ABSTRACT
The contour of the normal ear pine was studied in 434 Thai people i.e. 686 ears. The subjects were 219 males and 215 females who had never had sever injury or ear surgery. There age group’s were studied years, 3-5 years and 18-20 years. Four measurements were done i.e. ear width and ear length using a sliding caliper and auriculo-cephalic angle and concho-scaphalic angle using a goneometer. The results of the study revealed that the average ear width in Thais of different age groups differed little : was not much different (2.9 + 0.3 cm. At aged 0 - 2 years, 3.3 + 0.4 cm. At age 18-20 years in males and 2.8 + 0.3 cm. To 3.0 + 0.2 cm. in females. However the average ear height increased significantly with age (4.8 + 0.6 cm. At 0-2 years, 6.2 + 0.2 cm. At 18 -20 years in males and 4.7 + 0.5 cm, 6.1 + 0.2 cm. In females). The average auriculo-cephalic angle increased rapid during the early period. The increment of this angle exceeded 85 per cent of adult size at the age of 3 - 5 years (22.3 + 3.8 degrees, at aged 0 - 2 years, 28.0 + 2.5 degrees at aged 3-5 years, 28.4 + 3.1 degrees at aged 18 - 20 years in males and 21.8 + 3.6 degrees, 27.1 + 2.6 degrees and 28.2 + 1.6 degrees respectively in females). In contrast, the concho-scaphalic angle increased gradually with age (79.0 + 4.9 degrees at age 0 -2 years, 82.1 + 4.1 degrees at aged 18.20 years in males, and 79.4 + 4.6 degrees, 82.2 + 4.2 degrees in females). Statistical analysis of all the measurements of the ear pinna showed that the ear width in man at age 18 -20 years is wider than in women (3.3 + 0.4 cm. Versus 3.0 + 0.2 cm.), the ear height was significantly different (between the sexes) from aged 9 -11 years onward (5.9 + 0.4 cm. Versus 5.6 + 0.4 cm.) but there were no significant differences in either the suriculo-cephalic or the concho-scaphalic angles between males and females. Thai ear measurements when comparined with ear measurements in Caucasians were significantly smaller. This may be attributed to the different body structure of the different races. However, the percentage ratio of ear width to ear height was similar i.e. 50.60 per cent in both populations. The auriculo-cephalic angles in Thais were in the same range as western people.
ABSTRACT
In order to evaluate the aesthetic triangle of the face in Tai adults, we measured the vertical nasal height and the lower facial height of 200 subjects by using the sliding caliper. There were 100 males and 100 females who had never had nasal surgery or severe nasal injury. Their ages ranged from 15-65 years old. The mean body height in males was 165.5 + 6.2 cms; in females, 155.4 + 5.2 cms; the mean body weight in males was 58.2 8.0 kgs; in females, 52.4. The study showed that the average vertical nasal height in males was 5.1 + 0.3 cms; in females, 4.8 + 0.3 cms; the average lower facial height in males was 6.6 + 0.4 cms; in females, 6.3 + 0.4 cms. Statistical analysis revealed significant differences of the two parameters measured between males and females. There was significant correlation between the lower facial height with body weight and body height only in Thai males.
ABSTRACT
One male patients presenting with symptoms and signs of atrophic rhinitis and chronic sinusitis for one year, there was also a small red mass at anterior end of right middle turbinate. Histopathological section showed that the mass was covered by stratified squamous mucosa with diffuse cellular infiltration of mostly macrophages with clear vacuolated cytoplasm (= foam cells) with few lymphocytes in submucosa. Acid fast stain (modified Fite Feraco stain) showed numerous acid fast bacilli in scatter and in clumps, known as globi pattern mucosa. This is the first case reported in Thailand. Multidrug therapy was given to the patient which conprised of rifampicin 450-600 mg. Once a month, lamprene 300 mg start and then 100 mg. in alternate day with dapsone 100 mg. OD. The aim of this report is to remind the otolaryngologists of the existence of leprosy in the nose and they should be aware of the highly contagious nasal secretion from these patients.
ABSTRACT
A 10-year old boy presented with sever hemorrhage from right lower gum after an attempt to remove a mobile premolar milk tooth. Physical examination and carotid angiography revealed a large arteriovenous malfmation of mandible. The patient had aspiration of blood into the lung, pulmonary oedema and pneumothorax as anaesthetic complications while being anaesthesized for angiography. The initial treatment was embolization of the feeders of this arteriovenous malformation and extraction of all mobile teeth.
ABSTRACT
The present study reports on the prevalence of specific IgA and IgG antibodies to EBV viral capsid antigen in nasopharyngeal carcinoma (NPC) patients with different histological types of carcinoma and their age-matched controls by the indirect immunofluorescence test, using the B-95-8 lymphoblastoid cell line as source of viral capsid antigen. EBV specific IgG was found in almost all the study cases, and antibody titers were significantly higher in the NPC patients than in non-cancer controls. GMT of anti-EBV IgG in NPC patients, patients with other malignant diseases, and those with non-malignant diseases were 371.5, 97.7 and 35.5, respectively. Anti-EBV specific IgA was more specific to NPC than was IgG, and was present in 86.5% (83 of 96) cases of NPC patients, 6.6% (2 of 30) of patients with other cancers, and 3.1% (3 of 97) cases of non-malignant diseases. A weak correlation between level of anti-EBV IgA in NPC patients was observed (r = 0.3). EBV IgA was found in all histological types of NPC, ie, WHO types 1, 2 and 3, but WHO type 1 was rare among NPC patients in Thailand. Use of anti-EBV IgA for monitoring cancer therapy is to be further investigated.