{"title":"[The effect of nystagmus of labyrinth origin on the eye movement curve and optokinetic nystagmus].","authors":"M Molcan, P Gál, J Koval'","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors evaluated the interaction of follow-up eye movements, of the optokinetic nystagmus with the nystagmus of labyrinthine origin. In 15 subjects without data on an impaired vestibular system they observed during a calorically induced nystagmus follow-up eye movements and the optokinetic nystagmus. They confirmed changes of these curves which were closely associated with the direction of the nystagmus. The above changes can be used as one of the criteria for the differentiation of a spontaneous nystagmus of peripheral origin from central nystagmus.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"38 6","pages":"351-5"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13775792","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":"[Complications of CO2 laser surgery in the head and neck].","authors":"J Betka, J Klozar, M Taudy, P Kasík, J Najbrt","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors analyzed data in the literature on complications of laser surgery in otolaryngology. Subsequently they analyse and describe in detail the complications they observed and which they encountered after 611 laser operations. None of the described complications caused permanent damage of the patient or the attending staff. When the recommended safety provisions are respected, the authors consider laser surgery a safe surgical method.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"38 6","pages":"321-7"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13775855","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":"[Audiometry findings, speech, impedance audiometry and BERA in acoustic neurinoma].","authors":"J Mrázek","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Audiometric examinations are essential in the diagnosis of acoustic neuroma. Experience with the diagnosis of 41 neurinomas of the acoustic nerve show, however, that the tactics of audiometric examinations vary from one case to the other. The basic examination is in all instances an accurate examination of the threshold of hearing. When the threshold is normal or there are slight or medium severe losses on the side of the lesion, the tympanogram, impedance and speech audiometry and BERA are supreme examinations and all other audiometric examinations are redundant. For BERA alone limiting losses are above 3000 to 4000 Hz. As soon as they pass at the above frequencies the borderline of 60 dB HL in proportion to the magnitude of these losses the amount of falsely positive findings increases rapidly and the importance of BERA in the diagnosis declines. The same applies to impedance audiometry if major losses interfere with medium and lower frequencies. In all these instances the importance of speech audiometry as well as of STAT (Supra Threshold Adaptation Test) increases, i.e. of traditional audiometric examinations, the latter of which can be used successfully also in very high losses round 80-90 dB HL.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"38 6","pages":"340-50"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13775791","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":"[Congenital duplication of the external auditory canal].","authors":"J Vokurka","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An anomaly of the external auditory meatus in a two-year-old child manifested by a fistula in the area of the right parotid gland. From the histological aspect a non-epithelized fistula was involved through which cerumen and epithelia accumulating in the closed part of the duplicated external auditory meatus were drained, the latter being discovered only on reoperation of an originally assumed cervicoaural fistula.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"38 5","pages":"314-7"},"PeriodicalIF":0.0,"publicationDate":"1989-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13726132","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":"[Dusodril in the ambulatory care of inner ear disorders].","authors":"A Hahn","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The author discusses causes of disorders of the internal ear. He describes the tactics of treatment used in his department and gives an account of the therapeutic effect of the drug. In the subsequent parts of the paper results are quoted which were achieved during treatment of a total of 82 ambulatory patients. Dusodril is comparable with other preparations used in disorders of the internal ear. According to the author's observation it influences the symptomatology of the internal ear in the following order: dizziness hypacusia, tinnitus.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"38 5","pages":"310-3"},"PeriodicalIF":0.0,"publicationDate":"1989-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13726131","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":"[ENG findings in 47 acoustic neurinomas].","authors":"J Mrázek","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>ENG examinations still belong to the basic examinations in the diagnosis of acoustic neurinomas. The decisive finding in small and medium-sized tumours is a peripheral involutional vestibular symptomatology on the side of the lesion: vestibular caloric hyporeflexia to areflexia, possibly associated with spontaneous nystagmus towards the sound side. In large or giant tumours on the ENG tracing other symptoms caused by compression and pressure on the brain stem and flocculonodular part of the cerebellum are found: visual paretic nystagmus (its variant is Bruns-Stewart's nystagmus), rebound nystagmus, high fixation suppression index, ocular dysmetria (over- or undershoot) and delaging of the eyes during fixation of a moving target, compensated by corrective saccades in tests of continuous tracing of ocular movements, which all provide unequivocal evidence of the size of the tumour. In this way 13 small and medium sized tumours were diagnosed, as well as large tumours (above 2 cm in diameter) and giant tumours (above 4 cm in diameter) a total of 34. In this respect ENG findings were consistent with surgical ones and CT and if any CT cisternographic findings with contrasting air filling.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"38 5","pages":"297-301"},"PeriodicalIF":0.0,"publicationDate":"1989-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13724816","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":"[Multiple tumors in patients with laryngeal cancer].","authors":"I Hybásek","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The author evaluated a group of patients treated on account of carcinoma of the larynx in 1958-1977 and followed up till 1988. A second primary tumour except to that of the larynx and skin was detected in 1978 in 5.5% of the patients, in 1983 in 10.0%, and in 1988 in 12.6%. Before the complete extinction of the group due to deaths of its members it may be assumed that multiple tumours will reach 17%. 44% of the multiple tumours were carcinomas of the lungs and 43% carcinomas of the digestive tract. Follow-up of patients after treatment of carcinoma of the larynx must concentrate attention among others also on organs with a high probability of tumour multiplicity.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"38 5","pages":"273-8"},"PeriodicalIF":0.0,"publicationDate":"1989-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13724282","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":"[Verrucous carcinoma of the larynx].","authors":"J Veselý, O Síbl, J Kudrmann, M Krcmár","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors give an account on the treatment and their own observations of the biological behaviour of verrucous carcinoma in five patients treated in the Radiotherapeutic Institute of the Municipal Institute of National Health and ENT Clinic of the Institute for Postgraduate Medical Training. They recommend in verrucous formations of the larynx bioptic examination and investigation of the presence of koilocytes. Koilocytes are generally considered a biological correlate of the presence of the HPV virus. At present the HUV virus, types 16, 18 and 30, are considered the possible aetiological agent of verrucous carcinoma. The method of choice in the treatment of verrucous carcinoma is surgery.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"38 5","pages":"284-8"},"PeriodicalIF":0.0,"publicationDate":"1989-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13698281","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":"[Hearing in patients with chronic otitis media and cholesteatoma].","authors":"I Průcha, K Podhola","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors submit their experience with the treatment of chronic otitis media with cholesteatoma and inform on therapeutic results recorded in 1979-1986. Chronic otitis media with cholesteatoma are encountered still relatively frequently. The authors detected it in adults in 40%. In children and adolescents under 20 years the percentage incidence is even higher, 53%. In a group of 38 operated patients the authors investigated the preoperative findings, the type of auditory disorder and its extent. They investigated also the selection of operations and reconstruction operations. The auditory gains were correlated with the percentage occlusion of the cochlear reserve, subjective data on altered hearing, disappearance of tinnitus and discharge from the ear. In children and adolescents a 22% auditory gain was recorded, in the age group of 21-40 years an auditory gain of 19.20%. In more advanced age groups a loss of 16.4%. Subjective improvement of hearing was reported by 41%, no change by 32%, deterioration by 27% of the patients. Constant tinnitus persisted after operation in 7.9% and a constant discharge in 4.5% of the operated patients. In one instance the authors observed a relapse of cholesteatoma in a patient operated by the so-called \"closed method\".</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"38 5","pages":"289-96"},"PeriodicalIF":0.0,"publicationDate":"1989-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13724283","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":"[Tumors caused by HP viruses in children in various locations, multiplicity of the tumors and possibilities of modern therapy].","authors":"J Jakubíková","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The author gives an account of tumours caused by HP virus, its different antigenic types, the possibility of the incidence of different types of tumours at different sites in the same patient and the possibility of their transfer. The author gives also an account of hitherto used treatment of papillomatosis of the larynx in children and justification of immunocorrective treatment.</p>","PeriodicalId":75692,"journal":{"name":"Ceskoslovenska otolaryngologie","volume":"38 5","pages":"279-83"},"PeriodicalIF":0.0,"publicationDate":"1989-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13698280","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}