ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb00235.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

Interstitial radiation delivered by iridium 192 implants was used to treat 38 patients with squamous carcinoma of the oral cavity. Thirty‐six patients had either T1or T2tumours and no patient had palpable nodes at the time of implantation. Control of the primary tumour was achieved in all but 2 patients; these 2 were successfully treated by surgery. Fifteen patients (39%) went on to develop metastatic neck nodes. Nine were cured by radical neck dissection but the remaining 6 died of their disease. This gives a 5‐year actuarial survival of 81%. Since all deaths occurred after the development of metastatic disease in the neck with control of the primary lesion, the evidence for and against prophylactic treatment of the neck lymphatics in clinically negative necks was reviewed. Prophylactic irradiation of the neck is probably preferable to any form of neck dissection but clear evidence that this improves long‐term survival compared with careful follow‐up and radical neck dissection for palpable nodes is still

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb00236.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

Between 1966 and 1981, 141 cholesteatomas were operated upon in children who were 3–15 years old. Radical mastoidectomy was performed in 5 cases. Open cavity tympanoplasty was done in 3 cases. Intact canal wall technique was performed in 99 cases, with a planned second stage in 83 cases (all cholesteatoma cases since 1973). ICWT avoids a large cavity in a well pneumatized mastoid and the second stage controls residual cholesteatomas which were more frequent in children (50%) than in adults (22%). Because of multiple or large residual cholesteatomas, a third stage was performed in 3 cases. Because of a large mesotympanum and/or attic residual cholesteatoma, a transformation of ICWT to an obliteration technique was performed in 4 cases. Retraction pockets were found after the first stage in 12 cases and a transformation of ICWT to an obliteration technique was done in 8 cases at the second stage. Late retraction pockets were found after 5 years in 20% after 2 stages and in 25% after one stage. If a retraction pocket is observed at the second stage, transformation of ICWT to an obliteration technique must be performed. Obliteration technique was performed in 34 cases. A second stage was planned in 26 cases only if the mesotympanum was to be dissected raw. Hearing results were better with an intact stapes (56% of air‐bone gap ≤ 2

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb00237.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

Ten patients with allergic rhinitis due to grass pollen were challenged out of season with increasing concentrations of a well defined grass pollen extract. The reactions to challenge were followed by active anterior rhinomanometry at rest and just after exercise, rhinoscopy, counting of sneezes, measurement of secretion, and registration of the patient's subjective symptoms. It was not possible to detect a positive reaction earlier with rhinomanometry than the other methods. Thus, rhinomanometry does not seem necessary in routine allergologic work.

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb00238.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

In elderly subjects suffering from presbycusis a clinical picture of sudden hearing loss, tinnitus and vertigo may be precipitated by a superimposed serous otitis media. Such an abrupt and dramatic sensory deficiency may be erroneously ascribed to an acute cochlear lesion and given grave prognostication. This situation was observed in 12 patients during a period of 2 years. Appropriate diagnostic evaluation revealed the true nature of the disease and simple therapeutic measures promptly restored the auditory function to its previous level.

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb00239.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

The influence of raised body temperature on the auditory evoked brainstem responses (BSER) has been investigated in 9 healthy volunteers. Ipsi‐ and contralateral BSER recordings were obtained before and after raising body temperature by at least 1°C by means of a specially constructed heat cradle. In two of the subjects further BSER recordings were obtained after their body temperature had been allowed to fall again to its preheated level. The results for wave V have been analysed in detail: the latency in the 5 men shortened from a mean of 5.84 ms (s.d. 0.193) to a mean of 5.62 ms (s.d. 0.185). For the 4 women the figures were 5.87 ms (s.d. 0.105) and 5.68 ms (s.d. 0.105). Using paired t‐tests this change is highly significant (P<0.001). Similar changes were observed in the other waves although they were less consistent. In the 2 subjects who were allowed to cool again after heating, the BSER wave latencies returned to their preheated values. It is concluded that nerve conduction rates in the auditory pathway are influenced by body temperature and that this may have to be taken into account when interpreting BSER record

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb00240.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

In this retrospective study 127 patients with a squamous cell carcinoma of the nasal vestibule were evaluated. Though treated with curative intent, 23 patients eventually died with or because of tumour. Lymph node metastases were of the utmost importance and were detected in 31 patients, in two‐thirds of whom the treatment was unsuccessful. Since elective treatment of possible lymph node metastases is a possibility to improve prognosis we have established a high‐risk group in which metastases are to be expected and elective treatment of the neck should be considered. These patients are those with a large lesion on presentation and those with a poorly differentiated tum

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb00241.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

A personal series of 267 salivary tumours seen in a 20‐year period was reviewed. Thirty‐six patients with a previously untreated histologically proven adenoid cystic carcinoma of the major and minor salivary glands were submitted to radical surgery. The 5‐year survival was 73%; no patient died of disease or suffered a recurrence of disease beyond the 5‐year mark, suggesting that radical surgery achieves good results and largely pre‐empts the notorious pattern of repeated recurrence. Only 8% of the patients died solely of primary recurrence, suggesting that the place of supraradical surgery is likely to be ver

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb00242.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

Ninety‐three human skulls (80 adults and 13 children) have been examined and the extent of thin bone in the party walls between the orbit and the frontal, ethmoidal and maxillary sinuses has been assessed. Translucent bone is most often present in the lateral wall of the ethmoidal labyrinth and least often in the floor of the frontal sinus. In children such bone is present significantly less often in the roof of the maxillary sinus (P<0.001) than in adults. Computerized tomography scans and clinical data from 6 patients with orbital cellulitis were reviewed. In one of these an inferolateral subperiosteal abscess of the orbit was associated with a defect in the roof of the maxillary sinus. Two patients had a medial subperiosteal abscess associated with ethmoiditis and in one there was direct continuity between the abscess and the adjacent ethmoidal cells. In another case a superolateral abscess was demonstrated in continuity with a surgical defect in the floor of the frontal sinus. We conclude that the ethmoidal, frontal or maxillary sinuses may be sources of orbital infection and that spread occurs either by direct extension through the sinus wall or by local thrombophlebiti

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb00243.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

The relationship between vestibular and cochlear function in Stapedectomy was investigated in 722 patients (925 ears). There were no differences in hearing between patients with and without pre‐operative complaints of vertigo. Post‐operatively patients with long lasting vertigo obtained equally good hearing results as the others. The direction of spontaneous nystagmus post‐operatively in relation to the operated ear was of no prognostic significance regarding short term hearing results. However, at follow‐up an average of 15 years after the operation, hearing was somewhat poorer in those having spontaneous nystagmus towards the operated ear. At follow‐up 17% had an abnormal cal

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb00244.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY