsillar tissue is neither a prerequisite for a clinically manifest acute bacterial pharyngotonsillitis nor a common feature in tonsils clinically recognized as non‐infec

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1994.tb01237.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Pure‐tone audiometry was carried out on members of a recently described maternal lineage with sensorineural deafness, harbouring a novel mitochondrial mutation in the gene for tRNA‐ser(UCN). This revealed a characteristic pattern of symmetrical bilateral sensorineural hearing losses in each affected individual, predominantly affecting the high‐frequencies, but with considerable variability between individuals. No clear correlation was observed between age and severity, but most subjects reported progressive worsening of their condition. Some members of the lineage were found to be heteroplasmic for the tRNA‐ser(UCN) mutation. However, the severity of hearing loss was poorly correlated with the representation of the mutant mtDNA, indicating that other, as yet unidentified factors must be involved in the aetiology of this d

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1994.tb01238.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

In a well‐defined group of 161 consecutive patients with intra‐oral squamous cell carcinoma we found 23 non‐users of tobacco and alcohol. The non‐users in this prospective study were compared with users of tobacco and alcohol in the study, and to a sex‐ and age‐matched control group drawn at random from the Danish Central Citizenry Registration. The users in the patient group represented a significantly higher number than in the control group. As to non‐users, women represented a higher number in the patient group compared with the control group.Among users and non‐users differences were found in the location of the primary tumour and in the degree of differentiation of the tumour. Haematological status and liver function parameters were different in the two groups. There was no difference in dental or oral hygiene status or risk occupation among the groups.The stage and the course of the disease (corrected survival) showed only insignificant differences. The non‐user group contained especially older women, and only one of

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1994.tb01239.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY