{"title":"Surgical anatomy of structures adjacent to the thyroid apex and post-operative voice change (A review-including dissection)","authors":"K. L. Yerzingatsian","doi":"10.1017/s0022215100600324","DOIUrl":"https://doi.org/10.1017/s0022215100600324","url":null,"abstract":"Summary This paper considers the anatomy of structures contiguous to the upper pole of the thyroid gland. It also describes the findings of an anatomical dissection confined to the muscular andcarotid triangles of the neck with the nerves therein innervating the cricothyroid and infrahyoid muscles. The segmental nature of the latter is described. The variable course of the cricothyroid artery with regard to the sternothyroid muscle is noted. A superficially placed artery is accompanied by branches of the ansa cervicalis; a deeply placed one is related to the external laryngeal nerve. In addition to the external laryngeal nerve there are other nerves, including branches of the ansa cervicalis, which can be damaged during operations involving the thyroid apex or adjacent structures. A comment is made about the significance of these findings with particular reference to voice change.","PeriodicalId":22757,"journal":{"name":"The Journal of Laryngology & Otology","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138534594","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}
{"title":"Speech and language development in children with acquired subglottic stenosis","authors":"Debbie Sell, Frances MacCurtain","doi":"10.1017/s0022215100600464","DOIUrl":"https://doi.org/10.1017/s0022215100600464","url":null,"abstract":"Most children with acquired subglottic stenosis require a tracheostomy. This paper describes the communication skills of children with tracheostomies before and after decannulation. There are also a small number of children with acquired subglottic stenosis who do not require a tracheostomy. They are rarely referred for speech therapy. Quiney <jats:italic>et al.</jats:italic> (1986) in a retrospective review described this group as all having normal speech development. It should be noted, however, that the lack of comment of a speech delay in the medical notes is inconclusive. Unless there is an ongoing study with a speech therapist routinely assessing the speech and language development of this group, one cannot conclude categorically that this group is always free of problems in their speech development.","PeriodicalId":22757,"journal":{"name":"The Journal of Laryngology & Otology","volume":"102 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138534596","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}
{"title":"Surgical management of acquired subglottic stenosis","authors":"C. M. Bailey","doi":"10.1017/s002221510060049x","DOIUrl":"https://doi.org/10.1017/s002221510060049x","url":null,"abstract":"Surgical management includes the initial evaluation, tracheostomy and subsequent monitoring of the child requiring surgical reconstruction, although most of this presentation concerns reconstructive techniques and results. Previous presentations have dealt with the initial endoscopic and radiological evaluation of children who present with stridor due to acquired subglottic stenosis: this includes microlaryngoscopy and bronchoscopy in order to determine the anatomical and functional situation in the larynx and tracheobronchial tree. Mr. Bull has discussed the techniques involved and Dr. Facer the anaesthetic aspects.","PeriodicalId":22757,"journal":{"name":"The Journal of Laryngology & Otology","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138534606","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}
{"title":"The Acute Orbit: Preseptal (Periorbital) cellulitis, subperiosteal abscess and orbital cellulitis due to sinusitis","authors":"J. R. Moloney, N. J. Badham, A. McRae","doi":"10.1017/s0022215100600269","DOIUrl":"https://doi.org/10.1017/s0022215100600269","url":null,"abstract":"Preseptal (periorbital) cellulitis, subperiosteal abscess and orbital cellulitis are conditions which are still frequently seen in ENT, Ophthalmic and Paediatric practice. They are parts of the spectrum of the disease processes seen in the acutely inflamed orbit. The clinician should try and establish which of the three conditions the patient has, as both subperiosteal abscess and orbital cellulitis are more serious conditions than preseptal cellulitis. There is still much confusion in the literature over the terms ‘periorbital cellulitis’ and ‘orbital cellulitis', and the terms are often used interchangeably. This makes an analysis of the literature with regard to the features of the conditions difficult. The introduction of the term ‘the acute orbit’ might possibly lead to less confusion ifitisusedto cover all inflammatory processes in the orbit. Descriptions, definitions and classifications of orbital inflammations have been given by many authors in the literature. There are many causes of the acute orbit, but sinusitis remains the commonest cause.","PeriodicalId":22757,"journal":{"name":"The Journal of Laryngology & Otology","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138534582","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}
{"title":"The pathology of neonatal endotracheal intubation and its relationship to subglottic stenosis","authors":"S. J. Gould","doi":"10.1017/s0022215100600397","DOIUrl":"https://doi.org/10.1017/s0022215100600397","url":null,"abstract":"The most common serious long-term consequence of neonatal endotracheal intubation is acquired subglottic stenosis (SGS). The incidence in intubated infants is variously reported as between one and eleven per cent but this may be a relatively high range, reflecting the interest of the reporting centres and the various methods of diagnosis. (Fearon <jats:italic>et al</jats:italic>., 1966; Parkin <jats:italic>et al</jats:italic>., 1916; Strong and Passy, 1977; Papsidero and Pashley, 1980; Jones <jats:italic>et al</jats:italic>., 1981; Sherman <jats:italic>et al</jats:italic>., 1986). In one study conducted at University College Hospital London (UCH) we reported an incidence of 1.8 per cent of SGS in all intubated neonates in a three year period (1981-83); if only survivors were considered the incidence was 2.6 per cent (Quiney and Gould, 1985). The relatively high incidence during this particular time focussed our attention on SGS and the factors which might precipitate its occurrence.","PeriodicalId":22757,"journal":{"name":"The Journal of Laryngology & Otology","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138534583","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}
{"title":"Prevention of subglottic stenosis","authors":"I. A. Laing, D. L. Cowan, R. Hume","doi":"10.1017/s0022215100600415","DOIUrl":"https://doi.org/10.1017/s0022215100600415","url":null,"abstract":"Mechanical ventilation is now widely used in neonatal intensive care. Methods and materials for endotracheal intubation vary between intensive care units. Up to eight per cent of ventilated infants may have subglottic stenosis after discharge from hospital (Jones <jats:italic>et al.</jats:italic>, 1981).","PeriodicalId":22757,"journal":{"name":"The Journal of Laryngology & Otology","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138534585","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}
{"title":"A respiratory physician's view of acquired subglottic stenosis","authors":"Robert Dinwiddie","doi":"10.1017/s0022215100600452","DOIUrl":"https://doi.org/10.1017/s0022215100600452","url":null,"abstract":"Apart from the neonatal period acquired subglottic stenosis is most often seen in infancy and early childhood. It remains the commonest indication for tracheostomy in the paediatric age group, (Jennings, 1987). The aetiology is usually multiple and may include major contributory factors from the airway itself, the presence of an intercurrent illness and the complications of intubation (Table I). The airway may be intrinsically normal or abnormal at birth but may subsequently be stressed by various events such as infection either in the neonatal period or in the first few months of life. Extrinsic compressions of the airway, for example by a vascular ring (Westaby <jats:italic>et al.</jats:italic>, 1984) may produce tracheomalacia so increasing the risks of respiratory obstruction during intercurrent infection. Intubation is the preferred method of airway support for those with associated severe respiratory failure but brings with it a number of potential complications which may eventually lead to significant subglottic narrowing.","PeriodicalId":22757,"journal":{"name":"The Journal of Laryngology & Otology","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138534589","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}
A. B. Drake-Lee, J. M. Price, C. M. Milford, R. C. Bickerton
{"title":"Nasal mast cells: a preliminary report on their ultrastructure","authors":"A. B. Drake-Lee, J. M. Price, C. M. Milford, R. C. Bickerton","doi":"10.1017/s0022215100600294","DOIUrl":"https://doi.org/10.1017/s0022215100600294","url":null,"abstract":"The ultrastructure of mast cells found in normal inferior turbinate was compared with the features found in the inferior turbinate in two groups of patients, those with allergic rhinitis due to dust mite hypersensitivity and those with nasal polyps; the latter group also had their polyps studied. Adenoid tissue was examined in children with secretory otitis media to see if there was evidence of mast cell degranulation, which would support the hypothesis that either local allergic or other mast cell-mediated reactions caused the condition. The mast cells from five normal turbinates varied considerably in size, shape and distribution, but were found mainly in the submucosa. There was no difference in the morphology of cells of different sizes and they could not be sub-grouped into either connective tissue or mucosal mast cells. Most granules were electron dense and homogeneous, although scrolls and crystalline structures were seen occasionally. Some of the granules contained lighter material and others had become vacuoles. Mitochondria were present in all cells suggesting active metabolism. The three patients with allergic rhinitis showed extensive but variable degranulation of the mast cells in all depths of the mucosa. Nine of the 10 cases with nasal polyps had mast cells identified in both the polyp and the turbinate. They were only normal in one turbinate and in one patient it was impossible to identify mast cells. All the mast cells were degranulated extensively in all other specimens. The adenoids from seven children had identifiable mast cells, which were less frequently found than in the turbinates. There was some degranulation in four of the patients and in one it was fairly extensive.","PeriodicalId":22757,"journal":{"name":"The Journal of Laryngology & Otology","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138534607","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}