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To "EE" or not to "EE". “EE”还是不“EE”。
The Journal of otolaryngology Pub Date : 2007-06-01
Mark R Draper, Barbara Blagnys, Don J Premachandra
{"title":"To \"EE\" or not to \"EE\".","authors":"Mark R Draper,&nbsp;Barbara Blagnys,&nbsp;Don J Premachandra","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To assess whether /i:/ (\"ee\") is the best sound to use during indirect laryngoscopy to produce the optimal view of the larynx.</p><p><strong>Design: </strong>Prospective study.</p><p><strong>Setting: </strong>District general hospital otolaryngology outpatient clinic.</p><p><strong>Patients: </strong>Eighty-seven patients from a general otolaryngology clinic with no laryngeal or pharyngeal symptoms or pathology.</p><p><strong>Main outcome measures: </strong>The views obtained during indirect laryngoscopy and vocalization of /i:/ (\"ee\"), /ei/ (\"ay\"), /[see text]/ (\"err\"), /a:/ (\"ah\"), and /eă/ (\"air\") were graded according to a laryngoscopy grading system.</p><p><strong>Results: </strong>The greatest number of adequate views of the larynx was achieved by using the sounds /i:/ and /[see text]/. There was no significant difference between /i:/ and /[see text]/ (p = .740), but there were significant differences between /i:/ and /ei/ (p = .019), /i:/ and /a:/ (p = .00000), and /i:/ and /eă/ (p = .00013).</p><p><strong>Conclusion: </strong>For the optimal view of the larynx during indirect laryngoscopy, we recommend the use of the sounds /i:/ (\"ee\") and /[see text]/ (\"err\").</p>","PeriodicalId":76656,"journal":{"name":"The Journal of otolaryngology","volume":"36 3","pages":"191-95"},"PeriodicalIF":0.0,"publicationDate":"2007-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26899618","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
Giant neonatal cervical teratoma associated with facial clefts--a rare association. 巨大新生儿宫颈畸胎瘤伴面沟-罕见的关联。
The Journal of otolaryngology Pub Date : 2007-06-01 DOI: 10.2310/7070.2006.0081
Kamal Nain Rattan, Simmi K Ratan, Dhiraj Parihar, Vivek Kaushal, Samar Pal Yadav
{"title":"Giant neonatal cervical teratoma associated with facial clefts--a rare association.","authors":"Kamal Nain Rattan,&nbsp;Simmi K Ratan,&nbsp;Dhiraj Parihar,&nbsp;Vivek Kaushal,&nbsp;Samar Pal Yadav","doi":"10.2310/7070.2006.0081","DOIUrl":"https://doi.org/10.2310/7070.2006.0081","url":null,"abstract":"","PeriodicalId":76656,"journal":{"name":"The Journal of otolaryngology","volume":"36 3","pages":"E19-20"},"PeriodicalIF":0.0,"publicationDate":"2007-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26900686","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: 3
Randomized control trial of fluorescence-guided surgical excision of nonmelanotic cutaneous malignancies. 荧光引导下非黑素性皮肤恶性肿瘤手术切除的随机对照试验。
The Journal of otolaryngology Pub Date : 2007-06-01
Michael G Brandt, Corey C Moore, Kevin Jordan
{"title":"Randomized control trial of fluorescence-guided surgical excision of nonmelanotic cutaneous malignancies.","authors":"Michael G Brandt,&nbsp;Corey C Moore,&nbsp;Kevin Jordan","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Protoporphyrin IX (PpIX) is an endogenous photosensitizer commonly used in photodynamic therapy. This study sought to assess if PpIX fluorescence can be applied clinically to improve the delineation and excision of nonmelanotic cutaneous malignancies.</p><p><strong>Design: </strong>Prospective, randomized control trial.</p><p><strong>Setting: </strong>A tertiary care skin cancer clinic.</p><p><strong>Methods: </strong>Fifty-one individuals with 65 cutaneous nonmelanotic cervicofacial malignancies were randomized into two groups. The control group was offered surgical excision with surgeon-delineated excision margins. The study group had their excision margins delineated while under fluorescence.</p><p><strong>Main outcome measures: </strong>The delineated lesion borders, proposed excision margins, and projected lesion-free areas were compared among the two groups. Pathologic resection margins and completeness of excision were also assessed.</p><p><strong>Results: </strong>Excisions performed using fluorescence delineation were 20% narrower (p < .01) and 17% shorter (p < .04), with 35% less lesion-free skin excised (p < .005). All lesions excised using photodelineation had clear pathologic resection margins. A significant number of lesions excised via the traditional approach required reexcision owing to pathologically positive peripheral margins (p < .001). Follow-up at 2 years revealed no lesion recurrence among the study group and one recurrence within the control group.</p><p><strong>Conclusion and significance: </strong>The results demonstrate a reliable and novel application for photodynamic photodelination and support its application in the excision of nonmelanotic cutaneous malignancies.</p>","PeriodicalId":76656,"journal":{"name":"The Journal of otolaryngology","volume":"36 3","pages":"148-55"},"PeriodicalIF":0.0,"publicationDate":"2007-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26899683","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
Risk of damage to hearing from personal listening devices in young adults. 青少年个人听力设备对听力损害的风险。
The Journal of otolaryngology Pub Date : 2007-06-01
Jian-Hua Peng, Ze-Zhang Tao, Zhi-Wu Huang
{"title":"Risk of damage to hearing from personal listening devices in young adults.","authors":"Jian-Hua Peng,&nbsp;Ze-Zhang Tao,&nbsp;Zhi-Wu Huang","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effects of personal listening device use on hearing in young listeners.</p><p><strong>Methods: </strong>Conventional frequency audiometry (0.5-8 kHz) and extended high-frequency audiometry (10-20 kHz) were performed on 120 personal listening device users and 30 normal-hearing young adults.</p><p><strong>Results: </strong>The hearing thresholds in the 3 to 8 kHz frequency range were significantly increased in the personal listening device listeners. The frequency range of the increased thresholds became broad as the exposure duration was increased. Impaired hearing was detected in 14.1% (34 of 240 ears) of ears (> 25 dB HL in one or more frequencies in 0.5-8 kHz). The hearing thresholds of extended high-frequency audiometry in personal listening device users could also be increased even if their hearing thresholds in conventional frequency audiometry were normal.</p><p><strong>Conclusion: </strong>Our results suggest that long-term use of personal listening devices can impair hearing function The data also indicate that extended high-frequency audiometry is a sensitive method for early detection of noise-induced hearing loss.</p>","PeriodicalId":76656,"journal":{"name":"The Journal of otolaryngology","volume":"36 3","pages":"181-5"},"PeriodicalIF":0.0,"publicationDate":"2007-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26899689","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
Tonsillectomy and biopsy for asymptomatic asymmetric tonsillar enlargement: are we right? 扁桃体切除术和活检治疗无症状不对称扁桃体肿大:我们对吗?
The Journal of otolaryngology Pub Date : 2007-06-01 DOI: 10.2310/7070.2007.0013
P. Puttasiddaiah, M. Kumar, P. Gopalan, S. Browning
{"title":"Tonsillectomy and biopsy for asymptomatic asymmetric tonsillar enlargement: are we right?","authors":"P. Puttasiddaiah, M. Kumar, P. Gopalan, S. Browning","doi":"10.2310/7070.2007.0013","DOIUrl":"https://doi.org/10.2310/7070.2007.0013","url":null,"abstract":"OBJECTIVE\u0000The aim of this study was to evaluate the incidence of malignancy in patients with clinically asymmetrical tonsils and who are otherwise asymptomatic.\u0000\u0000\u0000DESIGN\u0000Retrospective review of our experience based on case note review, carried out in a district general hospital setting during a period of two years.\u0000\u0000\u0000MATERIAL AND METHODS\u0000142 patients who had undergone tonsillectomy and biosy were included in the study. Histological studies of all these patients obtained and correlated with the clinical findings.\u0000\u0000\u0000RESULTS\u0000None of the patients with asymmetric enlargement of tonsils but are otherwise asymptomatic had shown histological evidence of malignancy. However all the 3 patients with associated suspicious symptoms in the presence of asymmetric tonsils were diagnosed as having tonsillar malignancy.\u0000\u0000\u0000CONCLUSION\u0000Tonsillar asymmetry in the absence of other associated risk factors may not indicate malignancy and a period of watchful waiting is considered appropriate prior to any surgical intervention.","PeriodicalId":76656,"journal":{"name":"The Journal of otolaryngology","volume":"36 3 1","pages":"161-3"},"PeriodicalIF":0.0,"publicationDate":"2007-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2310/7070.2007.0013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68602942","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: 15
Endoscopic dacryocystorhinostomy with a T-type ventilation tube. 内窥镜泪囊鼻腔造口术，t型通气管。
The Journal of otolaryngology Pub Date : 2007-06-01 DOI: 10.2310/7070.2007.0014
A. F. Kıroğlu, H. Çankaya, K. Yuca, M. Kırış
{"title":"Endoscopic dacryocystorhinostomy with a T-type ventilation tube.","authors":"A. F. Kıroğlu, H. Çankaya, K. Yuca, M. Kırış","doi":"10.2310/7070.2007.0014","DOIUrl":"https://doi.org/10.2310/7070.2007.0014","url":null,"abstract":"BACKGROUND\u0000The aim of this article is to present a different endoscopic dacryocystorhinostomy technique and its results on patients with blockage of the nasolacrimal drainage system.\u0000\u0000\u0000METHODS\u0000Eleven patients (seven female and four male) who had chronic epiphora with the diagnosis of chronic nasolacrimal duct blockage were operated on using T-type ventilation tubes. Oral antibiotics, nasal steroids, oral antihistamines, and antibiotic eyedrops were given to all cases. The ventilation tubes were removed 3 months after surgery.\u0000\u0000\u0000RESULTS\u0000Of 11 cases, 9 patients had unilateral and 2 patients had bilateral blockage. Eleven sides of nine patients were symptom free (85% success rate), and two patients had decreased continuation in complaints. Granulation tissue occurred in two revision patients.\u0000\u0000\u0000CONCLUSION\u0000Endoscopic dacryocystorhinostomy using a T-type ventilation tube is an easy and cost-effective alternative and has low complication rates in the management of patients with nasolacrimal duct obstruction.","PeriodicalId":76656,"journal":{"name":"The Journal of otolaryngology","volume":"16 1","pages":"164-7"},"PeriodicalIF":0.0,"publicationDate":"2007-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2310/7070.2007.0014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68603028","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: 6
Rounding of the inferior rectus muscle as an indication of orbital floor fracture with periorbital disruption. 下直肌变圆表明眶底骨折伴眶周破裂。
The Journal of otolaryngology Pub Date : 2007-06-01 DOI: 10.2310/7070.2007.0031
A. Banerjee, C. Moore, R. Tse, Damir B. Matic
{"title":"Rounding of the inferior rectus muscle as an indication of orbital floor fracture with periorbital disruption.","authors":"A. Banerjee, C. Moore, R. Tse, Damir B. Matic","doi":"10.2310/7070.2007.0031","DOIUrl":"https://doi.org/10.2310/7070.2007.0031","url":null,"abstract":"OBJECTIVE\u0000To determine if rounding of the inferior rectus muscle on coronal computed tomographic (CT) scans predicts disruption of the periorbita in orbital floor fractures and therefore predicts delayed enophthalmos.\u0000\u0000\u0000DESIGN\u0000Cadaveric study with CT scan analysis.\u0000\u0000\u0000SETTING\u0000Cadaveric laboratory and CT scanner at a tertiary care hospital in London, Ontario.\u0000\u0000\u0000METHODS\u0000Each orbit of each cadaveric head was randomly assigned to have either intact or disrupted periorbita. Progressively larger orbital floor fractures were made and CT scans were taken before fractures and after each fracture to assess the shape of the inferior rectus muscle. Measurements were made of the length of the long and short axis of the inferior rectus muscle using CT analysis software. The short to long axis ratio was then compared.\u0000\u0000\u0000MAIN OUTCOME MEASURES\u0000Change in the short to long axis ratio of the inferior rectus muscle and correlation of the ratio with intact and disrupted periorbita.\u0000\u0000\u0000RESULTS\u0000Orbital floor fractures measuring 1 x 1 cm show an increase in the short to long axis ratio (rounding) of the inferior rectus muscle only if the periorbita is disrupted. Orbital floor fractures measuring 2 x 2 cm show rounding of the inferior rectus muscle regardless of whether the periorbita is intact or disrupted; however, the degree of rounding is greater if the periorbita is disrupted.\u0000\u0000\u0000CONCLUSIONS\u0000For small orbital floor fractures, rounding of the inferior rectus muscle predicts periorbital disruption. This may therefore represent an indication for early surgical repair to prevent delayed enophthalmos.","PeriodicalId":76656,"journal":{"name":"The Journal of otolaryngology","volume":"36 3 1","pages":"175-80"},"PeriodicalIF":0.0,"publicationDate":"2007-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2310/7070.2007.0031","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68603314","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: 28
Successful multimodal treatment of a carcinosarcoma of the masticator space. 1例咀嚼间隙癌肉瘤的多模式治疗成功。
The Journal of otolaryngology Pub Date : 2007-06-01 DOI: 10.2310/7070.2007.e0001
Andrew G Shuman, Stephen R Ramsburgh, Melissa Pynnonen, Mark E Prince
{"title":"Successful multimodal treatment of a carcinosarcoma of the masticator space.","authors":"Andrew G Shuman,&nbsp;Stephen R Ramsburgh,&nbsp;Melissa Pynnonen,&nbsp;Mark E Prince","doi":"10.2310/7070.2007.e0001","DOIUrl":"https://doi.org/10.2310/7070.2007.e0001","url":null,"abstract":"","PeriodicalId":76656,"journal":{"name":"The Journal of otolaryngology","volume":"36 3","pages":"E28-30"},"PeriodicalIF":0.0,"publicationDate":"2007-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26900689","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
Spontaneous resolution of a traumatic laryngocele. 外伤性喉囊肿的自然消退。
The Journal of otolaryngology Pub Date : 2007-06-01 DOI: 10.2310/7070.2006.0074
Amit Prasai, John Phillips, Piyush Jani
{"title":"Spontaneous resolution of a traumatic laryngocele.","authors":"Amit Prasai,&nbsp;John Phillips,&nbsp;Piyush Jani","doi":"10.2310/7070.2006.0074","DOIUrl":"https://doi.org/10.2310/7070.2006.0074","url":null,"abstract":"","PeriodicalId":76656,"journal":{"name":"The Journal of otolaryngology","volume":"36 3","pages":"E5-8"},"PeriodicalIF":0.0,"publicationDate":"2007-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26900694","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: 2
Risk of damage to hearing from personal listening devices in young adults. 青少年个人听力设备对听力损害的风险。
The Journal of otolaryngology Pub Date : 2007-06-01 DOI: 10.2310/7070.2007.0032
Jianhua Peng, Ze-zhang Tao, Zhi-wu Huang
{"title":"Risk of damage to hearing from personal listening devices in young adults.","authors":"Jianhua Peng, Ze-zhang Tao, Zhi-wu Huang","doi":"10.2310/7070.2007.0032","DOIUrl":"https://doi.org/10.2310/7070.2007.0032","url":null,"abstract":"OBJECTIVE\u0000To investigate the effects of personal listening device use on hearing in young listeners.\u0000\u0000\u0000METHODS\u0000Conventional frequency audiometry (0.5-8 kHz) and extended high-frequency audiometry (10-20 kHz) were performed on 120 personal listening device users and 30 normal-hearing young adults.\u0000\u0000\u0000RESULTS\u0000The hearing thresholds in the 3 to 8 kHz frequency range were significantly increased in the personal listening device listeners. The frequency range of the increased thresholds became broad as the exposure duration was increased. Impaired hearing was detected in 14.1% (34 of 240 ears) of ears (> 25 dB HL in one or more frequencies in 0.5-8 kHz). The hearing thresholds of extended high-frequency audiometry in personal listening device users could also be increased even if their hearing thresholds in conventional frequency audiometry were normal.\u0000\u0000\u0000CONCLUSION\u0000Our results suggest that long-term use of personal listening devices can impair hearing function The data also indicate that extended high-frequency audiometry is a sensitive method for early detection of noise-induced hearing loss.","PeriodicalId":76656,"journal":{"name":"The Journal of otolaryngology","volume":"36 3 1","pages":"181-5"},"PeriodicalIF":0.0,"publicationDate":"2007-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2310/7070.2007.0032","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68603422","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: 104
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