ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1984.tb01464.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

To assess the effect of day‐care conditions on the occurrence of middle ear infection, 681 children, aged 3‐4 yr, were investigated. The investigation comprised an interview with one of the parents, a case history was taken, and a physical examination including tympanometry. At that time 76% of the children had been in day‐care away from their homes and half of these were younger than 6 months old. The two groups of children, those in day‐care and those looked after at home, were comparable with respect to sex, housing conditions, parents’ social status and smoking habits. An increased occurrence of otitis media was found among children in day‐care Measurements of middle ear pressure revealed a significantly larger number of children with flat curves (secretory otitis) and thus poorer hearing among those in day‐care than those at home. Among the children in day‐care there was also a significantly larger number with a history of adenoidectomy than among those looked after at home. These differences could not be explained by sex, housing conditions, social status or parents’ smoking habits. It is concluded that the apparently greater occurrence of middle ear infection among children in day‐care, compared to those looked after at home is due to an increased risk of contamination from childr

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1984.tb01465.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

The total lactate dehydrogenase (LDH) activity and LDH isoenzyme pattern were measured in tissue taken from laryngeal cancers and from the laryngeal mucosa both close to and distant from the tumour margin. An increase in the total LDH activity and a cathodic shift in the isoenzyme pattern were found in tumour tissue compared to the close and distant mucosa. However, significant LDH alterations in the mucosa close to the tumour were shown in comparison to the distant mucosa and to the laryngeal mucosa of controls. Histochemical studies showed the LDH activity to be located in the basal and parabasal layers of the epithelium and in the cancer foci.

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1984.tb01466.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

The incidence of disturbances of carbohydrate and lipid metabolism were studied in two groups of patients; one group with Ménière's disease, the other with otosclerosis. Our observations do not support the notion that metabolic disturbances are the principal causes of the symptom complex in Ménière's disease. Results of thyroid function tests were also normal in all Ménière's patients t

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1984.tb01467.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

A retrospective study of 48 unselected patients with myasthenia gravis was undertaken to evaluate the head and neck manifestations of this disease and to examine the role of the otolaryngologist in diagnosis and management. Oropharyngeal features were found in 56% of patients at presentation. In 20 the initial complaint was of one or more symptoms referable to the upper acrodigestive tract, whilst in 9 (18.8%) these were the only symptoms. The importance of maintaining a high index of clinical suspicion is emphasized, as the early muscle weakness is invariably mild and fluctuant. Contemporary aspects of the aetiology, diagnosis and management are considered. Particular attention is focused on the characteristics of the stapedius reflex in this disorder, as this is probably the most sensitive objective test for assessing defective neuromuscular transmission.

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1984.tb01468.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

A purpose‐built tinnitus synthesizer interfaced to a computer has been designed which can be used to characterize most types of subjective tinnitus. A patient is able to match his own tinnitus by making responses to simple questions using push buttons on a hand‐held box. The system can be used to determine the characteristics of tinnitus consisting of tones, random noise or combinations of these sounds; any sounds can also be pulsed synchronoulsy with a patient's pulse beat in order to match pulsatile tinnitus. It is then possible to use the frequency and loudness characteristics of tinnitus in order to determine the sitability of masking therapy for a pati

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1984.tb01469.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

Side‐effects of peroral mucous membrane decongesting agents have been described in recent years while at the same time documentation of the efficiency of these preparations is sparse. The prescription of the agents is very frequent. This article reviews the literature on the use of oral sympathomimetic agents for the treatment of diseases in the upper respiratory passages. The survey was initially instituted by the Swedish National Board of Health and Welfare to consider the indications for the prescription of these drugs. The article concludes with some suggested indications for these preparation

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1984.tb01470.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

Singer and Blom's endoscopic technique, using a single valved silicone prosthesis, constituted a dramatic advance in speech rehabilitation following total laryngectomy. Since 1980, we have developed a silicone biflanged prosthesis that overcomes some of the inconveniences of previous prostheses. Insertion via the mouth and the oesophagus, or as a primary procedure during total laryngectomy is easily done with the use of specially developed instruments. The success rate in 36 patients in which the voice button was inserted at the time of total laryngectomy was 86.2%.

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1984.tb01471.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

The gain in hearing as a result of ossicular prosthesis (TORP) placement on the stapes footplate was evaluated in 10 patients during actual middle ear reconstructive surgery. The patients with radical mastoidectomy cavities were operated on under local anaesthesia and intra‐operative hearing was tested with the TORP shaft in three positions with regard to the stapes footplate: anterior, central and posterior. The anterior position of the shaft provided greater hearing improvement than the posterior position, with the central position falling approximately midwa

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1984.tb01472.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

Facial deformity is commonly treated by Le Fort I osteotomy. In this case it is used to treat (successfully so far) an extensive tumour of the nasopharynx. The technique was used for its ease of procedure and good exposure of the nasopharynx.

ISSN:0307-7772    

DOI:10.1111/j.1365-2273.1984.tb01473.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY