ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb01167.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

Fifty‐nine cases of adenoid cystic carcinoma (ACC) in the head and neck were reviewed and the treatment and follow‐up results from 1950 to 1983 are reported. Nearly all patients were treated with combined therapy, i.e. surgery and radiotherapy, and the actuarial survival rate was 68% after 5 years, 45% after 10 years, and 30% after 15 years. Modern radiotherapy seems a very valuable means of treatment, not only as a palliative meas

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb01168.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

The results of treating 86 patients with sudden deafness are reviewed in this paper. They were treated with intravenous ATP‐2Na, Vitamin B1, B6, B12and C, stellate ganglion block, peroral steroids, cyclandelate and Kallidinogenase. Fifty‐one of 86 patients were additionally treated with carbon dioxide and oxygen inhalation. The first 35 patients (no gas inhalation group) and the latter 51 patients (gas inhalation group) were compared with each other concerning hearing improvement, and recovery rate associated with age of the patients, untreated period and effect of steroids. There was no statistical difference between the two groups with regard to these paramet

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb01169.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

Radiographs of the nasopharynx are sometimes misinterpreted because of poor technical quality. A simple method of interpretation is suggested based upon measuring the airway immediately behind the upper part of the soft palate. If it is narrower than the width of the soft palate it is considered as markedly obstructed. When narrower than half of the soft palate, it is severely obstructed. When it is the same width as the soft palate, it is not narrowed. One hundred and forty radiographs were evaluated by this method and by previously described methods. All methods showed good correlation and the present method is easy to use and easy to teach and has proven to be useful even in radiographs which other methods fail to interpret. The importance of evaluating the airway instead of the adenoidal thickness is stressed.

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb01170.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

Nasal mucociliary clearance was measured before and after treatment in patients with chronic sinusitis. Nasal mucociliary transit time before the study was greater than 36 min in 8 out of 14 patients who were treated with S‐carboxymethylcysteine, and in 9 out of 22 patients who were treated by repeated antral lavage. The nasal mucociliary clearance was significantly improved by both treatment regimens. This may indicate that the malfunction of the nasal mucociliary system is not the cause of chronic sinusitis but an effect of chronic inflammation of the respiratory mucos

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb01171.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

Local immunological defence mechanisms in the human upper respiratory tract are incompletely defined. This is partly due to the absence of simple and reproducible methods for collecting undiluted secretions. The method described in the present study for collecting nasopharyngeal secretion was simple to perform and exploited the absorbing capacity of dextran, by using filterweave sacs containing dry dextran beads applied locally. The method enabled 100–200 μl undiluted fluid to be sampled from 15 of 20 healthy volunteers. Measurements of albumin, IgG, IgA and complement factor C3 were performed. The absorption procedure per se was demonstrated not to influence the distribution of these protei

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb01172.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

The most disabling side effect of radical neck dissection is the ‘shoulder syndrome’, caused by denervation of the trapezius muscle. This is due to division of the spinal accessory nerve, the motor nerve to the trapezius. Using cadaver dissections the anatomy of the cervical spinal nerve supply to the trapezius has been studied. At radical neck dissection stimulation of these cervical spinal nerves produced contraction of the trapezius muscle. Thus a modified technique of radical dissection has been developed preserving the cervical spinal nerves to the trapezius. Comparison of patients undergoing this modified radical neck dissection with patients undergoing a classical radical neck dissection shows them to have better shoulder funct

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb01173.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

Fine needle aspiration cytology is a useful technique in the management of patients with masses in the head and neck, which is usually performed in co‐operation with a specialized cytopathologist. It has not until recently been an investigation used frequently by British otolaryngologists. This study shows that an aspiration cytology service may be run with the aid of a general histopathologist and demonstrates that it is a valuable aid to diagnosis even without the services of a specialized cytopathologis

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb01174.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

A sequential double blind cross‐over trial of tocainide hydrochloride, an oral analogue of lignocaine, is reported. The dosage of tocainide hydrochloride ranged from 200–600 mg daily. Of the 32 patients who completed the trial, 1 had complete relief and 2 had partial relief of their tinnitus whilst taking tocainide. An increased incidence of side‐effects in patients taking tocainide was noted, in particular, headache, dizziness, nausea and skin r

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb01175.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

Patients with acoustic neurinomas do not usually show vertigo or spontaneous nystagmus, suggesting a gradual decrease of vestibular function with adequate compensation. Seventeen patients with acoustic neurinoma were examined to test their postural control. Examination in the tilting room showed a visual dominance in postural control with these patients irrespective of involvement of the central vestibular system. The subjective horizon was determined in addition to routine audiovestibular examination, to be informed about the compensation process. When routine audiovestibular examination points to an acoustic neurinoma, a pathological subjective horizon favours the diagnosis, although this is not mandatory. The combination of tilting room and stabilometry is superior in detecting visual dominance to the standard Romberg test.

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb01176.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY