摘要:

76 patients with severe Bell’s palsy were treated for a short period with high doses of prednisone (60 mg for 4 days and from the 5th day on the dose was reduced every day by 5 mg). The treatment was started within the 1st week of onset. The onset, the course and the recovery of the paralysis were carefully evaluated. The facial recovery is presented in such way as to make possible comparison with other series of recovery after Bell’s pa

ISSN:0301-1569    

DOI:10.1159/000275366

出版商:S. Karger AG    

年代:1977

数据来源: Karger

摘要:

Preoperative paralysis of the facial nerve was found in 145 of 1,029 patients with malignant parotid tumours (14%) treated at nine university clinics in Scandinavia. The incidence of facial paralysis varied between the different clinics. A parallelism between the incidence of the facial paralysis and the impairment of the prognosis of the different tumour types is shown. The presence of preoperative facial nerve paralysis in malignant parotid tumours implies a very poor prognosis but the situation is not as hopeless as has been suggested and therefore one must rely on very radical surgery.

ISSN:0301-1569    

DOI:10.1159/000275367

出版商:S. Karger AG    

年代:1977

数据来源: Karger

摘要:

The investigation includes 43 children (82 ears) with acute otitis media who were treated with paracentesis and antibiotics. The middle ear pressure was measured 7 days, 14 days, 1 month, and 2 months after the otitis. A follow-up examination was performed 4–12 months after the otitis. The normalization process was extremely slow: 3 months after the otitis only 37% of the ears had a pressure between 0 and -50 mm H2O, and 24% had flat curves and chronic secretory otitis. 3–12 months after, 49% of the ears had a normal pressure. A discussion on whether the middle ear ventilation had been reduced before the present otitis, or whether the slow normalization process is due to the changes in the mucous membrane is presented. The first assumption seems to be more probable. The significance of poor ventilation in the occurrence of recurrency is emphasized. Tympanometry is recommended 1–3 months after otitis, especially in recurrent otitis media. The literature on acute suppurative otitis media is very extensive and reveals widely differing opinions on treatment, causes of therapeutic failure, and recurrency. Although commonly agreed that it is a bacterial infection, the distribution of the pathogenic bacteria and the frequency of negative bacterial findings in the secretion vary greatly in the different materials (Lundgren, 1972). Today, the treatment follows several different principles: (1)no primary antibiotic treatment or paracentesis (Meistrup-Larsen et al., 1977); (2) primary antibiotic treatment without paracentesis (Lorentzen and Haugsten, 1977); (3) paracentesis and antibiotic timing treatment on signs of complications (Diamant and Diamant, 1974); (4) primary paracentesis without antibiotics; (5) paracentesis with antibiotics (Lundgren, 1972). The therapeutic effect is considered as being successful when the patient is free of symptoms, the eardrum appears normal and mobile in Siegle’s pneumotic otoscope, and hearing is normal. However, the time of evaluation may vary according to the initial appearance of the disease. The aim of this work has been to investigate prospectively ventilation of the middle ear based on tympanometry performed at various stages after acute otitis. Although it appears valuable when judging the therapeutic effect to include ventilation of the middle ear, apparently only Meistrup-Larsen et al. (1978) have done so when investigating the effect of norephedrine on acute otitis. They found that 14 days after the onset of the disease, 8 out of 100 children did not have normal tympanograms an

ISSN:0301-1569    

DOI:10.1159/000275368

出版商:S. Karger AG    

年代:1977

数据来源: Karger

摘要:

The vestibular sensory epithelia from 3 patients treated with cytotoxic drugs were studied with a surface specimen technique. 2 cases had been treated with cyclophos-phamide and 1 with melphalan. In all 3 cases there was some slight degeneration affecting the cristae ampullares. The macula utriculi showed no signs of degeneration. The degeneration affecting the cristae is probably too slight to produce any serious symptoms from the vestibular apparatus.

ISSN:0301-1569    

DOI:10.1159/000275369

出版商:S. Karger AG    

年代:1977

数据来源: Karger

摘要:

Optokinetic and vestibular training alternatively applied during two cycles, using sinusoidal pendular rotation and a stationary projection optokinetic stimulator, resulted in a progressive vestibular response decline. This response decrement was only revealed by the parameter of the slow-phase velocity. Combined optokinetic and vestibular training shows a facilitating effect upon vestibular habituation which cannot be induced by repetitive pendular rotation alone. Both a response decline, expressed by the parameter of the slow-phase velocity and a response increment, expressed by the number of nystagmus beats, were observed during one cycle of the pendular rotation. Both phenomena could be induced by alternative optokinetic and vestibular training and were interpreted as typical visual-vestibular interaction mechanisms.

ISSN:0301-1569    

DOI:10.1159/000275370

出版商:S. Karger AG    

年代:1977

数据来源: Karger

ISSN:0301-1569    

DOI:10.1159/000275371

出版商:S. Karger AG    

年代:1977

数据来源: Karger

ISSN:0301-1569    

DOI:10.1159/000275372

出版商:S. Karger AG    

年代:1977

数据来源: Karger