{"title":"[Vestibular apparatus and hereditary hearing impairment].","authors":"A Lamprecht, M Keulen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Vestibular function tests in 33 cases of hereditary monosymptomatic symmetric sensorineural hearing loss do not show any significantly reduced excitability, but a mild difference between the groups with and without progression. A positive correlation is seen with the age of the children.</p>","PeriodicalId":76098,"journal":{"name":"Laryngologie, Rhinologie, Otologie","volume":"67 6","pages":"286-8"},"PeriodicalIF":0.0,"publicationDate":"1988-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14531181","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":"[Development of hearing following damage from acoustic trauma with reference to a subsequent workplace].","authors":"M Pilgramm, T Kunick, K Schumann","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>60 patients were subjected to follow-up examination approximately one year after they had suffered initial damage due to acute acoustic trauma and received immediate in-patient therapy, in order to determine loss of hearing and development of tinnitus. The result of the study shows that both improvements in hearing and a disappearance of the tinnitus noise can be observed over the year, this being often closely associated with the noise level in the occupation pursued after in-patient treatment. At the same time, instances of progressive deterioration in hearing were also measured, which were virtually independent of the noise level. It is not possible to predict the development of hearing and tinnitus on the basis of the initial damage due to acoustic trauma.</p>","PeriodicalId":76098,"journal":{"name":"Laryngologie, Rhinologie, Otologie","volume":"67 6","pages":"294-6"},"PeriodicalIF":0.0,"publicationDate":"1988-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14531183","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":"[Laser surgery in ENT surgery].","authors":"H Rudert","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>From a number of medically useful lasers, mainly the neodymium YAG and the carbon dioxide laser are employed in otorhinolaryngology. Until now, the neodymium YAG laser has been used only for coagulation of vessels in Osler's disease and for palliative treatment of malignant tracheo-oesophageal disease. However, the deep coagulation necrosis of the adjacent tissues severely restricts its use. The most widely utilised laser in ENT surgery is the carbon dioxide laser. Its main effect of precise cutting with an extremely fine zone of coagulation reduces bleeding after incision considerably. Secondary tissue reactions, delayed healing, decreased fibroblast activity and maybe more prominent subepithelial scarring, limit its use especially in the glottic region. Therefore, minor vocal cord alterations such as vocal nodules, cysts or polyps suitable for excision with scissors, should not be removed by laser. Optional indications are Reinke's oedema, intubation granulomas and contact pachydermas. Clear advantages of laser use are seen in the treatment of juvenile papillomas of the vocal fold and of smaller vocal cord carcinomas or recurrences after irradiation therapy of these. The carbon dioxide laser is superior to all other indications in the removal of large and obstructing laryngeal carcinomas to prevent tracheostomy. Very reliable is its use in the ablation of lingual tonsillar tissue to improve or eliminate symptoms in recurrent lingual tonsillitis. Transoral resection of small malignant lesions in the oral and pharyngeal cavity may be performed in analogy to electric cautery. The advantages of the laser compared to electrical surgery are a smaller postoperative oedema and less pain, as well as good spontaneous epithelialisation of defects.(ABSTRACT TRUNCATED AT 250 WORDS)</p>","PeriodicalId":76098,"journal":{"name":"Laryngologie, Rhinologie, Otologie","volume":"67 6","pages":"261-8"},"PeriodicalIF":0.0,"publicationDate":"1988-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14531179","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":"[Results of tinnitus therapy using lidocaine iontophoresis].","authors":"H J Welkoborsky, P Bumb","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>54 patients with severe tinnitus were treated by lidocaine iontophoresis. 25 patients suffered from a bilateral tinnitus. A total of 75 ears were treated. The ratio of male to female patients was 3:1. The average age was 45 years. All patients had got over at least one ineffective treatment. Prior to iontophoresis a complete audiologic, neuro-otologic and x-ray examination of the temporal bones was performed. In all patients the frequency and intensity of tinnitus were determined before and immediately after a treatment. In 44 patients there was no difference in their tinnitus after the treatment. In one patient the tinnitus has become lower by the iontophoresis. The value of this method in tinnitus therapy is discussed.</p>","PeriodicalId":76098,"journal":{"name":"Laryngologie, Rhinologie, Otologie","volume":"67 6","pages":"289-93"},"PeriodicalIF":0.0,"publicationDate":"1988-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14531182","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 cysts of the larynx].","authors":"S Albanese, O Kleinsasser","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Based on our own observation of one case of congenital laryngeal cyst of the newborn and a review of 48 cases presented in literature, this congenital anomaly is described. The clinical picture is demonstrated and the genesis of these cysts is discussed.</p>","PeriodicalId":76098,"journal":{"name":"Laryngologie, Rhinologie, Otologie","volume":"67 6","pages":"282-5"},"PeriodicalIF":0.0,"publicationDate":"1988-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14175441","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":"[Auxiliary motor innervation of the laryngeal muscles via the internal branch of the superior laryngeal nerve].","authors":"T P Wustrow, F Martin, H Holländer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>According to our present knowledge of the neuromuscular innervation of the intrinsic laryngeal muscles, the cricothyroid muscle is innervated by the external branch of the superior laryngeal nerve (NLS), whereas all other remaining muscles get their supply from the inferior laryngeal (recurrent) nerve. Mainly in the phoniatric literature, however, opinions differ concerning an additional motoric laryngeal innervation. In human larynges, excised for large unilateral carcinoma, horseradish peroxidase (HRP) was injected into the internal branch of the NLS. Anterograde labelling of axons was demonstrated histochemically. In adjacent sections of the different muscles, end plates and axons were stained histochemically with silver impregnation and acetylcholinesterase. Evidence is presented of motor innervation of the internal branch of the NLS in some laryngeal muscles. With retrograde HRP-tracing in sheep, motoneurons were detected in the nucleus ambiguus, although the recurrent nerve and the external branch had been divided and excised. Thus, histologically an additional neuromuscular supply via the internal branch of the NLS is demonstrated.</p>","PeriodicalId":76098,"journal":{"name":"Laryngologie, Rhinologie, Otologie","volume":"67 6","pages":"275-81"},"PeriodicalIF":0.0,"publicationDate":"1988-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14175440","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":"[NAAGA and cromoglycate. A comparison in the treatment of seasonal allergic rhinitis].","authors":"B Datz, C Sieger, M A Weibel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A multicentre double-blind clinical trial comparing two nasal solutions of naaga (magnesium salt of N-acetyl aspartyl glutamic acid-rhinaaxia) and of disodium cromoglycate (LOMUPREN) has been performed on 91 patients suffering from an acute symptomatic seasonal rhinitis treated for 28 days. Nasal, ocular and bronchial symptoms as well as side effects were recorded by the physician at the control visits and daily by the patient in a diary. Haematological parameters, blood chemistry and serum levels of non specific IgE were also measured. The results show: On the whole, there was no significant difference between groups, neither for the global appreciation of the therapeutic effect as assessed by the physician and the patient, nor for the daily evolution of the symptoms based on the patient's daily notebook. Both treatments were very well tolerated. In a selected population with IgE greater than 150 U/ml, there was a significantly better activity of naaga (p less than 0.05) on the disappearance of the ocular symptoms. The nasal symptoms appeared to improve significantly better in the cromoglycate group (p less than 0.05).</p>","PeriodicalId":76098,"journal":{"name":"Laryngologie, Rhinologie, Otologie","volume":"67 6","pages":"300-3"},"PeriodicalIF":0.0,"publicationDate":"1988-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14268079","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":"[Diagnosis of central hearing disorders in childhood].","authors":"A Nickisch","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As a contribution to the diagnosis of central auditory disorders in children we developed a series of tests providing a basis for the analysis of auditory perception dysfunctions, offering a detailed description of their symptomatology and thus furnishing a basis for carefully directed measures of treatment. Evaluation criteria necessary for the analysis of tests featuring artificially altered language (band-pass-filtered speech, time-compressed speech, tests with background noise or dichotic speech) are described together with findings obtained from previous investigations. The test series further includes objective audiometric methods and additional tests for the evaluation of auditory perception performance (e.g. phoneme discrimination).</p>","PeriodicalId":76098,"journal":{"name":"Laryngologie, Rhinologie, Otologie","volume":"67 6","pages":"312-5"},"PeriodicalIF":0.0,"publicationDate":"1988-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14529482","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":"[Immediate reaction in native tests with red chironomid larvae].","authors":"D Loidolt","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Growing numbers of pet animals in households go along with increasing sensitisation hazards by various, partially highly aggressive allergens. Even running an aquarium can be risky for atopic humans, if the fishes are fed chironomid larvae. This is illustrated by a case of inhalation allergy in a patient who showed severe reactions to skin testing with native chironomidae.</p>","PeriodicalId":76098,"journal":{"name":"Laryngologie, Rhinologie, Otologie","volume":"67 6","pages":"297-9"},"PeriodicalIF":0.0,"publicationDate":"1988-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14531184","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}