B-Ent最新文献_第5页

IF 0.2 4区医学

B-Ent Pub Date : 2004-01-01

Chr Martin, A P Timoshenko, C Martin, P Bertholon, J M Prades

{"title":"Cartilage and tympanoplasty.","authors":"Chr Martin, A P Timoshenko, C Martin, P Bertholon, J M Prades","doi":"","DOIUrl":"","url":null,"abstract":"This study analyzes the morphological and hearing results obtained with cartilage tympanoplasty in retraction pocket, blunting and tympanic membrane lateralization, and cholesteatoma surgeries. Results obtained 3 years postoperatively in 80 patients operated on with cartilage reinforcement of the tympanic membrane (TM) were compared with those obtained 3 years postoperatively in 100 patients operated on with fascia or perichondrium TM reinforcement. Retraction pocket recurrence was found in the patients operated on with fascia or perichondrium in 24% of cases and only in 8% of cases in patients operated on with partial tympanic membrane cartilage reinforcement. No recurrence was found in patients operated on with a total reinforcement of the TM. Cartilage tympanoplasty with skin graft covering the bony external auditory canal (EAC) was performed in 6 cases of severe blunting and/or tympanic membrane lateralization. 3 years post-operatively, good morphological and functional results were obtained in 3 cases. One or two staged ICW procedures were performed in 390 adult patients (416 ears) suffering from a non operated middle ear cholesteatoma. Recurrent and residual cholesteatoma rates were evaluated. Cholesteatomas were operated on with removing the malleus, reinforcing all the tympanic membrane with cartilage and performing an ossiculoplasty with hydroxylapatite prosthesis. The results were compared to those obtained in ICW cholesteatoma surgery with preserving the malleus manubrium, partially reinforcing the eardrum with cartilage and predominantly using an ossicle to perform the ossiculoplasty. Removing the malleus and reinforcing the whole tympanic membrane with cartilage statistically reduced the cholesteatoma recurrence rate for the ICW procedure. This technique, using hydroxylapatite prosthesis for ossiculoplasty gives good hearing results.","PeriodicalId":55407,"journal":{"name":"B-Ent","volume":"58 4","pages":"143-9"},"PeriodicalIF":0.2,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24930484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Facial pain from visceral origin. 面部发自内脏的疼痛。

IF 0.2 4区医学

B-Ent Pub Date : 2004-01-01

P Demez, Y Goffart, J Daele

引用次数: 0

Open cavities in cholesteatoma surgery: checklist for proper surgery and perioperative care. 胆脂瘤手术中开放腔:正确手术及围手术期护理清单。

IF 0.2 4区医学

B-Ent Pub Date : 2004-01-01

T E Linder

引用次数: 0

Intraoperative measurement of parathyroid hormone in minimally invasive surgery for parathyroid adenoma. 甲状旁腺瘤微创手术术中甲状旁腺激素的测定。

IF 0.2 4区医学

B-Ent Pub Date : 2004-01-01

A M Jortay, G Verougstraete, E Wittersheim, L Hooghe, P Bisschop, P Bergmann

{"title":"Intraoperative measurement of parathyroid hormone in minimally invasive surgery for parathyroid adenoma.","authors":"A M Jortay, G Verougstraete, E Wittersheim, L Hooghe, P Bisschop, P Bergmann","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: In the past bilateral neck exploration was the gold standard for successful surgical management of primary hyperparathyroidism. More restricted procedures have been introduced recently thanks to imaging techniques and intraoperative parathyroid hormone assay confirming eradication of hyperfunctioning tissue.Methods: Thirty patients operated for parathyroid adenoma were submitted to intraoperative PTH determination with Quick Pack immunochemiluminescent assay (Nichols lab.) prior to excision and 5, 10 and 20 minutes after removal of the presumed hyperactive gland. Eleven patients were operated on by a minimally invasive procedure with videoassistance.Results: Response to excision of the hyperfunctioning gland was evidenced by a significant decrease of PTH levels (50% of initial value) in 26 patients. Plasma PTH levels decreased by at least 80% of pre-excisional value after 20 minutes, 70% after 10 minutes and by 50% after 5 minutes. In 2 cases, significant decrease of PTH was obtained after 45 and 60 minutes respectively. In 2 other cases, the adenoma could not be found and there was no decrease of PTH even after extensive exploration of the neck. In the 11 patients who underwent minimal invasive surgery, 2 were converted to open neck surgery: in one case the adenoma was not accessible in the upper part of the neck, in the other case the hyperfunctioning gland remained undiscovered.Conclusion: intraoperative measurement of PTH should be considered a reliable and reproducible method for evaluation of the secreting activity of a parathyroid gland. The Quick Pack method has the advantage of confirming that the hyperactive gland has really been eradicated and consequently of considerably reducing operating time and avoiding extensive exploration of the neck.","PeriodicalId":55407,"journal":{"name":"B-Ent","volume":"58 2","pages":"125-8"},"PeriodicalIF":0.2,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24789442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Varicella zoster virus: beyond facial paralysis. 水痘带状疱疹病毒:超越面瘫。

IF 0.2 4区医学

B-Ent Pub Date : 2004-01-01

V Van de Steene, R Kuhweide, S Vlaminck, J Casselman

{"title":"Varicella zoster virus: beyond facial paralysis.","authors":"V Van de Steene, R Kuhweide, S Vlaminck, J Casselman","doi":"","DOIUrl":"","url":null,"abstract":"J. Ramsay Hunt's hypothesis that herpes zoster oticus results from a reactivation of the herpes zoster virus in the geniculate ganglion, has been supported by the demonstration of varicella zoster viral DNA in the geniculate ganglion of the side with facial paralysis in patients with Ramsay Hunt syndrome, with the use of the polymerase chain reaction. Similarly, DNA of the varicella zoster virus has been identified in the spiral and vestibular ganglion as well. We report on three patients with cochleovestibular symptoms as the first manifestations of Ramsay Hunt syndrome. A 64-year old woman and a 72-year old man presented with vertigo and an auricular herpetiform eruption. Only the woman developed later on a mild facial paralysis. A 58-year old man presented with an acute cochleovestibular syndrome, serologically proven to be a varicella zoster viral reactivation, which was followed three weeks later by the typical cutaneous recrudescence. We believe that these cases result from reactivation of latent varicella zoster virus in the spiral and/or vestibular ganglion. As the varicella zoster virus is dormant in the non-neuronal satellite cells, the facial symptoms in our patients as well as the high incidence of cochleovestibular symptoms in classical Ramsay Hunt syndrome can be explained by viral transmission across the nerves inside the internal auditory canal. Therefore, we think there are grounds to recommend a prompt treatment with an antiviral and a corticosteroid agent, not only in case of an acute facial paralysis but also when confronted with an acute cochleovestibular syndrome.","PeriodicalId":55407,"journal":{"name":"B-Ent","volume":"58 1","pages":"61-6"},"PeriodicalIF":0.2,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24789895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A museum of words: History of the anatomical language of ENT and head and neck. 文字博物馆:耳鼻喉科和头颈部解剖语言的历史。

IF 0.2 4区医学

B-Ent Pub Date : 2004-01-01

Jacques Tainmont

引用次数: 0

Extracranial sinonasal tract meningioma: a case report. 颅外鼻窦道脑膜瘤1例。

IF 0.2 4区医学

B-Ent Pub Date : 2004-01-01

P Serry, Ph Rombaux, S Ledeghen, S Collet, Ph Eloy, M Hamoir, B Bertrand

引用次数: 0

Recurrence rates in endonasal surgery for polyposis. 鼻内息肉病手术的复发率。

IF 0.2 4区医学

B-Ent Pub Date : 2004-01-01

S Albu, E Tomescu, Z Mexca, S Nistor, S Necula, A Cozlean

{"title":"Recurrence rates in endonasal surgery for polyposis.","authors":"S Albu, E Tomescu, Z Mexca, S Nistor, S Necula, A Cozlean","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To assess the prognostic factors of recurrence in a cohort of patients operated on for polyposis by means of endonasal endoscopic surgery.Methods: Prospective study of 227 patients operated on for polyposis in a single institution between 1993 and 2001. The mean follow-up period was 24 months (range 12 months to 60 months). Nine parameters were analysed to study their association with polyp recurrence: age, gender, smoking history, presence of asthma, allergy, non-steroidal anti-inflammatory drugs (NSAID) intolerance, recurrent sinusitis, previous nasal surgery, and polyp extension. Analysis of recurrences was accomplished using the Kaplan-Meier survival curves and differences were analysed using the log-rank test. The Cox proportional hazards model was used to estimate the effect of individual risk factors on polyp recurrence. A probability value of p < 0.05 was the level of significance selected.Results: During the study period, recurrences developed in 55 patients, giving a rate of 24%. In the univariate analysis, NSAID intolerance, asthma, revision surgery and polyp extension were associated with recidivism. The other mentioned factors did not attain statistical significance. However, the multivariate analysis demonstrated that only NSAID intolerance and asthma are independent predictive factors for recurrence.Conclusions: Patients presenting NSAID intolerance or asthma are at risk for the development of recurrences after endonasal surgery for nasal polyposis.","PeriodicalId":55407,"journal":{"name":"B-Ent","volume":"58 1","pages":"79-86"},"PeriodicalIF":0.2,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24789898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Functional neuroimaging of auditory processing. 听觉处理的功能性神经成像。

IF 0.2 4区医学

B-Ent Pub Date : 2003-01-01

S Laureys, E Salmon, S Goldman, S Majerus

引用次数: 0

World Voice Day, April 16. 4月16日，世界之声日。

IF 0.2 4区医学

B-Ent Pub Date : 2003-01-01

引用次数: 0