{"title":"[Pre- and postoperative hearing thresholds and brain stem potential in acoustic neuroma. Is neuroma-induced hearing loss reversible?].","authors":"D Höhmann","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Following acoustic neuroma excision through the middle fossa route hearing was maintained in 30% (8.8% of all patients with acoustic neuroma) within 20 dB compared with preoperative thresholds. Acoustic evoked brain stem responses had the tendency to normalise within 2 to 6 months following surgery. In individual cases hearing function was improved.</p>","PeriodicalId":76098,"journal":{"name":"Laryngologie, Rhinologie, Otologie","volume":"67 12","pages":"629-33"},"PeriodicalIF":0.0,"publicationDate":"1988-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14340478","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":"[Pontine deafness--a new disease picture?].","authors":"C Morgenstern, R Kau","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The clinical features of pontine deafness are demonstrated in six patients with typical findings in pure-tone audiogram and speech audiometry, in stapedial reflex recordings, in brainstem-evoked potentials and cortical evoked potentials. The results of positron emission tomography (PET), magnetic response tomography (MRT), electrocochleography and the promontory test are presented. Results of cerebral spinal fluid and antibody titres in the serum are given. Pontine deafness is characterised by an interruption of the central auditory pathway cranial to the olive. This deafness should be differentiated from other forms of sensorineural hearing loss. The pathogenesis of pontine deafness is still unknown. However we should take it into consideration in the diagnosis of sudden unilateral deafness. No medical treatment method is known to date.</p>","PeriodicalId":76098,"journal":{"name":"Laryngologie, Rhinologie, Otologie","volume":"67 12","pages":"621-3"},"PeriodicalIF":0.0,"publicationDate":"1988-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14393720","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":"[Microsurgically collected living inner hair cells allow measurements of ion channels and cell potential].","authors":"A H Gitter, H P Zenner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Living inner hair cells of the mammalian inner ear were dissected microsurgically from guinea-pig cochleae in the absence of proteolytic enzymes. They were kept in short-time culture for 2 hours. Viability of the preparation was monitored by registration of the cell potential with impaled microelectrodes. The patch-clamp technique allowed the identification of 3 types of ionic channels in the basolateral cell membrane. Isolated living inner hair cells are a new model allowing to investigate the cellular basis of physiological function and pathophysiological disorders of sound perception.</p>","PeriodicalId":76098,"journal":{"name":"Laryngologie, Rhinologie, Otologie","volume":"67 12","pages":"611-5"},"PeriodicalIF":0.0,"publicationDate":"1988-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13610913","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":"[Mini-plate osteosynthesis in zygomatic fractures--restoration or alternative?].","authors":"C Desloovere, E Meyer-Breiting, H Häuser","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>At the University ENT Clinic Frankfurt 105 patients with zygomatic fractures were treated from 1980 until 1986: 45 were treated with a maxillary sinus stent, part of them in combination with wire osteosynthesis, miniplate osteosynthesis was performed in 30 patients, some fractures seemed stable after reposition without fixation. The zygomatic fractures are classified into 3 types requiring different surgical treatments. Comparing the long term results of these methods with the pre- and postoperative radiological and functional data, patients with type 2 and 3 fractures do better with miniplate osteosynthesis than with the other treatments. In combination with an orbital floor fracture, the degree of enophthalmus is more severe in those patients where fractures were only repositioned without fixation.</p>","PeriodicalId":76098,"journal":{"name":"Laryngologie, Rhinologie, Otologie","volume":"67 12","pages":"634-8"},"PeriodicalIF":0.0,"publicationDate":"1988-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14340479","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 variability of the surface morphology of olfactory sensory receptors].","authors":"U Heinzmann, G Grevers, J Plendl","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The olfactory epithelium of the adult hamster (mesocricetus auratus) was examined by light- and scanning electron microscopy. Tissues were perfusion-fixed in buffered glutaraldehyde solution. Of particular interest were the regionally varying, thickly structured olfactory boarder and the polymorphic olfactory receptors. The forms varied from simple, smooth olfactory vesicles to highly differentiated receptors with up to 20 cilia of varying length per vesicle. The cilia were tapered at such a rate that the distal segments had an average diameter 1/2 to 1/3 of the proximal segment. The distal segments were arranged in a parallel fashion occasionally over more than 100 microns in length between the surface of the epithelium and the loose meshlike plexus of the olfactory border. A second receptor type was also frequently observed in which the surface area was increased through microvilli. These variations in the structure of the receptors are discussed with regard to new immunohistochemical results. Further experiments should determine the relationship of local morphological differences.</p>","PeriodicalId":76098,"journal":{"name":"Laryngologie, Rhinologie, Otologie","volume":"67 12","pages":"645-50"},"PeriodicalIF":0.0,"publicationDate":"1988-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14340480","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":"[Meningioma of the sphenoid bone with involvement of the tympanic cavity].","authors":"W Gollmitzer, G Grevers, T Vogl","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Meningiomas are the most common benign neoplasms of the central nervous system, while meningiomas involving temporal bone are quite rare. If these tumours originate from the sphenoid they usually infiltrate the middle cranial fossa, the orbit, the cavernous sinus and the internal carotid artery. Only a small number of sphenoidal meningiomas infiltrating the middle ear have been reported so far. In these cases, differentiation from other middle ear diseases, particularly glomus tumour and chronical otitis media, is difficult. In this study the case of a sphenoidal meningioma involving the temporal bone and the middle ear is presented. The importance of computerized tomography and particularly MR tomography in evaluating intracranial and intratympanic meningiomas is discussed.</p>","PeriodicalId":76098,"journal":{"name":"Laryngologie, Rhinologie, Otologie","volume":"67 12","pages":"657-9"},"PeriodicalIF":0.0,"publicationDate":"1988-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14340481","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":"[Is measuring impedance following ear operations an aid in the analysis of postoperative sequelae?].","authors":"J Thoma, G Gerull, D Mrowinski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>While the diagnostic value of pre-operative tympanometry is undisputed, there are very few publications on its application in postoperative control of sound conduction development. We measured otoadmittance several times after middle ear surgery in 42 cases. A significant increase of maximal admittance is found over a period of up to 24 months in case of tympanoplasty type I (16 cases, Fig. 1), and after stapedectomy (8 cases, Fig. 3). After a tympanoplasty of type III (Wullsteins classification) many tympanograms were flat, even in the follow-up examination, but a tendency to improvement can also be observed (Fig. 2). In none of the groups was hearing loss correlated with otoadmittance. Thus, tympanometry is not suitable for postoperative evaluation of conductive hearing loss. Nevertheless, our results indicate that the healing process after tympanoplasty modifies middle ear sound transmission for quite a long time.</p>","PeriodicalId":76098,"journal":{"name":"Laryngologie, Rhinologie, Otologie","volume":"67 12","pages":"624-8"},"PeriodicalIF":0.0,"publicationDate":"1988-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14340477","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":"[Facial burns--treatment of sequelae].","authors":"B Mayer, L P Dombard, I Pitanguy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The treatment of the sequelae of facial burns is still a controversial subject. The authors present a retrospective study of 1516 cases between 1967 and 1987. They suggest a more conservative approach of the therapy in purely aesthetic lesions. Therefore, they wait for the \"softening\" of the scars and start an operative treatment after the maturation of the collagen connective tissue. Functional sequelae have to be treated earlier according to their dimension and according to the aesthetic units affected.</p>","PeriodicalId":76098,"journal":{"name":"Laryngologie, Rhinologie, Otologie","volume":"67 12","pages":"639-44"},"PeriodicalIF":0.0,"publicationDate":"1988-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14194565","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":"Prä- und postoperative Hörschwellen und Hirnstammpotential bei Akustikusneurinomen*","authors":"bei Akustikusneurinomen","doi":"10.1055/s-2007-998578","DOIUrl":"https://doi.org/10.1055/s-2007-998578","url":null,"abstract":"Von 1977 his 1986 wurden 136 Patienten mit Akustikusneurinomen operiert. In 95 Fallen wurde em translabyrintharer mid in 41 Fallen em transtemporaler Zugang gewahit. Alle Patienten zeigten eine Innenohrbeteiligung bis zur Ertaubung. Kriterien zur Wahi des operativen Zuganges waren die Tumorgrölle, das Hórvermogen, das Alter und der Gesundheitszustand des Patienten. Tumoren unter 2 cm Durchmesser bei schlechtem zustand des Patienten.","PeriodicalId":76098,"journal":{"name":"Laryngologie, Rhinologie, Otologie","volume":"67 1","pages":"629 - 633"},"PeriodicalIF":0.0,"publicationDate":"1988-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2007-998578","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58050220","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}