摘要:

67 cases of nasopharyngeal tumours presenting at the Royal National Throat, Nose and Ear Hospital over a 10-year period were examined, of which 47 were poorly differentiated carcinomas. The population under review could be subdivided into three separate groups on the basis of geographical origin: Northern European, Southern European and Middle Eastern. The proportion of poorly differentiated carcinomas in each geographical area was calculated and was found to differ significantly between the Northern European and Middle Eastern groups.

ISSN:0301-1569    

DOI:10.1159/000275765

出版商:S. Karger AG    

年代:1985

数据来源: Karger

摘要:

A case of chondrometaplasia of the larynx is reported. The clinicopathological appearances are discussed with a review of the literature. The importance of distinguishing this lesion from cartilaginous tumors is emphasized.

ISSN:0301-1569    

DOI:10.1159/000275766

出版商:S. Karger AG    

年代:1985

数据来源: Karger

摘要:

In general, subglottic stenosis in children is one of the most difficult problems to treat surgically. Six patients, aged 4–9, requiring a tracheostomy due to severe subglottic stenosis are reviewed. Decannulation was difficult to perform in these cases. All children in this series underwent surgical correction of subglottic stenosis. Patients had been successfully decannulated with no evidence of recurrent stenosis and were followed up for a period of 2–9 years. Our cases which were followed up for 2–9 years address the issue raised by opponents of surgical correction of subglottic stenosis in children, namely the consideration that the laryngeal growth potential may be adversely affected by su

ISSN:0301-1569    

DOI:10.1159/000275767

出版商:S. Karger AG    

年代:1985

数据来源: Karger

摘要:

10 male patients suffering from auricular hematoma were treated by evacuation of the hematoma followed by suturing two buttons to the ear using through-and-through staying silk sutures, leaving them attached for 1 week. Not a single case of recurrence has been encountered as this technique eliminates the dead space and does not allow reaccumulation of the hematoma.

ISSN:0301-1569    

DOI:10.1159/000275768

出版商:S. Karger AG    

年代:1985

数据来源: Karger

摘要:

Surgical correction of the congested nose is frequently attempted. In the absence of a septal deformity, engorgement of the inferior turbinate is usually held to be the culprit, and various procedures have been advocated to counter this problem. Submucosal diathermy to the inferior turbinates is widely practised, but relatively little has been published about it. 204 patients who underwent submucosal diathermy of the inferior turbinates between 1977 and 1983 have been studied. 60 patients have been followed up by questionnaire, for periods ranging from 1 to 5 years since surgery. Surgery was of benefit in up to 72% of cases. Surgical technique and the problems of patient selection and assessment are discussed.

ISSN:0301-1569    

DOI:10.1159/000275769

出版商:S. Karger AG    

年代:1985

数据来源: Karger

摘要:

The influence of unilateral labyrinthectomy on vestibulospinal balance function in patients with Ménière’s disease is studied with a gravicorder. Our data disclosed that vestibulospinal balance recovery was better when tested in the light, including the total length and area. Moreover, this quantitative test which measures changes in the center of gravity in standing subjects revealed that total length recovery was almost achieved within 5 weeks when measured in the light but required 12 months when measured in the dark; total area was almost in the normal range within 1 week when measured in the light but required 5 weeks when measured in the d

ISSN:0301-1569    

DOI:10.1159/000275770

出版商:S. Karger AG    

年代:1985

数据来源: Karger

摘要:

Neurotological follow-up observations were conducted on 38 of 43 cases of vestibular neuronitis treated between 1972 and 1983. The average observation period was 1 year and 3 months (range from 1 month to 9 years and 4 months) and 17 cases were followed for more than 1 year. The tests used for evaluation in this series were the following: spontaneous nystagmus, head positional nystagmus, a caloric test and a computed galvanic body sway test (GBST) conducted by Yamaguchi University. Changes in subjective symptoms are also noted. (1) The main subjective complaint was vertigo (whirling; 93%). The remaining subjects noticed a floating sensation and unsteadiness of gait. In 50% of the cases, vertigo subsided by the end of the 3-month period, but 6 subjects suffered from an intractable dizzy sensation for over 1 year. Even after 3 years, 3 of these 6 cases were bothered by dizzy sensations. Especially in the central lesion, these 3 subjects had no other causative disease. (2) Spontaneous nystagmus, which was usually horizontal and direction fixed, remained in 50% of the cases after the 1-year period. (3) All of the cases tested showed reduced caloric responses. 21 of the 38 cases showed no response in cold caloric stimulation (including ice water) at the initial test. 13 of the 21 cases were followed satisfactorily and examined twice or more by caloric testing. 5 of these 13 cases did not recover in the caloric test even after more than 1 year. (4) Computed GBST reveal a reduced response of body sway induced by galvanic stimulation; slow sluggish response of body sway is unique to vestibular neuronitis. This slow response returned to the normal range in 76.0% of the cases. These findings suggest that the prognosis of vestibular neuronitis is poorer than was expected, especially in subjects who have no caloric response to the initial test.

ISSN:0301-1569    

DOI:10.1159/000275771

出版商:S. Karger AG    

年代:1985

数据来源: Karger

摘要:

A study was carried out on vestibular and cochlear measures of 20 patients with internal ear disorders. It was shown that the vestibular findings do not always match the cochlear ones. A comparison of the various quantitative measures of the post-caloric responses with the clinical picture indicated that the average slow-phase velocity provides a good measure of the vestibular function. The correlation coefficients between the average slow-phase velocity of the post-caloric responses and those of the per- and post-rotatory responses were higher than those based on the maximum slow-phase velocity value. The diagnostic significance of the rotatory test is assessed against the clinical findings.

ISSN:0301-1569    

DOI:10.1159/000275772

出版商:S. Karger AG    

年代:1985

数据来源: Karger

摘要:

Among many theories about the etiology of atrophic rhinitis with ozena, a reduced mucosal blood flow has been suggested, possibly caused by ‘sympathetic spasm’. The nasal mucosal blood flow has been investigated in 6 patients with this disease before and after topical administration of a sympathomimetic drug. No difference in action compared to healthy subjects was found. Other pathophysiological mechanisms must be searched

ISSN:0301-1569    

DOI:10.1159/000275773

出版商:S. Karger AG    

年代:1985

数据来源: Karger

摘要:

19 serum and 23 middle ear mucoid fluid samples from patients with chronic secretory otitis media (SOM) were analyzed for total IgE using the PRIST technique and for specific IgE against dog epithelium, house dust mite, milk, egg-white and wheat using the RAST technique. All serum samples showed IgE values well within the normal range, and the middle ear fluid-serum ratio for total IgE was less than 1. In three sera there was a weak (score 1) positive RAST result to milk (2 cases) and to egg-white (1 case). None of the middle ear fluids showed positive reactions. Routine clinical assessment of total and specific IgE is not indicated in SOM.

ISSN:0301-1569    

DOI:10.1159/000275774

出版商:S. Karger AG    

年代:1985

数据来源: Karger