ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1989.tb00342.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

Thirty‐eight patients, suitable for tonsillectomy under local anaesthesia, were randomized and operated on under either local or general anaesthesia. The following parameters were compared: time in the operating room, duration of the operation, peroperative haemorrhage, number of ligatures required for haemostasis, postoperative haemorrhage, infection and weight loss. Post‐operative discomfort was assessed using a visual analogue scale and a water drinking test. The total consumption of analgesic drugs in the post‐operative period was recorded. The investigation shows that tonsillectomy under local anaesthesia, in suitable patients, is a safe alternative to tonsillectomy under general anaesthesia, and that considerable resources can be saved if the operation is performed with local anaest

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1989.tb00343.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

ABSTRACTPharyngocutaneous fistula is a common complication after major head and neck surgery. In this study it was possible to predict fistula formation as early as the second postoperative day, using serial measurements of the amylase concentration in wound drainage. Wound amylase estimation may be used to help avoid major pharyngocutaneous fistulae by providing an ‘early warning’ and allowing modification of the postoperative feeding regimen in certain situati

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1989.tb00344.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

A retrospective study of 267 patients with an oral cavity squamous cell carcinoma is presented. It includes all patients from a geographically well‐defined area during an 11 and one‐quarter year period. Thirty‐five percent of the patients were treated with radical surgery, 40% with curative‐dosage radiotherapy and 22% with combined therapy. One‐year survival with No Evidence of Disease (NED) was 48%. Almost all recurrences were within the first year following completion of the initial treatment. Treatment results were especially ineffective in large local tumour cases (T3 and T4) and in instances with extensive regional lymph node metastases (N2 and N3). The observed 5‐year survival (‘crude survival') was 44%. All parameters for the course of disease following diagnosis and treatment were significantly correlated to

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1989.tb00345.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

A comparison between pure‐tone audiometry and brainstem electric response audiometry was made in 25 children with a conductive hearing loss due to otitis media with effusion. Pure‐tone audiometry, including bone and air‐conduction thresholds, was recorded using standard procedures. BERA was used to construct a latency‐intensity function and from this the conductive hearing loss could be estimated. For all frequencies except for 2000 Hz a good correlation was found between the conductive loss in the pure‐tone audiogram and the conductive loss as estimated by BERA. The moderate correlation for 2000 Hz is due to a ‘Carhart’ ‐notch‐like phenomenon in the pu

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1989.tb00346.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

One hundred and seventeen patients who had previous radical mastoidectomies, atticotomies or Bondy operations were operated on between 1973 ans 1984.An open technique with obliteration and traction meatoplasty was used in one stage in 19 ears (normal mucosa in mesotympanum) and in 2 stages in 98 ears (poor mesotympanum which needed to be dissected and covered with silastic sheeting). The second stage was performed 12 to 18 months later.Closure of the tympanic membrane was achieved in 93% of ears at the first stage. In 6 ears out of 81 second stages, residual cholesteatoma was found in the mesotympanum. No residual cholesteatoma was subsequently observed behind the flap but only 4 ears were checked behind the flap at the second stage.An air‐bone gap within 20 dB was achieved in 85% of ears if the stapes was intact and surgery was performed in one stage, and in 55% of ears if the stapes was intact and surgery performed in 2 stages. If the crura were missing, an air‐bone gap within 20 dB was achieved in 57% of ears in 2 sta

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1989.tb00347.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

This paper reports changes in ciliary function following submucous resection of the nasal septum in 36 adult patients assessed by measuring mucociliary clearance time with a saccharine particle using the method described by Andersenet al.1The alterations in mucociliary clearance time were compared with active anterior rhinomanometry. Following surgery, changes in symptoms of nasal obstruction as recorded by questionnaire were largely consistent with changes in mucociliary function and to a lesser extent with rhinomanometry. It is suggested that patients with a mucociliary clearance time of less than 10 min in the more blocked nostril may be less likely to benefit from surgery.

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1989.tb00348.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

The size of an adenoid is generally considered to be significant factor in the causation of Eustachian tube dysfunction and glue ear in children. We studied 120 consecutive cases of children undergoing adenoidectomy. Our aim was to assess the accuracy of the digital and mirror examinations in identifying adenoid size. Two surgeons of 1 and 2 years’ experience in the speciality were found to have a statistically significant correlation between mirror examination and the amount of adenoid removed at operation. One surgeon of 4 years’ experience was found to have a higher degree of correlation for both mirror and digital examinat

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1989.tb00349.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

We report the application of an in‐situ hybridization technique for the demonstration of human papillomavirus (HPV) employing a biotin‐streptavidin‐polyalkaline phosphatase complex to paraffin processed tissue from a series of patients with laryngeal papillomata. All cases of juvenile papillomata, whether solitary or multiple, proved positive for HPV types 6 and/or type 11. However, only two cases of adult solitary papillomata and five cases of adult multiple papillomata were positive for HPV type 6 and/or type 11. All papillomata were negative for HPV types 16 and 18. Five specimens of normal vocal cord epithelium were uniformly negative for all four HPV

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1989.tb00350.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

The local and general complications in a series of 122 patients treated surgically for carcinoma of the tonsillar region are reported. Eighty‐five of these patients were submitted to reconstruction with local or distant flaps, and in the remaining 37 patients primary closure was achieved. 28.2% of the flaps underwent marginal necrosis, and 11.8% total necrosis. Infection and the proportion of general complications were significantly higher in those patients submitted to reconstruction with flaps, whereas fistulae, necrosis of the cervical skin, rupture of the carotid artery and common general complications were not. Significant differences were not observed with respect to viability nor to complications between the different types of flaps, so that the choice of flaps should be based exclusively on other properties inherent in each fla

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1989.tb00351.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY