Archives of oto-rhino-laryngology最新文献

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Surgical control of the mastoid segment in chronic ear disease in 1988. 1988年慢性耳病乳突段的手术控制。
Archives of oto-rhino-laryngology Pub Date : 1989-01-01 DOI: 10.1007/BF00463573
T Palva
{"title":"Surgical control of the mastoid segment in chronic ear disease in 1988.","authors":"T Palva","doi":"10.1007/BF00463573","DOIUrl":"https://doi.org/10.1007/BF00463573","url":null,"abstract":"<p><p>The basic surgical guidelines for mastoid segment control are described in chronic ear disease. Dense cortical bone paté and mastoid tip bone chips are collected for possible obliteration of the surgical cavity produced. A meatally based musculoperiosteal flap is raised if \"canal wall-down\" surgery is anticipated. Mastoid bone surgery must be meticulous and the sigmoid, cerebellar and dural plates are first exposed. This is followed by a perilabyrinthine dissection. Tympanic or epitympanic surgery is connected with mastoidectomy as needed. All cavities are then obliterated.</p>","PeriodicalId":8300,"journal":{"name":"Archives of oto-rhino-laryngology","volume":"246 5","pages":"274-6"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF00463573","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13731505","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
Modern diagnostic strategy for acoustic neuromas. 听神经瘤的现代诊断策略。
Archives of oto-rhino-laryngology Pub Date : 1989-01-01 DOI: 10.1007/BF00463577
M Portmann, R Dauman, F Duriez, D Portmann, R Dhillon
{"title":"Modern diagnostic strategy for acoustic neuromas.","authors":"M Portmann,&nbsp;R Dauman,&nbsp;F Duriez,&nbsp;D Portmann,&nbsp;R Dhillon","doi":"10.1007/BF00463577","DOIUrl":"https://doi.org/10.1007/BF00463577","url":null,"abstract":"<p><p>We have reviewed the most recent 120 cases of acoustic neuromas operated upon in Bordeaux, France. In so doing, we have defined the strategy required to reach an accurate diagnosis as essentially comprising three stages. The first of these is to understand that the presenting symptom complex may be typical with progressive unilateral hearing loss, tinnitus, etc., or atypical with sudden hearing loss (10%), recovering facial paralysis (3.3%) or a Menière's syndrome (3.3%). Included in the first stage of diagnosis are audiovestibular investigations. An absent stapedial reflex was noted in 41% of our cases and an abnormality in vestibular testing in 95% of cases tested. These findings would be clear indicators to proceed to the second stage of the diagnostic strategy. This second stage comprises electric response audiometry consisting of auditory brainstem response (ABR) testing and electrocochleography (ECochG) employed as a filter for determining which patients should proceed to the third stage of testing. A combination of ABR and ECochG provides the clinician with results of high sensitivity and specificity. The false-negative rate for combined results in our experience has been less than 1%. The final diagnostic stage is radiological imaging, in particular using magnetic resonance imaging (MRI) with gadolinium contrast as the modality of choice. MRI is superior to CAT scanning, especially in the diagnosis of stage I intracanalicular tumors.</p>","PeriodicalId":8300,"journal":{"name":"Archives of oto-rhino-laryngology","volume":"246 5","pages":"286-91"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF00463577","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13731509","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: 8
Saccular afferent fibers to the cochlear nucleus in the guinea pig. 豚鼠耳蜗核的囊状传入纤维。
Archives of oto-rhino-laryngology Pub Date : 1989-01-01 DOI: 10.1007/BF00463563
M Burian, W Gstoettner, R Zundritsch
{"title":"Saccular afferent fibers to the cochlear nucleus in the guinea pig.","authors":"M Burian,&nbsp;W Gstoettner,&nbsp;R Zundritsch","doi":"10.1007/BF00463563","DOIUrl":"https://doi.org/10.1007/BF00463563","url":null,"abstract":"<p><p>After tracing the vestibular nerve of the guinea pig with horseradish peroxidase (HRP), a conspicuous fiber bundle was found that passed to the ipsilateral cochlear nucleus. HRP-labeled fibers were seen to leave the descending vestibular nucleus at a level caudal to subgroup \"y\" in a lateral direction. Travelling close to the restiform body, the axons terminated at cells lying between the dorsal and posteroventral cochlear nucleus. These cells could be distinguished cytoarchitecturally from surrounding cells of the cochlear nuclei. Several electrophysiological investigations have assumed that there is a direct connection between the vestibular and the cochlear system. Compared to these, the fibers under consideration might be the morphological basis for such a \"vestibulo-cochlear anastomosis.\"</p>","PeriodicalId":8300,"journal":{"name":"Archives of oto-rhino-laryngology","volume":"246 5","pages":"238-41"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF00463563","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13733709","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: 23
Rhabdomyoma of the larynx recurring after 12 years: immunocytochemistry and differential diagnosis. 喉横纹瘤复发12年:免疫细胞化学和鉴别诊断。
Archives of oto-rhino-laryngology Pub Date : 1989-01-01 DOI: 10.1007/BF00453667
K Hamper, J Renninghoff, H Schäfer
{"title":"Rhabdomyoma of the larynx recurring after 12 years: immunocytochemistry and differential diagnosis.","authors":"K Hamper,&nbsp;J Renninghoff,&nbsp;H Schäfer","doi":"10.1007/BF00453667","DOIUrl":"https://doi.org/10.1007/BF00453667","url":null,"abstract":"<p><p>Rhabdomyoma is a rare tumor of skeletal muscle origin which can occur in different localizations. The head and neck region is a site of predilection for the adult type. Its absolutely benign behavior makes correct diagnosis crucial. In this study, a case of an extracardiac rhabdomyoma of the larynx was found to recur 12 years after initial treatment. Following its surgical removal, histology showed typical patterns of an adult type of rhabdomyoma with focal cross-striations. Immunocytochemically, all applied muscular markers were positive. Electron microscopy revealed muscular filaments with cross-striations and glycogen granules. These findings showed that immunocytochemistry plays an important role in differential diagnosis and the need for possible further treatment.</p>","PeriodicalId":8300,"journal":{"name":"Archives of oto-rhino-laryngology","volume":"246 4","pages":"222-6"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF00453667","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13739324","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: 14
Penetrating injuries involving the anterior cranial fossa. 前颅窝的穿透性损伤。
Archives of oto-rhino-laryngology Pub Date : 1989-01-01 DOI: 10.1007/BF00464300
M Roth, A D Kornblut, L M Spetka, D K Heffner
{"title":"Penetrating injuries involving the anterior cranial fossa.","authors":"M Roth,&nbsp;A D Kornblut,&nbsp;L M Spetka,&nbsp;D K Heffner","doi":"10.1007/BF00464300","DOIUrl":"https://doi.org/10.1007/BF00464300","url":null,"abstract":"<p><p>Penetrating injuries of the anterior cranial fossa may result in permanent neurologic changes or even death if injuries are unrecognized and remain untreated. The diverse etiologies of such injuries are reviewed, as well as their diagnosis, treatment and prognosis.</p>","PeriodicalId":8300,"journal":{"name":"Archives of oto-rhino-laryngology","volume":"246 6","pages":"411-6"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF00464300","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13837270","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
Determination of lipid A in human middle ear effusions with the competitive ELISA technique. 竞争ELISA法测定人中耳积液中脂质A。
Archives of oto-rhino-laryngology Pub Date : 1989-01-01 DOI: 10.1007/BF00457458
F Tanimura
{"title":"Determination of lipid A in human middle ear effusions with the competitive ELISA technique.","authors":"F Tanimura","doi":"10.1007/BF00457458","DOIUrl":"https://doi.org/10.1007/BF00457458","url":null,"abstract":"<p><p>Lipid A is a covalently bound component of gram-negative bacterial lipopolysaccharides and is the biologically active component in endotoxin. In order to detect and quantitate lipid A in middle ear effusions (MEE) from patients with otitis media with effusion (OME), antisera against lipid A were produced in mice by repeated immunization with conjugates using lipid A from Salmonella minnesota Re595 and bovine serum albumin. As a result, a competitive enzyme-linked immunosorbent assay (ELISA) was developed that was specific for lipid A. From the ELISA results, 10 out of 15 samples from the serous type MEE (mean, 13.57 +/- 2.17 micrograms/ml) and 5 out of 6 from the mucoid type MEE (17.73 +/- 4.34 micrograms/ml) were positive. These findings indicate that lipid A may contribute to the pathogenesis of both types of human OME.</p>","PeriodicalId":8300,"journal":{"name":"Archives of oto-rhino-laryngology","volume":"246 2","pages":"79-82"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF00457458","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13870819","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: 1
Proceedings of the First European Congress of Oto-Rhino-Laryngology and Cervico-Facial Surgery. Paris, 26-29 September 1988. Selected papers. 第一届欧洲耳-鼻-喉及颈-面外科会议论文集。1988年9月26日至29日,巴黎。选定的文件。
Archives of oto-rhino-laryngology Pub Date : 1989-01-01
{"title":"Proceedings of the First European Congress of Oto-Rhino-Laryngology and Cervico-Facial Surgery. Paris, 26-29 September 1988. Selected papers.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":8300,"journal":{"name":"Archives of oto-rhino-laryngology","volume":"246 5","pages":"227-409"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13732834","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
The relationship between nuclear DNA content in salivary gland tumors and prognosis. Comparison of mucoepidermoid tumors and acinic cell tumors. 唾液腺肿瘤核DNA含量与预后的关系。粘液表皮样瘤与腺泡细胞瘤的比较。
Archives of oto-rhino-laryngology Pub Date : 1989-01-01 DOI: 10.1007/BF00463587
K Hamper, J Caselitz, H Arps, U Askensten, G Auer, G Seifert
{"title":"The relationship between nuclear DNA content in salivary gland tumors and prognosis. Comparison of mucoepidermoid tumors and acinic cell tumors.","authors":"K Hamper,&nbsp;J Caselitz,&nbsp;H Arps,&nbsp;U Askensten,&nbsp;G Auer,&nbsp;G Seifert","doi":"10.1007/BF00463587","DOIUrl":"https://doi.org/10.1007/BF00463587","url":null,"abstract":"<p><p>Differences in prognosis between salivary gland mucoepidermoid tumors and acinic cell tumors were compared by means of conventional histopathological grading and nuclear DNA content which was assessed cytochemically by a scanning cytophotometric procedure. The mucoepidermoid tumors were found to show a stronger correlation between histopathological grading and prognosis than did the acinic cell tumors. By using DNA quantification, valuable additional information could be obtained for predicting the behavior of the mucoepidermoid tumors, whereas there was no correlation between DNA content and prognosis for the acinic cell tumors. Regarding the relatively \"benign\" clinical course of most mucoepidermoid tumors, the term \"tumor\"--as proposed by the World Health Organization's classification--seems appropriate. In contrast, the more severe clinical courses of the acinic cell tumors justify the use of the term \"carcinoma\" instead.</p>","PeriodicalId":8300,"journal":{"name":"Archives of oto-rhino-laryngology","volume":"246 5","pages":"328-32"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF00463587","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13732840","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
Aesthetic surgery for microtia. 小脑畸形的美容手术。
Archives of oto-rhino-laryngology Pub Date : 1989-01-01 DOI: 10.1007/BF00463592
P Boudard, C Benassayag, R S Dhillon, J P Bebear, M Portmann
{"title":"Aesthetic surgery for microtia.","authors":"P Boudard,&nbsp;C Benassayag,&nbsp;R S Dhillon,&nbsp;J P Bebear,&nbsp;M Portmann","doi":"10.1007/BF00463592","DOIUrl":"https://doi.org/10.1007/BF00463592","url":null,"abstract":"<p><p>We describe here a technique for reconstruction of the external ear based upon an autogenous costal cartilage graft which is inserted into a cutaneous pocket dissected in the auricular area. Three subsequent procedures are then performed: rotation of the ear-lobe; reconstruction of the tragus; and elevation of the auricle. The ideal age for reconstruction is about 7 years. This technique was originally described by Brent, who has a very extensive experience with this kind of surgery. Skin deficiencies can be overcome by using either a temporo-parietal fascial flap or a skin expander.</p>","PeriodicalId":8300,"journal":{"name":"Archives of oto-rhino-laryngology","volume":"246 5","pages":"349-52"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF00463592","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13733488","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: 4
The use of microfluorometry to study DNA in nasopharyngeal carcinomas: a possible prognostic tool? 使用微荧光法研究鼻咽癌DNA:一种可能的预后工具?
Archives of oto-rhino-laryngology Pub Date : 1989-01-01 DOI: 10.1007/BF00463596
U Caliceti, A Rinaldi Ceroni, G Lisignoli, P Chieco, O Cavicchi
{"title":"The use of microfluorometry to study DNA in nasopharyngeal carcinomas: a possible prognostic tool?","authors":"U Caliceti,&nbsp;A Rinaldi Ceroni,&nbsp;G Lisignoli,&nbsp;P Chieco,&nbsp;O Cavicchi","doi":"10.1007/BF00463596","DOIUrl":"https://doi.org/10.1007/BF00463596","url":null,"abstract":"<p><p>A microfluorometric method was used to determine the nuclear DNA content in the nasopharyngeal carcinomas (NPC) of 25 patients treated before 1983. Eleven patients are still alive with no evidence of disease (NED), while the rest died of their disease (DOD). All of the patients received a cycle of radiotherapy, while some also received chemotherapy or neck dissections. The neoplastic cells studied were taken from the original biopsy blocks, deparaffinized, isolated by enzymatic treatment and mechanical fragmentation, and then Feulgen-stained. The cytofluorometric measurement was carried out by a microphotometer equipped for fluorescence excitation and connected to a computer. This method allowed us to construct a histogram of the DNA content in the neoplastic cells. Different neoplastic classes were identified and represent the heteroclonality of the tumor, which can be expressed by the heteroclonality index (HCT). From the collected data it appears that the NED patients all had a low HTC (less than 1) and only 7 of the DOD patients had low HTCs (less than 1). Six of the DOD patients with a low HTC were in advanced stages of their tumor at the time of diagnosis, while the remaining patient did not complete his treatment. Our results show that the DNA analysis of the NPC cell population may offer a useful tool in predicting the biological behavior of this tumor and also improving its treatment.</p>","PeriodicalId":8300,"journal":{"name":"Archives of oto-rhino-laryngology","volume":"246 5","pages":"365-7"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF00463596","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13733491","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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