Clinical otolaryngology and allied sciences最新文献_第3页

Paroxysmal hemicrania and cluster headache: two discrete entities or is there an overlap? 阵发性偏头痛和丛集性头痛:两个独立的实体还是有重叠?

Clinical otolaryngology and allied sciences Pub Date : 2002-12-01 DOI: 10.1046/j.1365-2273.2002.00615.x

F Fuad, N S Jones

{"title":"Paroxysmal hemicrania and cluster headache: two discrete entities or is there an overlap?","authors":"F Fuad, N S Jones","doi":"10.1046/j.1365-2273.2002.00615.x","DOIUrl":"https://doi.org/10.1046/j.1365-2273.2002.00615.x","url":null,"abstract":"Paroxysmal hemicrania has been described as an excruciating unilateral pain, which is usually ocular and frontotemporal with short-lasting (2-45 min), frequent attacks (usually more than five per day); with marked autonomic features (rhinorrhoea, nasal congestion, conjunctival injection, lacrimation) and unilateral to the pain. A response to indomethacin is essential using the current criteria for the diagnosis. It is a rare condition but when it occurs it is misdiagnosed as being due to sinusitis. A retrospective analysis of 11 patients seen in the period 1995-2001 suggests that there is an overlap between paroxysmal hemicrania and cluster headache. Four patients had all the characteristics of paroxysmal hemicrania and responded to indomethacin. Four other patients fulfilled the criteria except for the frequency and length of the attacks. They only had one attack per day and these lasted more than 2 h. Another patient had all the symptoms of paroxysmal hemicrania and did not respond to indomethacin, but responded to triptans and pizotifen. Patients with cluster headache typically respond to these. Two patients were unable to continue taking indomethacin owing to severe gastrointestinal upset. In the same period, we also had 30 patients with cluster headaches. There is increasing evidence that paroxysmal hemicrania and cluster headache share a similar pathogenesis and that they may not always be so discrete in either their response to indomethacin or their periodicity.","PeriodicalId":10694,"journal":{"name":"Clinical otolaryngology and allied sciences","volume":"27 6","pages":"472-9"},"PeriodicalIF":0.0,"publicationDate":"2002-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1365-2273.2002.00615.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22145930","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: 17

Artefacts produced by suture traction during incisional biopsy of oral lesions. 口腔病变切口活检时缝线牵引产生的伪影。

Clinical otolaryngology and allied sciences Pub Date : 2002-12-01 DOI: 10.1046/j.1365-2273.2002.00619.x

J Seoane, P Varela-Centelles, J R Ramirez, M A Romero, A De La Cruz

引用次数: 37

Head and neck cancer: a screening strategy. 头颈癌:筛查策略。

Clinical otolaryngology and allied sciences Pub Date : 2002-06-01 DOI: 10.1046/J.1365-2273.2002.00547.X

J. O’Hara, P. Bradley

引用次数: 8

Facial pain following sinonasal surgery or facial trauma. 鼻窦手术或面部外伤后的面部疼痛。

Clinical otolaryngology and allied sciences Pub Date : 2002-06-01 DOI: 10.1046/J.1365-2273.2002.00557.X

O. A. Khan, S. Majumdar, N. Jones

引用次数: 15

Sound frequency analysis and the site of snoring in natural and induced sleep. 自然睡眠和诱发睡眠中打鼾部位的声频分析。

Clinical otolaryngology and allied sciences Pub Date : 2002-06-01 DOI: 10.1046/J.1365-2273.2002.00554.X

S. Agrawal, P. Stone, K. Mcguinness, J. Morris, A. Camilleri

{"title":"Sound frequency analysis and the site of snoring in natural and induced sleep.","authors":"S. Agrawal, P. Stone, K. Mcguinness, J. Morris, A. Camilleri","doi":"10.1046/J.1365-2273.2002.00554.X","DOIUrl":"https://doi.org/10.1046/J.1365-2273.2002.00554.X","url":null,"abstract":"The aim of this study was to compare the snoring sounds induced during sleep nasendoscopy, and to compare them with those of natural sleep using sound frequency spectra. The snoring of 16 subjects was digitally recorded during natural and induced sleep, noting the site of vibration during sleep nasendoscopy. Patients with palatal snoring during sleep nasendoscopy had a median peak frequency at 137 Hz (118 snore samples). The peak frequency of tongue-base snoring was 1243 Hz (10 snore samples), and simultaneous palate and tongue was 190 Hz (six snore samples). The median power ratios were 7, 0.2 and 5 respectively. The centre frequencies were 371, 1094 and 404 Hz respectively. Epiglottic snores had a peak frequency of 490 Hz (five snore samples). Comparison of the induced (n = 118) and natural (n = 300) snore samples of the 12 palatal snorers showed a significant difference in both the power ratio and centre frequencies (P = 0.031 and P = 0.049). The peak frequency position was similar (P = 0.34). Our results indicate that induced snores contain a higher frequency component of sound, not evident during natural snoring. This is consistent with an element of tongue-base snoring. Although there is good correlation generally, sleep nasendoscopy may not accurately reflect natural snoring.","PeriodicalId":10694,"journal":{"name":"Clinical otolaryngology and allied sciences","volume":"4 1","pages":"162-6"},"PeriodicalIF":0.0,"publicationDate":"2002-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89487444","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: 123

Nasal mucosal temperature during respiration. 呼吸时鼻黏膜温度。

Clinical otolaryngology and allied sciences Pub Date : 2002-06-01 DOI: 10.1046/J.1365-2273.2002.00544.X

J. Lindemann, R. Leiacker, G. Rettinger, T. Keck

{"title":"Nasal mucosal temperature during respiration.","authors":"J. Lindemann, R. Leiacker, G. Rettinger, T. Keck","doi":"10.1046/J.1365-2273.2002.00544.X","DOIUrl":"https://doi.org/10.1046/J.1365-2273.2002.00544.X","url":null,"abstract":"One of the most important functions of the nose is heating the inspiratory air. The aim of the present study was to measure nasal mucosal temperature at defined intranasal sites during respiration, without interruption of nasal breathing. A total of 15 healthy volunteers was included in the study. A miniaturized thermocouple was used for continuous detection of the septal mucosal temperature in the nasal vestibule, the nasal valve area, the anterior turbinate area and the nasopharynx during respiration. The highest temperature values were measured at the end of expiration, the lowest values at the end of inspiration with a statistically significant difference (P < 0.005). Mean mucosal temperature ranged from 30.2 +/- 1.7 degrees C to 34.4 +/- 1.1 degrees C. Statistically there were significant differences between the detection sites during inspiration and expiration (P < 0.05). In our study, the temperature values of the nasal mucosa depend on the intranasal detection site and the respiratory cycle. We therefore conclude that whenever data of nasal mucosal temperature are published, it is absolutely essential to describe the precise site of detection and to give information about the time of detection in the respiratory cycle.","PeriodicalId":10694,"journal":{"name":"Clinical otolaryngology and allied sciences","volume":"13 8 1","pages":"135-9"},"PeriodicalIF":0.0,"publicationDate":"2002-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76021475","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: 194

The effect of hyperbaric oxygen on nasal mucociliary transport. 高压氧对鼻黏膜纤毛运输的影响。

Clinical otolaryngology and allied sciences Pub Date : 2002-06-01 DOI: 10.1046/J.1365-2273.2002.00548.X

W. Narożny, Z. Sićko, C. Stankiewicz, T. Przewoźny, E. Pegiel-Sićko

{"title":"The effect of hyperbaric oxygen on nasal mucociliary transport.","authors":"W. Narożny, Z. Sićko, C. Stankiewicz, T. Przewoźny, E. Pegiel-Sićko","doi":"10.1046/J.1365-2273.2002.00548.X","DOIUrl":"https://doi.org/10.1046/J.1365-2273.2002.00548.X","url":null,"abstract":"Nasal mucociliary transport was measured in a group of 30 adult patients (eight women and 22 men; age range 21-78 years, mean 47.9 years) treated with hyperbaric oxygen (HBO) therapy and in a control group of 32 adult subjects (two women and 30 men; age range 20-50 years, mean 32.0 years) compressed in a hyperbaric chamber without oxygen therapy. The treated patients breathed 100% oxygen at 250 kPa pressure for 60 min. Subjects from the control group were compressed in the hyperbaric chamber at 250 kPa for 70 min. Nasal mucociliary transport was measured with the saccharin clearance test. After exposure to HBO, the nasal mucociliary transport time was significantly decreased by 26% (P < 0.01) and returned to the original value after 24 h (increased by 8.3%, P = 0.25). In the control group, compressed in air, there were no statistically significant changes. This study shows that simultaneous compression and pure oxygen cause an increase in nasal mucociliary transport. The mechanism of activation of mucociliary clearance is probably the increased oxygenation of blood plasma and enhancement of metabolism in ciliated epithelium.","PeriodicalId":10694,"journal":{"name":"Clinical otolaryngology and allied sciences","volume":"436 1","pages":"140-6"},"PeriodicalIF":0.0,"publicationDate":"2002-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84174664","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: 9

Early discharge following nasal pack removal: is it feasible? 鼻塞去除后早期出院:可行吗?

Clinical otolaryngology and allied sciences Pub Date : 2002-06-01 DOI: 10.1046/J.1365-2273.2002.00552.X

H. Mehanna, M. Abdelkader, L. Albahnasawy, A. Johnston

引用次数: 4

Increased post-tonsillectomy secondary haemorrhage with disposable instruments: an audit cycle. 使用一次性器械增加扁桃体切除术后继发性出血:审计周期。

Clinical otolaryngology and allied sciences Pub Date : 2002-06-01 DOI: 10.1046/J.1365-2273.2002.00558.X

S. Maini, E. Waine, K. Evans

{"title":"Increased post-tonsillectomy secondary haemorrhage with disposable instruments: an audit cycle.","authors":"S. Maini, E. Waine, K. Evans","doi":"10.1046/J.1365-2273.2002.00558.X","DOIUrl":"https://doi.org/10.1046/J.1365-2273.2002.00558.X","url":null,"abstract":"The objective of the audit was to examine the increased morbidity associated with elective tonsillectomy with single-use instruments in a district general hospital in England. Retrospective audit of consecutive case notes of 145 patients who underwent tonsillectomy in a 6-week period after the introduction of single-use instruments was carried out. The main outcome measure was incidence of secondary haemorrhage. In total, 9.5% of patients required re-admission indicated by secondary haemorrhage, 4% required emergency surgery and 43% of the total group had haemostasis achieved with ties. None of these was re-admitted. Out of the total group, 57% had haemostasis achieved with single-use bipolar forceps; 16.8% of these patients were re-admitted, with 7% of this group requiring emergency surgery to control the haemorrhage. Animal tissue experiments and design analysis of the single-use bipolar diathermy highlighted the deficiencies of the initial single-use bipolar diathermy. This was replaced by a new design of single-use diathermy forceps. A second audit was performed which revealed a significant reduction in postoperative morbidity. Complications associated with the introduction of new instruments can be identified by repeated audit cycles.","PeriodicalId":10694,"journal":{"name":"Clinical otolaryngology and allied sciences","volume":"38 1","pages":"175-8"},"PeriodicalIF":0.0,"publicationDate":"2002-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77969456","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: 15

Cochlear implantation in the obliterated cochlea. 耳蜗植入术。

Clinical otolaryngology and allied sciences Pub Date : 2002-06-01 DOI: 10.1046/J.1365-2273.2002.00549.X

V. Raut, J. Toner

引用次数: 15