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[Manifestations of epidermolysis bullosa in the deglutition tract]. 吞咽道大疱性表皮松解症的表现。
Ceskoslovenska otolaryngologie Pub Date : 1990-08-01
V Stĕdrý, O Síbl, M Hájek
{"title":"[Manifestations of epidermolysis bullosa in the deglutition tract].","authors":"V Stĕdrý,&nbsp;O Síbl,&nbsp;M Hájek","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An account of a rare mucosal form of epidermolysis bullosa dystrophica in a 26-year-old female patient. The mucosal manifestations involved severe stenosis of the oral portion of the oesophagus. After exhausting all conservative therapeutic procedures (corticoids, transfer factor, dilatation), the stenosis of the oesophagus was successfully operated by resection of the stenotic portion and a plastic operation.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"39 4","pages":"199-203"},"PeriodicalIF":0.0,"publicationDate":"1990-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13438831","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
[Bronchial reactivity in patients with nasal polyps]. 鼻息肉患者的支气管反应性。
Ceskoslovenska otolaryngologie Pub Date : 1990-08-01
J Cervenka
{"title":"[Bronchial reactivity in patients with nasal polyps].","authors":"J Cervenka","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nasal polyposis is in 25-70% complicated by the development of bronchial asthma, its attribute being bronchial hyperreactivity (BH). The authors examined 101 patients (23 with polyps and asthma, 53 with polyps and 35 controls) using the standard bronchoconstriction test as described by Cockroft and Vondra). By inhalation of increasing concentrations of histamine solutions the provoking concentration, PC20, was assessed. In the group with polyps and asthma 56% patients suffered from spontaneous bronchial obstruction and 44% from high and medium BH (PC20 less than 1.0 mg/ml). In patients with nasal polyposis alone in 21% spontaneous obstruction was found or a high BH, similarly as in the group suffering from asthma (PC20 less than 0.5 mg/ml). A medium BH was recorded in 23% and a mild BH in 26% (PC20 less than 1-2 mg/ml). 30% of patients with polyps are normoreactive (PC20 greater than 2 mg/ml). In the control group all patients were normoreactive. Patients with polyps and a high or medium BH are a risk group (44% of patients) threatened by the development of asthma. They call for longitudinal follow up of the BH and frequent check-up examinations by an ENT specialist and allergologist. Many years' verification of this hypothesis and evaluation of other risk factors is necessary for a more detailed analysis of the risk group of patients with polyps.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"39 4","pages":"215-20"},"PeriodicalIF":0.0,"publicationDate":"1990-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13438833","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
[Treatment of tinnitus by Neolidocatone administered by iontophoresis into the middle ear]. 中耳离子导入新奥利多酮治疗耳鸣。
Ceskoslovenska otolaryngologie Pub Date : 1990-08-01
I Sejna, E Marik
{"title":"[Treatment of tinnitus by Neolidocatone administered by iontophoresis into the middle ear].","authors":"I Sejna,&nbsp;E Marik","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors describe a possible therapeutic approach mitigating tinnitus. It is not causal treatment but only symptomatic and extends the group of methods which influence tinnitus. The authors describe their own experience with iontophoresis of the middle ear with Neolidocatone-a derivate of Lidocaine which was done with a SANOMATIC apparatus, using galvanic current 1.5 mA. In one third of the patients it proved possible to mitigate the tinnitus permanently, in the remaining patients it persisted in the original intensity. The group of patients was heterogeneous from idiopathic tinnitus without impaired hearing, patients with otosclerosis, cervicocranial syndrome to those with Ménière's disease. The cause of tinnitus did not influence the therapeutic results.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"39 4","pages":"221-4"},"PeriodicalIF":0.0,"publicationDate":"1990-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13438834","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
[Agreement between auditory threshold calculated from cortical evoked response audiometry and tone audiometry in occupational hearing loss]. [职业性听力损失患者皮层诱发反应听力学与音调听力学计算的听阈的一致性]。
Ceskoslovenska otolaryngologie Pub Date : 1990-08-01
R Janisch, J Jerábek
{"title":"[Agreement between auditory threshold calculated from cortical evoked response audiometry and tone audiometry in occupational hearing loss].","authors":"R Janisch,&nbsp;J Jerábek","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In a group of 126 men the authors evaluated the auditory threshold from cortical ERA findings and comparison with their threshold sound audiometry. The mean age of the patients means = 52.5 years (min. = 25 years, max. = 69 years, s = 8.95). Noise exposure means = 16.5 years (min. = 4 years, max. = 30 years, s = 4.5). In 79.3% the men worked as miners in uranium mines, other mining occupations were represented only by small numbers. The arithmetic mean of the total percentage hearing loss (calculated according to Fowler) means = 49.7% (min. = 17%, max. = 100%, s = 15). The cumulative frequency of differences between the auditory threshold of the sound audiogram and cortical ERA: (table; see text) The cumulative frequency of differences in the total percentage hearing loss between sound audiograms and cortical ERA: differences up to +/- 5% hearing loss were recorded in 24.3% of the group, differences up to +/- 10% in 43.9%, differences up to +/- 15% in 58.9%, differences up to +/- 20% in 70.1%. In the group of 126 examined subjects we detected 12 aggravating subjects (9.5%), their mean age being by 6.7 years lower than the mean of the whole group, the mean exposure to noise is by 3.2 years shorter. The differences between the auditory threshold reported by the aggravating men and the cortical ERA are highest in verbal frequencies, on average they are per fr of 2 kHz 27.3 dB, 1 kHz 24.3 dB, 0.5 kHz 20.1 dB, 4 kHz, 10.0 dB. The differences between the total percentage auditory loss calculated from sound audiograms and cortical ERA reaches on average 41.5%.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"39 4","pages":"234-41"},"PeriodicalIF":0.0,"publicationDate":"1990-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13438836","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
[Reconstructive procedures in war injuries of the larynx and trachea]. [战时喉部和气管损伤的重建手术]。
Ceskoslovenska otolaryngologie Pub Date : 1990-08-01
M Zelený, Z Voldrich, J Kozák, J Sobota
{"title":"[Reconstructive procedures in war injuries of the larynx and trachea].","authors":"M Zelený,&nbsp;Z Voldrich,&nbsp;J Kozák,&nbsp;J Sobota","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In recent years the authors operated three casualties from non-European battlefields with severe laryngotracheal stenoses due to war injuries. Median laryngotomy (thyrocricotracheotomy) made a revision and modification of the internal injury possible. An implanted tube from a vascular prosthesis, packed in Hydron kept the replaced cartilaginous cross bar and possibly mucous grafts from a gingivobuccal fold in the correct position. A cross bar made from a cartilaginous or bony portion of a rib also dilated the lumen. It was kept in position by the perichondrium of the cartilaginous cross bar sutured to the margin of the mucosal remnants. All three patients were decannulated.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"39 4","pages":"195-8"},"PeriodicalIF":0.0,"publicationDate":"1990-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13438830","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
[Correlation of speech audiometry with the Fowler and Sabin method of hearing loss evaluation]. [言语测听与Fowler和Sabin听力损失评估方法的相关性]。
Ceskoslovenska otolaryngologie Pub Date : 1990-06-01
Z Novotný, M Novák
{"title":"[Correlation of speech audiometry with the Fowler and Sabin method of hearing loss evaluation].","authors":"Z Novotný,&nbsp;M Novák","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Evaluation of hearing losses for the purpose of granting pensions, for forensic purposes or for claims of damages is very important and it should not be based on a single examination method i.e., sound audiometry, which does not evaluate the entire auditory analyzer and does not fully appreciate the social usability of hearing. Statistical analysis and mutual correlations between monosyllabic audiometry, mixed and 3-4 syllabic audiometry and sound audiometry revealed that evaluation of hearing losses according to Fowler and Sabine correlates least with mixed verbal audiometry, although mixed verbal set-ups are typical for the Czech language as regards the structure and frequency of words. The authors recommended therefore the use of mixed verbal audiometry for the percentage evaluation of hearing losses. The actual proposal with a table of calculated hearing losses will be in a subsequent communication.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"39 3","pages":"146-53"},"PeriodicalIF":0.0,"publicationDate":"1990-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13547428","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
[Supraglottic jet ventilation during direct laryngoscopy]. [直接喉镜下声门上喷射通气]。
Ceskoslovenska otolaryngologie Pub Date : 1990-06-01
J Betka, J Najbrt
{"title":"[Supraglottic jet ventilation during direct laryngoscopy].","authors":"J Betka,&nbsp;J Najbrt","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>During 1983-1987 at the ENT Clinic, Faculty of General Medicine, Charles University, Prague 779 direct laryngoscopic examinations made where the technique of supraglottic ventilation was used. The method was introduced for the sake of greater safety during laser surgery of the larynx in the first 57 patients analysis of the blood gases in capillary blood was performed and the results were satisfactory. The technique which is described in detail is considered equally reliable and safe as ventilation by classical intubation. It provides, however, a better overall orientation of the larynx, better use of the laser technique, it saves operation time and intubation material.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"39 3","pages":"154-8"},"PeriodicalIF":0.0,"publicationDate":"1990-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13547429","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
[Our surgical approach in the treatment of otosclerosis over the past 10 years]. [10年来我们治疗耳硬化的手术方法]。
Ceskoslovenska otolaryngologie Pub Date : 1990-06-01
M Zelený, A Navrátilová
{"title":"[Our surgical approach in the treatment of otosclerosis over the past 10 years].","authors":"M Zelený,&nbsp;A Navrátilová","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The most frequently used technique of surgery of otosclerosis used during the past ten years in the Central Military Hospital was Schuknecht's technique of wire and fat. 575 thus operated patients account for 89.4% of the total number of 643 operations. A compensation of the bone reserve to 0-10 dB was achieved in the late results of 56.3% of the operated patients, in another 30% there were auditory gains of speech frequencies, on average above 10 dB. Favourable late results were thus achieved in 86.3% of the operated patients, deterioration of hearing was recorded in 4.8% (13 operated patients). Pistons of Schuknecht's type were used in 23 patients with the obliterating form of otosclerosis. As to late results, in 21 of the evaluated patients compensation of the bone reserve to 0-10 dB was recorded in 28.6%. The mean auditory gains as regards speech frequencies higher than 10 dB were achieved in 47.6%. Favourable late results were thus recorded in 76.2% of operated patients with the obliterating form of otosclerosis. Deterioration of hearing occurred in this group in one operated patient (4.8%).</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"39 3","pages":"129-34"},"PeriodicalIF":0.0,"publicationDate":"1990-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13547425","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
[Aberrant thyroid gland at the base of the tongue in children]. [儿童舌底甲状腺异常]。
Ceskoslovenska otolaryngologie Pub Date : 1990-06-01
I Klacanský, J Jakubíková
{"title":"[Aberrant thyroid gland at the base of the tongue in children].","authors":"I Klacanský,&nbsp;J Jakubíková","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors emphasize that in case a tissue formation in detected on the root aberrant thyroid gland on the lingual root, without experiencing any marked subjective difficulties. In one of the girls it was the only thyroid tissue in the organism. The aberrant thyroid glands in both girls diminished markedly after endocrinological treatment with Thyreoidin. The authors emphasize that in case a tissue formation is detected on the root of the tongue, it is always essential to confirm or rule out an aberrant thyroid by endocrinological and gammagraphic examination. It would be a serious mistake to remove the formation without making these examinations, in particular if it were the only thyroid tissue in the organism as the child would develop hypothyroidism.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"39 3","pages":"170-4"},"PeriodicalIF":0.0,"publicationDate":"1990-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13547432","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
[Topographic relations in the combined approach tympanoplasty technic]. [联合入路鼓室成形术的地形关系]。
Ceskoslovenska otolaryngologie Pub Date : 1990-06-01
J Koval', M Molcan, M Pichanic
{"title":"[Topographic relations in the combined approach tympanoplasty technic].","authors":"J Koval',&nbsp;M Molcan,&nbsp;M Pichanic","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In a topographic investigation the authors assessed on 20 cadaverous temporal bones the relationship between the size of the enlarged recessus facialis and the dimensions of the mastoid process as well as topographic possibilities of a lower medial communication between the trepanation cavity and sinus tympani. Only in two instances the maximal and minimal dimensions of the recessus facialis corresponded to the maximal and minimal dimensions of the mastoid process resp. The possibility to establish a lower medial communication between the trepanation and tympanal cavity depended on the size of the tip of the mastoid process and on the position of the sigmoid sinus and bulbus jugularis resp. in relation to the facial nerve.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"39 3","pages":"135-40"},"PeriodicalIF":0.0,"publicationDate":"1990-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13547426","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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