ABSTRACT
BACKGROUND AND OBJECTIVES: Computed tomography plays a role in the evaluation of many temporal bone disorders and provides us a lot of information preoperatively. The objectives of this study is to get various measurements of the temporal bone, and to compare the normal ear groups with the diseased ear group. Materials and Method: The measurements on CT were the distance from the outer cortical plate of bone to the sigmoid sinus, the distance from the posterior semicircular canal to the sigmoid sinus, the distance from the fallopian canal to the sigmoid sinus, mastoid width, the depth of the sinus tympani, the distance from the external auditory canal to the sigmoid sinus, the distance from the outer cortical plate of bone to the lateral semicircular canal, and the level of jugular bulb. RESULTS: The distance from the posterior semicircular canal to the sigmoid sinus of adult group was longer than that of adolescent group (p<0.05). In diseased ear group, the distance from the posterior semicircular canal to the sigmoid sinus and the depth of sinus tympani of adult group were longer than those of adolescent age group (p<0.05). In adult group, the distance from the posterior semicircular canal to the sigmoid sinus and the distance from the posterior wall of the external auditory canal to the sigmoid sinus of diseased ear group were significantly shorter (p<0.05). CONCLUSION: We could get various measurements of the temporal bone on CT and we expect that they would be useful for middle ear surgery.
Subject(s)
Adolescent , Adult , Humans , Colon, Sigmoid , Ear , Ear Canal , Ear, Middle , Mastoid , Otitis Media , Otitis , Semicircular Canals , Temporal BoneABSTRACT
BACKGROUND AND OBJECTIVES: Using sophisticated imaging techniques, such as x-ray cephalometry, computed tomography, and magnetic resonance imaging, we found obstructive sleep apnea patients to have smaller upper airways than nonapneic individuals. The purpose of this study was to examine whether a simple test, such as routine roentgenographic views of the upper airway, is useful in identifying anatomic narrowing of the airway in patients with sleep apnea. MATERIALS AND METHODS: We carried out a prospective study of a group of 30 patients (28 male and 2 female subjects) referred for evaluation of heavy snoring and possible obstructive sleep apnea. All patients had full nocturnal polysomnography and the lateral views of their airways were used to measure the pharyngeal diameters at three sites along the airway. All measurements were performed with the patients positioned both upright and supine. RESULTS: We observed that obstructive sleep apnea patients maintained significantly lower the retropalatal distance in the supine position than in the upright position. CONCLUSION: We concluded that routine roentgenographic measurements of upper airway diameters are useful screening methods for patients suspected of having sleep apnea.
Subject(s)
Female , Humans , Male , Cephalometry , Magnetic Resonance Imaging , Mass Screening , Polysomnography , Prospective Studies , Radiography , Sleep Apnea Syndromes , Sleep Apnea, Obstructive , Snoring , Supine PositionABSTRACT
BACKGROUND AND OBJECTIVES: A history of poor weight gain can often be elicited in young children with chronic upper airway obstruction resulting from adenotonsillar hypertrophy. The purpose of this study was to determine the incidence of growth disturbance and what effect, if any tonsillectomy and/or adenoidectomy has on subsequent growth in a group of children. MATERIALS AND METHODS: The subjects consisted of 78 patients with adenotonsillar hypertrophy who had been treated between March 1997 and September 1997 at the department of otolaryngology, Saint Benedict Hospital. Available preoperative data were collected including sex, age at surgery, tonsillar hypertrophy grade, presence of snoring and sleep apnea, preoperative weight, preoperative eating disorder, and URI frequency. RESULT: Many had improvements in growth after adenotonsil-lectomy. The improvement in growth appears to be obvious in chidren with eating disorder, snoring, and sleep apnea resulting from adenotonsillar hypertrophy. CONCLUSION: We can conclude that there exists a relationship beween adenotonsillar hypertrophy children and preoperative eating disorder, growth delay and snoring.
Subject(s)
Child , Humans , Adenoidectomy , Airway Obstruction , Feeding and Eating Disorders , Hypertrophy , Incidence , Otolaryngology , Saints , Sleep Apnea Syndromes , Snoring , Tonsillectomy , Weight GainABSTRACT
BACKGROUND: Peritonsillitis is a clinical condition of gross tonsillar infection in a septic patient with localized swelling in the peritonsillar region, and which encompasses both peritonsillar abscess and cellulitis. It is not rarely experienced in spite of decreasing incidence since the advent of antibiotic therapy. OBJECTIVES: Our objective was a clinical observation of many factors in relation to peritonsillitis. MATERIALS AND METHODS: A clinical observation was performed on 40 cases with peritonsillitis, who visited St. Benedict hospital during 3 years from February 1994 to March 1997. A needle aspiration was attempted at the point of maximum bulging using a 10cc syringe with an 18-gauge needle. RESULTS: Among 40 cases, 23 cases yielded pus. From those 23 cases, we could isolate 22 strains in 20 cases. Incision and drainage was performed only in cases of aspiration of pus(23 cases). There was no significant difference in duration of hospitalization between I & D group(7.17 days) and non-I & D group(6.71 days)(p>0.05). CONCLUSION: We conclude that I & D can't reduce the duration of hospitalization even though I & D is helpful for the relief of symptoms, and the adequate use of antibiotics is important for the treatment of peritonsillitis.