ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1996.tb01309.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1996.tb01310.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1996.tb01311.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

Chin retrusion is important to the facial plastic surgeon, as it is a commonly encountered defect in patients seeking rhinoplasty. Careful pre‐operative evaluation may identify patients who could benefit from concurrent augmentation mentoplasty. Augmentation mentoplasty using pre‐formed silicone implants, placed sub‐periosteally using an extraoral approach in a total of 40 patients were studied. The procedure proved to be relatively straightforward, rewarding and associated with very little morbidity. Hard silicone appears to be a reliable and safe implant material for augmentation mentoplasty in terms of host tolerance, including infection. There were no clinical side‐effects from the minimal bone resorption which could be noted in eight out of 13 patients studied radiograp

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1996.tb01312.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

Ten subjects known to suffer from heavy snoring but not obstructive sleep apnoea were studied using the technique of sleep nasendoscopy. The mechanism of snoring was noted for each and sound recordings of the snoring noise were made. Six subjects were observed to snore using their soft palate only, three snored using only their tongue base and one snored using a combination of palate and tongue base. The sound recordings were subjected to computer analysis of waveform and frequency. Palatal flutter snoring and tongue base snoring appear to have distinct waveform and frequency patterns which allows them to be differentiated from each other.

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1996.tb01313.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

In order to assess how much disability is caused by vertigo, health status scores of patients referred with dizziness or vertigo were compared with local population normative data and with the severity of illness, measured by a disease‐specific questionnaire. The questionnaires were administered by post to patients awaiting an ENT out‐patient appointment. There was a strong correlation (P= 0.001) between the eight dimensions of the SF‐36 (Mos 36 item short‐form health survey) and disease severity, measured by the Dizziness Handicap Inventory questionnaire. Compared with the general population, vertigo sufferers had significant role limitation due to physical problems and social functioning (men) and physical problems and vitality (women). General health status is significantly affected by both the presence and severity of vertigo and the SF‐36 may prove useful in assessing

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1996.tb01314.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

This double‐blind study compares the effectiveness of two local anaesthetics with vasoconstrictive activity (10% cocaine and 4% lignocaine with adrenaline 1:1000) used in the nose. Anterior rhinomanometry was used to assess changes in nasal mucosal blood volume from a reduction in congestion of the nasal mucosa with a resulting reduction in nasal resistance. Nasendoscopy was then performed and the degree of subjective discomfort evaluated. Twenty patients presenting with nasal obstruction but without evidence of structural disease and nine healthy volunteers were entered into the study. Each received 10% cocaine in one nostril, and 4% lignocaine with adrenaline (1: 1000)) in the other in a double‐blind study. In all subjects, there was a significant reduction of nasal resistance after the administration of both drugs (P<0.005). The anaesthetic effects of both agents were comparable with subjects reporting only a mild discomfort during nasendoscopy. We conclude from this study that 4% lignocaine with adrenaline (1: 1000) solution is as effective as 10% coca

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1996.tb01315.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

This study was designed to determine the prevalence of snoring and assess the extent of associated ENT symptoms in children up to 10 years of age. A questionnaire was presented to the parents of 245 children chosen at random from the General Practice list of the town of Frome, Somerset, UK. The prevalence of snoring was found to be 27%. This increased to 47% in the presence of an upper respiratory infection. Snoring was found to be significantly (P<0.001) associated with a history of poor hearing, restless sleep, and having a cold. Less significant (P<0.01) associations occurred with parental smoking, eczema, sleep talking, moving around the bed at night, sore throats, having a runny nose and mouth breathing. Snoring is a common symptom in children up to 10 years of age. Without evidence of other ENT disease the snoring child does not require referral to an ENT department for further investigation.

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1996.tb01316.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

The development of a stomal recurrence after total laryngectomy is a complication with a dismal prognosis. The risk factors and mechanisms involved are still not well understood. In this review of 352 patients, 21 (6%) developed a stomal recurrence. We studied the group of 74 patients (21%) with subglottic involvement separately. There was no significant difference in the rate of stomal recurrence in those with emergency tracheostomy (23.3%) as compared with those with intra‐operative tracheostomy (18.2%). Stomal recurrence was more strongly associated with subglottic involvement itself (20.3%) and T4stage (15.3%). The findings suggest that submucosal extension and lymph node metastases are probably more important mechanisms of stomal recurrence than cancer cell implantatio

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1996.tb01317.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

The long‐term benefit of trimming of the inferior turbinates for nasal obstruction is unclear and our aim was to assess this. Fourteen patients who had had pre‐operative nasal symptom scores and anterior rhinomanometry prior to inferior turbinate resection were reassessed at least 7 years post‐operatively. Both nasal symptom scores for obstruction and nasal resistance had increased significantly in the intervening time period. Nasal crusting and hypertrophy of the cut inferior turbinate are considered to be responsible for this. Patients should be warned some degree of nasal obstruction may recur post‐oper

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1996.tb01318.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY