ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1982.tb01387.x

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY

摘要:

At present there is no universally accepted method for calculating hearing results after chronic ear surgery. In this study the methods most frequently used have been applied to a material of 105 tympanoplasties and compared to each other. In addition a comparison between pre‐ and post‐operative bone conductions (BC) thresholds for calculating post‐operative air‐bone gaps has been performed using multiple regression analysis. The results lend support to the conclusion that BC thresholds will improve with surgery in successful cases and that the post‐operative BC threshold is a closer approximation of the cochlear function than the pre‐operative one and consequently should be used for gap calculations. However, until the masking procedures in audiometry are standardized, hearing gain may be regarded as the most satisfactory alternative for describing hearing results as it is based on the air conduction thresholds only. This method requires a careful description of pre‐operative air and bone conducti

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1982.tb01388.x

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY

摘要:

AbstractDuring 1960–1975, 115 submandibular glands were removed for reasons other than neoplasia at the Ear, Nose and Throat department, Karolinska sjukhuset, Stockholm. The material was retrospectively analysed with regard to clinical and histopathological findings. The patients, 62 men and 52 women aged 13‐77 years, exhibited in all cases but one a chronic sialadenitis. Salivary calculi were found in 82% of the patients. In one patient a mucous retention cyst was found.Microscopically some cases exhibited only a slight periductal inflammation, while others showed a complete destruction of the gland architecture. The duration of symptoms of the whole group before surgery varied from 1 week to 55 years but with a median value of almost 1 year. The conclusion of this study is that salivary calculus is the most important indication for removal of submandibular gland, for reasons other than neopla

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1982.tb01389.x

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY

摘要:

AbstractThirty‐one children between the ages of 6 and 16 years with otalgia but normal eardrums were investigated for temporomandibular joint dysfunction. Ear disease was excluded by microscopic examination, pure tone audiometry and impedance tympanometry. Dental disease was excluded by clinical and radiographic examination. Temporomandibular joint dysfunction was diagnosed by finding tenderness of the joint or masticatory muscles in at least two separate sites at one examination. Twenty‐one patients were assessed as having joint dysfunction and in 18 of these the diagnosis was made when the child was seen in pain. Tympanometry on painful ears did not reveal any abnormality or trend in the values for compliance or middle ear pressure. Simple methods of treatment were effective in all cases. Temporomandibular joint dysfunction should be suspected in any child who complains of recurrent otalgia in the absence of dental and otological dise

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1982.tb01390.x

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY

摘要:

Sixteen cases of schwannomata of the neck were included in this study. Clinical and pathological features were analysed. Pre‐operative diagnosis was always difficult and was achieved in only three cases. The lesion should be suspected whenever examining the neck for a solitary swelling of long standing. Schwannomata of the cervical vagus or sympathetic chain usually bulge into the pharynx and present as parapharyngeal tumours. Neurological deficits were absolutely absent in our cases. Every attempt should be exerted to spare the involved nerve even on the expense of leaving behind a part of the tumour which is definitely benign and having practically no tendency for malignant chang

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1982.tb01391.x

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY

摘要:

The size of the adenoid in a series of children with middle ear fluid was compared radiologically with the size of the adenoid in a series of age and sex‐matched children who had sustained a head injury. There was no significant difference in the size of the adenoid in the 2 series of children. This therefore casts doubt on the role of enlarged adenoids in the aetiology of serous otitis media in the majority of children with this conditio

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1982.tb01392.x

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY

摘要:

One thousand and thirteen consecutive patients in South Australia with stapedial fixation from otosclerosis were classified by duration of deafness, age at onset and degree of footplate pathology to determine whether there is an orderly progression in severity of the oval window lesion with duration of symptoms. The conclusions drawn were as follows. (1)An early age of onset of clinical otosclerosis, during the period of skeletal growth, dramatically increases the chance of contracting a fulminating lesion with severe and diffuse involvement of the stapedial footplate or obliteration of the oval window niche. (2) A late age of onset of clinical otosclerosis tends to be associated with lesions of the stapes footplate that are limited to the anterior pole, and there is good evidence that the lesion tends to remain stable or to progress only very slowly. (3) The case for a regular and orderly pathological progression of the otosclerotic lesion through various patterns of severity from minor to major degrees of footplate pathology is not established by the data; nor is it convincingly refuted. It is clear that if a pathological progression of the lesion does take place it must be at vastly different rates for different individuals.

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1982.tb01393.x

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY

摘要:

The present work is an attempt to add some refinement to the technique of vocal cord laterlization developed by Woodman1for the management of bilateral abductor paralysis. The operating microscope is used together with some instruments designed for this operation. The technique follows the same principles introduced by Woodman, with few modifications. The use of the microscope makes dissection more delicate and less traumatic. The mucosa is seldom perforated and haematoma does not collect. These two factors help minimize the chance of wound infection. The lateralizing suture is introduced by a special needle and in the proper position under magnified vision ensuring perfect lateralization of the cord without puncturing the mucosa. The post‐operative period is short, the patient is extubated earlier and the cost of treatment less than with the traditional technique. As far as voice is concerned, the results of both techniques are more or less simila

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1982.tb01394.x

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1982.tb01395.x

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1982.tb01396.x

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY