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[Personal experience with antibiotic prophylaxis in extensive otorhinolaryngologic procedures]. [在广泛耳鼻喉科手术中抗生素预防的个人经验]。
Ceskoslovenska otolaryngologie Pub Date : 1990-09-01
M Taudy, J Betka
{"title":"[Personal experience with antibiotic prophylaxis in extensive otorhinolaryngologic procedures].","authors":"M Taudy,&nbsp;J Betka","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors compare the effectiveness of three types of antibiotic prophylaxis (1. cephazoline, 2. combination ampicillin + oxacillin, 3. clindamycin) in a group of 32 patients with resection of oropharyngeal carcinomas and in a group of 47 laryngectomies with cervical block resection. The criterium is the incidence of postoperative infections, which called for a change of antibiotic treatment. The authors evaluates favourably prophylaxis with cephazoline and clindamycin; the incidence of complications is within the range of 17-30%. In ampicillin + oxacillin therapy unsatisfactory results with a 46% incidence of inflammatory complications were recorded. A gram-negative flora causes 45% infectious complications; the author also draws attention to the danger of anaerobic infections. In a primarily contaminated oropharyngeal area there is an incidence of postoperative infections by 30% higher in all types of evaluated prophylaxis, as compared with the laryngocervical area.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"39 5","pages":"249-53"},"PeriodicalIF":0.0,"publicationDate":"1990-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13376752","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
[The significance of the supratubal recess in the surgical treatment of chronic otitis]. [输卵管上隐窝在慢性中耳炎手术治疗中的意义]。
Ceskoslovenska otolaryngologie Pub Date : 1990-09-01
M Molcan, J Koval'
{"title":"[The significance of the supratubal recess in the surgical treatment of chronic otitis].","authors":"M Molcan,&nbsp;J Koval'","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The processus supratubalis is a complicated space from the topographical aspect. The author emphasizes the need of careful peroperative examination of the area which may be the site of a residual cholesteatoma. The pathological process at this site may, due to topographic relations with important structures, cause serious functional disorders.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"39 5","pages":"276-80"},"PeriodicalIF":0.0,"publicationDate":"1990-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13377353","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
[Saturation of middle ear reflexes in occupational hearing loss]. 职业性听力损失的中耳反射饱和。
Ceskoslovenska otolaryngologie Pub Date : 1990-09-01
R Janisch, M Kubát
{"title":"[Saturation of middle ear reflexes in occupational hearing loss].","authors":"R Janisch,&nbsp;M Kubát","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the ENT department of the Factory Institute of National Health of the uranium industry in Príbram a group of 196 men (392 ears) was examined who worked exposed to the risk of noise in different occupations, mostly as miners in the uranium mines. The noise exposure was 17.5 +/- 6.5 years, age 60.2 +/- 11.7 years, the total percentage hearing loss (calculated according to Fowler) 54.7 +/- 21.1%. The group was formed by 144 men who were examined during a preventive follow-up examination, 52 men where hypacusia was evaluated as an occupational disease. The examination of all patients was supplemented by a record of middle-ear reflexes induced by contralateral stimulation at frequencies of 0.5 kHz, 1 kHz, 2 kHz and 4 kHz and by white noise (WN). The regression equation y = 50.54-0.044X (y = percentage hearing loss per ear, x = noise exposure in years) was calculated from data of the group subjected to the preventive follow up examination and made it possible to divide the group into sub-groups, sensitive and resistant to noise. The group of occupational hypacusia comprised only sensitive subjects. The authors tested the frequency and thresholds of middle ear reflexes at different frequencies and WN, the frequency and thresholds of saturation of reflexes separately in groups sensitive and resistant to noise. It was not possible to draw conclusions from the results which would permit a forecast of the individual development of occupational hypacusia as regards early evaluation of sensitivity or resistance to noise.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"39 5","pages":"281-6"},"PeriodicalIF":0.0,"publicationDate":"1990-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13377354","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
[Surgical treatment of patients with carcinoma of the larynx at the Otorhinolaryngology Clinic in Martin]. [马丁市耳鼻咽喉科门诊喉癌患者的手术治疗]。
Ceskoslovenska otolaryngologie Pub Date : 1990-09-01
P Hajtman, R Neuschl, E Hajtmanová
{"title":"[Surgical treatment of patients with carcinoma of the larynx at the Otorhinolaryngology Clinic in Martin].","authors":"P Hajtman,&nbsp;R Neuschl,&nbsp;E Hajtmanová","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In 1973-1985 at the ENT Clinic of the Faculty Hospital with policlinic in Martin 559 patients with carcinoma of the larynx were treated: 23 women and 529 men. Thirteen women and 286 men were operated. Partial resection was performed in 137 patients. The best results were recorded after chordectomy, the poorest results after horizontal partial resection of the larynx. The author discusses the effectiveness of laryngectomy after previous partial surgical operation of the larynx, early diagnosis and corrected indication for surgical operation.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"39 5","pages":"258-62"},"PeriodicalIF":0.0,"publicationDate":"1990-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13377349","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
[Etiology of congenital hearing disorders in children]. [儿童先天性听力障碍病因学]。
Ceskoslovenska otolaryngologie Pub Date : 1990-09-01
M Brízová, L Bednaríková
{"title":"[Etiology of congenital hearing disorders in children].","authors":"M Brízová,&nbsp;L Bednaríková","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The author analyzes factors which may play a part in the aetiology of severe congenital bilateral perception deafness--practically complete deafness--in children. The group of patients comprises 177 deaf children, 135 siblings with normal hearing and 70 deaf parents and other relatives. Pathological factors during pregnancy were detected in 20, perinatal and neonatal pathology in 32 instances. If the anamnestically detected risk factors in the aetiology of the hearing deficit played a part, theoretically by their elimination a considerable proportion of the congenital hearing affections in children could be prevented. The author emphasizes the necessity of collaboration with a geneticist in the prevention of inborn hereditary deafness.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"39 5","pages":"287-90"},"PeriodicalIF":0.0,"publicationDate":"1990-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13377355","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
[Malignant neurofibroma of the cervical portion of the vagus nerve]. [迷走神经颈段的恶性神经纤维瘤]。
Ceskoslovenska otolaryngologie Pub Date : 1990-09-01
B Kuniak, J Strelka
{"title":"[Malignant neurofibroma of the cervical portion of the vagus nerve].","authors":"B Kuniak,&nbsp;J Strelka","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors give an account of a malignant neurofibroma of the cervical portion of the vagus in Recklinghausen's disease in a 29 year-old man. The tumour was removed with part of the nerve. Relatively shortly after operation a local relapse of the tumour developed, with propagation into the posterior cranial fossa, which proved fatal. The authors discuss diagnostic difficulties, possibilities of treatment and the prognosis of malignant neurogenic tumours.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"39 5","pages":"313-7"},"PeriodicalIF":0.0,"publicationDate":"1990-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13378639","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
[Importance of laryngomicroscopy and fibrolaryngostroboscopy in the early diagnosis and surgical treatment of laryngeal cancer]. [喉镜及纤维频闪镜在喉癌早期诊断及手术治疗中的重要性]。
Ceskoslovenska otolaryngologie Pub Date : 1990-09-01
T Barta, R Csabák
{"title":"[Importance of laryngomicroscopy and fibrolaryngostroboscopy in the early diagnosis and surgical treatment of laryngeal cancer].","authors":"T Barta,&nbsp;R Csabák","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"39 5","pages":"268-70"},"PeriodicalIF":0.0,"publicationDate":"1990-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13377351","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
[Iatrogenic injuries of the facial nerve in the mastoid region]. 乳突区面神经的医源性损伤。
Ceskoslovenska otolaryngologie Pub Date : 1990-09-01
J Príhodová, M Zelený, J Kozák
{"title":"[Iatrogenic injuries of the facial nerve in the mastoid region].","authors":"J Príhodová,&nbsp;M Zelený,&nbsp;J Kozák","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>During the past ten years nine patients were referred to our hospital with lesions of the VIIth nerve. These lesions were inflicted during operation on account of chronic otitis media. One patient recovered after conservative treatment. Based on the EMG examination and clinical picture, eight patients were operated. In one who had an extensive lesion it did not prove possible to find the proximal stump and the patient improved after Normann-Dott's operation. In the remaining seven subjects also severe damage was involved: five times complete severing of the nerve occurred, twice partial severing and contusion, always in the mastoid portion of the VIIth nerve. The authors achieved as a rule a 50-75% restoration of function of the VIIth nerve Ballance-Duel's operation, using a graft of the n. suralis with microsuture of the epineurium and gluing of the nerve by plasma. Evaluation of late functional results was made 1-8 years after Ballance-Duel's operation. The authors recommend to reduce the risk of iatrogenic lesions of the VIIth nerve in beginners by assistance of experienced surgeons at several operations.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"39 5","pages":"303-6"},"PeriodicalIF":0.0,"publicationDate":"1990-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13378637","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
[Rhinogenous phlegmons of the orbit]. [眼眶鼻源性痰]。
Ceskoslovenska otolaryngologie Pub Date : 1990-09-01
J Droppa, M Cechová, B Cech
{"title":"[Rhinogenous phlegmons of the orbit].","authors":"J Droppa,&nbsp;M Cechová,&nbsp;B Cech","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>During the past 15 years we treated at the ENT department and ophthalmological department of the hospital with policlinic type III in Nitra 10 patients with orbital phlegmons or an abscess of the eyelid after an eye injury treated and cured by antibiotic treatment and external drainage. Twelve patients had a rhinogenic phlegmon or abscess in the orbit (one patient had a dentogenic aetiology of the inflammation). This group of 12 patients were treated in addition to antibiotics in different combinations also surgically (in one case also by drainage of the abscess from a lateral quadrant of the orbit). In five instances the authors found in addition to the phlegmon of the periorbital tissue also an abscess in the depth of the orbit and six times an abscess of the eyelid. Despite the radical approach to the inflammation of the paranasal sinuses and inflammation of the orbit, two patients developed blindness of the damaged eye and one patient died from rhinogenic suppurative meningitis.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"39 5","pages":"271-5"},"PeriodicalIF":0.0,"publicationDate":"1990-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13377352","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
[Spatial positional orientation in deaf-mute individuals with bilateral vestibular areflexia]. [双侧前庭反射性聋哑个体的空间位置定向]。
Ceskoslovenska otolaryngologie Pub Date : 1990-09-01
E Cerný
{"title":"[Spatial positional orientation in deaf-mute individuals with bilateral vestibular areflexia].","authors":"E Cerný","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ten deaf-mute subjects with total vestibular areflexia were subjected to positional tests, i.e. assessment of the postural subjective vertical and horizontal plane by deviations in the frontal and sagittal plane. The tests were performed in the author's modification of a Grahe table. Comparison with the results of 10 healthy subjects revealed that extinction of vestibular activity increases the inaccuracy of assessment of the body position in space. The conclusion is: the vestibular (otolith) apparatus supplements and makes the activity of all other gravireceptors more accurate but not hold a dominant place among them.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"39 5","pages":"291-4"},"PeriodicalIF":0.0,"publicationDate":"1990-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13377356","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
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