ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb01156.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

There has been no standardization of clinical assessment of the nasal airway between different clinical trials. In order to evaluate the reproducibility of tests in use in current clinical practice, a pre‐trial inter‐observer assessment of the nasal airway tests was made and an intra‐ and inter‐observer assessment was made in 25 patients. Differing degrees of correlation were demonstrated, using the Kappa statistic. Suggestions are made to enable improved standardization of clinical examination of the nasal airways for clinical

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb01157.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

Stapedectomy in children has long been regarded as taboo and published accounts of this surgery in this age group are few. This paper presents a small series of 29 stapedectomies in patients aged 21 or less; 19 for otosclerosis, 10 for other pathologies associated with stapedial fixation. The results on the otosclerotic group (17 [89%] success, 2 no change, O sensorineural loss) were comparable with stapedectomy in adults. The results in the non‐otosclerotic group (5 better, 2 no change, 3 sensorineural losses) were not satisfactory, and stapedectomy for stapedial fixation caused by conditions other than otosclerosis cannot be recommended in this age grou

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb01158.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

The effect of topically administered phenylpropanolamine (PPA) on nasal secretion and nasal airway resistance (NAR) was evaluated in a placebo controlled double blind cross‐over study in 10 healthy subjects. The nasal secretion was collected in handkerchiefs and weighed. NAR was measured by anterior rhinomanometry and the degree of nasal blockage, secretion and the number of sneezes were registered in a score. PPA (25 mg/ml) significantly reduced nasal secretion, NAR and the degree of blockage and so PPA may be useful as a topical nasal decongestan

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb01159.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

Tornwaldt's bursa results from the embryological relationship of the notochord to the developing foregut. Its embryology and anatomocal location is separate from Rathke's pouch which is the primordial anterior hypophysis. Trauma and subsequent inflammation of the defect leads to a complex of symptoms known as Tornwaldt's disease’ which may be quite confusing to the clinician. Appropriate therapy which includes excision or marsupialization of the cyst will provide complete relief of the symptoms. The embryology, anatomy and therapy of this entity are discussed in detail. Other abnormalities which may mimic Tornwaldt's disease are described along with an embryological and histological differentiatio

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb01160.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

The pus from a series of 41 peritonsillar abscesses was examined bacteriologically. In the majority of the abscesses a mixed bacterial flora was found. The specimens yielded 0–7 different bacterial species per abscess (mean 3.0). One species alone was isolated only in five cases (12.5%). Both anaerobic and aerobic bacteria were isolated from the specimens of 25 patients (61%), only anaerobes from two specimens (4.9%), and only facultative bacteria from 12 specimens (29%). Betahaemolytic streptococci were cultured in 43.9% of the cases, but Streptococcus pyogenes group A in only 10 cases (24.4%). Thus, the pus of the peritonsillar abscess seems to be caused by a mixed bacterial infection, where anaerobic bacteria play a significant role. Indications of tonsillectomy in cases with peritonsillar abscess are discusse

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb01161.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

One reason for the current epidemic in the rate of surgery for glue ear in children is that a shift in treatment has taken place from non‐surgical to surgical methods. An historical review of the treatment of this condition reveals the existence of previous ‘surgical epidemics’ and the importance of two particular factors—technical developments, such as the design of tympanostomy tubes and the introduction of antibacterial drugs; and the lure of panaceas such as ionizing radiation. In addition, it reveals how medical practice is, like most human behaviour, subject to fashion. Despite this, there is a constant desire by practitioners to be adjudged ‘scientific’ in their work, and definitions of science are equally susceptible to chang

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb01162.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

A group of 14 patients with unilateral tinnitus were selected because of the constant nature of their tinnitus, and its resistance to all other forms of therapy. They were subjected to hypnosis in three forms in random order. The induction of a trance state alone formed the control arm of the trial. Compared to this were the effects of‘ego boosting’ and active suppression of tinnitus whilst in a trance state. One of the 14 patients showed a highly significant response to the latter treatment as judged by visual analogue scales. Five of the 14 patients (36%) found the induction of a hypnotic state of value. This seemed to help them tolerate their tinnitus better, although its loudness and quality were unalte

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb01163.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

Tracheal obstruction is encountered in primary malignancy of the trachea and invasion or compression from extrinsic lesions. No commercially available tracheostomy tube can be suitable for all cases. A flexible cannula of adjustable length can be produced from universally available anaesthetic equipment. Intubation is facilitated by the use of fibreoptic endoscopy.

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb01164.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1985.tb01165.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY