Clinical otolaryngology and allied sciences最新文献_第10页

Investigations into the natural history of vestibular schwannomas. 前庭神经鞘瘤的自然史研究。

Clinical otolaryngology and allied sciences Pub Date : 1999-02-01 DOI: 10.1046/j.1365-2273.1999.00085.x

F Mirz, B Jørgensen, B Fiirgaard, E Lundorf, C B Pedersen

{"title":"Investigations into the natural history of vestibular schwannomas.","authors":"F Mirz, B Jørgensen, B Fiirgaard, E Lundorf, C B Pedersen","doi":"10.1046/j.1365-2273.1999.00085.x","DOIUrl":"https://doi.org/10.1046/j.1365-2273.1999.00085.x","url":null,"abstract":"In the period from 1977 to 1996 143 vestibular schwannomas were diagnosed in 138 patients in the County of Aarhus, Denmark. The natural history of vestibular schwannomas was observed in 50 patients with 52 tumours who did not undergo immediate surgical removal of their tumour due to small tumour size, advanced age, poor general health and the patients' refusal of surgery. The management included serial CT- or MR-imaging and complete otoneurological evaluation. The imaging interval was between 6 months and 2 years and depended on the recorded growth rate. Thirty-three (64%) of the tumours showed continuous growth with a mean growth rate of 1.6 mm/year. In 11 (21%) of the tumours the size was unchanged and eight (15%) remitted. The last group consisted mainly of the largest tumours. Among the tumours with positive growth, 15 (45%) had a growth rate of 1 mm/year or less. Generally, our findings showed that approximately two-thirds of all the tumours did not grow, were getting smaller or had a growth rate sufficiently small to be simply watched. Additionally, our results suggest that some symptomatic tumours will grow to a certain point whereupon stagnation or remission occurs.","PeriodicalId":10694,"journal":{"name":"Clinical otolaryngology and allied sciences","volume":"24 1","pages":"13-8"},"PeriodicalIF":0.0,"publicationDate":"1999-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1365-2273.1999.00085.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21067727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 44

The VoiceMaster voice prosthesis for the laryngectomized patient. 喉切除患者的VoiceMaster语音假体。

Clinical otolaryngology and allied sciences Pub Date : 1998-12-01 DOI: 10.1046/j.1365-2273.1998.2360555.x

P F Schouwenburg, S E Eerenstein, W Grolman

引用次数: 23

An endoscopic photographic comparison of nasal drug delivery by aqueous spray. 内窥镜下雾化给药的比较。

Clinical otolaryngology and allied sciences Pub Date : 1998-12-01 DOI: 10.1046/j.1365-2273.1998.2360560.x

J J Homer, C H Raine

引用次数: 33

Salvage surgery for recurrent nasopharyngeal cancer. 复发性鼻咽癌的抢救手术治疗。

Clinical otolaryngology and allied sciences Pub Date : 1998-10-01

R P Morton

引用次数: 0

Frey's syndrome and parotid surgery. 弗雷氏综合征和腮腺手术。

Clinical otolaryngology and allied sciences Pub Date : 1998-08-01 DOI: 10.1046/j.1365-2273.1998.00154.x

S Sood, M S Quraishi, P J Bradley

引用次数: 46

Ototoxicity and topical eardrops. 耳毒性和局部滴耳液。

Clinical otolaryngology and allied sciences Pub Date : 1998-08-01 DOI: 10.1046/j.1365-2273.1998.00161.x

J Marais, J A Rutka

引用次数: 62

The effectiveness of voice therapy for patients with non-organic dysphonia. 语音治疗对非器质性发声障碍患者的疗效。

Clinical otolaryngology and allied sciences Pub Date : 1998-08-01 DOI: 10.1046/j.1365-2273.1998.00147.x

P N Carding, I A Horsley, G J Docherty

{"title":"The effectiveness of voice therapy for patients with non-organic dysphonia.","authors":"P N Carding, I A Horsley, G J Docherty","doi":"10.1046/j.1365-2273.1998.00147.x","DOIUrl":"https://doi.org/10.1046/j.1365-2273.1998.00147.x","url":null,"abstract":"Forty-five patients diagnosed as having non-organic dysphonia were assigned in rotation to one of three groups. Patients in one group received no treatment and acted as a control group. Patients in the other two groups received a programme of either 'indirect' therapy or 'direct with indirect' therapy, respectively. A self-report questionnaire of vocal performance, observed ratings of voice quality, and computer-derived acoustic measurements (signal-to-noise ratio, pitch perturbation and amplitude perturbation) were carried out on all patients before and after treatment to evaluate the changes in voice quality over time. There was a significant difference between the three groups on the self-report questionnaire, voice quality ratings and pitch perturbation measurements (P = < 0.05). Thirteen out of 15 control patients showed no significant change on any of the measures. Seven patients who received indirect treatment showed significant improvement in voice quality following treatment. Fourteen out of 15 patients who received direct treatment showed significant improvement in voice quality.","PeriodicalId":10694,"journal":{"name":"Clinical otolaryngology and allied sciences","volume":"23 4","pages":"310-8"},"PeriodicalIF":0.0,"publicationDate":"1998-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1365-2273.1998.00147.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20675943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 45

The prevalence of exostoses in the external auditory meatus of surfers. 冲浪者外耳道外植骨的流行。

Clinical otolaryngology and allied sciences Pub Date : 1998-08-01 DOI: 10.1046/j.1365-2273.1998.00151.x

J M Chaplin, I A Stewart

{"title":"The prevalence of exostoses in the external auditory meatus of surfers.","authors":"J M Chaplin, I A Stewart","doi":"10.1046/j.1365-2273.1998.00151.x","DOIUrl":"https://doi.org/10.1046/j.1365-2273.1998.00151.x","url":null,"abstract":"Fifty-four surfers and 38 surf life savers were examined and questioned in order to determine the prevalence of exostoses. Seventy-three per cent had evidence of body exostoses in the external auditory meatus. Forty per cent had their ear canals narrowed by 50% or more. The relationship between the number of years spent surfing or life saving and the extent of canal stenosis was highly significant (P < 0.00001). Left and right ears were affected equally in this series and the obstruction appears to begin after approximately 7 years and is further aggravated by continued surfing. Over 90% of subjects who had participated for longer than 10 years had some evidence of exostoses. There was no significant association between the number of days per year or the number of hours per day spent surfing and the development of surfer's ear in this sample. Those who participated in their water sport over winter had significantly more exostoses than those who did not (P < 0.0001). Those who lived in the South Island (colder water) had more surfer's ear than those in the North Island (warmer water).","PeriodicalId":10694,"journal":{"name":"Clinical otolaryngology and allied sciences","volume":"23 4","pages":"326-30"},"PeriodicalIF":0.0,"publicationDate":"1998-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1365-2273.1998.00151.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20675945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 53

Structured assessment of the consequences of composite resection. 对复合切除术的后果进行结构化评估。

Clinical otolaryngology and allied sciences Pub Date : 1998-08-01 DOI: 10.1046/j.1365-2273.1998.00160.x

A H Ackerstaff, J A Lindeboom, A J Balm, F H Kroon, I B Tan, F J Hilgers

{"title":"Structured assessment of the consequences of composite resection.","authors":"A H Ackerstaff, J A Lindeboom, A J Balm, F H Kroon, I B Tan, F J Hilgers","doi":"10.1046/j.1365-2273.1998.00160.x","DOIUrl":"https://doi.org/10.1046/j.1365-2273.1998.00160.x","url":null,"abstract":"A structured quality of life questionnaire was developed as an instrument for the assessment of the functional, physical, psychosocial, and counselling problems in patients treated surgically for an oropharyngeal cancer. The questionnaire was tested in a pilot study in a relatively homogeneous group of 15 selected patients (all of whom had a comparable surgical defect, i.e. a composite resection of the oropharynx and neck, and had undergone an identical reconstruction method, i.e. a pedicled pectoralis major myocutaneous flap). All but two patients were irradiated as well. A high reliability (Crombach's alpha) was found in most of the applied subscales, indicating good internal consistency of the different questions. Significant correlations were found between several quality of life dimensions. The most frequently reported complaints concerned problems related to eating, speaking, and facial disfigurement. Problems with mastication, oral transport, and swallowing prohibited 11 patients returning to their normal diet. Regarding speech, 11 patients reported decreased intelligibility, in eight this was due to some degree of rhinolalia aperta. A significant association was found between moderate intelligibility and anxiety about speaking in public (P < 0.05). Eleven patients felt that the surgery had caused considerable facial disfigurement. For five of them this had a negative influence on their social interactions and activities outdoors. Thus, the consequences of the surgical treatment of oropharyngeal cancer can be assessed in a systematic and formal way with this specially designed structured questionnaire. Despite the small sample size, the selection of a homogeneous patient group appeared to give significant information, and to establish meaningful correlations.","PeriodicalId":10694,"journal":{"name":"Clinical otolaryngology and allied sciences","volume":"23 4","pages":"339-44"},"PeriodicalIF":0.0,"publicationDate":"1998-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1365-2273.1998.00160.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20676576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 35

The vestibulo-collic reflex. 前庭-碰撞反射。

Clinical otolaryngology and allied sciences Pub Date : 1998-08-01 DOI: 10.1046/J.1365-2273.1998.0156B.X

A. Bath, N. Harris, M. Yardley

引用次数: 19