Clinical otolaryngology and allied sciences最新文献

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Re: Bipolar scissor tonsillectomy. 双极剪刀扁桃体切除术。
S Sood, D R Strachan
{"title":"Re: Bipolar scissor tonsillectomy.","authors":"S Sood, D R Strachan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":10694,"journal":{"name":"Clinical otolaryngology and allied sciences","volume":"24 5","pages":"465"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21403485","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: 0
Sonotubometry findings in children at high risk from middle ear effusion. 中耳积液高危儿童的声纳检查结果。
Clinical otolaryngology and allied sciences Pub Date : 1999-06-01 DOI: 10.1046/j.1365-2273.1999.00251.x
K J Munro, C L Benton, R J Marchbanks
{"title":"Sonotubometry findings in children at high risk from middle ear effusion.","authors":"K J Munro,&nbsp;C L Benton,&nbsp;R J Marchbanks","doi":"10.1046/j.1365-2273.1999.00251.x","DOIUrl":"https://doi.org/10.1046/j.1365-2273.1999.00251.x","url":null,"abstract":"<p><p>The functioning of the eustachian tube has an important role to play in the development of middle ear disease. It would be useful if a clinical test could assist in the identification of eustachian tube dysfunction, particularly if this is shown to be an indicator of persistent middle ear effusion. The aim of this study was to compare the results of sonotubometry using the MMS-10 instrument in children at high risk from middle ear effusion with a group of normal subjects. Forty-one subjects (age range 5-6 years) were allocated to one of two groups (experimental group, 21 subjects; control group 20 subjects) based on a questionnaire designed to identify subjects at high risk from middle ear effusion. The test protocol allowed each subject to swallow three times for each of two pure-tones (7 and 8 kHz) delivered by the nasal probe. Sonotubometry indicated opening of the eustachian tube on swallowing in around 80% of subjects. The incidence of positive findings varied greatly amongst subjects across both groups. In the control group, the mean increase in sound pressure level on swallowing was 11.5 dB (+/- 4.3) and 9.8 dB (+/- 2.5) for 7 and 8 kHz, respectively. The corresponding means for duration were 118 ms (+/- 47.9) and 137 ms (+/- 61.8). Sonotubometry failed to demonstrate a difference between the two groups of subjects. Hence, the clinical application of sonotubometry to identify subjects at high risk from middle ear effusion is not supported.</p>","PeriodicalId":10694,"journal":{"name":"Clinical otolaryngology and allied sciences","volume":"24 3","pages":"223-7"},"PeriodicalIF":0.0,"publicationDate":"1999-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1365-2273.1999.00251.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21252038","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
Computed tomography evaluation of the inner ear as a diagnostic, counselling and management strategy in patients with congenital sensorineural hearing impairment. 内耳计算机断层扫描作为先天性感音神经性听力障碍患者的诊断、咨询和治疗策略的评估。
Clinical otolaryngology and allied sciences Pub Date : 1999-06-01 DOI: 10.1046/j.1365-2273.1999.00262.x
N C Cross, S D Stephens, M Francis, M D Hourihan, W Reardon
{"title":"Computed tomography evaluation of the inner ear as a diagnostic, counselling and management strategy in patients with congenital sensorineural hearing impairment.","authors":"N C Cross,&nbsp;S D Stephens,&nbsp;M Francis,&nbsp;M D Hourihan,&nbsp;W Reardon","doi":"10.1046/j.1365-2273.1999.00262.x","DOIUrl":"https://doi.org/10.1046/j.1365-2273.1999.00262.x","url":null,"abstract":"<p><p>The value of computed tomography (CT) of the petrous bone in the investigation of congenital sensorineural hearing impairment has been questioned. We have conducted a study to establish the usefulness of CT of the temporal bone in the evaluation and management of a consecutive series of unselected adolescent patients with congenital sensorineural hearing impairment of greater than 50 dB HL. Seventy-one patients (142 ears) were identified and images reviewed to establish the incidence of inner ear malformations. Fifteen ears were found to be abnormal in eight patients (seven bilateral and one unilateral abnormality). Three patients had Mondini abnormalities and one of these also had dilatation of the lateral semicircular canals. There were five patients with dilatation of the vestibular aqueduct. One patient had a unilateral dysplasia of the middle and external ear. A variety of incidental intracranial abnormalities were also discovered. We conclude that CT does have a valuable role in the management of SNHI.</p>","PeriodicalId":10694,"journal":{"name":"Clinical otolaryngology and allied sciences","volume":"24 3","pages":"235-8"},"PeriodicalIF":0.0,"publicationDate":"1999-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1365-2273.1999.00262.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21252041","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: 30
The smell map: is there a commonality of odour perception? 气味地图:气味感知是否有共性?
Clinical otolaryngology and allied sciences Pub Date : 1999-06-01 DOI: 10.1046/j.1365-2273.1999.00242.x
S Carrie, J W Scannell, P J Dawes
{"title":"The smell map: is there a commonality of odour perception?","authors":"S Carrie,&nbsp;J W Scannell,&nbsp;P J Dawes","doi":"10.1046/j.1365-2273.1999.00242.x","DOIUrl":"https://doi.org/10.1046/j.1365-2273.1999.00242.x","url":null,"abstract":"<p><p>The normal perception of odour quality is poorly understood, so formulating meaningful tests of olfaction is difficult. While tests of odour discrimination and odour detection threshold have helped quantify olfactory dysfunction, there are not yet predictive relationships between sensitivity to particular odours and particular forms of olfactory dysfunction. Using 11 commonly encountered odours, 20 normosmics performed similarity ratings of odour pairs. Multidimensional scaling, a standard behavioural sciences data analysis method, was used to explore the perceptual relationships between the odours based on their pair-wise similarity ratings. Smell maps were created for each individual as was a common or archetypal map which indicated a commonality in individuals' odour perception, far greater than chance alone (P < 10(-6)). A preliminary analysis of four hyposmics suggests that they do not conform to the normosmic archetype. Future studies assessing the relationship between odours in the archetype should improve the selection of odours to be included in tests of odour discrimination.</p>","PeriodicalId":10694,"journal":{"name":"Clinical otolaryngology and allied sciences","volume":"24 3","pages":"184-9"},"PeriodicalIF":0.0,"publicationDate":"1999-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1365-2273.1999.00242.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21252606","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: 12
Sensorineural hearing loss in chronic otitis media. 慢性中耳炎的感音神经性听力损失。
Clinical otolaryngology and allied sciences Pub Date : 1999-06-01 DOI: 10.1046/j.1365-2273.1999.00237.x
C MacAndie, B F O'Reilly
{"title":"Sensorineural hearing loss in chronic otitis media.","authors":"C MacAndie,&nbsp;B F O'Reilly","doi":"10.1046/j.1365-2273.1999.00237.x","DOIUrl":"https://doi.org/10.1046/j.1365-2273.1999.00237.x","url":null,"abstract":"<p><p>Although many studies have demonstrated an association between chronic otitis media (COM) and sensorineural hearing loss (SNHL), there still remains disagreement about the relationship. A retrospective study was conducted to examine the relationship between sensorineural hearing loss and chronic otitis media. Forty-one patients met the following criteria: unilateral COM and no history of head injury, meningitis or previous otological surgery. The differences in preoperative bone conduction threshold between diseased and control (contralateral normal) ear were statistically significant (P < 0.01) and varied from 5.24 to 9.02 dB across the frequency range. The effect of duration of disease on the degree of SNHL was also analysed but no correlation was found. The presence of cholesteatoma and/or ossicular erosion was not associated with a significantly increased risk of sensorineural hearing loss.</p>","PeriodicalId":10694,"journal":{"name":"Clinical otolaryngology and allied sciences","volume":"24 3","pages":"220-2"},"PeriodicalIF":0.0,"publicationDate":"1999-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1365-2273.1999.00237.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21252037","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: 148
Xenogeneic ossicular implants: an experimental study of heterotopic, demineralized, lyophilized, porcine implants in the guinea-pig. 异种听骨植入物:异位、脱矿、冻干猪移植豚鼠的实验研究。
Clinical otolaryngology and allied sciences Pub Date : 1999-06-01 DOI: 10.1046/j.1365-2273.1999.00248.x
V Darrouzet, D Fizet, C Deminiere, C Baquey, J M Aran, J P Bebear
{"title":"Xenogeneic ossicular implants: an experimental study of heterotopic, demineralized, lyophilized, porcine implants in the guinea-pig.","authors":"V Darrouzet,&nbsp;D Fizet,&nbsp;C Deminiere,&nbsp;C Baquey,&nbsp;J M Aran,&nbsp;J P Bebear","doi":"10.1046/j.1365-2273.1999.00248.x","DOIUrl":"https://doi.org/10.1046/j.1365-2273.1999.00248.x","url":null,"abstract":"<p><p>This study was done to compare the outcome of porcine ossicular implants in the middle ear and the subcutaneous dorsal region of the guinea-pig to those of allo-implants implanted in parallel in the dorsal region. The implants were heteropic, xenogeneic, demineralized (HCl), lyophilized and sterilized. The evaluation was histological (light microscopy and scanning electron microscopy) and immunological (immunofluorescence staining). Fifty-four guinea-pigs were implanted in the middle ear and 14 of them were also implanted subcutaneously in the dorsal region with xeno-implants and allo-implants. The middle ear implants were found to be constantly reossified and coated with normal mucosa with only a minimal immune reaction. In contrast, the dorsal xeno-implants were found to be the target of mononucleic infiltration, fibrous encapsulation and an influx of immunoglobulins resulting in segregation. The corresponding allo-implants were found to be partially reoccupied and reossified. These findings highlight the value of HCl demineralization in the induction of non-species-specific Bone Morphogenetic Protein and the failure of attempts at immuno-despecification. It appears that the fate of the implant depends less on its antigenic load than on the site of implantation. In this regard the middle ear is apparently very advantageous. The very good short-term tolerance and recovery observed in the middle ear xeno-implant suggest that these implants offer sufficiently good results to warrant clinical testing.</p>","PeriodicalId":10694,"journal":{"name":"Clinical otolaryngology and allied sciences","volume":"24 3","pages":"190-7"},"PeriodicalIF":0.0,"publicationDate":"1999-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1365-2273.1999.00248.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21252607","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: 0
A randomised clinical trial of antiseptic nasal carrier cream and silver nitrate cautery in the treatment of recurrent anterior epistaxis. 抗菌鼻载体乳膏和硝酸银烧灼治疗复发性前鼻出血的随机临床试验。
Clinical otolaryngology and allied sciences Pub Date : 1999-06-01 DOI: 10.1046/j.1365-2273.1999.00236.x
P Murthy, E L Nilssen, S Rao, L G McClymont
{"title":"A randomised clinical trial of antiseptic nasal carrier cream and silver nitrate cautery in the treatment of recurrent anterior epistaxis.","authors":"P Murthy,&nbsp;E L Nilssen,&nbsp;S Rao,&nbsp;L G McClymont","doi":"10.1046/j.1365-2273.1999.00236.x","DOIUrl":"https://doi.org/10.1046/j.1365-2273.1999.00236.x","url":null,"abstract":"<p><p>Sixty-four consecutive patients with a history of recurrent epistaxis were randomly assigned in the outpatient clinic to receive treatment with either Naseptin antiseptic nasal carrier cream alone (Group A) or a combination of Naseptin cream and silver nitrate cautery (Group B). Results were available on 50 patients, 22 in Group A and 28 in Group B. Twenty patients (91%) in Group A and 25 patients (89%) in Group B demonstrated improvement in their symptoms. There was no statistically significant difference in outcome between the two treatment arms (P = 0.7569). On comparing the different age groups (under and over 16 years) in the two treatment arms, once again there was no statistically significant difference in the treatment outcome (P = 1.000). In conclusion, silver nitrate cautery offers no added advantage to the management of simple epistaxis in both children and adults.</p>","PeriodicalId":10694,"journal":{"name":"Clinical otolaryngology and allied sciences","volume":"24 3","pages":"228-31"},"PeriodicalIF":0.0,"publicationDate":"1999-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1365-2273.1999.00236.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21252039","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: 50
The implant-site split-skin graft technique for the bone-anchored hearing aid. 骨锚定助听器植体部位皮裂移植技术。
Clinical otolaryngology and allied sciences Pub Date : 1999-06-01 DOI: 10.1046/j.1365-2273.1999.00231.x
T J Woolford, D P Morris, S R Saeed, M P Rothera
{"title":"The implant-site split-skin graft technique for the bone-anchored hearing aid.","authors":"T J Woolford,&nbsp;D P Morris,&nbsp;S R Saeed,&nbsp;M P Rothera","doi":"10.1046/j.1365-2273.1999.00231.x","DOIUrl":"https://doi.org/10.1046/j.1365-2273.1999.00231.x","url":null,"abstract":"<p><p>We describe the technique of implant-site split-skin grafting for the bone-anchored hearing aid (BAHA). Twenty-five patients have undergone this procedure (20 adults and five children) since 1993 with a minimum follow-up of 1 year. Fifteen adults were operated upon as single stage surgery, all other cases (including all children) were performed in two stages. In four patients (16%) significant early graft inflammation was encountered which settled with outpatient treatment. In one the abutment had to be temporarily removed to allow the graft to settle. All patients now have a stable graft site. This surgical technique is straightforward and a separate graft donor site is avoided. It would appear this technique results in a stable BAHA graft site with low associated morbidity.</p>","PeriodicalId":10694,"journal":{"name":"Clinical otolaryngology and allied sciences","volume":"24 3","pages":"177-80"},"PeriodicalIF":0.0,"publicationDate":"1999-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1365-2273.1999.00231.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21252604","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: 33
Admission rates, early readmission rates and patient acceptability of 142 cases of day case septoplasty. 142例中隔成形术的住院率、早期再入院率及患者接受程度。
Clinical otolaryngology and allied sciences Pub Date : 1999-06-01 DOI: 10.1046/j.1365-2273.1999.00247.x
R P Hogg, M J Prior, A P Johnson
{"title":"Admission rates, early readmission rates and patient acceptability of 142 cases of day case septoplasty.","authors":"R P Hogg,&nbsp;M J Prior,&nbsp;A P Johnson","doi":"10.1046/j.1365-2273.1999.00247.x","DOIUrl":"https://doi.org/10.1046/j.1365-2273.1999.00247.x","url":null,"abstract":"<p><p>Day case surgery should be confined to those procedures where less than 3% of patients require admission. The aim of this study was to establish the admission rates, early readmission rates and patient acceptability of 142 consecutive cases of day case septoplasty. Data acquisition was by retrospective postal questionnaire. One hundred and fifty-three patients were studied and data was acquired on 142. Ninety per cent (128/142) of patients had operations on afternoon lists. Admissions were 7/142 (5%), the early readmission rate (within 24 h) was 0% and 25/142 (17%) of patients felt they would rather have stayed in hospital for the first night after surgery. The conclusion of this work is that day case septoplasty is an acceptable practice in appropriately selected patients who are operated upon in the morning and when the technique described here is applied. An acceptably small proportion of planned day cases may require admission.</p>","PeriodicalId":10694,"journal":{"name":"Clinical otolaryngology and allied sciences","volume":"24 3","pages":"213-5"},"PeriodicalIF":0.0,"publicationDate":"1999-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1365-2273.1999.00247.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21252610","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: 37
Disintegration of porous polyethylene prostheses. 多孔聚乙烯假体的崩解。
Clinical otolaryngology and allied sciences Pub Date : 1999-06-01 DOI: 10.1046/j.1365-2273.1999.00233.x
A G Kerr, D N Riley
{"title":"Disintegration of porous polyethylene prostheses.","authors":"A G Kerr,&nbsp;D N Riley","doi":"10.1046/j.1365-2273.1999.00233.x","DOIUrl":"https://doi.org/10.1046/j.1365-2273.1999.00233.x","url":null,"abstract":"<p><p>A Plastipore (porous polyethylene) Total Ossicular Replacement Prosthesis gave an excellent initial hearing result which was maintained for 14 years. Hearing then began to deteriorate and revision surgery showed disintegration of the prosthesis and a defect in the stapes footplate. Histological examination confirmed previous findings in porous polyethylene with multinucleated foreign body giant cells and breakdown of the material.</p>","PeriodicalId":10694,"journal":{"name":"Clinical otolaryngology and allied sciences","volume":"24 3","pages":"168-70"},"PeriodicalIF":0.0,"publicationDate":"1999-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1365-2273.1999.00233.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21252035","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: 1
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